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Adapted DBT programme for individuals with intellectual disabilities and problems managing emotions: staff awareness training
- Authors:
- ASHWORTH Sarah, MOONEY Paul, TULLY Ruth J.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(3), 2016, pp.185-198.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present the development and evaluation of an original training package for staff members on an awareness of an adapted Dialectical Behaviour Therapy programme, the “I Can Feel Good” programme (Ingamells and Morrissey, 2014) designed for individuals with intellectual disabilities (ID) and problems managing emotions. The quality and effectiveness of the training was assessed and is reported in this paper. Design/methodology/approach: The training was delivered for staff working with individuals with ID in a UK medium-secure psychiatric hospital and was attended by nursing staff. The workshop consisted of six modules: “Introduction to the programme”, “Mindfulness”, “Managing feelings”, “Coping in Crisis”, “People skills” and “Application and summary”. Level of self-reported knowledge, confidence and motivation regarding seven aspects of the training was measured by an evaluation questionnaire completed pre and post training. Findings: The results of this study showed that following the training there was a significant increase in self-reported knowledge, confidence and motivation regarding the seven aspects of the training. When perceptions of staff behaviours are observed, although in the right direction, this change was found not to be significant. Originality/value: This study highlights the potential for staff training to increase awareness of newly adapted therapeutic programmes for individuals with ID. The staff training may increase their ability and willingness to facilitate the running of such programmes and ability to support learning transfer in group members. (Publisher abstract)
Distinguishing worry from rumination in older people: a preliminary investigation
- Authors:
- REWSTON C., et al
- Journal article citation:
- Aging and Mental Health, 11(5), September 2007, pp.604-611.
- Publisher:
- Taylor and Francis
Anxiety and depression are common mental health problems in later life. Since worry and rumination are thought to underpin the respective primary cognitive processes in anxiety and depression, we developed a measure to distinguish worry from rumination in later life. The Ruminative Response Scale was adapted to include items that characterise the cognitive features of worry. The authors examined its properties using 92 clinical and non-clinical participants, aged over 65. Factor analysis demonstrated a three-factor structure: brooding, reflection and worry with internal consistencies of = 0.72, = 0.67 and = 0.55 respectively. No evidence for concurrent validity of these factors was found using the Penn State Worry Questionnaire. Modest but significant associations between reflection and brooding (r = 0.36) and reflection and worry (r = 0.2) were found. Brooding and worry sub-scales remained unrelated. It is suggested that it is possible to distinguish worry from rumination in older people and that differentiating between their key underlying characteristics in the assessment of mood problems may enhance the targeting and evaluation of cognitive-behavioural therapy for anxiety and depression in later life. Future research with a substantial clinical sample is needed to explore the underlying dimensions and correlates of worry in later life.
Therapy culture: cultivating vulnerability in an uncertain age
- Author:
- FUREDI Frank
- Publisher:
- Routledge
- Publication year:
- 2004
- Pagination:
- 245p.
- Place of publication:
- London
We air our feelings and dirty laundry on television talk shows. Many Americans rely on advice from a therapist to get them through daily crises and boost our self-esteem. The news media constantly relays stories of people "at risk". And our lunch conversations are sprinkled with the phrases "scarred for life," "emotionally fragile", and "How did I get here." The author turns his sharp eye to explore the powerful influence of therapeutic imperative in contemporary society . In recent decades virtually every sphere of life has become subject to a new emotional culture. He suggests that the recent cultural turn toward the realm of the emotions coincides with a radical redefinition of who we are. Increasingly vulnerability is presented as the defining feature of our psyches. The book questions the widely accepted notions that this new culture represents an enlightened shift towards emotions and shows how this turn is primarily about imposing a new conformity through the management of our emotions. Through framing the problem of everyday life through the prism of emotions, therapy culture incites everyone to feel powerless and ill. Drawing on developments in popular culture, politics, and social life, the book gives analysis of modern life.
The well-being workshop: recognising the emotional and mental well-being of people with profound and multiple learning disabilities
- Authors:
- PHILIP Maureen, et al
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2005
- Pagination:
- 141p.
- Place of publication:
- London
This is a training resource to help family carers and support staff acknowledge, identify and react to changes in the emotional and mental well-being of people with profound and multiple learning disabilities. The pack comes in the form of an A4 ringbinder and includes a CD-ROM.
The role of hope in psychotherapy with older adults
- Authors:
- BERGIN L., WALSH S.
- Journal article citation:
- Aging and Mental Health, 9(1), January 2005, pp.7-15.
- Publisher:
- Taylor and Francis
The positive impact of psychotherapy upon the mental health problems of older people is increasingly accepted. However little attention has been paid to the role of hope in working therapeutically with older adults. Three relevant bodies of literature, namely adult psychotherapy, hope in older adulthood, and coping with chronic and terminal illness, provide a starting point for examining the therapeutic uses of hope. However, it is argued that these literatures cannot provide a sufficiently comprehensive conceptualisation of hope in psychotherapy with elders. Firstly, it is considered that hope in therapy is directly affected by key experiences of ageing, namely: facing physical and/or cognitive deterioration and facing death. Also, these three bodies of literature have tended to dichotomise hope as either beneficial and adaptive or dysfunctional and maladaptive. A developmental perspective is used to critique this dichotomy and a clinical framework is provided which examines the role and utility of hope in older adult psychotherapy from a more integrated viewpoint embedded in the client's life history. The framework is comprised of three types of 'hope work': 'facilitating realistic hope,' 'the work of despair' and 'surviving not thriving'. Suggestions are made about how this work may be carried out and with whom.
Women shaping their destinies: psychoanalytic perspectives and contemporary clinical portraits
- Author:
- RUDERMAN Ellen G.
- Journal article citation:
- Clinical Social Work Journal, 31(3), 2003, pp.275-293.
- Publisher:
- Springer
- Place of publication:
- New York
Using two case examples of women from different socioeconomic and cultural backgrounds, this article focuses on three central themes to explore women's fears and conflicts about success: the function of masochism as a protective device; the awareness and use of the transference-countertransference to inform both the patient's and analyst's relationship to the past; and the importance of both positive and negative influences in the cultural center. By attending to their own relationships to success, analysts can resonate with their women patients, promoting a more emancipated self-definition and mutual reparativeness.
Critical literature review: effectiveness of individual psychodynamic psychotherapy for adults with intellectual disabilities
- Author:
- MCINNIS Erica E.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.233-247.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report the evidence base for the practice of individual psychodynamic psychotherapy with adults with intellectual disabilities (IDs). Design/methodology/approach: Literature review. Findings: In total, 14 papers were reviewed. From these, one existing review and seven individual papers provided enough evidence to support effectiveness of individual psychodynamic psychotherapy for people with IDs. Research limitations/implications: This research indicates individual psychodynamic psychotherapy to be of benefit. Indeed, all studies reviewed supported individual psychodynamic psychotherapy, but methodological shortcomings weakened the confidence placed in findings for some studies. Limitations of this review include methodological shortcomings of studies reviewed, a small number of existing studies and reliance on case studies. Practical implications: Therapists and commissioners of services should routinely make individual psychodynamic psychotherapy available as part of a spectrum of therapies available to people with IDs who experience emotional and behavioural problems. This is because it is needed for some clients and they benefit. Social implications: Individual psychodynamic psychotherapy for people with IDs adds to the range of therapies available to alleviate emotional distress and enhance well-being. These are necessary to provide a foundation for meaningful contribution to society, particularly for those who have experienced psychological trauma (Frankish, 2016). Originality/value: This review includes more relevant studies than previous reviews and adds to a limited number of reviews in this area. (Publisher abstract)
Learning to manage a patient's erotic feelings in psychotherapy
- Author:
- RAU Douglas R.
- Journal article citation:
- Clinical Supervisor (The), 19(1), 2000, pp.183-189.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Beginning therapists are often ill-prepared when faced with sexual and loving feelings in their work with patients. Using psychodynamic theory as a basis, erotic feelings between therapist and patient are discussed not as obstacles to treatment, but as valuable opportunities to better understand a patient's dynamics, the therapeutic relationship, and the treatment process. Sexual feelings of patient toward therapist are specifically addressed in context of the case example of a psychotic man. Recommendations are offered to beginning therapists for managing these feelings that are both ethically sound and therapeutically meaningful.