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Research watch: art therapy: a dose of treatment, an aid to social inclusion or an unnecessary indulgence?
- Author:
- HOLTTUM Sue
- Journal article citation:
- Mental Health and Social Inclusion, 17(2), 2013, pp.64-69.
- Publisher:
- Emerald
Purpose – This Research Watch aims to summarise two recent and very different research publications on art therapy and comments on their ability to shed light on the usefulness of art therapy to address mental distress and enhance social inclusion. Design/methodology/approach – The author discusses a recent edition of a UK art therapy journal in which research papers focus on art therapy with people who have been given a diagnosis of personality disorder. The main methodologies are qualitative describing participants’ and/or therapists’ experiences and the role of art therapy in addressing serious mental distress. The second publication is a recent report of a large randomised controlled trial of art therapy for people given a diagnosis of schizophrenia. The author assesses the value of both publications in informing us about the usefulness of art therapy in addressing mental distress and enhancing social inclusion. Findings – In the author's view, neither publication establishes definitively how or whether art therapy might address serious mental distress, whether labelled personality disorder or schizophrenia. However, the qualitative articles provide insight into possible helpful (and less helpful) aspects of therapy. The randomised trial should have been able to establish general principles about the effectiveness of art therapy for a specific group of people in specified contexts, but instead exemplifies many problems inherent in the pervasive research culture of putting numbers onto complex human interactions and calculating their value for money, sometimes at the expense of really understanding what is going on. Originality/value – The author draws upon these two very different examples of research to reflect a current dilemma in UK art therapy research, and tentatively looks at possible ways forward. (Publisher abstract)
Clinical decision of short-versus long-term treatment
- Authors:
- RABINOWITZ Jonathan, LUKOFF Irving
- Journal article citation:
- Research on Social Work Practice, 5(1), January 1995, pp.62-79.
- Publisher:
- Sage
Practitioners' decisions of when to use ST (planned short-term) versus LT (long-term) therapy were studied via their responses to vignettes and an open-ended question about their criteria for choosing. The decisions of practitioners of when to use ST or LT therapy on patients presenting adjustment disorder, Dysthymic Disorders, and borderline personality disorder were studied. Discusses the decisions made by the therapists in relation to their criteria for opting for a particular therapy.
Assessment of obsessive-compulsive disorder and spectrum disorders
- Authors:
- STEKETEE Gail, NEZIROGLU Fugen
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.169-185.
- Publisher:
- Oxford University Press
This paper summarizes a variety of assessment tools for use with obsessive-compulsive disorder (OCD) and obsessive-compulsive (OC) spectrum conditions. The description of instruments and methods of assessment is intended to help clinicians identify measures that might be especially useful in determining, first, what problems to address in treatment and, second, whether therapy is having the desired effect. Included are clinician interviews, self-report questionnaires, clinician-rated forms, and behavioral observations and self-monitoring by the patient. These cover patients' presenting symptoms, comorbid conditions, mood, ability to function, family aspects, and cognitive factors including insight, beliefs, and motivation. Clinicians are encouraged to provide immediate feedback about patients' responses to interviews, questionnaires, and behavioural measures so that they understand the purpose of the instrument and its relevance to their treatment.
Hospitality, not hospital
- Author:
- LEASON Katie
- Journal article citation:
- Community Care, 25.3.04, 2004, pp.30-32.
- Publisher:
- Reed Business Information
Looks at the Arbours Crisis Centre, where people with mental health problems and professionals live and work together.
The voice of reason
- Author:
- JAMES Adam
- Journal article citation:
- Nursing Times, 15.10.02, 2002, pp.26-27.
- Publisher:
- Nursing Times
Looks at the use of cognitive behaviour therapy in the treatment of people with psychosis.
Learning to conduct psychotherapy with psychotically disturbed patients
- Author:
- McKENNA Patricia
- Journal article citation:
- Clinical Supervisor (The), 19(1), 2000, pp.20-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A first experience working therapeutically with a psychotically-impaired individual challenges a psychologist-in-training with a number of issues. These include how best to establish a therapeutic stance toward symptoms of cognitive disorganisation and delusions, and countertransferential difficulties arising from the power differential between patient and therapist. These issues are explored in the context of a twice-weekly psychodynamic treatment with an involuntary patient on a locked inpatient facility. Challenges faced in this type of treatment are important training experiences, and can inform work with higher-functioning patients as well.
Psychiatric and behavioural disorders in intellectual and developmental disabilities
- Editors:
- BOURAS Nick, HOLT Geraldine, (eds.)
- Publisher:
- Cambridge University Press
- Publication year:
- 2007
- Pagination:
- 424p.
- Place of publication:
- Cambridge
- Edition:
- 2nd ed.
The fully revised and updated second edition of this book is aimed at all those involved in the fields of intellectual, developmental and learning disabilities. It draws on both clinical experience and recent research findings to bring together information on the mental health and behavioural problems of people with intellectual, developmental and learning disabilities and mental retardation. Contributions are provided from a multidisciplinary team of experts and cover; assessment and diagnosis, psychopathology, treatment and therapeutic interventions, and policy and service systems. Children are included and a wide range of conditions discussed, such as depression, anxiety, schizophrenia, dementia, personality disorder and self injurious behaviour. New to this edition are chapters on; mental health assessment and monitoring tools for people with intellectual disabilities; interdisciplinary multimodal assessment for mental health problems; the interface between medical and psychiatric disorders; personality disorders; mental health problems in people with autism spectrum disorders; psychosocial interventions; and psychodynamic approaches.
Survey of expert second opinions in a tertiary psychiatric out-patient clinic in the Yorkshire region between 1988 and 2000
- Authors:
- NIRODI Pratibha, et al
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.416-420.
- Publisher:
- Royal College of Psychiatrists
A medical second opinion is an expert clinical case evaluation requested by a colleague for a patient already under specialist care. There is no literature on the provision for second opinions in psychiatric practice other than those relating to the Mental Health Act 1983, and the availability of clinics offering second opinions varies greatly from one area to another. The authors undertook a survey of an expert second opinion service in Leeds over the period 1988-2000 and examined the case notes of 103 referred patients, of whom 71 were included in the analysis data. In the majority of cases diagnoses were not changed, but alternative treatment strategies were suggested. The exception was for patients with a diagnosis of personality disorder, in whom neither a new diagnosis nor alternative management was commonly suggested. Half of the assessments were completed in a single visit, but a substantial minority required further evaluation as outpatients, close follow-up or even hospital admission for detailed review. The authors believe that a second opinion service offers clinicians valuable support and expertise, especially in sector psychiatry. Evidence presented suggests that further therapeutic options are available for many patients regarded as 'difficult to treat'. In some cases this may involve a period of observation free of all psychotropic medication. As in other specialities, psychiatrists should be aware of the value of further advice for patients with particularly refractory or unusual disorders.
Women admitted to secure forensic psychiatry services: II. Identification of categories using cluster analysis
- Authors:
- COID Jeremy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.296-315.
- Publisher:
- Routledge
It has been recommended that there should be new therapeutic regimes for women who need secure inpatient services. Cluster analysis was applied to the diagnoses of 471 women admitted to Special Hospitals and medium secure units over a 7-year period from a geographically representative area of seven health regions in the UK. The aim was to identify categories that may facilitate the development of new specialist services. A seven-cluster solution revealed three subgroups of women with personality disorder as their primary psychopathology, three with major mental illness, and one with organic brain syndrome. Each may require different therapeutic regimes and levels of inpatient security. Further research is necessary to determine whether any single category could be managed in specialist facilities without recourse to high perimeter security.
Evaluation of an offending behaviour programme with a mentally disordered offender population
- Authors:
- DONNELLY John P, SCOTT Moira F.
- Journal article citation:
- British Journal of Forensic Practice, 1(4), December 1999, pp.25-32.
- Publisher:
- Emerald
This article evaluates a programme to address offending and antisocial behaviours from a cognitive/problem-solving angle. Recommendations for future practice are outlined.