Search results for ‘Subject term:"mental health problems"’ Sort:
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Significant therapy events with clients with intellectual disabilities
- Authors:
- WILLS Sarah, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.173-183.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs). Design/methodology/approach: Four therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in psychotherapy, using video of particular sessions as a stimulus to help prompt recall of that session. Findings: Using interpretative phenomenological analysis, five super-ordinate themes were identified: “The Uniqueness of the Therapeutic Relationship”; “Using adaptations to Express Emotions”; “Client Behaviour/Therapist Behaviour”; “Hope and Paternalism”; and “Meaning-Making”. The results provide additional evidence that significant therapy events occur for clients with IDs. Furthermore, the research enabled insights to be gained about the process of therapy for this client group and for exploration of therapeutic factors that may be involved in facilitating a significant therapy event. Research limitations/implications: This study highlights the need for therapists to work in such a way as to facilitate significant events in therapy. Whilst this study was a necessary first step, owing to the non-existence of research in this area, the sample size and qualitative design may limit any wider generalisation of the findings. Originality/value: Significant events have not previously been explored in psychotherapy with clients with IDs. This research could therefore make an important contribution to our understanding of the process of psychotherapy for this client group. (Publisher abstract)
An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control
- Authors:
- SKELLY Allan, McGEEHAN Caoimhe, USHER Robert
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.153-162.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the outcome of psychodynamic psychotherapy for people with intellectual disabilities (ID), which has a limited but supportive evidence base. Design/methodology/approach: The study is a systematic open trial of flexible-length psychodynamic therapy offered in an urban community to 30 people with mild and moderate ID, presenting with significant emotional distress on the Psychological Therapies Outcome Scale for people with intellectual disabilities (PTOS-ID). Allocation to therapy was made according to an established stepped care approach according to need, and the mean number of sessions was 22.03 (range 7–47). Treatment fidelity was checked via notes review and cases excluded from analysis where there were other significant psychological interventions. Findings: On both self-report (PTOS-ID) and independent ratings (Health of the Nation Outcome Scales-Learning Disability (HoNOS-LD)) recipients of therapy: did not improve while waiting for therapy; improved significantly during therapy, with large pre–post effect sizes; and retained improvements at six-month follow-up. Research limitations/implications: While it is important to conduct further controlled trials, the findings provide support for previous studies. High rates of abuse and neglect were found in the sample, suggesting that more trauma-informed and relational approaches should be explored for this client group. Originality/value: No other study of this size has been completed which used dedicated standardised outcome measures, with this therapy type, with both waiting list and follow-up control and with account of model fidelity. (Publisher abstract)
Psychotherapy patients' views of treatment: on learning from the patient
- Authors:
- BENDE Brigitta, CROSSLEY David
- Journal article citation:
- Psychiatric Bulletin, 24(12), December 2000, pp.453-456.
- Publisher:
- Royal College of Psychiatrists
Psychotherapy patients' views of treatment received from two senior registrars were obtained by questionnaire. The aim of the study was to give patients an opportunity to reflect on therapy and help trainees evaluate their therapeutic style and the therapy they provided. All patients recalled key issues covered in therapy, 96% found therapy valuable. Seventy-two per cent made comments about therapists' style and 20% made suggestions for improvement of the service. Clinical, service and training implications are discussed and it is suggested that this form of patient survey is a useful adjunct in outcome evaluation of treatments and of training.
Impact upon therapy and the therapist when working with suicidal patients: some transference and countertransference aspects
- Author:
- RICHARDS Barbara M.
- Journal article citation:
- British Journal of Guidance and Counselling, 28(3), August 2000, pp.325-337.
- Publisher:
- Taylor and Francis
The suicide, or attempted suicide, of a client/patient is something that a substantial number of counsellors and psychotherapists have encountered during their career. In this paper the experience of psychotherapists working with suicidal patients is explored. The findings indicate that suicidal patients can evoke intense feelings within the therapist, and the meanings of this are discussed.
Developing treatment choice guidelines in psychotherapy
- Author:
- PARRY Glenys
- Journal article citation:
- Journal of Mental Health, 9(3), June 2000, pp.273-281.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Research-based clinical practice guidelines are one of a range of methods to improve the quality and effectiveness of psychotherapies delivered within mental health care services. This article reviews the concept of evidence-based practice in the psychological therapies, describes the process of guideline development and suggests the best way to use guidelines. Examples of guidelines in the mental health field are presented and the development process for the national guideline on treatment choice in psychological therapies and counselling is summarised. Professional and scientific misgivings with guideline development are discussed and the case against developing them addressed.
Is managed mental health treatment psychotherapy?
- Author:
- EDWARD Joyce
- Journal article citation:
- Clinical Social Work Journal, 27(1), Spring 1999, pp.87-102.
- Publisher:
- Springer
- Place of publication:
- New York
The corporate takeover of mental health treatment in the USA has dramatically affected mental health treatment. Drawing on several detailed sessions from the 'managed' treatment of a young woman, the author considers whether managed mental health care can be called psychotherapy.
Brief therapy in adult psychiatry - further outcomes
- Author:
- MACDONALD Alasdair J.
- Journal article citation:
- Journal of Family Therapy, 19(2), May 1997, pp.213-222.
- Publisher:
- Wiley
A report of a one-year follow-up of thirty-six referrals treated with solution-focused brief therapy by a supervised team in a mental health setting is described. A good outcome was reported for twenty-three cases. These results are comparable with the authors previous work and with one other statistically validated outcome study on solution-focused therapy.
Culture and reflexivity: systemic journeys with a British Chinese family
- Authors:
- TEH Yang Yang, LEK Evonne
- Journal article citation:
- Journal of Family Therapy, 40(4), 2018, pp.520-536.
- Publisher:
- Wiley
This paper describes a reflective space created between two Singaporean Chinese systemic psychotherapists and a British Chinese family – the Chans. The family attended the Marlborough Cultural Therapy Centre (MCTC) in London and was given two separate culture‐specific systemic treatments by different therapists, which were reflected upon collaboratively with the Chans. A brief literature review of British Chinese and mental health, culture and reflexivity is described. The authors discuss clinical implications including the impact of British Chinese cultures and the effect of mental health issues on the family. The process and outcomes of the treatment are explained using the frame of reflexivity. Clinical implications discussed include the impact of British Chinese cultures and the effects of schizophrenia and anxiety on the family. Practitioner points: (a) Reflexivity is an interactional process creating change through repeated awareness, reflection and action related to our similarities and differences; (b) This process may helpfully guide practitioners through therapeutic journeys; (c) Reflexivity is especially important when considering both similarities and differences – even when the therapist is working with clients from a similar (ethnic) culture; (d) Involving clients in the writing process enhances reflexivity for both therapists and clients and in itself can be thought of as a further intervention. (Edited publisher abstract)
Recovering process from child sexual abuse during adulthood from an integrative approach to solution-focused therapy: a case study
- Author:
- GONZALEZ Carolina
- Journal article citation:
- Journal of Child Sexual Abuse, 26(7), 2017, pp.785-805.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In recent times, strengths-based recovery approaches that focus on the present and build strategies that look toward the future have become popular. However, some cases require the consideration of experiences from previous stages of the clients’ development. This single-case study explores the psychotherapeutic process of a middle-aged woman who presented with a history of child sexual abuse (incest) and a long-term adult diagnosis of depression that was treated in public health services. This psychotherapy involved an integrative approach to solution-focused therapy; specifically, the approach proposed by Yvonne Dolan to work with adult survivors of sexual abuse, in conjunction with techniques and strategies from the transtheoretical model. Measures incorporating therapeutic working alliance and outcomes were administered over sessions. Results showed positive outcomes from this therapeutic intervention, which remained at 3-month and 12-month follow-ups. Implications for practitioners’ specialist practice in health services are discussed, given the complexity of comorbid mental health conditions with a history of child sexual abuse. (Publisher abstract)
Therapeutic communities and group analysis
- Authors:
- LEES Jan, HAIGH Rex, TUCKER Sarah
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 38(2), 2017, pp.87-107.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight theoretical and clinical similarities between therapeutic communities (TCs) and group analysis (GA). Design/methodology/approach: Literature review shows comparison of TC and group-analytic concepts with illustrative case material. Findings: Findings reveal many similarities between TCs and GA, but also significant divergences, particularly in practice. Practical implications: This paper provides theoretical basis for TC practice, and highlights the need for greater theorising of TC practice. Social implications: This paper highlights the importance of group-based treatment approaches in mental health. Originality/value: This is the first paper to review the relevant literature and compare theory and practice in TCs and GA, highlighting their common roots in the Northfields Experiments in the Second World War. (Publisher abstract)