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Article
Publication date: 5 September 2016

Biza Stenfert Kroese, Sara Willott, Frances Taylor, Philippa Smith, Ruth Graham, Tara Rutter, Andrew Stott and Paul Willner

Trauma-focussed cognitive-behaviour therapy (TF-CBT) is the most effective treatment for post-traumatic stress disorder (PTSD). Individuals who present with complex PTSD are among…

Abstract

Purpose

Trauma-focussed cognitive-behaviour therapy (TF-CBT) is the most effective treatment for post-traumatic stress disorder (PTSD). Individuals who present with complex PTSD are among the most complex and challenging patients seen by intellectual disability psychology and psychiatry services. The purpose of this paper is to study TF-CBT intervention for people with intellectual disabilities and complex PTSD.

Design/methodology/approach

Three groups of adults with intellectual disabilities (ID) presenting with complex PTSD (n=3, n=5 and n=4) were treated using a 12-week manualised intervention adapted from a procedure routinely used in adult mental health services. Participants completed the Impact of Event Scale as adapted for people with intellectual disabilities (IES-ID) before and after the intervention, and interviews conducted to ascertain their experiences of the group were analysed using interpretative phenomenological analysis (IPA).

Findings

The ten participants who completed the intervention showed a 27 per cent decrease in median Impact of Event Scale Intellectual Disabilities scores, equivalent to a medium effect size (d=0.50). Five themes were identified from the interviews: being listened to; it is nice to know you are not the only one; being in a group can be stressful; the importance of feeling safe; achieving and maintaining change. Participants also provided constructive feedback to promote improvements to the manual.

Research limitations/implications

A feasibility study followed by methodologically robust clinical trials is now needed to establish the effectiveness of the intervention and its utility in clinical practice.

Practical implications

This small study has confirmed the potential of TF-CBT as an intervention for extremely vulnerable individuals with ID who present with complex PTSD.

Social implications

The findings indicate that a group intervention is both feasible for and acceptable to adults with ID.

Originality/value

To date, no study has investigated the effectiveness and feasibility of a TF-CBT group intervention for adults with mild ID.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 10 no. 5
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 19 February 2018

Andrew Stott and Helena Priest

Existing literature has examined what recovery means to people with co-occurring difficulties, but does little to examine experiences of recovery as a process. The purpose of this…

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Abstract

Purpose

Existing literature has examined what recovery means to people with co-occurring difficulties, but does little to examine experiences of recovery as a process. The purpose of this paper is to use a narrative approach to explore the process of recovery as an individual journey in a social context. It focuses on people who use alcohol in order to explore the impact of alcohol’s specific cultural meanings on the recovery journey.

Design/methodology/approach

Ten interviews with people with coexisting mental health and alcohol misuse difficulties were conducted, audio-recorded, and transcribed. The transcriptions were analysed using narrative analysis.

Findings

Most participants’ narratives shared a three-part structure, from a traumatic past, through an episode of change, to an ongoing recovery phase. Change and recovery were attributed to several factors including flexible and practical support from services, therapeutic relationships with key professionals, and peer support. Some participants redefined themselves and their alcohol use in relation to ideas of what it is to be “normal”.

Research limitations/implications

The research excluded people who recover outside of services, replicating a shortcoming of much research in this area.

Practical implications

The value placed on professionals having specialised therapeutic skills in working with trauma highlights the need for training in this area. The role for practical and material support underlines the importance of multi-agency working.

Originality/value

The narrative methodology enables the study to draw links between personal stories of recovery and wider social influences, allowing comment on the implications for services. Further, the experiences of people with coexisting mental health and alcohol misuse difficulties have rarely been studied apart from the dual diagnosis population in general, so this paper is able to investigate the specific challenges for this population.

Details

Advances in Dual Diagnosis, vol. 11 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 6 July 2015

David Ng, Dong Thanh Nguyen, Benjamin Koon Siak Wong and William Kim Weng Choy

The purpose of this paper is to present a review of empirical studies on principal leadership in Singapore. It seeks to provide a general picture of Singapore principals’…

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Abstract

Purpose

The purpose of this paper is to present a review of empirical studies on principal leadership in Singapore. It seeks to provide a general picture of Singapore principals’ leadership qualities, styles, and roles.

Design/methodology/approach

This is a systematic review of empirical studies, using a “bounded” approach with a focus on the main findings of the reviewed studies. In all, 36 studies were selected for the interview. The findings of these studies were open coded, synthesized, and clustered into different themes.

Findings

The review revealed several qualities, characteristics, styles, and enacted roles of Singapore principals. While there are similarities between Singapore principals and principals elsewhere in the world, the review brought out some features unique to Singapore principals.

Originality/value

This review contributes to the growing literature in comparative research on principals’ leadership and their enacted roles, and concurrently functions as a guide for further research on school leadership in Singapore.

Details

Journal of Educational Administration, vol. 53 no. 4
Type: Research Article
ISSN: 0957-8234

Keywords

Book part
Publication date: 15 January 2010

Bruno Lanz, Allan Provins, Ian J. Bateman, Riccardo Scarpa, Ken Willis and Ece Ozdemiroglu

We investigate discrepancies between willingness to pay (WTP) and willingness to accept (WTA) in the context of a stated choice experiment. Using data on customer preferences for…

Abstract

We investigate discrepancies between willingness to pay (WTP) and willingness to accept (WTA) in the context of a stated choice experiment. Using data on customer preferences for water services where respondents were able to both ‘sell’ and ‘buy’ the choice experiment attributes, we find evidence of non-linearity in the underlying utility function even though the range of attribute levels is relatively small. Our results reveal the presence of significant loss aversion in all the attributes, including price. We find the WTP–WTA schedule to be asymmetric around the current provision level and that the WTP–WTA ratio varies according to the particular provision change under consideration. Such reference point findings are of direct importance for practitioners and decision-makers using choice experiments for economic appraisal such as cost–benefit analysis, where failure to account for non-linearity in welfare estimates may significantly over- or under-state individual's preferences for gains and avoiding losses respectively.

Details

Choice Modelling: The State-of-the-art and The State-of-practice
Type: Book
ISBN: 978-1-84950-773-8

Article
Publication date: 1 February 1995

ROY RADA, GRAHAM BIRD and MIN ZHENG

Interchange of text and hypertext between various systems is vital in order to reuse text and hypertext, but the task of generating translators between different representations…

Abstract

Interchange of text and hypertext between various systems is vital in order to reuse text and hypertext, but the task of generating translators between different representations is often complex and tedious. The Integrated Chameleon Architecture (ICA) is a public domain toolset for generating translators. However, ica can only handle context‐free grammars while the grammar of hypertext is not context‐free. This paper presents an extended ICA (E‐ICA) which is based on ICA with extra pre‐ and post‐processors to handle the context‐sensitive and implicit information of hypertext. A system called SGML‐MUCH has been developed using E‐ICA. The development and use of the SGML‐MUCH system is presented as a case study with converters for the hypertext systems MUCH, Guide, Hyperties, and Toolbook described in detail.

Details

Journal of Documentation, vol. 51 no. 2
Type: Research Article
ISSN: 0022-0418

Book part
Publication date: 27 October 2016

Alexandra L. Ferrentino, Meghan L. Maliga, Richard A. Bernardi and Susan M. Bosco

This research provides accounting-ethics authors and administrators with a benchmark for accounting-ethics research. While Bernardi and Bean (2010) considered publications in…

Abstract

This research provides accounting-ethics authors and administrators with a benchmark for accounting-ethics research. While Bernardi and Bean (2010) considered publications in business-ethics and accounting’s top-40 journals this study considers research in eight accounting-ethics and public-interest journals, as well as, 34 business-ethics journals. We analyzed the contents of our 42 journals for the 25-year period between 1991 through 2015. This research documents the continued growth (Bernardi & Bean, 2007) of accounting-ethics research in both accounting-ethics and business-ethics journals. We provide data on the top-10 ethics authors in each doctoral year group, the top-50 ethics authors over the most recent 10, 20, and 25 years, and a distribution among ethics scholars for these periods. For the 25-year timeframe, our data indicate that only 665 (274) of the 5,125 accounting PhDs/DBAs (13.0% and 5.4% respectively) in Canada and the United States had authored or co-authored one (more than one) ethics article.

Details

Research on Professional Responsibility and Ethics in Accounting
Type: Book
ISBN: 978-1-78560-973-2

Keywords

Article
Publication date: 1 March 1999

Alan Rusbridger

The text of a lecture given by Alan Rusbridger, Editor of The Guardian, to mark the opening of the new facilities for the Department of Journalism at the University of Central…

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Abstract

The text of a lecture given by Alan Rusbridger, Editor of The Guardian, to mark the opening of the new facilities for the Department of Journalism at the University of Central Lancashire, Preston. The theme of the lecture is public trust in what journalists write. Argues that, despite the public’s lack of trust in newspapers, they do in fact uncover many truths that business, industry and Government are attempting to conceal. Examples are provided from the energy industry, science and the environment, transport, Home Office and food safety. Describes the important role The Guardian’s Readers’ Editor has had in increasing public trust in the newspaper.

Details

Aslib Proceedings, vol. 51 no. 2
Type: Research Article
ISSN: 0001-253X

Keywords

Article
Publication date: 1 June 2008

Martin Langner and David Sanders

Simple and affordable systems are described to assist wheelchair users in steering their wheelchairs across sloping ground. The systems can be attached to many standard powered…

Abstract

Simple and affordable systems are described to assist wheelchair users in steering their wheelchairs across sloping ground. The systems can be attached to many standard powered wheelchairs. Wheelchairs often steer by having two swivelling caster wheels but problems with this configuration occur when a wheelchair is driven along sloping ground because the casters can swivel in the direction of the slope. Gravity then causes the wheelchair to start an unwanted turn or ‘veer’ and the chair goes in an unintended direction. This situation is exacerbated for switch users, as switches cannot provide fine control to trim and compensate. Early experiments demonstrated that calibrating wheelchair controllers for straight‐line balance and optimising motor‐compensation did not solve this problem. Caster angle was selected to provide feedback to the wheelchair controllers. At the point when veer is first detected, a wheelchair has already begun to alter course and the job of the correction system is to minimise this drift from the desired course. A rolling road was created as an assessment tool and trials with both the test bed and in real situations were conducted to evaluate the new systems. The small swivel detector that was created could be successfully attached to caster swivel bearings. The new system was successful, robust and was not affected by changeable parameters. Although primarily intended for switch users, the methods can be applied to users with proportional controls.

Details

Journal of Assistive Technologies, vol. 2 no. 2
Type: Research Article
ISSN: 1754-9450

Keywords

Book part
Publication date: 2 August 2023

Katherine Farrimond

The figure of the femme fatale is attached to a range of contested meanings around femininity, sexuality and violence. Despite its ambiguity and its origins in art, myth and…

Abstract

The figure of the femme fatale is attached to a range of contested meanings around femininity, sexuality and violence. Despite its ambiguity and its origins in art, myth and fiction, the term has proven popular in giving a name to violent articulations of female power in non-fictional settings by journalists. In this chapter, I outline the figure of the femme fatale as an archetype of women's violence that appears throughout Western popular culture, and provide an overview of the term's definitions and cultural meanings. In doing so, I trace the figure's movement across different forms and genres of popular culture. I identify a number of themes in the existing scholarship around the figure: feminist criticism of the figure; the value that feminist film scholars have found in the figure as a symbol of power and sexual transgression; the relationship between the femme fatale, race and the colonial imagination; and the way the idea of the femme fatale has been used in reporting of real-life women's violence.

Details

The Emerald International Handbook of Feminist Perspectives on Women’s Acts of Violence
Type: Book
ISBN: 978-1-80382-255-6

Keywords

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