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Article
Publication date: 7 August 2017

Carollyne Youssef

While there is general agreement in the literature regarding the importance of the therapeutic alliance (TA) in psychological interventions with people, the forensic…

Abstract

Purpose

While there is general agreement in the literature regarding the importance of the therapeutic alliance (TA) in psychological interventions with people, the forensic context raises some unique challenges. The purpose of this paper is to discuss how these challenges are managed within a therapeutic context.

Design/methodology/approach

This paper consists of a literature review examining the following: the significance of the TA in interventions with forensic clients, especially men who have committed a sexual offence and the impact on treatment efficacy and change; therapist characteristics as well as some of the obstacles and challenges present in a correctional setting, which can impact on the TA and; the role of transference and countertransference in relation to these forensic clients.

Findings

Through the literature review, there is a discussion regarding how some of the common obstacles within correctional settings can be overcome, and how certain therapist qualities should be interpreted.

Originality/value

This paper will discuss some of the practical applications of certain recommended therapeutic factors within a correctional setting, challenging some of the common misconceptions and limitations. Furthermore, transference and countertransference, topics which are seldom discussed, will be considered in this paper.

Details

Journal of Criminal Psychology, vol. 7 no. 3
Type: Research Article
ISSN: 2009-3829

Keywords

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Article
Publication date: 3 July 2017

Pádraig Cotter, Sara Hollwey and Alan Carr

The purpose of this paper is to appraise “transference” and “countertransference” when working with people with intellectual disabilities (PWID).

Abstract

Purpose

The purpose of this paper is to appraise “transference” and “countertransference” when working with people with intellectual disabilities (PWID).

Design/methodology/approach

A review of the literature was conducted, followed by a discussion.

Findings

No research articles were found. Potential reasons for this are discussed. Historical influence, complexity of the topic and resistance among professionals may be contributing factors. Despite this, these phenomena are important for several reasons. These include the high levels of trauma these clients experience; the manner in which they have been marginalised by mainstream society; the strong likelihood of PWID evoking difficult countertransference from therapists; and the myriad of coping mechanisms and defences that these clients may employ.

Research limitations/implications

Research is needed to further current understanding of these issues.

Practical implications

An awareness of these issues amongst practitioners and other key members of a PWID’s system is important.

Originality/value

This is the first review and commentary on these issues.

Details

Tizard Learning Disability Review, vol. 22 no. 3
Type: Research Article
ISSN: 1359-5474

Keywords

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Article
Publication date: 22 October 2019

Alessandra Merizzi

The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the…

Abstract

Purpose

The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy.

Design/methodology/approach

The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults.

Findings

The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes.

Practical implications

The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed.

Originality/value

Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice.

Details

Working with Older People, vol. 23 no. 4
Type: Research Article
ISSN: 1366-3666

Keywords

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Article
Publication date: 3 October 2016

Noelle Blackman

There remains a lack of clarity regarding what constitutes “normal” or “complicated” grief within this client group. The purpose of this paper is to identify the factors…

Abstract

Purpose

There remains a lack of clarity regarding what constitutes “normal” or “complicated” grief within this client group. The purpose of this paper is to identify the factors that complicate grief and considers interventions which would be beneficial.

Design/methodology/approach

The paper draws on previous research by the author and others to comment on some of the issues discussed by Hannah Young in her article.

Findings

Three domains contribute to complicated grief in people with learning disabilities. These are the learning disability itself, environmental factors and the impact of disability on attachment.

Practical implications

A relational approach to support is important in preventing complicated grief. If the grief becomes complicated, a relational psychotherapy is recommended as the preferable intervention.

Originality/value

This paper gives important consideration to practical factors that can lower vulnerability to complicated grief for this client group.

Details

Tizard Learning Disability Review, vol. 21 no. 4
Type: Research Article
ISSN: 1359-5474

Keywords

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Article
Publication date: 1 February 2005

Shulamith Lala A Straussner and Norma Kolko Phillips

Research has validated the crucial aspect of empathy in effective clinical practice. Empathy requires the identification of the helping professional with the emotional…

Abstract

Research has validated the crucial aspect of empathy in effective clinical practice. Empathy requires the identification of the helping professional with the emotional experience of the client. However, in their work with women offenders, clinicians can encounter a number of obstacles to appropriate empathic interventions: the workers may over‐empathize with their clients; the offenders may be resistant to being helped; and there may be institutional and social dynamics that may discourage empathic helping by staff. This paper discusses the concept of empathy and the difficulties encountered by social workers and other clinicians in their efforts to provide appropriate empathic approaches to this population. Effective strategies that will allow for appropriate use of empathy by clinicians working with female offenders are offered.

Details

International Journal of Prisoner Health, vol. 1 no. 2/3/4
Type: Research Article
ISSN: 1744-9200

Keywords

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Abstract

Details

Mad Muse: The Mental Illness Memoir in a Writer's Life and Work
Type: Book
ISBN: 978-1-78973-810-0

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Article
Publication date: 12 June 2017

Jan Lees, Rex Haigh and Sarah Tucker

The purpose of this paper is to highlight theoretical and clinical similarities between therapeutic communities (TCs) and group analysis (GA).

Abstract

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.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 38 no. 2
Type: Research Article
ISSN: 0964-1866

Keywords

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Article
Publication date: 1 September 2003

Alan Corbett

This article emphasises the importance of meeting the counselling and therapy needs of people with learning difficulties who have been sexually abused, citing a case study…

Abstract

This article emphasises the importance of meeting the counselling and therapy needs of people with learning difficulties who have been sexually abused, citing a case study example of the themes, issues and benefits which this way of working can generate.

Details

The Journal of Adult Protection, vol. 5 no. 3
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 4 February 2010

Andrew Bates

Abstract

Details

The British Journal of Forensic Practice, vol. 12 no. 1
Type: Research Article
ISSN: 1463-6646

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Article
Publication date: 28 August 2019

Peter J. Wilkinson

The purpose of this paper is to introduce and explore stuckness as a felt phenomenon in psychiatric practice in order to stimulate clinicians in mental health settings to…

Abstract

Purpose

The purpose of this paper is to introduce and explore stuckness as a felt phenomenon in psychiatric practice in order to stimulate clinicians in mental health settings to be on the lookout for stuckness and on the lookout for unexpected solutions to difficult clinical scenarios.

Design/methodology/approach

Signs of stuckness are looked at and then proposed causal factors of stuckness in clinical practice are reviewed. These are divided conceptually into four main groupings: patient factors, clinician factors, service factors and societal factors.

Findings

Although clinicians are encouraged to acknowledge when stuckness is present and to try to address possible causes with their patients, clinicians are also advised to work on understanding stuckness as a natural part of creative processes. It is suggested that services should draw on a psychoanalytic ethos to support staff to tolerate and respond to stuckness better.

Originality/value

Feeling stuck with patients’ partial recoveries or “revolving door” cycles is uncomfortable. In stretched psychiatric services in particular stuckness may go unnoticed, and instead the difficulty of the work with patients may inadvertently drive therapeutic mania or rejection of the patients, which can lead to harm. This paper offers a simple scheme to use when thinking about stuck patients in the psychiatric setting with the hope that this can stimulate clinicians to search for new creative solutions for patients.

Details

Mental Health Review Journal, vol. 24 no. 3
Type: Research Article
ISSN: 1361-9322

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