Search results
1 – 10 of 15Matthew David Phillips, Rhian Parham, Katrina Hunt and Jake Camp
Autism spectrum conditions (ASC) and borderline personality disorder (BPD) have overlapping symptom profiles. Dialectical behaviour therapy (DBT) is an established treatment for…
Abstract
Purpose
Autism spectrum conditions (ASC) and borderline personality disorder (BPD) have overlapping symptom profiles. Dialectical behaviour therapy (DBT) is an established treatment for self-harm and BPD, but little research has investigated the outcomes of DBT for ASC populations. This exploratory service evaluation aims to investigate the outcomes of a comprehensive DBT programme for adolescents with a diagnosis of emerging BPD and a co-occurring ASC diagnosis as compared to those without an ASC diagnosis.
Design/methodology/approach
Differences from the start to end of treatment in the frequency of self-harming behaviours, BPD symptoms, emotion dysregulation, depression, anxiety, the number of A&E attendances and inpatient bed days, education and work status, and treatment non-completion rates were analysed for those with an ASC diagnosis, and compared between those with an ASC diagnosis and those without.
Findings
Significant medium to large reductions in self-harming behaviours, BPD symptoms, emotion dysregulation and inpatient bed days were found for those with an ASC diagnosis by the end of treatment. There were no significant differences between those with an ASC and those without in any outcome or in non-completion rates. These findings indicate that DBT may be a useful treatment model for those with an ASC diagnosis, though all results are preliminary and require replication.
Originality/value
To the best of the authors’ knowledge, this is the first study to report the outcomes of a comprehensive DBT programme for adolescents with an ASC diagnosis, and to compare the changes in outcomes between those with a diagnosis and those without.
Details
Keywords
Soudeh AghaMohammadi, Mohammad Ali Mazaheri, Ladan Fata, Fereshteh Mootabi and Basir Moghadasiyan
What is happening in the perceived world of young people who have non-suicidal self-injury? The answer to this question explains many quantitative research findings in the field…
Abstract
Purpose
What is happening in the perceived world of young people who have non-suicidal self-injury? The answer to this question explains many quantitative research findings in the field of NSSI. The current qualitative research design is Husserl's descriptive phenomenology.
Design/methodology/approach
The participants included 17–29-year-old youths with self-injury and were selected with a targeted sampling approach and a conspicuous sampling method based on the theoretical saturation criterion of 21 people. Data were collected in a semi-structured interview and analyzed in the MAXQDA2022 software using the Attride-Stirling (2001) method. Validation of data was done by the method of simultaneous review of colleagues and simultaneous review of participants.
Findings
The themes emerging from the analysis of the findings are the three organizing themes of “vulnerable temperament” which includes height and head, high pain sensitivity threshold and desire for nothingness, “traumatic family” which includes disorganization, crisis and devaluation in the family and “developmental injuries” that are associated with physical, sexual and emotional abuse and neglect. The content of these themes seriously harms a person's self-perception through the emotions of fear, shame, anger and despair and is integrated into the overarching theme of “damaged self”.
Originality/value
“Damaged Self” provides causal explanations related to the formation of self-injurious behaviors and these behaviors are in harmony with the damage that a person observes in his perception of himself.
Details
Keywords
Laura Khalil and Joao Da Silva Guerreiro
The purpose of this paper is to examine the current state of the literature on the variables associated with self-harm and aggression in women who committed a criminal offence.
Abstract
Purpose
The purpose of this paper is to examine the current state of the literature on the variables associated with self-harm and aggression in women who committed a criminal offence.
Design/methodology/approach
Studies were identified through online databases, namely, PsycINFO, PubMed, ERIC and EBSCOhost, as well as manual searches of reference lists of the selected studies. The target population included women who committed a criminal offence and have engaged in self-harm and aggressive behaviors during their incarceration, either in correctional institutions or in forensic psychiatric settings.
Findings
Of the 1,178 studies identified, nine met inclusion criteria. The studies were conducted in six different countries and included data from 6360 female participants. Few studies examine self-harm and aggression in women who committed a criminal offence which speaks to the still sparse literature on this topic. This review of the association between self-harm and aggression in women offenders highlights the finding that a small group of women is often involved in both self-harm and aggression. The authors have identified possible psychological factors associated with women engaging in both self-harm and aggression. The findings also reveal a possible connection between types of aggressive behaviors and specific time periods during sentences or stays in forensic psychiatry.
Practical implications
The findings of this scoping review have clinical implications which may be considered by both researchers and the case management teams of women involved in both self-harm and aggression.
Originality/value
Despite the limited number of studies examining self-harm and aggression in women, this scoping review highlights gaps in the literature as well as notable psychological correlates of women who engage in self-harm and aggression.
Details
Keywords
Literature regarding recovery has focussed on diagnoses such as schizophrenia, with few papers focussing on borderline personality disorder (BPD). This is a significant area in…
Abstract
Purpose
Literature regarding recovery has focussed on diagnoses such as schizophrenia, with few papers focussing on borderline personality disorder (BPD). This is a significant area in need of change because a lack of research concentrating on recovery from BPD could be seen to perpetuate the view that recovery from this condition may not be possible. Recovery Colleges (RCs) in the UK began in 2009and aim to offer co-produced and co-facilitated psychoeducational courses to encourage recovery and enable people to develop skills and knowledge so they become experts in the self-management of their difficulties. Given the gaps within the recovery literature, it is unclear how Recovery Colleges can support recovery for people diagnosed with BPD. The purpose of this study was to explore the impact of a Recovery College course for people diagnosed with BPD.
Design/methodology/approach
Using participatory methods, this paper aims to explore the question of what personal recovery looks like for people with BPD and how this may prove useful in developing future practice in RCs. Qualitative feedback data was collected from 51 managing intense emotions courses delivered to 309 students using a patient reported experience measure between Autumn 2015 and Autumn 2021.
Findings
The results of this study indicate that people with BPD can experience recovery, whilst still experiencing symptoms, as long as they receive appropriate co-produced, recovery-orientated support and services.
Practical implications
Further research in this area could help shape future clinical practice by embedding a recovery-focussed programme into community services.
Originality/value
Literature regarding recovery has focussed on diagnoses such as schizophrenia withfew papers focussing on BPD. This is an area in need of change because a lack of research on recovery from BPD could be seen to perpetuate the view that recovery from this condition may not be possible. RCs offer co-produced and co-facilitated psychoeducational courses around recovery, enabling people to develop skills and knowledge to become experts in the self-management of their difficulties. Given the gaps within the recovery literature it is unclear how RCs can support recovery for this group of service users.
Details
Keywords
A region’s transforming care partnership identified that autistic adults without an intellectual disability (ID) may be falling through gaps in services when presenting with a…
Abstract
Purpose
A region’s transforming care partnership identified that autistic adults without an intellectual disability (ID) may be falling through gaps in services when presenting with a significant emotional and/or behavioural need in the absence of a mental health diagnosis. The region’s intensive support teams (ISTs) for adults with ID therefore piloted a short-term “behavioural support service” for this population. The purpose of this paper is to evaluate this pilot.
Design/methodology/approach
This study represents a mixed-methods service evaluation over a four year pilot period. The quantitative component examined referral rates and demographic data of accepted and declined referrals; and length of referral episodes and Health of The Nation Outcomes Scores (HoNOS) for accepted referrals. The qualitative component used thematic analysis to identify key themes relating to reasons for referral, clinical/therapeutic needs, and the models of support that most informed assessments and interventions at individual and systems levels.
Findings
The ISTs accepted 30 referrals and declined 53. Most accepted referrals were male (83%), and under 24 years old (57%). Average HoNOS scores were above the thresholds generally associated with hospital admission. Key qualitative themes were: transitional support; sexual risks/vulnerabilities; physical aggression; domestic violence; and attachment, trauma and personality difficulties. Support mostly followed psychotherapeutic modalities couched in trauma, attachment and second- and third-wave cognitive behavioural therapies. Positive Behaviour Support (PBS) did not emerge as a model of preference for service users or professionals.
Originality/value
This project represents one of the first of this type for autistic adults without an ID in the UK. It provides recommendations for future service development and research, with implications for Transforming Care policy and guidance.
Details
Keywords
Technology addiction is an increasingly severe problem. TikTok has become increasingly popular recently, and its addiction is also a major concern. This study aims to examine the…
Abstract
Purpose
Technology addiction is an increasingly severe problem. TikTok has become increasingly popular recently, and its addiction is also a major concern. This study aims to examine the antecedents and outcomes of TikTok addiction.
Design/methodology/approach
The authors collect 579 data from Chinese users using an online survey. The authors use structural equation modeling with partial least squares (PLS-SEM) to analyze data and test hypotheses.
Findings
The results illustrate that perceived enjoyment, social relationship, utilitarian need and social influence positively affect TikTok addiction. Both social anxiety and loneliness have positive effects on TikTok addiction. Moreover, parasocial relationships positively moderate the association between the antecedents of self-determination theory (SDT) (perceived enjoyment, social relationship, utilitarian needs, social influence, social anxiety and loneliness) and TikTok addiction. Meanwhile, TikTok addiction intensifies conflicts, including technology-family conflict, technology-person conflict and technology-work conflict. These conflicts reduce life satisfaction.
Practical implications
It offers practical implications for preventing and avoiding TikTok addiction to create a healthy environment.
Originality/value
This study is one of the few to provide a complete process of TikTok addiction. It systematically investigates the antecedents and outcomes of TikTok addiction.
Details
Keywords
Marta B. Erdos, Tamas Karpati, Robert Rozgonyi and Rebeka Jávor
This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.
Abstract
Purpose
This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.
Design/methodology/approach
A study was conducted to evaluate mentalization-based therapy by using ISA and its linked framework software, Ipseus. Ten patients with borderline personality disorder and substance use disorder were involved in the study. ISA/Ipseus was administered prior to and at the completion of the treatment. Five-year follow-up data, comprising behavioural indicators, were also collected and compared to ISA/Ipseus results.
Findings
Improvements occurred in the evaluation of stressful, demanding and emotionally burdening situations. Evaluations on concerned others also improved, together with progress in self-reflection. Changes in the evaluation of recovery-related themes were less salient. On a case level, changes in the self-states and role models were consistent with the results of the five-year-follow up data. An initial crisis state seems suggestive of progress, while initial defensive positions with high positive self-regard, of stagnation.
Originality/value
ISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.
Details
Keywords
Eman Alslman, Imad Thultheen, Shaher H. Hamaideh, Basema Nofal, Renad Hamdan-Mansour and Ayman Hamdan Mansour
This study aims to test the mediating effect of psychological distress and bullying victimization on the relationship between alexithymia and fibromyalgia (FM) among school…
Abstract
Purpose
This study aims to test the mediating effect of psychological distress and bullying victimization on the relationship between alexithymia and fibromyalgia (FM) among school adolescents.
Design/methodology/approach
This study used cross-sectional, correlational design. Data was collected using self-administered questionnaire. The sample consisted of 1,000 school adolescents at Grade 9–12 who were recruited randomly using multistrategic sampling technique.
Findings
The analysis showed that alexithymia was a significant predictor of FM (odds ratio [OR] = 1.065). Psychological distress was also a significant predictor of FM; however, its mediating effect resulted in drop of OR to 1.041. The joined effect of bulling victimization and psychological distress found to be significant although OR dropped from 1.065 to 1.039.
Research limitations/implications
The study highlights the significant role of school health nurses and mental health counselors to early detect and direct mental health interventions toward significant psychological problems among school adolescents.
Originality/value
I affirm this information has not been published or submitted for publication elsewhere. All authors approve the content of the manuscript and have contributed significantly to research involved/ the writing of the manuscript. The authors affirm their commitment to transfer copyright ownership to your journal if the manuscript is accepted for publication. The authors also affirm they will obtain any other copyright permission if deemed necessary within 30 days of acceptance for publication. All identifying information regarding the study participants has been omitted and this study was approved by the IRB at School of Nursing of the University of Jordan. The research conforms to the provisions of the Declaration of Helsinki in 1995 (as revised in Brazil, 2013). All participants gave informed consent for the research, and that their anonymity was preserved. None of the authors has financial or personal matters that may pose a conflict of interest.
Details
Keywords
Bhoomika N. Jadhav, P. Padma Sri Lekha, E.P. Abdul Azeez, Jyoti Sharma, Archana Yadav and Mufina Begam J.
Gender discrimination exists in various settings globally and harms women’s mental health. This study aims to understand the impact of gender discrimination on hopelessness and…
Abstract
Purpose
Gender discrimination exists in various settings globally and harms women’s mental health. This study aims to understand the impact of gender discrimination on hopelessness and emotional vulnerability. Further, we attempted to determine whether benevolent childhood experiences (BCEs) moderate the relationships of gender discrimination with hopelessness and emotional vulnerability.
Design/methodology/approach
Data from 445 young women from India was gathered from a cross-sectional survey. Measures included gender discrimination inventory, Beck’s hopelessness inventory, emotional vulnerability scale and BCE scale.
Findings
Results yielded a significant positive association of gender discrimination with hopelessness and emotional vulnerability. BCEs were negatively related to hopelessness, emotional vulnerability and gender discrimination. Further, gender discrimination predicted increased feelings of hopelessness and emotional vulnerability. However, BCEs do not neutralize the effect of gender discrimination.
Social implications
It is evident from this study that gender discrimination exists independent of socioeconomic class, domicile and educational qualification, taking a toll on women’s well-being and mental health. Incorporating attitudinal changes at the community and societal level in reducing gender norms responsible for negative outcomes will allow women to function to their full capacity and experience improved mental health.
Originality/value
The research on gender discrimination and its impact on women’s mental health is limited, especially exploring the role of BCEs. Previous studies have indicated that BCEs have protective roles in neutralizing adversities. However, the present study uniquely contributes to establishing the limited role of BCEs in the context of gender discrimination, though it contributes to mental health. The policy and psychosocial implications of the study are discussed.
Details
Keywords
Welcome Kupangwa, Shelley Maeva Farrington and Elmarie Venter
This study aims to investigate the favourable conditions that influence transgenerational value transmission (TVT), value acceptance and value similarity between generations in…
Abstract
Purpose
This study aims to investigate the favourable conditions that influence transgenerational value transmission (TVT), value acceptance and value similarity between generations in indigenous African business-owning families.
Design/methodology/approach
This study adopts a multiple case study design and draws on semi-structured face-to-face interviews to collect data from participants in seven indigenous Black business-owning families located in South Africa. The software ATLAS.ti was utilised to manage the data and reflexive thematic analysis was undertaken.
Findings
The analysis reveal four themes describing how transmission factors facilitate favourable conditions for successful TVT in IBSA business-owning families, namely, authoritarian parenting, a loving and connected family relational climate, the continuous reinforcement of autonomy during childhood development and family authenticity in the face of societies dominant values climate. Furthermore, value similarity is perceived to exist among the different family generations in the business-owning families.
Originality/value
This study is among the first to adopt the value acquisition model to empirically examine successful TVT and examine the extent of value similarity or dissimilarity, using the business-owning family as the unit of analysis. Novel contributions to family business literature and practices are proposing a model for TVT in an African context and studying relationships from a business-owning family perspective. The model for TVT could be used to socialise the NextGen members into value sets and behaviours that help business-owning families preserve their entrepreneurial legacy and family business longevity.
Details