The purpose of this paper is to describe some of the basic features of attachment theory, and explore how they relate to the development of the “social mind” and the work…
The purpose of this paper is to describe some of the basic features of attachment theory, and explore how they relate to the development of the “social mind” and the work of therapeutic communities (TC).
The author describes the essentials of attachment theory in humans; and the development of both secure and insecure states of mind. The author will set out how insecure attachment systems are associated with deficits in mentalising processes which are fundamental to the activity of the social mind.
The author suggests how attachment to a TC can promote mentalising processes. The author draws on the work of other speakers in the conclusions about how to “grow” secure minds and societies.
This paper is a brief over view only and does not address attachment process to TC in any depth.
Attachment theory could help both service users and therapists who work in TCs understand some of the difficulties people have in engaging at the start. Attachment theory also gives a guide to what a “good enough” experience in a TC might look like.
There is little existing discussion of the application of attachment theory to TCs.
Although disasters remain statistically rare events, the lastdecade has seen an increase in the number of major incidents affectingthe UK. Concurrent with this increase…
Although disasters remain statistically rare events, the last decade has seen an increase in the number of major incidents affecting the UK. Concurrent with this increase have come clinical data, showing how psycho‐social health may be adversely affected by disasters. Aims to give the UK Department of Health a survey of the current provision of psycho‐social care after disasters at English Regional Health Authority level and to make recommendations regarding good practice in the care of victims of trauma by health care professionals. Uses varied methodology. Letters were sent to all the Regional Public Health Departments, asking for information about the psychological care element within their major incident plans. Shows that the provision for psycho‐social care following a disaster in England is extremely variable and although there are undoubtedly regions with considerable expertise and interest, there are also regions where provision appears to be minimal or non‐existent. Recommends the provision of specialist traumatic stress services at regional level.
The purpose of this paper is to document reflections on experiences of stigma and discrimination as described by predominantly black and ethnic minority (BME) service…
The purpose of this paper is to document reflections on experiences of stigma and discrimination as described by predominantly black and ethnic minority (BME) service users in a high security hospital via a slow‐open therapy group. Service users from BME are known to have higher drop‐out rates and poorer treatment outcomes in non‐forensic therapy settings (Rathod et al.). Further, they are over‐represented in forensic services and often disengage, because their views and feelings are poorly understood (Ndegwa).
Thematic analysis was applied to a sample of electronically stored running records of group sessions, in which experiences of care, discrimination, hope, despair, and recovery were shared.
Over a three‐year period, 18 forensic patients participated in the group. Group members' reflections on detention, offending and illness were collected. Themes relating to isolation and distance, other barriers to recovery and strategies for coping “against the odds”, are illustrated via anonymised material from the sessions.
Stigma and discrimination are difficult concepts to hold in mind, and are therefore difficult to access. Nevertheless, their effects can be so all encompassing for patients in high security that hope is hard to sustain. The extent to which the themes generated by this sample are representative of those pertinent to others in similar secure settings is inevitably beyond the scope of this paper.
Service users can, and do, share ideas about possibilities for surviving despite their past. Their comments shed light on barriers to engagement for this potentially marginalized population, and possibilities for improving the capacity of the clinical service to hear their voices on an issue of such importance to their potential for recovery.
Specific attention to the perspectives of all service recipients on the impact of illness and their recovery is required in a modern health service, where inclusion is a guiding principle.
Interventions for addressing stigma for the most marginalized are infrequently described, but are potentially relevant for all.