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1 – 10 of 439Mauro Leoni, Serafino Corti and Roberto Cavagnola
The purpose of this paper is mainly to present a general review of third generation cognitive-behavioural therapies (CBTs), and to debate whether these approaches are applicable…
Abstract
Purpose
The purpose of this paper is mainly to present a general review of third generation cognitive-behavioural therapies (CBTs), and to debate whether these approaches are applicable to persons with neurodevelopmental disorders (NDD).
Design/methodology/approach
Despite the lack of consistent literature focused on this population, the authors have considered the available general literature on the third generation of CBTs and analysed core issues of the processes within the context of intellectual disabilities and Autism spectrum disorder.
Findings
The evidence from typical developing population studies and the emerging literature specific to people with NDD is convincing, but there is a need for studies exploring how and when these therapeutic approaches can be applicable. Two behavioural approaches of third generation therapies – acceptance and commitment therapy and mindfulness-based CBT – appear to have the most potential to be adapted for robust intervention for the broad spectrum of persons with NDD.
Research limitations/implications
The number of studies and methodologies applied are a clear limitation and the present paper is only exploratory.
Originality/value
The paper supports clinicians to use the emerging protocols, and to replicate and implement procedures and techniques.
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Summarizes the basic principles of Bioenergetics along with its origin in Riechian psychology. Clarifies that Bioenergetics is used at Cranfield not as psychotherapy, but as an…
Abstract
Summarizes the basic principles of Bioenergetics along with its origin in Riechian psychology. Clarifies that Bioenergetics is used at Cranfield not as psychotherapy, but as an aid to personal development for a specific population of high‐functioning individuals, i.e. managers. Places the Bioenergetic body‐mind notion into a philosophical context of human goodness and potential; thus expanding the focus to body‐mind‐spirit. Examines five body‐mind types through the following aspects: how they operate at work; how they were formed; key attitudes; unique gifts; body shape; development path; how they are best managed. Case histories illustrating the different types in various modes of consultant intervention, i.e. individual development, team building and culture change.
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Psychotherapy is perhaps the most known and identifiable with one of the field’s originators Sigmond Freud who is often accredited as being the inventor of the talking cure…
Abstract
Psychotherapy is perhaps the most known and identifiable with one of the field’s originators Sigmond Freud who is often accredited as being the inventor of the talking cure. However, it was many decades after psychoanalysis was first used by Freud that robust research and evidence was applied to psychotherapy, and its findings used to support practice in various contexts. While psychoanalysis is still practiced, the field has moved on and includes many hundreds if not thousands of approaches to healing. What has not improved, in general, is the between school rivalry regarding the efficacy and effectiveness of the different approaches. While it is now accepted that in general terms all approaches are about equally effective, certain research is often provided with more legitimacy than others. Mainly, the randomised control trial (RCT) is considered the gold standard in research terms, especially when it comes to establishing the efficacy and effectiveness of different psychotherapies. Empirically supported treatments (ESTs) are in prime position to take advantage of these political decisions, and this chapter will introduce the reader to these debates.
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Sally McGuire, Alex Stephens and Emma Griffith
This paper aims to describe a service evaluation study of “Balance” – a National Health Service Tier 2 pilot weight management course delivered in a primary care mental health…
Abstract
Purpose
This paper aims to describe a service evaluation study of “Balance” – a National Health Service Tier 2 pilot weight management course delivered in a primary care mental health service. The 12 weekly sessions included dietetic, psychological and behavioural elements underpinned by cognitive behavioural theory and “third-wave” approaches, including acceptance and commitment therapy, compassion-focused therapy and mindfulness.
Design/methodology/approach
A mixed-methods design was used in this service evaluation study that included analysis of outcome measures (weight, eating choices, weight-related self-efficacy and mental health) and focus group data (n = 6) analysed using thematic analysis. Eleven clients with a body mass index of 25–40 kg/m2 enrolled, and nine clients completed the course. Outcome data were collected weekly with follow-up at three and six months.
Findings
Quantitative data analysis using non-parametric Wilcoxon signed-rank tests showed that the group mean weight decreased significantly (p = 0.030) by the end of Balance, but the group mean weight loss was not statistically significant at the three-month (p = 0.345) or six-month (p = 0.086) follow-up. The qualitative results showed that participants valued the course ethos of choice and also welcomed learning new tools and techniques. Balance was very well-received by participants who reported benefitting from improved well-being, group support and developing new weight management skills.
Research limitations/implications
Only one client attended all sessions of the group, and it is possible that missed sessions impacted effectiveness. Some of the weight change data collected at the six-month follow-up was self-reported (n = 4), which could reduce data reliability. Focus group participants were aware that Balance was a pilot with a risk that the group would not be continued. As the group wanted the pilot to be extended, the feedback may have been positively skewed. A small sample size limits interpretation of the results. A group weight management intervention, including dietetic, psychological and behavioural elements, underpinned by cognitive behavioural theory was well-received by service users and effective for some. Commissioners and service users may have different definitions of successful outcomes in weight management interventions.
Practical implications
Longer-term support and follow-up after Tier 2 weight management interventions may benefit service users and improve outcomes.
Originality/value
The paper contributes to a small but growing evidence base concerned with the design and delivery of weight management interventions. Areas of particular interest include: a gap analysis between the course content and National Institute for Health and Care Excellence clinical guidelines, participants’ views on the most impactful course features and recommendations for course development. The results also show a disconnect between evidence-based guidelines (mandatory weight monitoring), participants’ preferences and clinicians' experience. The difference between client and commissioner priorities is also discussed.
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David Pilgrim, Francoise Champion, Giel Hutschemaekers, Nadia Garnoussi and Fiona van Dijk
The purpose of this paper is to examine the similarities and differences in the development of psychological therapies in three European Union countries (the United Kingdom, the…
Abstract
Purpose
The purpose of this paper is to examine the similarities and differences in the development of psychological therapies in three European Union countries (the United Kingdom, the Netherlands and France) in the context of national policies about health services and public mental health.
Design/methodology/approach
Three case studies are utilised for this purpose as historical descriptions. The latter are then discussed in the light of traditional approaches to the sociology of the professions.
Findings
Whilst some similarities are identified across the three countries (for example the recent convergence of policy interest in “evidence‐based practice”) it is also clear that the particular national cultures have shaped developments and their different forms of healthcare organisation have been reflected in national legislative and regulatory arrangements.
Research limitations/implications
These case studies draw attention to the need to explore national variations in policy formation about the same matter (in this case the professionalization of psychological therapies) and to extend discussions within the sociology of the professions to ones of healthcare organizational contexts. In addition, the contested nature of applied psychology may require special attention relative to other forms of health work practice.
Originality/value
This paper provides a particular form of understanding about psychological practices within modern healthcare and public health policies, in the light of the peculiar and contextualised aspects of the case studies provided.
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Zhen Yan, Zuraina Dato Mansor and Wei Chong Choo
This study aims to analyze the impact of family incivility (FI) on in-role performance (IRP) and proactive customer service performance (PCSP) via the mediating effect of…
Abstract
Purpose
This study aims to analyze the impact of family incivility (FI) on in-role performance (IRP) and proactive customer service performance (PCSP) via the mediating effect of emotional exhaustion (EE) and the moderating roles of emotional intelligence (EI) and mindfulness.
Design/methodology/approach
Hypotheses were verified using multisource and multiwave data collected from 337 valid hotel employee–supervisor dyads in Kuala Lumpur, Malaysia. Data were analyzed using SPSS 24.0, AMOS 24.0 and PROCESS (version 3.4).
Findings
FI intensified frontline employees’ (FLEs) EE, which subsequently impeded their IRP and PCSP. EI and mindfulness moderated the direct influence of FI on EE, IRP and PCSP and moderated the indirect influence of FI on the two aforementioned outcomes through EE.
Practical implications
Managers should observe FLEs’ indicators of FI and deter its emergence by implementing care programs for FLEs suffering from FI. In addition, human resource managers should preferentially recruit employees with high EI through related tests. Hotels can invite reputable psychologists to provide psychotherapy interventions for FLEs, such as mindfulness-based psychological lectures and therapy.
Originality/value
The hospitality literature lacks an understanding of the underlying process through which FI affects FLEs’ job outcomes. This study incorporates EE as a mediator of the FI’s impact on IRP and PCSP, and to the best of the authors’ knowledge, this study is the first to assess whether EI and mindfulness moderate the direct impact of FI on IRP and PCSP and the indirect impact of FI on two aforementioned outcomes via EE.
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Purpose – This chapter explores the significance of emotional exchanges between historians and their research participants in the production of critical histories of the late…
Abstract
Purpose – This chapter explores the significance of emotional exchanges between historians and their research participants in the production of critical histories of the late twentieth-century British women’s movement. It argues for the importance of exploring the ways in which positive emotions, including feelings of excitement, reverence and commonality, influence the research process and potentially complicate historians’ capacity to produce histories that critically assess popular narratives of the development of the women’s movement.
Methodology/Approach – This chapter draws on qualitative assessments of my own experiences carrying out oral history interviews with women’s movement members to explore the emotional exchanges that take place during the research process. It utilises several historiographical concepts, including being a ‘fan of feminism’, discussions about historical subjectivity and oral history debates about empathy, to reflect on my emotional responses whilst carrying out research.
Findings – This chapter demonstrates that positive emotional exchanges between historians and their research participants influence the production of critical histories of the women’s movement. It highlights how historians’ personal identifications with their areas of study impact on their emotional engagement with research participants, potentially complicating or contravening their wider historical aims.
Originality/Value – Several historians have explored how negative emotional exchanges with research participants influenced their production of critical histories of the women’s movement. By focusing on the influence of positive emotional exchanges, this chapter provides an original contribution to this area of reflexive discussion, as well as wider assessments of historical subjectivity and researcher empathy.
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Charlotte Clarke, Stephen Kellett and Nigel Beail
This paper aims to assess the quality of systematic reviews on the effectiveness of psychological therapy for adults with intellectual disabilities (ID) and mental health…
Abstract
Purpose
This paper aims to assess the quality of systematic reviews on the effectiveness of psychological therapy for adults with intellectual disabilities (ID) and mental health difficulties.
Design/methodology/approach
Four electronic databases were used: Cochrane, PsycINFO, PubMed and Scopus. Studies were included if they were a systematic review focused primarily on psychological therapy for adults with ID and mental health difficulties. Systematic reviews focused on anger were also considered for inclusion. These reviews were rated for quality on the Amstar-2, a quality rating tool designed to evaluate systematic reviews.
Findings
Twelve relevant systematic reviews were identified, which included seven reviews focused primarily on cognitive behavioural therapy, two on psychodynamic therapy and three on third-wave therapies. The AMSTAR-2 indicated that all 12 reviews were of “critically low” quality. Thus, there are significant problems with the evidence base.
Originality/value
To the best of the authors’ knowledge, this is the first systematic review of systematic reviews of the effectiveness of psychological therapies for people who have ID. It provides an overview of the quality of the evidence base into one place.
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Asuman Buyukcan-Tetik, Sara Albuquerque, Margaret S. Stroebe, Henk A. W. Schut and Maarten C. Eisma
Purpose: The death of a child can elicit enduring and intense parental grief. Additionally, as parents are both confronted with the loss of their child, interpersonal processes…
Abstract
Purpose: The death of a child can elicit enduring and intense parental grief. Additionally, as parents are both confronted with the loss of their child, interpersonal processes come into play. This study aimed to examine the change in reported levels of grief among bereaved parents individually and at a couple-level. The authors examined the differences in grief trajectories between mothers and fathers and whether the reported level of grief of one partner predicts the other partner’s reported level of grief.
Design/methodology/approach: Our longitudinal study included 229 bereaved couples who completed the Inventory of Complicated Grief at 6, 13, and 20 months post-loss.
Findings: A latent growth curve analysis showed that parents reported consistently high average grief levels, mothers reported higher grief levels than fathers, and all parents reported a similar small decline in grief. A cross-lagged panel analysis showed that the grief of one parent affected the grief of the other parent with similar strength. Our results held regardless of the child’s gender and age, but an expected loss was associated with a lower grief level 6 months post-loss and a smaller decline in reported levels of grief.
Originality/value: These findings highlight bereaved parents as a particularly vulnerable population, increase our understanding of change in parental grief over time and of the interdependence of grieving in bereaved couples.
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