Clinical Psychology Forum最新文献

{"title":"Service development: Systemic principles and working with High Intensity Users","authors":"Sarah Cross, Georgia Bodfish","doi":"10.53841/bpscpf.2024.1.372.22","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.22","url":null,"abstract":"PHOTO CREDIT: Cottonbro StudioHigh intensity users are described as individuals who repeatedly use mental health services across both inpatient and urgent care settings. Services that are designed to meet the needs of high intensity users are often set up to reflect an individual position. Locating the problem within the person did not reflect the challenges faced by either the individuals themselves or the services that are designed to meet their needs. Systemic thinking was applied to consider the multiple factors contributing to the individuals’ presentations to services and a service was designed to ensure the individual felt all services were collaborating to meet their needs most effectively.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"183 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From training to practice: Reflections on implementing open dialogue across secondary mental health services","authors":"Claire Ellis, Sophie Collin, Jon Crossley","doi":"10.53841/bpscpf.2024.1.372.48","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.48","url":null,"abstract":"PHOTO CREDIT: George MiltonThis article describes the implementation of Open Dialogue, an integrative approach drawn from systemic family therapy, dialogical theory, and social constructionism, across a range of mental health services within an NHS Trust. Reflections are given from staff working in Early Intervention in Psychosis and Acute Inpatient services, on the experience of training and the feasibility of implementing this approach. The conclusion draws together the learning gained and challenges experienced, as well as identifying areas for future development.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"1201 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sitting with uncertainty to create a rich nourishment for clinicians: Developing a systemic family therapy clinic for psychosis in community adult mental health team","authors":"Jo Allen, Funmi Oshatogbe","doi":"10.53841/bpscpf.2024.1.372.35","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.35","url":null,"abstract":"PHOTO CREDIT: Priscilla Du PreezSystemic practice can be a rich source of fuel for services, nourishing clinicians and families. To us, systemic thinking supports the creation of space, taking pause, being with and seeing the bigger picture. It is about multiplicity, of idea, of voices, of people and cultures coming together to make sense together. In a culture which is struggling under the weight of austerity, the pandemic and ongoing limitations of practice due to staff shortages and limited resources at a time of extreme demand, we need something to open ourselves and our clients to new possibilities and build trust and safety.This paper will describe systemic family therapy within a secondary care community mental health team. You will hear the voice of Jo, a consultant clinical psychologist and systemic psychotherapist and Funmi, an assistant psychologist in the team. We will discuss decision-making in this work and explore the experiences of the reflecting team, highlighting the value of a systemic approach in secondary adult mental health. The straightest route is not always the most effective or nourishing, sometimes it takes the windy path to get the richest source of progress.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"72 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who and what supports systemic working in a learning disabilities context?","authors":"Bethan Ramsey, Sandra Baum, Hannah Shilling, Anna Bodicoat, Arnas Zujus, Becky Cooper, Shona Daynes, Karin Fuchs, Mark Haydon-Laurelut, Laura Darbyshire, Lisa Morris, Laura Carrington, Katharina Bucher, Hatice Yildiran, Lorna Robbins","doi":"10.53841/bpscpf.2024.1.372.60","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.60","url":null,"abstract":"PHOTO CREDIT: Hannah Busing, UnsplashThis article sets out some of the many ways in which systemic working can find a place in Learning Disability (LD) services. It covers ways in which systemic working can influence different aspects of work in an LD service, possibilities for embedding systemic approaches in Positive Behaviour Support (PBS) work in an Enhanced Support Service (ESS), systemic consultation in an LD team, systemic working in a forensic LD service and a specialist LD family therapy service. We hope the article offers a range of ideas which others can draw upon in thinking about their own context, practice and future possibilities.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"104 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new kid on the block? The current state of solution focused practice","authors":"John Wheeler","doi":"10.53841/bpscpf.2024.1.372.10","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.10","url":null,"abstract":"In the following account, the author reflects on an evolution in Solution Focused Practice he has observed since first learning the approach, including a change in the naming of the approach, the extent to which the approach is now used around the world, a more explicit theoretical foundation and signs of credibility. The account questions whether the approach might still be as novel for some clinicians now as it was for him when he first used it in CAMHS. The account also includes refinements in key tools, developed over time through practice-based learning.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"99 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A tale of reluctance, ambivalence, reassurance and restoration on the journey towards creating a Systemic Interventions Service for Older people","authors":"Sherley M. Tordoff, Joy Bates","doi":"10.53841/bpscpf.2024.1.372.41","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.41","url":null,"abstract":"PHOTO CREDIT: vlada KarpovichThis is a brief tale of two systemic practitioners describing their journey from Foundation-Level systemic training, initially using it to help older clients clinically, followed by journeying towards Systemic Practitioner status and creation of an Older People’s Systemic Service. Whilst the authors were initially pushed outside their own professional zone of proximal development, sourcing of adequate professional parenting facilitated emergence of a ‘good enough’ systemic service for clients.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"1171 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What else to read","authors":"","doi":"10.53841/bpscpf.2023.1.369.116","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.369.116","url":null,"abstract":"","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the gap between foster care and birth families: How the Circle of Security Parenting Programme™ inspired change within a therapeutic service for looked after children and young people","authors":"Sarah Hobson, Grace Heasley, Abigail Evans","doi":"10.53841/bpscpf.2023.1.369.67","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.369.67","url":null,"abstract":"The 8 week Circle of Security Parenting Programme™ (COSP) was delivered to parents who were working with Children’s Services in Monmouthshire. The group was delivered to help support children’s transition back to birth parents following a period of time in foster care. This process highlighted the impact on parent’s human rights; not only through having their children removed from their care but their experience of parenting a child alongside a corporate parent (Children’s Services). Parents reported feeling scrutinised, unsupported and degraded at times. This led us to consider how we can promote the human rights of parents to continue to parent their child whilst also balance the rights of the child to receive safe, nurturing, predictable care. Changes to service delivery followed with more consideration and open discussion about the human rights of both parent and child during our regular consultations. In addition, we are working more closely with the Family Time Team who supervise contact between families. This work is to promote the human rights of parents and children to continue to have a positive relationship and to share this approach with our foster carers, bridging the gap between them and the birth family.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural adaptation of CBT as a human rights issue: A UK study","authors":"Haripriya Dalmia, Shounak Bhattacharjee, Clara Calia","doi":"10.53841/bpscpf.2023.1.369.75","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.369.75","url":null,"abstract":"Cognitive behaviour therapies have been used widely across the world and have been recommended as the first line of psychotherapeutic treatment for multiple mental health disorders. However, such blanket guidelines for use of Western-generated psychotherapies discount the socio-cultural determinants and aspects of mental health when recommended unadapted across ethnicities, eventually creating disparities in the quality of care available to different populations. Examining the cultural relevance of these therapies for ethnic minority groups has therefore become an important avenue of inquiry. Recent decades have brought a revolution of cultural competency and adaptation research for such psychotherapies. Despite recent advances in cultural competency and adaptation research, the available body of literature in this domain remains limited and heterogenous. Furthermore, the lack of mandatory cultural competence training and the ineffectiveness of existing programmes increase the obvious discrepancy in the provision of mental healthcare services for certain minority groups, jeopardising equitable access and raising concerns about human rights protection. Aims This study aimed to explore UK-based CBT therapists’ use of adaptations in their own practice, and understand what elements they tend to adapt, the impact and feasibility of their approaches, and the challenges faced by those who adapt and those who do not. The larger intention was to be able to gather information to recommend basic direction for policy and research to create plans for the benefit of ethnic minority groups for whom access to quality, tailored healthcare is currently largely overlooked. Method The study involved developing a survey informed by existing literature and distributing it to UK-based CBT therapists. Results This study found that CBT therapists and their clients value cultural competency. It also found that therapists tend to believe that adapting CBT techniques and implementation and using culturally significant idioms and stories are impactful for their clients and practical to achieve as therapists. It further found that current barriers to adapting CBT for ethnic minority clients involves a lack of resources to study the efficacy of adaptations as well as a lack of well-established evidence-based adaptations in existing literature. Conclusion The authors recommend that policymakers and service managers prioritise the regulation of cultural competence in psychotherapy and afford resources and incentive to researchers and clinicians that would eventually help to improve the effectiveness of their approaches and enhance mental health outcomes for ethnic minority groups. Future research could build on this study using qualitative methods or creating more robust surveys, using random sampling, and drawing larger sample sizes.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diversity and inclusion in UK psychology: A nationwide survey","authors":"Dan Kanceljak, Clara Calia","doi":"10.53841/bpscpf.2023.1.369.15","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.369.15","url":null,"abstract":"Recently, there has been a resurgence of interest regarding diversity and inclusion (D&I) movements within psychology in the UK. However, there haven’t been any attempts made thus far at gathering insights into the attitudes held by the members of the UK psychology community towards such initiatives. To this end, the authors conducted a nationwide survey with the purpose of identifying the levels of support towards D&I movements, the members’ view on their progression as well as what obstacles the movements may be currently facing. The authors found that the members of the UK psychology community overwhelmingly support D&I movements. Furthermore, survey participants (N=82) proposed curriculum diversification and re-conceptualisation of expertise, as two policies likely to advance the D&I cause. Accordingly, the authors argue that a unified movement with a clearly set agenda aimed at challenging the systems underpinning contemporary psychology may bring about further improvement to the field.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}