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Migration, illness and healthcare
No full textForces such as political conflict, globalization and the growth of the internet, offering news of life elsewhere, mean levels of migration are higher now than at any other time in history. Despite the signing of a number of legally binding international treaties that seek to guarantee health care for migrants, there is still a considerable gap between government commitments and the reality of everyday life. As levels of migration continue to increase, it is essential for health care professionals to consider the differing needs of migrants in order to provide them with quality care.
Informed by systemic theory, and drawing on the author's extensive clinical – as well as personal – experience, this timely book explores the limited existing information about migrants' health care experiences, and offers recommendations for clinical practice. Providing the reader with an understanding of the ways in which migration informs and is informed by experiences of illness, the book thoroughly examines topics such as:
Links between migration and physical and mental health;
Language barriers and prejudice;
The effects of migration on feelings of grief and loss;
The real challenges of providing effective health care to migrants, as told by a GP working with mostly first or second generation migrants in the UK.
Providing a comprehensive insight into a worldwide issue, this is an essential guide for health care students, professionals and policy makers
A quiet corner room. Give credit to psychoanalytic pioneers who made such moments expectable
No full textJenna Gartner's deeply touching account of an emergency stillbirth delivery might have had a very different outcome 40 years ago. From 1968 until the 1990s two physician-psychoanalysts at the Tavistock Clinic in London, Emanuel Lewis and Stanford Bourne, wrote a series of articles in medical journals, of which "the management of stillbirth: coping with an unreality" is one of the most memorable.
"The difficulty of grieving someone 'missing in action' is well known; a death without a body seen by anyone seems unreal". Yet disposal without contact was routine practice until the latter half of the twentieth century. Dr Lewis goes on "there is an added sense of unreality with stillbirth as there are no experiences with the baby to remember. Looking at and holding the dead baby, giving the baby a name, arranging the certification, attending the funeral, and knowing its grave help make stillbirth a reality for the family".
Emanuel Lewis, The Management of Stillbirth; Coping with an Unreality. The Lancet, September 18, 197
The missing link – Putting the organization back in working relationships
No full textThis paper reflects on an experience of researching and consulting in complex and turbulent environments. It has grown out of my experience as a social work manager, organizational consultant and finally as a researcher. I will consider how the theoretical construct of the Organization in the Mind can provide a deeper understanding and insight into individual experiences in occupational role. I will demonstrate through research material and examples from consultancy practice how personal and interpersonal narratives and the understandings arising thereof can in some ways be limited. I will suggest that these individual descriptions can also provide insight into the emotional experience of working environments and the culture, context and climate that the individual in role occupies and works within. I will contend that through considering and linking context to individual experience further meaning can be found beyond the individual
Creative resistance and collaborative relationships: Working with inner-city young people and families
No full textAn exploratory study of the processes of supportive music and imagery therapy conducted in South Korea
Get PDFThis thesis is a qualitative study of Supportive Music and Imagery (SMI) cases that I supervised in South Korea between 2007 and 2011 with the aim of exploring the SMI process and the impact of supervision on it. SMI is a brief music psychotherapy with a prescriptive structure that works with a client’s supportive resources (the supportive imagery) and uses one simple recorded piece of music, arts and verbal dialogue.
The investigation applies grounded theory to analyse data, i.e. session verbatim, reports, expressive media, supervision content etc. and uses case studies to present the findings. There are two sets of cases analysed. The first consists of cases conducted by SMI trainees, the second of cases conducted by SMI graduates, both supervised by me. Through a matrix of eight grounded theory categories and the interactions between the categories: supportive imagery, difficulty, intervention, relationship, expressive media, affect, learning, change, an interaction model of the SMI process has been generated.
The study finds that the process of SMI is an ego enhancing process by internalizing the client’s good object (supportive imagery) through expressive media. In SMI, the whole process of focusing and enhancing the experience of the supportive imagery can be understood as a reparative process of ‘symbol formation’ of the good part of the self. Overall changes were brought about by the way the supportive imagery was facilitated by use of expressive media and intervention; by how difficulties were taken care of, i.e. resistance was addressed and anxieties were contained; how affect was promoted and nurtured; how much insight the client gained and how much learning the therapist integrated and by the level of therapeutic/supervisory alliance (relationship). Learning from supervision and clinical skills as well as understanding the countertransference though reflexivity has a considerable impact on the SMI therapy process. Cultural differences need to be taken into account; here therapeutic relationships resembled hierarchical Korean parent-child relationships.
SMI is a new method and, to date, no research on SMI has been published. This thesis contributes a critically evaluative analysis of SMI, with special attention to the role of the supervisor, and identifies directions for future research, including a potentially wider applicability of brief SMI therapy. The thesis concludes that SMI justifies further research and development
Preventing radicalisation to extreme positions in children and young people. What does the literature tell us and should educational psychology respond?
No full textOver the last five years the radicalisation of children and young people to extreme ideologies is fast developing as a new and important safeguarding issue for Local Authorities. Despite many high profile cases, there has yet to be a response from the educational psychology profession. This article seeks to explore the possible role for educational psychologists (EPs) in this area. This article sets out the findings of a recent literature review in which the authors propose Reactive Approach Motivation theory as a possible way in which EPs might formulate their understanding and response to this issue. Insights derived from the review are then discussed in light of the EP role in this new domain. Particular attention is paid to the PREVENT Agenda and some of the ethical considerations facing EPs seeking to undertake work in this area
What can the UK learn from New York's approach to mental health? New York’s mayor has thrown his weight behind a mental health programme focusing on prevention and recovery – the UK should take notice
No full textNew York mayor Bill de Blasio’s new programme of mental health spending is impressive in its scale, leadership and depth of resources, and could provide a lesson for central and local government leaders in the UK.
The programme, Thrive, comes with a mental health roadmap [pdf] for the city that states its ambitious aims: “It is our goal to not only reduce the toll of mental illness, but also promote mental health and protect New Yorkers’ resiliency, self-esteem, family strength and joy.”
Having spent a week in New York City as part of a small study group from London, it was impressive to see just how rapidly the programme has mobilised since its launch in November 2015. We spoke to key officials in the health and education departments and the New York police department
Exploring the positive impact of peers on adolescent substance misuse
No full textBackground: Previous research has consistently shown the negative impact that peers can have on adolescent substance use patterns. Few studies have examined the positive influence adolescents can have on their peers. This study aimed to examine the relationship of positive peer influence with indices of substance use and also to compare abstinent adolescents and substance-using adolescents on positive peer influence. Method: One hundred fifty-four adolescents (age range 12–20 years) completed a questionnaire on positive peer influence and other correlates of adolescent substance use including mental health, family functioning, and social support. Results: Positive peer influence was a significant predictor of lower substance use behaviors in adolescents, with positive influence from close friends being the strongest predictor. Substance-using adolescents' scores were significantly different from abstinent adolescents' scores for positive peer support, mental health functioning, impulsivity, and social support. Conclusions: These results indicate that positive influence from adolescents' peers may act as a protective factor in substance use. This influence should be utilized to aid the design of prevention and intervention initiatives in adolescent substance use
Leadership, through loss and change: Management of change viewed as challenges within a couple relationship.
No full textThis paper emanated from a Doctoral Thesis, which was an in-depth single case study of a frontline social work team based in the third sector. The research took place over a period of five months and included weekly visits to observe the day-to-day operations of the team, attending special events such as the Team's Away Day, Team Meetings and undertaking management consultation sessions with the Project and Deputy Managers. The thesis concludes that just as frontline staff require effective support, frontline managers also need space to effectively reflect on their experiences in role. The focus of this paper is the relationship dynamic between the managers, the team, senior management and the wider organisation as they dealt with the sudden announcement of the project's closure. The paper makes use of ethnographic and psychoanalytically informed observations of the team's ordinary day to day work processes, in addition, use was made of consultative interviews (MCI's) with the managers of this service who were afforded space to think about their management roles. Aspects of thematic analysis informed by psychoanalytic theory were used to analyse the material