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Reflecting on the use of freedom of information requests in mental health research
No full textFreedom of information (FoI) legislation has been represented as a valuable but underused means of generating otherwise unavailable data from public authorities in health and social care research. This article complements extant literature on the use of FoI requests for research intended to inform health and social care policy and improve the quality of practice. Reflections are provided on challenges and ethical considerations, drawing on relevant literature and the authors’ experience undertaking studies addressing different topics in mental health and child welfare using FoI requests as the primary source of data collection. The recommendations are practically orientated and aimed primarily at social work and health and social care researchers who may have limited knowledge of how FoI requests might be utilised in their work but be curious about this method’s application
Parenting advice and systemic ideas: A group to explore and support the ADHD parent experience
No full textA review of the relationship between poverty and child abuse and neglect: Insights from scoping reviews, systematic reviews and meta-analyses
No full textAn up-to-date and accurate picture of the evidence on the impact of poverty is a necessary element of the debate about the future direction of children's social care services internationally. The purpose of this paper is to update evidence about the relationship between poverty and child abuse and neglect (CAN) published since a previous report in 2016 (Bywaters et al., 2016). A systematic search was conducted, identifying seven reviews. Poverty was found to be consistently and strongly associated with maltreatment, be that in terms of familial or community-level poverty, or in terms of economic security. Findings demonstrated that both the type and the quantity of economic insecurities impacted child maltreatment. Certain economic insecurities – income losses, cumulative material hardship and housing hardship – reliably predicted future child maltreatment. Likewise, as families experienced more material hardship, the risk for maltreatment intensified. In some studies, the relationship between poverty and maltreatment differed by abuse type. Future reviews need to investigate individual papers and their findings across different CAN measures, definitions, samples, abuse types and conceptualisations of poverty to provide a comprehensive understanding of the current research base and the directions which need to be taken to further understand and prevent CAN
Addressing dissociation symptoms with trauma-focused mentalization-based treatment
No full textA significant number of individuals receiving mental health care exhibit a history of traumatic experiences. Accompanying dissociative symptoms often amplify the complexity of their required treatment. This article introduces a novel understanding and treatment approach for post-traumatic stress symptoms, inclusive of dissociation, derived from attachment and mentalization theories. Initially, we outline the different expressions of dissociation and the prevailing knowledge concerning their associations with diverse clinical manifestations and their role in trauma. We subsequently reinterpret these clinical symptoms through an attachment and mentalization lens, then proceed to elaborate on the new trauma-focused mentalization-based treatment and its therapeutic objectives. The article culminates with a case study that exemplifies the application of this approach in a clinical setting
The location dislocation and relocation (LDR) framework: It's all in the be-coming
No full textAt the end of February 2022 every media sadly announced Russia's military invasion of Ukraine. Suddenly, thousands of people had to leave their home country to seek safety in Europe. As clinicians and human beings we felt a deep sense of helplessness in hearing and seeing these stories of dislocation - stories that can be felt as out of time, where the past and the future do not exist in the process of being
replaced by the act of war. The war itself becomes a negation of time, where the past rapidly becomes remote, unreachable and alien. The future, on the other hand, loses
its purpose and it becomes dislocated in time and space, on an unknown island. However, it is the perception of time, either as a sequence or process, that gives us a clear notion of who we are and what our story is. Whenever this is
perceived as lost, we are at risk of becoming dislocated from ourselves
The third genration: Karen Izod
No full textKaren Izod, DPhil, MA, CQSW, has been working as an independent consultant to organisational change and professional development, as an educator and researcher for over 30 years. From 2019 to 2023 Karen was Course Lead for the Tavistock and Portman NHS Foundation Trust's Professional Doctorate in Advanced Practice and Research. She has a long-standing association with the Tavistock Institute of Human Relations where she is a founder and former director of their professional development programmes in consulting for change, and in coaching. Karen has a master's degree in Advanced Organisational Consultancy from the Tavistock Institute and an Advanced Training in Social Work from the Tavistock and Portman NHS Foundation Trust. Karen is additionally visiting tutor at Henley Business School on their MSc Coaching and Behavioural Change
Waiting on the threshold: An exploration of the experience of adolescent patients of breaks or holidays in the treatment and its possible modifications along the course of intensive, long-term psychoanalytic psychotherapy
Get PDFThe aim of the present qualitative study is to capture the possible reactions of adolescent
patients to a break and how this might vary over the course of long-term therapy in order to
formulate some hypothesis in relation to risk factors and acting out. Another area of interest is
relative to the way the therapists might react to the challenges posed by the break, as it emerges
from not only their direct interpretations but also their stylistic choices in the writing up of the
sessions.
To this end, existing psychotherapy session write-ups of two adolescent patients who have
received five times weekly psychoanalysis for around 8 years have been analysed using
Discourse Analysis. The notes analysed were relative to the eight weeks preceding and
following the first summer break and the last in the analysis.
The Kleinian and Post- Kleinian theoretical background of the research is discussed, in
reference to the specific issues posed by working with this age group. The links between
failures of containment, their impact on the developing of object constancy and the parallel
capacity to hold onto an object in its absence are also explored; as well as its effects on the
development of a sense of identity evolving in time and rooted in the body.
The literature search conducted revealed a limited number of studies that analysed the effects
of breaks on patients, and none relative to adolescent patients.
The clinical implications of the study include that for both patients and therapists, the first
break in the therapy elicits particular anxiety; material relative to the summer breaks tend to
emerge from five weeks before the holiday; patients’ experience as helpful interpretations of
the possible effects of variations in the timeframe of the therapy on them, also in relation to
processes of separation and individuation
Principles of practice by principal Social Workers
No full textA must-have text for social work students and practitioners which draws on the extensive years of experience of Principal Social Workers to shed light on contemporary issues.
Principal Social Workers are highly skilled and experienced professionals who lead and support social work practice and develop new social workers and social care practitioners. They are senior managers but also remain actively involved with frontline practice so they can report on the views and experiences of practitioners at all levels. Their experience and knowledge is a hitherto untapped goldmine. This book draws upon the years of experience that are represented within the role and gives a voice to the experience of PSWs. Accessible and accurate, these chapters discuss contemporary practice issues such as sustainability, poverty and racism. Common to all the chapters is the central position of the relationship in social work practice. This book will give food for thought to any social worker or social work care practitioner.
This book offers a refreshing and accessible take on contemporary practice issues. Presented in an accessible style, each chapter displays an area of practice that has personal resonance for the author. It encourage critical thinking by taking a broader concept and asking the reader 'what does this mean for social work practice?
Cancer researchers’ perceptions of the importance of the sex of cell lines, animals, and human samples for cancer biology research
No full textSex differences in cancer risk and outcome are currently a topic of major interest in clinical oncology. It is however unknown to what extent cancer researchers consider sex as a biological variable for their research. We conducted an international survey among 1243 academic cancer researchers and collected both quantitative and qualitative data. Although most of the participants indicated that they were familiar with the concept of studying sex differences in cancer biology, they did not think it was important to investigate sex differences in every context of cancer research nor in all tumor types. This is in stark contrast to the current recommendations and guidelines and illustrates the need for increased awareness among cancer researchers regarding the potential impact of the sex of cell lines, animals, and human samples in their studies
How do Psychoanalytic Child and Adolescent Psychotherapists think about State of Mind Assessments and what are their experiences of carrying them out?
Get PDFObjectives: Aims of this research study were: 1. To understand how Child and Adolescent Psychoanalytic Psychotherapists (CAPPTs) think about the psychoanalytic SoM Assessment. 2. To explore CAPPTs experiences of offering SoM Assessments in CAMHS. 3. To understand if there are identifiable aspects of case presentations that make them particularly suited to a SoM Assessment. 4. To add to the literature available on the SoM Assessment. Method: Nine CAPPTs were interviewed using a semi-structured interview schedule. Interviews were transcribed then analysed using Reflexive Thematic Analysis. Findings: CAPPTs develop personal conceptualisations of the SoM Assessment. Learning what a SoM Assessment is occurs through relational strands of learning. Participants agreed the most valuable element of their learning are their experiences of doing the assessment. Participants shared clinical examples which demonstrated creative differences in approach to offering SoM Assessments. SoM Assessments are underpinned by identifiable ‘Core Components’. The SoM Assessment is considered an important means by which the CAPPT shares the psychoanalytic voice of Child Psychotherapy within the MDT. The CAPPTs use of language is scrutinised considering how accessible this voice is, and the extent to which the SoM Assessment can be held in mind by MDT’s. Conclusion: The SoM Assessment develops through five strands of learning. Variation and flexibility are inherent to the SoM Assessment and considered strengths. CAPPT’s demonstrate how they make use of their own internal world through the Core Components of the SoM Assessment. The SoM Assessment is an attentive response created anew each time with the unique patient at its centre. Participants agreed further use could be made of this assessment. The importance of the SoM Assessment in bringing the psychoanalytic voice to MDT’s is confirmed