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The role of childhood experiences in the development of sexual compulsivity
There is a lack of evidence regarding the nature of the relationship between childhood trauma and sexual compulsivity in adulthood. Participants (n = 348) were users of support websites relating to drug, alcohol, gambling, and sexual addictions who completed an online survey including addiction questionnaires, the Sexual Compulsivity Scale, and the Early Trauma Inventory (Short Form). Multiple regression modeling indicated that gender, sexual orientation, childhood emotional abuse, childhood exposure to pornography, and parental sex addiction were associated with sexual compulsivity in adulthood (R2= 0.23). Childhood sexual or physical abuse and addictions to other behaviors (alcohol, drugs, gambling) were not associated with adult sexual compulsivity
Reflections on development of ideas: Personal and contextual. David Campbell in interview with Charlotte Burck. Edited by Sara Barratt
Learning to walk down the corridor: Body image, catastrophic anxieties, and supportive internal figures
Autism severity and qualities of parent–child relations
The aim of this study was to examine how severity of autism affects children’s interactions (relatedness) and relationships with their parents. Participants were 25 parent–child dyads that included offspring who were children with autism aged from 4 to 14 years. The severity of the children’s autism was assessed using the calibrated severity metric of the Autism Diagnostic Observation Schedule (Gotham et al. in J Autism Dev Disord 39:693–705, 2009). Parent–child dyads were videotaped in 10-min semi-structured play interactions, and qualities of interpersonal relatedness were rated with the Dyadic Coding Scales (Humber and Moss in Am J Orthopsychiatr 75(1):128–141, 2005). Quality of relationships between parents and children were evaluated with a parent self-report measure, the Parent Child Relationship Inventory (Gerard in Parent–Child Relationship Inventory (PCRI) manual. WPS, Los Angeles, 1994). Multivariate regression analysis revealed that severity of autism was inversely related to patterns of parent–child interaction but not to reported quality of parent–child relationship. We consider the implications for thinking about relatedness and relationships among children with autism, and opportunities for interventio
Teaching therapeutic assessment for self-harm in adolescents: Training outcomes
Objectives: To describe the teaching programme of Therapeutic Assessment (TA), a brief intervention at the point of initial assessment for adolescents with self-harm; to describe trainees’ preferences and choices regarding their use of specific aspects of TA.
Design: This is a comparative study investigating the differences in the TA skills before and after training. This design was chosen to establish whether or not TA training is efficacious.
Methods: Twenty-four clinicians volunteered to participate in five half-day TA training sessions. Their scores on the Therapeutic Assessment Quality Assurance Tool (TAQAT, primary outcome measure) were compared before and after training. Satisfaction with training and therapeutic strategy choices as well as ability to perform TA in an RCT were investigated.
Result: Clinicians who participated in TA training had significantly increased scores on TAQAT after training. The clinicians who achieved the required quality of TA post assessments were likely to be able to carry out TA in an RCT with high fidelity. In addition, prior to training, significant differences in the quality of assessments as measured by TAQAT were identified depending on the experience of the clinician. This discrepancy was no longer present post training. Therapeutic strategy based on solution-focused brief therapy (SFBT) was the option of choice post training.
Conclusions: TA training is feasible and associated with improved quality of self-harm assessment.
Practitioner points:
TA is a brief intervention associated with improved treatment engagement.
TA training is feasible and is associated with improved quality of self-harm assessment.
SFBT-based exit is the most commonly used strategy in TA
Standing in the shadows: Faith, homelessness and troubled lives
This research studies five homeless people’s experience focusing on two key research questions - what is the place of faith and a faith based organisation in the lives and minds of people using the service and what does an in depth analysis of the emotional biographies of a gr oup of homeless people tell us about the psychic, material and spiritual needs that they bring to the centre? Each person interviewed was of no faith or a different faith to the host organisation. Using Biographical Narrative Interpretive Method and Grounded Theory the research generated in depth insights into the life experiences of some of the most vulnerable in our society, giving them a voice. Based on a single narrative seeking question, the interviews disclose long histories of personal and social suffering, and a connection between those histories and peoples’ pathways into homelessness, both external and internal. There are traumatised people for whom literal homelessness is not the outcome, but the path into homelessness for all the research subjects suggests a typical picture of people balanced on a knife-edge between a number of sets of pairings including meaning and meaningless, hope and despair and life and death. To aid u nderstanding I think of these subjects as distributed along a spectrum, with some occupying positions closer to hopelessness, despair or suicide, and some in more hopeful or connected states. All of this is both what brings people to the host organisation, and what they bring into that organisation. The research findings enable better understanding of key issues affecting homeless people not only for faith-based organisations but for all that work with social exclusion and homelessness. Noting the occurrence of similar emerging issues over each of the case studies what begins to emerge are a number of implications for practice. These include the importance of developing meaningful relationships; the need to meet service users higher needs particularly spirituality from the point of admission, the importance of a full knowledge of the housed history, the importance of giving the opportunity to explore important life issues and to be listened to. A possible implication of the research undertaken relates to the organisation itself . The way the organisation does or does not respond , introducing the notion that it operates defences against anxiety and pain drawing on its own theological dogma, an ideology that functions as a defence against being over whelmed. The organisation’s position within the homelessness field is also consider ed. Finally there are the defences towards the inner projections of the residents. It is how the organisation responds to these elements that the research suggests assists or hinders the progress of the homeless person’s route out of homelessness
Chorar e estar triste sozinho: Vínculos entre observaçãode bebês e psicoterapia [Crying and being sad alone: Links between infant observation and psychotherapy]
Anxiety and attendance: Identifying the problem
Batul Al-khatib examines anxiety and how to prevent school-refusing behaviours from impacting on learning
Becoming NEET
Over one million young people are now NEET - Not in Education, Employment, or Training. The waste of human resource is tragic and the resultant disaffection could dangerously destabilise society. This book describes the challenges and risks for young people within the NEET category, and the chaotic and confusing lives some young people lead, which increase vulnerability to becoming NEET. In a unique collaboration, a Local Authority Educational Psychologist and a Connexions Personal Adviser examine the histories of employment and childhood to reveal the context of NEET. They describe how information about children’s lives can be used to develop screening tools to facilitate early intervention in schools. The five case studies presented are drawn from interviews with young people who have been affected by the experience of being NEET, their families, schools and Personal Advisers. The studies enable readers to understand the complexity of young people’s lives from different perspectives. Such insights can be used to develop effective ways of reducing the incidence of NEET among our most vulnerable young people. The book will be of value to everyone working with young people and striving to prevent NEET, in particular staff at secondary schools and academies, and personal advisers, educational psychologists, administrators and youth workers