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Collaborare, contenere e trasmettere fiducia: Fisioterapia con una ragazza che non parla, non cammina, non mangia
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Chaperones’ vital role
No full textA chaperone should always be offered where any intimate examination is proposed, particularly if a patient has been sedated – even if the doctor and patient are of the same sex
Providing support following exposure to suicide: A mixed method study
No full textExposure to suicide and the associated impacts for those left behind can be long lasting and traumatic. Literature has predominantly examined the experience of suicide and impact from the perspective of those closest to the deceased—with studies primarily focused on kin relationships. Appropriate and timely support delivered by skilled professionals, through the provision of postvention support, has been suggested as a way to reduce morbidity and mortality associated with exposure to suicide. The evidence regarding what support, for whom, and the timing of support is scarce. As an extension of this scarcity, there is minimal research examining the ways in which provision of this postvention (that is, support following exposure to suicide) support impacts workers. This paper explores service use data gathered to evaluate a nation‐wide Australian suicide postvention service, in conjunction with qualitative data from those providing postvention support to those exposed to suicide to understand who accesses support and the impact of providing such support on service providers. Postvention workers provide insight into the demands of responding to suicide, the pressure of being on call, and the ways in which they are able to maintain their well‐being through external supervision
Disclosure in therapy by clients with eating difficulties: a Q-Methodology study
No full textDisclosure by those with eating difficulties is of considerable importance to clinicians and researchers. The aim of the present study was to explore variability in factors considered likely to influence the decision to disclose during psychological therapy by people who experience such difficulties. Thirty-seven participants recruited through a UK-based eating disorder charity completed a Q-sort task. This invited them to sort 47 statements onto a grid reflecting what would make them more or less likely to disclose in therapy. The thirty-seven Q-sorts were analysed using PQ method software. This resulted in the extraction of three factors explaining 41 percent of the variance. Participants loading on the first factor considered maintaining an eating disorder identity as most influential whilst participants loading on the second factor considered the therapeutic relationship as most influential. Those loading on the third factor considered personal readiness and feelings of security as most influential. This study suggests that clinicians need to assess influences on the decision to disclose for individual clients and to modify the early stages of intervention accordingly. Future research could assess the utility of using the Q-sort process and materials in this study as a way to elicit influences on disclosure decisions
Teaching staff experiences of a Work Discussion Group (WDG) : An Interpretative Phenomenological Analysis
Get PDFThis research explores how teaching staff experienced their participation in a Work Discussion Group (WDG) in a provision for pupils with Social, Emotional and Mental Health (SEMH) needs. The Government has recently published a green paper (2017) outlining the expanded role that educational establishments will play in relation to the mental health and emotional wellbeing of their pupils. This comes during a period in which many schools are facing increased pressure due to a reduction in funding and difficulties with teacher retention. A review of the theoretical literature suggests that WDG may have a valuable role in the current context; providing a reflective and supportive space could be helpful as part of a whole school approach to maximising staff and pupil wellbeing. A review of the literature indicates that there is minimal existing research examining the use of WDG in educational settings, particularly from the perspective of staff. As the research is exploratory in nature a qualitative approach was taken with interpretative phenomenological analysis (IPA) as the chosen methodology. Six members of staff who had participated in the same WDG were recruited to take part. The findings suggest that the WDG was experienced by staff in a way that allowed them to feel emotionally contained; to reflect on practice; to connect with colleagues; to feel empowered through voice; to experience themselves in relation to others; to raise awareness around organisational issues and to lead to some organisational change. The findings reveal some ambivalence relating to facilitation processes and the permeability of the group boundary. The discussion illuminates experiences through the lens of systemic and psychodynamic theory. This provides further theoretical interpretation of staff experience and highlights areas for consideration for future facilitation. Theoretical transferability and implications for Educational Psychology practice are discussed
Acknowledging and bearing emotions: A study into child and family social work
Get PDFThis thesis is the product of an ethnographic research study that uses a psycho-social
approach to explore how children’s emotions are engaged with by child and family social
workers. This theme is of relevance and professional interest to me as a CAMHS social
worker where my role specifically focuses on this area of practice. It also relates to my
previous experience as a teacher and supervisor of social workers. Informed by a psychosocial frame of reference to both practice and research, I was interested in the types of
dynamics that might play out in the research both in relation to social workers and
children and young people and also for me as a researcher/social worker and the
participants in the research.
The literature identifies a range of knowledge and research that looks at how social
workers should communicate and engage with children and some of the barriers that
seem to adversely impact on effective engagement. There is also some evidence that
specifically focuses on what social workers do when they meet with children, through
the use of observation. However, research which focuses on how practice focuses on
the emotional dimensions of children’s lives is largely absent from the literature. This
study aims to provide a perspective on how social work practice with children attends
to their emotional needs and experiences and what factors promote or inhibit this from
taking place.
Drawing on psycho-social perspectives in research (Hoggett, 2014; Hollway and
Jefferson, 2013) this study brings together the individual and the social, giving credence
to both. It is founded on an interpretivist epistemology and uses an ethnographic,
qualitative methodology. Interviews were analysed using Interpretive
Phenomenological Analysis (IPA) (Smith, Flowers, and Larkin, 2009) and observations
and case records were analysed through a psycho-social lens. Discourse analysis was
used to interrogate the case records. Observation reports were shared with a Many
Minds panel as part of the interpretive process.
The thesis findings demonstrate that whilst social workers engaged with children’s
emotional lives to some extent, they often seemed to overlook, ignore or distance
themselves from some of the emotional experiences shared and communicated by the
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children and young people they met. Using examples from the observations, interviews
and case records, the thesis demonstrates how complex emotional dynamics are
mobilised, perhaps consciously and unconsciously, by social workers, to protect
themselves from the complex emotional pain and anguish of the families they work
with, as a way of managing the realities of the role. It also bears witness to the
organisational defences that exist that serve to distant practitioners from full
engagement with the emotional experiences they are faced with. This thesis makes an
original contribution, developing new knowledge and understanding of complex
processes that impact on practice, represented in a model for effective practice – the 4C
model. Whilst the thesis identifies the limitations of this research and the methodology
used, it also makes a number of recommendations for practice, education and further
research
Reflective practice groups in a children’s social work setting - what are the outcomes, how do they work and under what circumstances? A new theoretical model based on empirical findings.
No full textDespite widespread acceptance of the importance of reflection and reflective practice groups (RPGs) in children’s social work, almost no evidence exists as to the outcomes of RPGs in this context. This is a serious limitation because such evidence is crucial for funders and policy-makers and to establish RPGs as an evidence-based practice. There is also an absence of theoretical models to inform thinking about how RPGs might ‘work’ as an intervention to support workers and improve practice. Contributing new evidence to bridge these gaps, this paper reports a mixed-methods, longitudinal evaluation of RPGs within one local authority children’s social work services department. The study advances the methods that have been used to investigate RPGs in the social work context and considers outcomes beyond that of the individual practitioner. The paper also presents a new theoretical model, based on these empirical findings, of how RPGs ‘worked’ and under what circumstances
Suicide and accidental death for Australia’s farming families: How context influences individual response
No full textThis article presents qualitative data to explore the experience of farming family members faced with accidental or suicide death and understand how this is experienced within the farming context. Individual semistructured interviews were conducted with 25 members of Australian farming families bereaved by suicide or accidental death. Qualitative data was thematically analyzed. Three interconnected themes were identified: acceptance of risk, normalization of death, pragmatic behavior patterns and connection to place. Bereavement and reconstruction of meaning following suicide or accidental death for farming families is influenced by the cultural, social, geographical, and psychological contexts of farming families. This article challenges traditional conceptions of suicide and accidental death as necessarily experienced as “violent” or “traumatic,” bereavement as experienced similarly across western cultures, and the reaction to suicide or accidental death as one that challenges people’s understanding of their world and leaves them struggling to find a reason why the death occurred