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GP dilemma: An intimate examination during a home visit
No full textHow should GPs proceed if they are required to undertake an intimate examination unexpectedly during a home visit? Dr Gabrielle Pendlebury from Medical Protection advises
Dimensions of difficulty in children reported to have an autism spectrum diagnosis and features of extreme/‘pathological’ demand avoidance
Get PDFA subset of individuals with autism spectrum disorder (ASD) resemble descriptions of extreme/‘pathological’ demand avoidance, displaying obsessive avoidance of everyday demands and requests, strategic or ‘socially manipulative’ behaviour and sudden changes in mood. Investigating challenging presentations using dimensional description may prove preferable to identifying subgroups. However, there remains an imperative to explore which behavioural traits appear most problematic to inform quantitative investigation. This study provides an in‐depth exploration of parent perspectives on maladaptive behaviour in children reported to have an autism spectrum diagnosis and features of extreme/‘pathological’ demand avoidance
How do parents manage irritability, challenging behavior, non-compliance and anxiety in children with Autism Spectrum Disorders? A meta-synthesis
Get PDFAlthough there is increasing research interest in the parenting of children with ASD, at present, little is known about everyday strategies used to manage problem behaviour. We conducted a meta-synthesis to explore what strategies parents use to manage irritability, non-compliance, challenging behaviour and anxiety in their children with ASD. Approaches included: (1) accommodating the child; (2) modifying the environment; (3) providing structure, routine and occupation; (4) supervision and monitoring; (5) managing non-compliance with everyday tasks; (6) responding to problem behaviour; (7) managing distress; (8) maintaining safety and (9) analysing and planning. Results suggest complex parenting demands in children with ASD and problem behaviour. Findings will inform the development of a new measure to quantify parenting strategies relevant to ASD
School as a safe place: How to support pupils’ social, emotional, mental health (SEMH) – the view of school staff in a mainstream secondary school. A grounded theory study
Get PDFPromoting the mental health and well-being of adolescents has increasingly become a priority for legislation in the UK. The Special Educational Needs and Disability (SEND) Code of Practice (DfE, 2015) highlights the increasing responsibility professionals have for supporting and promoting pupils’ social, emotional and mental health (SEMH) needs, a role which is especially pertinent for schools. However, there is a lack of current research exploring how school staff view promoting and supporting pupils’ emotional well-being. Semi-structured interviews were undertaken in one mainstream secondary school to gather the views of six school staff on their experiences and views of supporting pupils’ emotional well-being. The aim of the study was to explore and explain the contexts and mechanisms which facilitate or hinder how staff promote and support children and young people’s mental health and well-being. The data was analysed by use of a grounded theory methodology. The theory emerging from the data suggests that school staff believe that by having a structured, clear approach to supporting and promoting emotional well-being the school is able to become a safe space in an ever-demanding society. The overarching theory is labelled ‘providing containment – school as a safe place’. The findings are discussed in relation to existing literature and research. Implications for secondary schools and Educational Psychologists are discussed
Difficult conversations on the front line: Observations of home visits to talk about neglect
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Turning the tide: The psychoanalytic approach of the Fitzjohn's Unit to patients with complex needs
No full textEndings are different from outcomes: Working with endings in Relationship-Based Practice
No full textConjunctions: Social work, psychoanalysis and society
No full textConjunctions engages separately and connectively with therapeutic social work practice, psychoanalytically informed research methods and philosophy, as well as contemporary human service organisational cultures and predicaments, and the societal dynamics affecting social work and psychoanalysis. The chapters are gathered into several thematic sections: Practice, Organisations, Politics Policy and Culture, Research and a final chapter on death, dying and social work. The writing on each topic uses a blend of psychoanalysis, social theory and philosophy to illuminate and develop a psycho-social account of individual, organisational and social processes and dynamics. The author draws directly upon his own and others lived experience of clinical work, organisational stresses and strains, social processes, and research to generate conceptualised accounts of inner and outer experiential worlds in the hope of mobilising emotional and thinking responses in his readership. Conjunctions is therefore intended to be an intervention in modern professional, therapeutic and social life, as well as a contribution to understanding it