29,913 research outputs found
Implementing low intensity CBT in case management of clients with severe mental illness
No full textIn a previous chapter (Dean and Kavanagh, Chapter 37), the authors made a case for applying low intensity (LI) cognitive behaviour therapy (CBT) to people with serious mental illness (SMI). As in other populations, LI CBT interventions typically deal with circumscribed problems or behaviours. LI CBT retains an emphasis on self-management, has restricted content and segment length, and does not necessarily require extensive CBT training. In applying these interventions to SMI, adjustments may be needed to address cognitive and symptomatic difficulties often faced by these groups. What may take a single session in a less affected population may require several sessions or a thematic application of the strategy within case management. In some cases, the LI CBT may begin to appear more like a high-intensity (HI) intervention, albeit simple and with many LI CBT characteristics still retained. So, if goal setting were introduced in one or two sessions, it could clearly be seen as an LI intervention. When applied to several different situations and across many sessions, it may be indistinguishable from a simple HI treatment, even if it retains the same format and is effectively applied by a practitioner with limited CBT training. ----- -----\ud
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In some ways, LI CBT should be well suited to case management of patients with SMI. treating staff typically have heavy workloads, and find it difficult to apply time-consuming treatments (Singh et al. 2003). LI CBT may allow provision of support to greater numbers of service users, and allow staff to spend more time on those who need intensive and sustained support. However, the introduction of any change in practice has to address significant challenges, and LI CBT is no exception. ----- -----\ud
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Many of the issues that we face in applying LI CBT to routine case management in a mnetal health service and their potential solutions are essentially the same as in a range of other problem domains (Turner and Sanders 2006)- and, indeed, are similar to those in any adoption of innovation (Rogers 2003). Over the last 20 years, several commentators have described barriers to implementing evidence-based innovations in mental health services (Corrigan et al. 1992; Deane et al. 2006; Kavanagh et al. 1993). The aim of the current chapter is to present a cognitive behavioural conceptualisation of problems and potential solutions for dissemination of LI CBT
Adapting low intensity CBT interventions for clients with severe mental illness
No full textMany people with severe mental illness (SMI) such as schizophrenia, whose psychotic symptoms are effectively managed, continue to experience significant functional problems. This chapter argues that low intensity (LI) cognitive behaviour therapy (CBT; e.g. for depression, anxiety, or other issues) is applicable to these clients, and that LI CBT can be consistent with long-term case management. However, adjustments to LI CBT strategies are often necessary and boundaries between LI CBT and high intensity (HI) CBT (with more extensive practitioner contact and complexity) may become blurred. Our focus is on LI CBT's self-management emphasis, its restricted content and segment length, and potential use after limited training. In addition to exploring these issues, it draws on the authors' Collaborative Recovery (CR; Oades et al. 2005) and 'Start Over and Survive' programs (Kavanagh et al. 2004) as examples. ----- -----\ud
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Evidence for the effectiveness of LI CBT with severe mental illness is often embedded within multicomponent programs. For example, goal setting and therapeutic homework are common components of such programs, but they can also be used as discrete LI CBT interventions. A review of 40 randomised controlled trials involving recipients with schizophrenia or other sever mental illnesses has identified key components of illness management programs (Mueser et al. 2002). However, it is relatively rare for specific components of these complex interventions to be assessed in isolation. Given these constraints, the evidence for specific LI CBT interventions with severe mental ilnness is relatively limited
Disposable vapes banned in the UK from next week – when does Ireland’s ban come into effect?
No full textFiona Spargo-Mabbs, founder and director of drug education charity DSM Foundation and Dr Paul Kavanagh, chair of the Royal College of Physicians advisory group on tobacco and vaping [13 minutes]
Conversations with Paul Auster
No full textInterviews with the author of The New York Trilogy, In the Country of Last Things, and The Brooklyn Follies.Cover -- Contents -- Introduction -- Chronology -- Translation -- Interview with Paul Auster -- An Interview with Paul Auster -- Memory's Escape-Inventing the Music of Chance: A Conversation with Paul Auster -- The Making of Smoke -- The Manuscript in the Book: A Conversation -- An Interview with Paul Auster -- The Futurist Radio Hour: An Interview with Paul Auster -- Paul Auster: Writer and Director -- Off the Page: Paul Auster -- Paul Auster: The Art of Fiction -- Jonathan Lethem Talks with Paul Auster -- A Conversation with Paul Auster -- The Making of The Inner Life of Martin Frost -- Interview: Paul Auster -- A Connoisseur of Clouds, a Meteorologist of Whims: The Rumpus Interview with Paul Auster -- Interview: Paul Auster on His New Novel, Invisible -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Y -- ZInterviews with the author of The New York Trilogy, In the Country of Last Things, and The Brooklyn Follies.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Portrait of Paul Ham at the National Library of Australia, 15 November 2011 /
No full textTitle from nformation supplied by photographer.; Part of the collection: Podcast photograph of author Paul Ham at the National Library of Australia, 15 November 2011.; Mode of access: Online.; Photographed by a staff member of the National Library of Australia
Author, Dr. Paul Wehr. c. 1980
No full textDr. Paul Wehr, as he appeared c. 1980. Dr. Wehr was a professor of history at UCF and the author of Like a Mustard Seed: the Slavia Settlement (1982 - Mickler Publishing House), a history of the early years of Slavia and St. Luke\u27s history.https://stars.library.ucf.edu/cfm-images/1413/thumbnail.jp
Michael Rodriguez interviews author Paul Clemens
No full textAuthor Paul Clemens talks about his book "Made in Detroit," the genre of memoir, and writing about race. Clemens is interviewed by Michigan State University Librarian Michael Rodriguez for the MSU Libraries' Michigan Writers Series. Held in the MSU Main Library
The British ‘Bluesman’ Paul Oliver and the Nature of Transatlantic Blues Scholarship
No full textRecent revisionist studies have argued that much of what is known about music known as the blues’ has been 'invented' by the writing of enthusiasts far removed from the African American culture that created the music. Elijah Wald and Marybeth Hamilton in particular have attempted to sift through the clouds of romanticism, and tried to unveil more empirical histories that were previously obscured by the fallacious genre distinctions conjured up during the 1960s blues revival. While this revisionist scholarship has shed light on some previously ignored historical facts, writers have tended to concentrate on the romanticism of blues writing strictly from an American perspective, failing to acknowledge the genesis and influence of transatlantic scholarship, and therefore ignoring the work of the most prolific and influential blues scholar of the twentieth century, British writer Paul Oliver. By examining the core of Oliver’s research and writing during the 1950s and 1960s, this study aims to place Oliver in his rightful place at the centre of blues historiography. His scholarship allows a more detailed appreciation of the manner in which the blues was studied, through lyrics, recordings, oral histories, photography and African American literature. These historical sources were interpreted in accordance with the author’s attitudes to the commercial popular music, which allowed the ‘reconstruction’ of an African American ‘folk’ culture in which the blues became the antithesis of pop. Importantly, this study seeks to transcend dominant discourses of national cultural ownership or ethnocentrism, and demonstrate that representations of African American music and culture were constructed within a transatlantic context. The blues is music with roots in the African American experience within the United States; however, as Paul Oliver’s writing shows, its reception and representation were not limited by the same national, cultural or racial boundaries
Narrating the nation? : post-colonial perspectives on Patrick Kavanagh's 'The great hunger' (1942) and Brendan Kennelly's 'Cromwell' (1983)
Full text linkThe nature of Irish post-colonialism is not fixed. The
chronological periods surrounding the colonial era in Irish
history are relatively unproblematic, but the real debate emerges
in the analysis of the effect of the colonial era on perceptions
of national identity and how these perceptions were altered or
underpinned in the post-colonial nation state. The complexities
involved in accurately defining the coloniser and the colonised,
the colonial identity and the post-colonial identity, serve to
illuminate the fact that these concepts are based on
interpretations of complex and unresolved relationships which
have emerged over hundreds of years. To arrive prematurely at
definitive conclusions as to their nature only serves to
perpetuate stereotypes beyond which the post-colonial debate must
move. The best that can be hoped for is that a reasonable and
sustainable position can be found in relation to the larger
question of Ireland's complicated post-colonial identity. The
nature of Irish colonisation and its consequences require the
examination of the plurality of possible interpretations. There
are no fixed boundaries but rather a series of relational
positions which must be occupied on the nature of possession and
dispossession, cultural connectedness and dislocation and
consequent perceptions of national identity
[Memo by Paul Tsuneishi, January 19, 1998]
No full textA memo by Paul Tsuneishi offering both humorous and apparently serious explanations of the work of that Friends of Michi (FOM) is doing.These materials are from box 73 and 74 of the Frank Chin Papers. The Frank Chin Papers contain personal and professional correspondence between Frank Chin and Michi Weglyn relating to particular projects on which either author was working as well as files related to the Day of Remembrance Tribute to Michi Weglyn
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