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Therapists' perceptions of out of session frame deviations.
No full textThis study explores the complex and relatively under-researched topic of out of
session frame deviations. It considers the role of frame deviations in
psychodynamic psychotherapy and the various conceptualisations of the frame,
examining the debate between the ideas of a flexible and ‘elastic’ frame and a
more unchanging and ‘impenetrable’ frame. The study uses a qualitative design
to examine therapists’ understandings of out of session frame deviations as they
have experienced them in practice. Six psychodynamic psychotherapists were
interviewed and asked for their perceptions regarding out of session frame
deviations. What emerged from the analysis of the interview material were
diverse experiences of the types of frame deviations outside of the consulting
room, by both therapist and patient. In addition, therapists felt that out of session
frame deviations might have an impact on the therapeutic process, depending on
their unconscious roots and on particular factors that were unique to the
relationship. Therapists had strong countertransference reactions to out of
session frame deviations and their handling of the deviations was often informed
by these reactions. The handling of out of session frame deviations was also
seen as specific to the relationship and, therefore, unique in each instance.
Therapists’ perceptions of patient dynamics as they related to out of session
frame deviations illustrated the varied functions that the deviations may serve
and demonstrated that transference was sometimes prominent in the deviations.
Therapists also emphasised the flexibility of the psychotherapy frame itself. The
study illustrated that out of session frame deviations are important and relate
significantly to the process of psychodynamic psychotherapy. They produce
uncertainties and ambiguities for therapists in practice and should be examined
closely rather than being overlooked
Access to higher education and retention of students with a migrant background in the Netherlands:A comparative analysis
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Establishing Good Practice in Rights-Based Approaches to Mental Health in Kenya
No full textMental health care is often characterized by coercion, abuse and ill-treatment. At the same time, there has been increasing interest in rights-based approaches to health. However, it is not always clear what the actual meaning of a rights-based approach is. This is particularly true in the field of mental health, and the dearth of scholarly research on this subject is especially pronounced in poorly resourced settings in low and middle-income countries.
In the context of the Doctoral Engagement and Translation for Action (DELTA) project of my Doctor of Public Health degree, I engaged with the Open Society Foundations to research the content of rights-based approaches to mental health and psychosocial support services in Kenya, where a significant amount of the organization’s work on community-based mental health is located. I interviewed ten key stakeholders, including service providers and service users, to ascertain what they perceived to be rights-based approaches to mental health in terms of content and in terms of the potential contribution of these approaches to mental health systems. I also asked about the supports and barriers to implementing rights-based approaches to mental health and psychosocial support services.
Using an interpretivist methodology, I organized the interview data into three categories, namely: Key components of a rights-based approach to mental health; the contribution of a rights-based approach; and key barriers and supports related to implementation of a rights-based approach. Central principles of rights-based approaches were identified and these principles inform the interventions that might be said to embody a rights-based approach, thus aiding in the key challenge of implementation. Participants noted some challenges to implementation, while also highlighting supportive factors.
Questions remain around the role of traditional healers and the acceptability of coercive practices, but this research highlights the central components of a rights-based approach that can guide interventions, facilitate standardization and inform future research. Moreover, in keeping with the goals of the DELTA, it provides a platform for further work on rights-based approaches to mental health at the Open Society Foundations, which hopefully will lead to better resourcing and increasing attention to these models.Public Healt
Redefining International Mental Health Care in the Wake of the COVID-19 Pandemic
No full textThe COVID-19 pandemic has exacerbated inequities for people with psychosocial disabilities producing in its wake a serious obstacle for mental health policymakers and advocates committed to upholding Article 12 of the Convention on the Rights of Persons with Disabilities. To overcome this obstacle, stakeholders must resist a common tendency in international mental health policymaking: to over-invest in interventions that arise from a biomedical conception of mental illness. Instead, the pandemic is an opportunity to look beyond the dominant biomedical framework in international mental health care – which has a record of undermining Article 12 principles like legal capacity, autonomy, and self-determination – toward one based on human rights. This shift in positionality will serve to uphold Article 12 and help fulfill the spectrum of human rights for people with psychosocial disabilities
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
DE-STIGMATISING PSYCHOSOCIAL DISABILITY IN SOUTH AFRICA
Get PDFStigma and associated discrimination against persons with psychosocial disabilities constitute a considerable barrier to the realisation of the highest attainable standard of health in South Africa, Africa, and further afield, constituting a significant human rights violation. This situation is evidenced and exacerbated by mental health as a whole remaining under-prioritised in law, policy and resource allocation. States parties to have a duty to address stigma and discrimination through awareness raising and education. Some important commitments have been made in this respect, particularly at the policy level in South Africa. Nevertheless, and as demonstrated by tragic recent events, effective implementation remains lacking. This article lays out the obligations incumbent upon the South African government to address stigma and discrimination on the basis of psychosocial disability as a public health and human rights imperative by examining positive duties incorporated into international instruments and domestic law and policy. It further considers the role of political de-prioritisation of mental health and how this constitutes stigma of a systemic nature, using case law and examples of research and best practice from South Africa, Africa generally, and beyond. We conclude that South Africa is failing to meet its obligations to persons with psychosocial disabilities, and recommend that positive duties be emphasised in potential disability-specific legislation; high-level political commitment and co-ordination issecured for mental health; the CRPD’s independent monitoring requirement is urgently fulfilled; and contextually-relevant interventions are crafted with the active participation of persons with psychosocial disabilities and their representative organisations. 
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
De-stigmatising psychosocial disability in South Africa
Get PDFStigma and associated discrimination against persons with psychosocial disabilities
constitute a considerable barrier to the realisation of the highest attainable standard
of health in South Africa, Africa, and further afield, constituting a significant
human rights violation. This situation is evidenced and exacerbated by mental
health as a whole remaining under-prioritised in law, policy and resource
allocation. States parties to the Convention on the Rights of Persons with
Disabilities (CRPD) have a duty to address stigma and discrimination through
awareness raising and education. Some important commitments have been made in
this respect, particularly at the policy level in South Africa. Nevertheless, and as
demonstrated by tragic recent events, effective implementation remains lacking.
This article lays out the obligations incumbent upon the South African government
to address stigma and discrimination on the basis of psychosocial disability as a
public health and human rights imperative by examining positive duties
incorporated into international instruments and domestic law and policy. It further
considers the role of political de-prioritisation of mental health and how this
constitutes stigma of a systemic nature, using case law and examples of research and
best practice from South Africa, Africa generally, and beyond. We conclude that
South Africa is failing to meet its obligations to persons with psychosocial
disabilities, and recommend that positive duties be emphasised in potential
disability-specific legislation; high-level political commitment and co-ordination is secured for mental health; the CRPD’s independent monitoring requirement is
urgently fulfilled; and contextually-relevant interventions are crafted with the active
participation of persons with psychosocial disabilities and their representative
organisations.http://www.adry.up.ac.zaam2018Centre for Human Right
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