Dulwich Centre

White, Cheryl

doi:10.1007/978-3-319-15877-8_864-1

Cited by 48 publications

(84 citation statements)

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“…With the provision of additional timely resources and supports from gerontological health professionals, clients can then perceive themselves as more active participants in achieving solutions to their own problems. 33 …”

Section: Discussionmentioning

confidence: 99%

The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors

Chow

2017

Clin Rehabil

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Objective:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of meaning in life as a mediator between perceived stroke knowledge and psychological wellbeing among stroke survivors and how such processes can be applied in practice to promote their psychological wellbeing.Methods:A sample of N = 192 elderly aged 60 or above who experienced a recent stroke completed a survey to assess their levels of cognitive ability, physical function, perceived knowledge of stroke, meaning in life, life satisfaction, and depression. Correlation and mediation analyses using the Sobel test were conducted to clarify the role of meaning in life among stroke survivors.Results:Both perceived knowledge of stroke (r = 0.35, P < 0.001) and meaning in life had positive correlations with life satisfaction (r = 0.37, P < 0.001) and a negative correlation with depression. Analyses revealed that meaning in life is a significant mediator between perceived knowledge of stroke and depression (z = −3.71, P < 0.001) and between perceived knowledge of stroke and life satisfaction (z = 3.97, P < 0.001) in two separate models.Conclusion:The role of meaning in life is clear and can affect the dynamics between knowledge of stroke and one’s psychological wellbeing.

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Section: Discussionmentioning

confidence: 99%

The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors

Chow

2017

Clin Rehabil

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“…Given voices are shaped by culture ( 66 ), voices’ talk, tone and practices were oppressive in ways that particularly related to the hearers’ gender. This was evidenced by women’s accounts revealing patriarchal attitudes in some voices and the devices voices used to overpower and control them.…”

Section: A Qualitative Study Of Women Hearing Voicesmentioning

confidence: 99%

Hearing the Unheard: An Interdisciplinary, Mixed Methodology Study of Women’s Experiences of Hearing Voices (Auditory Verbal Hallucinations)

et al. 2015

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This paper explores the experiences of women who “hear voices” (auditory verbal hallucinations). We begin by examining historical understandings of women hearing voices, showing these have been driven by androcentric theories of how women’s bodies functioned leading to women being viewed as requiring their voices be interpreted by men. We show the twentieth century was associated with recognition that the mental violation of women’s minds (represented by some voice-hearing) was often a consequence of the physical violation of women’s bodies. We next report the results of a qualitative study into voice-hearing women’s experiences (n = 8). This found similarities between women’s relationships with their voices and their relationships with others and the wider social context. Finally, we present results from a quantitative study comparing voice-hearing in women (n = 65) and men (n = 132) in a psychiatric setting. Women were more likely than men to have certain forms of voice-hearing (voices conversing) and to have antecedent events of trauma, physical illness, and relationship problems. Voices identified as female may have more positive affect than male voices. We conclude that women voice-hearers have and continue to face specific challenges necessitating research and activism, and hope this paper will act as a stimulus to such work.

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“…Data was generated through individual semi-structured interviews. The interview questions (Additional file 2) were drawn from the therapeutic paradigm of narrative therapy [30] and were interested both in the way clinician’s practised FBT-AN as well as the ways they ascribed meaning and negotiated their identities in the context of these experiences.…”

Section: Methodsmentioning

confidence: 99%

“As long as they eat”? Therapist experiences, dilemmas and identity negotiations of Maudsley and family-based therapy for anorexia nervosa

et al. 2019

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Background: Maudsley Family Therapy and its manualised version Family-Based Therapy for Anorexia Nervosa (FBT-AN) have accrued the most significant research evidence-base for the treatment of adolescent Anorexia Nervosa (AN). A tradition of seeking augmentations for this treatment has also been established to enhance efficacy. There exists, however, a gap in the uptake of this form of manualised treatment into the "real world" of clinicians who work with adolescent AN. Aims: This research study investigated the key experiences and identity negotiations of a group of nine Australian clinicians who were interested in contributing to research into ways that Maudsley and FBT-AN might be improved. Methods: Nine clinicians, who at the time of the interview practised or had previously practised, FBT-AN participated in a semi-structured interview. A critical discursive analysis of interview transcripts generated a thematic map of these therapists' experiences and identity negotiations in their practice of FBT-AN. Results: These therapists experienced the structure of FBT-AN as both a secure map for therapy, yet also constraining at times, in their work with adolescents and their families. Additionally, their professional identities were both invested and troubled by the identity position of themselves as evidence-based practitioners, particularly where evidence-based practice (EBP) meant strict fidelity to the manual and restrained them from tailoring a broader range of therapeutic interventions to an individual adolescent and their family. Within their narratives, these therapists refashioned alternative identity positions around what it meant to be an evidence-based practitioner through listening to and drawing on their clinical expertise of what works in therapeutic practice with an individual adolescent and their family. Conclusions: These therapists narratives highlight the power of the dominant discourse of EBP that works to privilege the research evidence over other forms of evidence that include clinician expertise and client preferences. The dilemmas faced by these therapists questioned not only the strict application of FBT-AN for adolescent AN across diverse therapeutic contexts, but also the effects of supervisory practices that paralleled this strict fidelity to the model. Further research is needed into therapeutic interventions and supervisory practices that give greater scope for clinicians to draw on their expertise in the flexible tailoring of treatments to the unique needs and preferences of the individual adolescent and their family.

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Dulwich Centre

Cited by 48 publications

References 0 publications

The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors

The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors

Hearing the Unheard: An Interdisciplinary, Mixed Methodology Study of Women’s Experiences of Hearing Voices (Auditory Verbal Hallucinations)

“As long as they eat”? Therapist experiences, dilemmas and identity negotiations of Maudsley and family-based therapy for anorexia nervosa

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