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Dissertations / Theses on the topic 'Physical and psychological therapies'
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Chu, Jennifer X. "An exploration of current pain curriculums and physical therapists' knowledge of pain specifically emphasizing the psychological aspects of pain /." Diss., Connect to the thesis, 2008. http://hdl.handle.net/10066/1429.
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Sipion, Baltodano Karen Melissa, Cuellar Yesselli Dalila Gómez, Laurente Lucia Huaynapomas, and Cotrina Yony Delgado. "Therapy kids." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2018. http://hdl.handle.net/10757/626102.
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El proyecto consiste en dar solución viable, rentable y novedosa que no existe actualmente en el mercado. El problema que se ha identificado, es que existen aproximadamente 40 mil niños menores de 14 años que viven en Lima Metropolitana y padecen de algún tipo de discapacidad o limitación física y/o mental. Asimismo, la capacidad de atención del sistema de salud a nivel nacional en el Perú es menor al 50%, con solo una sesión de rehabilitación por paciente al mes.
Para atender esta necesidad, se desarrolla el proyecto Therapy Kids, que ofrece terapias de rehabilitación para el desarrollo de las capacidades de estos niños. Los apoderados podrán solicitar servicios a través de los diversos canales de atención, en los que se les ofrecerá precios, horarios accesibles y promociones, con el valor diferenciado de que el servicio será brindado únicamente a domicilio y con una frecuencia de tres veces por semana.
Las fuentes de ingreso para Therapy Kids serán las terapias a domicilio y las consultas del médico terapista., en el primer año, se espera un ingreso de S/5 682 600 sin IGV y la inversión a realizar en dicho año para lograr los objetivos trazados asciende a S/ 285,202.82, de los cuales el 73% provendrá de los accionistas y se buscará un financiamiento por el 27% restante.
Therapy Kids busca evitar el malestar de hacer largas colas y viajes para conseguir una cita con un especialista. Asimismo, no solo busca apoyar a los padres de familia y generar utilidades para la empresa, si no también contribuir considerablemente en el desarrollo del sector salud del país.Trabajo de investigación
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Dartnall, Elizabeth. "Supervision in the psychological therapies." Thesis, City University London, 2013. http://openaccess.city.ac.uk/8313/.
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The purpose of this study was to investigate supervisors’ perceptions of the relationship between supervision and therapeutic outcomes in the psychological therapies. Research investigating the contribution of supervision to therapeutic outcomes is limited and often methodologically weak (e.g. Freitas, 2002; Inman & Ladany, 2008; Watkins, 2011b; Wheeler & Richards, 2007a, 2007b). Watkins (2011b) identified only three methodologically robust research studies in this area in a period spanning thirty years, from 1981 to 2011 and only one of the three was situated within the psychological therapies (Bambling, King, Raue, Schweitzer, & Lambert, 2006). This qualitative study used a constructivist version of Grounded Theory to analyse the data collected from individual semi-structured interviews with ten participants, and a focus group with three participants. All participants were experienced supervisors and qualified psychological therapists based in the South West of the UK. Findings suggest that supervisors perceive the relationship between supervision and therapeutic outcomes to be indirect and that enabling the supervisee to become a better therapist is how supervision is perceived to indirectly contribute to improved outcomes for the supervisee’s clients. A number of issues emerged from the findings including difficulties in finding a common language for the term ‘therapeutic outcome’ and difficulty in ascertaining supervisory responsibility for therapeutic outcome, particularly where the supervisor did not have the ‘full picture’ of the supervisee’s caseload. These findings are captured in the core connecting category, which is conceptualised as ‘making sense of paradox and inconsistency in an indirect relationship between supervision and therapeutic outcomes’. An explanatory theory of the relationship between supervision and therapeutic outcomes, together with a diagrammatic theoretical model, is presented and recommendations for supervision practice and supervisor training in the psychological therapies are proposed. The study concludes that future research investigating the efficacy of supervision and its influence on client outcomes should first take account of supervisors’ frame of reference in relation to client outcomes and its application in supervision practice.
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Gerdes, S. "Post traumatic stress disorder and psychological therapies." Thesis, University of Exeter, 2018. http://hdl.handle.net/10871/35103.
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Literature Review: The current review presents a recent review of the effectiveness of psychological therapies to treat sleep difficulties (such as insomnia and nightmares) in sufferers of posttraumatic stress disorder (PTSD). The review also aimed to investigate whether there are differences in the effectiveness of specific psychological therapies to treat sleep disturbances in PTSD, such as between the different types of psychological therapies such as cognitive behavioural therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT). Eleven studies were included in the review that met the inclusion and exclusion criteria. Results are presented in tables and a descriptive account is included. The review demonstrates that psychological therapies are effective for the treatment of insomnia and other sleep difficulties such as nightmares. However, firm conclusions cannot be drawn about the effectiveness of different types of psychological therapies as studies predominantly used CBT and only one non-CBT study was included in the review. Comparisons between the effectiveness of different CBT approaches is also not possible as there was a large range of diversity in the study characteristics and also there were only a small number of studies for each intervention, which therefore limits the generalisability of results in the current review. It may be that different CBT interventions such as CBT-I or EERT and IRT may be better suited to treat insomnia and nightmares respectively, but further research needs to be conducted into which of these approaches are beneficial for different PTSD specific sleep difficulties. Empirical Paper: Initial studies demonstrate that self-compassion reduces symptoms of PTSD in Armed Forces Veterans (AFV), however the use of self-compassion approaches in AFV is under-researched. The current study utilised self-report and psychophysiological measures to investigate whether a single self-compassion experimental induction reduced hyperarousal symptoms (PTSD Cluster E symptoms) and increased feelings of social connectedness in AFV. The study hypothesised that there would be a decrease in hyperarousal symptoms and an increase in social connectedness, which would be associated with PTSD severity. Fifty-three AFV who had been deployed to a combat zone took part in the study, of which n = 15 (28.3%) currently met criteria for PTSD and n = 4 (7.5%) met criteria for Subsyndromal PTSD on the PCL-5. Participants listened to a recording of a Loving Kindness Meditation for self-compassion (LKM-S) and psychophysiological recordings were taken throughout. Participants completed state measures of hyperarousal and social connectedness before and after the LKM-S. Findings partially demonstrated that self-compassion can be elicited in an AFV population. However, changes on the self-report measures were largely not supported by psychophysiological measures, apart from skin conductance levels (SCL). The longevity of the effects observed in the study were not measured and should be investigated in future studies. Although this study has demonstrated that self-compassion can be elicited within the AFV population, further research is needed including to test a longer self-compassion intervention.
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Gilmore, Ian. "The role played by psychological risk in the ethical practice of the psychological therapies." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.492049.
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McCarney, Robert William. "Mindfulness-based therapies for psychological health conditions : a meta-analysis." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/4526.
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Mindfulness-Based Therapies (MBT) are a current technology within the cognitive behavioural tradition, which can be grouped according to whether mindfulness is a major or a minor component. A mindful approach to psychological difficulties attempts to change the relationship with unwanted inner experience. The model suggests this may help reduce affective symptomatology. There has been a considerable growth of interest in these therapies with an accompanying increase in the evidence base. A number of reviews have been conducted however they have not comprehensively appraised these therapies. The primary aim of my study was to contribute to ongoing research determining the effectiveness of MBT for the treatment of affective symptomatology. Depending on these results, a secondary aim of the study was to make recommendations for the use of MBT in clinical practice. Methods I conducted a meta-analysis which looked separately at therapies considered to have mindfulness as a major component; therapies considered to have mindfulness as a minor component; and a comparison of these two groups. Of the 598 unique citations identified in the literature, 113 were assessed for eligibility and 40 included in the pool of studies for the meta-analysis. Results For the major component therapies, there was a significant mean reduction score in depressive symptomatology as measured by the BDI of 8.73 points (k = 11; 95% CI = 6.61, 10.86). Evidence of effectiveness was also found for the minor component therapies (k = 8) in reducing anxiety symptomatology with a significant standardised mean difference of 1.24 (95% CI = 0.81, 2.10). Discussion I found evidence for the effectiveness of mindfulness-based therapies in reducing levels of depression or anxiety mainly in patients diagnosed with depressive or anxiety disorders. The robustness of these findings is discussed alongside the implications for research and practice within the context of the current literature.
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Branson, Amanda. "Improving access to psychological therapies (IAPT) : linking training and patient outcome." Thesis, University of Reading, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.590138.
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The National Improving Access to Psychological Therapies (IAPT) programme aims to train 6000 Psychological Wellbeing Practitioners (PWPs) and High intensity therapists (HIs) to deliver evidence based Low and High intensity psychological treatments to patients suffering with depression and anxiety disorders. The studies reported within this thesis were conducted to ascertain whether training led to improved therapist competence, and to better understand relationships between training and patient outcomes. A secondary objective was to explore the influence of therapist characteristics on training and patient outcome. Competence was measured through a series of clinical and academic assessments. Clinical skill, measures by Observed Standardised Clinical Examination (OSCE) for PWPs and ratings of therapy sessions using the Cognitive Therapy Scale Revised (CTS-R) for HIs improved over the duration of the respective courses. No tests of clinical knowledge improved over training. Training outcome was best predicted by past performance, trainees achieving higher undergraduate degree grades were more likely to perform well clinically and academically. Demographic variables (age, gender and experience), personality and cognitive-ability were not consistently related to training outcome. Patient outcome was unrelated to performance on the PWP or HI training programmes, and did not differ according to whether patients were treated during, or after training. However, differences emerged in the outcomes of patients treated by the most and least competent therapists. More patients than expected treated by PWPs in the top quartile of OSCE performance reliably improved and recovered, the reverse was true of patients treated by the poorest performing PWPs. Similarly, more patients treated by the most competent HI therapists showed a reliable improvement in symptoms of anxiety, and reached recovery than expected. Therapist characteristics were unrelated to patient outcome. The implications of these findings are discussed, and directions for future research proposed.
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Smith, Rachelle. "The application of third-wave therapies to psychological wellbeing following stroke." Thesis, Staffordshire University, 2017. http://eprints.staffs.ac.uk/4622/.
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Stroke has a major impact on the health and wellbeing of the world’s population. As well as physical health difficulties, many people experience psychological distress, which can also impact on recovery. There is, however, little known about which psychological interventions may be beneficial to psychological wellbeing following stroke. There is growing interest in the application of third-wave therapies in this area. A literature review found eight studies where this type of intervention has been used with stroke survivors, five group studies and three case studies. The methodological quality of these was generally low; however, they provided data regarding the potential benefits of third-wave therapies. These benefits included reducing symptoms of anxiety and depression, improving physical health, and helping people to live valued lives. This is a good starting point for further work; however, it was unclear which aspects of third-wave therapies were important. To address this, a Q methodology study was designed which aimed to explore the components of third-wave therapies and their relevance to people’s psychological wellbeing following a stroke. Ten participants were recruited from inpatient stroke wards. They sorted 40 statements which represented different components related to third-wave therapies. A two-factor solution was uncovered, with a third unique viewpoint also retained. Factor one revealed the importance of values and committed action, which was related to psychological wellbeing following stroke. Factor two was characterised as creative hopelessness, with people accepting that they need help, being focused on the past and future. Viewpoint three was defined as a disconnection from humanity with a lack of compassion for self and others. Three statements were identified which could be used to identify an individual’s viewpoint. This could provide a helpful way to think about the most appropriate intervention for an individual following stroke. The final paper provides reflections on the research process.
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Goble, Chloe. "Psychological adjustment to physical illness." Thesis, University of Sheffield, 2010. http://etheses.whiterose.ac.uk/1142/.
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Goudie, Stuart Thomas. "Distal radius fracture : relationships between psychological factors and recovery." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33253.
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Distal radius fracture is a common injury. The majority of people recover well but a proportion have ongoing pain, stiffness, deformity and functional limitation. Associations between these outcomes, injury characteristics and treatment methods are inconsistent, for example a deformed wrist is not always painful, stiff and functionally limiting. The psychological response to fracture and the role that psychological factors play in recovery are complex and poorly understood. Identification and treatment of those psychological factors that might influence disability and symptom intensity could improve outcomes in this large group of patients. The aim of this thesis is to explore the influence of psychological factors on outcome following fracture of the distal radius. To investigate these relationships further a literature review was carried out looking at the association between psychological factors and outcomes in distal radius fracture patients. Prospective studies were then performed in order to identify associations between demographic factors, injury severity, treatment and psychosocial factors and symptom intensity and disability after fracture and to identify predictors of psychological response to injury. A prospective randomised controlled trail (RCT) was then carried out to compare the impact of an additional psychological workbook intervention versus an information workbook in the otherwise routine management of distal radius fracture. The literature review identified evidence to support the association between psychological factors and outcome after acute injury in general but limited evidence specifically pertaining to distal radius fracture. The first prospective study of 216 patients found psychosocial factors to be more strongly associated with disability (Disability of Arm Shoulder and Hand score, DASH) and pain intensity after distal radius fracture than any injury or treatment factor. The second prospective study of 153 patients found that psychological traits are relatively stable in this cohort and that no demographic, injury or treatment factors were associated with the small changes in psychological scores up to 10 weeks following injury. The RCT demonstrated that use of a psychological workbook did not significantly improve disability six weeks after injury compared to an information workbook in a cohort of patients with distal radius fracture (DASH 38 vs 35, p = 0.949). The importance of psychosocial factors in recovery from distal radius fracture has been demonstrated. Following this injury, psychological factors remain stable over time or fluctuate to a small degree with distinct trends. In cohorts with stable psychological responses to fracture, the individual psychological response cannot be reliably predicted by demographic, injury or treatment factors. Use of a psychological workbook intervention does not improve outcomes in patients with a good initial psychological response to injury. Future work should investigate less psychologically stable and well adapted cohorts, establish how best to identify patients at risk of poor outcome and whether, indeed, these specific groups are amenable to treatment and if so what form this intervention should take. It should address limitations identified in this work, primarily, reduce questionnaire fatigue with more focused psychological questionnaires. Ultimately, it should work towards creating a structure where patients can be screened with a recognised psychological scoring system at initial presentation to fracture clinic and allow a sub-group of psychologically mal-adpted patients to be referred on to a dedicated psychology service, that would work to optimise the psychological conditions for recovery.
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Collins, Ruth Elizabeth. "The reluctant therapist? : the experience of working therapeutically with the older client." Thesis, Regent's University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.646081.
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The research literature reveals a widespread reluctance on the part of therapists to work with older people therapeutically as it is believed to be an unrewarding experience and of little benefit for this cohort. This is in contrast to empirical research which shows that therapeutic interventions can be effective and beneficial for older people. There is little literature that looks at the lived experience of therapists who work with older people and none from a counselling psychology perspective. It is therefore hoped that gaining a phenomenological understanding of the experience will provide insight and understanding into the lived experience of therapists who work with older adults. The research question was: 'What is the experience of working therapeutically with the older client?' A qualitative methodology, Interpretative Phenomenological Analysis (IPA) (Smith and Osborn, 2003) was employed for both the conduct and the analysis of the research. Purposive sampling enabled the selection of seven participants for whom the research question was relevant. Semi-structured interview were carried out with three counselling psychologists and four therapists. The age range of the participants was 31-68 years; there were two males and five females. Three master themes emerged: (1) in respect of age - doing therapy differently; (2) the impact of the older client on the therapist; and (3) the reluctant therapist. A description of the master themes, and related constituent themes, is presented and discussed. Although these findings are consonant with the relevant research literature, the research is unique in capturing not only the therapist's lived experience but that of the counselling psychologist as well. It is therefore an important and significant contribution to the field of therapeutic work with older people and a vital addition to the counselling psychology literature. The results of the analysis and implications for counselling psychology are discussed.
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Fairbanks, Megan Ann. "Well-being social+physical+psychological+spiritual /." Cincinnati, Ohio : University of Cincinnati, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc_num=ucin1212127666.
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Thesis (M.A.)--University of Cincinnati, 2008.Advisors: George Thomas Bible (Committee Chair), Elizabeth Riorden (Committee Co-Chair). Title from electronic thesis title page (viewed Sept. 7, 2008). Includes abstract. Keywords: well-being; social; patterns. Includes bibliographical references.
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FAIRBANKS, MEGAN ANN. "well-being: social+physical+psychological+spiritual." University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1212127666.
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Westwood, Sophie. "Investigating the job demands and support available to improving access to psychological therapies workers." Thesis, University of Surrey, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.599575.
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Thomas, Anne. "Psychological therapies in the context of the Soviet Psychiatric Service and in post-Soviet Russia." Thesis, University of Portsmouth, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326993.
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Churchill, Rachel Christine. "The efficacy of brief psychological therapies in the depression in primary care and outpatient settings." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410341.
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Pugh, Anwen Rebecca. "Mental health inequalities : an investigation of the relationship between deprivation and engagement with psychological therapies." Thesis, University of Leicester, 2012. http://hdl.handle.net/2381/38538.
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Hanson, Jill. "FIT science in psychological and physical well-being." Thesis, University of Hertfordshire, 2008. http://hdl.handle.net/2299/2544.
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The present programme of research discusses a series of studies which explore the relationships between individual characteristics and well being. The FIT theory (e.g. Fletcher & Stead, 2000a) was used as a framework. It attempts to explain individual’s cognitions and behaviours using two broad dimensions: an ‘Inner’ dimension which details factors used to guide decision making (a cognitive dimension), and an ‘Outer’ dimension which focuses on behaviour. The research explored whether FIT was directly or indirectly related to well being. Initial findings from an exploratory, cross-sectional, study revealed that individuals with greater ‘Inner’ FITness demonstrated significantly lower levels of anxiety and depression. They also perceived their work and personal projects more positively. Individuals with greater ‘Outer’ FITness were found to demonstrate better physical well being. This latter finding was replicated in the second study which explored why individuals with reater ‘Outer’ FITness would demonstrate a significantly lower Body Mass Index (BMI). The results showed that ‘Outer’ FITness did not relate to weight management behaviours, such as controlling calorie intake or regular exercise, measured over a week, via the components of the Theory of Planned Behaviour (e.g. Ajzen, 1991). It was hypothesised that it may instead be underpinned by habitual behaviour. Study 3 explored whether ‘Outer’ FITness could be trained and whether this would impact on habits and BMI. A longitudinal pilot intervention was run which encouraged individuals to Do Something Different in order to change habits and facilitate weight loss. Doing something different did increase ‘Outer’ FITness and this increase had a ‘dose-response- relationship with BMI change – the greater the increase in ‘Outer’ FITness, the greater the decrease in BMI. This was accompanied by changes to dietary and exercise behaviours. A qualitative follow up of a sub-sample revealed that doing something different did facilitate changes to some habitual behaviours but the formation of implementation intention plans was also a significant contributor to weight loss. Further research is required to elucidate the exact relationship between behavioural flexibility, habitual behaviour and weight loss.
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O'Connell, Christine. "Integrating physical and psychological wellbeing in child health." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15004/.
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Research shows that the integration of physical and mental healthcare in paediatric settings is beneficial in terms of clinical and cost effectiveness (Kahana, Drotar, & Frazier, 2008; Douglas & Benson 2008, Griffin & Christie, 2008). Due to the high rates of mental health problems within this population, several studies have shown that referral to paediatric psychology should be increased (e.g. Wagner & Smith, 2007). However, there are few studies investigating factors influencing healthcare professionals’ referral behaviour. The current study used theory of planned behaviour (Ajzen, 1988; 1991) to develop a questionnaire which explores factors influencing the referral of children and families to paediatric psychology. Psychometric properties of the questionnaire were examined. Findings indicate that the questionnaire holds good reliability and validity and that the main constructs of theory of planned behaviour are useful in predicting intention to refer to paediatric psychology. Specific beliefs about referral were also shown to influence intention to refer. Findings that individual referrer factors such as attitudes and beliefs can impact healthcare professionals’ referral behaviour indicates that multidisciplinary interventions and inter-professional education relating to the psychological aspects of illness are required. Recommendations for future research are discussed.
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Randell, Kate. "Applying acceptance-based therapies to help people live well after cancer treatment." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/25912.
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Background: With advances in medical treatments, the numbers of cancer survivors have grown considerably over recent years. Following completion of cancer treatment, patients can experience a range of physical and psychological difficulties, particularly around critical transition phases such as adjustment to survivorship. One of the most common difficulties cited by cancer survivors is that of fear of cancer recurrence (FOR). Existing treatments for improving psychological wellbeing in this population appear to offer limited efficacy, and there are very few interventions directly targeting FOR. Acceptance-based approaches, with an underlying aim of improving psychological flexibility, offer one novel alternative approach to addressing these difficulties. Methods: This thesis presents a systematic review and meta-analysis of the literature in relation to the effectiveness of acceptance-based interventions for post treatment cancer survivors, with a particular focus on Mindfulness-Based Interventions (MBI). A cross sectional questionnaire study is then reported which explores the potential role of psychological flexibility in mediating the relationship between FOR and distress and quality of life (QoL)outcomes. Results: The findings of the review offer tentative support for the effectiveness of MBI in reducing stress and depressive symptoms, while less convincing results emerged for anxiety. Results from the empirical study suggest that while psychological flexibility does not appear to significantly mediate the impact of FOR on distress and QoL, value based living and cognitive fusion did emerge as significant mediating variables within these relationships. Conclusions: Findings suggest that acceptance-based approaches, may be of benefit in reducing the burden of distress and improving the lives of cancer survivors. Supporting cancer survivors to become less entangled with their thoughts and live in accordance with their values may be particularly beneficial. Further studies using larger samples and longitudinal designs are warranted.
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Noel, Penelope Jacqueline. "Nature and extent of Posttraumatic Stress Disorder (PTSD) symptoms presenting in an adult psychological therapies service." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/14216.
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Posttraumatic stress disorder (PTSD) is complex and no one theory can fully explain the development and maintenance of PTSD symptoms. In Scotland, where trauma focused care initiatives are being considered, little is known about the extent of trauma history and associated symptoms presenting in primary care services. Furthermore, subthreshold posttraumatic stress disorder (sPTSD) has recently been associated with clinically significant impairment. With PTSD symptoms often comorbid with other psychopathology such as depression, individuals potentially seek treatment for these symptoms rather than underlying trauma which therefore may go unrecognised. Studies on the effectiveness of psychological treatment for PTSD demonstrate reasonable efficacy for well developed interventions. However, up to half of individuals may not make significant clinical improvements and withdrawal rates are high. This suggests that current treatments are not acceptable to some individuals and may be ineffective for others. In light of such clinical challenges the aim of the thesis was to investigate the incidence and nature of trauma symptoms in an Adult Psychological Therapies Service. Firstly, a systematic review was conducted to appraise the current level of evidence for prevalence and impairment associated with sPTSD. Secondly, an empirical study was undertaken to review the prevalence of trauma history and symptoms in the service. This was followed by an investigation of the relationships between processes posited to underpin many forms psychological distress by a promising new treatment approach called Acceptance and Commitment Therapy (ACT). These include; cognitive fusion, experiential avoidance and valued action. A quantitative cross sectional design collecting self report questionnaire data was used and mixed statistical methodology employed. Results from the systematic review suggest that PTSD was associated with the most impairment, followed by sPTSD, then no PTSD. Subthreshold PTSD was reported to be as, or more prevalent than, PTSD. The results from the empirical study found 89 per cent reported exposure to one or more traumatic events, 51 per cent met PTSD screening criteria, whilst a further 7 per cent reached a sPTSD diagnostic cut-off. Trauma history was positively correlated with increased psychological distress at initial assessment. Cognitive fusion, experiential avoidance and valued action were all correlated with trauma symptom severity. Both cognitive fusion and experiential avoidance mediated the relationship between number of traumatic events and trauma symptom severity in a simple mediation model. However, multiple mediation analysis demonstrated that experiential avoidance, over and above cognitive fusion, explained 33 per cent of the variance. In addition, cognitive fusion and experiential avoidance jointly had a significant indirect effect on the relationship between trauma history and valued action. The implications of the findings and further directions are discussed.
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Pereira, Jo-Ann. "The effective practitioner : the role and contribution of therapist effects in the delivery of psychological therapies." Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/12325/.
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Background: Variability in human performance is a naturally occurring phenomenon and applies to practitioners. Mainstream psychotherapy research has focused on treatments rather than practitioners and has viewed variability as error within the dominant paradigm of the randomised controlled trial. Aims: To investigate variability via the role of practitioner personal qualities and their association with differential patient outcomes, their contribution to effective practice, and the extent these qualities vary with patient severity. Method: A practice-based paradigm was adopted and sampled practitioners and data within a single Improving Access to Psychological Therapies (IAPT) service. The full sample comprised 42 practitioners – psychological wellbeing practitioners, counsellors, and cognitive-behaviour therapists – who completed measures of resilience, empathy, and mindfulness as well as provided qualitative accounts of their practice. A series of seven sequential studies utilised subsamples of the responses from these 42 practitioners, which were analysed prior to yoking with their patient outcome data to determine associations with more and less effective practice. Studies comprised mixed and integrated quantitative and qualitative analyses comparing benchmarking and multilevel modelling research methods (N=37) and thematic analysis (N=6). Results: Significant variability in practitioner effectiveness was found. Practitioners’ personal aspects were associated with patient outcomes and were influenced by their professional roles, level of treatment intensity provided, and their theoretical orientation. Practitioners’ mindfulness and combined resilience and mindfulness were associated with better patient outcomes and this role increased as patient severity increased. In contrast, empathy did not differ between more and less effective practitioners, with more effective practitioners showing marginally lower levels of empathy. Conclusion: Findings suggest that more effective practitioners do differ from less effective practitioners in the personal aspects they bring to their professional practice. Findings have implications for practitioner training and routine practice. The findings are limited in their generalisability and may only apply to IAPT services.
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Yeh, Hsiao-Pu. "Physical, psychological and emotional effects of nature-based affordances of green physical activity." Thesis, Sheffield Hallam University, 2017. http://shura.shu.ac.uk/20982/.
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Physical inactivity and mental disorders are considered to be two urgent health challenges and strongly associated with non-communicable diseases in today's highly urbanised society (World Health Organization, 2010a). Green Physical Activity (PA) is suggested to be a tangible means to effectively promote physical health and mental wellbeing for urban residents (Pretty, 2004). In order to increase the probability of application for a wider urban population, this thesis focused on the first level of green PA (viewing nature indoors) for designing indoor PA environment. Lacking an appropriate underpinning theoretical framework, the ecological dynamics theory was proposed to guide the experimental setting and offer theoretical explanations. The aim was to examine the experience and effects of nature-based affordances for green PA. A theory-guided PA setting was created to examine varying richness of nature-based information (dynamic or static images, presence of visual-only or visual-acoustic information, single or multiple videos) with qualitative and quantitative data collected and compared to a more representative PA environment in three studies. The same physical measurements were made in all PA conditions, including heart rate, estimates of energy expenditure, speed, distance and rated perceived exertion. Responses to two questionnaires for psychological and emotional assessments were recorded, along with follow-up interviews with a sub-sample of participants in each study. In Study 1, three PA conditions that were designed included: two types of visual-only nature information (involving a dynamic and a static nature image) and use of self-selected entertainment to examine the physical, psychological and emotional effects and experiences of participants. A group of 30 individuals with diverse demographic backgrounds were recruited (mean ± SD: age 27.5 ± 9 years; mass 67.6 ± 11.1 kg; stature 173.7 ± 8.2 cm; BMI 22.2 ± 2.1) and completed all trials. Sixteen participants of the same group took part in follow-up interviews. Findings suggested that the appropriateness of nature information for treadmill running was vital for PA quality and experience because strong engagement with the dynamic image had positive and negative effects. Study 2 explored further the significance of the dynamic images effects on participants during physical activity. Another two types of nature information were investigated with increasing richness of information resources (a collection of ten short dynamic images with and without sounds) compared to an audio-only self-selected entertainment using the same measurements. A mixed-background group of 24 participants were recruited (mean ± SD: age 30 ± 6.9 years; mass 68.1 ± 10.7 kg; stature 172.0 ± 8.6 cm; BMI 23.0 ± 2.9) and completed all trials. Eight participants took part in follow-up interviews. Results indicated that personal preferences and the diversity of nature information presented in the dynamic images were proposed to be influential factors to when designing indoor PA environment. In both studies, running with diverse nature videos with sound was found to provide the most beneficial PA environment for a bout of running for 20-minutes. A preliminary study (Study 3) was performed to examine whether these effects might last for an extended period of time. Participant experiences were investigated when undertaking PA with multiple nature videos (9 participants) or with self-selected music (6 participants) over a longer experimental period (6 weeks). All 15 participants completed the follow-up interviews. No physical performance differences were observed, but the nature group reported greater psychological benefits and the music group reported that they received emotional benefits improvement. In terms of experience, participants developed their personally-favoured PA behaviours over time when running with rich and diverse nature-based information but no such observation was found in the music group. Overall, this programme of research endorses the benefits of green PA designed for an indoor environment between one to six weeks. Findings suggested that the essential considerations included the diversity of nature information a used in dynamic displays, with inclusion of nature sounds. Results highlighted that personal preferences of nature information are important when designing green PA programmes for promoting physical health and mental wellbeing.
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Matyja, Anna. "The impact of childhood physical and psychological abuse on emotion regulation and psychological distress /." Available to subscribers only, 2007. http://proquest.umi.com/pqdweb?did=1456295221&sid=4&Fmt=2&clientId=1509&RQT=309&VName=PQD.
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Whitehead, Sarah H. "Participation in physical activity by adolescent girls : a social-psychological and physical environmental approach." Thesis, Loughborough University, 2005. https://dspace.lboro.ac.uk/2134/7744.
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Physical activity in youth is an important public health issue and regular participation in physical activity can contribute to the enhancement of young people's physical, psychological, and social well-being. However, adolescent girls typically have lower levels of physical activity than boys and their rates of participation decline rapidly during this age period. This thesis presents four studies examining factors influencing adolescent girls' likelihood of being physically active, and reasons for this decline in physical activity across the teenage years. Study 1 is a systematic review of the literature of correlates of participation in physical activity for adolescent girls. Study 2 uses a qualitative approach to explore potential influences of adolescent girls' physical activity, and how physical activity might be made more attractive to these girls. Study 3 uses a quantitative approach to examine the role of selected socialpsychological and physical environmental factors in three different types of sport and physical activity. Study 4 presents six case, studies examining in greater depth some of the ways in which social-psychological factors can impact on physical activity decisions. Overall findings suggest that aspects of the physical environment can be influential to particular activity types; this is an under-researched area and attempts should be made to further examine girls' perceptions of their environment so that safe and attractive provisions can be made. These attempts should be specific to particular activity types to enable the best possible understanding of potential environmental. Participation in organised sport also appears to account for differences in overall physical activity levels, and it is proposed that more gender-specific organised sport should be made available. Findings in relation to significant others indicate that parental support and encouragement may be more influential than parental role modelling, while the role of friends changes across the teenage years. Here, education programmes for whole families and interventions designed to change behaviour across groups of friends are recommended. Finally, self-presentational concerns appear to be related to actual body size and can serve to either increase or decrease physical activity participation. It is proposed that activities should be offered that emphasise fun and enjoyment, de-emphasise the importance of physical appearance, and stress that physical activity is equally acceptable across individuals of all shapes and sizes.
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Gunnell, Katie Elizabeth. "Psychological need satisfaction in physical activity : Implications for well-being and physical activity behaviour." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/45108.
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Within Self-Determination Theory (Deci & Ryan, 2002) the satisfaction of competence, autonomy, and relatedness needs are thought to directly predict psychological well-being and behavioural outcomes (Deci & Ryan, 2000). The purpose of this program of research was to examine the role of psychological need satisfaction in association with psychological well-being and physical activity in participants drawn from the general population. Study 1 examined aspects of score validity and reliability for an instrument modified to assess psychological need satisfaction in physical activity contexts. Results of this investigation supported the merit of the modified instrument for use in the general population. Study 2 supported a sequence based on 3 mini-theories within SDT wherein changes in relative intrinsic goals → changes in motivation → psychological need satisfaction → changes in well-being and physical activity behaviour over 6 months. Examination of the indirect effects highlighted the role of psychological need satisfaction as potential mediators within this sequence of SDT. Next, a randomized controlled trial was conducted to examine the effect of a best possible physical activity self writing intervention on outcomes such as psychological need satisfaction, exercise self-schema, well-being, and physical activity behaviour. Study 3 was conducted using baseline data from the intervention to examine the indirect effect of psychological need satisfaction in the relationship between exercise self-schema and well-being/physical activity. Results from study 3 suggested that satisfaction of all 3 psychological needs mediated the link between descriptive exercise self-schema and well-being and that competence produced an indirect effect between descriptive exercise self-schema and physical activity. Results from the intervention investigation (study 4) revealed that a once a week writing intervention over 4 weeks increased participants’ positive affect at post-test relative to the control group; however, the intervention was largely unsuccessful at increasing psychological need satisfaction, exercise self-schema, well-being and physical activity across post-test and 1-month follow-up. Taken together, the results from the four studies in this program of research highlight the salience of psychological need satisfaction in physical activity contexts and their potential mediational role between antecedents such as goals, motivation, and self-schema and consequences such as well-being and physical activity.
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SUZUKI, KISHIKO, JUNKO HOSHINO, and YOKO HORI. "PHYSICAL AND PSYCHOLOGICAL HEALTH PROBLEMS AMONG JAPANESE FAMILY CAREGIVERS." Nagoya University School of Medicine, 2011. http://hdl.handle.net/2237/15353.
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MacGregor, Andrew James. "Physical injury and psychological outcomes among U.S. combat veterans." Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2007. http://wwwlib.umi.com/cr/ucsd/fullcit?p3274519.
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Thesis (Ph. D.)--University of California, San Diego, 2007.Title from first page of PDF file (viewed October 3, 2007). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references.
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Kildal, Morten. "Perceived Physical and Psychological Outcome After Severe Burn Injury." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3386.
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Dudgeon, Katrin. "Physical exercise and the menstrual cycle : a psychological perspective." Thesis, Queen's University Belfast, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.343050.
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Duggal, Niharika Arora. "Synergistic effects of physical and psychological distress on immunesenescence." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5001/.
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Ageing is accompanied by impairments in immune responses. In this thesis, an age associated numerical and functional deficit in a novel subset of immunosuppressive CD19\(^+\)\(^v\)\(^e\) CD24\(^h\)\(^i\) CD38\(^h\)\(^i\) B cells is reported which might be an additional factor contributing towards increased risk of systemic autoimmunity with advancing age. The immune system is profoundly affected by environmental factors such as stress. This thesis also examined the synergistic effect of the physical stress of a hip fracture and the psychological stress of depressive symptoms on immune function of older adults. It was observed that 37% of our hip fracture patients had developed depressive symptoms 6 weeks post-surgery. A significant decline in neutrophil, monocyte and NK cell functioning was reported in hip fracture patients with depressive symptoms, but not in those with hip fracture alone. Additionally, an increased cortisol: DHEAS ratio was also only found in hip fracture patients with depressive symptoms. An elevated level of pro-inflammatory (IL6, TNFα) and anti-inflammatory (IL10) cytokines were observed in hip fracture patients with depressive symptoms. In the adaptive immune system, a reduction in circulating T cells and an accumulation of senescent and activated T cells was also found in the hip fracture patients who developed depressive symptoms. Finally, the age associated numerical and functional deficit in IL10 production by CD19\(^+\)\(^v\)\(^e\) CD24\(^h\)\(^i\) CD38\(^h\)\(^i\) B cells was further suppressed on exposure to chronic stress in hip fracture patients with depressive symptoms.
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Pruefe, Jenny Maria. "Seeking certainty in an uncertain world : psychosocial aspects of renal replacement therapies in children and adolescents." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.607822.
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Lee, Heesu. "Effects of Levels of Physical Activity on Physical Self-Concept and Social Physique Anxiety Among College Students." CSUSB ScholarWorks, 2012. https://scholarworks.lib.csusb.edu/etd-project/2760.
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Physical activity plays a crucial role in contributing to psychological stability regarding physical concept. However, the evidence for showing the association between levels of physical activity and the psychological state has not been closed to focus on college students. This study was to examine the importance of physical activity by investigating the effects of different levels of physical activity on physical self-concept and social physique anxiety among college students. This study used a secondary data set approved by Institutional Review Board, and obtained a written permission and approval for data use. The data set used for this study was not previously analyzed and published. A total of 238 participants (99 males and 139 females) were 4-year comprehensive university students in Southern California. Godin Leisure-Time Exercise Scale (GLTES), Physical Self-Description Questionnaire (PSDQ), and Social Physique Anxiety Scale- 7(SPA-7) were used to analyze levels of physical activity, physical self-concept, and social physique anxiety, respectively. The SPSS version 19 was used to analyze the data for the purpose of this study. Results showed that there were statistically significant differences in physical self-concept and social physique anxiety among the levels of physical activity. There were statistically negative correlations between social physique anxiety and physical self-concept.
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Leeson, Rachel Mary Anne. "A comparison of medical and physical therapies in the management of facial arthromyalgia (temporomandibular joint dysfunction)." Thesis, University College London (University of London), 2007. http://discovery.ucl.ac.uk/1444929/.
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This thesis reports on a randomised controlled trial of medical and physical therapy in the management of chronic temporomandibular joint pain and dysfunction. The literature review first explores the meaning and measurement of chronic pain. The anatomy and dynamic function of the temporomandibular joint and associated musculature is then introduced before describing the pain and dysfunction which affects this specific region. The development of terminology, classification and epidemiology is addressed to provide a basis for understanding the condition. A discussion of the presumed multifactorial aetiology and current management follows, with focus on the two areas of specific interest in this study the physical and medical therapies The study methods, results and discussion are presented in accordance with the CONSORT (Consolidated Standards of Reporting Trials) guidelines. A referral cohort of 1,038 subjects were screened and assessed. 250 subjects met inclusion criteria and agreed to participate with informed consent. Subjects were randomised into four groups: medical therapy, placebo, occlusal bite guard, medical therapy and occlusal bite guard. A three month treatment phase and a six month follow-up phase were then conducted. The first section of the results examines the referral cohort. Demographic, clinical diagnostic, and psychosocial profile are reported with treatment uptake for the trial. The second section examines the three month trial phase, treatment efficacy and outcome. The analysis of subgroups is explored, including the characteristics of responders and non-responders to therapy in addition to outcome measures in subjects with initially high pain scores and high levels of depression. The final section analyses reasons for patient withdrawal and non compliance before examining the follow up phase post therapy for maintenance of improvement. Both primary and secondary outcome measures revealed significant improvement in pain amongst all four groups which was maintained during the follow-up phase.
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Kain, Lorie L. "Physical activity levels and perceived benefits and barriers to physical activity among honors students." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1061876.
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The problem_ of the study was to compare honors college students with non-honors students on physical activity levels, perceived benefits of physical activity, and perceived barriers to physical activity. Two measures were selected to test the hypotheses and were combined into one questionnaire. A purposive sample of 500 students from Honors College classes and Health Science classes were given the questionnaire to complete during class. Multiple Analysis of variance (MANOVA), univariate f-tests following significant MANOVA's, and a t-test analysis were used to test the hypotheses.Results of this study indicated that honors students and non-honors students perform similar amounts of physical activity. Time is a more important perceived barrier to physical activity for honors students than for non-honors students. No significant differences exist for honors students and non-honors students regarding perceived benefits. It is suggested that additional research involving physical activity and time factors be conducted on college students enrolled in both honors programs and non-honors programs.Department of Physiology and Health Science
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Ternowski, Daryl Ray. "Physical activity and psychological well-being in an adolescent population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0015/MQ51487.pdf.
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Chafin, Sky. "Reducing cardiovascular arousal to psychological stress with brief physical exercise." Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2007. http://wwwlib.umi.com/cr/ucsd/fullcit?p3258390.
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Thesis (Ph. D.)--University of California, San Diego, 2007.Title from first page of PDF file (viewed May 25, 2007). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 112-121).
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Lucia, Danielle. "Yoga and psychological wellness, physical wellness, and subjective well-being." Thesis, Pacifica Graduate Institute, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3615864.
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This survey-based observational study was designed to study an individual's Yoga experience as it relates to psychological wellness, physical wellness, and subjective well-being. Men and women ages 18–85 were recruited though Yoga studio participation and through word of mouth. They answered demographic question as well as items from four differential scales. Dependent variables included physical wellness, life satisfaction, mindfulness, and subjective vitality.
Data was analyzed using SPSS software. Results indicated that Yoga participants perceive higher levels of mental wellness, physical wellness, and subjective well-being. Additionally, Yoga participants, as compared to non-Yoga participants, were more likely to perceive higher levels of perceived wellness, in almost all domains tested, than exercisers versus nonexercisers.
The results of this study bring merit to Yoga participants' perception of wellness. Further studies could investigate a variety of topics. Understanding how long it takes a Yoga participant to feel higher levels of perceived wellness may be useful in designing intervention studies. Additionally, looking at different styles of Yoga, specifically āsana, meditation, and pranayama techniques, and implementation (home versus studio) would be useful in the design of future research studies.
Anecdotally, most Yoga participants would agree that practicing Yoga benefits their overall wellness. This study offers empirical evidence that Yoga participants experience higher levels of perceived wellness than non-Yoga participants. This research is significant as it validates the role Yoga plays in the health and well-being of participants.
Keywords: Yoga, Wellness, Well-Being, Quantitative, Observational, Life Satisfaction, Mindfulness, Survey.
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Daniels, Jennifer B. Burkhart Barry R. "Writing as a coping mediator between psychological and physical health." Auburn, Ala, 2008. http://hdl.handle.net/10415/1500.
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Hug, Stella-Maria. "Psychological restoration through physical activity in the urban residential context /." Zürich : [s.n.], 2009. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000259365.
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Theobald, Margaret Ann Lewis Franklin G. "Self-concept, psychological androgyny, and physical health status of transescents." Normal, Ill. Illinois State University, 1986. http://wwwlib.umi.com/cr/ilstu/fullcit?p8705742.
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Thesis (Ed. D.)--Illinois State University, 1986.Title from title page screen, viewed July 22, 2005. Dissertation Committee: Franklin G. Lewis (chair), Larry D. Kennedy, Samuel J. Mungo, Ann E. Nolte. Includes bibliographical references (leaves 70-76) and abstract. Also available in print.
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Laird, Barry James Anderson. "Difficult cancer pain : an examination of physical and psychological components." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/29212.
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Aims: The aims of this thesis are to characterise clinically, neuropathic cancer pain and CIBP, to examine the relationship between cancer pain and depression, to explore the relationship between pain and systemic inflammation and the possibility of pain, depression and fatigue existing, as a symptom cluster. Methods: A combination of observational study, systematic review, longitudinal study and secondary data analysis methodology were utilised, as appropriate to the specific area being examined. Results: In neuropathic cancer pain and cancer induced bone pain, worst pain is most closely associated with the impact of pain on function. In these pain syndromes, breakthrough pain is often of rapid onset, severe intensity and short duration. The systematic review demonstrated that there is insufficient evidence to support an interdependent relationship between pain and depression. The longitudinal study demonstrated that as pain improves, there is a trend towards an improvement in depression and there is an improvement in the Hospital Anxiety and Depression Scale (HADS) score. Pain, depression and fatigue cluster together in cancer patients although there is insufficient information to suggest systemic inflammation as an underlying cause. There is, however, a significant relationship between pain and systemic inflammation. Conclusions: The difficult cancer pain syndromes of neuropathic cancer pain and cancer induced bone pain are best assessed using "worst pain" as a measure of the impact of pain on function. Pain and depression in cancer are likely to be related to one another although further research is needed to confirm this. Pain, depression and fatigue exist together as a symptom cluster in specific groups of cancer patients. Pain is related to systemic inflammation in cancer.
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Shelley, Nicholas Charles. "Coping with psoriasis : interaction of physical, psychological and spiritual factors." Thesis, University of Leeds, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432676.
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Walters, Derek A. "Intrinsic motivation in sport and physical activity." Thesis, Kansas State University, 1986. http://hdl.handle.net/2097/9979.
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Rorke, Stafford Conroy. "The contribution of psychogenic factors limiting prolonged work performed at different relative intensities." Thesis, Rhodes University, 1986. http://hdl.handle.net/10962/d1004772.
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This study investigated the physiological and psychological limitations to prolonged work performed at different relative intensities, through the use of an eclectic integrative methodology. Ten young male caucasian subjects (mean V0₂ max. 60,0 ml.kg⁻¹.min⁻¹ ± 7,9) were randomly exposed to treadmill runs at each of four relative intensities, namely 55%, 65%, 75% and 85% of V0₂ maximum, with the instruction to run to the point of subjective discomfort at which they were no longer willing to continue. Physiological measures of oxygen consumption (V0₂), heart rate (HR), respiratory exchange ratio (R) , minute ventilation volume (Vi), breathing frequency (Vf), tidal volume (Vt) and psychological measures of Ratings of Perceived Exertion (RPE), Perceived Thermal Comfo·rt (PTC), Perceived Pain and Perceived Fatigue were recorded throughout the protocol. The relative intensity was held constant by slight decreases in treadmill speed as subjects fatigued, and through feedback from an on-line oxygen consumption computer-aided data acquisition system. Significant increases in both physiological and psychological measures occurred with increases in relative intensity (p<0,05). HR and Vf increased overtime (p<0,05) whilst Rand Vt decreased over time (p < 0,05) . All psychological ratings increased in intensity over time (p < 0,05). Mean endurance times to exhaustion were 243 minutes ± 70 at 55% relative intensity, 159 minutes ±37 at 65%, 96 minutes ±25 at 75 % and 23 minutes +- 8 at 85%, being within the range reported by earlier researchers . A regression equation for prediction of endurance time given a known relative intensity was developed for this sample: % V0₂ max. = 117,8 + (-10,6 x LN (time)) (where r = -0,91) Convergence rankings indicate the greater contribution of local factors in the overall gestalt of perceived exertion, pain and fatigue, with biomechanical limitations to prolonged work (running) strongly implicated . High inter correlations between psychological rating scales suggest the use of the scale considered most applicable to the task at hand and the psychological response measure required. A coefficient of multiple correlation of 0,94 established the close interrelationship amongst the physiological and psychological parameters measured. Pre- and post-test Fatigue Cluster Analysis questionnaires indicated that the most important clusters contributing toward the sensation of fatigue and subsequent decision to cease activity were Task Aversion and General Fatigue (r = 0,96), followed by Leg Fatigue and Thirst. Motivation, the task at hand and an attainable goal appear to be important considerations in prolonged work performance. Relative intensity appears a valid tool for use in prolonged work studies due to its high predictive capacity for endurance performance times (r=-0,91). It is concluded that workloads considerably below 55% of maximal aerobic capacity are indicated as acceptable workloads for an 8 hour working day.
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Painter, A. "Processing people! : the purpose and pitfalls of case management supervision provided for psychological wellbeing practitioners, working within Improving Access to Psychological Therapies (IAPT) services : a thematic analysis." Thesis, University of the West of England, Bristol, 2018. http://eprints.uwe.ac.uk/33351/.
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The spread of Improving Access to Psychological Therapies (IAPT) services in the National Health Service (NHS) in the UK required a new role called a Psychological Wellbeing Practitioner (PWP). The PWP role was envisioned as a frontline position requiring substantially less training than practitioner psychologists, to deliver brief evidence based therapy techniques. PWPs partake in what is called Case Management Supervision (CMS), designed in order to support their unique role. The aim of this qualitative study is to provide insights into how PWPs understand this support mechanism, by exploring their impressions of the role and function of IAPT Case Management Supervision. Data was collected by conducting semi-structured interviews with eight PWPs. Interviews were recorded and transcribed and Thematic Analysis (Braun & Clarke, 2006) was used to identify recurring patterns of meaning, or themes, in the data. Three main themes were identified by the researcher including: ‘Part of the IAPT Machine’, ‘Pitfalls of CMS’, and ‘Serving a Purpose’. These themes illustrate expectations of, struggles with and implicit realisations about the role that CMS has within the broader remit of IAPT services. The findings of this study are discussed in relation to existing literature, current developments and personal observations about the PWP role, whilst also corresponding, more broadly, to the social and political positioning of IAPT services.
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Inayat, Qulsoom Jahn. "Psychological factors affecting outcome in conjugal bereavement : an investigation of changes in physical, psychological, and immune functioning." Thesis, King's College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313806.
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Tarr-Stiglich, Sheila. "Non-physical abuse behavioral changes in first time expectant fathers." Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=184.
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Ghomi, Mahdi T. "A grounded theory study of the impact of 'therapist factors' on the quality of clients' experiences of psychological therapies." Thesis, University of Essex, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.559089.
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"Therapist factors' is a term often used to refer to the influence on clients' experience of therapy that is attributable to individual therapists. Using grounded theory, the influence of 'therapist factors' on clients ~ experience of therapy was investigated through 25 qualitative interviews, 'with 15 therapists and 10 clients. Participants were drawn from three therapy organisations based in London. A model was developed to help understand the development of 'therapist factors' and the complex processes by which therapists were thought to enhance or hinder clients' experience of therapy. The potential implications of these findings for future research and for the practice and training of counselling psychology are discussed.
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Peacock-Brennan, Sinead. "A genealogical investigation of the conditions of possibility for the emergence of Improving Access to Psychological Therapies (IAPT) services." Thesis, University of East London, 2016. http://roar.uel.ac.uk/5409/.
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The purpose of this research was to investigate the conditions of possibility for the emergence of Improving Access to Psychological Therapies (IAPT) services as a dominant service-provision model. The research undertook a text-based genealogical analysis which drew upon the works of Foucault. The data consisted of 116 publicly available documents. A collection of dispositifs were plotted onto a visual map in order to examine the system of relations between key elements, and their strategic functions. Three nexus points from the map were selected as key conditions of possibility for IAPT’s emergence; the creation of the ‘third way’ by New Labour, the role of clinical psychologists in research and government and the convergence of discourses constructing unemployment. This research suggests that scientific constructions of research strengthened medical and economic discourses of mental ‘disorder’, which legitimised the neoliberal and capitalist ideology through which IAPT emerged. Through this process, mental distress was constructed as an individual problem, and unemployment as individual pathology. This enabled the proposal of therapy as a solution, whilst subjugating discourses of social justice and interventions at a community- or political-level.