bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic accuracy and safety of CT-guided Lung and Mediastinal biopsies: a single center study
Authors: Maqsood Asma , Din Ahmed Zia Ud , Saeed Abdullah , Abdullah Sadia , , Tahir Muhammad Junaid
Published: January 2023

Background: Computed tomography (CT)-guided percutaneous needle biopsy plays a critical role in establishing tissue diagnosis of malignancy, guiding staging, and planning treatment for pulmonary abnormalities. Aim: To determine diagnostic accuracy and incidence of complications occurring after taking percutaneous CT-guided lung biopsy. Methodology: In this retrospective study, we evaluated 44 CT-guided chest biopsies (31 lung biopsies and 13 mediastinal biopsies) performed at our institution between September 2019 and March 2022. A coaxial core biopsy needle technique was used for all CT-guided biopsies. All procedures were performed by an experienced consultant interventional radiologist using using a commercially available helical multidetector-row CT scanner. Results: There were 29 men and 15 women among the 44 patients, ranging in age from 25 to 65 years. We found technical accuracy (described as tip of core biopsy needle within centre of lesion) of 100% (44/44) and diagnostic accuracy (described as adequate sample for histological assessment) of 97.7% (43/44) in our study. The overall incidence of complications during the procedure were recorded including pneumothorax (n = 2, 4.5%),pulmonary hemorrhage (n = 1, 2.3%), hemoptysis (n = 1, 2.3%). Conclusion: CT-guided chest biopsy is a safe procedure and has good diagnostic accuracy. However, radiologists approaching such interventional procedures must be experienced and well trained so that there are less chances of developing complications after the procedure. Practical implications: We suggest physicians performing chest biopsies to adopt better techniques and use shortest path to the lesion during needle insertion. Although CT-guided chest biopsy has fewer chances of complications, however, interventional radiologists should be conscious of potential complications. Keywords: CT-guided biopsy; Percutaneous biopsy; Imaging, Interventional radiology; Diagnosis.
Examining the Deficiency of Zinc in Febrile Seizures
Authors: Bizenjo Attaullah , Rayaz Saima , Iqbal Mohammad , Hussain Mohammad
Published: January 2023

Aim: To examine the deficiency of zinc in febrile seizure cases. Study Design: Prospective study Place and duration of study: Department of Pediatric Medicine Unit 1, Balochistan Institute of Child Health Quetta from 1st January 2022 to 30th June 2022. Methodology: Fifty children suffering from febrile seizures and 50 controls were age and gender matched. The age of the children was between 6 months to 5 years. Each febrile seizure child was clinically diagnosed after the radiological computerized tomography scan imaging as well as electroencephalogram testing and through balanced electrolytes followed by zinc analysis in cases and control. Results: The mean age of the patients with febrile seizures was 35.2±12 months while the controls 35.7±11 months with no significant difference in the age of the both. The majority of the patients were boys (54%) with only 46% girls suffering from febrile seizures. The zinc levels in boys were measured as mean 69.42±20.47 in febrile seizure cases and 92.74±17.63 in controls while in girls they were 71.42±21.02 in febrile seizure cases and 91.73±17.64 in controls respectively. Conclusion: Serum zinc levels found in febrile seizures is lower than the values found in controls with a significant difference suggesting an association of zinc to stimulation and formation of febrile seizures in children. Keywords: Deficiency, Zinc, Febrile seizures
Functional and Aesthetic Outcomes Following Spreader Graft Placement in Deviated Noses: A 5 Year Experience
Authors: Mir Zameer Abbas , Ansari Hamid Hussain , Shami Hussan Birkhez , Jan Saadia Nosheen , Khan Farid Ahmed
Published: January 2023

Aim: To describe the functional and aesthetic outcome following rhinoplasty using spreader grafts in post traumatic deviated noses. Design: Rretrospective cohort study Place and duration of study: July 2017 to August 2022 Methods A retrospective data analysis of patients was done who had undergone Rhinoplasty for post traumatic deviated noses using spreader grafts from July 2017 to August 2022. Patients undergoing revision rhinoplasty, incomplete description of preoperative deformities and per operative maneuvers to correct the deformities, and incomplete photographic record were excluded. The study population consisted of 11 female patients and 19 male patients. Mean (Standard Deviation) age of the patients was 30 (8) years (range 16-48 years). The follow up post-operatively was from 12 - 26 months (mean, 15±3 months). Postoperative aesthetic outcome was assessed by the patient him/her self and 2 independent surgeons using pre and postoperative photographs. Functional outcomes and complications were also evaluated. Results: Study by two plastic surgeons found that out of the total 30 patients 22 had no post operative residual deformity, 7 had residual deformity not requiring revision and only 1 patient had a residual deformity that would require revision surgery. The patient outcome showed that out of the total 30 patients 20 were satisfied with their postoperative result, 9 thought that their postoperative nose was better than their preoperative nose and 1 patient was dissatisfied with the postoperative result. Over all the obstructive symptoms improved after surgery and only two patients complained of unilateral partial nasal obstruction at one year follow up. No complication occurred in any patient. Practical implication Conclusion: We conclude that the use of spreader graft as we have achieved good functional as well as precise aesthetic results, without recurrence of the problem. This will open new gateways in world of aesthetics and reconstruction . Keywords: Spreader grafts, nasal valve collapse, deviated nasal septum, post operative assessment.
Myths and Misconceptions of Covid-19 Vaccination in Women of Reproductive Age
Authors: Riaz Dar Lubna
Published: January 2023

Myths and Misconceptions spread very fast as compared to facts in the current situation of social connectivity. The same is about Covid-19 infection and its vaccine in women of reproductive age and in pregnancy. We need to correct these misconceptions with evidence which is the objective of this editorial about covid vaccination.
Medical Students’ Views on Medical Ethics Education-A Mixed Method Study
Authors: Sarosh Saleem  , Ghulam Rasool Iqra , Nisar Omar , Rao Sadia Rehman Rao , Nisar Samaha
Published: January 2023

Background: Medical Ethics (ME) is considered an integral component of medical education around the world. However, limited training is being offered to medical students in Pakistan.
Objectives: This study was designed to evaluate medical students' perspectives regarding medical ethics and to explore their experiences about medical ethics as a subject at a private medical college in Lahore, where Medical Ethics was formally introduced as part of the undergraduate curriculum in 2017.
Methods: This mixed-method study included medical students from all five years of medical college. Quantitative component included a survey questionnaire, and the sample size was 410.  Convenient sampling technique was used. Qualitative component included focus group discussions. The students who have attended medical ethics lectures were included in the study.
Results: The response rate was 82.72%. There were more females in gender distribution; 76.1% were female and 23.9% were male. Most respondents (74.9%) found medical ethics classes interesting and 72% thought that lecture sessions were important in medical ethics.
Conclusions: Medical students find medical ethics as an important component of medical education. Although it is hard to correlate ethics education with their clinical experience as medical students, they believe that medical ethics education can be useful. Social and cultural issues inform clinical decision-making in Pakistan and hence these discussions should be incorporated into medical education. Further studies must be conducted on the actions that need to be taken to help students internalize the ethical issues.
Individual psychological assessments in organisations: Big in practice, short on evidence?
Authors: Fletcher Clive
Published: January 2023

One of the most widely offered occupational psychology services is the Individual Psychological Assessment (IPA), also referred to on occasion as an Individual Executive Assessment. This is a process whereby a psychologist (typically, but not exclusively, external to the organisation) gives a battery of psychometric measures and an in-depth interview to an individual, either for selection or development purposes, usually resulting in a written report. Because it is a quite resource intensive and thus costly service, it tends to be applied only for assessing middle and senior management staff.
Can you save time when testing – what’s a minute here or there?
Authors: Pierson Richard
Published: January 2023

How important is it to give test participants the full time specified by the publishers? This paper compares participants’ performance at different stages of a reading speed task against their overall performance over the full time. Although there are significant differences in performance at different stages, the final score can be derived in a shorter time frame, though this could compromise the basis of standardisation.
360 Feedback: Overcoming the positivity bias
Authors: Kilduff Aoife
Published: January 2023

Clients often ask us to help them introduce more ‘edge’ into their 360s. They are frustrated that 360 feedback ratings invariably err toward the positive. This can lead to bland 360 reports that are difficult to interpret and that potentially add little value to an employee’s clarity about what to improve on. Our own recent analysis (internal research, unpublished) found that simple steps, such as changing the rating scale, can make a meaningful difference. Our main findings and a number of practical tips are outlined below.
The real value of free writing
Authors: Ferrier Jonathan
Published: January 2023

The aim of this study was to find out how many children have Specific Learning Difficulties that had not been picked up in primary school. It was therefore decided to obtain 20 minutes’ free writing from every student in the new intake (year 7) in two secondary schools in an Oxfordshire town, during their first term in the school. It became apparent during the analysis of the students’ essays that a more structured approach to evaluating them would yield far more useful information about the students’ difficulties, and that is the subject of this paper.
The use of an entrepreneurial personality measure to develop a sustainable human competitive advantage
Authors: Tan Christin , Jellis Matthew
Published: January 2023

The study utilised a Chinese sample of working adults (N=299) from a state-owned manufacturing enterprise in China to examine the relationships between Psychological Capital (hope, self-efficacy, optimism, and resilience) and other similar constructs. The initial workings of an Entrepreneurial Personality Measure (EPM) were explicated and a systemic framework proposed for EPM to be used in organisations for the development of an entrepreneurial and sustainable human competitive advantage.
Trust: so important, but can we measure it?
Authors: Dulewicz Victor
Published: January 2023

The seminal model of trust by Mayer, Davis and Schoorman (1995) reduces much of the confusion surrounding the concept and, in particular, makes a distinction between predisposition to trust – which is the degree to which the individual is inclined to trust other people – and trustworthiness, which is the degree to which a person with whom one has a service relationship (e.g. doctor; advisor; coach; boss) is trusted.

In this article, research findings from a study into the doctor-patient relationship, with emphasis on the importance of trust, and other studies on the trustworthiness of colleagues in teams and of management coaches, are presented. Finally, applications of the model and findings to other groups and in the work context are discussed.
Moving a monolith: Cultural change and the Chinese work personality
Authors: Bywater James , Affourtit Mathijs , Inceoglu Ilke
Published: January 2023

We know that the work personality of individuals can change slowly over time (Costa & McCrae, 1997; Costa et al., 1986). In a similar manner this means that, in principle, the overall personality scores of countries could also change over time, if it is subject to substantial and systematic influences. It is not clear, however, how this process of change happens or how it might affect assessment in these countries. This paper examines the idea that countries can experience change in group personality by looking at data from a number of countries at very different stages of industrial stability. It then draws conclusions aimed at users of these personality questionnaires and discusses how norms may be affected and could play part in cloaking these changes.
Maximising performance through strengths: An illustration of strengths-based performance management
Authors: Trenier Emma
Published: January 2023

If delivering performance is the number one objective for all managers, isn’t it about time that we got it right? This article discusses the benefits and challenges of adopting a strengths-focused approach to performance management at a global pharmaceutical company.
Chairing and attending virtual meetings: The importance of shared experience
Authors: Cichomska Katarzyna
Published: January 2023

The aim of this article is to highlight key study findings related to participation in meetings with virtual presence and to suggest practical recommendations for overcoming problems and ensuring a high quality of experience for everyone involved.1
Towards a generic algorithm for selecting managers
Authors: McCredie Hugh
Published: January 2023

Following on from a number of articles relating Big Five norms with managerial effectiveness, this piece presents the case for developing a generic algorithm to select managers.
Finding diamonds in the rough: Designing selection tools for retail staff
Authors: Riley Philippa
Published: January 2023

A major UK high street jeweller wanted to develop a new selection process for its store-based roles. A comprehensive design process was used, starting with an extensive job analysis comprising observations, interviews and over 1,000 survey responses. Sifting tools were developed incorporating job performance data to ensure their validity. Engaging face-to-face assessments were devised, with highly structured scoring processes. This case study shows how rigour can be achieved within challenging practical constraints.
Mind the generation gap: How age affects what we need from work
Authors: Gulko Tatiana
Published: January 2023

Given our expanding life expectancy and the recent increase in retirement age, it is more important than ever to evaluate the impact of age on what we need from work. This study has found that age is an important factor in how comfortable people are with certain elements of their work. Implications, theories and research developments are discussed.
Temporary but not trivial: Language and reading skills in children with ongoing glue ear
Authors: Capewell Carmel
Published: January 2023

‘Most of the time, I’m like, to the teacher like, “Could you repeat that, I didn’t hear you.”’(Daisy, 14 years)

‘There are things I get stressed about, like annoyed about; stressed about like when I can’t hear all of the time I have to get things repeated.’(Stewie, 10 years)

‘They’ve moved me so that I have my good ear facing the teacher… so in the input I can actually hear.’(Russell 9 years)
Computerised adaptive testing
Authors: Keeley Sean
Published: January 2023

Increasingly, psychometric testing is moving away from the paper-and-pencil testing model (or online versions of such tests) to forms that are designed with technological and mathematical advances at their heart. Computerised adaptive testing (CAT) is not a new concept but it is unfamiliar to the vast majority of registered test users. Registered test users are most often seen as the gatekeepers of advice and knowledge on psychometric testing and how it can be used effectively, efficiently and in the fairest possible ways.
Age bias in assessment: What would it look like?
Authors: Scott Neil , Creighton Paul
Published: January 2023

Age is an important issue; we have an ageing population and high levels of youth and over 50s unemployment, yet discrimination on the basis of age was outlawed in the Equality Act (2010). However, whilst much has been written on the effects of cognitive test bias on different ethnic and gender groups, little is known by test users about the impact of age. This article explores why this is a complex issue and suggests a way forward for understanding the issue.
Heroes, landmarks and blind alleys in personality assessment: Measures originating in clinical data
Authors: McCredie Hugh
Published: January 2023

In the fourth of a series of articles to mark the centenary of the First World War, the author discusses the development of personality measures originating in clinical data and their implications for today’s test users.
Employee engagement: Assessing intrinsic motivation to facilitate two-way exchange
Authors: Tarleton Roland
Published: January 2023

This article explains the relevance of research on the Elemental measure of intrinsic motivation to employee engagement.
‘Reduced effort’: Studies with groups of inmates
Authors: Paiva Faustino Joana , Simões Mário , Marques Délia , Teixeira-Dias Isabel
Published: January 2023

In this study, data were found suggesting that two of the instruments most used to assess reduced effort in forensic contexts are sensitive to cognitive functioning level.
Heroes, landmarks and blind alleys in personality assessment: The contribution of the laboratory and experimental psychology and the work of Jeffrey Gray
Authors: McCredie Hugh
Published: January 2023

Jeffrey Gray was British and graduated from Oxford with a first in modern languages and then in psychology and philosophy. He trained as a clinical psychologist at the Institute of Psychiatry in London, completing a PhD in Hans Eysenck’s department. His thesis concerned environmental, genetic and hormonal influences on emotional behaviour in animals. Gray returned to Oxford, as lecturer in experimental psychology, where he remained until succeeding Eysenck at the Institute of Psychiatry in 1983. As a laboratory-based researcher, Gray operated at a very detailed ‘molecular’ level of enquiry. This review, aimed at psychometrics users, will attempt to report his contributions, in order of publication, at a broader level that focuses on his conclusions. However, this is still the most challenging article of the series.
Rude assessment and I’m faking it: Does witnessing incivility compel people to cheat?
Authors: Buehner Marc , Townsend Lizzie
Published: January 2023

The ease and convenience of personality testing for personnel selection purposes is somewhat marred by concerns that test-takers might fake their responses if they believe it is advantageous to do so. Whether or not a candidate fakes is determined by both the ability as well as the motivation to do so, and both are subject to individual difference as well as contextual factors. Here we report an experiment that demonstrates a powerful contextual link between rudeness and cheating. Participants who witnessed a rude encounter prior to a performance-linked cognitive task, subsequently overstated their performance (i.e. cheated) to a greater extent than participants who witnessed a neutral encounter but had the same opportunity to cheat. We suggest, therefore, that rudeness increases propensity to cheat. Consequently, to minimise the risk of test-takers providing fake responses, it is of practical importance to ensure a civil atmosphere before and during any testing situation that might afford an opportunity to cheat.
How socially mobile are your assessment practices?
Authors: Dovey Helen , Beaumont Sarah
Published: January 2023

The assessment industry is paying increasing attention to the topic of social mobility. This paper presents a review of the current thinking around social mobility, including how it is defined, measured, restricted and promoted. Practitioners are encouraged to implement simple changes in assessment practices which can substantially encourage the social progress of our professional society.
Computer based assessments and specific learning difficulties
Authors: McLoughlin David
Published: January 2023

Thanks to David McLoughlin for this discussion piece on computer-based assessments and learning difficulties. Small contributions like this from our readers are always welcome, so don’t hesitate to put finger to keyboard. Or pen to paper if you must!
Service user views: Promoting a systemic therapy service in adult mental health
Authors: Viljoen David , Boyd Jemma
Published: January 2023

This article describes service user views on an adult systemic (family) therapy service. Overall, respondents reported high levels of satisfaction (e.g. with treatment and outcome). The importance of outcome research as a way of promoting systemic therapy is highlighted.
The human face of dementia research
Authors: Patel Julie , Renvoize Edward , Higham Steve , Crawford Trevor , Suriya Anar
Published: January 2023

Conducting ethical research in vulnerable client groups demands that many factors are addressed to safeguard both patients and carers. A checklist of practical and ethical considerations when conducting research in people with dementia is suggested.
Traumatised families’ views on therapy: A qualitative exploration
Authors: Harrison Elaine , Christiansen Charlotte
Published: January 2023

This article describes research that sought to hear the views of services users concerning their experience of therapy at the Family Trauma Centre, a specialist CAMHS service in Belfast.
Paranoia and social inequality
Authors: Cromby John , Harper Dave
Published: January 2023

Paranoia appears in numerous psychiatric diagnoses, all of which obscure its associations with experience. This paper challenges individualising notions of paranoia with a retheorisation that focuses on the social and material origins of the feelings that produce unusual beliefs.
The value of community psychology: Critical reflections from the NHS
Authors: Bostock Jan , Diamond Bob
Published: January 2023

We both use ideas from community psychology to inform our work in the very different settings of public health, adult mental health and rehabilitation services. This paper outlines a critical community psychology approach, the constraining and enabling elements of the NHS, and how community psychology contributes ‘effective and far reaching prevention needs organisational, institutional and social change. This is not only expensive but also involves conceding power and control, anathema to corporations and governments’ (Albee & Fryer, 2003, p.73).
Developing a service: Why bother with audit?
Authors: Baylis Kate , Farquharson Lorna
Published: January 2023

This paper outlines one primary care psychological therapies service and discusses an audit of its first two years in operation, guided by aspects of service quality identified by the CORE system.
Family-centred approach to information provision for families with a child diagnosed with an autistic spectrum disorder
Authors: Pickering Andrea , Goode Sue
Published: January 2023

Inadequate information provision is the key problem encountered by parents whose child has been recently diagnosed with an autistic spectrum disorder. We involved 20 families in a small-scale study to evaluate the usefulness of autism and Asperger’s syndrome information packs.
Attributional style and psychological adjustment in male-to-female transexuals
Authors: Midence Kenny
Published: January 2023

This pilot study examines the attributional style and psychological adjustment of male-to-female transsexuals. Transsexuals who reported more difficulties living in their desired role scored higher on depression, general mental health, and stable and global attributions. Recommendations for clinical practice are discussed.
A move towards more culturally sensitive selection and delivery of psychological help?
Authors: Spacek Thomas
Published: January 2023

Over 6 million people in England alone belong to black and ethnic minority communities. This article explores the extent to which cultural complexities and diversity are recognised in evidence-based guidelines when selecting, and delivering, psychological help.
A case for psychologists becoming clinical supervisors
Authors: Pilgrim David
Published: January 2023

With the prospect of imminent reforms in ‘mental health’ legislation, the new role of clinical supervisor is now being debated. A case is offered to support the role, which is placed in the socio-historical context of ‘mental health services’.
Copying letters to patients
Authors: Elsegood Kelly
Published: January 2023

As part of a referrer satisfaction survey at Newcastle Clinical Psychology Services, referrers were asked to comment on the Department of Health policy of copying letters to patients. This article reports on the responses and discusses their implications.
Personal empowerment group therapy
Authors: Pieterse J.S. , Gregory James
Published: January 2023

This article reports on a personal empowerment group for young men, for whom there is a higher risk of suicide, psychosis and psychological breakdown.
Coping with psychosis group
Authors: Shuttleworth Linda
Published: January 2023

A group approach to enhance coping with psychosis is tried out in a day hospital setting
Mind the gap: Adults with a diagnosis of Asperger’s syndrome in adult mental health services
Authors: Ramharakh Sanjeev B.
Published: January 2023

This article describes and reflects on the systems of care, the person, and a clinician’s perspective on working with a client with a diagnosis of Asperger’s syndrome in an adult mental health service.
Am I a ‘grown up’ now?
Authors: Kirk Jo
Published: January 2023

This paper reflects upon my experiences of the early stages of the transition from trainee to qualified clinical psychologist. It emphasises the challenge of managing feelings of uncertainty whilst developing a personal script as a ‘grown up’ clinical psychologist.
The challenge of integrating different models of practice: Reflections on developing a psychology service in a breast unit
Authors: Beesley Helen , Salmon Peter , Holcombe Chris
Published: January 2023

Reflections on the development of an innovative clinical psychology service for breast cancer patients within a breast unit.
Being a clinical psychologist in Dubai
Authors: Griffin Angela
Published: January 2023

Having just completed eighteen months in Dubai as a clinical psychologist, these are some reflections on the experience and information for anyone considering the same.
Whither small N designs in cognitive behaviour therapy?
Authors: Peck David F.
Published: January 2023

Examination of the frequency of papers using small N designs published inBehaviour Research and Therapyrevealed a marked decline from about 12 per volume in the early 1980s to one or two in recent years. Reasons for this decline are discussed.
The Self-Assessment Questionnaire: Improving the quality of referral information in a department of psychological services
Authors: Reid Daniel
Published: January 2023

This paper shows how a questionnaire was devised with the help of the local advocacy service and service-user representatives to improve the quality of information concerning clients referred to our service. In a sample of 50 consecutive referrals it also improved the opt-in to our service from 54 per cent to 64 per cent.
Mental Capacity Act 2005: Useful resources
Authors: Gray Gemma
Published: January 2023

Gemma Gray sets out some sources of futher information
Is it worth investing in Statement of Equivalence (SoE) training? Part 1: Do SoE candidates increase workforce diversity and do they continue to work in the NHS?
Authors: Whittington Adrian , Smalley Victoria , Goble Laura
Published: January 2023

The first of two papers evaluating investment in SoE training, this paper describes research detailing the demographic characteristics and NHS retention figures for SoE graduates.
Patient-led treatment: An idea whose time has come?
Authors: Carey Timothy A. , Mullan Richard J. , Carey Margaret
Published: January 2023

We held focus group discussions in clinical psychology departments around Scotland to gauge the feasibility of conducting a large-scale trial of patient-led treatment.
Changes made to the Wechsler Intelligence Scale for Children – Third Edition by psychologists working in child services
Authors: McKenzie Karen , Murray George C. , Rae Helen
Published: January 2023

Psychologists were found to amend the way they used the WISC-III, by either regularly missing out subtests or not following the standardised manual instructions. The majority felt these changes would impact on the test scores of the individual child.
Managed clinical networks: Forums for improving services for people with neurological and neuropsychological difficulties
Authors: Sheldrake Annie
Published: January 2023

This paper is a reflection of my involvement with a Neurosciences Managed Clinical Network.
Clinical psychology: A caring profession? Psychologists’ knowledge of the Human Rights Act (1998) and its implications for the proposed role of clinical supervisor
Authors: Miller Helen , Dickens Geoff
Published: January 2023

This paper reports on a study investigating clinical psychologists’ preparedness to fulfill the proposed role of clinical supervisor, by assessing their working knowledge of the Human Rights Act (1998) and exploring their level of support for the proposed role.
Where do we go from here? Reflections on the experience of mental health research with people with learning disabilities
Authors: McCann Ursula
Published: January 2023

What can we learn from adult mental health research into the application of cognitive models to the learning disabled population?
Referrer satisfaction with a clinical neuropsychology service
Authors: Petersen Claire , Conradie L.J. , van der Poel Rikus
Published: January 2023

As part of its ongoing audit of practice the service reviewed referrer satisfaction. The results are discussed and recommendations and suggestions considered.
When the nightmares come home II
Authors: Leyin Alan
Published: January 2023

This article discusses Philip Zimbardo’sThe Lucifer Effect: How good people turn evil, within the context of human services.
The role of transference and counter-transference in the therapeutic relationship within CBT
Authors: Yelland Irina , Midence Kenny
Published: January 2023

The nature of the therapeutic relationship in the context of cognitive behaviour therapy (CBT) and interpersonal difficulties within this relationship such as transference and counter-transference are discussed.
Losing yourself in the moment: The socialisation process of clinical psychology training
Authors: Tan Ranil , Campion Gina
Published: January 2023

This paper considers the influence of clinical training on personal identity and sense of self. Drawing upon literature and personal experience it explores the process and implications of becoming a clinical psychologist.
Choosing to join a minority: Male clinical psychology trainees, talking
Authors: Caswell Robert , Baker Martyn
Published: January 2023

This article highlights conversations that arose when a group of male trainee clinical psychologists met to discuss their career choice.
200 plus referrals for psychological therapies in an older people’s service: A service and client perspective
Authors: Dimcovic Nada , Rossotti Nicole , Shanahan Niamh , Philippou Niki
Published: January 2023

We reviewed referrals received over a period of two years with an aim of identifying patterns of referring and patterns of clients’ response. The results were then presented to other professionals in order to exchange information and develop a rationale for best practice while taking into account the department’s potential as well as patients’ and referrers’ needs and expectations.
When should clinical psychologists be involved in assessment of mental capacity? Recommendations from a learning disability service
Authors: Willner Paul , Smith Mark , Payne-O’Donnell Philippa , Parry Rhonwen , Jenkins Rosemary
Published: January 2023

The Society’s Interim Guidelines for the Assessment of Mental Capacity provides detailed guidance on how to conduct an assessment of mental capacity. Here we describe five principles that clinical psychologists can use to decide whether to conduct an assessment of mental capacity. Although written from a learning disabilities perspective, we believe that the recommendations that follow from the principles we outline may be helpful across specialties.
The implementation and audit of a clinical pathway for an assessment and treatment unit for people with learning disabilities
Authors: Dagnan Dave , Jones Sharon , Hawkins Naomi
Published: January 2023

This article summarises the implementation and audit of a challenging behaviour and mental health pathway on two assessment and treatment units for people with learning disabilities.
Practice as research and research as practice: How the qualitative case study can invigorate clinical psychology
Authors: Dallos Rudi , Smith Jonathan A.
Published: January 2023

We outline a version of the scientist-practitioner model in clinical psychology where research and practice are seen as more integrated, and we argue that qualitative case-study research can play a powerful role here. We offer practical guidelines for how clinical practice and research can be more closely connected.
Applying for doctorate in clinical psychology training courses: A roller-coaster of emotions
Authors: Malston E. , Logue K.
Published: January 2023

This article describes the reflections of two assistant psychologists on the turbulent journey for the Holy Grail that is a clinical psychology training place. Psychological literature and personal experiences provide a framework to understand challenges faced.
Whither therapy?
Authors: Li Chin
Published: January 2023

These are the musings of one psychologist who feels somewhat overwhelmed by the confusing and highly competitive psychological therapy marketplace. Musings are not to do with right and wrong, but with questions, and more questions….
Leaders, followers and resistance to service change
Authors: Hickey Emma
Published: January 2023

I describe the impact of the leadership course by focusing on resistance to service change. One year on I reflect on the longer term relevance of my learning.
Formulating a neuropsychology service development plan
Authors: Mackenzie Janice
Published: January 2023

This work-based project (WBP) led to the formulation of a neuropsychology Service Development Plan (SDP) due to increasing demands on the service and obvious gaps in the provision to the stroke service.
The development of clinical psychology services within a regional clinical managed network for cleft lip and/or palate within North West England, Isle of Man and North Wales
Authors: Knapp Maria
Published: January 2023

This paper describes the process of developing a clinical psychology service within a newly established regional managed network for patients with cleft lip and/or palate. Tasks undertaken to drive forward ongoing and future development of the service are described, concluded by an evaluative reflection as to the impact of conducting the project at a personal, professional and organisational level.
Supporting people with complex needs in the context of a community learning disability service: Starting the process
Authors: Horrocks Mark
Published: January 2023

This paper describes the process of setting up a strategic forum for addressing the complex needs of adults with a learning disability in an inner city locality. The forum’s focus was on those placed outside of the locality and those at risk of local placement breakdown.
Facilitating effective communication in multidisciplinary team working in an inpatient child and adolescent mental health unit
Authors: Abeles Paul
Published: January 2023

I developed a questionnaire to examine team working in an inpatient CAMHS unit in Manchester. The results were explored in small group work. This enabled conversations about team functioning and provided a vehicle to finding ways to address team working difficulties.
Training nursery staff in how attachment theory influences personal and social development: Evaluating a CAMHS intervention
Authors: Tomlinson Heather , Gospel Fiona , Elvans Heather , Johnson Jackie , Bryan Sarah
Published: January 2023

There is great potential for nursery staff to promote positive attachment relationships with the young people in their care. In this paper we describe an intervention we developed for nursery staff in the York area.
Still ignored and still ineligible? The development of a strategic development group to meet the needs of adults with autism in Cumbria
Authors: Wheatcroft David , Jones Marion
Published: January 2023

A variety of reports have identified the problems for adults with autistic spectrum disorders in accessing appropriate services. This paper describes the response to these reports in Cumbria, and assesses how far service developments have succeeded in improving the local situation.
Developing skills in consultation 3: Personal reflections on consultation as a newly qualified psychologist
Authors: Preedy Katherine
Published: January 2023

This paper gives a personal account of the journey as a psychologist in providing consultation to a team and developing an understanding and experience of this role.
Clashing cultures: Managing conflicting demands while engaged in psychotherapy training for junior doctors
Authors: Perrin Anna , Griffiths Tina
Published: January 2023

This article considers the experience of planning and facilitating a psychotherapy training group for junior doctors in psychiatry in Shropshire. The aim of this piece is to share our experiences and hopefully promote debate about some of the difficulties involved.
Treatment works: Outcome evaluation of a methadone maintenance drug treatment service
Authors: Sherratt Kate , Hoshi Rosa , Offord Emma , Davis Paul , Dunn John
Published: January 2023

This study suggests that drug treatment services are effective in reducing illicit drug use and related harm as well as improving physical and psychological health.
Investigating responses of a CMHT to referrals of young men
Authors: Holmes Guy
Published: January 2023

This article describes a research project that investigated whether a CMHT responded differently to referrals of young men compared to young women. No evidence for this was found. The results are discussed in relation to conflicting interpretations of the research on young men and the difficulties of utilising scientist-practitioner and evidence-based paradigms in applied settings.
A good START: Interprofessional learning in a voluntary service for refugees
Authors: O’Shaughnessy Ruth , Turner Claire , Mitchell Annie
Published: January 2023

This article describes the experiences of two trainee clinical psychologists in an inter-professional learning placement within a voluntary, communitybased service for refugees.
Personality disorders training in an acute psychiatric inpatient setting
Authors: Mitchell Georgia
Published: January 2023

An introductory inpatient staff training programme is described, incorporating ideas from schema-focused cognitive therapy, offering nursing staff a psychological framework for understanding and more effectively managing patients with a diagnosis of personality disorder. This training was well received.
Demystifying mental illness: An interactive psychoeducational programme
Authors: Coysh Claire
Published: January 2023

This article describes a psychoeducation group run at a secure inpatient unit for people with severe and enduring mental illness.
Measuring the narrative: The challenge of evidencing change in narrative therapy
Authors: Weatherhead S.J. , Jones G.M.
Published: January 2023

This paper examines outcome measurement in narrative therapy (NT) using examples from clinical practice areas of trauma and psychosis. The differing approaches are explored in the context of current demands for providing evidence-based psychological therapies.
Using assessment clinics to manage waiting lists: The West Lothian experience
Authors: Kearney Elise , Tomes Jenny , Wyness Ion
Published: January 2023

All referrals to the child psychology department in West Lothian are seen quickly by two psychologists and allocated only if appropriate to a waiting list.
Mind the gap: Reflections on working in paediatric psychology
Authors: Smit Joalida
Published: January 2023

In this article I explore my experiences as a paediatric psychologist. I ponder the mind-body split, clinical technique and what psychology can teach us about our humanity. I consider this within the context of the current under-resourced NHS climate.
Five monsters in a group: Working with couples in an inpatient group programme
Authors: Bout J. , Toering I. , Neeleman A.
Published: January 2023

In this article we give an impression of our inpatient group programme for couples suffering from complex partner relational problems or non-psychotic psychiatric disorders, personality disorders and anxiety and mood disorders. In general, one or both of the partners have a long history in mental health care. The treatment history often includes some sessions of couple therapy, but without sufficient success. We aim to use a group therapeutic setting of seven weeks to provide the couples a protected and safe environment to experiment with new ways of interaction with other people, both individually and as a couple and to prevent, as much as possible, a relapse into the old routines of relational behaviour.
IAPT: Should the needs of data collection be allowed to skew service delivery?
Authors: Howells Liz
Published: January 2023

In Swindon for 14 years we have been running a stepped care no wait primary care service which is more cost effective than Doncaster. However the IAPT data collection may skew the delivery of this high throughput and valued service.
Ethnic minority mental health: Widening the doors of a primary care mental health service
Authors: Jamieson Ruth , White Jim
Published: January 2023

STEPS, a Primary Care Mental Health Service in South East Glasgow, endeavours to make their service more accessible to the Pakistani Muslim community. This article outlines some important considerations in developing a more culturally relevant service, and describes five small inroads STEPS has made into achieving this aim.
So who is avoiding whom? Bridging the gap between young men and mental health professionals
Authors: Halperin Jeff , Leibowitz Judy , Crocker Louise , Gsödl Marisa , Campbell Jesse , Parrett Neil , Underhill James
Published: January 2023

Suicide remains a significant risk for young men. Consultation groups with young men run by the Camden Sort Out Stress (SOS) project team suggest we revise our approaches to mental health promotion and service delivery for this vulnerable group.
The merits of mental age as an additional measure of intellectual ability in the low ability range
Authors: Whitaker Simon
Published: January 2023

It is argued that mental age may have some merit as a measure of intellectual ability, particularly in the low ability range, as it can be more accurately determined than a deviation derived IQ score.
Accredited, brand-named psychotherapies and the standard of evidence
Authors: Davidson Robin
Published: January 2023

This paper considers the pitfalls for clinical psychology of the burgeoning number of accredited, proprietary psychotherapies. The evaluation of EMDR is used to illustrate the problem.
Ghosts: From a socio-ecological perspective
Authors: Duckett Stephane
Published: January 2023

Spiritual beliefs, particularly among elderly clients are not uncommon, but this is not something we readily discuss. Here, I attempt to account for their presence with a socio-ecological interpretation and show how this information proves helpful in determining a way forward in resolving a haunting for a particular client.
Sexual torture: Exploring discourses within one refugee community
Authors: Gratton Jacqui
Published: January 2023

Clinical psychologists are working with survivors of torture, including rape, who have come to the UK and yet there is little psychological research as to what rape can mean to survivors and their communities. This paper briefly describes doctoral research conducted with nine members of a Congolese community organisation to explore this issue and suggests some therapeutic implications focusing on individual and community interconnectedness.
Venus and Mars, the ‘miscommunication model’ and other rape myths
Authors: Rapley Mark , Hansen Susan , O’Byrne Rachael
Published: January 2023

Prevailing theory stresses psychological factors in explaining why men rape. Recent UK government rape prevention campaigns employ a “miscommunication model”, suggesting men understand neither consent, nor how women convey sexual refusal. In this paper we cast doubt on these claims.
The rise of cyber-research: Nearing the end for pencil-and-paper sampling?
Authors: Newns Kathryn , Evans Chris , Coker Sian
Published: January 2023

A detailed description of internet research methodology, an exploration of the demographics of an internet recruited sample and reflections upon what cyber-research may mean for traditional, pencil-and-paper sampling.
A transition-based psychoeducational course for people with severe and enduring mental health problems
Authors: Reid Imogen , Murray Jennifer , Palmer Gemma
Published: January 2023

This article shares our experiences of planning and facilitating a transition-based psychoeducational group for people moving from a supported housing project to a less supportive model of semiindependent housing, and attempts to offer some reflections to inform those running similar groups.
In-vivo exposure: Reflections on involving a third party
Authors: Smith Simon , Ackland Lynn
Published: January 2023

This paper details our experiences of involving a third-party in in-vivo exposure work with specific phobias. It relates our clinical work to the evidence base and aims to provide recommendations for future practice for assistant psychologists and supervisors of assistant psychologists.
When in Wonderland: Reflections of a first-time assistant’s curious journey
Authors: Bahadoor Cindy
Published: January 2023

This article is a reflective piece on my personal journey as a newly appointed assistant psychologist. It explores my journey, focusing upon the unexpected highs and lows of my experiences and emotions during this time.
A survey of public views of a child and adolescent mental health service: A public involvement initiative
Authors: Redmond Paula , Geraghty Wendy , Harmon Sarah
Published: January 2023

Meaningful public involvement in service development requires valid data collection as well as responsive service systems. We present a survey study of local parents and young people and discuss both the outcomes and processes of the project.
The Kidderminster model of anxiety management
Authors: Evans Julie , Woodward Jane , Ward Gemma , Thursfield Victoria
Published: January 2023

A longstanding anxiety management service was redeveloped from a traditional weekly group format into a three-stage approach. The aim was to offer more patient choice, diversity, improve attendance, provide an effective use of clinician time and manage waiting lists. The development of the service is discussed alongside outcome, evaluation and experiences over a four-year period.
The role of psychological therapies in acute psychiatric care
Authors: McGowan John , Hill Rosalind
Published: January 2023

Current policies on psychology input for acute wards emphasise the delivery of therapies. The effectiveness of these may be limited by the setting. This paper considers indices of effectiveness and presents a model aimed at developing team thinking.