bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving and Sustaining the Quality of Discharge Summaries
Authors:   BSc(Hons), MB ChB(Hons), Strange Joshua ,   ACCS CT1,   Salford Care Organisation, Northern Care Alliance, Ali Zara ,   BA (Hons) MB BChir; FY2; Salford Care Organisation, Northern Care Alliance, Stott Lane, Salford M6 8HD, Holland Mark ,   Consultant Acute Physician Salford Royal Hospital and Visiting Professor Health and Social Care, University of Bolton, Gaillemin Olivier ,   MB ChB, PGDip, MRCP; Consultant Physician in Acute Medicine, Salford Care Organisation, Northern Care Alliance
Published: January 2023

High quality discharge information communication has been linked to a reduction in the incidence of adverse events, decreasing the risk of prescription errors and lost follow up. In this paper we describe how our trust-wide quality improvement project, led by acute physicians, successfully improved discharge documentation. We demonstrate how we identified obstacles to continued success, and the interventions we implemented. We recommend how discharge summary quality can be optimised through training of junior doctors, recruitment of local champions, and use of novel methods to preserve engagement, such as gamification.
Weak legs
Authors:   MRCP, MBChB, Bsc (Med Sci) CDF in Acute Internal Medicine Forth Valley Royal Hospital, Larbert, Timmons Patrick , Williamson Adam ,   MRCP, MBChB ST7 in Acute and General Internal Medicine, Forth Valley Royal Hospital, Larbert, Gibbs Victoria ,   FRCR, MBBs, BSc Consultant Radiologist Forth Valley Royal Hospital, Larbert, Torgersen Antonia ,   Consultant Neuropathologist NHS Lothian Edinburgh
Published: January 2023

A 48 year old lady presented with a 7-week history of progressive generalised myalgia and muscle weakness resulting in recurrent falls. Her past medical history included bipolar affective disorder and a previous stroke. Her medications included clopidogrel 75mg, atorvastatin 80mg, and quetiapine 400mg twice daily.
Delito de varios y desistimiento de algunos. Acerca de los presupuestos de la impunidad por el intento
Authors: Gómez Rivero María del Carmen
Published: January 2023

El estudio trata sobre los presupuestos aplicativos de la cláusula contenida en el artículo 16.3 del Código Penal que en los casos de desistimiento de un hecho en el que intervengan varios sujetos condiciona la impunidad al impedimento de la consumación del delito o al esfuerzo serio, firme y decidido de impedirla. La vaguedad de la fórmula legal plantea serias dificultades para identificar los requisitos de cada una de las modalidades que contempla. El trabajo ofrece una serie de criterios con los que dotarlas de contenido, respetando la literalidad de una previsión cuya racionalidad pasa ante todo por el trazo de los presupuestos que realmente justifiquen la necesidad de diseñar un régimen especial para el desistimiento de un hecho cometido por varios intervinientes frente a lo que rige para el autor individual.
La investigación penal ante las nuevas tecnologías: reflexiones acerca de la «carga desproporcionada» y la «facilitación de información» en el registro de dispositivos de almacenamiento masivo de datos
Authors: Escudero García-Calderón Beatriz
Published: January 2023

El presente trabajo pretende reflexionar acerca del concepto «carga desproporcionada» y de la expresión «facilitar información», introducidos en la Ley de Enjuiciamiento Criminal con la reforma operada por LO 13/2015, de 5 de octubre, y mantenidos en el Anteproyecto de Ley de Enjuiciamiento Criminal de 2020, para acotar el deber de colaboración en el contexto del registro de dispositivos de almacenamiento masivo de información.
La Disposición Final Primera de la Ley Orgánica General Penitenciaria como respuesta jurídica al motín carcelario y mecanismos de preservación de la seguridad penitenciaria
Authors: Carou-García Sara
Published: January 2023

El presente texto analiza, desde la óptica jurídica, la Disposición Final Primera de la Ley Orgánica 1/1979, de 26 de septiembre, General Penitenciaria, mecanismo jurídico excepcional, destinado a solucionar situaciones especialmente críticas para la seguridad en el ámbito penitenciario, como lo es el caso del motín. La citada previsión legal conlleva dos consecuencias relevantes: por un lado, la suspensión de los derechos reconocidos a los internos y, por otro lado, la asunción por parte de las Fuerzas y Cuerpos de Seguridad de las competencias en materia de vigilancia y custodia de los reclusos.
Consentimiento hipotético y autonomía del paciente: una reconstrucción analítica del debate
Authors: Días Leston Leandro
Published: January 2023

Desde hace unos años se está discutiendo en la dogmática jurídico-penal continental una nueva figura jurídica aplicable a contextos médicos y potencialmenteexculpatoria: el llamado consentimiento hipotético. Según esta construcción, los médicos no serían punibles a pesar de haber llevado a cabo una intervención médica curativa sin un consentimiento válido de un paciente al que no se le brindó suficiente información y, por tanto, típica del delito de lesiones corporales, si ex post se comprobase que el paciente habría consentido en la intervención si hubiese sido informado conforme al deber. A pesar de que el consentimiento hipotético fue adoptado por la jurisprudencia alemana y por parte de la doctrina, un importante grupo de autores esgrime que su reconocimiento en derecho penal viola la autonomía del paciente
Enfermedad mental y delito: José Ingenieros, lecturas y diálogos con la cultura de Córdoba (Argentina). El positivismo criminológico en los márgenes
Authors: Cesano José Daniel
Published: January 2023

El presente trabajo tiene por objeto analizar el pensamiento criminológico de José Ingenieros en relación al delito y la enfermedad mental y las particularidades de su recepción por la cultura médica y jurídica de Córdoba (Argentina). Con este propósito se han consultado diversas fuentes representadas por obras de autores así como correspondencia entre Ingenieros y diversos representantes del espacio académico de Córdoba. Las particularidades de estos diálogos permiten ver los diversos matices que, en Argentina, asumió el positivismo criminológico.
The spread of inflation from energy to other components
Authors: González Mínguez José , Samuel Samuel , Leiva-León Danilo , Urtasun Alberto
Published: January 2023

Rationale

Inflation has risen continuously since December 2020. The increase was initially confined to the energy component, but has subsequently spread to food and the other components. It is important to understand the extent to which the spread of inflation is the result of higher energy prices.

Takeaways

•The influence of energy prices on underlying inflation has increased.

•This is partly due to the larger size of recent shocks, but also to an intensification of the pass-through of the changes in energy prices to other consumer prices.
KAJIAN EKONOMI MENGGUNAKAN METODE DISCOUNTED CASH FLOW PADA PENAMBANGAN BATUBARA DI PIT A PT XYZ
Authors: Sri Hartati  , Kemas Moh Ade Isnaeni
Published: January 2023

Companies engaged in the coal mining industry are one of the capital-intensive and high-risk industries. Pit A of PT XYZ which is located in the Mekar Jadi Village area, Kec. Sungai Lilin, Kab. Musi Banyuasin, South Sumatra is one of the actors from the coal mining industry that will conduct a feasibility study. The company will reopen mining in Pit A with the current condition of increasing coal prices, because the Pit is still considered economical in accordance with current coal prices. Discounted Cash Flow (DCF) is a cash flow calculation method that takes into account the time value of money where the money invested at this time will be different in value in the future. With the current selling price of coal, the revenue is 999,847,284 USD/ton with total reserves of 43,436,214 tons. The costs incurred consisted of operating costs of 974,706,736 USD and depreciation of 1,114,983 USD, so the total costs incurred were 480,081,316 USD. The initial investment cost is 1,114,983 USD which depreciates annually. Depreciation in 2023 worth USD 124,436 per year which is valid for 5 years with a total of USD 627,178 and in 2024 doing jetty construction with a value of USD 97,561 per year which is valid for 5 years with a total of USD 487,805 subject to 25% tax. Based on the calculation of the Discounted Cash Flow (DCF) obtained for 3,933,706 USD with a WACC value of 10% and a Net Present Value (NPV) of 2,818,723 USD. An NPV value greater than 0 means that the project will benefit (profit) if it is executed. Based on the calculations in this study that in Pit A PT located in Mekar Jadi Village, Kec. Sungai Lilin, Kab. Musi Banyuasin, South Sumatra deserves to be re-mined because the NPV obtained is greater than 0 which is 2,818,723 USD
EFEITO DA MOBILIZAÇÃO ARTICULAR ASSOCIADA A TÉCNICA ISOSTRETCHING NA AMPLITUDE DE MOVIMENTO E ABDUÇÃO DO OMBRO ESQUERDO DE UM PACIENTE: RELATO DE CASO
Authors: Silva Carla Luiza dos Santos , Carrijo Isabella Bento , Reis Silênio Souza , Silveira Luciana Aparecida Guerra , Pires Henry Marlon Coelho , Almeida Marcelo Torres Correa de
Published: January 2023

O objetivo desse Relato de Caso foi descrever a experiência acadêmica em campo de estágio na Clínica escola de Fisioterapia da FAMP com um paciente que relata dor no ombro esquerdo. Foi realizada ficha de avaliação fisioterapêutica e traçada as condutas de intervenção, as quais foram: Exercícios de fortalecimento muscular, mobilização articular e a técnica de isostretching. Os Resultados alcançados foram aumento na amplitude de movimento na abdução, abdução horizontal, extensão, rotação medial e diminuição do quadro álgico do ombro.
Evaluating coincidence summing factor using marinelli beaker on coaxial HPGe detector by Monte Carlo simulation and calculating
Authors: Le Hoang Minh , Le Quang Vuong , Tran Thien Thanh , Chau Van Tao
Published: January 2023

This investigation aims to compare the full energy peak efficiencies in the energy range of 46-1836 keV on a type-p coaxial HPGe and estimate the coincidence summing factor for the case of Marinelli Beaker samples used by two general Monte-Carlo simulation software MCNP and PENELOPE. The radioactive nuclides used in determining the coincidence summing factor include 22Na, 60Co, 88Y, 133Ba, 134Cs, 154Eu, and 208Tl, which are prepared in HCl 2M solution and contained in a Marinelli beaker with the source’s volume of 3000 ml. The results demonstrate there is a good agreement between the two simulation software with an average discrepancy of 1.3%. On the other hand, the simulation coincidence summing factor values are also compared with the results from the calculating software ETNA with an average discrepancy of approximately 3.1%.
Use of 210Pb dating models for estimating sedimentation rate of a typical sediment core taken in the Ba Lat coastal area (Red River)
Authors: Bui Dac Dung , Duong Duc Thang , Duong Van Thang , Vuong Thu Bac , Nguyen Thi Thu Ha , Doan Thuy Hau , Nguyen Thi Oanh , Le Dinh Cuong , Nguyen Hoang Giang , Nguyen Huyen Trang
Published: January 2023

Sediment cores were taken in the coastal area of Ba Lat estuary (Red River), in the Xuan Thuy national park. Each core was cut into slices of 4 cm in thickness, numbered from top to bottom and then analyzing for radionuclides (226Ra, 137Cs and 210Pb). Computational dating models were used to determine the age and sedimentation rate for each sediment core. This report presents the results of applying computational models to the sediment core BL13 that could provide a general methodology for determining the age and the sedimentation rate of the sediment cores taken in the coastal area of Ba Lat estuary. Results show that Constant rate of supply (CRS) model is probably the best model for determining the sedimentation rate. For the sediment core BL13, the use of the Composite model by adjusting the results of the CRS model in combination with the time marker of August 1971 (the time of the historical flood event on the Red River) seems to give the most reasonable results. The average sedimentation rate at the BL13 site before 1960 was about 0.5 cm/year. The rate had increased significantly from 1960, up to the highest value of 1.5 cm year-1 in the 1970s and then decreased to about 1.0 to 1.2 cm/year from the 1980s to the present. The change in the sedimentation rate could be caused by the main flow changes and large floods of the Red River from 1960 to 1980.
Elemental solution of the ultrahyperbolic equation iterated m times
Authors: Aguirre Manuel A. , Aguirre Emilio A.
Published: January 2023

Equations not available
Culture media used in the proliferation of edible mushrooms of the PLEUROTUS genus
Authors: Cardona Soberao Yolexis Roberta , Díaz Sánchez Jorge , Cardoso Paneque Lianet , Pérez Sánchez Amaury
Published: January 2023

The present work is carried out with the objective of defining the culture media referred by the literature for the proliferation of the Pleurotus genus of edible mushrooms and assessing their application in the conditions of Cuba. The diversity of this genus includes at least 30 species, among them, P. djamor, P. florida, P. pulmonaryius, P. sajor-cajou, P. citrinopileatus and P. ostreatus, for which it is necessary to investigate the properties of the media used in the cultivation of the genus. Their classifications are exposed, according to the nature of their ingredients, the growth promotion of various microorganisms and their purpose, as well as their use. The constituents and conditioning of culture media for edible mushrooms, the most frequent preparation methods used in the preservation of Pleurotus strains, and possible defects in them, caused by incorrect handling, contaminants, pests and diseases, are disclosed, as well as the consumption and marketing of mushrooms.
Air Transport Impact on the Development of the Tourism Industry
Authors: Putrik Yurii , Nelzina Olga , Borisov Andrei , Tsapuk Dmitry , Tretyak Elena
Published: January 2023

The article is devoted to the assessment of the impact of air transport on the development of the tourism industry. It has been established that air carriers around the world provide a significant share of international tourist trips and are dependent on fluctuations in tourist demand. It has been determined that the understanding of the need to study the degree of interdependence between the tourism and aviation business transforms traditional approaches to the study of tourism and aviation transport. The analyzed functional links between travel companies and airlines allowed asserting the formation of a specialized system, the logistics principles of which will enable people to maximize their mobility potential in the modern globalized world. It has been proved that the development of air transport becomes a decisive factor in the development of tourism, its driving force. For effective joint activities of airlines with tourist enterprises, it is necessary to develop such ways of their interaction that will allow them to function in a coordinated manner within the framework of a single chain of providing tourist services.
Forecasting Suitable Supplier for Construction Project Using Machine Learning Techniques
Authors: Lakmehsari Meysam Ebrahimi , Hosseini Seyed Jalaluddin , Hosseini Seyed  Kamaluddin
Published: January 2023

The aim of the research is to forecast the suitable suppliers for construction project using machine learning techniques. Firstly the librarian studies were conducted and research gap is extracted. Then innovation was determined. Based on the innovation a model for suitable supplier forecasting for construction project using machine learning techniques were provided. The model includes 12 entry variables and 1 output variable that include supplier performance. The model using 2 algorithm of artificial neuron network and support vector machine were conducted and the most influencing factors were determined using decision tree algorithm. The general comparison between artificial neuron network and support vector machine indicate the better performance of artificial neuron network based on decision tree. Based on decision tree results we can say that the supplier company income is considered as most important variable. The order change cost variable play the separator role in lower level. The life variables of companied and guarantees after company income and change cost of order play the main role.
Experimental Performance Investigation of a Nanofluid Based Parabolic Trough Concentrator in Malaysia
Authors: Nahar Afroza , M.K. Islam,  , Md. Hasanuzzaman
Published: January 2023

Abstract— Concentrating solar energy system is a potential solar thermal technology, wherein parabolic trough concentrators (PTC) are becoming growingly popular. In this research, both analytical and experiment analyses have been done. The experiment has compared with analytical results. to examine the effect of different operating parameters. Water and water-carbon nanotube (w-CNT) are used to explore the performance of PTC system. Optimum receiver diameter is found 51.80 mm for the maximum efficiency of the collector. During optimization, mass flow rate and concentration ratio are found to be influencing on the thermal efficiency and heat removal factor. Investigations show improvement in heat transfer for added nanoparticles. Heat transfer rate is better in laminar flow than in turbulent flow. After analytical analyses, an experiment has been done using water and carbon nanotube and compared with analytical results. Results show that for every 1oC increase in outlet temperature heat gain and thermal efficiency with water increase at the rate of 0.02 kJ/s and 1.6% respectively. On the other hand, for w-CNT as HTF, for every 100 W/m2 increase in irradiance, heat gain augments at a rate of 0.23 kJ/s and thermal efficiency upsurges by around 7%. Flow rate of working fluids and solar irradiance are found to have respective negative and positive impact on thermal efficiency of the parabolic trough collector.
Making intelligence testing more scientific: Charles Spearman (1863–1945)
Authors: McCredie Hugh
Published: January 2023

Earlier articles reviewed the use of intelligence tests to resolve specific social problems. The third article addressed those with special educational needs while the fourth article focused on individuals’ military potential in war-time.

In contrast, this article explores the nature of intelligence and its measurement. It features the work of Charles Spearman FRS, a former professional soldier turned academic at University College London (UCL) who was strongly influenced by the work of Francis Galton. In his turn, Spearman influenced several mid-twentieth century psychometricians who will feature in later articles.
A screening clinic waiting list initiative in a specialist child and adolescent mental health service team
Authors: Hayes Katherine , Caygill Lisa
Published: January 2023

A screening assessment clinic was introduced into CAMHS, to gain additional information about low priority referrals and assess whether referrals were appropriate for a specialist Tier 3 CAMHS. The clinic had a positive effect on the waiting list and parents and carers found it to be useful.
New Ways of Working for Applied Psychologists
Authors: Lavender Tony , Hope Roslyn
Published: January 2023

A progress report from Tony Lavender and Roslyn Hope
Social justice and equality: Preparing the next generations of psychologists to act
Authors: Rahim Masuma
Published: January 2023

This paper considers the ways in which clinical psychologists and clinical psychology training courses engage with topics related to social inequality and makes the case that more of us in the profession should fight for a more just society.
Do recovery college courses help to improve recovery outcomes and reduce self-stigma for individuals who attend?
Authors: Nurser Kate , Hunt Deborah , Bartlett Tracey
Published: January 2023

This paper outlines a service evaluation conducted within Recovery College East (RCE; Cambridgeshire and Peterborough NHS Foundation Trust). Findings indicate that recovery college courses help to support progress with recovery and reduce self-stigma. Suggestions for future outcome measurement and service development are offered.
The embodied mind: A brief review of body-mind neuropsychology research
Authors: Sorensen Marcus B.
Published: January 2023

In recent years there has been considerable growth in research showing the interconnection between mind and body. This article provides a summary of such developments to illustrate this, covering two areas. The first part describes the effects of physical exercise on cognition and emotions for: children and young people; adults of working age; and older adults (examples are also provided for clinical populations, such as depression and dementia). Specific aspects of cognitive functioning are shown to be affected in different ways (attention, executive functioning and working memory, for example). The second part provides an overview of a new area of psychology: the examination of how cognition and emotion can be shown to be affected by perception, sensation and movement within bodily functions – the concept of ‘the embodied mind’.
Personal reflections on spirituality in mental health
Authors: Gray Alison J.
Published: January 2023

In this article Alison Gray, a consultant psychiatrist, describes how she combines her professional role with a position as a paid priest in the Church of England and how she deals with issues that arise within her professional role and work.
Understanding addiction as a method of emotion regulation: Using groups to develop alternative ways of coping
Authors: Priddy Sasha , Oyervides Sonia , Gillespie Jessica
Published: January 2023

This article describes the implementation and outcomes of an integrative group intervention for inpatient service users with addictive and compulsive behaviours. It will discuss the role of emotion dysregulation in maintaining addictive behaviours and consider implications for clinical practice.
The early years parenting unit: An integrated approach to working with parents with complex trauma and their children under five
Authors: Daum Minna , Labuschagne Nicola
Published: January 2023

The Early Years Parenting Unit (EYPU) is an innovative, multi-family treatment service providing an integrated intervention for parents with a complex trauma history and their children under five who are on the edge of care.
On being a psychological wellbeing practitioner in CAMHS
Authors: Hutchinson Taryn
Published: January 2023

This article presents the experience of a qualified psychological wellbeing practitioner (PWP) working in a child and adolescent mental health service (CAMHS). It aims to provide insight into adapting the adult Improving Access to Psychological Therapies (IAPT) model to a CAMHS context and the PWP’s experience of this.
Time to teach the politics of mental health: Implications of the Power Threat Meaning Framework for teacher education
Authors: O’Toole Catriona
Published: January 2023

The Power Threat Meaning Framework (PTMF) provides teachers with a holistic and compassionate understanding of the origins of emotional distress, which can support them in becoming more attuned and responsive to their own inner lives as well as those of their students. It has radical implications for how we teach wellbeing and mental health in schools and other educational settings.
Incorporating the Power Threat Meaning Framework into an autism and learning disability team
Authors: Flynn Alison , Polak Nechama
Published: January 2023

This article presents our personal experience of using the PTMF in a National specialist service working with children, adolescents, families and adults with a diagnosis of Autism Spectrum Condition (ASC), or intellectual disability. We suggest that regardless of one’s understanding of the nature of ASC, the PTMF offers a broader, contextual understanding of a person’s experience.
Reasons for delayed transfers of care and the impact on young people in an inpatient hospital
Authors: Callender Craig , Smith Janis
Published: January 2023

The rates of delayed transfer of care (DToC) are increasing nationwide. This paper examines the effects of being placed on a DToC on young people in a child and adolescent inpatient hospital.
The role of relationship reciprocity and self-efficacy on wellbeing and burnout in clinical psychology trainees
Authors: Rose John , Nice Laura , Kroese Biza Stenfert , Powell Theresa , Oyebode Jan
Published: January 2023

This study aimed to extend knowledge of factors which may be linked with clinical psychology trainee resilience by exploring reciprocity in trainee relationships and self-efficacy beliefs and their associations with trainee burnout and wellbeing.
‘Stepping out’: A thematic analysis of young people’s experiences of an outdoors and greenspaces project
Authors: Williams Candice , Randall James
Published: January 2023

A week-long outdoor project was held for young people, informed by a narrative therapy approach. This project aimed to offer and explore a non-traditional therapeutic space in CAMHS. Semi-structured interviews highlighted the importance of creativity and meaningful collaboration with young people and community organisations.

‘The environment, after all, is where we all meet; where we all have a mutual interest; it is the one thing all of us share. It is not only a mirror of ourselves, but a focusing lens on what we can become.’(Lady Bird Johnson, 1967)
Resilience factors in young people’s mental health: The views of professionals working within specialist services
Authors: Barrow Jamie , Knowles Sue , Worrall Ellen
Published: January 2023

This qualitative study explored professional views of which (resilience) factors best promote positive mental health outcomes for young people in inpatient care.
Smooth creases
Authors: Sarkar Amita
Published: January 2023

A short poem about woman tells a deeper story of beauty of her face. Contrary to the popular beliefs about beautiful face and social commercial propaganda around beauty defined by the physical attributes, this piece of my jottings talks about the inner beauty of the person. Wrinkles or creases are lines of maturity that link to varied life experiences at every stage of a woman’s life. This is my humble tribute to millions of women of this world who remain true to the well-being of their loved ones.
An ACT and physiotherapy group for adolescents experiencing chronic pain
Authors: Algranati Sheli , Lambert Danielle
Published: January 2023

A pain management group using acceptance and commitment therapy (ACT) principles combined with physiotherapy exercises in the Child and Young People’s Adolescent Clinic is presented. Seven 11/2 hour sessions were run, including interactive learning on key ACT principles and discussion around values and goals. Evaluation demonstrates multiple benefits, including creating a safe space to share the struggles of living with chronic pain, access to multidisciplinary advice, and support from other young people.

Image: ‘Weird Monster Creature Party’ by Qubodup. Public domain. Courtesy of Open Clip Art Library.
Demanding disruption: Extinction Rebellion and changing psychology
Authors: Mitchell Annie , Rub Shira , Wainwright Tony
Published: January 2023

This invited article was completed in April, just one week before the planned, high profile, disruptive activities of Extinction Rebellion (www.xrebellion.org), a new social movement committed to driving social and political change in light of the current environmental and climate crisis. We aim to raise awareness of the movement and its implications for us as clinical psychologists.

‘It is worse, much worse, than you think.’ (Wallace-Wells, 2019)

‘Extinction Rebellion-4’ by Julia Hawkins (www.flickr.com/photos/8716204@N06). Published under creative Commons Licence Attribution 2.0 Generic (CC BY 2.0) (www.creativecommons.org/licenses/by/2.0).
Dealing with racism within clinical psychology training: Reflections of three BAME trainee clinical psychologists
Authors: Prajapati Riddhi , Kadir Sanaa , King Sadé
Published: January 2023

This article considers the reflections of three female BAME (Black, Asian and Minority Ethnic) trainees from different D.Clin.Psy. courses, on their experiences of encountering racism in their respective training contexts, and how these issues can be addressed by training providers.
The Leeds experience of having service users and carers involved in training clinical psychologists
Authors: Smith Tracey , Dunning Gemma , Berry Charlotte , Masterson Ciara
Published: January 2023

Service user and carer involvement in clinical training programmes is growing. We present an evaluation of involvement at Leeds from both trainee, service user and carer perspectives, which highlights the potential benefits of this. Some of the potential difficulties are also noted and we continue to attempt to address these.
The experience of running a staff support service for critical care nurses
Authors: Ormerod Jennie , Pearson Stuart , Fisher Chloe , Hudson Rhian
Published: January 2023

‘The health of those who deliver care to patients will increasingly play a key part in enabling the NHS to meet its aspirations. We recommend that all NHS organisations provide staff health and wellbeing services that are centred on prevention.’ (Boorman, 2009)

This account describes the experience of running a staff support service for nurses working in an intensive care unit (ICU).
Providing mental health services in prisons during the Covid-19 pandemic — challenges and opportunities for growth
Authors: Kothari Radha , Forrester Andrew , Greenberg Neil , Sarkissian Natasha , Tracy Derek K.
Published: January 2023

The impact of Covid-19 makes provision of mental health care in prisons particularly challenging. The current impact on staff and prisoners is significant. Staff are under pressure to make ongoing adaptions to how they work and the interventions they are able to offer, whilst increased time spent in lock down and a reduction in services is having a negative effect on the mental health and wellbeing of prisoners. The potential for longer term deleterious consequences is also great given the currently high levels of psychological distress. Clinical psychologists could be invaluable in supporting staff and adaptations to services so support is maintained, but providing this increased level of support within an already stretched system is challenging, particularly given that prisons are predominantly staffed by forensic rather than clinical psychologists. The need for an adequate level of clinical psychology provision within prisons may never have been greater.
What is the role of clinical psychologists in responding to the current rise of race associated hate crime in Britain post the 2016 European Union referendum?
Authors: Laszczynska Aleksandra
Published: January 2023

This article focuses on the role of clinical psychologists (CPs) in responding to the current rise of hate crimes (HC) associated with race post the 2016 European Union (EU) referendum. It explores the impact of HC on people’s mental health and offers recommendations to CPs in terms of responding to HC.
The impact of therapeutic endings on therapists who deliver time-limited therapy with clients with complex mental health difficulties: A thematic analysis
Authors: Charlotte Farnsworth , Karen Ceaser , Anna Buckell
Published: January 2023

For the purpose of this service evaluation, therapists were interviewed about their experiences of ending therapy within a time-limited setting. Three over-arching themes were identified showing the ways in which therapists are impacted by therapeutic endings.
Service evaluation of a new psychological care pathway within a specialist adult ADHD service
Authors: Buckley Sarah , Davidson William , Sacks Maxine
Published: January 2023

This service evaluation outlines the psychology provision within an adult attention deficit hyperactivity disorder (ADHD) service in East London. It provides information on the service design, demographic makeup, outcome measures and service user feedback. Recommendations are suggested in light of these findings.
Counselling in a general practice in Australia:some comparisons with America and Britain
Authors: Nelson-Jones Richard
Published: January 2023

From before Australia’s first white settlers arrived in 1788, its history was intertwined with American and British history. A consequence of American independence in 1776 was that Britain needed another colony for her surplus convict population, hence the founding of Australia. American and British influences also affect Australian counselling psychology. While counselling psychology stems from American parentage (Williams, 1978), the higher educational system in which counselling psychologists get training is based on the British, or mainly Scottish, model. This article is in two parts: first, a review of the current position of Australian counselling psychology with comparisons made with America and Britain; and second, the identification and discussion of future directions for Australian counselling psychology.
Book reviews
Authors: Kearney Jeremy
Published: January 2023

Review of Ethical Issues in Family Therapy edited by Sue Walrond-Skinner and David Watson.
Book reviews
Authors: Hornby Garry
Published: January 2023

Review of Human Relations in Education by Eric and Carol Hall.
Theraphy for Therapists: A Personal Perspective
Authors: Wright Pat
Published: January 2023

As a professional counsellor and therapist I live with the tension of practising a set of skills whose validity is based more on subjective discussion and analysis than on objective studies. As a psychologist I am imbued with the principle of the importance of using scientific methodology to prove or disprove the validity of techniques, treatment approaches, clinical interventions, etc. Yet each day I work with my clients I use approaches that owe more to cogent argument rather than to empirical studies. My training as a counsellor and as a transactional analyst therapist is mainly based on a vast quantity of detailed subjective observation. I look forward to the day when the subjective observations are objective research foundations. In this paper which aims to address the question whether therapists need to experience therapy themselves, I attempt to remedy some of the imbalance by the use of my personal experience and reference to the research-based literature.
Self-Concept Therapy: A Cognitive-Behavioural Approach to the Treatment of Depression in the Counselling Setting
Authors: Murphy Karen D
Published: January 2023

The construct of “self-concept” is a reliable indicator of cognitive vulnerability towards depression and is used as a measure of change in the counselling process. For many decades a negative self-concept has been recognized as a clinical feature of depression. In “Mourning and melancholia” Freud (1917) wrote: “The melancholic displays something else which is lacking in grief – an extraordinary fall in his self-esteem, an impoverishment of his ego on a grand scale.”
Counselling Psychology: From Courses to Networks
Authors: Pickard Eileen
Published: January 2023

Courses, and their development, provide us with a way of understanding something of the knowledge and practice which they claim to represent. They also reflect the contexts in which they are written. At the beginning of this decade the task of developing a Masters programme in psychological counselling was still a fairly isolated one. For historical reasons, most practitioners of counselling in this country had trained and worked outside the university sector. Few, if any, counselling courses had found a place on undergraduate or postgraduate programmes. Most were housed in extra-mural departments. The segregation led to a poverty of dialogue between those engaged in what is termed academic research and the practitioner. It also generated unhelpful stereotypes and prejudices. Not a few practitioners have entertained suspicions about the real life applicability of some of the thinking generated from within the university sector. And within academia there are those who have wondered if something as apparently unscientific, by whatever definition (Heather, 1976), as counselling psychology could find respectable expression upon a Final’s examination paper.
National and international pathways for counselling psychology
Authors: Pickard Eileen
Published: January 2023

National and international pathways in counselling psychology

The proposed Diploma in Counselling Psychology is a significant advance in the development of training and accreditation pathways in counselling psychology. The Diploma, drawn up by a Working Party of the Membership and Qualifications Board of The British Psychological Society, implies a training which is underpinned by psychological principles and experience. It is an articulation of what we understand at this time, by counselling psychology.

All this will differentiate counselling psychologists from other professionals and raise questions about how we relate to them and to their accrediting organizations.
Book reviews
Authors: Ward George
Published: January 2023

Review ofBereavement and Loss: A SkillsCompanion by Jane Warman and Maggie Fisher.
Book review
Authors: Bacha Claire
Published: January 2023

Review ofThe Visible and Invisible Group: Two Perspectives on Group Psychotherapy and Group Processby Yvonne Agazarian and Richard Peters.
The Two-plus-One Model: A dialogue
Authors: Dryden Windy , Barkham Michael
Published: January 2023

W.D. Can we start the interview by my asking you to describe the nature of the two-plus-one model that was developed in Sheffield?

M.B. The model we have developed here at SAPU (Social and Applied Psychology Unit) arose from our wish to address two issues: one academic and one practitioner- oriented. Perhaps it is more useful to focus on the latter because that has more direct relevance to practitioners in the field. What we were concerned about was how to deliver a high-impact but low-cost treatment to clients. We looked at the research literature to try and identify the most effective components in devising a model of therapy. On various criteria derived from the literature, we developed the two-plus-one model which comprises two sessions of therapy one week apart followed by a third session three months later. The rationale for the model stems from our knowing that there is a high impact on clients early in therapy and that subsequently there are diminishing returns. The longer one sees a client, effectively, the less improvement one is getting; one is getting into “fine tuning” and what we wanted was a high-impact treatment in order to reach as many people as possible as quickly as possible in order to reduce waiting lists. In other words, to devise a delivery system in which people who wanted treatment could be seen as quickly as possible via an effective treatment mode! which would either act as a “holding environment” until more long-term treatment became available, or was sufficient as a “treatment episode” in itself to address their immediate problems.
Counselling, Psychology and The Model of Science*
Authors: Strawbridge Sheelagh
Published: January 2023

In the context of the issue of professional legitim ation, this paper questions the dominant model of “scientific psychology”, as providing the appropriate epistemological and methodological basis for “counselling psychology”. A critique of the underlying model of scientific reason is outlined, based upon a consideration of the ideological functions of science in modem, technological societies and upon post-Kuhn ian and feminist research in the sociology of scientific knowledge. Counselling psychology is seen as offering an alternative model which is practice-led, has a different value base and is grounded in the interpretive traditions.
Towards A Sociology of Psychotherapy
Authors: Owen Ian R.
Published: January 2023

Psychotherapy is difficult to define because many activities could be therapeutic and there are a mass of activities that have claimed to be so. In the main, psychotherapy is a talking cure whereby clients gain relief by talking about their most intimate ongoing problems to therapists in confidence. One researcher counted over 460 types of therapy, some of which can be practised with one or more therapists and one or more clients (Goleman 1986). Many of these activities are radically different from one another.
Towards Anti-Oppressive Practice in Counselling Psychology
Authors: Strawbridge Sheelagh
Published: January 2023

I was shaken out of my usual slothfulness and moved to respond to a letter in The Psychologist (Honeyford, 1992) warning against Charles Husband's (1992) call for the adoption of a clear anti-racist policy by the BPS. My energy came from anger generated by my experience in supporting one of my students who, at the time, was a target of racial harassment by other students within my institution. My anger was fuelled by fear and distress aroused by my awareness of increasing racism on a world scale. This paper is a development from my letter in The Psychologist (1993). It is not written from any claim to particular expertise, but by way of developing and sharing my own thoughts and as a contribution to what I hope will become a commitment of the SGCP to develop an explicitly anti-oppressive policy and guidelines for practice.
Dialogues and Debates
Authors: O'Hara Denis
Published: January 2023

I am pleased to introduce an article written in response to the stimulating paper by Zehra Ersahin in this edition which she interestingly entitled ‘The Elephant in the Room: Implications of the on-going conflict between religion and science, and what pluralism offers working with the (in)visible’.
Research Paper - The experience of exile-related stress among Iraqi refugee men in Sweden and its implications for counselling and psychotherapy: A qualitative study
Authors: Al-Roubaiy Najwan Saaed , Owen-Pugh Valerie , Wheeler Sue
Published: January 2023

Background

A growing body of research suggests that exile-related, or post-migration, stressors are responsible for much of the observed distress among refugees. However, few attempts have been made to explore how counselling and psychotherapy can be used to address refugee clients’ experiences of exile-related stress. Additionally, refugees are often discussed in the literature on refugee mental health, yet they are rarely given the chance to describe for themselves their own experiences of post-migration stress. These observations, coupled with my own experiences as an Iraqi refugee and later as a psychologist working with refugees, collectively formed the basis for this study.

Aim

This study aimed to explore how Iraqi refugee men can experience, and deal with, exile-related stress and what implications these experiences might have for counselling this client group.

Method

The exile-related experiences of 10 Iraqi refugee men, who had lived in Sweden for at least five years, were explored with specific emphasis on social support, acculturation, racial discrimination, and support/help systems. The 10 participants were individually interviewed using semi-structured interviewing. The interviews were conducted in Arabic, translated, transcribed, and then analysed using Interpretative Phenomenological Analysis (IPA).

Findings

Three super-ordinate themes emerged from the analysis. Accordingly the main findings were that participants expressed feeling disempowered, racially discriminated against, and generally marginalised by Swedish society. Participants also expressed valuing social support from fellow Iraqis, and described maintaining links to Iraq and Iraqi culture as helpful strategies in dealing with exile-related stress.

Discussion

The findings suggest the need for promoting social justice through empowerment and advocacybased counselling approaches as participant accounts revolved mainly around their experiences of various forms of oppression in Swedish society.
Research Paper A systematic review of qualitative studies on shame, guilt and eating disorders
Authors: Oluyori Tammy
Published: January 2023

Background

The presence of shame and guilt in eating disorders (ED) has been widely acknowledged in existing literature. The objective of this paper is to review existing qualitative studies linking shame and guilt to ED.

Methods

The first three stages of the main review (literature search, applying inclusion/exclusion criteria to the studies found through the search and assessing the quality of studies which met the inclusion criteria) followed the standard methodologies used within qualitative systematic reviews (SR). The final stage of the SR involved the integration of synthesis of themes about the experiences of shame and guilt in ED population. This stage used techniques from cross case thematic analysis and meta-ethnography, one of the most well developed and frequently used methods of synthesising findings from qualitative studies. Meta-ethnography facilitates the identification of themes, which run both within and across studies.

Results

The search strategy found 10 studies that met inclusion criteria (i.e. clinical sample). Five of the studies met the quality criteria, and were, therefore, included in the review. Integrating findings across the five studies enabled a rich understanding of shame and guilt and their relation to ED. The synthesis generated four themes (Description of shame and guilt; Responses to shame and guilt; Shame and selfcriticism; and Control). Findings suggest that guilt and shame are difficult experiences; they were described in terms of various negative feelings and cognitions such as anger, anxiety, greed, envy, condemning thoughts about self and others view of self. Shame was found to be more linked to ED severity than guilt, and similarly, shame was found to contribute to both development and maintenance of ED.

Conclusion

The SR points to the potential value of using well-conducted qualitative studies to facilitate phenomenological understanding and inform clinical practice. Further research is required to extend the current understanding of the role of shame and guilt in ED.
Methodological Paper Health Technology Assessment methodology: An overview and example of its potential use in the field of Primary Care Psychological Therapies in the NHS
Authors: Southall Rebecca
Published: January 2023

Content & Focus

This paper introduces the concept of Health Technology Assessment (HTA) as an available research tool to examine the cost-effectiveness and impact of therapeutic interventions on clients’ quality of life. It encourages practitioners to think about how they can use HTA concepts to analyse and present their own clinical outcomes as a means to justify continuing to provide services within the Primary Care Sector as it morphs into its new funding format. This paper aims to describe HTA methodology and how it is used internationally in evidence-based health care practice. The paper aims to give a staged explanation of the phases of the assessment process and their rationale. It aims to consider the strengths and weaknesses of utilising HTAs in general, alongside considerations of future developments in HTA in the field of psychological therapy.

Conclusion

HTA is undertaken via systematic staged methodology of 10 phases. HTA’s key strength is the high level of external and internal validity of its findings. The weaknesses of HTA include that report findings can have a variable impact on commissioners, policy makers, practitioners and clients; due in part to the choice of dissemination method and also that HTAs can quickly become out of date. Finally, examples are given as to how HTA processes could be used to specifically research and report on Primary Care Psychological Therapy provision in the NHS. It could assist both commissioners and practitioners with making sense of new systems such as Any Qualified Provider and Payment By Results.