Now showing 1 - 10 of 136
  • Publication
    A robust method for the evaluation of prison based sex offender treatment programmes
    (Confénce Permanente Européne de la Probation, 2000-01) ; ; ;
    This paper outlines the approach to evaluating the sex offender treatment programme currently running in the Irish prison system. It begins with an introduction to the scope of the problem of sexual offending as reflected by the extent of the prison population in Ireland who have been convicted of a variety of sexual offences. It then outlines two key points that can be gleaned from several decades of general research on evaluating the effectiveness of psychological treatments while indicating how they have been included in our present research. We also describe the variety of data sources that need to be incorporated into an effective evaluation of prison based sex offender treatment programmes. We conclude with an introduction to some preliminary findings from our on-going research. These finding high-light the return in terms of more reliable information when care is taken in developing a robust method for the evaluation of prison-based sex offender treatment programmes.
  • Publication
    Irish drug abusers III: A psychosocial typology
    (Irish Medical Organization, 1981) ; ;
    This is the final article in a series based on a study of a cohort of Irish drug abusers. Previous papers dealt with the overall social (Carr et al., 1980) and psychological (Carr et al., 1981) characteristics of the cohort. While certain general trends were identified, perhaps the most striking feature of the data was the variability that exists between subjects. In the present paper this variability will be explored and a psycho-social typology of drug abusers presented.
  • Publication
    The short term effectiveness of critical incident stress debriefing
    (Taylor & Francis (Routledge), 2001) ;
    The aim of the study was to evaluate the immediate impact of Critical Incident Stres s Debriefing (CISD) on people who had recently experienced a stressful event. Post traumatic symptoms were evaluated with the Impact of Events Scale (IES) before CISD and again six weeks later and were compared to those of controls and a group who had rece ived a brief psychoeducational intervention, who were evaluated within the same time frame. Compared with controls, significant effects for the CISD condition and a brief psychoeducational intervention were observed on the intrusions and total scales of t he IES. CISD is effective in the short - term in reducing post - traumatic stress symptomatology, notably intrusive memories, following a critical incident. However CISD is no more effective than a brief psychoeducational intervention. CISD does not increa se post traumatic stress symptomatology.
  • Publication
    Positive practice in family therapy
    (Wiley, 1997-07)
    Positive practice, a brief integrative approach to consultation with families, is described in this paper. A clear distinction is made between the stages of planning, assessment, therapy, and disengagement. Guidelines for progression from one stage to the next are provided. Frameworks for deciding who to invite to preliminary sessions and methods for planning and organizing lines of inquiry are incorporated into this approach to practice. A three-column model is used to construct formulations. The model allows therapists and clients to map information about the pattern of interaction around the presenting problem, beliefs that constrain family members from altering their roles in these problem-maintaining patterns, and factors that have predisposed family members to hold these beliefs. Positive practice offers methods for evolving new behavioral patterns and belief systems within sessions and for arranging homework tasks for clients between sessions. It also incorporates methods for dealing with resistance, for managing therapeutic crises, for convening individual sessions and broader network meetings, for disengaging from the consultation process, and for recontracting for further episodes of therapy. This evolving approach to practice draws on ideas from many traditions within the family therapy field and takes account of recent research relevant to the practice of family therapy.
      446Scopus© Citations 14
  • Publication
    An Investigation of the psychosocial impact of a compensation tribunal on women with an iatrogenic Hepatitis C infection
    (Irish Medical Organization, 2003-03) ; ; ;
    The aim of this study was to investigate the psychosocial impact of a Compensation Tribunal in women with an iatrogenic hepatitis C virus (HCV) infection. Eighty-three women diagnosed with an iatrogenic HCV infection were recruited, 19 women were Pre-Tribunal and 64 women were post-Tribunal. Both standardised and disease specific psychological measures were used. A series of t-tests revealed no differences in psychological well-being and adjustment to HCV infection in women pre and post Compensation Tribunal. Chi-square tests revealed no association between PCR status and 1) psychological well-being and 2) experience of anger/blame in women post- Compensation Tribunal. A further series of t-tests revealed that women with high levels of anger and blame post-Compensation Tribunal perceived their future as more uncertain, experienced more pain, low self-esteem and psychological distress, viewed their ability to work as impeded and complained of increased stress preparing for their Compensation Tribunal. This study suggests that poor adjustment in women with an iatrogenic HCV infection post-Compensation Tribunal is not associated with attendance at a Compensation Tribunal nor PCR status but rather to experiences of anger and blame.
  • Publication
    Gender and conversational behaviour in family therapy and live supervision
    The association between supervisors' and therapists' gender and the conversational behaviour of 4 supervisors, 19 trainee family therapists and 20 clients before, during and after 88 live supervisory phone-in events were examined in this study. Clients' co-operation was not directly related to the genders of therapists and supervisors. The quality of supervisors' collaborative behaviour was highest for events in systems where male supervisors were supervising male therapists and lowest for events in systems where male supervisors were supervising female therapists. In systems containing female supervisors and male therapists, therapists engaged in frequent collaborative behaviour and less frequent teaching behaviour with their clients. The quality of therapists’ collaborative and supportive behaviour was highest in these systems. The unexpected results of this study suggest the way supervisors interact with therapists and therapists interact with clients does not conform to gender stereotypic conversational behaviour in which males are directive and females affiliative. It may be that individuals whose conversational behaviour does not conform to gender stereotypes decide to become family therapists or that family therapy training helps people develop alternatives to gender-stereotypical conversational behaviour.
      280Scopus© Citations 8
  • Publication
    Thematic review of family therapy Journals 2010
    (Wiley, 2011-11)
    In this article the contents of the principal English-language family therapy journals published in 2010 are reviewed under these headings: child-focused problems, adult-focused problems, substance misuse across the lifespan, couples, diversity, spirituality and mindfulness, training, revisiting history and research.
      447Scopus© Citations 1
  • Publication
    Evidence based practice in family therapy and systemic consultation: child focused problems
    (Wiley, 2000-02)
    Evidence for the effectiveness of family therapy and family-based interventions from critical literature reviews and controlled trials is considered for families with children and adolescents who present with various difficulties. The evidence supports the effectiveness of family therapy as an effective treatment either alone or as part of a multimodal or multisystemic treatment programme for child abuse and neglect, conduct problems, emotional problems and psychosomatic problems. Implications for practice, training and continuing professional development in the field of family therapy are discussed.
      3395Scopus© Citations 111
  • Publication
    Adult adjustment of survivors of institutional child abuse in Ireland
    Method Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV and the Structured Clinical Interview for DSM IV Personality Disorders, the Trauma Symptom Inventory, and the Experiences in Close Relationships Inventory. Results The prevalence of psychological disorders among adult survivors of institutional abuse was over 80% and far higher than in the normal population, with anxiety, mood and substance use disorders being the most prevalent diagnoses. Survivors also had high rates of trauma symptoms and insecure adult attachment styles, and these were higher for those who had experienced both institutional and intrafamilial abuse. Conclusions There was an association between the experience of institutional abuse in childhood and the prevalence of adult mental health problems, particularly anxiety, mood and substance use disorders. Practice implications Policies, practices and procedures should be regularly reviewed and revised to maximize protection of young people in institutional care. Evidence-based psychological treatment should be made available to adult survivors of institutional abuse.
      1610Scopus© Citations 57