Now showing 1 - 10 of 214
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History of family therapy in Ireland. 1. A bird's-eye view

2013-01, Carr, Alan

This paper presents an overview of the history of family therapy in Ireland. Profiles of key figures in the development of family therapy in Ireland are contained in a companion paper. In Ireland family therapy is a small profession, with under 200 registered therapists. The Irish family therapy movement began in the mid-1970s. By 1980 the Family Therapy Network of Ireland in the Republic of Ireland and the Northern Ireland Branch of the UK Association Family therapy had been founded. At present there are three main family therapy training centres in Ireland: two in the south (the Mater Hospital, affiliated to University College Dublin and Clanwilliam Institute) and one in the north (at Queen’s University Belfast). These centres run professional family therapy training programmes accredited by national and European psychotherapy associations, with which family therapists register. Accredited professional family therapy programmes in Ireland are 4-year part-time courses culminating in masters level qualifications. A primary degree in medicine, nursing, psychology, social science or education is a prerequisite for entry. The curriculum includes academic tuition and research, clinical practice, and personal development. Family therapists in Ireland work in both private practice and the public health service. Most family therapists in the public sector are employed as social workers, psychologists, psychiatrists or nurses, and conduct family therapy as part of their broader professional roles. Couple therapy in Ireland is provided by family therapists, and also by voluntary couple counsellors based in networks of local centres, some of which were established by religiously affiliated organizations, without a formal connection to national family therapy associations. The three major future challenges for Irish family therapy are creating a research infrastructure, developing a career structure in the public health service, and introducing statutory registration.

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A review of C. Keane, C. (1993). Nervous breakdown, Dublin: Columba

1994, Carr, Alan

In Keane's book, an attempt is made to demystify the way in which mental health professionals deal with a number of different manifestations of psychological stress.

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The development of clinical psychology in the Republic of Ireland

2015-08, Carr, Alan

In Ireland clinical psychology emerged in the mid-1950s as an integral part of the public health service for people with mental health problems and intellectual disability. The structure of the profession and training system which evolved were based on the UK model. The number of clinical psychologists, the range of specialisms in which they work and roles that clinical psychologist fulfil have developed significantly especially during the 21st century. PSI, psychologists within the public health service, and the four clinical psychology training programmes have worked together to foster the growth of the profession. Clinical psychology research and textbooks have been published by Irish clinical psychologists, and they have also had significant media presence. Clinical psychologists also had a significant impact on major societal issues such as CSA. Statutory registration is the next major profession development on the horizon for the profession of clinical psychology in the Republic of Ireland

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Depression and power in marriage

2001, Byrne, Michael, Carr, Alan

To investigate the association between depression and power within marriage, 14 couples in which the female partner was depressed were compared with 14 non-depressed couples on a range of variables which assessed power bases, processes and outcomes, three domains identified in Cromwell & Olson's (1975) analysis of marital power.

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The classification of problems in clinical child & family psychology

1996, Carr, Alan

In clinical child and family psychology classification has three main functions. First, it permits information about particular types of child and family problems to be ordered in ways that allow for the growth of a body of expert knowledge about different types of problems. This information typically includes the accurate clinical description of a problem and the identification of factors associated with the etiology, maintenance, course and possible management plans effective in solving the problem. Such expert information constitutes the basis for sound clinical practice. Second, classification systems allow for the development of epidemiological information about the incidence and prevalence of various problems. This sort of information is particularly useful in planning services and deciding how to prioratize the allocation of sparse resources. Third, classification systems provide a language through which clinicians and researchers communicate with each other.

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Therapeutic dilemmas and crisis phonecalls in family therapy: Guidelines for positive practice

1996, Carr, Alan

When clients believe that they have not got the personal resources to cope with the demands of either living with their problems or taking steps towards their resolution, stating their therapuetic dilemma may precipitate a therapeutic crisis. A therapeutic dilemma is a concise statement of the disadvantages and difficulties associated with leaving the presenting problem unresolved and the disadvantages and risks entailed by solving the problem. In this paper, a framework for conceptualizing therapeutic crises and guidelines for theri management are described. These guidelines allow the therapist to avoid becoming involved in problem maintenance and to retain a position from whcih to promote problem resolution. The framework and guidelines evolved within the context of a brief integrative approach to consultation with families who require help with child-focused psychosocial difficulties.

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Recovery and relapse in multiproblem families following community based multidisciplinary treatment

1999, Leeson, Sheena, Carr, Alan, Fitzgerald, Michael, Moukaddem, Sami

In a comparative group outcome study of 47 multiproblem families which received treatment from multidisciplinary child and family mental health services teams and 47 waiting list controls, it was found that treated cases showed significant improvement over the course of three months during which they attended the service. Improvement occurred in children's behavioural adjustment and maternal psychological health. Waiting list controls did not improve significantly on either of these variables during the three month treatment period. However, mean scores of the treatment group at nine months follow-up were not significantly better than pretreatment scores, indicating that gains made during treatment were lost at follow-up. An analysis of the clinical significance of changes in children's adjustment showed that while 41% of children moved from the clinical to the normal range during the course of treatment, all had relapsed at six-month follow up. These results point to the importance of developing a chronic care rather than an acute care approach to service provision for multiproblem families.

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Positive psychology: New worlds for old

2004, Carr, Alan

Clinical Psychology has traditionally focused on psychological de ficits and disability. It has rarely privileged clients’ resilience, resourcefulness and capacity for renewal. In the USA Professor Martin Seligman and his colleagues have begun laying the foundations for a positive psychology to complement deficit - based a pproaches (Seligman & Peterson 2004; Snyder & Lopez, 2002). This new branch of psychology is primarily concerned with the scientific study of human strengths and happiness.

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Review of Psychotherapeutic Interventions in infancy: A seminar given by Dr Margareta Berg-Broden / Alan Carr. Social constructionist psychology and family therapy: Reflections on Professor Ken Gergen's paper to the Psychology Dept, University College Dublin 20th June 1996 / Alan Carr

1993-12, Carr, Alan

Article 1: This fascinating seminar was held under the auspices of the Irish Institute for INtegrated Psychotherapy and the Irish Forum for Child and Adolescent Psychotherapy at All Hallows College on 2nd April 1993. Margareta, a Swedish pscychologist and psychotherapist, is an international authrity on treatment of mother-infant attachment difficullties. She has worked over the past twenty years in the US, France and Italy. She currently practices at Victoriagarden, a unit within the Child Psychiatric Clinic of Malmo in Sweden. The seminar was later published in the Irish Psychologist, 19 (10), 123-124. / Article 2: Ken Gergen spoke to a full house at UCD on 20th June 1996. He outlined three criticisms of the representationalist position in academic psychology and then went on to sketch the implications for psychology of discarding a representationalist position in favour of a social constructionist stance.

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Christine Padesky pushes the boundaries of Cognitive therapy in Dublin

2001, Carr, Alan

Despite floods and strikes of all sorts, a few hundred of us gathered in the Swift Centre at St. Patrick’s Hospital in James’s Street on December 7th and 8th to attend a ground breaking workshop presented by Dr. Christine Padesky, Director of the Centre for Cognitive Therapy in California and leading international expert in the field. The first day of the workshop dealt with basic skills in cognitive therapy and on the second day the focus was on a new protocol for working with clients with recurrent problems.