Now showing 1 - 10 of 214
  • Publication
    Enhancing motivation to change in adolescent perpetrators of CSA
    This article describes a group intervention aimed at promoting change among young people who have engaged in sexually abusive behaviour. The intervention combines two complimentary models of the process of change to produce what we describe as ‘11 Steps of Motivation and Action in Changing Sexually Abusive Behaviour’. A list of these steps can be presented to young people in treatment . Each step also has illustrative stories and accompanying question cards that invite group discussion designed to promote the process of change in young people with sexually abusive behaviour.
  • 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
    How do we find out what works for whom? Evaluating the efficacy and effectiveness of psychotherapy
    (Irish Association for Counselling and Psychotherapy, 2003-01) ;
    Controlled randomized clinical trials of psychotherapy have traditionally been used to test the efficacy of specific forms of psychotherapy for specific problems. The value of findings from such efficacy studies for practicing psychotherapists has been questioned because these studies involve clients and therapy procedures that are radically different from those typically used in routine clinical practice. Opponents of efficacy research have proposed health service-based effectiveness research as a more valuable alternative to efficacy research. Arguments for and against rigorously controlled efficacy research on the one hand, and 'real-world' effectiveness research on the other are explored in this paper.
  • Publication
    Divorce research: Lessons for family therapists
    (Edwin Mellen Press, 2001)
    In this synthesis of the international literature on psychological aspects of divorce, the causes and consequences of divorce for parents and children are summarized. The majority of parents and children show no major long-term adverse psychological consequences to divorce. Personal and contextual factors that mediate the impact of divorce on parents and children and that may account of the negative impact of divorce on a minority of parents and children are also examined. The impact of mediation and of post-divorce therapy are described and priorities for research and service development identified.
  • Publication
    Positive Systemic Practice for Families of Adolescents with Emotional and Behavioural Problems
    Positive Systemic Practice (PSP) is an approach to family therapy for addressing adolescent emotional and behavioural problems. It was developed at Crosscare Teen Counselling, which operates from 6 centres in socially disadvantaged areas of Dublin. The practice of PSP is guided by 10 general principles and 47 specific therapeutic stances which are used to put the principles of PSP into practice. PSP involves adopting a positive, systemic, preventative and normal developmental perspective. Therapy is viewed as involving three distinct phases, in all of which the therapeutic alliance is central, and therapeutic problem-solving is research-informed. Counsellors actively work with resistance to change, operate in two-person teams and evaluate their work. An archival study showed that families of adolescents with significant behavioural and emotional problems, most of whom were self-referred, engaged with PSP for an average of 15 sessions over 4 months. For a subsample of cases where pre- and post-treatment data were available, there was evidence for statistically and clinically significant improvement.
  • Publication
    Evaluation of the effectiveness of a chronic pain management programme
    (Edwin Mellen Press, 2001) ; ;
    Thirty-two chronic pain patients classified as dysfunctional (N=15); interpersonally distressed (N=9); or adaptive copers (N=8) on the MPI were evaluated before and after a 3.5 week outpatient multimodal chronic pain management programme. Five patients also participated in a post-treatment focus group in which they gave accounts of their experiences of the programthree groups, which were demographically similar, did not differ in their response to the programme. There was an overall significant reduction (p<.01) in mean depression scores on the Beck Depression Inventory and a near significant reduction (p<.08) in mean scores on the functional limitations subscale of the Functional Limitations Profile when pre- and post-treatment scores were compared. There was no significant reduction in McGill Pain Questionnaire scores. A thematic content analysis of the focus group transcripts showed that patients experienced the programme as improving their mood, their capacity to cope with pain and their interpersonal adjustment. Both formal features of the programme such as education and physiotherapy and informal aspects of the programme such as social support from other participants were perceived as contributing to improvement.
  • Publication
    Book review of D. Wiger (1997). The clinical documentation sourcebook: A comprehensive collection of mental health records of practice forms, handouts and records. Chichester: Wiley
    (British Psychological Society, 1999)
    This clinical documentation source book was written to meet the need of North American mental health practitioners for a system of documenting their work within the context of managed care systems. Within such management care systems in order to be reimbursed practitioners must show that services are necessary, and that the assessment and treatment procedures are appropriate to the disability and level of impairment shown by clients. The impact of treatment on the clients' level of functioning must be regularly documented and specific goals and criteria for discharge must be specified.
  • Publication
    What works with children and adolescents? 
    (Irish Association for Counselling and Psychotherapy, 2001-01)
  • Publication
    A review of C. Keane, C. (1993). Nervous breakdown, Dublin: Columba
    (Family Therapy Association of Ireland, 1994)
    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.