Understanding Therapists’ Work With Suicidal Patients: An Examination of Qualitative Data

2018 ◽  
Vol 81 (2) ◽  
pp. 330-346 ◽  
Author(s):  
Maureen F. Monahan ◽  
Kevin J. Crowley ◽  
Diane B. Arnkoff ◽  
Carol R. Glass ◽  
David A. Jobes

The collaborative assessment and management of suicidality (CAMS) serves as a framework for maintaining a collaborative relationship between the therapist and patient. This study used an original coding manual to examine responses to open-ended questions to better understand the ways in which therapists use CAMS collaboratively as well as their reasons for adhering (or not adhering) to certain aspects of the framework. Results suggest differences in treatment application based on therapist characteristics including amount of experience, intensity of training received, and experience of a patient suicide attempt. Implications of this research include informing therapists interested in using the CAMS framework about the specific ways in which implementation can be made collaborative. Further, this research helps to shed light on how experiencing a client’s death by suicide can impact therapists’ future work with suicidal clients.

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.


2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Ami R. Moore ◽  
David Williamson

This study examined the structural constraints to disclosure of children's positive serostatus among informal caregivers to family and nonfamily members in Togo. It drew on two data sources, one qualitative and the other quantitative. Qualitative data showed that caregivers cautiously disclosed child's positive serostatus for fear of being stigmatized and discriminated against as well as to protect the children from being stigmatized. Binary regression analyses revealed that different factors influenced reasons for disclosure of a child's serostatus. For instance, while caregivers' serostatus and number of children significantly influenced disclosure for financial support, disclosure of a child's serostatus for spiritual support was strongly affected by education and religion. These results shed light on factors and reasons for disclosure among caregivers. This knowledge is important because different types of programs and advice should be given to caregivers with specific reason(s) for disclosure instead of creating a “one-size-fits all” program for all caregivers.


Ethnography ◽  
2020 ◽  
pp. 146613812091306 ◽  
Author(s):  
Judson G Everitt ◽  
James M Johnson ◽  
William H Burr ◽  
Stephanie H Shanower

In this paper, we argue that there is new insight to be gained by reexamining the classic text, Boys in White, in strategic ways. Specifically, we share excerpts from Boys in White with current medical students and ask for their reactions in qualitative interviews, examining the relevance (or lack thereof) of earlier meanings about professional training for current processes of professional training. We show how we have employed this technique in our current project revisiting Boys in White with current medical students, and discuss preliminary findings that reveal the potential of this technique for documenting evidence of macro-level forces in healthcare institutions using qualitative data on new doctors. We conclude with discussion of alternative approaches through which scholars could make use of this technique in future professional socialization scholarship that could shed light on dynamics of institutional persistence and change.


2019 ◽  
Vol 46 (5) ◽  
pp. 689-701 ◽  
Author(s):  
Jens Dorland ◽  
Christian Clausen ◽  
Michael Søgaard Jørgensen

Abstract Some see universities as a possible source of solutions to enable a sustainable transition and overcome societal challenges. Findings from three multisite case studies of Desis Labs, FabLabs, and Science Shops shed light on how universities can help empower communities and solve societal challenges locally. Adopting a sociotechnical and flat relational perspective inspired by science and technology studies (STS), we focus on the material and spatial aspects of how these spaces are configured, thereby ensuring practical relevance for policy makers and practitioners. Applying an analytical generalization methodology, we condense the qualitative data into a typology of three ideal space-types (i.e. affording, mediating, and impact-oriented) that represent specific configurations of actors, researchers, students, communities, spaces, infrastructure, equipment, facilitators, etc. The ideal space-types empower communities in different ways, require different resources to create and operate, and translate differently into specific local contexts.


2007 ◽  
Vol 45 (3) ◽  
pp. 629-685 ◽  
Author(s):  
Francine Lafontaine ◽  
Margaret Slade

Since Ronald H. Coase's (1937) seminal paper, a rich set of theories has been developed that deal with firm boundaries in vertical or input–output structures. In the last twenty-five years, empirical evidence that can shed light on those theories also has been accumulating. We review the findings of empirical studies that have addressed two main interrelated questions: First, what types of transactions are best brought within the firm and, second, what are the consequences of vertical integration decisions for economic outcomes such as prices, quantities, investment, and profits. Throughout, we highlight areas of potential cross-fertilization and promising areas for future work.


Author(s):  
Peta Masters ◽  
Mor Vered

Every model involves assumptions. While some are standard to all models that simulate intelligent decision-making (e.g., discrete/continuous, static/dynamic), goal recognition is well known also to involve choices about the observed agent: is it aware of being observed? cooperative or adversarial? In this paper, we examine not only these but the many other assumptions made in the context of model-based goal recognition. By exploring their meaning, the relationships between them and the confusions that can arise, we demonstrate their importance, shed light on the way trends emerge in AI, and suggest a novel means for researchers to uncover suitable avenues for future work.


Author(s):  
E. Bica ◽  
S. Ortolani ◽  
B. Barbuy

AbstractA view of the Galactic bulge by means of their globular clusters is fundamental for a deep understanding of its formation and evolution. Connections between the globular cluster and field star properties in terms of kinematics, orbits, chemical abundances, and ages should shed light on different stellar population components. Based on spatial distribution and metallicity, we define a probable best list of bulge clusters, containing 43 entries. Future work on newly discovered objects, mostly from the VVV survey, is suggested. These candidates might alleviate the issue of missing clusters on the far side of the bulge. We discuss the reddening law affecting the cluster distances towards the centre of the Galaxy, and conclude that the most suitable total-to-selective absorption value appears to be RV=3.2, in agreement with recent analyses. An update of elemental abundances for bulge clusters is provided.


2017 ◽  
Vol 5 (1) ◽  
pp. 58-86 ◽  
Author(s):  
Tadhg O Ceallaigh ◽  
Siobhán Ní Mhurchú ◽  
Déirdre Ní Chróinín

This research study examined the experiences of teachers and learners as they engaged with a CLIL programme, a physical education course being taught through the medium of the Irish language (L2) in English-medium primary schools in the Republic of Ireland. Five primary fourth grade teachers and the students (9–10 years old) in their classes from three primary schools in the Republic of Ireland participated in a unit of physical education (4–8 lessons) through the medium of the Irish language. Qualitative data collection and analysis included direct observation of lessons, an interview with each teacher, teachers’ written reflections and a focus group with 3–5 students from each class. Teachers reported that students became highly motivated as they were given the opportunities to use the Irish language in situations of personal choice. This new autonomy and motivation in turn fostered confidence and competence in language use. Several complex and persistent pedagogical challenges (e.g. balancing content and language in instruction) were uncovered in the analysis of data. This study increases our understanding of the complexity of the processes underlying and shaping a coherent CLIL pedagogy. Findings shed light on the yet-to-be-realised potential of CLIL as a lived embodied reality for all.


Author(s):  
Megan MacCormac

The use of computer-assisted qualitative data analysis software (CAQDAS) for the organization and analysis of qualitative data has been a hotly debated topic among qualitative researchers since the inception of the technology in the 1980s (Smith & Hesse-Biber, 1996; and Bong, 2002). Proponents of the software claim that QDAS can help strengthen the validity, reliability, and accuracy of data analysis, whereas critics have cautioned that the use of such software distances the researchers from the data and attempts to make the data objective (Saldaña, 2013). The debates surrounding the use of qualitative software have contributed to a lack of student training in academic settings. Consequently, few studies have examined the student experience and decision-making process regarding the use of QDAS in the university setting (Paulus, Woods, Atkins, & Mackin, 2015). Using reflective response data collected from participants of a beginner qualitative coding workshop, this paper adds to the limited literature on student experiences using QDAS by examining gender differences in how participants critically reflected on their first experience using QDAS and examines the likelihood that participants would use QDAS in their future work. Findings from this study indicate that participants who used QDAS for the first time perceived that there are more potential benefits to using QDAS versus manual coding. Gender differences were present with female participants strongly believing that the software would allow them to be more effective and efficient researchers, and male participants believing that they would be better able to gain deeper insights into their data.


Sign in / Sign up

Export Citation Format

Share Document