scholarly journals Prescribing for personality disorder: qualitative study of interviews with general and forensic consultant psychiatrists

2014 ◽  
Vol 38 (3) ◽  
pp. 116-121 ◽  
Author(s):  
Lawrence Martean ◽  
Chris Evans
Keyword(s):  
Personality Disorder ◽  
Qualitative Study ◽  
Clinical Implications ◽  
Structured Interviews ◽  
Relational Processes ◽  
Technological Interventions ◽  
Patient Relationships ◽  
And Training ◽  
Pharmaceutical Interventions

Aims and methodTo explore experiences of psychiatrists considering medication for patients with personality disorder by analysis of transcribed, semi-structured interviews with consultants.ResultsThemes show important relational processes in which not prescribing is expected to be experienced as uncaring rejection, and psychiatrists felt helpless and inadequate as doctors when unable to relieve symptoms by prescribing. Discontinuity in doctor–patient relationships compounds these problems.Clinical implicationsProblems arise from: (a) the psychopathology creating powerful relational effects in consultation; (b) the lack of effective treatments, both actual and secondary to under-resourcing and neglect of non-pharmaceutical interventions; and (c) the professionally constructed role of psychiatrists prioritising healing and cure through provision of technological interventions for specific diagnoses. There is a need for more treatments and services for patients with personality disorder; more support and training for psychiatrists in the relational complexities of prescribing; and a rethink of the trend for psychiatrists to be seen primarily as prescribers.

scholarly journals Personality disorder co-morbidity in primary care ‘Improving Access to Psychological Therapy’ (IAPT) services: a qualitative study exploring patient perspectives on treatment experience

2020 ◽  
pp. 1-15
Author(s):  
Gary Lamph ◽  
John Baker ◽  
Tommy Dickinson ◽  
Karina Lovell
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Personality Disorder ◽  
Qualitative Study ◽  
Patient Group ◽  
Stepped Care ◽  
Research Approach ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Co Morbidity

Abstract Background: High numbers of people present with common mental health disorders and co-morbid personality disorder traits in primary care ‘Improving Access to Psychological Therapies’ (IAPT) services in England and they receive sub-optimal treatments. No previous studies have explored the treatment experiences or needs of this patient population in England. Aims: This qualitative study explored the treatment experiences of patients (n = 22) with common mental health difficulties and co-morbid personality disorder as indicated by a score of 3 or more on the ‘Standardised Assessment of Personality – Abbreviated Scale’ (SAPAS) in receipt of primary care-based IAPT treatment. Method: A qualitative health research approach was used. Qualitative individual face-to-face semi-structured interviews were conducted. All interviews were audio recorded, data were transcribed verbatim and analysed using a framework analysis approach. Results: Findings revealed a need to adapt away from prescriptive cognitive behavioural therapy (CBT) treatment models towards more flexible, personalised and individualised treatment with this patient group. Time to emotionally offload, build a therapeutic relationship and link past experiences to presenting problems were highlighted as important. Conclusions: For the first time, the needs and treatment experiences of this patient group have been explored. This paper provides a unique patient experience insight that should be considered when exploring new approaches to working with and developing effective interventions via a stepped care approach.

scholarly journals Personality disorder services in England: findings from a national survey

2017 ◽  
Vol 41 (5) ◽  
pp. 247-253 ◽  
Author(s):  
Oliver Dale ◽  
Faisil Sethi ◽  
Clive Stanton ◽  
Sacha Evans ◽  
Kirsten Barnicot ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Service Provision ◽  
Service Use ◽  
Equal Access ◽  
Clinical Implications ◽  
Levels Of Service ◽  
And Training ◽  
English National Health ◽  
English National Health Service

Aims and methodWe aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations.ResultsIn England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services.Clinical implicationsThere has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.

scholarly journals Psychological formulations in psychiatric care: staff views on their impact

2006 ◽  
Vol 30 (9) ◽  
pp. 341-343 ◽  
Author(s):  
Alison Summers
Keyword(s):  
Creative Thinking ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Care Staff ◽  
Rehabilitation Service ◽  
Clinical Implications ◽  
Structured Interviews ◽  
High Dependency ◽  
Planning Staff ◽  
Patient Relationships

Aims and MethodTo understand the benefits and limitations of using psychological formulations for patients with severe mental illness, a qualitative study of staff views was conducted, based on semi-structured interviews with 25 staff working in a high-dependency rehabilitation service.ResultsParticipants believed that formulations benefited care planning, staff–patient relationships, staff satisfaction and teamworking, through increasing understanding of patients, bringing together staff with different views and encouraging more creative thinking. They particularly valued meeting together to develop the formulations. Some staff accepted formulations as tentative and provisional, whereas others regarded them as statements of conviction.Clinical ImplicationsThe study suggests that using psychological formulations in the care of psychiatric patients may well be valuable, but needs further exploration.

scholarly journals Potential Causes and Outcomes of Communication Conflicts at the Workplace -A Qualitative Study in Pakistan

2016 ◽  
Vol 3 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Sadia Deep ◽  
Hussain Othman ◽  
Berhanuddin Mohd Salleh
Keyword(s):  
Qualitative Study ◽  
Sampling Technique ◽  
Natural Phenomenon ◽  
Structured Interviews ◽  
Development Organizations ◽  
Library Research ◽  
Purposeful Sampling ◽  
Communication Conflict ◽  
Potential Factors ◽  
And Training

Occurring communication conflict among employees is a natural phenomenon at any workplace. However, for the effective resolution of these conflicts, it is indispensable to know the potential factors triggering these conflicts and making them destructive. This paper intends to investigate the causes, outcomes and the subsequent resolution of communication conflicts among employees at the workplace in the developing sector in Pakistan. The data for this qualitative study has gathered from library research and semi-structured interviews taken from the eighteen employees belonging to the three development organizations from the area of Peshawar and Islamabad in Pakistan. To derive sample for the study, a purposeful sampling technique has used. The analysis and transcription of the interview have made through following thematic techniques. The findings from this study reveal the poor communication, misunderstanding, and lack of other soft skills and traits as the significant causes of the communication conflicts while lacking of trust, stress, resignation and transferring are found to be potential outcomes. Some suggestions such as strong leadership and training of employees are also given for the effective resolution of these conflicts.

scholarly journals Exploring Student Motivation in Quranic Memorization in Selected Islamic Secondary Schools (a Case Study)

2021 ◽  
Vol 5 (1) ◽  
pp. 100
Author(s):  
Nik Md Saiful Azizi Nik Abdullah ◽  
Fathiyah Solehah Mohd Sabbri ◽  
Rabi'atul Athirah Muhammad Isa
Keyword(s):  
Qualitative Study ◽  
Secondary Schools ◽  
Student Motivation ◽  
The Other ◽  
Influential Factor ◽  
Structured Interviews ◽  
Parental Guidance

This article sought to explore the student motivation in memorizing the Quran. A qualitative study through semi-structured interviews with six participants was done to gain data for this study. The findings showed that parents, teachers and the participants themselves influenced student motivation in memorising the Quran. The role of parental guidance and advice was the most influential factor leading to cause among students in learning the Quran. Implications of this study, the students themselves and teachers also were the source of motivation to memorize. At the same time, teachers should always assist and help students in their memorization of the Quran. That way, students will feel more confident to continue their memorization. Therefore, this study can be helpful as a reference in lowering the gap in motivation in Quranic memorization. Hence, the researchers believe that this study will help the other researchers continue and elaborate more on Quranic memorization about the cause.

scholarly journals Training the industrial and organisational psychologist as counsellor: Are we doing enough?

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Hanri Barkhuizen ◽  
Lené I. Jorgensen ◽  
Lizelle Brink
Keyword(s):  
Qualitative Research ◽  
Content Analysis ◽  
Research Training ◽  
Structured Interviews ◽  
North West ◽  
Qualitative Research Design ◽  
Counselling Needs ◽  
Value Add ◽  
And Training

Orientation: Industrial and organisational (I-O) psychologists are responsible for workplacecounselling. Workplace counselling requires specific skills and training for the I-O psychologist.Research purpose: The main aim of the study was to explore the role of training the I-Opsychologist as workplace counsellor.Motivation for the study: Studies show that the I-O psychologist does not feel adequatelyprepared for their role as workplace counsellor. It is important to explore which skills andtraining are needed to equip the I-O psychologist as counsellor.Research approach, design and method: A qualitative research design with convenience andsnowball sampling was used to identify I-O psychologists (n = 22) from different businesssectors in Gauteng and North-West. Semi-structured interviews were conducted to gatherdata and content analysis was utilised to extract themes and sub-themes from the results.Main findings: The findings showed that the participants know about the process of counselling, but they did not feel adequately prepared for their role as workplace counsellors. From the findings, recommendations for the training of future I-O psychologists are made.Practical implications: This study adds to the knowledge about ensuring that the I-Opsychologist is equipped during their training for the workplace to address the counselling needs of employees in the workplace in South Africa.Contribution/value-add: This study contributes towards ensuring that the I-O psychologistis sufficiently prepared for their role as workplace counsellor by making knowledge available regarding the skills required by I-O psychologists to be applied in practice.Keywords: Industrial-organisational (I-O) psychologist; Counsellor; Skills and competencies; Qualitative research; Training

scholarly journals Telemedicine in The Context of Covid-19- A Qualitative Study of Cancer Patients and Clinicians

2021 ◽  
Author(s):  
Dylan Chan Tai Kong ◽  
Ashfaq Chauhan ◽  
Anaïs Tiffany Ah Leung ◽  
Melvin Chin
Keyword(s):  
Qualitative Study ◽  
Theory Approach ◽  
Structured Interviews ◽  
Hospital Data ◽  
Metropolitan Regions ◽  
Theoretical Sampling ◽  
Proper Training ◽  
Grounded Theory Approach

Abstract Background:Prior to the Covid-19 pandemic, telemedicine was only used to deliver health care to patients living in remote areas of Australia. However, the spread of the Covid-19 virus pushed the widespread uptake of telemedicine across Australia, including in metropolitan regions. This qualitative study will explore the medical oncology (MO) patient and clinician experience of telemedicine in a metropolitan setting as a result of Covid-19.Method:Participants were selected and invited to participate by theoretical sampling from MO clinicians and patients attending MO clinics at Prince of Wales Hospital. Data was collected by in-depth semi-structured interviews. Thematic analysis was performed to analyse the interview data. Transcripts were coded using the grounded theory approach to identify overarching themes.Results:Twelve participants were recruited to the study. Most participants viewed the adoption of telemedicine positively because it was considered as convenient, efficient and could be used in order to reduce the spread of Covid-19. Nonetheless, participants complained about the poor implementation of telemedicine, technical difficulties and lack of proper training. Finally, providers expressed mixed views over the lack of personal interaction and the lack of physical examination from telemedicine. However, both clinicians and patients viewed telemedicine as acceptable to be used in the context of routine follow-ups.Conclusion:Although some operational improvements are necessary, the role of telemedicine in the follow up of MO patients seems likely to continue beyond Covid-19.

scholarly journals A Qualitative Study on Representations of Intellectual and Relational Capital Among a Group of Managers in an Italian Trade-Union

2021 ◽  
Vol 12 ◽  
Author(s):  
Silvio Carlo Ripamonti ◽  
Laura Galuppo ◽  
Sara Petrilli ◽  
Angelo Benozzo
Keyword(s):  
Social Capital ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Trade Union ◽  
Management Practices ◽  
Intangible Assets ◽  
Qualitative Approach ◽  
Relational Capital ◽  
Structured Interviews

The way in which managers perceive their organization's intellectual and social capital has an impact in shaping their choices and how they lead change. The aim of the study was to explore how the managers of a trade union framed the role of its intangible assets in a context of organizational change. A qualitative approach was used; 30 semi-structured interviews were conducted with the leaders of a trade union and then analyzed using the method of thematic analysis. Particular attention was paid to the metaphors the managers used to narrate change. The hypothesis underlying this approach is that metaphors are a meaningful resource in that they can convey how organization and its intangible assets are framed. In the results, three “root metaphors” are illustrated—the trade union seen either as a system of domination, an organism, or a culture—together with the consequences of each of these images for the perception and value attributed to the trade union's intangible assets. In conclusion, implications for changing management practices and for further research are discussed.

The art and science of recruitment to a cancer rapid autopsy programme: A qualitative study exploring patient and clinician experiences

2020 ◽  
pp. 026921632096759
Author(s):  
Erin Tutty ◽  
Philomena Horsley ◽  
Rowan Forbes Shepherd ◽  
Laura E. Forrest
Keyword(s):  
Qualitative Study ◽  
Patient Selection ◽  
Structured Interviews ◽  
Art And Science ◽  
Team Members ◽  
Palliative Intent ◽  
Recruitment Challenges ◽  
Clinician Experiences ◽  
Rapid Autopsy

Background: CASCADE is a successful, Australia-first cancer rapid autopsy programme. Patients are recruited to the programme by their clinician once they understand that further treatment has only palliative intent. Despite its value, rapid autopsy is a rare research method owing partly to recruitment challenges. Aim: This research aimed to explore (1) how, in practice, clinicians select and recruit patients to the programme and (2) patient experiences of this process. Design: This was a qualitative study grounded in phenomenology. CASCADE team members (clinicians and researchers) and patients participated in semi-structured interviews. Data were analysed using an inductive, team-based approach to thematic analysis. Participants: Interviews were conducted with 31 participants (11 patients and 20 CASCADE team members). Results: Patient selection and recruitment to a rapid autopsy programme is both an art and science. In practice, patient selection is a subjective process that involves assessing a patient’s psychosocial suitability for the programme. Trust and rapport are necessary for informing this assessment and to create an environment conducive to discussing rapid autopsy. Clinicians have also crafted their own ways of delivering information about CASCADE, with both clinicians and patients acknowledging that, if not handled sensitively, recruitment could cause distress. Overall, patients were satisfied with the way in which they were recruited. Conclusion: Findings provide insight into how clinicians successfully select and recruit patients to a rapid autopsy programme and suggests that discussing such topics are acceptable to end-of-life patients. This research also raises thought-provoking questions about the ‘gatekeeping’ role of clinicians in recruitment.

Roles, Attitudes, and Training Needs of Behavioral Health Clinicians in Integrated Primary Care

2015 ◽  
Vol 37 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Bethany Glueck
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Training Needs ◽  
Integrated Primary Care ◽  
Mental Health Providers ◽  
Health Providers ◽  
Structured Interviews ◽  
And Training ◽  
Health Clinician

As integrated primary care (IPC) evolves, so does the new role of the behavioral health clinician (BHC). At present, mental health providers from various specialties are working as BHCs and adapting their training and skills to work as part of the medical team. The purpose of this qualitative study is to explore the experiences of BHCs who work in IPC so as to better understand their roles, attitudes, and training needs. The themes that emerged from semi-structured interviews suggest that the roles of a BHC are multifaceted and rooted in a holistic mind-body approach. Participants supported the need for additional training in graduate programs and internships for integrated care. The results informed a conceptual model of BHCs working in IPC.

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