scholarly journals Queen Square Guided Self Help for Functional Neurological Symptom Disorder

2021 ◽  
Author(s):  
Sue Humblestone ◽  
Jacob Roelofs ◽  
Caroline Selai ◽  
Michael Moutoussis

Abstract Objective: Functional Neurological Symptoms (FNS) are disabling symptoms without macro-structural cause. While inpatient treatment confers important benefits, it is resource intensive and hence it is important to optimize its efficiency. Methods: We developed a brief, internet-based preparatory therapy based on psychoeducation and CBT, termed the Queen Square Guided Self-help (QGSH) to maximize the efficacy of the inpatient FNS treatment at the National Hospital for Neurology and Neurosurgery. Results: The QGSH aims to ensure that prior to admission the patient understands 1) The diagnosis of FNS , 2) The five areas CBT model and 3) The use of Goal setting in rehabilitation. It has now run since 2017 and 191 patients have taken part in the inpatient FNS program, with 122 of these have participated in the QGSH. It runs for up to twelve weeks and includes original videos and patient worksheets, as well as signposting to existing published resources. Information is sent weekly by e-mail and content is delivered in the form of eleven modules built around online video sessions.Conclusion: We believe that the set of materials used in QGSH has the potential to benefit patients with FNS and can support clinicians wishing to develop their expertise. It could help with the development of new FNS services, and we are in the process of developing it into a standalone service. We hope that the experience of the Queen Square team can be used to help patients and clinicians to improve the provision of FNS services.

2002 ◽  
Vol 30 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Helen Keeley ◽  
Chris Williams ◽  
David A. Shapiro

Self-help materials can be offered to clients/patients either for use alone (unsupported self-help) or to support work with a health care practitioner (supported self-help). Structured self-help materials that use a Cognitive Behaviour Therapy (CBT) treatment approach have been shown to be clinically effective. We report a national survey of all 500 cognitive and behavioural psychotherapists registered with the British Association for Behavioural and Cognitive Psychotherapies, the lead organisation for CBT in the United Kingdom. A total of 265 therapists responded (53%). Self-help materials were used by 88.7% of therapists and were mostly provided as a supplement to individual therapy. Self-help was most frequently used to help patients experiencing depression, anxiety and obsessive compulsive disorder and was largely delivered using paper-based formats. The majority of self-help materials used a CBT approach. Only 36.2% of therapists had been trained in how to use self-help treatments, and those who had received training recommended self-help treatments to more clients/patients per week and rated self-help approaches as being significantly more helpful than those who had not received training.


2018 ◽  
Vol 27 (4) ◽  
pp. 129-140
Author(s):  
Elena Denisova-Schmidt ◽  
Lena Nicolas-Kryzhko

Elena Denisova-Schmidt − DSc in Philosophy, MBA, Research Associate, University of St. Gallen (Switzerland); Research Fellow, Boston College Center for International Higher Education (USA). Address: University of St. Gallen, Gatterstr, 3, 9010 St. Gallen, Switzerland. E-mail: [email protected] Lena Nicolas-Kryzhko − DSc in Philosophy, Mobility Division, Siemens AG (Germany). Address: Siemens AG, Nuernberger Str. 74, 91052 Erlangen, Germany. E-mail: [email protected] Citation: Denisova-Schmidt E., Nicolas-Kryzhko L. (2018) Teaching A Course on Corruption and Informality in Russia: An International Experience. Mir Rossii, vol. 27, no 4, pp. 129–140. DOI: 10.17323/1811-038X-2018-27-4-129-140 Corruption has been broadly discussed in the academic literature for several decades, yet there are few studies dedicated to addressing this topic in the classroom. This paper aims to fill this research gap by providing an example of a seminar on corruption and informal practices in Russia, given for international students at one Western European university. The aim of the seminar was to study the phenomenon of corruption from different perspectives, using different teaching techniques and materials, in order to encourage students to conduct their own analyses and reflections on real-life situations. Drawing on the structure of the seminar, this article provides a brief overview of the historical perspective of corruption in Russia, then summarizes the approach and teaching methods used in the seminar, including presentations, group work, discussions and homework. Finally, the authors provide a detailed overview of the learning materials used. They conclude that an interdisciplinary approach involving numerous literary works, films and case studies is particularly suitable for understanding the concept of “corruption” and “informality” in their respective cultural contexts and for preparing students to face this issue in their (future) professional lives.


2001 ◽  
Vol 25 (6) ◽  
pp. 222-225 ◽  
Author(s):  
Vibhore Prasad ◽  
David Owens

Aims and MethodTo describe the information and help available on the internet for people who self-harm. We searched the internet using a meta-search engine. We visited sites and followed up links with e-mails and letters. We also searched bibliographic databases, seeking published material about the internet and self-harm.ResultsThe support that we found largely took the form of information about suicide, self-injury and psychological issues. Less often, sites offered e-mail support and online discussions. We found little information about self-poisoning, and most about self-injury. There is little published research about self-harm and the internet.Clinical ImplicationsThe unregulated sites of the internet contain much material about self-injury. Although it is not possible at present to weigh up risks and benefits, many individuals and organisations plainly regard internet information about self-harm as a valuable service.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Katrin E. Giel ◽  
Simone C. Behrens ◽  
Kathrin Schag ◽  
Peter Martus ◽  
Stephan Herpertz ◽  
...  

Abstract Background Early relapse after inpatient treatment is a serious problem in the management of anorexia nervosa (AN). Specialized aftercare interventions have the potential to bridge the gap between inpatient and outpatient care, to prevent relapse and to improve the long-term outcome for patients with AN. Methods Following the guidelines of the PRISMA statement, we conducted a systematic review, synthesizing the evidence from randomized-controlled trials (RCTs) investigating the efficacy of post-inpatient aftercare treatments for AN. Results Our search resulted in seven RCTs and three registered ongoing trials. Pharmacotherapy and low-threshold guided self-help have limited uptake and high dropout. Novel mobile guided self-help approaches seem promising due to high patient satisfaction, but their efficacy has yet to be investigated in larger trials. Cognitive-behavior psychotherapy may be beneficial in delaying relapse, but evidence is based on a single study. Conclusion Only a limited number of RCTs investigating aftercare interventions for patients with AN is available. There is no clear evidence favoring any one specific approach for post-inpatient aftercare in adult patients with AN. The field faces many challenges which generally affect intervention research in AN. A specific issue is how to increase uptake of and reduce dropout from aftercare interventions. This calls for better tailoring of interventions to patient needs and the integration of patient perspectives into treatment. Intensified research and care efforts are needed to address the problem of recurrent relapse after intensive inpatient treatment for AN and to eventually improve prognosis for this eating disorder.


2020 ◽  
Author(s):  
Mohammed Al Alawi ◽  
Roopa K McCall ◽  
Alya Sultan ◽  
Naser Al Balushi ◽  
Tamadhir Al-Mahrouqi ◽  
...  

BACKGROUND The coronavirus (COVID-19) pandemic has led to a notable increase in psychological distress, globally. Oman is no exception to this, with several studies indicating high levels of anxiety and depression among the Omani public. There is a need for adaptive and effective interventions aiming at improving the increased levels of psychological distress arising from the COVID-19 pandemic. OBJECTIVE This study aimed at assessing the efficacy of therapist guided Online-Therapy versus self-help, e-mail delivered, therapy focusing on COVID-19-induced symptoms of anxiety and depression among individuals living in Oman during the COVID-19 pandemic. METHODS This was a 6-week pragmatic randomized controlled trial involving 60 participants who were recruited from a study sample surveyed for symptoms of anxiety/depression among the public in Oman amid the COVID-19 pandemic. The participants in the intervention group were allocated to receive 1 online session per week for 6 weeks from certified psychotherapists in Oman in Arabic or English. The Psychotherapists utilized Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) interventions. The participants in the control group received an automatic weekly newsletter via e-mail containing self-help information and tips to cope with distress associated with COVID-19. The information mainly consisted of behavioral tips revolving around the principles of CBT and ACT. The primary outcome was measured by comparing the change in the mean Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) scores from baseline to the end of the study (after six sessions) between the two arms. The secondary outcome was comparing the proportions of participants with depression and anxiety in the two groups. RESULTS Data from 46 participants were analyzed (22 in intervention arm and 24 in control arm). There was no statistical difference in baseline characteristics between both arms. Analysis of covariance indicated a significant reduction in the GAD scores (F(1,43) = 7.307; P = 0.010) between the two arms after adjusting for baseline scores. The intervention arm GAD scores reduced more than those of the control arm (B = -3.27; P = 0.010). The intervention arm had a greater reduction in PHQ-9 mean scores (F(1,43) = 8.298; P = 0.006) when compared to the control arm (B = -4.311; P = 0.006). While the levels of anxiety and depression reduced in both study arms, the reduction was higher in the intervention group (P values of <0.049 and <0.022, respectively). CONCLUSIONS This study provides preliminary evidence to support the efficacy of Online-Therapy for improving the symptoms of anxiety and depression during the COVID-19 crisis in Oman. Therapist guided Online-Therapy was noted to be superior to self-help Internet-based therapy, however, both therapies could be considered as viable options. CLINICALTRIAL ClinicalTrials.gov NCT04378257


2020 ◽  
Vol 7 (2) ◽  
pp. 62-69
Author(s):  
Dani Prihastuti

Dani Prihastuti Ucik Fuadhiyah, S.Pd.,M.Pd. Mujimin, S.Pd.,M.Pd. Program Studi Pendidikan Bahasa dan Sastra Jawa, FBS, UNNES E-mail: [email protected]   ABSTRACT       This study aims to describe the contextualization of teacher teaching materials based on the 2013 curriculum in Javanese / high school / vocational language subjects in Purwokerto. The approach used in this study is a descriptive qualitative approach. Data collection techniques in this study are document review and interviews. The data source in this study is in the form of text studies. The instruments in this study used content analysis techniques. Based on the analysis, the majority of teaching materials used are printed teaching materials namely panginyongan textbooks, magazines and modules and given material from other sources originating from the internet. The results of the analysis show that from fifteen basic competencies, which meet the contextual criteria there are nine basic competencies. In basic competencies that meet contextual criteria, eighteen contextual teaching materials are obtained. The basic competencies included in the criteria for personal contestation are four and there are seven contextual teaching materials. Furthermore, there are five basic competencies and five contextual teaching materials. In cultural contextual criteria there are five basic competencies and six teaching materials that meet contextual criteria.   Keyword: 2013 curriculum contextual dimensions, teaching materials ABSTRAK Penelitian ini bertujuan untuk mendeskripsikam wujud kekontekstualan bahan ajar guru berdasarkan kurikulum 2013 dalam mata pelajaran bahasa Jawa jenjang SMA/SMK di Purwokerto. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif deskriptif. Teknik pengumpulan data dalam penelitian ini adalah telaah dokumen dan wawancara. Sumber data dalam penelitian ini adalah berupa kajian teks. Instrumen dalam penelitian ini menggunakan teknik analisis isi (content analysis). Berdasarkan analisis, bahan ajar yang mayoritas digunakan adalah bahan ajar cetak yakni buku paket, majalah dan modul panginyongan serta diberikan materi dari sumber lain yang berasal dari internet. Hasil analisis menunjukan dari lima belas kompetensi dasar, yang memenuhi kriteria kotekstual ada sembilan kompetensi dasar. Pada kompetensi dasar yang memenuhi kriteria kontekstual, didapatkan delapan belas bahan ajar yang kontekstual. Kompetensi dasar yang termasuk dalam kriteria kontestual pribadi ada empat dan terdapat tujuh bahan ajar yang kontekstual. Selanjutnya, kriteria kontesktual sosial terdapat lima kompetensi dasar dan lima bahan ajar yang kontekstual. Pada kriteria kontekstual budaya terdapat lima kompetensi dasar dan enam bahan ajar yang memenuhi kriteria kontekstual. Kata Kunci : dimensi kontekstual, kurikulum 2013,bahan ajar.


ReCALL ◽  
2002 ◽  
Vol 14 (1) ◽  
pp. 16-31 ◽  
Author(s):  
CHRISTINE APPEL ◽  
ROGER GILABERT

The objective of this paper is to describe a task-based project in tandem via e-mail, and to discuss the effects of motivation on task performance. In this project, a group of Irish students and a group of Spanish students are asked to carry out a series of tasks in collaboration with their tandem partners via e-mail by means of a web page especially designed for the project. Half the message is meant to be written in the student’s native language and half in the target language, and students are also encouraged to correct one another. The goal behind our research is to discuss the effects of motivation on task performance. We argue that resource directing (such as reasoning demands) and resource depleting factors (such as prior knowledge) which belong to task complexity in Robinson’s model (Robinson, 2001) are closely connected to affective variables which, as is the case with motivation, belong to task difficulty. Motivational factors like interest in the meanings to be exchanged, involvement in the decision-making process, students’ expertise in the topic, media and materials used, and the diffusion of outcomes among others have strong effects on task performance, and should therefore be considered together with complexity variables.


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