Developing Restorative Relationship Therapy: towards working safely with couples where there is abuse

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Bob Goupillot ◽  
Tim McConville

This article describes the journey of a counselling agency in its attempt to develop a safer form of working with couples where there is abuse; a “couple counselling in safe mode”. Within an object relations and attachment based perspective, we sought to work therapeutically and systemically, with the “relationship as client”, rather than being perpetrator focused. This was achieved without reducing our commitment to the well being of the “identified abused”. Restorative and invitational practices were utilised, drawing on the work of Allan Jenkins (1990, 2009). Part of this approach involved working with “shame without shaming”. Using colleagues engaged in the work as a focus group, we developed a reflexive praxis. This led to practice modifications in our approach to confidentiality, supervision, group supervision, and risk assessment. In terms of technique, we introduced co-working dyads of therapists for each relationship, each partner being assigned their own therapist. We also adopted “time out training” as a way of managing tensions in the couple. A four-way session was inserted after every three sessions of individual work with each partner, borrowing a “Reflecting Team” format from family therapy. We argue that we have developed a safe and effective precursor to mainstream relationship counselling for couple relationships where there was mild to moderate abuse and have termed this Restorative Relationship Therapy (RRT).

2015 ◽  
Vol 100 (12) ◽  
pp. 1141-1147 ◽  
Author(s):  
Roxanne Parslow ◽  
Aarti Patel ◽  
Lucy Beasant ◽  
Kirstie Haywood ◽  
Debbie Johnson ◽  
...  

BackgroundPaediatric chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) is relatively common and disabling. Research is hampered because current patient-reported outcome measures (PROMs) do not capture outcomes that are important to children with CFS/ME.AimThe aim of this study was to explore the aspects of life and health outcomes that matter to children with CFS/ME.MethodsTwenty-five children with CFS/ME were interviewed (11 males, 14 females; mean age 12.9 years (SD 2.2), range 8–17). Twelve were trial participants interviewed during the trial and 13 were recruited as part of a follow-up qualitative study. Parents were present in 19 interviews with their children. Three mothers participated in a focus group. All the interviews and the focus group were audio-recorded and transcribed. Data were analysed thematically using techniques of constant comparison. NVivo was used to structure and categorise data in a systematic way.ResultsChildren identified four key themes (health outcome domains): ‘symptoms’ that fluctuated, which caused an unpredictable reduction in both ‘physical activity’ and ‘social participation’ all of which impacted on ‘emotional well-being’. These domains were influenced by both ‘management’ and ‘contextual factors’, which could be positive and negative. The relationship between healthcare and school was considered pivotal.ConclusionsChildren's descriptions helped to inform a conceptual model that is necessary to develop a new paediatric CFS/ME PROM. Doctors need to be aware of how children conceptualise CFS/ME; the relationship between healthcare and school is fundamental to ameliorate the impact of CFS/ME.Trial registration numberISRCTN81456207.


2020 ◽  
Author(s):  
Stefanie Mollborn ◽  
Bethany Rigles ◽  
Jennifer A Pace

Abstract As the relationship between social class and health strengthens and socioeconomic and health inequalities widen, understanding how parents’ socioeconomic advantage translates into health and class advantages in the next generation is increasingly important. Our analyses illustrate how a classed performance of “health” is a fundamental component of transmitting cultural capital in families and communities. Socially advantaged parents’ health and class goals for children are often met simultaneously by building children’s cultural capital in community-specific ways. This study uses observational, interview, and focus group data from families in two middle-class communities to illustrate how health-focused cultural capital acquisition plays out in everyday life. As parents manage children’s lives to ensure future advantages, they often focus on health-related behaviors and performances as symbols of class-based distinction for their children. The synergy between family and community cultural capital is strengthening class and health advantages for some children, even as health-focused cultural capital often has drawbacks for stress and well-being. The intensification of and value placed on “health” in cultural capital may have long-term implications for health, socioeconomic attainment, and inequalities. If health-focused cultural capital continues to become increasingly salient for status attainment, its importance could grow, widening these gaps and reducing intergenerational mobility.


2017 ◽  
Vol 32 (4) ◽  
pp. 1091-1094 ◽  
Author(s):  
Stefan B. Gingerich ◽  
Erin L. D. Seaverson ◽  
David R. Anderson

Purpose: To examine the relationship between sleep habits and employee productivity. Design: Cross-sectional health risk assessment analysis. Setting: Employer-sponsored health and well-being programs. Participants: A total of 598 676 employed adults from multiple industries. Measures: Self-reported average hours of sleep, fatigue, absence days, and presenteeism. Analysis: Bivariate analyses to assess the relationships between self-reported hours of sleep and self-reported fatigue and mean and median absence and presenteeism. Results: The relationship between sleep hours and both measures of productivity was U-shaped, with the least productivity loss among employees who reported 8 hours of sleep. More daytime fatigue correlated with more absence and presenteeism. Median absence and presenteeism was consistently lower than mean absence and presenteeism, respectively, for the various hours of sleep and levels of fatigue. Conclusion: Organizations looking to expand the value of their investment in employee health and well-being should consider addressing the employee sleep habits that may be negatively impacting productivity.


2005 ◽  
Vol 61 (4) ◽  
pp. 373-388 ◽  
Author(s):  
Marie-Louise Ögren ◽  
Carl-Otto Jonsson ◽  
Eva C. Sundin

2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.


GeroPsych ◽  
2018 ◽  
Vol 31 (3) ◽  
pp. 103-113 ◽  
Author(s):  
Minjie Lu ◽  
Angel Y. Li ◽  
Helene H. Fung ◽  
Klaus Rothermund ◽  
Frieder R. Lang

Abstract. This study addresses prior mixed findings on the relationship between future time perspective (FTP) and well-being as well as examines the associations between three aspects of FTP and life satisfaction in the health and friendship domains. 159 Germans, 97 US Americans, and 240 Hong Kong Chinese, aged 19–86 years, completed a survey on future self-views (valence) and life satisfaction. They also reported the extent to which they perceived future time as expanded vs. limited (time extension) and meaningful (openness). Findings revealed that individuals with more positive future self-views had higher satisfaction. However, those who perceived their future as more meaningful or perceived more time in their future reported higher satisfaction even when future self-views were less positive.


2019 ◽  
Vol 63 (3) ◽  
pp. 115-128 ◽  
Author(s):  
Maie Stein ◽  
Sylvie Vincent-Höper ◽  
Nicole Deci ◽  
Sabine Gregersen ◽  
Albert Nienhaus

Abstract. To advance knowledge of the mechanisms underlying the relationship between leadership and employees’ well-being, this study examines leaders’ effects on their employees’ compensatory coping efforts. Using an extension of the job demands–resources model, we propose that high-quality leader–member exchange (LMX) allows employees to cope with high job demands without increasing their effort expenditure through the extension of working hours. Data analyses ( N = 356) revealed that LMX buffers the effect of quantitative demands on the extension of working hours such that the indirect effect of quantitative demands on emotional exhaustion is only significant at low and average levels of LMX. This study indicates that integrating leadership with employees’ coping efforts into a unifying model contributes to understanding how leadership is related to employees’ well-being. The notion that leaders can affect their employees’ use of compensatory coping efforts that detract from well-being offers promising approaches to the promotion of workplace health.


Author(s):  
Melanie K. T. Takarangi ◽  
Deryn Strange

When people are told that their negative memories are worse than other people’s, do they later remember those events differently? We asked participants to recall a recent negative memory then, 24 h later, we gave some participants feedback about the emotional impact of their event – stating it was more or less negative compared to other people’s experiences. One week later, participants recalled the event again. We predicted that if feedback affected how participants remembered their negative experiences, their ratings of the memory’s characteristics should change over time. That is, when participants are told that their negative event is extremely negative, their memories should be more vivid, recollected strongly, and remembered from a personal perspective, compared to participants in the other conditions. Our results provide support for this hypothesis. We suggest that external feedback might be a potential mechanism in the relationship between negative memories and psychological well-being.


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