Improving partnerships with families and carers in in‐patient mental health services for older people: a staff training programme and family liaison service

In spite of policies advocating the involvement of families in the care of mental health service users in the UK, there are few examples of initiatives to develop staff confidence and skills in partnership working. This article describes a whole team training initiative and family liaison service to promote family inclusive working on in‐patient wards for older people in Somerset, UK. A three‐day staff‐training programme is described and training outcomes are reported. Staff report a substantial increase in confidence and family meetings held. A pre‐and post‐ training case note audit shows increased consideration of the needs of families. To further increase face to face meetings with families a family liaison service has been established, whereby a staff member with systemic family therapy training joins ward staff to hold family meetings as part of the assessment/admission process. Evaluation of this service has shown it to be effective with positive feedback from families and staff.     

AN EXPRESSIVE WRITING INTERVENTION TO COPE WITH LESBIAN-RELATED STRESS: THE MODERATING EFFECTS OF OPENNESS ABOUT SEXUAL ORIENTATION

Over the past two decades, expressive writing interventions have been used successfully to reduce distress and improve well-being for those dealing with traumatic events, stressors, and illnesses. The purpose of this study was to investigate an expressive writing intervention for lesbian-related stressors. As expected, writing about traumatic events related to sexual orientation reduced self-reported confusion and perceived stress over a 2-month period for those lesbians who were less open about their sexual orientation. Interestingly, writing about such traumatic experiences was associated with increases in confusion and perceived stress for those who were more open about their sexual orientation. Applying this paradigm to assist individuals in coping with stressors related to their sexual orientation represents an important addition to the expressive writing literature. Furthermore, it offers a promising, cost-effective method to assist closeted lesbians in coping with stressors related to their sexual orientation.     

Opposing powers

A disposition mask is something that prevents a disposition from manifesting despite the occurrence of that disposition’s characteristic stimulus, and without eliminating that disposition. Several authors have maintained that masks must be things extrinsic to the objects that have the masked dispositions. Here it is argued that this is not so; masks can be intrinsic to the objects whose dispositions they mask. If that is correct, then a recent attempt to distinguish dispositional properties from so-called categorical properties fails.     

The role of relational information in contingent capture

On the contingent capture account, top-down attentional control settings restrict involuntary attentional capture to items that match the features of the search target. Attention capture is involuntary, but contingent on goals and intentions. The observation that only target-similar items can capture attention has usually been taken to show that the content of the attentional control settings consists of specific feature values. In contrast, the present study demonstrates that the top-down target template can include information about the relationship between the target and nontarget features (e.g., redder, darker, larger). Several spatial cuing experiments show that a singleton cue that is less similar to the target but that shares the same relational property that distinguishes targets from nontargets can capture attention to the same extent as cues that are similar to the target. Moreover, less similar cues can even capture attention more than cues that are identical to the target when they are relationally better than identical cues. The implications for current theories of attentional capture and attentional guidance are discussed.