Family work with victims and offenders in a secure unit

Two examples of family therapy in a secure unit for violent mentally ill offenders are described. The model used incorporated ideas from reparation schemes for victims and offenders in addition to an emphasis on the circumstances of the offence.     

Aggressive encounters between patients and general hospital staff: Staff perceptions of the context and assailants' levels of cognitive processing

A considerable body of research has accumulated regarding aggression toward health care staff, yet little is known about the contextual factors involved. The present study examined the context within which aggressive incidents occurred and the dynamics of the interaction between staff and patients. Two aspects in particular were investigated; firstly, whether incidents were preceded by some anxiety provoking stimulus and secondly, the assailants' levels of cognitive processing apparent at the time of the incident. A prospective study collected data concerning incidents of physical assault and threatening behaviour in a general hospital. Staff were interviewed soon after the incident occurred. A content analysis determined that 82.8% of incidents involved experiences delivered by the staff victims likely to have provoked anxiety in the assailant. Most commonly, incidents involved staff intervening in the patient's intended behaviour. In addition, in 64% of cases, assailants were actually displaying some impairment in cognitive processing at the time of the incident Data suggest that many patients may not have been fully aware of their situation and might have experienced some difficulty in comprehending the staff member's actions. Patients who do not appear to understand what is happening may require additional time and effort to ensure they comprehend fully and accept what the staff member is intending to do, particularly if patients are experiencing an event likely to increase anxiety levels. Aggr. Behav. 30:534–543, 2004. © 2004 Wiley‐Liss, Inc.     

The Situational Interview as a Predictor of Academic and Team Performance: A Study of the Mediating Effects of Cognitive Ability and Emotional Intelligence

The criterion‐related and construct validity of the situational interview (SI) was examined. Both the SI and cognitive ability had predictive validity for the academic performance of managers and professionals (n=75) in an executive MBA course. Only the SI predicted teamplaying behavior assessed by peers (r=.32, p<.05). The correlation between the SI and cognitive ability was not significant. Emotional intelligence completely mediated the relationship between the SI and teamplaying behavior.     

Reflection in university and the employability agenda: a discourse analysis case study

In UK universities, reflection is promoted not only for its intrinsic value but also for instrumental purposes, for students to gain and demonstrate skills and attributes which are valued by employers. In this paper, I examine reflective writing produced by students seeking an award offered by the careers department of one university. By looking at the evaluative language choices made by the student writers, I shed light on some of their practices regarding self-representation and their articulations of experience. I provide a critical account of what reflective writing looks like in this particular setting, and interpret this in the broader context of the goal to foster reflection among higher education students. I argue that the reflective writing engendered by this particular context and task is different in key respects from the reflection which is commonly advocated as an element of personal, professional or academic development.     

Religion,sexuality, and (in)equality in the lives of older lesbian,gay, and bisexual people in the United Kingdom

This article explores how older lesbian, gay, and bisexual (LGB) people in the United Kingdom engage with religion in later life. Drawing on research with older persons who are LGB and with activists, it explores religious spaces as sites of both inclusion and exclusion, historically and in the present day. Particular consideration is given to the equality implications, in the form of parity of participation, including in the context of religious-based social care provision for older people. Future research implications are addressed.     

A perspective on the patterns of loss, lack, disappointment and shame encountered in the treatment of six women with severe and chronic anorexia nervosa

Abstract :  This paper explores how the aggressive fantasies and energies expressed in anorexic self-hatred can be recycled to become the basis of psychological growth and recovery. This shift is made possible by focusing on the telos of the analysand's psychological system as it expresses itself through her illness, and using Clark's idea that sanity is a form of recycled madness. It also draws on Jung's view of the unconscious as an active and purposive agent, and libido as a neutral psychic energy which can serve different purposes.
I discuss a number of clinical vignettes, focusing on the hard, ruthless, defiant and hateful aspects of (what might appear to be) 'monstrous' anorexic behaviour, and the kinds of countertransference reactions these behaviours can provoke. I also explore what these kinds of behaviours might represent in terms of multi-generational family dynamics, as well as mother-daughter dynamics.
At the core of the paper is the idea that the capacity to use aggression in clear ways, but within the limits of conscience, is essential for the protection of one's physical and psychological boundaries. Without the capacity to defend oneself, and the ability to decide quickly and clearly when it is right to risk hurting the other in order to do so, one cannot take any level of risk in life, or draw close to the other. I suggest that for recovery from anorexia to occur, the aggressive, self-hateful, destructive energies which are so central to the illness need to be recycled into these kinds of awarenesses and life-skills.     

Professional and ethical dilemmas experienced by counselling supervisors: The impact of organisational context

This paper examines the ethical and professional dilemmas faced by counselling supervisors working in a range of diverse organisational contexts. Questionnaires and interviews were used to explore supervisor experiences of working in counselling agencies, industry, education and health service settings. Ethical and professional dilemmas outlined by supervisors were examined in connection with their role within the organisation. It was found that both external and ‘in‐house’ supervisors were exposed to dilemmas focused around issues of responsibility, confidentiality, boundaries, professionalism, relationships, contracts and ethical practice. Supervisors were divided in their opinions about playing a more active, educative role within organisational systems. There was considerable support for the construction of more explicit relationships between supervisors and their employing organisation.     

When educational supervision meets clinical supervision: what can we learn from the discrepancies?

The authors question the taken-for-granted notion of supervision. Their concerns arose out of an attempt to introduce 'clinical' supervision into academia as a way of addressing an increasing number of the ethical issues which confront lecturers. They recognise that knowledge can impact adversely on students and that lecturers at times find themselves compromised. They settled on supervision as an organisational space in the domain of power in which to address the distress they observed. However, through their different experiences of supervision, they soon found themselves talking past each other. When clinical supervision meets educational supervision, several anomalies are brought to the fore. The authors draw on Foucault's notion of discourse, and of knowledge as power, in order to foreground these and conclude by cautioning against an uncritical acceptance of supervision as an ethical practice. They believe there is a benefit in bringing together the two discourses of clinical and educational supervision for further discussion.