Creating a ‘psychological nest’ for vulnerable infants and children: an interview with Annette Mendelsohn

This is an edited version of a recent interview with Annette Mendelsohn, Child and Adolescent Psychotherapist at the Royal Free Hospital, London, UK. It aims to make available in published form Mendelsohn's thinking and approach in relation to her work with traumatised children in a hospital setting. Mendelsohn also discusses her work in a neonatal intensive care setting and the way in which approaches to psychosocial care in the hospital setting have changed over the course of her professional life.     

Conceptualizations of Social Class in Afrtican American Women:

This article addresses the multiple definitions of social class in African American people and how the therapist's understanding of these definitions is important in therapeutic interventions with African American women. The article discusses: (a) the traditional ways in which social class has been defined in social science and the limits of these conceptualizations; (b) the multiple definitions of class within the African American community; and (c) treatment concerns for African American women based on class issues. Clinicians working with African American and other women who vary by class should be able to assess how class variables influence their therapeutic interventions with these women.     

Work strain and the post-discharge adjustment of patients following a heart attack

Abstract

The role of work characteristics in determining return to work after an acute coronary event was examined. One hundred and forty nine patients were enrolled. One year post-discharge, 74 had returned to work. Work characteristics (decision latitude, and opportunity for social interaction at work), together with age, depression, and medical prognosis, correctly classified work status in 78% of cases. At 12 months post-discharge, patients who had not returned to work recorded significantly poorer levels of adjustment compared to those who had returned to work. A better quality of life is associated with a lower level of depression pre-hospitalization, ownership of a larger home, being male, and having a more positive work environment. The findings suggest that the pre-illness work environment of the patient is a factor influencing return to work, which needs to be considered in rehabilitation programmes.     

Career Development for Psychology Students through an Inpatient Mental Health Volunteer Programme

We report on a volunteer programme for undergraduate psychology students, as a prospective career pathway into the inpatient mental health context. Data on motives for joining the programme, as well as their expectations and career plans were collected from 56 students (mainly under 25 years of age; approximately 80% females) in a volunteer placement within an inpatient mental health setting. About 89.3% of the volunteers reported being on the programme to enhance their applications for postgraduate training prospects in the same field. Only 10.7% were motivated primarily by the desire to help mentally ill patients. Over three-quarters planned to pursue postgraduate training in clinical psychology.     

Isolement et solitude au travail : l’exemple des agents d’accueil de parcs urbains. Des effets pathogènes aux processus de régulation et de dégagement

Through action-research case study in the area of “Parks and Gardens”, this paper focused on the relations between “aloneness”, “loneliness” and “solitude” at work and their necessary distinctions. The Socio-Clinical work psychology approach used during the intervention helped to highlight some key elements. While aloneness characterizes a stretched between the subject and its external environment link, loneliness and solitude are defined as intra-subjective process mainly emotional psycho. These last notions remain in any case a test for physical and psychological occupational health. It seems that the outcomes depend largely on the ability of the subject to convert aloneness to solitude. In our case study three valences of aloneness with different level of risk for health, were underline: solitude, as creative aloneness; defensive aloneness; and loneliness. The advantages of this new approach for prevention are discussed in the positioning relative to other work on the subject.     

Psychological Empowerment,Work Engagement and Turnover Intention: The Role of Leader Relations and Role Clarity in a Financial Institution

This study investigated the relationship between leader-member exchange, role clarity, psychological empowerment, engagement and turnover intention within a financial institution in South Africa. A cross-sectional survey design was used. A convenience sample (N = 278) was taken (males =31%, females =60%; 88% younger than 35 years; 57% with 2–5 years service) from the total population (N = 889). They completed the Leader-Member Exchange Questionnaire (Liden, Wayne, & Stilwell, 1993) Role Conflict and Ambiguity Questionnaire (Rizzo, House, & Lirtzman, 1970), Measuring Empowerment Questionnaire (Spreitzer, 1995), Engagement Questionnaire (May, Gilson, & Harter, 2004) and Intention-to-leave Scale (Sjöberg & Sverke, 2000). A path model was tested with SPSS to determine the relationships of the variables. Furthermore, a theoretical model was tested through the use of structural equation modelling (Arbuckle, 2008). The latent variables included LMX (consisting of two parcels), role clarity (consisting of two parcels), psychological empowerment (consisting of four variables, namely meaning, competence, impact, and self-determination), work engagement (consisting of two parcels), and turnover intention (a manifest variable). Role clarity mediated the relationship between leader-member exchange and psychological empowerment, while psychological empowerment mediated the relationship between role clarity and work engagement as well as turnover intention. Leader-member relations lead to better understanding of roles, while role clarity empowers and engages employees.     

Using Stories in Dynamically Oriented Clinical Social Work

Abstract

This paper uses concepts from discourse analysis to understand the meaning making functions of narrative in clinical treatment and to describe the interactive processes through which these functions are achieved. “Negotiative” and “heuristic” narrative processes are described as they occur in ordinary conversation. The relevance of these concepts to clinical practice is then explored using case material.     

The Effect of Demographic Variables on Client Attachment Patterns to Clinical Social Workers

Abstract

Client attachment to therapist is a new topic in the field of clinical social work. Using attachment theory, this study examined the relationship between three types of client attachment to therapist (secure, avoidant-fearful, and preoccupied) and the following variables: marital status, age of participant, and gender of the social worker, among a sample of 174 mental health clients. The results showed that there is a significant relationship between a secure pattern and gender of the social worker. In addition, they showed a significant relationship between avoidant-fearful and preoccupied patterns and the marital status of the participants. Furthermore, the results indicated a significant relationship between a preoccupied pattern and the age of the participants. The findings of the current study have implications for the field of clinical social work in Kuwait.     

Consistency of Mother-Child Interaction Using the Mediated Learning Experience (MLE) Scale

This investigation focused on stability of mother-child interactions in three consecutive situations, as rated by the Mediated Learning Experience (MLE) Scale. The Scale was devised to reflect components of parent interaction hypothesized to facilitate cognitive development of children, as described by Feuerstein. Twenty-two mothers were videotaped in interaction with their pre-school children in three consecutive situations: two structured teaching, and one free play. The Scale was found to have moderate internal consistency and moderate to high interrater reliability. Intersituational consistency of the parents varied with the components. The mediational component of Transcendence correlated significantly and positively with the Perceptual-Performance subscale score of the McCarthy Scales of Children's Abilities, and the component of Reciprocity correlated significantly, but negatively, with the McCarthy Perceptual-Performance score. Implications of the results for special practitioners and applied researchers are discussed.     

Using Themes from Mystical Traditions to Enhance Self-Acceptance in Life Review Groups

ABSTRACT

This article presents a model in which facilitators of life review groups can enhance the self-acceptance of members troubled by memories that seem to confirm their self-as-failed. By incorporating into the group's agenda discussions based on readings from religious mystical traditions East and West, the themes of True-Self, Mystical Night, and Engaged Detachment can move reviewers to own their past, celebrate it as gift, and feel purposeful about their future.