Phyllis Annesley, Adedayo Alabi and Laura Longdon
The purpose of this paper is to describe the Eye movement desensitisation and reprocessing (EMDR) treatment of an adult female patient detained within a high secure hospital with…
Abstract
Purpose
The purpose of this paper is to describe the Eye movement desensitisation and reprocessing (EMDR) treatment of an adult female patient detained within a high secure hospital with complex mental health difficulties, including complex trauma, factitious disorder, self-injury and a history of offending. The EMDR treatment addressed the patient’s urges to engage in severe and sometimes life-threatening self-injury, a primary motive of which was to access physical healthcare interventions within a general hospital. The paper describes the wide-ranging benefits of the treatment and incorporates feedback from the patient and clinicians within her multi-disciplinary team (MDT).
Design/methodology/approach
Four triggers for self-injury were processed during the therapy using the DeTUR Protocol (Popky, 2005, 2009) and the Constant Installation of Present Orientation and Safety (CIPOS, Knipe, 2009a) method. In total, 18 one hour therapy sessions were delivered plus three follow-up sessions to continue to offer support and complete the post-treatment evaluation.
Findings
The level of urge for each trigger was reduced to 0 which the patient defined as “no urge to self-injure”. Benefits went well beyond self-injury with reported positive impacts on mood, thinking, sleep, concentration, memory and experience of flashbacks.
Practical implications
This case report demonstrates that the EMDR DeTUR Protocol together with the CIPOS method can be extremely valuable in the treatment of patients who self-injure.
Originality/value
The case report offers an important contribution to an area that requires much further research.
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Clement Ola Adekoya and Akeem Adedayo Adedimeji
The purpose of this paper is to investigate enhancement of library performance by exploiting the potentials of disruptive innovations.
Abstract
Purpose
The purpose of this paper is to investigate enhancement of library performance by exploiting the potentials of disruptive innovations.
Design/methodology/approach
Descriptive survey research design was used for this study. The population of the study was 167 respondents, consisting of 83 professional and 84 para-professional librarians in the libraries of the public higher institutions in Ekiti and Ondo States, Nigeria. Total enumeration sampling technique was used for the study. Data were collected using the questionnaire. Descriptive statistical tools were used for data analysis.
Findings
It was found that disruptive innovation has influence on library operations, the extent of application of disruptive innovation in library operation is low, the extent of using the by-products of disruptive innovation in the libraries is low and the challenges facing the adoption of disruptive innovations in libraries include: high cost of acquiring technological infrastructure, high cost of training library personnel, high costs of internet, inadequate technical know-how and high costs of system maintenance and upgrades.
Practical implications
Libraries should embrace the influence of disruptive innovations in their operations and service delivery.
Originality/value
This study is novel, as it approaches library performance from the perspective of the disruptive innovation. Very few studies emanate from Africa in this area. Most of the previous narratives around disruptive innovation centred around the Western countries such USA, UK, France, Italy, etc., which maintain a lead in library innovation and development. The current study demonstrated that the performance of libraries in Nigeria is not immune from being boosted by disruptive innovations.
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Ferdinand Ndifor Che, Kenneth David Strang and Narasimha Rao Vajjhala
The purpose of this study is to uncover ground truth insights underlying the agriculture crisis from the perspectives of rural farmers in North-East Nigeria. The needs of…
Abstract
Purpose
The purpose of this study is to uncover ground truth insights underlying the agriculture crisis from the perspectives of rural farmers in North-East Nigeria. The needs of individual farmers are otherwise not adequately reflected in national or regional economic development strategies.
Design/methodology/approach
A unique sequential mixed-methods research design was adopted for this study. A grounded theory approach was used for the literature review followed by a consensual qualitative research (CQR) technique. Data were collected through a semi-structured sense-making focus group (FG) held at a field site with agricultural extension workers. The CQR technique included brainstorming, the nominal group technique, open discussions, sense-making and consensual agreement on the most important ideas. The FG sense-making was recorded, and discourse analysis was conducted to develop thematic concept maps using NVivo software.
Findings
Agriculture crisis ground truth insight themes were consistent with the extant literature but several different issues were also found. Rural farmers in North-East Nigeria have significant challenges with government support in six core areas, namely, farm input quality and dissemination, fair input subsidization, training, market facilitation, corruption and insecurity.
Research limitations/implications
The target population of this study was rural farmers in Adamawa State, North-East Nigeria. A relatively small sample of 16 agricultural extension workers – very experienced farmers who also act as mentors and are paid incentives by the government for doing so – was used.
Practical implications
In tackling the agriculture crisis in Nigeria, policymakers will do well to recognize the realities that the rural farmers face and their needs, the government must address the areas highlighted in this study where support for farmers lacks and urgently review the current process of farm inputs dissemination.
Originality/value
Agriculture crisis problems were explored from the perspectives of rural North-East Nigerian farmers, who have not been previously sampled due to cultural, language, literacy and schedule constraints. The extension workers were better able to communicate agriculture crisis insights in modern economic planning terminology because they are well-educated farmers, knowledgeable about the problems due to their field experience and because they have more flexible work schedules. A unique sequential mixed-methods constructivist research design was used with an embedded CQR technique, which would be of interest to scholars and research institutions.