Search results

This paper aims to discuss current work and further steps of the psychological hotline launched by the National Psychological Association of Ukraine (NPA), along with a call for action to mental health professionals worldwide.

This paper describes the training and support of the NPA’s hotline staff as well as reflections on the hotline’s work from June 2022 to April 2023.

With broad international support, the NPA’s psychological hotline currently operates in 21 countries providing psychological assistance and referrals to other service providers within Ukraine and abroad. The authors propose further steps of its work, including international collaboration.

Providing citizens of Ukraine with broad public access to evidence-based remote psychological support through NPA’s hotlines is a high priority considering the war’s negative impact on mental health diverse and the limited capacity of the state mental health system.

The current study examines the association between fear of bullying and actual behaviour among male prisoners (n =234: 84 adult, 86 young and 66 juvenile). It explores if developmental models of aggression can assist with understanding fear and if there is evidence to support an application of the Applied Fear Response model. Participants completed the Direct and Indirect Prisoner Checklist‐Scaled Revised and the Threat Appraisal Bullying measure. Fear of bullying did not differ across age. There were no significant relationships between fear and actual victimisation or perpetration for juveniles. Fear was a significant predictor of increased emotional and help‐seeking behaviours in juveniles, and inhibited negative behaviours in adults. Fear of bullying was highest among young and juvenile ‘bully‐victims’. The need to account for fear of victimisation as opposed to focusing solely on victimisation experience is outlined, particularly in relation to younger prisoners (i.e. young adults and juvenile offenders). The value of developmental and environmental models in understanding aggression and victim reactions are discussed.

The purpose of this paper is to provide an evaluation of a cognitive skills programme (Enhanced Thinking Skills) with adult prisoners.

A pre- and post-treatment design with 171 male prisoners, using self-report psychometric measures.

Significant differences were found in the direction expected. Clinical recovery using stringent methods was not indicated, although improvement/partial response was across a number of domains.

Expectations for treatment outcome for short-term interventions should be more realistic; cognitive skills programmes may be best considered as precursors to longer term therapies; treatment outcome should focus on improvement and not recovery.

This study represents the first prison study to distinguish between levels of positive change. It questions previous interpretations of treatment outcome.

The purpose of this paper is to explore the function of crisis incidents in prisons within the UK and USA. The incidents reviewed included riots and hostage incidents, focusing only on information that was available publically. It did not intend to capture official reports not in the public domain.

Publically available information on incidents were systematically reviewed. Functional assessment and grounded theory were employed to examine background factors, triggers and maintaining factors. In total, 25 crisis incidents were analysed (UK =10 and USA =15) from the past 30 years. It was predicted that crisis incidents would be motivated by negative and positive reinforcement, with negative more evidenced than positive. Precipitating factors (i.e. triggers) were predicted to include negative emotions, such as frustration and anger.

Similarities in triggers and background factors were noted between hostage taking and riot incidents. Positive reinforcement was primarily indicated. Riots appeared driven by a need to communicate, to secure power, rights, control and/or freedom, whereas for hostage taking these functions extended to capture the removal of negative emotions, to inflict pain, to punish/gain revenge, to effect a release, to manage boredom and to promote positive emotions.

The study is preliminary and focused on the reporting of incidents in publically available sources; consequently, the data are secondary in nature and further limited by sample size. Nevertheless, it highlights evidence for similarities between types of crisis incidents but also some important potential differences. The need to understand the protective factors preventing incidents and minimising harm during incidents is recommended.

It highlights evidence for similarities between types of critical incidents but also some important potential differences. Understanding differences between incidents is important in the tailoring of specific policies to address these areas. Understanding motivation and reinforcement is valuable in working towards the prevention of critical incidents. Understanding the protective factors preventing incidents and minimising harm during incidents is recommended.

This is an under-researched area. The study contributes to the field not only by focusing on providing a detailed analysis of an under-used source (public reporting) but by also identifying where gaps in research remain. The results demonstrate the value in understanding incidents through their motivation, particularly in distinguishing between negative and positive reinforcement.

This study aims to explore the impact of inclusion of victim empathy-based content in offender treatment.

This study first presents a systematic review of 20 papers before proceeding to consider qualitative interviews with therapists (n = 7) and forensic patients (n = 5), who had completed a long-term violence therapy (Life Minus Violence – Enhanced, LMV-E©). The research explored perceptions of forensic patients and treatment facilitators when completing victim empathy work and explored any negative effects this may have.

Findings from the systematic review indicated five themes: interventions incorporating victim empathy can be effective; there are positive risk-understanding consequences from completing victim empathy work; offenders perceive victim empathy positively; the emotional impact of victim empathy work on offenders’ is poorly explored; and completing victim empathy in treatment groups receives mixed evaluations from offenders. The systematic review was used to inform the interview themes for the resulting qualitative study with facilitators and forensic patients. This study indicated six themes: victim empathy content facilitates change; victim empathy content can be difficult for patients; victim empathy content can lead to an emotional response; victim empathy content can be beneficial, with the process important; victim empathy content can help understand risk, and patients’ experience of treatment begins before attending sessions.

The potential impact of victim empathy content needs to be evaluated before sessions are completed, accounting for client expectations and treatment readiness. This should include ensuring that appropriate support is in place. Any support provided to patients should be regularly reviewed.

The study represents the first to apply detailed analysis to this topic area and with a complex group.

The purpose of this paper is to examine attitudes towards prisoner-to-prisoner bullying, further considering the association between attitudes and characteristics of the prison environment thought to promote prisoner bullying.

Questionnaires were administered to 423 adult male prisoners and 195 correctional officers from three prisons in Canada. Participants completed the Prison Bullying Scale and the Prison Environmental Scale.

Convergence in attitudes between prisoners and officers were noted although staff were more likely to consider bullies to be skilled, whereas prisoners were more likely than officers to feel that victims of bullying should be supported. Associations between attitudes supportive of bullying and environmental characteristics likely to promote prison bullying were found primarily among prisoners; the strongest predictors of such attitudes were poor relationships (e.g. prisoner to officer; prisoner-to-prisoner).

The study highlights the importance of the social aspect of the prison environment. It further provides an outline of two measures that could have utility in evaluating interventions designed to reduce prisoner-to-prisoner bullying.

Interventions into prisoner-to-prisoner bullying should attend to the wider environment and not focus solely on individual pathology approaches. A “whole prison” approach to intervention should be adopted, with recognition that officers and prisoners are part of the community. A focus on the perceived relationships between all those in this community requires consideration, with a community centred approach recommended for intervention. A concentrated effort is needed on evaluating and publishing interventions into prisoner-to-prisoner bullying.

The study is the first to examine attitudes in a combined sample of prisoners and officers and focuses on the role of the wider prison environment. It also utilises a sample from three prisons as opposed to focusing on a single establishment.

The purpose of this study is to build on previous literature in this area thus, the views of professionals working with those who report institutional abuse was sought using a Delphi method.

Professionals working with those who report institutional abuse, such as psychologists, social workers and personal injury lawyers, were invited to engage in the Delphi study. Sixteen professionals completed the final round (with four rounds in total). This method was used to gain professional consensus on the considered impacts of institutional child abuse and what factors influence impacts.

Eight superordinate themes were developed, as follows: institutional abuse has lasting negative effects on well-being, functioning and behaviour; loss of trust in others and the system is a potential outcome of institutional abuse; negative impacts on future life chances; negative impacts of institutional abuse are exacerbated by numerous factors; protective factors reduced negative impacts; psychological intervention is useful for survivors; positive and negative impacts of disclosure – the response of others as important; and keep impacts individualised.

The need for an individualised approach when working with those reporting institutional abuse was a salient finding.

Institutional abuse is known to result in several negative impacts, although research into this area is limited with a need to better understand what may protect or exacerbate impacts.

The study presented here examines the reporting of patient‐to‐patient bullying in a high secure psychiatric hospital housing adult men. It examines official records of bullying recorded on Suspected Bullying Report forms (SBRs), noting motivations for bullying and exploring how information was recorded. Its subsidiary aim was to explore the value of official records, presenting comparison data from three patient bullying surveys completed at the same hospital. All suspected reports of bullying in the hospital documented for a two‐year period were collected. The patient surveys included data from three data‐sets collected at the same hospital over a five‐year period. The prediction that the patient surveys would suggest a higher level of bullying behaviours than official records was confirmed. Results for official records also demonstrated that motivation for bullying was either not recorded or was reported as a typology, bullying was not likely to be recorded as hospital incidents, and perpetrators were unlikely to be offered supportive intervention. The results are discussed with regard to the value of official records as a reporting mechanism.

The purpose of this paper is to explore non-violent pornography within secure hospital settings.

It includes a systematic review (n = 40 papers), followed by a qualitative study comprising semi-structured interviews (n = 24, 6 patients and 18 staff) and staff focus groups (n = 22 staff).

The systematic review identified six themes, as follows: pornography is inconsistently defined, pornography exposure can increase general aggression, pornography exposure may increase the risk for sexual aggression, pornography exposure can increase aggression supportive beliefs, pornography exposure impacts negatively on those with a violent predisposition and pornography is educational for men not identifying as heterosexual. The semi-structured interviews and focus groups revealed four themes as follows: staff members hold diverse beliefs about pornographic material, pornography is difficult to obtain and use for patients who do not identify as heterosexual, pornography is used for specific functions, and frequent exposure to pornography can have negative effects for staff members.

Trying to obtain consensus on the impacts of pornography on forensic patients is not possible; material access decisions should be on a case-by-case basis. Policy decisions should be based on fully represented views, including the LGBTI community. The impacts on staff of their occupational exposure to such material should be recognised and support provided. Clinical decision-making in this area should consider not only if access should be allowed but also how it can be managed safely, if at all. This includes for all those who could be exposed to such material, inadvertently or otherwise.

It addresses the under-researched area of patient access to pornography, capturing a poorly considered sample, namely, high secure psychiatric.

This paper aims to examine the prevalence of child sexual exploitation (CSE) and factors connected in a young adult population, through a series of connected studies. Each study considered exposure to poly-victimisation. The series of studies focussed on a number of factors felt to impact vulnerability and protective factors towards CSE. Specifically caregiver bonds, resilience and attachment style, adolescent risk-taking, quality of caregiver bonds, level/type of supportive relationships and positive schemas, as well as the impact of CSE disclosure and links to attachment style and maladaptive schemas.

These studies looked at a young adult population, mainly women. Study one (n = 263), study two (n = 138) and study three (n = 211), predominantly collected via a series of online measures.

Findings demonstrated that around half of children under 16 years had been approached sexually by an adult, with approximately one in four children subsequently exploited. Various results were noted, such as experiencing a primary caregiver as lacking in warmth and affection was associated with those reporting CSE, with further exposure to poly-victimisation contributing to a less functional coping style and insecure attachments. CSE was not associated with higher levels of adolescent risk-taking, poor bonds with the primary caregiver, fewer important childhood relationships and positive schemas.

This paper notes the importance of addressing the functions of behaviours for victims, to reduce re-victimisation risk. It noted the importance of applying theory when working with this population. It introduced the protect and vulnerability model against CSE and has practical applications for professionals working with victims of CSE. This paper argues the importance of individualised assessments for children who are deemed to be “at-risk” of CSE.

Findings were combined to propose the protection against the CSE model and the application of this to intervention and future research is acknowledged.