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Article
Publication date: 10 January 2020

Cathy Atkinson, George Thomas and Sarah Parry

Motivational interviewing (MI) has developed considerably since its inception, which may have led to diverse practice across contexts and differential understanding of core…

633

Abstract

Purpose

Motivational interviewing (MI) has developed considerably since its inception, which may have led to diverse practice across contexts and differential understanding of core principles. Concept mapping is one potential method for offering insight into practitioner awareness, understanding and application of MI. The paper aims to discuss this issue.

Design/methodology/approach

In total, 29 professionals from a range of disciplines, including counselling, education and health, completed concept maps about MI, following brief training at the UK regional MI interest network. In total, 17 completed maps were submitted for analysis using quantitative and qualitative methods.

Findings

A total of 186 concepts and 175 propositional links were found within the 17 maps. The most commonly identified concepts were: change, empathy, collaboration, open-ended questions, affirmations, reflections, summaries (OARS), client centred and compassion. The concept maps also suggested differing levels of expertise across network members using concept mapping morphology classification.

Research limitations/implications

The sample was small scale and located in one region of the UK. Maps were submitted anonymously meaning that participant data could not be matched to the maps.

Practical implications

Concept mapping is a potentially useful method for auditing practice and developing skills in MI, as well as exploring participants’ understanding of related concepts and therapeutic mechanisms.

Social implications

MI has a strong evidence-based across a variety of disciplines and contexts. Refining practitioner skills in MI has implications for the integrity of delivery, and improved client outcomes in areas such as substance use, health promotion and educational disaffection.

Originality/value

This is the first study to investigate concept mapping as a means of understanding MI practice. It has potential implications for training, monitoring, supervision and development in MI practice.

Details

Qualitative Research Journal, vol. 20 no. 2
Type: Research Article
ISSN: 1443-9883

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Article
Publication date: 7 August 2023

Sarah Louise Parry, Zarah Eve, Vasileios Stamou, Alice Brockway and Daniela Di Basilio

Half of adulthood mental health challenges begin by the age of 14-years-old, making the need for early-intervention clear. This study aims to evaluate a new service model that…

182

Abstract

Purpose

Half of adulthood mental health challenges begin by the age of 14-years-old, making the need for early-intervention clear. This study aims to evaluate a new service model that promotes early-intervention through a community based low-intensity Hub.

Design/methodology/approach

Clinical data from 2,384 young people were analysed through within-group, pre- and post-comparisons and qualitative survey, and interview data was analysed through content analysis.

Findings

Overall, participants reported that they were highly satisfied with the Hub and the low-intensity brief interventions met their needs. Participants reported that learning new skills, having a place to talk and positive therapeutic relationships were beneficial. The Hub appeared to be less successful for young people with complex mental health difficulties. As a service, the adoption of the Hub model reduced waiting list times by more than half.

Research limitations/implications

The quantitative data demonstrated that engaging with the Hub reduced symptoms of psychological distress. Qualitative analyses suggest that access to local, community, welcoming and “less clinical” support was beneficial, and the type of brief interventions offered was less important than therapeutic relationships.

Originality/value

This is the first study of a novel “Hub” model for low-intensity brief interventions in a socio-economically deprived area of England. Local knowledge, community integrated support, therapeutic relationships and a welcoming environment were viewed as more beneficial than the type of brief interventions offered. Consequently, community spaces can be created to be therapeutic and beneficial for mental health outside of a traditional conceptualisation of clinical support.

Details

Journal of Children's Services, vol. 18 no. 3/4
Type: Research Article
ISSN: 1746-6660

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Article
Publication date: 13 March 2017

Sarah L. Parry and Mike Lloyd

The term dissociation can describe a coping strategy to protect oneself against something unwanted in the moment, a disconnection from sensations and experiences in the here and…

303

Abstract

Purpose

The term dissociation can describe a coping strategy to protect oneself against something unwanted in the moment, a disconnection from sensations and experiences in the here and now. Although the more severe experiences of dissociation have been the subject of intense study over the last two decades, much less has been written about clients commonly seen in mental health services with mild to moderate dissociative conditions. Specifically, the purpose of this paper is to attend to therapeutic work with a client who experienced moderate dissociation, which caused disruptions to her autobiographical narrative and sense-of-self.

Design/methodology/approach

This single case design details the therapeutic journey of a Caucasian woman in her early 40s, who experienced moderate dissociation. The report illustrates how the process of creative artwork formulation helped address unwanted dissociative experiences whilst enhancing other coping strategies.

Findings

The client’s personal resources combined with a creative and responsive approach to formulation and reformulation facilitated the process of reconnecting with herself and others through developing awareness of her strengths and past means of coping, finally developing a consistent self-narrative.

Practical implications

The experiences of a creative approach to formulation are discussed in relation to the client’s past traumas and case relevant theory. These preliminary findings suggest creative artwork formulation is an effective tool in terms of developing trust and shared understanding within the therapeutic relationship and meaning making processes throughout therapy.

Originality/value

This case study presents an account of creative artwork formulation used as a method of formulation and reformulation specifically with a client experiencing moderate dissociative experiences following interpersonal traumas. Further, the report discusses the ways in which creative artwork formulation facilitated memory exploration and integration, as well as containing meaning making and healing.

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Article
Publication date: 15 February 2022

Sarah Louise Parry, Natalie A. Carr, Leanne J. Staniford and Lucy Walker

Young adults have been particularly adversely affected by COVID-19-related disruptions, especially in relation to industries with an over-representation of young adults. This…

1246

Abstract

Purpose

Young adults have been particularly adversely affected by COVID-19-related disruptions, especially in relation to industries with an over-representation of young adults. This study, a report, aims to discuss the findings from survey data from young adults who reported poorer mental health comparative to older generations prior to the pandemic. Drawing on the international literature and the research findings, the authors propose recommendations for rebuilding the workplace post-pandemic to support young adult's mental health.

Design/methodology/approach

Data from 1,999 respondents from 200 organisations in the UK were sought in relation to workplace well-being and mental health through a 15-item multiple choice online survey. Overall, 17% of the sample were senior management, 31% junior management, 37% in non-management roles and a further 15% stated “other”. Exploratory quantitative analyses were undertaken to assess differences in responses to questions between age groups.

Findings

Participants in the 16–25-year-old age group were more likely than any other age group to report that work adversely affected their mental health, that their mental health challenges influenced their performance at work, that they had witnessed colleagues' employment negatively influenced by mental health challenges and they felt more comfortable citing physical health challenges for absence than mental health difficulties.

Originality/value

COVID-19-related disruptions meant a large-scale move to remote working for many people. As we return to physical workplaces, we have an exciting opportunity to reform and improve the status quo. The findings, in relation to the mental health of young adults, highlight key risk factors that need to be addressed.

Details

International Journal of Workplace Health Management, vol. 15 no. 3
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 1 June 1998

Ivor J. Parry, David Tranfield, Stuart Smith, Morris Foster and Sarah Wilson

Reports on research resulting from a three year EPSRC funded project into teamworking in manufacturing companies. Investigates archetypal forms of teamworking rather than focusing…

2845

Abstract

Reports on research resulting from a three year EPSRC funded project into teamworking in manufacturing companies. Investigates archetypal forms of teamworking rather than focusing upon narrow or discrete sets of issues. Explores the dynamic capabilities of teamworking, firstly by considering changes in the manufacturing environment with its legacy of ‘old’ organisational forms and functions to contemporary environments where quality, flexibility and continuous improvement are key features, and secondly by discussing a detailed case history of one of the project’s collaborating companies. Identifies archetypal approaches to teamworking and explores benefits of a strategic organisational perspective. Argues that much of the teamworking literature fails to adopt either an organisational or strategic perspective, and hence is unable to acknowledge the complexity of such interventions. Reviews the implications of this more organisational approach for research design and investigation by means of a detailed case study, and explores the development of a strategic methodology for the effective introduction and development of teamworking into manufacturing companies.

Details

Team Performance Management: An International Journal, vol. 4 no. 4
Type: Research Article
ISSN: 1352-7592

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Article
Publication date: 9 December 2014

Sarah Parry and Stephen Weatherhead

Due to the emergence of rich personal narratives within recent research, the purpose of this paper is to review and to explore the experience of transition from care and consider…

1263

Abstract

Purpose

Due to the emergence of rich personal narratives within recent research, the purpose of this paper is to review and to explore the experience of transition from care and consider how these accounts can inform care services.

Design/methodology/approach

This meta-synthesis follows from several quantitative and mixed method reviews examining how young people experience aging out of the care system.

Findings

Three themes emerged from an inductive analysis: navigation and resilience – an interrelated process; the psychological impact of survival; and complex relationship.

Research limitations/implications

The findings of a meta-synthesis should not be over generalised and are at least partially influenced by the author's epistemological assumptions (Dixon-Woods et al., 2006). However, a synthesis of this topic has the potential to provide greater insight into how transition can be experienced through the reconceptualising of the personal experiences across the studies reviewed (Erwin et al., 2011).

Practical implications

This synthesis discusses the themes; their relationship to existing research and policies, and suggestions for further exploration. The experience of transition is considered critically in terms of its often traumatic nature for the young person aging out of care but also the ways in which the experience itself can build essential resiliencies.

Social implications

Reflections for clinical practice are discussed with importance placed upon systemic working, accommodating likely challenges and considering appropriate therapeutic approaches for the client group and their systems.

Originality/value

No review thus far has qualitatively examined the narratives told by the young people emerging from care and how these narratives have been interpreted by the researchers who sought them (Hyde and Kammerer, 2009).

Details

Journal of Children's Services, vol. 9 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Available. Content available
Book part
Publication date: 23 August 2022

Alison Pilnick

Free Access. Free Access

Abstract

Details

Reconsidering Patient Centred Care
Type: Book
ISBN: 978-1-80071-744-2

Available. Content available

Abstract

Details

International Journal of Workplace Health Management, vol. 15 no. 3
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 12 June 2017

Caroline Hughes, Iolo Madoc-Jones, Odette Parry and Sarah Dubberley

Notwithstanding heightened awareness of the issues faced by homeless people, the notion that homelessness is the result of individual failings and weaknesses persists. The purpose…

999

Abstract

Purpose

Notwithstanding heightened awareness of the issues faced by homeless people, the notion that homelessness is the result of individual failings and weaknesses persists. The purpose of this paper is to challenge that perception by giving voice to this marginalised group and exploring the mechanisms through which they made and remade as homeless and may be protected.

Design/methodology/approach

Semi-structured interviews (n=23) were carried out with a sample of homeless people who had accessed a range of homelessness services in the study area.

Findings

It is argued that largely deprived of the private sphere, which arguably renders them in most need of public space, homeless people find themselves most subject to scrutiny, surveillance, social disapprobation and exclusion.

Research limitations/implications

The authors reiterate that rather than simply being associated with rooflessness, homelessness is as a function of ongoing geographical marginalisation and social alienation.

Practical implications

The authors suggest that dedicated spaces for homeless people to occupy during the day continue to be in need of development because, whilst not unproblematic, they can disrupt processes associated with homelessness.

Social implications

Further resources should be directed towards homelessness and the issues that arise during daytime for homeless people.

Originality/value

The paper supports the literature which highlights the spatial practices by which stigmatised groups come to be separated from mainstream society.

Details

The Journal of Adult Protection, vol. 19 no. 3
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 31 October 2008

Franklin G. Mixon and Ernest W. King

In a relatively new and interesting study, a new theory was offered to explain events surrounding the Salem witch trials of 1692. According to the author of that study (Carlson)…

636

Abstract

Purpose

In a relatively new and interesting study, a new theory was offered to explain events surrounding the Salem witch trials of 1692. According to the author of that study (Carlson), the behavior of the accusers can be explained by an outbreak of encephalitis. The purpose of this paper is to offer evidence that contradicts that hypothesis.

Design/methodology/approach

To these ends, this paper examines life expectancy data from the Wigglesworth 1789 life expectancy tables to reject the Carlson thesis. The current study also provides a graphical exposition of the Salem witch trials as a demand‐pull phenomenon.

Findings

According to the data, the age at‐death minus the Wigglesworth life expectancy of 28.15 years for the witch trials accusers averages between 26.4 years, a figure that is statistically significant. This result contradicts Carlson's view that the accusers encountered encephalitis. Finally, the stylized graphical model presented here provides an additional way of viewing the witchcraft episode in 1692 Salem as a demand‐pull phenomenon. Originality/value In refuting previous hypotheses about witchcraft episodes, and by offering a graphical model of witchcraft hysteria as a demand‐pull phenomenon, this study re‐focuses attention on the ethico‐economic aspects of the Salem witchcraft episode.

Details

Humanomics, vol. 24 no. 4
Type: Research Article
ISSN: 0828-8666

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