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FPOP Bulletin: Psychology of Older People最新文献

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Talking sh**! – are we doing enough? 说废话!- 我们做得还不够吗?
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.15
Becci Dow, Alicia Ladbrook, Jess Saunders
This paper is a discursive piece on whether clinical psychologists and psychological practitioners are taking the time to consider bowel, urine and toileting issues sufficiently in their work. It draws on the disgust literature and the links to compassion in care giving. It seeks to explore experiences in direct therapy, in caregiver work, within teams and aims to encourage greater reflection on our relationships to these issues. The hope is to draw attention to the extraordinary work of those completing personal care tasks and the impact it has, with an attempt to position ourselves alongside people tolerating incontinence in order to grasp the psychological impact on self.
本文是一篇论述性文章,探讨临床心理学家和心理从业人员在工作中是否花时间充分考虑了大小便和如厕问题。它借鉴了恶心文献以及护理工作中同情心的相关内容。它试图探讨在直接治疗、护理工作和团队中的经验,旨在鼓励人们更多地反思我们与这些问题的关系。希望能够引起人们对那些完成个人护理任务的非凡工作及其影响的关注,并尝试将我们与那些忍受大小便失禁的人放在一起,以了解他们对自我的心理影响。
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引用次数: 0
Autistic cognitive presentation in later-life 晚年自闭症认知表现
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.6
Aimee Hayter
Autistic people grow older; however, little is known about how autistic cognitive differences change over later-life. Additionally, recent estimates indicate that many autistic older people remain undiagnosed. How then do clinical (neuro) psychologists understand the cognitive presentation of autistic people when they present to our services? This paper attempts to answer this question by briefly reviewing four pertinent studies in the literature. It discusses findings indicating that autistic cognitive differences remain into later life, that these cognitive differences do not change differentially compared to neurotypical people during aging. Finally, it notes practical suggestions from the literature of how to make cognitive assessments more sensitive to changes in cognition shown by older autistic people, and highlights the work FPOP intend to do in this area.
自闭症患者会逐渐变老,但人们对自闭症患者的认知差异在晚年有何变化却知之甚少。此外,据最新估计,许多老年自闭症患者仍未得到诊断。那么,当自闭症患者向我们求诊时,临床(神经)心理学家如何理解他们的认知表现呢?本文试图通过简要回顾文献中的四项相关研究来回答这个问题。研究结果表明,自闭症患者的认知差异在晚年仍然存在,而且在衰老过程中,这些认知差异与神经畸形患者相比并无不同变化。最后,它指出了文献中关于如何使认知评估对老年自闭症患者的认知变化更加敏感的实用建议,并强调了 FPOP 打算在这一领域开展的工作。
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引用次数: 0
Exploring clinicians’ experience of using Behavioural Family Therapy within an older adult community mental health service 探索临床医生在老年人社区心理健康服务中使用行为家庭疗法的经验
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.22
Jayne Westwood, Andy Ashley, Viktorija Petrulionyte
This service evaluation summarises the experience of staff offering Behavioural Family Therapy (BFT) in a community mental health setting for older people. Semi-structured interviews were conducted to gather staff views and a Template Analysis was used to summarise feedback. This evaluation indicates that BFT were seen as beneficial to Older Adults (OA) across a range of mental health problems and adaptations were needed to support this patient group and their families.
这项服务评估总结了在社区精神健康机构为老年人提供行为家庭疗法(BFT)的工作人员的经验。通过半结构式访谈收集了员工的意见,并采用模板分析法对反馈进行了总结。这项评估表明,行为家庭疗法被认为对有各种心理健康问题的老年人(OA)有益,但需要进行调整以支持这一患者群体及其家人。
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引用次数: 0
An evaluation of the process of measuring outcomes of a cognitive stimulation therapy group 对认知刺激疗法小组成果测量过程的评估
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.49
Roseanna Bridge, Sophie Allan, F. Gracey
The evaluation took place in an NHS Older People’s Mental Health community service in the east of England. One intervention provided by these teams is a Cognitive Stimulation Therapy (CST) group, an evidence-based therapy for people with dementia. This evaluation was completed in the context of procedural changes following the Covid-19 pandemic. CST groups moved from face-to-face to online delivery, and there were changes in the clinical systems used across the service. These changes led to inconsistencies in how outcome measures were administered and how data was gathered and stored across the teams. The aim was to recommend improvements to the procedures for evaluating the CST groups, namely, the use of outcome measures. Data on processes was acquired from professionals and quantitative data was procured from the clinical records system. A literature review was carried out to summarise the most recent evidence on outcome measures used to evaluate the CST intervention. This resulted in descriptive data about the inconsistencies across teams in evaluating the CST group. Findings focused on descriptive data and recommendations were shared with the service about the most efficacious process and outcome measure to evaluate the CST group.
评估在英格兰东部的一个国家医疗服务系统老年人心理健康社区服务机构进行。这些团队提供的一项干预措施是认知刺激疗法(CST)小组,这是一种针对痴呆症患者的循证疗法。这项评估是在 Covid-19 大流行后程序发生变化的背景下完成的。CST 小组从面对面服务转变为在线服务,整个服务所使用的临床系统也发生了变化。这些变化导致各小组的结果测量管理方式以及数据收集和存储方式不一致。我们的目的是建议改进 CST 小组的评估程序,即成果测量的使用。有关过程的数据来自专业人员,定量数据来自临床记录系统。我们进行了文献综述,总结了用于评估 CST 干预的结果测量的最新证据。由此获得了各团队在评估 CST 小组时不一致的描述性数据。研究结果侧重于描述性数据,并就评估 CST 小组最有效的过程和结果测量方法与服务机构分享了建议。
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引用次数: 0
Developing Cumbria’s post dementia diagnostic support using Cognitive Stimulation Therapy (CST): Results and reflections on the treatment’s reintroduction post Covid-19 利用认知刺激疗法 (CST) 发展坎布里亚痴呆症诊断后支持:Covid-19 后重新引入该疗法的结果与反思
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.37
N. Peake, Joanne Bailey, Kathryn Hunton, Daniel Snell, Emma Butcher, Roxanne Carswell, Christine Hill, Hazel Wright, Catherine Carter, Joyce Rumney, Leanne Pattinson, Laura Rielly, Josephine Clark, Pauline Carlyle
Cognitive Stimulation Therapy (CST, Spector et al., 2006) groups were part of the treatment provided by North Cumbria’s Community Older Adult Service until the Covid pandemic halted provision. Subsequently, treatment provided by the service to those diagnosed with a dementia relied heavily on pharmacological interventions to target the rate of cognitive decline. This paper documents the methodology of a service development project in Cumbria that reintroduced community CST groups, weekly for fourteen weeks across the year 2023. Preliminary findings demonstrate CST’s efficacy as a treatment for those living with a dementia diagnosis and coinciding low mood. Reflections shared from the project on the successes and challenges across its duration show its feasibility despite service pressures and resource limitations in a rural locality.In documenting this work, the project team aim to showcase the benefits of providing biopsychosocial care for older adults living with a dementia diagnosis and hope to inspire other Older Adult services to develop their post dementia diagnosis service provision using the CST protocols. With future iterations, more conclusive findings will be drawn and continued service development work has commenced in Cumbria on this project’s foundation within the Care Home and Educational Support System’s pathway.
认知刺激疗法(CST,Spector 等人,2006 年)小组是北坎布里亚郡社区老年人服务机构提供的治疗方法的一部分,直到 Covid 大流行时才停止提供。随后,该服务机构为被诊断出患有痴呆症的患者提供的治疗在很大程度上依赖于针对认知能力下降速度的药物干预。本文记录了坎布里亚的一个服务发展项目的方法,该项目重新引入了社区 CST 小组,每周一次,为期 14 周,将持续到 2023 年。初步研究结果表明,CST 对那些被诊断患有痴呆症并同时伴有情绪低落的人具有治疗效果。通过记录这项工作,项目团队旨在展示为确诊患有痴呆症的老年人提供生物心理社会护理的益处,并希望激励其他老年人服务机构利用 CST 协议发展其痴呆症确诊后服务。随着未来的迭代,我们将得出更多结论性的结论,并在坎布里亚州的护理之家和教育支持系统路径中,在该项目的基础上继续开展服务开发工作。
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引用次数: 0
Reflections of an APPly programme assistant psychologist: 6-month post in an acute older adults’ ward APPly项目助理心理学家的思考:在急诊老年人病房工作 6 个月
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.63
Yohan Augustine
An assistant psychologist (AP) post is a highly coveted and extremely competitive role for budding psychologists. For many, this is a crucial step to applying for the DClin, a shared goal for graduates to further their education and training. As popular and competitive positions may be for AP roles, it is no secret that experience in the older adults’ sector is not as popular as some others (Karel et al., 2012). This not only applies to APs in older adults’ services, but also to graduates of the DClin, who may prefer to work in other services rather than older adults. This highlights the necessity of generating interest in this area, as it’s important to ensure psychological needs are met for all populations and demographics, including older people.
助理心理学家(AP)职位是新晋心理学家梦寐以求且竞争异常激烈的职位。对许多人来说,这是申请博士学位的关键一步,也是毕业生继续深造和培训的共同目标。虽然心理咨询师的职位很受欢迎,竞争也很激烈,但在老年人领域的工作经验并不像其他一些职位那样受欢迎,这已经不是什么秘密了(Karel 等人,2012 年)。这不仅适用于老年人服务领域的 AP,也适用于 DClin 的毕业生,他们可能更愿意在其他服务领域工作,而不是老年人服务领域。这凸显了激发对该领域兴趣的必要性,因为确保满足包括老年人在内的所有人群和人口的心理需求非常重要。
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引用次数: 0
Single case experiment evaluating the effectiveness of an adapted cognitive behavioural therapy intervention for an older adult with a fear of falling 单例实验,评估针对有跌倒恐惧症的老年人的改良认知行为疗法干预的有效性
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.29
Rosie Sibley
Aim:A single case experiment was carried out for a 77-year-old woman who was referred to the older adult community mental health team for support with anxiety related to a fear of falling.Method:An AB design was implemented, using an adapted cognitive behavioural therapy graded exposure intervention to target her anxiety and fear of falling.Results:There was an overall reduction in the client’s anxiety and an increase in her activity levels.Conclusion:The adapted intervention resulted in decreased anxiety, psychological distress, and a fear of falling and an increase in the frequency of her walking.Consent:The client was provided with information about the purpose of the write up for this case study. She kindly provided informed written consent for the case study to be published within an academic journal. Some demographic details have been amended to protect her identity.
目的:我们对一名 77 岁的妇女进行了单例实验,她被转介到老年人社区心理健康小组,寻求与害怕跌倒相关的焦虑支持。方法:我们采用 AB 设计,使用经过调整的认知行为疗法分级暴露干预,以消除她的焦虑和对跌倒的恐惧。结果:客户的焦虑情绪总体上有所减轻,活动量也有所增加。结论:经过调整的干预措施减轻了客户的焦虑、心理困扰和跌倒恐惧,并增加了她行走的频率。她在知情的情况下书面同意在学术期刊上发表该案例研究。为保护她的身份,对一些人口统计学细节进行了修改。
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引用次数: 0
Widening access to older people’s clinical psychology: Piloting a summer shadowing programme in older adults services 扩大老年人接触临床心理学的机会:在老年人服务机构试行暑期实习计划
Pub Date : 2024-07-01 DOI: 10.53841/bpsfpop.2024.1.167.57
Reena Shah, Navneet Nagra
Within recent years, there has been an expansion of UK clinical psychology courses, additional psychological professions and increased attention to psychological wellbeing as part of the NHS Long Term Plan (NHS England, 2019). It has been an energetic time for clinical psychology and in turn, older adult clinical psychology. However, despite the expansion of training places, pervasive social inequalities have meant that for some a career in clinical psychology is less accessible, meaning that the psychology workforce is less diverse. This, in combination with lack of parity in investment for Older Adult Services, can mean older adults’ access to more representative psychological professionals remain hindered. The current paper explores a recent shadowing programme that our small psychology team and older adults’ mental health team piloted in the summer of 2023. Eight female students were able to complete the programme and provided insightful feedback on the experience. We reflect on future learnings and recommendations of setting up such projects in older adult services.
近年来,英国临床心理学课程不断扩大,心理学专业不断增加,作为英国国家医疗服务体系长期计划(NHS England, 2019)的一部分,人们对心理健康的关注度也不断提高。对于临床心理学以及老年人临床心理学来说,这是一个充满活力的时代。然而,尽管培训名额有所扩大,但普遍存在的社会不平等现象意味着,对于某些人来说,从事临床心理学工作的机会较少,这意味着心理学工作者队伍的多元化程度较低。这一点,再加上对老年人服务的投资缺乏均等性,可能意味着老年人接触更具代表性的心理学专业人士的机会仍然受到阻碍。本文探讨了我们的小型心理学团队和老年人心理健康团队最近在 2023 年夏季试行的一项影子计划。八名女学生完成了这一项目,并对这一经历提供了深刻的反馈。我们反思了在老年人服务中设立此类项目的未来经验和建议。
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引用次数: 0
Mild Cognitive Impairment (MCI): Evaluating a new treatment pathway for service users and carers 轻度认知障碍(MCI):为服务使用者和护理者评估新的治疗途径
Pub Date : 2024-04-01 DOI: 10.53841/bpsfpop.2024.1.166.56
Derek Batten, Koralia Bentivoglio
The prevalence of MCI is increasing in older adults; living with MCI not only negatively affects older people’s daily living and quality of life, but also increases the likelihood of developing dementia in the future. However, not all individuals will progress to dementia, which highlights the importance of developing preventative strategies and appropriate interventions to delay the onset of dementia. Given the current emphasis across the healthcare system on the need for psychosocial interventions that reduce the risk of dementia, the Specialist Dementia and Frailty Service (SDFS) in West Essex has launched a new MCI pathway, which runs as a pilot for one year to offer support for individuals with MCI and their caregivers. The current service evaluation aims to evaluate older people’s and their carers’ experiences of receiving a diagnosis in conjunction with exploring ideas about what they would find helpful in terms of post diagnostic support. Semi-structured interviews were conducted with service users and their carers over the telephone. Service users had received an MCI diagnosis and were either awaiting an intervention from the pathway or had received some form of post diagnostic support. Data was collected through an interview schedule and analysed using thematic analysis (TA). Themes highlighted the varying emotional experiences of receiving the diagnosis, the confusing and ambiguous process of MCI, the helpful and less helpful aspects of the support received, and ideas for future support. Findings from the service evaluation fit with the wider MCI literature and research. Some implications for the memory service are discussed, including individualised support, peer support, additional regular check ins and follow ups from the service, and support for carers.
MCI 在老年人中的发病率越来越高;患有 MCI 不仅会对老年人的日常生活和生活质量产生负面影响,还会增加他们将来患痴呆症的可能性。然而,并不是所有的人都会发展成痴呆症,这就凸显了制定预防策略和适当干预措施以延缓痴呆症发病的重要性。鉴于目前整个医疗保健系统都在强调需要采取社会心理干预措施来降低痴呆症的发病风险,西埃塞克斯郡的痴呆与虚弱专科服务机构(SDFS)推出了一项新的 MCI 途径,作为试点运行一年,为 MCI 患者及其照顾者提供支持。目前的服务评估旨在评估老年人及其照护者在接受诊断时的经历,同时探讨他们认为在诊断后支持方面有哪些帮助。我们通过电话对服务使用者及其照护者进行了半结构化访谈。服务使用者已接受 MCI 诊断,正在等待路径干预或接受某种形式的诊断后支持。数据通过访谈表收集,并使用主题分析法(TA)进行分析。主题突出了接受诊断时的不同情感体验、MCI 过程中的困惑和模糊、所接受的支持中有用和无用的方面,以及对未来支持的想法。服务评估结果与更广泛的 MCI 文献和研究相吻合。报告还讨论了对记忆服务的一些影响,包括个性化支持、同伴支持、额外的定期检查和服务跟进,以及对照护者的支持。
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引用次数: 0
The risk of being older: Working with risk in older adults mental health services 老年人的风险:应对老年人心理健康服务中的风险
Pub Date : 2024-04-01 DOI: 10.53841/bpsfpop.2024.1.166.27
Elena Olgiati, Navneet Nagra
When working as healthcare professionals, we incorporate an array of narratives and structures which come with the role. It is our clinical responsibility to acknowledge and name different factors at play in different conditions, and we are trained to work and support teams with constructs such as vulnerability and power. Working with older people, other dynamics entering the picture are ageing, dementia and frailty. Risk is another example of such forces, an overarching concept which we need to be constantly aware of as professionals. This article will explore the concept of risk and what it means to be working with risk in community-based care for older people. The aim is to generate a conversation about common risks in the older population, challenging assumptions and offering a space for reflection on how to best explore and support.
作为医疗保健专业人员,我们在工作中会融入一系列与角色相关的叙述和结构。我们的临床职责是承认并指出在不同情况下起作用的不同因素,我们接受的培训是在工作和支持团队时考虑到脆弱性和权力等因素。在与老年人打交道的过程中,老龄化、痴呆症和虚弱等因素也会产生影响。风险是这种力量的另一个例子,也是我们作为专业人员需要时刻注意的一个总体概念。本文将探讨风险的概念,以及在社区老年人护理工作中与风险打交道的意义。其目的是就老年人口中常见的风险展开讨论,对各种假设提出质疑,并就如何以最佳方式探索和提供支持提供反思空间。
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引用次数: 0
期刊
FPOP Bulletin: Psychology of Older People
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