Background: Political values are essential to our sense of self and belonging. Yet the political orientation of clinical psychologists has either been neglected in psychological research or been investigated only in the United States several decades ago. This study therefore aimed to explore political values among psychologists and how they perceive the effect of political values on therapy in Norway. Method: Five clinical psychologists currently in active practice were recruited for semi-structured interviews. Results and discussion: A thematic analysis yielded several distinct themes. Political beliefs appear to play a part in therapy, and may influence both what the therapist thinks about the client and the choice of therapy. Nonetheless, the informants reported that talking about political beliefs in a psychotherapeutic setting was unusual and even uncomfortable for them. Conclusion: We therefore ask whether it is time to break the taboos associated with political values in and around psychotherapy, and conclude that further research should be devoted to this sensitive but vital topic. Keywords: politics, values, psychotherapy, therapeutic alliance, empathy, semi-structured interviews
{"title":"«Jeg tror det er en illusjon at det ikke skal skinne igjennom»: En tematisk analyse av hvordan psykologer opplever at deres politiske verdier påvirker terapi","authors":"Ezgi Kutal, Erik Stänicke, Ole Jacob Madsen","doi":"10.52734/5pvh622p","DOIUrl":"https://doi.org/10.52734/5pvh622p","url":null,"abstract":"Background: Political values are essential to our sense of self and belonging. Yet the political orientation of clinical psychologists has either been neglected in psychological research or been investigated only in the United States several decades ago. This study therefore aimed to explore political values among psychologists and how they perceive the effect of political values on therapy in Norway. Method: Five clinical psychologists currently in active practice were recruited for semi-structured interviews. Results and discussion: A thematic analysis yielded several distinct themes. Political beliefs appear to play a part in therapy, and may influence both what the therapist thinks about the client and the choice of therapy. Nonetheless, the informants reported that talking about political beliefs in a psychotherapeutic setting was unusual and even uncomfortable for them. Conclusion: We therefore ask whether it is time to break the taboos associated with political values in and around psychotherapy, and conclude that further research should be devoted to this sensitive but vital topic. Keywords: politics, values, psychotherapy, therapeutic alliance, empathy, semi-structured interviews","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122623851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Halvorsen, Sabine Kaiser, Ida Lyngaard Hansen, Ida Rakel Blichfeldt Sandal, Sissel Berge Helverschou
This study examined the psychometric properties of the Norwegian version of the Developmental Behavior Checklist – Parent (DBC-P) in an intellectual and developmental disabilities (IDD) sample of children and adolescents (N = 168). Internal consistency was adequate to excellent for all scales (Cronbach’s alpha ranged between .70–.96). The DBC-P showed meaningful overlap with and differentiation from the Aberrant Behavior Checklist, clinical diagnoses, the Vineland Adaptive Behavior Scales, and the Full Scale IQ. The Norwegian scale scores for a mild IDD level were comparable with the American norms. Further research including severe IDD levels is needed on the Norwegian DBC-P. In summary, the study shows that the Norwegian DBC-P has both adequate reliability and validity. Keywords: Developmental Behavior Checklist, intellectual and developmental disabilities, mental health problems
{"title":"Validering av den norske foreldreversjonen av Developmental Behavior Checklist (DBC-P)","authors":"M. Halvorsen, Sabine Kaiser, Ida Lyngaard Hansen, Ida Rakel Blichfeldt Sandal, Sissel Berge Helverschou","doi":"10.52734/j2m9s96u","DOIUrl":"https://doi.org/10.52734/j2m9s96u","url":null,"abstract":"This study examined the psychometric properties of the Norwegian version of the Developmental Behavior Checklist – Parent (DBC-P) in an intellectual and developmental disabilities (IDD) sample of children and adolescents (N = 168). Internal consistency was adequate to excellent for all scales (Cronbach’s alpha ranged between .70–.96). The DBC-P showed meaningful overlap with and differentiation from the Aberrant Behavior Checklist, clinical diagnoses, the Vineland Adaptive Behavior Scales, and the Full Scale IQ. The Norwegian scale scores for a mild IDD level were comparable with the American norms. Further research including severe IDD levels is needed on the Norwegian DBC-P. In summary, the study shows that the Norwegian DBC-P has both adequate reliability and validity. Keywords: Developmental Behavior Checklist, intellectual and developmental disabilities, mental health problems","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"318 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126521481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Work ability is a prospective predictor of sick leave and is defined as the balance between human resources and work demands. Since work ability is not equivalent to health status, identifying modifiable factors that contribute to it has the potential to reduce sick leave and related problems. The metacognitive model suggests that metacognition may be related to work ability and status, and a previous study reported an association between memory confidence and work ability. We aimed to replicate this finding and to test its robustness. In a cross-sectional study, 502 eligible participants responded to self-reporting measures. Confidence in memory significantly correlated with work ability, and this association held even when controlling for gender, age, physical health impairments, symptoms of anxiety and depression, negative automatic thoughts related to anxiety, fear of bodily sensations, and intolerance of uncertainty. Memory confidence may be a target for treatment with an aim to improve work ability. Keywords: work ability, metacognition, S-REF model, cognitive confidence, metacognitive therapy
{"title":"Metakognitiv kunnskap om hukommelse og arbeidsevne: En replikasjon og stringent test","authors":"Henrik Nordahl, Tarjei Vollset, Odin Hjemdal","doi":"10.52734/2l8m6g9f","DOIUrl":"https://doi.org/10.52734/2l8m6g9f","url":null,"abstract":"Work ability is a prospective predictor of sick leave and is defined as the balance between human resources and work demands. Since work ability is not equivalent to health status, identifying modifiable factors that contribute to it has the potential to reduce sick leave and related problems. The metacognitive model suggests that metacognition may be related to work ability and status, and a previous study reported an association between memory confidence and work ability. We aimed to replicate this finding and to test its robustness. In a cross-sectional study, 502 eligible participants responded to self-reporting measures. Confidence in memory significantly correlated with work ability, and this association held even when controlling for gender, age, physical health impairments, symptoms of anxiety and depression, negative automatic thoughts related to anxiety, fear of bodily sensations, and intolerance of uncertainty. Memory confidence may be a target for treatment with an aim to improve work ability. Keywords: work ability, metacognition, S-REF model, cognitive confidence, metacognitive therapy","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114950220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
June Ullevoldsæter Lystad, Eline Borger Rognli, Ellen Ånestad Moen, Beate Brinchmann, Øystein Spjelkavik, Hanne Lorimer Aamodt
Employment is an important focus area in the treatment of severe mental illness and substance use disorders. Health and welfare services are instructed to collaborate closely on implementing evidence-based practices of vocational rehabilitation such as Individual Placement and Support (IPS) in treatment guidelines, clinical pathways and the current national healthcare plan (2020–2023). Although evidence of the effectiveness of IPS continues to grow and there is broad political commitment to finance and implement IPS, challenges remain. System-level cooperation between services and legislative issues on integrating employment specialists in mental health services poses potential implementation barriers that need clarification to allow successful provision of IPS. In this paper, we describe how IPS is integrated in specialized mental health treatment. The empirical and practical basis for the current article comes from five different research groups. New directions, challenges and opportunities in IPS implementation are also discussed in light of new regulations from the Norwegian Directorate of Health. Keywords: Individual Placement and Support, employment, health and welfare services, integration, employment specialist, implementation
{"title":"Arbeidsrettet behandling ved alvorlig psykisk lidelse i spesialisthelsetjenesten","authors":"June Ullevoldsæter Lystad, Eline Borger Rognli, Ellen Ånestad Moen, Beate Brinchmann, Øystein Spjelkavik, Hanne Lorimer Aamodt","doi":"10.52734/2h82w7yp","DOIUrl":"https://doi.org/10.52734/2h82w7yp","url":null,"abstract":"Employment is an important focus area in the treatment of severe mental illness and substance use disorders. Health and welfare services are instructed to collaborate closely on implementing evidence-based practices of vocational rehabilitation such as Individual Placement and Support (IPS) in treatment guidelines, clinical pathways and the current national healthcare plan (2020–2023). Although evidence of the effectiveness of IPS continues to grow and there is broad political commitment to finance and implement IPS, challenges remain. System-level cooperation between services and legislative issues on integrating employment specialists in mental health services poses potential implementation barriers that need clarification to allow successful provision of IPS. In this paper, we describe how IPS is integrated in specialized mental health treatment. The empirical and practical basis for the current article comes from five different research groups. New directions, challenges and opportunities in IPS implementation are also discussed in light of new regulations from the Norwegian Directorate of Health. Keywords: Individual Placement and Support, employment, health and welfare services, integration, employment specialist, implementation","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128108750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beate Ørbeck, Hans Jørgen Berntsen, Kristin Romvig Øvergaard
Background: The accuracy of the Norwegian Social Communication Questionnaire (SCQ) in identifying autism spectrum disorder (ASD) within child psychiatry is not known. Method: We investigated the accuracy of SCQ in identifying clinically diagnosed ASD and ASD classified by the Developmental, Dimensional and Diagnostic Interview (3Di) and the Autism Diagnostic Observation Schedule (ADOS-2). Results: The SCQ cut-off of 15 showed low sensitivity (Se) for correct classification of clinically diagnosed ASD (Se = 38%) and ADOS-2 classified ASD (Se = 30%) with 78% and 76% specificity (SP), respectively. For 3Di classified ASD, Se was somewhat higher (49%) and had good specificity (86%), with the best positive predictive value (.73). Conclusions/Implications: The SCQ showed low accuracy in identifying a clinical ASD diagnosis in child psychiatry. However, children with SCQ scores at or above threshold had a high risk of also being categorised with ASD according to the 3Di. We recommend that future studies include more detailed information about the basis for the final diagnostic conclusions. Furthermore, SCQ's characteristics should be evaluated in samples of children within a broad range of ASD that includes individuals with delayed development. Investigation of the suitability of other screening instruments for ASD for diagnostic work in child psychiatric clinics is also needed. Keywords: Autism Diagnostic Observation Schedule (ADOS-2), Developmental, Dimensional and Diagnostic Interview (3Di), sensitivity; specificity, Social Communication Questionnaire (SCQ)
{"title":"Hvor nøyaktig identifiserer screeninginstrumentet Social Communication Questionnaire autismespekterforstyrrelser i BUP?","authors":"Beate Ørbeck, Hans Jørgen Berntsen, Kristin Romvig Øvergaard","doi":"10.52734/4853dtcx","DOIUrl":"https://doi.org/10.52734/4853dtcx","url":null,"abstract":"Background: The accuracy of the Norwegian Social Communication Questionnaire (SCQ) in identifying autism spectrum disorder (ASD) within child psychiatry is not known. Method: We investigated the accuracy of SCQ in identifying clinically diagnosed ASD and ASD classified by the Developmental, Dimensional and Diagnostic Interview (3Di) and the Autism Diagnostic Observation Schedule (ADOS-2). Results: The SCQ cut-off of 15 showed low sensitivity (Se) for correct classification of clinically diagnosed ASD (Se = 38%) and ADOS-2 classified ASD (Se = 30%) with 78% and 76% specificity (SP), respectively. For 3Di classified ASD, Se was somewhat higher (49%) and had good specificity (86%), with the best positive predictive value (.73). Conclusions/Implications: The SCQ showed low accuracy in identifying a clinical ASD diagnosis in child psychiatry. However, children with SCQ scores at or above threshold had a high risk of also being categorised with ASD according to the 3Di. We recommend that future studies include more detailed information about the basis for the final diagnostic conclusions. Furthermore, SCQ's characteristics should be evaluated in samples of children within a broad range of ASD that includes individuals with delayed development. Investigation of the suitability of other screening instruments for ASD for diagnostic work in child psychiatric clinics is also needed. Keywords: Autism Diagnostic Observation Schedule (ADOS-2), Developmental, Dimensional and Diagnostic Interview (3Di), sensitivity; specificity, Social Communication Questionnaire (SCQ)","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127771352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alcohol use disorder (AUD) is among the three most common mental disorders in Norway. In general, treatment is provided by interdisciplinary specialized substance use disorder clinics. However, a substantial portion of AUD patients do not receive effective treatments, and we need to develop more efficient treatments that are tailored to the patient. This article presents findings from a clinically situated literature search on the significance of patient factors for completion and outcomes of AUD treatment. We found that severity of alcohol dependence, social network, personality disorders and cognitive impairments were significant factors for completion and outcomes in AUD treatment. Demographic factors such as gender and age were of minor importance. This can be useful hands-on knowledge for clinicians working in the field of addiction treatment when providing and adapting treatment to AUD patients. Keywords: alcohol use disorder, evidence-based practice, patient factors, treatment outcome, psychotherapy.
{"title":"Behandling av alkoholbrukslidelse: pasientfaktorers betydning for gjennomføring og utfall","authors":"Kristoffer Høiland, Jens Egeland","doi":"10.52734/dx5j39y5","DOIUrl":"https://doi.org/10.52734/dx5j39y5","url":null,"abstract":"Alcohol use disorder (AUD) is among the three most common mental disorders in Norway. In general, treatment is provided by interdisciplinary specialized substance use disorder clinics. However, a substantial portion of AUD patients do not receive effective treatments, and we need to develop more efficient treatments that are tailored to the patient. This article presents findings from a clinically situated literature search on the significance of patient factors for completion and outcomes of AUD treatment. We found that severity of alcohol dependence, social network, personality disorders and cognitive impairments were significant factors for completion and outcomes in AUD treatment. Demographic factors such as gender and age were of minor importance. This can be useful hands-on knowledge for clinicians working in the field of addiction treatment when providing and adapting treatment to AUD patients. Keywords: alcohol use disorder, evidence-based practice, patient factors, treatment outcome, psychotherapy.","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"481 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116400549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To examine the experiences of shared parental responsibility with someone affected by substance use disorder (SUD). Characteristics of the experiences and coping strategies were explored. Method: A semi-structured focus group interview was conducted with (N=4) individuals who consulted with a support service regarding their relationship. The participants shared parenting either in a current relationship or as ex-partners. Thematic analysis was used to analyze the interviews. Results: Overall, participants reported significant strain due to shared parenting. The parents reported considerable concern for and strain in their efforts to compensate for the potential damage to the child caused by the parent with SUD. The parents reported varied views regarding professional help, some of them feeling further burdened by interactions with the health care services. Conclusions/Implications: These preliminary results substantiate an association between shared parenting with someone affected by SUD and potential traumatic strain and underline the need for adequate support for these parents. Our observations need further investigation in studies using a larger sample. Keywords: substance use disorders, next of kin, shared parenting, emotional strain, health care
{"title":"Å ha felles barn med nokon med rusmiddelproblem: ein kvalitativ pilotstudie","authors":"Marita Orseth Høydal, T. Nordfjærn","doi":"10.52734/w6nq338j","DOIUrl":"https://doi.org/10.52734/w6nq338j","url":null,"abstract":"Objective: To examine the experiences of shared parental responsibility with someone affected by substance use disorder (SUD). Characteristics of the experiences and coping strategies were explored. Method: A semi-structured focus group interview was conducted with (N=4) individuals who consulted with a support service regarding their relationship. The participants shared parenting either in a current relationship or as ex-partners. Thematic analysis was used to analyze the interviews. Results: Overall, participants reported significant strain due to shared parenting. The parents reported considerable concern for and strain in their efforts to compensate for the potential damage to the child caused by the parent with SUD. The parents reported varied views regarding professional help, some of them feeling further burdened by interactions with the health care services. Conclusions/Implications: These preliminary results substantiate an association between shared parenting with someone affected by SUD and potential traumatic strain and underline the need for adequate support for these parents. Our observations need further investigation in studies using a larger sample. Keywords: substance use disorders, next of kin, shared parenting, emotional strain, health care","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115279973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sebastian Gulbrandsen, Line Gadolin, Eleni Borgund, A. Hjeltnes
Background: In recent years, supervision based on video recordings of supervisees’ therapy sessions has received increased attention, but our empirical knowledge about how psychologists experience this form of supervision is sparse. Objective: To explore psychologists’ experiences of professional and personal development in video-based supervision. Method: We conducted semi-structured interviews with nine therapists who had recently received video-based supervision. Transcripts were analyzed using hermeneutical-phenomenological thematic analysis. Results: We identified three themes: (1) A more vulne-rable experience in supervision, (2) “What we need to see to become better therapists”, and (3) “It makes me more secure as a therapist and as a person”. Conclusion: Psychologists feel more exposed and vulnerable in video-based supervision but also find it more useful for improving therapeutic skills and facilitating personal development. It is important for supervisors to be aware of specific challenges related to performance anxiety and learning in video-based supervision.¬¬ Keywords: Video-based supervision, psychotherapy training, deliberate practice, technology in training, performance anxiety
{"title":"Psychologists' experiences of video-based supervision: A qualitative study","authors":"Sebastian Gulbrandsen, Line Gadolin, Eleni Borgund, A. Hjeltnes","doi":"10.52734/686yby3r","DOIUrl":"https://doi.org/10.52734/686yby3r","url":null,"abstract":"Background: In recent years, supervision based on video recordings of supervisees’ therapy sessions has received increased attention, but our empirical knowledge about how psychologists experience this form of supervision is sparse. Objective: To explore psychologists’ experiences of professional and personal development in video-based supervision. Method: We conducted semi-structured interviews with nine therapists who had recently received video-based supervision. Transcripts were analyzed using hermeneutical-phenomenological thematic analysis. Results: We identified three themes: (1) A more vulne-rable experience in supervision, (2) “What we need to see to become better therapists”, and (3) “It makes me more secure as a therapist and as a person”. Conclusion: Psychologists feel more exposed and vulnerable in video-based supervision but also find it more useful for improving therapeutic skills and facilitating personal development. It is important for supervisors to be aware of specific challenges related to performance anxiety and learning in video-based supervision.¬¬ Keywords: Video-based supervision, psychotherapy training, deliberate practice, technology in training, performance anxiety","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125537188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Treatment guidelines recommend that patients with extreme self-harm behavior avoid admission to psychiatric wards. Some patients may escalate their self-harm until admission is granted for safety reasons. The resulting admissions often result in escalating self-harm that is managed with coercive measures. To prevent negative, repeated episodes of acute admissions with escalating self-harm and coercion before discharge, Lovisenberg Diaconal Hospital in 2013 developed a service providing brief acute ward admissions by self-referral. This article presents the first survey of users’ satisfaction with this targeted self-referral service and reflections on further development and evaluation of the service. Material and methods: In 2018, a total of 32 patients were enrolled in the self-referral service and were asked to respond to a survey on service satisfaction that included both multiple-choice and free-text responses. Twenty-three patients consented to participate. Group-based descriptive statistics of real-life service use was conducted to control for survey bias. Results: The majority had been diagnosed with borderline personality disorder. A total of 16 respondents were satisfied or very satisfied with the self-referral service. About 40% of the respondents had no new admissions following their enrolment in the self-referral service. Most respondents reported that the option of self-referral increased their everyday sense of safety and control, and emphasized the absence of emergency-room evaluation as a major advantage. Conclusion: Users’ responses indicate that a self-referral service tailored to this small group of patients may enhance their sense of self-control and everyday safety and reduce the need to escalate the level of self-harm necessary to qualify for regular acute psychiatric admission. This is consistent with studies of similar services in other countries. Keywords: long-term suicidal behavior, self-referral, brief hospital admissions, patient satisfaction
{"title":"Kortvarige brukerstyrte innleggelser som alternativ til tvangsinnleggelse hos pasienter med alvorlig selvskading","authors":"Nikolaj Kunøe, Bjørnar Torske Antonsen, Patricke Selsøe Ebeling, Sissel Bruun","doi":"10.52734/6mp76v23","DOIUrl":"https://doi.org/10.52734/6mp76v23","url":null,"abstract":"Background: Treatment guidelines recommend that patients with extreme self-harm behavior avoid admission to psychiatric wards. Some patients may escalate their self-harm until admission is granted for safety reasons. The resulting admissions often result in escalating self-harm that is managed with coercive measures. To prevent negative, repeated episodes of acute admissions with escalating self-harm and coercion before discharge, Lovisenberg Diaconal Hospital in 2013 developed a service providing brief acute ward admissions by self-referral. This article presents the first survey of users’ satisfaction with this targeted self-referral service and reflections on further development and evaluation of the service. Material and methods: In 2018, a total of 32 patients were enrolled in the self-referral service and were asked to respond to a survey on service satisfaction that included both multiple-choice and free-text responses. Twenty-three patients consented to participate. Group-based descriptive statistics of real-life service use was conducted to control for survey bias. Results: The majority had been diagnosed with borderline personality disorder. A total of 16 respondents were satisfied or very satisfied with the self-referral service. About 40% of the respondents had no new admissions following their enrolment in the self-referral service. Most respondents reported that the option of self-referral increased their everyday sense of safety and control, and emphasized the absence of emergency-room evaluation as a major advantage. Conclusion: Users’ responses indicate that a self-referral service tailored to this small group of patients may enhance their sense of self-control and everyday safety and reduce the need to escalate the level of self-harm necessary to qualify for regular acute psychiatric admission. This is consistent with studies of similar services in other countries. Keywords: long-term suicidal behavior, self-referral, brief hospital admissions, patient satisfaction","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125356479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: Few studies have compared attitudes to coercion in both patients and healthcare professionals, and the Staff Attitude to Coercion Scale (SACS) has not previously been used in Norway. The purpose of the current study was to examine differences in staff and patient attitudes using SACS. Method: The study included 1160 employees and 332 patients. Factor analysis was used to compare SACS's three-factor model across the two groups. Independent t-tests were used to compare staff and patient attitudes on the three SACS dimensions: coercion as potentially offensive and/or harmful to the patient, coercion as care and safety, and coercion as treatment. Results: We found statistically significant differences between staff and patients' reported attitudes on two SACS dimensions. Patients reported coercion as more offensive and/or harmful than did with staff (t (495) = 7.96, p <.001). Staff reported coercion as care and safety to a higher degree than did patients (t (444) = -5.91, p <.001). Conclusion: The results suggest the presence of attitudinal differences between patients and staff. One limitation of the study is that SACS has not been validated for use by patients. Generally, the results imply a discrepancy in attitudes that may lead to a weak treatment alliance between staff and patients. Keywords: coercion, mental health care, ethical challenges, SACS, staff-patient alliance.
目的:很少有研究比较患者和医疗保健专业人员对胁迫的态度，工作人员对胁迫的态度量表(SACS)以前没有在挪威使用过。本研究的目的是检查工作人员和患者使用SACS态度的差异。方法:纳入1160名员工和332名患者。采用因子分析比较两组SACS的三因素模型。独立t检验用于比较工作人员和患者对SACS三个维度的态度:胁迫作为潜在冒犯和/或有害于患者，胁迫作为护理和安全，胁迫作为治疗。结果:我们发现工作人员和患者在SACS两个维度上的态度有统计学上的显著差异。患者报告胁迫比工作人员更具攻击性和/或危害性(t (495) = 7.96, p <.001)。工作人员将强迫作为护理和安全的程度高于患者(t (444) = -5.91, p <.001)。结论:患者与医护人员之间存在态度差异。该研究的一个局限性是SACS尚未被证实可用于患者。一般来说，结果暗示了态度上的差异，这可能导致医护人员和患者之间的治疗联盟薄弱。关键词:胁迫，精神卫生保健，伦理挑战，SACS，医患联盟
{"title":"Tvang i psykisk helsevern: En sammenligning av holdninger blant ansatte og pasienter","authors":"Guri Sjøtun Lydersen, Marte Morken, O. Aasland, Reidar Pedersen, Tonje Lossius Husum","doi":"10.52734/sq5783e6","DOIUrl":"https://doi.org/10.52734/sq5783e6","url":null,"abstract":"Aim: Few studies have compared attitudes to coercion in both patients and healthcare professionals, and the Staff Attitude to Coercion Scale (SACS) has not previously been used in Norway. The purpose of the current study was to examine differences in staff and patient attitudes using SACS. Method: The study included 1160 employees and 332 patients. Factor analysis was used to compare SACS's three-factor model across the two groups. Independent t-tests were used to compare staff and patient attitudes on the three SACS dimensions: coercion as potentially offensive and/or harmful to the patient, coercion as care and safety, and coercion as treatment. Results: We found statistically significant differences between staff and patients' reported attitudes on two SACS dimensions. Patients reported coercion as more offensive and/or harmful than did with staff (t (495) = 7.96, p <.001). Staff reported coercion as care and safety to a higher degree than did patients (t (444) = -5.91, p <.001). Conclusion: The results suggest the presence of attitudinal differences between patients and staff. One limitation of the study is that SACS has not been validated for use by patients. Generally, the results imply a discrepancy in attitudes that may lead to a weak treatment alliance between staff and patients. Keywords: coercion, mental health care, ethical challenges, SACS, staff-patient alliance.","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"253 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123522600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：