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Is there adequate evidence to support the use of compassion focused therapy group interventions with forensic mental health service users? A rapid evidence assessment 是否有足够的证据支持对法医心理健康服务使用者使用以同情为重点的治疗小组干预?快速证据评估
Pub Date : 2021-03-01 DOI: 10.53841/bpsfu.2021.1.136.39
Lucy D’Souza, Danielle A. Lawrence
Compassion focused therapy (CFT) is a model of psychotherapy based on cultivating the capacity for compassion to others and self. The evidence base has grown considerably in the last decade regarding CFT’s effectiveness for a range of mental health problems. However, the literature supporting CFT as a treatment provision for forensic service users with mental health needs is lacking despite the observed overlap in needs between this population and their non-offending clinical counterparts. This rapid evidence assessment (REA) sought to evaluate the current evidence of CFT’s effectiveness as a group therapeutic intervention with clinical populations to allow consideration of the use of CFT with individuals with both mental health and criminogenic needs. A search of electronic databases was undertaken and after a process of review and extraction 10 papers were included. These studies showed promising effects of group-level CFT for those with complex mental health needs. Some evidence emerged of CFT generating significant improvements compared to no treatment and treatment as usual (TAU), but insufficient evidence has been produced in respect of whether CFT can supersede traditional ‘gold-standard’ approaches such as Cognitive Behavioural Therapy (CBT). Tentative conclusions are made regarding the applicability of CFT interventions but the observed reductions in shame and self-criticism and a move towards more guilt-based motivational drives suggest that this approach shows some promise in being able to assist forensic service users in taking more responsibility for their harmful actions and foster social and affiliative processes with others. Further high quality RCTs are needed in order to make firm conclusions about the clinical utility of this therapy for forensic populations with mental health needs.
以同情为中心的治疗(CFT)是一种基于培养同情他人和自我的能力的心理治疗模式。在过去十年中,关于CFT对一系列心理健康问题的有效性的证据基础大大增加。然而,支持CFT作为有心理健康需求的法医服务使用者的治疗提供的文献是缺乏的,尽管观察到这一人群与他们的非犯罪临床对口者之间的需求重叠。本快速证据评估(REA)旨在评估CFT作为临床人群群体治疗干预有效性的现有证据,以便考虑在有心理健康和犯罪需求的个体中使用CFT。对电子数据库进行了检索,经过审查和摘录后,纳入了10篇论文。这些研究表明,群体层面的CFT对那些有复杂心理健康需求的人有很好的效果。一些证据表明,与不治疗和常规治疗(TAU)相比,CFT产生了显著的改善,但关于CFT能否取代传统的“金标准”方法(如认知行为疗法(CBT))的证据不足。关于CFT干预措施的适用性得出了初步结论,但观察到羞耻感和自我批评的减少以及更多基于内疚的动机驱动的转变表明,这种方法在帮助法医服务使用者为他们的有害行为承担更多责任以及促进与他人的社会和附属进程方面显示出一些希望。需要进一步的高质量随机对照试验,以确定该疗法对有精神健康需求的法医人群的临床效用。
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引用次数: 0
Rapid evidence assessment: The criminogenic needs of women with gang affiliated offending in the UK 快速证据评估:英国有团伙关联犯罪的妇女的犯罪需求
Pub Date : 2021-03-01 DOI: 10.53841/bpsfu.2021.1.136.74
Clare Barter, L. Ramsay
Purpose:The criminogenic needs of females in gangs is under-researched in the UK. Little is known about appropriate rehabilitative options for this group. The aim of this paper is to explore the evidence base for criminogenic needs of women with gang affiliated offending in the UK.Method:REA methodology was used to search three databases (EBSCO, ProQuest, Google Scholar) for relevant articles, against pre-determined criteria. Additional sources were also reviewed. A total of 271 articles were identified and assessed through PRISMA. Eleven articles were screened in, through application of CASP.Findings:Four overarching themes of criminogenic needs were identified: interpersonal relationships, safety seeking, social identity and attitudes. Social factors were also highlighted as important, for a holistic consideration of women’s needs.Research limitations:This REA was produced in a short time frame and may not include all the relevant or the most up to date literature. Any views expressed in this summary are not necessarily those of Women’s Estate Psychological Services or HMPPS policy.Practical implications:The current study was consistent with previous literature and indicated the inter-related nature of needs, and importance of trauma informed pathways. It further suggests a formulative and holistic approach, such as the bio-psychosocial model, should be considered when intervention planning.Originality/value:There have been no REAs completed of the criminogenic needs of women with gang affiliated offending in the UK.
目的:在英国,团伙中女性的犯罪需求尚未得到充分研究。对于这一群体的适当康复选择知之甚少。本文的目的是探讨证据基础的犯罪需求的妇女与帮派附属犯罪在英国。方法:根据预先确定的标准,采用REA方法在EBSCO、ProQuest、Google Scholar三个数据库中检索相关文章。还审查了其他来源。通过PRISMA共鉴定和评估了271篇文章。应用CASP筛选了11篇文章。研究发现:犯罪需求的四个主要主题是:人际关系、安全寻求、社会认同和态度。为了全面考虑妇女的需要,社会因素也被强调为重要因素。研究局限性:本研究报告是在短时间内完成的,可能不包括所有相关或最新的文献。本摘要所表达的任何观点并不一定代表妇女屋心理服务或妇女屋心理服务政策的观点。实际意义:目前的研究与先前的文献一致,表明了需求的相互关联性,以及创伤信息通路的重要性。它进一步建议,在进行干预计划时应考虑一种公式化和整体的方法,例如生物-社会心理模型。原创性/价值:在英国,还没有完成对有团伙关联犯罪的妇女的犯罪需求的REAs。
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引用次数: 0
Assessing personality disorder in learning disabled forensic populations: A rapid evidence assessment 评估学习障碍法医人群的人格障碍:快速证据评估
Pub Date : 2021-03-01 DOI: 10.53841/bpsfu.2021.1.136.27
Madison Palmer, C. Miles, Margaret J. Davies
Purpose:The aim of this rapid evidence assessment (REA) is to evaluate the literature pertaining to the assessment of Personality Disorder (PD) within Learning Disabled (LD) forensic populations. This paper will provide practitioners with recommendations about the administration of PD assessment that can be applied to clinical practice.Design/methodology/approach:Following the refinement of the search terms and a thorough literature search (using databases such as PsychINFO, OVID, SCOPUS), 98 abstracts were read. Through multiple exclusion criteria, seven papers were included in the results section of this paper.Findings:The primary research papers included in this report demonstrated various degrees of interrater reliability, predictive validity and utility for several specific assessments designed to assess PD.Research limitations/implications:There is a paucity of research in this area. It was therefore difficult to obtain primary research about assessing PD within LD populations. Further to this, there was just one paper that compared different diagnostic systems against one another. Therefore, this REA is not considered to be a full evaluation of the entire PD/LD evidence base. As a research method, REA’s are more biased than compared to a systematic review. This is because REA’s conduct limited data extraction and limit the types of research papers that are included meaning the search is not as comprehensive. Finally, there was only one reviewer for this REA. This is a limitation as the appraisal and selection of the research for this paper was not blind.Social implications:There are ethical concerns relating to the pursuit of diagnosing PD within LD populations. It has been argued a diagnosis of PD is essentially adding another pejorative label to an already marginalised group. However, research indicates that a better understanding of an individual’s presentations will yield a more robust formulation and an individualised intervention plan. This will in turn, improve treatment outcomes and has the potential to benefit the quality of life for people with PD/LD.Originality/value:As stated above, there is a paucity of research in this area. Currently there are no LD specific PD psychometric assessments and adaptations to mainstream assessments causes the assessment itself to lose validity and reliability. There is a clear need for further research in this area and for the development of more LD specific tools within forensic psychology.
目的:本快速证据评估(REA)的目的是评估与学习障碍(LD)法医人群中人格障碍(PD)评估有关的文献。本文将为从业人员提供可应用于临床实践的PD评估管理建议。设计/方法/途径:经过对检索词的细化和文献检索(使用PsychINFO、OVID、SCOPUS等数据库),共阅读了98篇摘要。通过多重排除标准,7篇论文被纳入本文的结果部分。研究结果:本报告中包含的主要研究论文展示了不同程度的相互信度,预测效度和用于评估PD的几种特定评估的效用。研究局限/启示:这方面的研究很少。因此,很难获得评估LD人群PD的初步研究。除此之外,只有一篇论文比较了不同的诊断系统。因此,该REA不被认为是对整个PD/LD证据基础的全面评估。作为一种研究方法,REA比系统综述更有偏见。这是因为REA的行为限制了数据提取,并且限制了纳入的研究论文的类型,这意味着搜索并不全面。最后,这个REA只有一个审稿人。这是一个局限性,因为本文对研究的评价和选择不是盲目的。社会影响:在LD人群中诊断PD存在伦理问题。有人认为,帕金森病的诊断实质上是给一个已经被边缘化的群体加上了另一个贬损的标签。然而,研究表明,更好地理解个人的陈述将产生更有力的表述和个性化的干预计划。反过来,这将改善治疗结果,并有可能使PD/LD患者的生活质量受益。原创性/价值:如上所述,在这一领域缺乏研究。目前还没有专门针对LD的PD心理测量评估,对主流评估的适应导致评估本身失去了效度和信度。显然需要在这一领域进行进一步研究,并在法医心理学中开发更多的LD特定工具。
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引用次数: 0
Assessment and intervention of stalking behaviours perpetuated by females: A rapid evidence assessment 女性跟踪行为的评估和干预:快速证据评估
Pub Date : 2021-03-01 DOI: 10.53841/bpsfu.2021.1.136.51
Kayleigh Shaw, Karen De Claire
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引用次数: 0
Considering the psychological impact of quarantine in prisons 考虑到监狱隔离对心理的影响
Pub Date : 2021-03-01 DOI: 10.53841/bpsfu.2021.1.136.87
Charlotte Hodgkinson, Karen De Claire, Rachel E. Murphy
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引用次数: 0
Embedding diversity and inclusion (D&I) in a HMPPS Regional Psychology Service 在hpps区域心理服务中嵌入多样性和包容性(D&I
Pub Date : 2020-12-01 DOI: 10.53841/bpsfu.2020.1.135.52
Holly Eldridge
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引用次数: 0
Reflecting on reflective practice in forensic mental health 司法心理卫生反思性实践的思考
Pub Date : 2020-12-01 DOI: 10.53841/bpsfu.2020.1.135.46
C. Robinson
A clinical commentary on the facilitation of a reflective practice group in a forensic inpatient mental health service.
法医学住院病人心理健康服务中反思性实践小组促进作用的临床评论。
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引用次数: 0
Supporting youth workers: A reflective group consultation approach 支持青年工作者:一种反思性小组咨询方法
Pub Date : 2020-12-01 DOI: 10.53841/bpsfu.2020.1.135.20
Sophie S. Marshall, P. Allan, Jessica Yakeley, Robert M. McRae
Forensic child and adolescent mental health services (FCAMHS) became a service within the Tavistock and Portman NHS Foundation Trust in 2018, and since then has become a multidisciplinary expansion of the Portman Clinic’s consultation and assessment work. FCAMHS provides specialised consultation, assessment and brief interventions to professionals, families, and young people across 13 boroughs in Central, North, and East London. As a service provider we aim to support third sector service users who are working directly with some of the most vulnerable, at risk, and risky young people in our area. Through an existing contact in a local youth organisation we began to discuss the idea of creating a space where professionals could come together as a group to reflect on experiences and identify areas of difficulty in their work. Reflective practice groups offered by the Portman Clinic are often psychoanalytically-informed consultation groups which offer a way of working with professionals and young people by reflecting on the meaning, communication and experience of the young person’s behaviour, and our own responses to this. Therefore, we decided to offer a reflective practice group to third sector professionals known to FCAMHS from local youth services and other local agencies, who work with some of the most vulnerable, challenging and high risk young people in this location of London. This reflective practice group has now been running for almost two years and provides a valuable space for youth workers to process and make sense of their work with this challenging forensic population.
法医儿童和青少年心理健康服务(FCAMHS)于2018年成为塔维斯托克和波特曼NHS基金会信托基金的一项服务,从那时起就成为波特曼诊所咨询和评估工作的多学科扩展。FCAMHS为伦敦中部、北部和东部的13个行政区的专业人士、家庭和年轻人提供专业咨询、评估和简短干预。作为一家服务提供商,我们的目标是支持第三部门的服务用户,他们直接与我们地区一些最脆弱、最危险、最危险的年轻人打交道。通过与当地青年组织的联系,我们开始讨论创建一个空间的想法,专业人士可以作为一个群体聚集在一起,反思经验并确定他们工作中的困难领域。波特曼诊所提供的反思实践小组通常是心理分析咨询小组,通过反思年轻人行为的意义、沟通和经验,以及我们自己对此的反应,提供一种与专业人士和年轻人一起工作的方式。因此,我们决定为来自当地青年服务机构和其他当地机构的FCAMHS已知的第三部门专业人员提供一个反思实践小组,他们在伦敦这个地区与一些最脆弱、最具挑战性和高风险的年轻人一起工作。这个反思实践小组现在已经运行了近两年,为青年工作者提供了一个宝贵的空间,让他们能够处理和理解他们在这个具有挑战性的法医群体中的工作。
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引用次数: 0
Exploring the social climate in a UK therapeutic community prison: The influence of anti-social personality traits and suicidal ideation 探索英国治疗性社区监狱的社会氛围:反社会人格特质与自杀意念的影响
Pub Date : 2020-12-01 DOI: 10.53841/bpsfu.2020.1.135.5
Grace Trundle, Caitlin Brown, Laura Jacobs
Social climate refers to how an individual experiences and perceives their environment. Within a therapeutic community (TC) prison, social climate is pertinent in supporting residents’ therapy and the therapeutic environment. This study sought to explore the relationship between social climate, assessed using the Essen Climate Evaluation Schema (EssenCES), and anti-social personality traits, suicidal ideation and suicide potential as measured using the Personality Assessment Inventory (PAI). Data from a total of 167 adult male residents within a UK TC prison was included in the analysis. Correlational analysis revealed that anti-social personality traits were not significantly correlated with social climate. Suicidal ideation was also not significantly correlated to social climate. This may be due to the unique setting in which this research was conducted: a TC wherein a therapeutic culture is imperative, which may influence these factors’ effect on social climate. Anti-social personality traits were found to have a significant negative correlation with positive impression management. The results are limited in generalisability; however, this is the first exploration of the impact of anti-social personality traits and suicidal ideation on social climate within a TC. The implications and further limitations are discussed, with directions for future research outlined.
社会气候是指一个人如何体验和感知他们所处的环境。在治疗社区(TC)监狱中,社会气候是支持居民治疗和治疗环境的相关因素。本研究旨在探讨使用埃森气候评估图式(EssenCES)评估的社会气候与使用人格评估量表(PAI)测量的反社会人格特征、自杀意念和自杀潜力之间的关系。来自英国一所监狱的167名成年男性囚犯的数据被纳入分析。相关分析显示,反社会人格特征与社会风气的相关不显著。自杀意念与社会风气也无显著相关。这可能是由于本研究进行的独特环境:在TC中,治疗文化是必不可少的,这可能会影响这些因素对社会气候的影响。反社会人格特征与积极印象管理显著负相关。结果的通用性有限;然而,这是第一次探索反社会人格特征和自杀意念对TC内社会气氛的影响。讨论了影响和进一步的限制,并概述了未来研究的方向。
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引用次数: 0
Understanding Suicide Terrorism: Psychosocial Dynamics 理解自杀式恐怖主义:心理社会动力学
Pub Date : 2020-12-01 DOI: 10.53841/bpsfu.2020.1.135.58
Alice Bennett
Terrorism is a big political and social challenge which the world is facing in modern times. A major variant of modern day terrorism is suicidal terrorism in which, the perpetrators create a threat by killing themselves and inducing mass damage. This creates mass hysteria and a threat to normalcy. Terrorism stripped to the basics is an atypical human behaviour. Terrorism is one of the most potent weapons of psychological warfare that incapacitates the target by precluding predictability. Suicidal terrorism or the act of giving up one’s life in order to damage or terrorize the target has never been understood in its totality. The novelty of this method was entirely in the mental aspect, the willingness of the suicides to cause their own death, the willingness of the organizations to sacrifice them and the support of the social milieu for such forms of terrorism. Suicide attacks are an extreme form of terrorism. The number of such attacks was small in the 1980s and 1990s. The number of scholarly publications grew after the dramatic attacks of 9/11 (2001), and continued to grow in the following years. Only a small minority of the growing body of works on suicidal terrorism have specifically focussed on the psychological aspects of this phenomenon. Psychology and Sociology have been greatly underrepresented in the academic literature on suicide terrorism. Thus, this book is an important addition to our body of knowledge.
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引用次数: 0
期刊
Forensic Update
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