Action Research reflecting the process of a collaborative, multi-theoretical group intervention with foster parents of children affected by childhood trauma
- Authors: Cahill, Susan Mary
- Date: 2023-10-13
- Subjects: Foster parents Ireland , Foster home care Ireland , Attachment theory , Psychic trauma in children , Group psychotherapy , Parenting stress
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432297 , vital:72859 , DOI 10.21504/10962/432297
- Description: Children are received into the Care of the State in the Republic of Ireland due to chronic or acute maltreatment in their families of origin. Maltreatment may include neglect; physical, sexual, or emotional abuse; exposure to domestic violence; or a combination of these. Resulting emotional and behavioural consequences may be challenging to foster parents who might experience stress, secondary trauma, compassion fatigue or burnout, which along with the child’s emotional and behavioural difficulties can result in placement breakdown. After reviewing the literature on fostering internationally and in Ireland, this study sought to determine the types and level of stress in a sample of foster parents and the types of challenging emotional and behavioural difficulties of their fostered children. Results revealed that foster parents found fostering stressful; factors included biological parents; organisational issues; and the child’s behaviour. According to the foster parents, nearly 60% of the foster children in this sample were showing high levels of emotional and behavioural distress. These difficulties differed according to age and gender. Adolescent Girls and Young Boys (5 – 11 years) were reported as having the most difficulties, including symptoms of behavioural and Conduct Disorder (CD). Symptoms associated with CD were reported in at least 40% of every age and gender category of children over five years. Further, this study outlines the development, facilitation and outcomes of a small group psychoeducational-reflective foster parenting Course, involving six separate groups of parents (n=38) each meeting for eight sessions. In this Course, foster children were conceptualised from a bio-psycho-social-ecological viewpoint, utilising theoretical concepts from Prenatal Development, Attachment and Trauma, pertaining to vulnerable children to illustrate the cumulative effects of adversities. Time for discussion and reflection on the material was structured into the Course. This combination of knowledge, practical skills, reflection and support for parents aimed to promote healing relationship-based practices for the child within their foster home. This multi-faceted study was grounded in Community Psychology, using mixed methods to gather data during action research processes, to reflect the different components of an action cycle. Ideas and modifications to the Course based on feedback from the foster parent participants’ experiences have been included. It is recommended that the Course be provided to other foster parents and audiences such as social workers, teachers and solicitors. Furthermore, suggestions are made regarding assessment, diagnosis and interventions for foster children and parents, based on a multidisciplinary consultancy model. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Cahill, Susan Mary
- Date: 2023-10-13
- Subjects: Foster parents Ireland , Foster home care Ireland , Attachment theory , Psychic trauma in children , Group psychotherapy , Parenting stress
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432297 , vital:72859 , DOI 10.21504/10962/432297
- Description: Children are received into the Care of the State in the Republic of Ireland due to chronic or acute maltreatment in their families of origin. Maltreatment may include neglect; physical, sexual, or emotional abuse; exposure to domestic violence; or a combination of these. Resulting emotional and behavioural consequences may be challenging to foster parents who might experience stress, secondary trauma, compassion fatigue or burnout, which along with the child’s emotional and behavioural difficulties can result in placement breakdown. After reviewing the literature on fostering internationally and in Ireland, this study sought to determine the types and level of stress in a sample of foster parents and the types of challenging emotional and behavioural difficulties of their fostered children. Results revealed that foster parents found fostering stressful; factors included biological parents; organisational issues; and the child’s behaviour. According to the foster parents, nearly 60% of the foster children in this sample were showing high levels of emotional and behavioural distress. These difficulties differed according to age and gender. Adolescent Girls and Young Boys (5 – 11 years) were reported as having the most difficulties, including symptoms of behavioural and Conduct Disorder (CD). Symptoms associated with CD were reported in at least 40% of every age and gender category of children over five years. Further, this study outlines the development, facilitation and outcomes of a small group psychoeducational-reflective foster parenting Course, involving six separate groups of parents (n=38) each meeting for eight sessions. In this Course, foster children were conceptualised from a bio-psycho-social-ecological viewpoint, utilising theoretical concepts from Prenatal Development, Attachment and Trauma, pertaining to vulnerable children to illustrate the cumulative effects of adversities. Time for discussion and reflection on the material was structured into the Course. This combination of knowledge, practical skills, reflection and support for parents aimed to promote healing relationship-based practices for the child within their foster home. This multi-faceted study was grounded in Community Psychology, using mixed methods to gather data during action research processes, to reflect the different components of an action cycle. Ideas and modifications to the Course based on feedback from the foster parent participants’ experiences have been included. It is recommended that the Course be provided to other foster parents and audiences such as social workers, teachers and solicitors. Furthermore, suggestions are made regarding assessment, diagnosis and interventions for foster children and parents, based on a multidisciplinary consultancy model. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
Card games and containment : forensic psychiatric patients' experiences of a student-led initiative
- Authors: Higgins, Jane Marie
- Date: 2014
- Subjects: Fort England Hospital Buddy Programme -- Grahamstown -- South Africa , Card games -- Therapeutic use , Mental illness -- Treatment , Mentally ill -- Rehabilitation , Group psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3243 , http://hdl.handle.net/10962/d1013314
- Description: Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.
- Full Text:
- Date Issued: 2014
- Authors: Higgins, Jane Marie
- Date: 2014
- Subjects: Fort England Hospital Buddy Programme -- Grahamstown -- South Africa , Card games -- Therapeutic use , Mental illness -- Treatment , Mentally ill -- Rehabilitation , Group psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3243 , http://hdl.handle.net/10962/d1013314
- Description: Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.
- Full Text:
- Date Issued: 2014
The adaptation of the Clark (1997) treatment for social phobia into a group therapy format, and a preliminary evaluation
- Authors: Kannan, Swetha
- Date: 2002
- Subjects: Social phobia -- Treatment , Group psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3109 , http://hdl.handle.net/10962/d1004547 , Social phobia -- Treatment , Group psychotherapy
- Description: Clark and Wells (1995) constructed a comprehensive cognitive model of social phobic behaviour, in terms of which social phobic behaviour is activated and maintained by a system consisting of negative thoughts and beliefs, anxiety s)mptoms, avoidance and safety behaviours, and processing of self as a social object. The interaction of these elements creates a series of vicious circles which escalate and which keep the phobic individual in a state of chronic -disability, either because they chronically avoid significant social situations or because they find themselves incapacitated by anxiety when they enter them. The Clark and Wells (1995) treatment programme is designed to alleviate the social phobia by targeting the components that form the vicious maintenance cycle and replacing these by new patterns of cognition and behaviour. This treatment programme was designed for individual treatment, and the present study adapted it to a group format. Seven social phobic university students participated in the adapted group treatment format over the course of 13, 2-hour group sessions. Regular assessment of participants' response to the programme was carried out weekly and at two follow-up assessments, with the use of a series of questionnaires. In addition, sessions were audio taped and videotaped, facilitators took notes during sessions and keep records made by participants of their homework exercises. Individual case studies were written for all participants (including two non-completers) in which case narratives were juxtaposed against their responses to each of the self-report questionnaires. These we used as a basis for evaluating the validity of the Clark and Wells theoretical model and in examining the effectiveness of the treatment programme in bringing to awareness and interrupting the cycles that maintained the phobic behaviour. It is concluded that the group programme showed evidence of being very effective and, a group treatment manual was constructed so that it can be employed clinically and in future research.
- Full Text:
- Date Issued: 2002
- Authors: Kannan, Swetha
- Date: 2002
- Subjects: Social phobia -- Treatment , Group psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3109 , http://hdl.handle.net/10962/d1004547 , Social phobia -- Treatment , Group psychotherapy
- Description: Clark and Wells (1995) constructed a comprehensive cognitive model of social phobic behaviour, in terms of which social phobic behaviour is activated and maintained by a system consisting of negative thoughts and beliefs, anxiety s)mptoms, avoidance and safety behaviours, and processing of self as a social object. The interaction of these elements creates a series of vicious circles which escalate and which keep the phobic individual in a state of chronic -disability, either because they chronically avoid significant social situations or because they find themselves incapacitated by anxiety when they enter them. The Clark and Wells (1995) treatment programme is designed to alleviate the social phobia by targeting the components that form the vicious maintenance cycle and replacing these by new patterns of cognition and behaviour. This treatment programme was designed for individual treatment, and the present study adapted it to a group format. Seven social phobic university students participated in the adapted group treatment format over the course of 13, 2-hour group sessions. Regular assessment of participants' response to the programme was carried out weekly and at two follow-up assessments, with the use of a series of questionnaires. In addition, sessions were audio taped and videotaped, facilitators took notes during sessions and keep records made by participants of their homework exercises. Individual case studies were written for all participants (including two non-completers) in which case narratives were juxtaposed against their responses to each of the self-report questionnaires. These we used as a basis for evaluating the validity of the Clark and Wells theoretical model and in examining the effectiveness of the treatment programme in bringing to awareness and interrupting the cycles that maintained the phobic behaviour. It is concluded that the group programme showed evidence of being very effective and, a group treatment manual was constructed so that it can be employed clinically and in future research.
- Full Text:
- Date Issued: 2002
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