The results are discussed in terms of a failure in autism to process inter-element relationships that would allow for the appreciation of larger perceptually coherent units that comprise of multiple elements and, consequently, context. The processes are argued to be preattentive.

Memory difficulties following traumatic experiences have been found to result in testimonial inconsistencies, which can affect credibility judgements in asylum decisions. No investigations have looked into how/whether the behavioural sequelae of post-traumatic stress disorder (PTSD) affect decisions. This study aimed to investigate this by looking at whether observable symptoms of PTSD can be confused with perceived cues to deception. An actor performed four versions of a fictional 'asylum interview' that contained differing levels of pre-defined 'deception' and 'trauma' behaviours. Four groups of students (total n = 118) each watched a different interview. They gave subjective ratings of credibility, plus quantitative and qualitative information about the factors that influenced their judgements. Despite the content of the interviews remaining the same, significant differences in credibility ratings were found between interviews; with the interview containing both 'trauma' and 'deception' behaviours being rated as significantly less credible than the interview containing only the PTSD behaviours. 'Emotional congruence' was conceptualised as an important factor in influencing credibility. Results are discussed in terms of possible heuristics involved in judgements of an asylum-seeker population, as well as implications for vulnerable asylum seekers whose symptoms do not conform to stereotypes. Limitations and avenues for future research are highlighted.

Obsessional slowness may be a severe variant of OCD. Although it appears to occur infrequently, there may be an elevated rate in people with DS. The current report is severely limited in scope since the case descriptions were based on a retrospective review. However, because of the paucity of published information about this clinical phenomena, it was felt that the case series might serve to establish the need for further, more systematic, prospective evaluation of individuals with DS and clinically significant slowness.

Multisystemic therapy (MST) is an empirically validated, family and community-based intervention for young people presenting with antisocial and offending behaviour. This qualitative study aimed to explore young people's experiences of MST and learn what had helped them to sustain positive outcomes over time. Semi-structured interviews were conducted with eight young people at an average of 14 months after MST (range: 5-21 months). A constructivist version of grounded theory was employed to analyse the data, leading to the development of a model of sustained change in MST. Themes from the model included therapeutic alliance, increases in systemic awareness, recognizing responsibility, positive peer relationships, acknowledging and celebrating success, continued use of specific strategies (for example, worry boxes) and the identification and creation of a preferred future. This research presents an understanding of how change may be sustained after MST, highlighting systemic, developmental and individual factors in relation to this. Clinical implications and a proposed model of sustained change in MST are discussed.Practitioner points • The therapeutic alliance was perceived by young people as central to the process of change and sustained change following MST • Young people's contribution to sustaining therapeutic gains at follow up, alongside caregivers, highlighted the importance of actively engaging them in therapy • Peer relationships were identified as relevant to sustaining change, particularly in relation to shared values and goals for the future Keywords: youth offending; qualitative research; child and adolescent mental health.

Multisystemic therapy (MST) is an empirically supported intervention for young people presenting with antisocial behaviour. This study explored the process of sustaining positive outcomes following MST from caregiver perspectives. Semi-structured interviews were carried out 5-21 months post-MST with 12 caregivers. A grounded theory methodology was used to analyse the data. Caregivers in this study identified the following themes as contributing to sustaining change; improvements in their relationship with their child, shifting how they viewed difficulties and solutions and feeling personally strengthened and resilient. The therapeutic alliance in MST was described as important in initiating these changes. Clinical implications and how the themes from this study fit into the existing model of change in MST are discussed.Practitioner points • Caregivers validated the therapeutic alliance as key to the MST approach. • Experiencing a positive therapeutic alliance was also identified as important in improving relationships within the family even after therapy was completed. • Positive experiences of MST developed caregivers' experiences of feeling more resilient in the face of later difficulties helping sustain positive outcomes.