Boundary issues in clinical psychology

Llewelyn, Susan; Gardner, Damian

doi:10.53841/bpscpf.2009.1.193.5

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…Black communities may have a different understanding of mental health and trauma than those of Eurocentric mental health services (Llewelyn & Murphy, 2014). Black men have reported predominantly seeing mental health problems as an “illness” that needed to be treated with medication (Myrie & Gannon, 2013).…”

Section: Introductionmentioning

confidence: 99%

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Sødal,

Huddy,

McKenzie

2023

Psychol Psychother

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IntroductionThe objectives for this study were to explore Black people's experiences of being asked about ACEs by mental health or counselling professionals, both broadly, and also as part of routine enquiry with a commonly used ACE questionnaire. An additional aim was to understand their perspectives on how services should be asking about ACEs.MethodsThis study used a qualitative methodology, with a critical realist reflexive thematic analysis approach. Ten people who identified as Black and had been asked about ACEs by a mental health professional or counsellor, were interviewed about their experiences and perspectives using semi‐structured interviews.ResultsFour overarching themes, some with subthemes, were established: Trust and safety as individual and systemic (subthemes: Distrust in the system; Distrust in the clinician; Racism in health care; Keeping safe); It is the person, not the questions (subthemes: Being heard and understood; Similarity and difference); Engaged client, ‘hard‐to‐reach’ clinician? and People are not tick‐boxes.ConclusionsThe results highlight that people find it important and useful to be asked about ACEs, if it is done in an appropriate manner. Establishing trust and a therapeutic relationship is key to fostering this. Participants stated that the ACE questionnaire might miss important context, and they relayed a preference for being asked about ACEs using more inclusive definitions of ACEs.

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Section: Introductionmentioning

confidence: 99%

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Sødal,

Huddy,

McKenzie

2023

Psychol Psychother

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“We’re people who don’t touch”: Exploring clinical psychologists’ perspectives on their use of touch in therapy

Harrison

Jones

Huws

2012

Counselling Psychology Quarterly

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Personality disorder: its impact on staff and the role of supervision

Moore¹

2012

Adv. psychiatr. treat

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SummaryOver the past decade attention to the provision of healthcare for individuals with personality disorder, particularly those who pose a risk to others, has substantially increased. Keeping pace with such developments with a suitably trained, consistent and motivated workforce, interfacing health and criminal justice systems where necessary, presents an enormous challenge. Staff must be experts in managing conflict at every level, while sustaining an optimistic and therapeutic orientation. Boundaried relationships provide the context for recovery for patients. Key principles and practices likely to promote resilience in personality disorder services, with a focus on the role of supervision, are outlined in order to support staff in keeping themselves afloat, their patients safe, and their services on target.

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Boundary issues in clinical psychology

Cited by 5 publications

References 9 publications

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

Black people's experiences of being asked about adverse childhood experiences in the UK: A qualitative study

“We’re people who don’t touch”: Exploring clinical psychologists’ perspectives on their use of touch in therapy

Personality disorder: its impact on staff and the role of supervision

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