Abstract:The paper presents research relevant to UK clinical psychologists and to trainers and employers of this group. The data presented provides a useful insight into the perception of a sample of clinical psychologists regarding what it means to be a 'good psychologist' and the potential impact on their experience of personal distress and on help seeking behaviour. The findings have potential relevance for individual psychologists, trainers, and managers of this group in considering how distress might be experience… Show more
“…However, epidemiological studies suggest that there might be a general tendency of help withdrawal or avoidance among those currently experiencing clinical and subclinical levels of different forms of distress, including suicidal thoughts (Wilson, Bushnell, & Caputi, 2011). Without deliberate attention to helper self-care, services also can foster a culture in which the helper views their health as a reflection of their competence (Charlemagne-Odle, Harmon, & Maltby, 2014; Siebert & Siebert, 2007; Wallace & Lemaire, 2009). Helping professionals report that they are unlikely to seek help for elevated personal symptoms of distress, especially from another professional (Daronkamas, Burton, & Cushway, 1994; Deutsch, 1985; Guy, 2000; Guy et al, 1989).…”
Section: Functional Impairment and Psychological Distressmentioning
Testing a model of functional impairment in telephone crisis support workers
AbstractBackground: It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. Aims: The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers. Method: A national sample of 210 telephone crisis support workers completed an online survey including measures of emotion regulation, symptoms of general psychological distress and suicidal ideation, intentions to seek help for symptoms, and functional impairment. Structural equation modeling was used to test the fit of the data to the hypothesized model. Results: Goodness-of-fit indices were adequate and supported the interactive effects of emotion regulation, general psychological distress, suicidal ideation, and intentions to seek help for ideation on functional impairment. Conclusion: These results warrant the deliberate management of telephone crisis support workers' impairment through service selection, training, supervision, and professional development strategies. Future research replicating and extending this model will further inform the modification and/or development of strategies to optimize telephone crisis support workers' well-being and delivery of support to callers.
“…However, epidemiological studies suggest that there might be a general tendency of help withdrawal or avoidance among those currently experiencing clinical and subclinical levels of different forms of distress, including suicidal thoughts (Wilson, Bushnell, & Caputi, 2011). Without deliberate attention to helper self-care, services also can foster a culture in which the helper views their health as a reflection of their competence (Charlemagne-Odle, Harmon, & Maltby, 2014; Siebert & Siebert, 2007; Wallace & Lemaire, 2009). Helping professionals report that they are unlikely to seek help for elevated personal symptoms of distress, especially from another professional (Daronkamas, Burton, & Cushway, 1994; Deutsch, 1985; Guy, 2000; Guy et al, 1989).…”
Section: Functional Impairment and Psychological Distressmentioning
Testing a model of functional impairment in telephone crisis support workers
AbstractBackground: It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. Aims: The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers. Method: A national sample of 210 telephone crisis support workers completed an online survey including measures of emotion regulation, symptoms of general psychological distress and suicidal ideation, intentions to seek help for symptoms, and functional impairment. Structural equation modeling was used to test the fit of the data to the hypothesized model. Results: Goodness-of-fit indices were adequate and supported the interactive effects of emotion regulation, general psychological distress, suicidal ideation, and intentions to seek help for ideation on functional impairment. Conclusion: These results warrant the deliberate management of telephone crisis support workers' impairment through service selection, training, supervision, and professional development strategies. Future research replicating and extending this model will further inform the modification and/or development of strategies to optimize telephone crisis support workers' well-being and delivery of support to callers.
“…Studies using more traditional epistemologies have reported that professionals with service user experience encounter dilemmas (Berry, Hayward, & Chandler, 2011;Cain, 2000;Charlemagne-Odle, Harmon, & Maltby, 2014;Gilroy, Carroll, & Murra, 2001;Stanley, Manthrope, & White, 2007;van Erp, Hendriksen-Favier, & Boer, 2010). These include issues regarding self-disclosure, experiencing stigma, prejudice and discrimination, being accused of overidentification and boundary violation, having reduced energy, confidence and emotional presence, and a discrepancy between their personal identity and their professional role.…”
Abstract"Mental health professionals" are increasingly speaking out about their own experiences of using mental health services. However, research suggests that they face identity-related dilemmas because social conventions tend to assume two distinct identities: "professionals" as relatively socially powerful and "patients" as comparatively powerless. The aim of this study was, through discourse analysis, to explore how "mental health professionals" with "mental health service user" experience "construct" their identity. Discourse analysis views identity as fluid and continually renegotiated in social contexts. Ten participants were interviewed, and the interviews were transcribed and analyzed. Participants constructed their identity variously, including as separate "professional" and "patient" identities, switching between these in relation to different contexts, suggesting "unintegrated" identities. Participants also demonstrated personally valued "integrated" identities in relation to some professional contexts. Implications for clinical practice and future research are explored. Positive identity discourses that integrate experiences as a service user and a professional included "personhood" and insider "activist," drawing in turn on discourses of "personal recovery," "lived experience," and "use of self." These integrated identities can potentially be foregrounded to contribute to realizing the social value of service user and other lived experience in mental health workers, and highlighting positive and hopeful perspectives on mental distress.
“…Newly qualified clinical psychologists should be given a gradual induction to post‐qualification work and allowed their first post‐qualification year to ‘bed in’, consolidate skills and improve their confidence before being asked to take on additional responsibilities and roles. Employers should also be mindful that stress and mental health problems are not limited to trainee clinical psychologists but are prevalent in qualified staff also (Charlemagne‐Odle, Harmon & Maltby, ; Pakenham & Stafford‐Brown, ). Promotion of, and commitment to, career long personal development and self‐care should be a concern of the whole profession.…”
Clinical psychology trainees experience training as demanding and stressful, which negatively impacts on their personal and professional self-image and self-esteem. However, they are optimistic that they will become more like their ideal self in the future. Stress in clinical training (and beyond) is normative, and thus, personal development and self-care should be recognized as clinical psychologist's core competencies.
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