Processes underlying ambivalence in help‐seeking: The loss of valued control model.

Schauman, Oliver; Mansell, Warren

doi:10.1111/j.1468-2850.2012.01277.x

Cited by 11 publications

(15 citation statements)

References 81 publications

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“…The culturally specific understanding and position of the mental health worker within relatively closed communities, may help to diffuse or exacerbate feelings of threat, vulnerability and shame. Different factors are likely to be salient for each individual person, depending upon the particular issues they have, the trajectory of their exposure towards mental health services and their previous life experiences [ 87 , 88 ].…”

Section: Discussionmentioning

confidence: 99%

Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness

McEvoy

Williamson

Kada

et al. 2017

BMC Health Serv Res

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BackgroundThe English National Health Service (NHS) has significantly extended the supply of evidence based psychological interventions in primary care for people experiencing common mental health problems. Yet despite the extra resources, the accessibility of services for ‘under-served’ ethnic and religious minority groups, is considerably short of the levels of access that may be necessary to offset the health inequalities created by their different exposure to services, resulting in negative health outcomes. This paper offers a critical reflection upon an initiative that sought to improve access to an NHS funded primary care mental health service to one ‘under-served’ population, an Orthodox Jewish community in the North West of England.MethodsA combination of qualitative and quantitative data were drawn upon including naturally occurring data, observational notes, e-mail correspondence, routinely collected demographic data and clinical outcomes measures, as well as written feedback and recorded discussions with 12 key informants.ResultsImprovements in access to mental health care for some people from the Orthodox Jewish community were achieved through the collaborative efforts of a distributed leadership team. The members of this leadership team were a self-selecting group of stakeholders which had a combination of local knowledge, cultural understanding, power to negotiate on behalf of their respective constituencies and expertise in mental health care. Through a process of dialogic engagement the team was able to work with the community to develop a bespoke service that accommodated its wish to maintain a distinct sense of cultural otherness.ConclusionsThis critical reflection illustrates how dialogic engagement can further the mechanisms of candidacy, concordance and recursivity that are associated with improvements in access to care in under-served sections of the population, whilst simultaneously recognising the limits of constructive dialogue. Dialogue can change the dynamic of community engagement. However, the full alignment of the goals of differing constituencies may not always be possible, due the complex interaction between the multiple positions and understandings of stakeholders that are involved and the need to respect the other’-s’ autonomy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2509-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness

McEvoy

Williamson

Kada

et al. 2017

BMC Health Serv Res

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“…Based on the principles of PCT, Schauman and Mansell (2012) presented the loss of valued control model. This draws upon evidence for factors underlying the ambivalence and nonattendance of therapy.…”

Section: Help-seeking Self-directed Change and Service Deliverymentioning

confidence: 99%

Science and Practice of Transdiagnostic CBT: A Perceptual Control Theory (PCT) Approach

Alsawy¹,

Mansell²,

Carey³

et al. 2014

International Journal of Cognitive Therapy

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The scientific and practical justifications for transdiagnostic CBT are well known and yet there is no consensus on the theoretical approach that should inform it. In this article, we explain the scientific and practical benefits of using Perceptual Control Theory (PCT) by introducing the theory, discussing how it explains the maintenance of psychological distress, the different ways that distress is manifested across disorders, and reviewing evidence for the theory and its applications. We explain how PCT can inform existing active ingredients of CBT such as exposure, behavioral activation, decentering, formulation, and the therapeutic alliance. We also introduce Method of Levels therapy as a transdiagnostic CBT informed by PCT, and describe the implications for service organization and modes of delivery, understanding help-seeking, and recovery. We conclude by considering limitations and directions for future developments.We are writing this article as a tribute to William T. Powers who developed the theory we describe here. He passed away on Friday May 24, 2013 in Lafayette, Colorado at the age of 86. We hope that this article does justice to the depth and breadth of his theory, and to the scientific, judicious, and philanthrophic spirit

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“…This viewpoint highlights that therapy help seeking is not only influenced by approach factors, such as positive expectations of therapy, but also by avoidance factors, such as treatment fearfulness, which can contribute to nonattendance closer to the time of the appointment (Vogel, Wester, & Larson, ). Drawing upon perceptual control theory (Powers, 1977), Schauman and Mansell () highlight the need to understand the individual's personal preferences or goals and perceptions of therapy if we are to understand the problem of nonattendance. According to this model, the same individual may hold some goals that encourage help seeking (e.g.…”

Section: Patient Therapist and Contextual Factorsmentioning

confidence: 99%

“…In this study, applying a simple implementation intention (a structured instruction asking patients to formulate an “if… then…” plan to manage distress) induction embedded within a postal questionnaire attenuated the anticipated negative feelings and resulted in greater first therapy appointment attendance among those who also had positive expectations of therapy. This latter study offers a particularly compelling theoretical link by highlighting the importance of positive expectations about the benefits of therapy (Constantino et al., ) while also dealing with conflicting avoidance motives (Schauman & Mansell, ) using a simple intervention to regulate negative affect.…”

Section: Patient Therapist and Contextual Factorsmentioning

confidence: 99%

Can Low‐Cost Strategies Improve Attendance Rates in Brief Psychological Therapy? Double‐Blind Randomized Controlled Trial

et al. 2015

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Processes underlying ambivalence in help‐seeking: The loss of valued control model.

Cited by 11 publications

References 81 publications

Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness

Improving access to mental health care in an Orthodox Jewish community: a critical reflection upon the accommodation of otherness

Science and Practice of Transdiagnostic CBT: A Perceptual Control Theory (PCT) Approach

Can Low‐Cost Strategies Improve Attendance Rates in Brief Psychological Therapy? Double‐Blind Randomized Controlled Trial

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