DOCSLIB.ORG

Downloads/Theme Health/HSQ31.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Downloads/Theme Health/HSQ31.Pdf City Research Online City, University of London Institutional Repository Citation: Wachowska, Anna (2017). In the facets of powerlessness: agency as an essential aspect of the self. (Unpublished Doctoral thesis, City, University of London) This is the accepted version of the paper. This version of the publication may differ from the final published version. Permanent repository link: https://openaccess.city.ac.uk/id/eprint/16924/ Link to published version: Copyright: City Research Online aims to make research outputs of City, University of London available to a wider audience. Copyright and Moral Rights remain with the author(s) and/or copyright holders. URLs from City Research Online may be freely distributed and linked to. Reuse: Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. City Research Online: http://openaccess.city.ac.uk/ [email protected] In the Facets of Powerlessness: Agency as an Essential Aspect of the Self Anna Wachowska Portfolio for Professional Doctorate in Counselling Psychology (DPsych) City University London Department of Psychology February 2017 1 Table of Contents Acknowledgements .......................................................................................................... 7 City University Declaration ............................................................................................... 8 List of Appendices: ........................................................................................................... 9 List of Figures: ................................................................................................................ 10 SECTION A: PREFACE ...................................................................................................... 11 1. Overview .................................................................................................................... 11 2. Thematic Connection of the Portfolio: The Issue of Powerlessness ............................. 11 2.1 Research Thesis ........................................................................................................ 12 2.2 Professional Practice – Case Study ............................................................................ 13 2.3 Publishable Paper: Theoretical Article with Implications for Clinical Practice ............. 13 3. Personal Journey ........................................................................................................ 14 References ..................................................................................................................... 16 SECTION B: Doctoral Research ........................................................................................ 19 Abstract ......................................................................................................................... 20 Chapter 1: Introduction and Literature Review ............................................................... 21 1.1 Overview .................................................................................................................. 21 1.2 Rationale for the Present Study ................................................................................ 21 1.3 Study Aims and Relevance to Counselling Psychology ............................................... 24 1.4 Literature Review ..................................................................................................... 26 1.4.1 Involuntary Hospitalisation: Ethical and Moral Concerns ........................................ 26 1.4.2 The Issue of Trust................................................................................................... 29 1.4.3 Psychosis, Insight and Treatment ........................................................................... 31 1.4.4 Retrospective Views on Involuntary Treatment ...................................................... 33 1.4.5 Psychiatry and Biomedical Model .......................................................................... 34 1.4.6 The Traumagenic Neurodevelopmental Model ...................................................... 39 1.4.8 Psychodynamic Perspectives .................................................................................. 40 1.4.9 Cognitive Model..................................................................................................... 41 1.4.10 Intervention and Treatment ................................................................................. 42 1.4.11 Phenomenological Understandings and Views of Self-experience in Psychosis ........................................................................................................................ 43 2 1.4.12 Patient Experience of Psychosis ........................................................................... 44 1.4.13 Patient Experience of Involuntary Hospitalisation ................................................ 45 1.4.14 Impact of Involuntary Hospitalisation: Status and Identity ................................... 49 1.4.15 In-patient Ward: Safety and Risk .......................................................................... 50 1.4.16 Conclusive Remarks ............................................................................................. 51 Chapter 2: Methodology................................................................................................. 53 2.1 Overview .................................................................................................................. 53 2.2 Design and Research Approach ................................................................................. 53 2.3 Ontological and Epistemological Stance .................................................................... 53 2.3.1 Ontology ................................................................................................................ 54 2.3.2 Epistemology ......................................................................................................... 54 2.4 Theoretical Perspectives ........................................................................................... 55 2.5 Interpretative Phenomenological Analysis (IPA) ........................................................ 56 2.5.1 Rationale for IPA Methodology .............................................................................. 57 2.6 Ethical Considerations .............................................................................................. 59 2.6.1 Approval ................................................................................................................ 59 2.6.2 Confidentiality ....................................................................................................... 59 2.6.3 Consent and Withdrawal ....................................................................................... 60 2.6.4 Distress Management ............................................................................................ 60 2.7 Procedures ............................................................................................................... 61 2.7.1 Sampling Considerations ........................................................................................ 61 2.7.2 Recruitment ........................................................................................................... 62 2.7.3 Participants............................................................................................................ 63 2.7.4 Research materials ................................................................................................ 65 2.7.5 Interview Proceedings ........................................................................................... 65 2.7.6 Data Collection ...................................................................................................... 66 2.7.7 Pilot Study ............................................................................................................. 67 2.7.8 Transcription ......................................................................................................... 67 2.7.9 Data Analysis and Interpretation ............................................................................ 67 2.7.10 Results ................................................................................................................. 69 2.7.11 Discussion ............................................................................................................ 69 2.7.12 Resources ............................................................................................................ 69 2.8 Trustworthiness, Rigor and Quality ........................................................................... 70 2.9 Personal Reflexivity................................................................................................... 71 3 2.9.1 Ontological and Epistemological Awareness........................................................... 75 CHAPTER 3: RESULTS ......................................................................................................... 77 3.1 Overview .................................................................................................................. 77 3.2 Superordinate Theme One: A Struggle for Recognition ............................................
Load more

Recommended publications
  • Hoe Moeilijk Is Het Om Te Stoppen Met Psychofarmaca? Afbouwen Als
    Psychofarmaca afbouwen de Harm Reduction methode Uitgegeven door Het Icarus Project en het Freedom Center Psychofarmaca afbouwen de Harm Reduction methode door Will Hall Uitgegeven door het Icarus Project en het Freedom Center Uitgeverij Tobi Vroegh The Icarus Project Freedom Center www.theicarusproject.net www.freedom-center.org [email protected] [email protected] Het Icarus project is een website, een netwerk van Het Freedom Center is een belangenorganisatie die lokale groepen en een mediaproject dat is opgezet door ondersteunt en actie voert in West-Massachusetts. mensen die last hebbben van de gekke gave die ook wel Het is een cliëntgestuurde organisatie van mensen met ‘psychische ziekte’ wordt genoemd. We bouwen aan een psychische problemen en/of ervaring met extreme nieuwe cultuur en taal die onze ervaringen met gekte bewustzijns toestanden. Het Freedom Center zet zich weerspiegelt in plaats van te proberen onze levens in een in voor holistische alternatieven, zorg met een ziel conventioneel kader te laten passen. en wil een eind maken aan gedwongen psychiatrische behandelingen. Tweede editie, juni 2012. Vertaling augustus 2015 Input en ideeën zijn welkom voor volgende edities van deze gids. Oorspronkelijke titel: TheHarm Reduction Guide to Coming Off Psychiatric Drugs Door Will Hall. Gepubliceerd door The Icarus Project and Freedom Center Met dank aan: Ben Abelow, George Badillo, John Banister, Amy Bookbinder, Dave Burns, Kent Bye, Mick Bysshe, Monica Cassani, Oryx Cohen, Colin, Mary Kate Connor, Laura Delano, Jacqui
    [Show full text]
  • Classifications of Mental Disorders 17 Wikipedia Articles
    Classifications of Mental Disorders 17 Wikipedia Articles PDF generated using the open source mwlib toolkit. See http://code.pediapress.com/ for more information. PDF generated at: Sun, 07 Jul 2013 23:23:46 UTC Contents Articles List of diagnostic classification and rating scales used in psychiatry 1 Classification of mental disorders 4 Diagnostic and Statistical Manual of Mental Disorders 15 American Psychiatric Association 26 DSM-5 30 DSM-5 codes 40 DSM-IV codes 50 International Statistical Classification of Diseases and Related Health Problems 65 World Health Organization 72 List of ICD-9 codes 83 ICD-9-CM Volume 3 83 ICD-10 130 Structured Clinical Interview for DSM-IV 133 Research Domain Criteria 135 Global Assessment of Functioning 138 Psychodynamic Diagnostic Manual 140 Chinese Classification of Mental Disorders 142 References Article Sources and Contributors 144 Image Sources, Licenses and Contributors 146 Article Licenses License 147 List of diagnostic classification and rating scales used in psychiatry 1 List of diagnostic classification and rating scales used in psychiatry The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. Diagnostic Classification Diagnostic Criteria • Diagnostic and Statistical Manual of Mental Disorders (DSM) • ICD-10 Chapter V: Mental and behavioural disorders • Chinese Classification of Mental Disorders • Feighner Criteria • Research Diagnostic Criteria (RDC), a 1970s-era criteria that served as a basis for DSM-III • Research Domain Criteria (RDoC), a on-going
    [Show full text]
  • Coming Off Psychiatric Drugs
    This guide brings together the best information we’ve discovered and lessons we’ve learned at The Icarus Project and Freedom Center. It is not intended to persuade anyone to stop taking psychiatric medications, but instead aims to educate people about their options if they decide to explore going off. In a culture polarized between the pro-medication propaganda of pharmaceutical companies on the one hand, and the anti-medication agenda of some activists on the other, we offer a harm reduction approach to help people make their own Harm Reduction Guide to decisions. We also present ideas and information for people who decide to stay on or reduce their medications. Coming Off Psychiatric Drugs Many people do fi nd psychiatric drugs helpful and choose to continue taking them: even with the risks, this may be a better option given someone’s situation and circumstances. At the same time, psychiatric drugs carry great dangers and can sometimes do terrible harm, even becoming bigger problems than the conditions Published by they were prescribed to treat. Too often, people who need help getting off The Icarus Project and Freedom Center psychiatric drugs are left without guidance, and medication decisions can feel like fi nding your way through a labyrinth. We need honest information that widens the discussion, and we hope this guide helps people trust themselves more and take better care of one another. www.theicarusproject.net www.freedom-center.org Second Edition, revised and expanded. ISBN 978-0-9800709-2-7 Health Professional Advisors, continued
    [Show full text]
  • 2020 Dcounpsy Gordon.Pdf
    "At the time I didn’t know what was going on, so they diagnosed me with schizophrenia". The lived experience of being diagnosed with schizophrenia for people of Black African and/or Black Caribbean heritage: An Interpretative Phenomenological Analysis. Abigail Gordon A thesis submitted in partial fulfilment of the requirements of the University of East London for the Professional Doctorate in Counselling Psychology University of East London September 2020 ! ! !!"#$%&$%'! ! "#$%&'()*+),)%-.!///////////////////////0! 1! 2)*1#3-1&%!//////////////////////////000! 11! "445)613-1&%.!/////////////////////////00! 111! 78&-)!95&,!:35-1#1:3%-!//////////////////////! 16! ()*+,-.+!///////////////////////////00! /! 01+,234.+521!/////////////////////////000! 6! ;).)35#<!-)5,1%&(&+=!//////////////////////00! >! 75+8,-+4,8!98:58;!//////////////////////000000! <! ?6)561)'!///////////////////////////0! @! A1-)53-85)!.)35#<!.-53-)+=!/////////////////////! @! 2)91%1-1&%!&9!:.=#<13-51#!*13+%&.1.!////////////////00000! @! B<)!#855)%-!#&%-)C-!&9!*13+%&.-1#!.=.-),.//////////////000! D! E&8%.)((1%+!:.=#<&(&+=!3%*!:.=#<13-51#!*13+%&.1.!///////////0! F! "*63%-3+).!3%*!*1.3*63%-3+).!&9!8.1%+!-<)!*13+%&.-1#!.=.-),!//////00! GH! 2)91%1-1&%!&9!.#<1I&:<5)%13!////////////////////0! GG! J-3-1.-1#3(!5).)35#<!&%!-<)!53-).!&9!.#<1I&:<5)%13!////////////! GK! B<)!41&L,)*1#3(!,&*)(!&9!,)%-3(!3%*!),&-1&%3(!*1.-5)..!////////00! GK! J#<1I&:<5)%13!/////////////////////////00! GM! N&%LO).-)5%!#8(-853(!)C:(3%3-1&%.!&9!:.=#<&.1.!////////////! G@! P.=#<13-51#!1,:)513(1.,!/////////////////////000!
    [Show full text]
  • SOWKPRP1.Pdf (307.2Ko)
    Running Head: MODELS OF PSYCHOSIS AND LIMITATIONS OF PSYCHIATRY 1 Models of Psychosis and the Limitations of Psychiatric Knowledge Practice-Based Research Paper Maya Ricker-Wilson Instructor: Amy Rossiter York University School of Social Work April 15, 2014 MODELS OF PSYCHOSIS AND LIMITATIONS OF PSYCHIATRY 2 Table of Contents Author Note……………………………………………………………………………………..3 Abstract…………………………………………………………………...……………………….4 Chapter One: Introduction……………………………………………………………………….. 5 Theoretical Framework…………………………………………………………………..11 Chapter Two: Research Design………………………………………………………………….13 Chapter Three: Literature Review and Analysis…………………………………………………15 Psychosis and Schizophrenia: Definitions……………………………………………….15 Psychiatric Explanations and Treatment…………………………………………………20 Alternative Theories and Evidence on Psychosis………………………………………..23 History and social control of madness…...………………………………………23 Evidence against psychiatric models…………………………………………….27 Existential and psychological themes of psychosis……………………………...33 Theories of “symptoms” of psychosis……………………………………….…..40 “Insight” as social control………………………………………………………..44 Voices of Consumers and Survivors……………………………………………………..45 Chapter Four: Discussion………………………………………………………………………...53 Relevance for Social Work in the Support of Individuals with Psychosis………………57 Conclusion……………………………………………………………………………….60 References………………………………………………………………………………………..62 MODELS OF PSYCHOSIS AND LIMITATIONS OF PSYCHIATRY 3 Author Note I would like to thank my parents, Carol Ricker-Wilson and John Wilson, my brother
    [Show full text]