DOCSLIB.ORG

A University of Sussex Phd Thesis Available Online Via Sussex

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A University of Sussex Phd Thesis Available Online Via Sussex A University of Sussex PhD thesis Available online via Sussex Research Online: http://sro.sussex.ac.uk/ This thesis is protected by copyright which belongs to the author. This thesis cannot be reproduced or quoted extensively from without first obtaining permission in writing from the Author The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the Author When referring to this work, full bibliographic details including the author, title, awarding institution and date of the thesis must be given Please visit Sussex Research Online for more information and further details Hearing voices in young people: distress factors, social relating and clinician attitudes. By Aikaterini Rammou Thesis submitted for the degree of Doctor of Philosophy School of Psychology University of Sussex December 2020 i Statement I hereby declare that this thesis has not been and will not be, submitted in whole or in part to another University for the award of any other degree. Signature: Aikaterini Rammou 22nd December 2020 ‘ ii Acknowledgements To my supervisors, Dr Mark Hayward, Professor David Fowler and Dr Clio Berry, I owe an enormous thank you. I feel very lucky and honoured to have been supervised by you. Your insightful feedback, your knowledge about the subject matter of this thesis and your vast experience in clinical research has steered me throughout this project. Mark, thank you for having faith in me and inspiring me to reflect on clinical research in a down-to-earth manner that, first and foremost, aims to improve the care for people with mental health difficulties. Thank you for your consistent support and guidance throughout my PhD journey, for your patience, your positive and calming attitude, your reassurance and understanding. I am very grateful for the moments you encouraged me to think of my ups and downs as opportunities for personal and professional development and for continually reminding me that they are an integral part of this learning journey. I have never left a supervision meeting feeling frustrated or misunderstood and I always felt reassured that I could talk to you about any circumstances I found challenging during research as you would offer a safe, supportive space to discuss them. Thank you for sharing your knowledge and enthusiasm on voice-hearing and mental health research. David, thank you for sharing your expertise throughout this thesis. I am especially grateful for your advice to reflect on the bigger picture of research in clinical practice, your honest guidance and for providing me with opportunities to connect with other researchers to expand my professional and social network, making this journey less lonely. Thank you for looking out for me to ensure I make it to the finish line. Thank you for encouraging me to embrace the idea that a “good enough” thesis is plenty, that a PhD is only one stop in someone’s research journey. Clio, thank you for your continual support with my research and daily struggles. Throughout this PhD you have always been there to answer my (sometimes very silly and long list of) questions. I am so grateful for your patience and willingness to give me detailed feedback that has helped me develop as a researcher. Thank you for teaching me the intricate ways that clinical research works and especially for your practical iii support on navigating day-to-day tasks. I am very grateful for your guidance and for your unique “scaffolding” approach to my questions or issues. After talking with you, I always left feeling confident in my own abilities and with a strong sense of hope. Thank you for being generous with sharing your statistics and methodology knowhow, for the many hours you spent with me discussing individual cases to help me score my Vista packs and for finding the time in your busy schedule to come with me to my first assessment sessions. It meant so much to me. Thank you for all the training opportunities you offered me and for your advice on my career. Most of all, thank you for being approachable at all times, for your empathy and for acknowledging the difficulties in my journey and reflecting them back to me giving them the right dimensions (but never dismissing them). Thank you for believing in me and never stopping encouraging me to look after myself, both mentally and physically (even when I was not really listening). Thank you for your great sense of humour as it has made me laugh even when I was exhausted and low. I feel incredibly lucky to have had you by my side these past few years. I would like to extend my gratitude to Sussex Partnership NHS Foundation Trust and the Economic and Social Research Council (ESRC) for funding this PhD and to the University of Sussex for sponsoring my research. A further big thank you to the SPFT R&D team for all the considerate guidance and support. To Professor Paul Sparks, thank you for sharing your expertise in the Theory of Planned Behaviour and your genuine interest in helping me conceptualise how to construct the main questionnaire for the last empirical study of this thesis. To my assessor, Dr Daniel Michelson, thank you for providing valuable feedback on pieces of my written work and for offering me practical advice on my career development. Thank you, Lucie Crowther and Helen Anderson, for sharing your knowledge and experience as research assistants. Thank you for being kind and welcoming and for making me feel less lonely in this PhD journey, especially at the beginning when everything was new and overwhelming. You have been a great source of support. Thank you to all the wonderful research assistants at the R&D who supported recruitment of my young people studies in their clinical teams, while having to juggle so iv many other things during their day. Special thanks to Emogen, Ross, Evelin, Aparajita, Abigail and Conor. To my more senior colleagues, Cassie Hazell, Leanne Bogen-Johnston and Sara Fielding-Smith, thank you for teaching me a great deal, perhaps without realising it. You have been a source of inspiration to finish this journey by being living examples of a hopeful and exciting post-PhD future. Thank you for your advice at various points of my PhD, and mostly for sharing your lived experience and practical tips on how to survive a PhD in clinical research. A big thank you to Dr Sam Fraser who helped with the initial set up of the clinician study used in this thesis by providing advice and sacrificing her time to help with the initial development of the survey. I would also like to express my gratitude to Anna-Marie Jones for her advice on my analysis and her thoughts on early career opportunities. Thank you to the psychology graduates at the R&D, Hazel, Izzy and Ish who helped with advertising my youth study in CAMHS and Jo who, while doing her MSc, volunteered to help me with double entering part of my assessment pack for data validation purposes. I would also like to express my sincere gratitude to the staff in CAMHS and EIP services for offering me the time and space to conduct my research, for recognising the value of this work by referring young people to the project and for taking part themselves in the clinicians’ survey. Special thanks to Jane Taylor in Hampshire CAMHS, Dr Victoria Bonnett and Dr India Whitehouse in Hastings CAMHS and Dr Akira Naito in Hailsham CAMHS. Thank you to the CAMHS interns Tasha and Sara who helped with spreading the word about the Vista project. Thank you to the PPI consultant of this project, Emma, for offering her advice on the design of the young people’s study. Most importantly, a massive heartfelt thank you to all young people who took part in my research. Thank you so ever much for sharing your experiences with me, for opening your hearts and sometimes your homes to help others by participating in this research. I could not have done this without you. v Last but not least, my family and friends, thank you. Without your emotional and practical support, I would not have made it through. To my wonderful friends – thank you for staying by my side till the end, for putting up with my moaning and with my continuous absence. I am sorry I have neglect to nurture our relationships; I am planning to make up for the lost time. To my two childhood friends, Ioanna and Alexandra, I am truly blessed to have you in my life. Even when you are physically miles away, I know I can always count on you. To my brother, thank you for being an inspiring figure all my life, for always being there to listen to my thoughts, PhD-related or otherwise, logical, or non-sense, for being ready to offer your help whenever I needed it and for making me feel held and understood. Thank you for cheering me on, mostly with your weird, dark sense of humour. I am eternally grateful to you and Foteini for helping me proofread this thesis. To my mum, my best friend in the whole world, whose unconditional support and love has made me the person I am today. Thank you for always making me feel whole, for setting the foundations in my life to be able to stand on my own two feet, even when the ground is shaking. To my dad who works tirelessly, thank you for inspiring me to be hardworking and honest in my line of work and for all that you have provided throughout my life so that I am able now to write this PhD thesis.
Load more

Recommended publications
  • Perceived Social Rank, Social Expectation, Shame and General Emotionality Within Psychopathy
    Perceived social rank, social expectation, shame and general emotionality within psychopathy Sarah Keen D. Clin.Psy. Thesis (Volume 1), 2008 University College London UMI Number: U591545 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. Dissertation Publishing UMI U591545 Published by ProQuest LLC 2013. Copyright in the Dissertation held by the Author. Microform Edition © ProQuest LLC. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code. ProQuest LLC 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106-1346 Overview Within the psychological literature, the self-conscious emotion of shame is proving to be an area of growing interest. This thesis addresses the application of this emotion, as well as self and social evaluative processes, to our understanding of offenders, specifically those high in psychopathic traits. Part 1 reviews the literature concerning emotionality within psychopathy, in order to assess the capabilities, as well as the deficits that people with psychopathic traits demonstrate. Emotions classified as ‘moral’ or ‘self-conscious’, namely empathy, sympathy, guilt, remorse, shame, embarrassment and pride, are investigated. From the review it is clear that psychopaths are not the truly unemotional individuals that they are commonly portrayed as being, but instead experience many emotions to varying degrees. This paper concludes by highlighting possible areas for further exploration and research.
    [Show full text]
  • Working with the Hard to Reach
    Downloaded by [New York University] at 03:50 14 August 2016 Innovations in Psychosocial Interventions for Psychosis Despite the steady acceptance of psychological interventions for people with psychosis in routine practice, many patients continue to experience problems in their recovery. The need to develop new approaches, particularly for those who are more difficult to engage and have significant co-morbidities is therefore important. Innovations in Psychosocial Interventions for Psychosis positions psychological formulation as a key organising principle for the delivery of care within multidisciplinary teams. The interventions described all have the common theme of supporting recovery and achieving goals that are of primary importance to the service user which targets interventions on broader obstacles to recovery. Along with their experienced contributors, Alan Meaden and Andrew Fox introduce new developments in psychological interventions for people affected by psychosis who are hard to reach, working in a variety of settings with people at various stages of recovery. The book is divided into three parts. In Part I brief interventions and approaches aimed at promoting engagement are described as interventions in their own right. Part II is focussed on longer term interventions with individuals. Some of these highlight new developments in the evidence base whilst others draw on work applied less frequently to psychosis drawing from the broader psychological therapy practice-based evidence field. In Part III attention is given to innovations in group settings and those aimed at promoting greater multidisciplinary working in settings where a whole team approach is needed. Each chapter describes the theory underpinning a different approach, its development, key strategies, principles and stages, and contains case examples that illustrate the use of the approach in a clinical setting.
    [Show full text]
  • C. R. Marshall
    Doctorate in Clinical Psychology Thesis: Coping with Hearing Voices: A Repertory Grid Study C. R. Marshall 2011 1 Acknowledgements I would like to thank first of all, all of the people who gave me their time to participate. Without these generous people I would not have had a project. I would also like to thank Mark and Marty for putting up with me at home and keeping me going. Special thanks also go to my mum for always being there to proof read, and the rest of my family for keeping me smiling. Also, my principal and field supervisors, David and Tim, as well as Mike McDonnell and Patsy Fuller for helping me recruit. Lastly, Cohort 8 for keeping me motivated throughout all of the ups and the downs. 2 Index Chapter 1: Abstract p.11 Chapter 2: Introduction p.12 2.1 The position of the researcher and inspiration for the study p.12 2.2 The aetiology of hearing voices p.13 2.2.1 A historical perspective 2.2.2 Definitions of hearing voices 2.2.3 Risk factors to psychosis and hearing voices 2.3 The prevalence of hearing voices p. 15 2.3.1 Recent estimates of prevalence 2.4 Cultural and spiritual factors p.17 2.5 Recent advances in thinking p.18 2.5.1 Hearing voices and the media 2.5.2 The hearing voices movement 2.5.3 Hearing voices and psychological distress 2.6 Models of Hearing Voices p.20 2.6.1 The disease model 2.6.2 DSM-IV definition of schizophrenia and Schneider's (1957) first rank symptoms (FRS) 2.6.3 Neuropsychological models of auditory hallucinations 2.6.4 A Developmental account 2.6.5 Psychological models of auditory hallucinations
    [Show full text]
  • Original Article
    Depression in Men and Women: Relative Rank, Interpersonal Dependency, and Risk- Taking *Gayle Brewer and Nicola Olive The Social Rank Theory of depression (Price, Sloman, Gardner, Gilbert & Rohde, 1994) conceptualizes depression as a response to recognition that defeat will occur. This response reduces the risk of injury or death and further loss of valued resources, thus serving an important adaptive function. In the current study, men (N = 63) and women (N = 154) aged 18-35 completed an online questionnaire assessing depression, anxiety, social comparison, interpersonal dependency, and risk taking. Consistent with Social Rank Theory, depression levels were associated with a self-reported fall in social rank and a desire for a rise in rank. Furthermore, interpersonal dependency predicted depression for both men and women after controlling for anxiety and relative rank change and depression levels predicted a reduced willingness to engage in risky behavior. Keywords: depression, social rank, interpersonal dependency; risk taking Introduction In several species, individuals compete for resources and social rank (Moosa & Ud-Dean, 2011). Ritualistic agonistic encounters often determine the winners and losers of these competitions and form the basis for relationships in the wider social hierarchy (Kaufmann, 1983). Accurate assessment of current social position (Fournier, 2009), assisted through social comparisons with others (Buunk, & Brenninkmeijer, 2000), allows individuals to predict the threat posed by potential competitors and the likelihood of success or defeat. Whilst the importance of the physical ability to retain resources (Resource Holding Potential, Parker, 1974) may have decreased during evolutionary history, prestige and the attributes valued by society (Social Attention Holding Potential, Gilbert, 1992) continue to provide access to valued resources (Gilbert, 1997).
    [Show full text]
  • Social Rank Theory of Depression: a Systematic Review of Self-Perceptions of Social Rank and Their Relationship with Depressive Symptoms and Suicide Risk
    Wetherall, K., Robb, K. A. and O'Connor, R. C. (2019) Social rank theory of depression: A systematic review of self-perceptions of social rank and their relationship with depressive symptoms and suicide risk. Journal of Affective Disorders, 246, pp. 300-319. (doi:10.1016/j.jad.2018.12.045) There may be differences between this version and the published version. You are advised to consult the publisher’s version if you wish to cite from it. http://eprints.gla.ac.uk/188539/ Deposited on: 26 July 2019 Enlighten – Research publications by members of the University of Glasgow http://eprints.gla.ac.uk Social rank theory of depression: A systematic review of self-perceptions of social rank and their relationship with depressive symptoms and suicide risk Karen Wetherall1* Kathryn A Robb2 Rory C O’Connor1 Journal of Affective Disorders 1 Suicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, Scotland 2 Institute of Health & Wellbeing, University of Glasgow, Scotland *Corresponding author: Karen Wetherall, Suicidal Behaviour Research Laboratory, Academic Centre, Gartnavel Royal Hospital, Institute of Health and Wellbeing, University of Glasgow, 1055 Great Western Road, Glasgow G12 0XH, UK; E-mail: [email protected] 1 Abstract Background: Depression is a debilitating illness which is also a risk factor for self-harm and suicide. Social rank theory (SRT) suggests depression stems from feelings of defeat and entrapment that ensue from perceiving oneself of lower rank than others. This study aims to review the literature investigating the relationship between self-perceptions of social rank and depressive symptoms or suicidal ideation/behaviour.
    [Show full text]
  • The Association Between Involuntary Subordination and Common Mental
    Zhang et al. BMC Psychiatry (2019) 19:369 https://doi.org/10.1186/s12888-019-2329-7 RESEARCH ARTICLE Open Access The association between involuntary subordination and common mental disorders among men who have sex with men (MSM) in Shanghai, China Shuxian Zhang1†, Suping Wang1†, Zezhou Wang1, Ying Wang1, Xueqin Jiang1, Gang Xu1* and Yong Cai1,2* Abstract Background: Involuntary subordination is a mechanism that switches off fighting behaviors when a losing organism is unable to continue in a struggle. The study aim was to investigate the association between involuntary subordination and the common mental disorders of anxiety and depression among men who have sex with men (MSM) in Shanghai, China. Methods: A cross-sectional study was conducted of 547 MSM in four Shanghai districts. Sociodemographic and psychosocial participant data were collected. Logistic regression was used to assess the association between anxiety, depression, and involuntary subordination. Results: 12.2 and 30.9% Of the MSM demonstrated high levels of anxiety and depression respectively. Univariate analysis showed that involuntary subordination and the involuntary subordination constructs of defeat, social comparison, submissive behavior, and entrapment were associated with anxiety and depression. Multivariate analysis indicated that defeat (ORm = 1.091, 95% CI =1.004–1.185) and entrapment (ORm = 1.174, 95% CI =1.079–1.278) were significantly associated with anxiety. Defeat (ORm = 1.265, 95% CI = 1.166–1.372), social comparison (ORm = 1.119, 95% CI =1.061–1.181), entrapment (ORm =1.132,95%CI =1.047–1.224), and submissive behavior (ORm = 0.897, 95% CI = 0.825–0.975) were significantly associated with depression.
    [Show full text]
  • The Cognitive Model of Voices in Psychosis: an Ecological Validation of the Social Ranking Perspective
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Birmingham Research Archive, E-theses Repository THE COGNITIVE MODEL OF VOICES IN PSYCHOSIS: AN ECOLOGICAL VALIDATION OF THE SOCIAL RANKING PERSPECTIVE Thesis submitted to the University of Birmingham for the Degree of Doctor of Philosophy BY LIAM ANDREW GILLIES School of Psychology University of Birmingham United Kingdom B15 2TT January 2012 University of Birmingham Research Archive e-theses repository This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. Abstract Influential cognitive models of distressing symptoms in psychosis have been informed by evolutionary-based Social Ranking Theory. Social ranking theory views the formation and maintenance of symptoms as being significantly defined by ‘social mentalities’ that are operational during everyday social processes, such as when we compare ourselves to others. One framework of psychotic symptoms which has incorporated this social evolutionary perspective is the cognitive model of voices. The introduction of this thesis gives an overview of the nature of psychosis, and argues affective dysfunction and emotional factors are now included as a dimension of psychosis. It also draws attention to auditory hallucinations and persecutory beliefs and models of these symptoms are outlined.
    [Show full text]
  • An Evolutionary Model of Depression and Anxiety in Medical Students By
    An Evolutionary Model of Depression and Anxiety in Medical Students by Jaleh Shahin A thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Counselling Psychology Department of Educational Psychology University of Alberta ©Jaleh Shahin, 2015 AN EVOLUTIONARY EXPLORATION OF MEDICAL STUDENT DISTRESS ii Abstract The quality of the healthcare system partly depends on the health and wellness of its individual members. Physicians play a critical role in any healthcare system and make up one of its largest memberships. Physician wellness has been linked to a high quality of patient care, empathy, and lower rates of medical errors. Therefore, physician wellness and mental health should be considered an important public health issue with significant implications for patients and healthcare systems. Psychological distress in physicians typically begins early on during medical school. Several studies have explored various contributing factors to medical student distress. These include a culture of mistreatment and cynicism, taxing workload, viewing self as inferior in skills and abilities compared to peers (also known as imposter syndrome), and personality traits such as perfectionism, competitiveness, workaholism, and Type A personality. Despite the recent literature emphasizing the importance of addressing medical student distress, a cohesive, empirically supported, and comprehensive model of medical student distress has been lacking. In order to adequately and effectively address medical student distress, an empirically supported model of medical student distress is needed that will enhance our understanding of the specific causes of distress in the culture of medical training. This model can then lead to testable hypotheses and it can form the theoretical foundation for evidence-based intervention and prevention recommendations.
    [Show full text]
  • An Integrative, Evolutionary, Contextual, Biopsychosocial Approach Paul Gilbert* Centre Compassion Research and Training, University of Derby, UK
    164 Psychology and Psychotherapy: Theory, Research and Practice (2019), 92, 164–189 © 2019 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of British Psychological Society www.wileyonlinelibrary.com Special issue paper Psychotherapy for the 21st century: An integrative, evolutionary, contextual, biopsychosocial approach Paul Gilbert* Centre Compassion Research and Training, University of Derby, UK Fragmentation of processes and interventions plague the psychotherapies (Gilbert & Kirby, 2019). Part of the problem is that we have not agreed on a framework that could be the basis for integrating knowledge and the scientific enquiry of processes and interventions. This paper outlines an approach that brings together a variety of different disciplines in the service of consilience (Wilson, 1998, Consilience: The unity of knowledge, Vintage, New York, NY; Siegel, 2019). It presents the importance of an evolutionary framework for understanding the proclivities and dispositions for mental suffering and antisocial behaviour, and how they are choreographed in different sociodevelopmental contexts. Building on earlier models (Gilbert, 1989, Human nature and suffering, Routledge, London, UK; Gilbert, 1995, Clin. Psychol. Psychother., 2, 135; Gilbert, 1998, Br. J. Med. Psychol., 71, 353; Gilbert, 2016, Case formulation in cognitive behaviour therapy: The treatment of challenging cases, Wiley, Chichester, UK, pp. 50–89) the call is for an integrative, evolutionary, contextual, biopsychosocial approach to psychology and psychotherapy. Practitioner points Evolutionary functional analysis is part of an evolutionary, contextual, biopsychosocial approach to mental health that can serve as a scientific platform for the future developments of psychotherapy. Therapist skills and training will increasing need to focus on the multidimensional textures of mental states especially the context-social-body linkages.
    [Show full text]
  • Self-Compassion, Social Rank, and Psychological Distress in Athletes of T Varying Competitive Levels ∗ Courtney C
    Psychology of Sport & Exercise 50 (2020) 101733 Contents lists available at ScienceDirect Psychology of Sport & Exercise journal homepage: www.elsevier.com/locate/psychsport Self-compassion, social rank, and psychological distress in athletes of T varying competitive levels ∗ Courtney C. Waltona, , John Baranoffa, Paul Gilbertb, James Kirbya,c a School of Psychology, The University of Queensland, Brisbane, Queensland, Australia b Centre for Compassion Research and Training, College of Health and Social Care Research Centre, University of Derby, Derby, United Kingdom c Compassionate Mind Research Group, The University of Queensland, Brisbane, Queensland, Australia ARTICLE INFO ABSTRACT Keywords: Background: Self-Compassion may be seen as a concept contrary to the aims of athletes engaged in competitive Athletes sport. This could be accentuated at more elite levels, where athletes may view concepts like self-criticism and Mental health self-judgement as more important for improvement. Self-compassion Objectives: The current study aimed to better understand how athletes of different competitive levels (from social Competitiveness to international) relate to concepts of self-compassion. Further, we aimed to explore how factors relating to Social rank social rank and self-compassion contribute to psychological distress. Design: Cross-sectional online survey. Method: An online survey was distributed, including the following validated questionnaires: Depression Anxiety and Stress Scales, the Self-Compassion Scale, Fears of Compassion Scales,
    [Show full text]
  • An Integrative Model of Social Rank Mentality to Explain Eating
    Thinness in the pursuit for social safeness: An integrative model of social rank mentality to explain eating psychopathology 1 José Pinto-Gouveia MD, PhD, [email protected] 1 Cláudia Ferreira MS, Ph.D. [email protected]* 1 Cristiana Duarte M.S. Ph.D. Student [email protected] 1University of Coimbra, Portugal CINEICC – Cognitive - Behavioural Research Centre * Correspondence concerning this article should be addressed to: Cláudia Ferreira CINEICC, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra Rua do Colégio Novo, Apartado 6153 3001-802 Coimbra, Portugal E-mail: [email protected] (Cláudia Ferreira) Telephone: (+351) 239851450 Fax: (+351) 239851462 Thinness in the pursuit for social safeness: A model of social rank mentality to explain eating psychopathology Abstract: The current study tests a model based on social rank mentality investigating whether women who feel inferior and believe others see them negatively, and feel under pressure to compete to avoid social inferiority, present increased body dissatisfaction and drive for thinness; and whether these associations are mediated by distinct emotional regulation processes. The predictions from the model proposed were examined through path analyses, in a sample of 125 women from the general population and 102 patients with eating disorders. Results showed that the path model explained 51% of body dissatisfaction variance and 61% of drive for thinness and allowed us to confirm that social ranking variables increased drive for thinness through higher levels of self-criticism and lower levels of self-compassion. The findings suggest that the nuclear eating disorders’ features arise as a result of a more self-critical and less compassionate attitude with the self, in the context of a mentality focused on social ranking and competition.
    [Show full text]
  • 2015 Doris Emma 1261818 Et
    This electronic thesis or dissertation has been downloaded from the King’s Research Portal at https://kclpure.kcl.ac.uk/portal/ What are the psychological factors that may mediate the relationship between childhood trauma and later positive symptoms of psychosis? Doris, Emma Elizabeth Awarding institution: King's College London The copyright of this thesis rests with the author and no quotation from it or information derived from it may be published without proper acknowledgement. END USER LICENCE AGREEMENT Unless another licence is stated on the immediately following page this work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence. https://creativecommons.org/licenses/by-nc-nd/4.0/ You are free to copy, distribute and transmit the work Under the following conditions: Attribution: You must attribute the work in the manner specified by the author (but not in any way that suggests that they endorse you or your use of the work). Non Commercial: You may not use this work for commercial purposes. No Derivative Works - You may not alter, transform, or build upon this work. Any of these conditions can be waived if you receive permission from the author. Your fair dealings and other rights are in no way affected by the above. Take down policy If you believe that this document breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 26. Sep. 2021 Volume I Systematic Review Empirical Research Project Service Evaluation Project Thesis submitted in partial fulfilment for the degree of Doctorate in Clinical Psychology ____________________________________________________________ Emma Doris Institute of Psychiatry King’s College London May 2015 1 Acknowledgments Firstly, I would like to thank all the participants who took part in the study for their time and effort; this study would not have been possible without them.
    [Show full text]