Discussing causality with families in a family management and therapy integrated service, a qualitative study with focus groups.
Thesis or dissertation
University of Exeter
Reason for embargo
As I wish to publish in a journal
Objective. Family Therapy (FT) and Family Management (FM) approaches to psychosis have been divided by their understanding of causality. FM holds a biological understanding which has been identified as having negative consequences for the person with psychosis. FT, by exploring family interactions has been criticised for blaming families for causing their relations psychosis. These two approaches have now been integrated, but how causality is discussed in an integrated approach has only now been explored. Design and methods. This qualitative research asked clinicians working in the most established integrated service how they discuss causality. Four focus groups were conducted and a framework approach using thematic analysis was used. Results. Five themes were explored; uncomfortable discussion; constructing a shared understanding; therapeutic style; limiting exploration; and blame. Conclusion. Discussing causality with families was identified as uncomfortable. However, through the development of a therapeutic-relationship three identified tools can be used to construct a shared understanding of causality. The therapeutic style of explorative conversation--based in FT, integrated with the stress-vulnerability model--based in FM, was identified as an important aspect of an integrated model that resolved criticisms levied at each individual approach. Factors that limited exploration were identified as major challenges to causality discussions, but techniques to remedy these problems were also identified. The risk of families feeling blamed/blaming themselves and attempts to avoid/reduce blame made up a dominant theme of the research. The research concludes by challenging the need to avoid/reduce blame, arguing that blame should be openly explored within family interventions.
DClinPsych in Clinical and Community Psychology
Showing items related by title, author, creator and subject.
MacAllister, Louise Karen (University of ExeterGeography, 2016-06-06)This thesis examines the effects of anti-obesity discourses on parenting practices. While academics have paid attention to the political dimensions of anti-obesity policy and related discourses (for example Colls and Evans, ...
Family Friendly? The Impact on Children of the Family Migration Rules: A Review of the Financial Requirements Wray, HE; Grant, S; Kofman, E; Peel, C (Office of the Children's Commissioner, 2015-08-31)This report was commissioned by the Children’s Commissioner for England from Middlesex University and the Joint Council for the Welfare of Immigrants (JCWI).
Attachments and connections: a ‘white working class’ English family’s relationships with their BrAsian ‘Pakistani’ neighbours Tyler, Katharine (Taylor and Francis, 2015)White working class people have been portrayed in the media and political discourse as unable to keep pace with the demands associated with living in multicultural Britain. In this article I shall challenge such representations ...