What works for therapists conducting family meetings : Treatment integrity in family-focused grief therapy during palliative care and bereavement
- Authors: Chan, Eunice , O'Neill, Imogen , McKenzie, Maria , Love, Anthony , Kissane, David
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Pain and Symptom Management Vol. 27, no. 6 (2004), p. 502-512
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- Description: The purpose of this study was to evaluate the treatment integrity of Family-focused Grief Therapy (FFGT), a preventive intervention designed for families at high risk of poor functioning during palliative care and bereavement. From the 81 families participating in a randomized controlled trial (53 assigned to therapy), 28 were randomly selected for this study of treatment fidelity using the ITGT integrity measure. A total of 109 family sessions were appraised. This represented a review of 62 % of treated families, 38 % of total therapy sessions, and 87% of the 15 participating therapists. Weighted mean percentage occurences therapist behaviors permitted trends in therapy application to be observed. Inter-rater reliability using the FFGT integrity measure was satisfactory, with 88 % overall agreement. Eighty-six percent of therapists adhered faithfully to core elements of the model. Therapist competence was evidenced by a strong therapeutic alliance (94 %), affirmation of family strengths in over 90%, and focus on agreed themes in 76 % of sessions. Therapists averaged 10 grief-related questions per session, 7 on communication-related issues during assessment, 7 on conflict late in therapy, and 4 on cohesiveness across the course of therapy. Consistent application of FFGT, with attention to its low-key themes of family communication, cohesiveness, conflict resolution, and shared grief has been demonstrated. The model is generalizable when applied by family therapists. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
The emotion self-confidence model of suicidal ideation
- Authors: Deeley, Stephanie , Love, Anthony
- Date: 2012
- Type: Text , Journal article
- Relation: Advances in Mental Health Vol. 10, no. 3 (2012), p. 246-257
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- Description: Developing and testing theoretical models of suicidal processes is an important step towards designing appropriately targeted interventions. Though numerous correlates of suicidal ideation have been identifi ed, little theory articulates exactly how suicidal ideation arises in such contexts. Drawing on empirical and theoretical literature, we present the rationale for a stress-coping model to explain the development of suicidal ideation within an individual (the emotion self-confi dence model of suicidal ideation). Negative emotionality is viewed as an internal contextual stressor, potentially leading to the coping response of suicidal ideation, depending on how well an individual believes he/she can cope with or change the negative emotionality (emotion self-confi dence). In particular, high levels of negative emotionality coupled with low emotion self-confi dence would be expected to predispose towards thoughts of suicide. We discuss the relationship between emotion self-confi dence and processes associated with suicidal ideation, such as depression and hopelessness, as well as how emotion self-confi dence relates to broader cognitive behavioral constructs involving coping expectations. Accordingly, we outline the benefi ts of conceptualizing the model within Lazarus and Folkman's (1984; Lazarus, 1999) stress-coping framework. © eContent Management Pty Ltd.