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Biomedical subjects

S P Llewelyn

Publications and source records attributed to S P Llewelyn.

11 recordsLinked to original sources
PubMed1991

Treatment of sexual abuse which occurred in childhood: a review.

This review is concerned with the individual and group treatment of clients who present with a history of sexual abuse in childhood. Almost all of the literature regarding the individual treatment of these clients is based on clinical reports; very little is experimentally based. Most of the reports of group treatment are of a similar nature, although some outcome research data are included. The clinical consensus, in terms of the issues, stages, goals and techniques of therapy, is described. In addition, an overview is provided of the identification of clients who may have a history of CSA, which includes guidelines for assisting disclosure. Finally, the issues raised for therapists in treating these clients are addressed. Much of the material reviewed in this article refers to the treatment of female, and in particular incestuously abused, victims; at the time of writing, very little information was available regarding the treatment of male victims.

Adolescent↗
PubMed1991

Long-term effects of sexual abuse which occurred in childhood: a review.

The psychological problems and difficulties experienced by adults who report having been sexually abused in childhood are reviewed. These long-term effects include damage to the victims' emotional reactions and self-perceptions, relationship problems, problems with sexuality and difficulties in social functioning. Common presenting problems of victims of childhood sexual abuse (CSA) are described. Also discussed are the characteristics of incestuous abuse in terms of the victim, the abusive relationship and its termination; the contributions of the various aspects of CSA to the psychological impact of such abuse; and psychodynamic explanations of the development of long-term effects. The bulk of the published material regarding the long-term effects of CSA refers to female victims only, and this 'bias' is reflected in the review.

Child↗
PubMed1988

An investigation of anxiety following termination of pregnancy.

This study reports the results of an investigation into the immediate effects of termination of pregnancy on levels of anxiety experienced by a group of 21 women, half of whom had supportive partners, and the other half of whom did not. Subjects were interviewed and administered the Spielberger State-Trait Anxiety Inventory within hours of their operation, and the scores for the two groups were compared. Results indicated that support of a partner was the best predictor of state, but not trait anxiety, and that state anxiety was the only variable which distinguished the women with supportive partners from those without supportive partners. Implications for the provision of immediate post-termination counselling support are discussed.

Abortion, Induced↗
PubMed1988

Client perceptions of significant events in prescriptive and exploratory periods of individual therapy.

This study compared the impact of helpful and hindering events, as perceived by 40 clients, in two forms of psychotherapy: an exploratory, relationship-oriented therapy, and a prescriptive, cognitive/behavioural therapy. All clients received eight sessions of each type of treatment in a crossover design. Events were obtained by self-report both during and at the end of each period, and content analysed for type of therapeutic impact by three trained raters. Results showed that during treatment the most commonly occurring helpful impacts across both types of treatments were 'problem solution', 'awareness' and 'reassurance', while the most commonly occurring hindering impact was 'unwanted thoughts'. Similar impacts were reported at the end of each period, with the addition of 'personal contact'. In addition, it was found that 'problem solution' and 'reassurance' impacts were more commonly reported in prescriptive treatment, whereas 'awareness' and 'personal contact' impacts were more prevalent in exploratory treatment. Only the prevalence of 'unwanted thoughts' was correlated (negatively) with outcome. Some possible reasons for the lack of correlation between reported impacts and outcome are suggested.

Anxiety Disorders↗
PubMed1988

Psychological therapy as viewed by clients and therapists.

Results are presented from a study in which 40 therapist-client pairs were asked to record, after each session of psychological therapy, their views concerning the helpful and unhelpful events which took place. On termination they were asked to describe their views of the helpful and unhelpful events in retrospect, and to report on outcome. A total of 1076 events was collected from 399 therapy sessions, and was content analysed using Elliott's Therapeutic Impact Content Analysis System. Results showed that during therapy the types of event most frequently reported by clients were reassurance/relief and problem solution events, whereas therapists reported the clients' gaining of cognitive and affective insight. After termination, both participants reported the importance to the client of personal contact. Many of the differences between the two perspectives were highly significant, although more differences were found when outcome was poor. It is suggested that different aspects of the therapeutic process have a different degree of salience for therapists and clients, in that clients are most interested in gaining a solution to their problems and feeling better, whereas therapists are more concerned with the aetiology of the problem and its transformation through insight. The implications of these differences are discussed.

Adult↗
PubMed1987

Communication training in nursing may damage your health and enthusiasm: some warnings.

The purpose of this paper is to outline and discuss some of the fundamental theoretical and practical considerations bearing on the teaching of communications skills to nurses. Although evidence exists that communications training is needed, and welcomed by both nurses and nurse managers, implementation of training schemes without consideration of a number of critical issues is likely to result in only partial success, or even complete failure. The issues identified and discussed in this paper are the need for accurate assessment and evaluation, the need to understand and take into account resistance to change at the level of both the individual and the organization, and most pervasively, the need for a clear relationship between theory and practice.

Communication↗
PubMed1982

Psychoanalysis as a human science: critique and reformulation.

This paper continues the debate opened by Will (1980), concerning the scientific status of psychoanalysis. A critique is made of Will's paper, on the grounds that it misrepresents the scientific method, and fails to consider appropriate criteria for evaluating psychoanalysis. A defence of Popper, and the importance of prediction as a tool in structuring understanding, is sketched out, and an alternative view of the scientific process which can more adequately encompass the enterprise of psychoanalysis is suggested.

Humans↗
PubMed1980

The uses of an eclectic approach: a case study.

A case study is presented in which a broadly eclectic or patient-focused approach was used, which allowed the treatment to be determined by the ability of the patient to handle different levels of material at different times. It is argued that such an eclectic approach can only develop from an awareness of the value of both psychotherapeutic and behavioural theories, and represents the increasing rapprochement between them.

Adult↗
PubMed1979

The patient's view of therapy.

Recent research has suggested an increasing rapprochement between behaviour therapy and psychotherapy, especially in terms of the patient's perceptions. Two hypotheses were tested in this study - (1) that patients would report 'relationship' or 'non-specific' factors to be more useful in treatment than behavioural or psychotherapeutic activities, and (2) that there would be no difference between patients who had received behaviour therapy and patients who had received psychotherapy with respect to the rated importance of non-specific, relationship-type activities. Forty-nine patients who had received either behaviour therapy or psychotherapy were asked to complete in retrospect a questionnaire relating to aspects of therapy which they found useful and 37 (76 per cent) completed questionnaires were returned. Both hypotheses were accepted, and the findings are now discussed in relation to the growing realization of the importance of 'non-specific' factors in therapy.

Adult↗