48 research outputs found

    Client Survey of a Group Treatment Model for Adult Women Incest Survivors

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    The problem of incest has been brought more and more out into the public eye in recent. As this recognition has increased, the growth in knowledge about how to treat incest has been enormous. Many clinicians and researchers agree the long term effects of incest can be very numerous and complex resulting in such symptoms as: chemical abuse, anorexia, self-mutilation, suicide attempts, depression, marital and parenting difficulties. Many therapists also believe that long-term therapy is necessary in the recovery process. However, there is little outcome evaluation for long-term, sexual abuse survivors groups in the literature. This is an exploratory client survey to analyze the effectiveness of an adult women\u27s incest survivors treatment group that uses a long-term, open-ended process oriented model, created by Noel Larson, Ph.D., LCP, called Victim Treatment , which holds personality change as its treatment goal. The survey will offer information as to whether or not group goals are being attained and suggestions for modifications. In addition, this survey will act as an exploratory measure towards developing an evaluative tool for the Victim Treatment model by Noel Larson PhD., LCP

    Methods of a national colorectal cancer cohort study: the PIPER Project

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    A national study looking at bowel cancer in New Zealand has previously been completed (the PIPER Project). The study included 5,610 patients and collected medical information about how each person was found to have bowel cancer and the treatment they received. This paper reports how the study was carried out. The information collected in the study will be used to look at the quality of care being provided to New Zealand patients with bowel cancer, and to find out if differences in care occur based on where people live, their ethnicity and their socioeconomic status

    Women’s engagement with community perinatal mental health services: a realist evaluation

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    Background: In recognition of the burden of Perinatal Mental Health problems, NHS England invested £365 million to transform women’s access to mental health care, including investment in Community Perinatal Mental Health Services. This study examined how elements of provider care affected women’s engagement with these services. Methods: Semi-structured interviews were conducted with 139 women and explored their experiences of care from 10 different Community Perinatal Mental Health Teams; including which service components participants believed made a difference to their initial and continued engagement. Realist analysis was used to create context-mechanism-outcome configurations (CMOCs) across interviews, since not all parts of the configurations were always articulated within singular interviews. Results: Four key pillars for engagement were identified: perinatal competence, relationship building, accurate reassurance, and reliability. The way perinatal competencies were relayed to women mattered; compassion, understanding and consistency were critical interactional styles. The extent to which these factors affected women’s engagement varied by their context and personal characteristics. Conclusions: As mental health problems increase, disproportionately affecting vulnerable populations, it is critical to continue to ensure support is not only available, but appropriately meets the needs of those individuals. Our findings suggest that key staff behaviours applied at the right time can support women’s engagement and potentially contribute to better treatment outcomes

    The first two centuries of colonial agriculture in the cape colony: A historiographical review∗

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    Africa on the Eve of Partition

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    The Extra-European Foundations of British Imperialism: Towards a Reassessment

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