Working with the complexities of adolescent mental health problems: applying Time‐limited Adolescent Psychodynamic Psychotherapy (TAPP)

This article discusses the application in a CAMHS setting of a distinctive intervention for adolescent mental health difficulties, Time‐limited Adolescent Psychodynamic Psychotherapy (TAPP). TAPP has been developed specifically for working with adolescents and the characteristic developmental and psychosocial complexities they present to mental health services. It is widely recognised that supporting the developmental process in adolescence is central to therapeutic interventions and the therapeutic aim of TAPP is to enable recovery of the capacity to meet developmental challenges. The key factors of TAPP are described, including the formulation and working with a developmental focus, the therapeutic stance, working with transference and counter‐transference, working with time limits, and the emphasis on engagement of adolescents in therapy in TAPP. The experiences of introducing and developing TAPP in the CAMHS service are discussed with two brief and one extended case examples and this leads to a discussion of the kinds of outcomes achieved. It is concluded that TAPP is a key and relevant intervention for adolescents in complex and vulnerable situations; further work will be undertaken to continue its application in these settings and to formally assess outcomes.

Externally confined concrete columns using FRP tubes

This paper presents an experimental investigation carried out on concrete filled fibre reinforced polymers (FRP) tubes, subjected to monotonic and cyclic loading. Two types of FRP materials were used: glass fibres and carbon fibres. Different failure modes and the effect of concrete fill, type of confinement materials, reinforcement ratio based on tube thickness and type of loading are examined. The study shows that external confinement of concrete by means of modern materials, such fibre reinforced polymers, can enhance its strength and ductility as well as result in large energy absorption capacity. This has important safety implications, especially in regions with seismic activity. A model that predicts the behaviour of confined concrete which takes into account the stiffness and effectiveness of different confinement materials is briefly introduced.