992 resultados para Caregivers - Psychology


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Forensic Psychology is a recognised and important sub-specialty of the Psychology discipline. However, after an expansion in the number of training places that were offered when programmes were first developed, recent years have seen these diminish in response to changes in university policies, resulting from reformulated Federal government funding models. In this article, we argue that it is important for the future of specialist areas of professional psychology to not only articulate the core skills and competencies that are associated with specialist practice but also to develop unique and distinctive approaches to teaching and learning signature pedagogies. Based on the premise that forensic psychological practice is, indeed, a distinctive activity that requires different skills and, importantly, different ways of thinking about the work from other areas of professional psychology, it is suggested that professional training in this area should aim to develop a signature pedagogy which combines methods of teaching and learning that have been developed in legal training programmes with principles of problem-based learning.

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This paper challenges the assumption within Economics that the relationship between money and subjective wellbeing is determined by processes of cognitive comparison. An alternative explanation for such well known phenomena as the Easterlin Paradox and Decreasing Marginal Utility are provided through a consideration of affect. The theoretical basis for such explanations relies on theory from Psychology usually overlooked by Economists, such as affect heuristics and Subjective Wellbeing Homeostasis. The presented evidence for this alternative source of explanation melds psychological theory with empirical data. It is concluded that affective processes offer a coherent alternative explanation for the phenomena under discussion.

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Objectives: Close family and friends are often a primary source of support for a person with bipolar disorder. However, there is a lack of
information for caregivers about ways to provide helpful support and take care of themselves. Rates of caregiver burden are high and increase the risk of caregiver depression and health problems. This study aimed to develop guidelines to assist caregivers of adults with bipolar disorder to be informed about bipolar disorder and to support the person without neglecting their own wellbeing.
Methods: The Delphi method was used to assess consensus between international expert panels of 45 caregivers, 47 consumers, and 51 clinicians about what information to include in the caregiver guidelines. Initial online survey items were based on the existing literature. Subsequent surveys included new or reworded items suggested by panel members and items that needed re-rating. Items endorsed by at least 80% of all three panels formed the content of the guidelines.
Results: Nearly 86% of the 626 survey items were endorsed. The items covered information on the illness, treatment, and suggestions on ways caregivers can provide support and take care of themselves in the different phases of illness and wellness, and information on dealing with specific real-life challenges. Although consensus rates were high, meaningful areas of difference between panels were found (e.g., collaboration issues).
Conclusions: The guidelines provide comprehensive introductory information, suggestions, and resources for caregivers. Access to relevant information may help caregivers to cope constructively with the person’s bipolar disorder and their caregiving situation. The content of the guidelines could be used to help formulate a stepped-care approach to supporting caregivers, ranging from basic information and pamphlets to brief training courses and specialized family or caregiver interventions based on need and accessibility.

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Purpose – Supervision is often regarded as an important aspect of forensic psychological practice and yet little evidence exists to support the idea that supervised practice leads to better outcomes for either clients or organisations. This paper seeks to discuss some of the aims of supervision in relation to the needs of forensic psychologists, such that practice in this area can be developed further.

Design/methodology/approach – The current published literature on the nature of forensic supervision is reviewed and discussed.

Findings – A number of different models of supervision have been proposed and supervisory experiences can vary markedly according to both the individuals involved and the setting in which the work is conducted. There is a need to develop specialist models of supervision for those who work in forensic settings. Further research is needed to establish an evidence-base for supervisory practices.

Originality/value – There has been very little previous consideration of the nature of post-qualification forensic supervision despite the need, and in some cases requirement, that forensic practitioners receive supervision. This paper discusses some of those issues that are considered important to effective supervision in the forensic setting.

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Aims:  (i) To investigate the availability, perceived importance and roles of informal caregivers in the recovery of patients treated at day oncology centres and (ii) identify differences between patients with and without informal caregivers in the extent to which they experienced symptoms, and the level of bother symptoms caused.

Method:  Patients from three Australian hospitals (n = 122) were recruited during cycles 1 or 2 of adjuvant chemotherapy. Participants completed a modified version of the Rotterdam Symptom Checklist (RSCL) each day for 5 days after chemotherapy. A telephone interview conducted 10 days post-treatment explored the availability, importance and roles of caregivers. During the interview, participants also completed the modified RSCL in which they were asked about the extent to which they experienced, and were bothered by, each symptom over the prior 5 days combined.

Results:  Overall, 71% of participants had an informal caregiver in the 5 days postchemotherapy, commonly a partner. More women (71%) than men (48%) had a caregiver (p < 0.05). Caregivers were perceived to be highly important; they were more important for women than men (U = 213.50, p < 0.01). The most common assistance caregivers provided was meal preparation and emotional support and companionship. On days 6–10 postchemotherapy, the extent to which overall physical symptoms were experienced was higher for patients with a caregiver than without (U = 987.50, p < 0.05); similarly their symptoms caused more bother (U = 966.00, p < 0.01).

Conclusions:  These findings highlighted the importance of informal caregivers to patients postchemotherapy. It is imperative that patients are informed of the importance of this support so a caregiver can be arranged, if possible. Understanding the needs of patients following chemotherapy would enable health professionals to advise patients, with or without caregivers, how to best prepare for and manage their recovery at home.

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This study examined the effectiveness of an instructional format that Involved conducting introductory psychology tutorials in large conventional lecture theatres with over 100 students per class. We maximised the use of skilled tutors, sharing of student perspectives, and cooperative learning in delivering interactive, active learning activities, Students (N = 284) within each class were randomly assigned to smaller groups that were scaled within the same large class environment. Students reported positive perceptions of their learning experience at an end-of-semester survey. Moreover, they performed significantly better in a major assessment on the tutorial component than a previous cohort taught in conventional small tutorial classes. Our finding indicate that active learning techniques can be implemented just as effectively in a large class tutorial format. These findings have practical implications for designing cost effective yet pedagogically vigorous instructional formats for introductory psychology and other liberal arts courses.

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Information and communication technologies are increasingly being used to remotely deliver psychological services. This delivery method confers clear advantages to both client and therapist, including the accessibility of services by otherwise unserved populations and cost-effective treatment. Remote services can be delivered in a real-time or delayed manner, providing clients with a wealth of therapy options not previously available. The proliferation of these services has outstripped the development and implementation of all but the most rudimentary of regulatory frameworks, potentially exposing clients to substandard psychological services. Integrating mandatory training on the delivery of online psychological services into accredited postgraduate psychology courses would aid in addressing this issue. The purpose of this article is to outline issues of consideration in the development and implementation of such a training programme. An online etherapy training programme developed by Swinburne University's National eTherapy Centre will be used as an example throughout.

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Background: The relationship between health-related quality of life (HRQoL) in people with Parkinson’s disease and their caregivers is little understood and any effects on caregiver strain remain unclear. This paper examines these relationships in an Australian sample.
Methods:
Using the generic EuroQol (EQ-5D) and disease-specific Parkinson’s Disease Questionnaire-39 Item (PDQ- 39), HRQoL was evaluated in a sample of 97 people with PD and their caregivers. Caregiver strain was assessed using the Modified Caregiver Strain Index. Associations were evaluated between: (i) caregiver and care-recipient HRQoL; (ii) caregiver HRQoL and caregiver strain, and; (iii) between caregiver strain and care-recipient HRQoL.
Results: No statistically significant relationships were found between caregiver and care-recipient HRQoL, or between caregiver HRQoL and caregiver strain. Although this Australian sample of caregivers experienced relatively good HRQoL and moderately low strain, a significant correlation was found between HRQoL of people with PD and caregiver strain (rho 0.43, p<.001).
Conclusion:
Poor HRQoL in people with PD is associated with higher strain in caregivers. Therapy interventions may target problems reported as most troublesome by people with PD, with potential to reduce strain on the caregiver

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Daoism (Taoism) is a collection of Chinese philosophical beliefs and psychospiritual practices with a history of thousands of years, and a living community that stretches throughout East Asia. I will argue that Daoism and its corresponding texts such as those included in the Daozang provide a wealth of material regarding trans-egoic experiences (e.g., unitive absorption in the Dao), that may enhance Western psychologists’ understanding of transpersonal phenomena. Curiously, however, despite the obvious points of intersection between Daoism and transpersonal psychology (e.g., a mutual interest in phenomena typically referred to as altered states of consciousness), to date transpersonal psychologists have neglected to investigate Daoism. Indeed, the majority of published research concerning the relationships between Daoism and Western psychology has been undertaken from within the Jungian analytic and humanistic psychological movements. After reviewing this literature, I will formulate various proposals for future empirical studies that may interest transpersonal psychologists.

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In primary care, evidence-based psychological treatments for obsessive compulsive disorder (OCD), such as cognitive behaviour therapy (CBT), have not been readily available. We aimed to develop models of care for OCD that account for barriers to access and can be integrated into general practice settings. Multiple methodologies and sources were utilised, including literature reviews, a reference group, focus groups, interviews and questionnaire responses from consumers, psychologists and/or GPs. It was found that there were similarities and some differences among stakeholders in attitudes and knowledge about OCD, and views about treatment and assessment in primary care. Three models of care for patients with OCD were developed and integrated into a treatment program operating through a division of general practice. Participating GPs preferred referral to a specialist clinic, irrespective of participation in an educational program about OCD. Based on these findings, it is suggested that effective integration of specialist CBT treatments for OCD into primary care is possible if the needs and views of all stakeholders are accounted for.