Psychiatric in-patient care in England: as safe as it can be? An examination of in-patient sui-cide between 2009 and 2020.
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Authors
Hunt, I.M
Baird, A
Turnbull, P
Ibrahim, S
Shaw, J
Appleby, L.
Kapur, N.
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Issue Date
12/01/2024
Type
Journal Article
Language
Keywords
Mental Health
Alternative Title
Abstract
Objective : Many people with Anorexia Nervosa experience ambivalence and impoverished motivation to change, yet current motivation enhancing interventions require improvements. Chairwork is a collection of therapeutic methods that incorporate movement and dialogue between chairs to elicit change. The “future selves” chairwork intervention (FSCI) is a novel chairwork task that aims to increase motivation by enacting and interacting with future ‘non-recovered’ and ‘recovered’ version of the self in different chairs.Method: Nine people living with Anorexia Nervosa completed the FSCI and were interviewed about their experience of the task. An interpretative phenomenological analysis was conducted, using change process research methods to explore acceptability, feasibility, and associated change processes.Results: The following Group Experiential Themes (GETs) were identified: ‘Delivery and Task factors’, ‘Motivation towards a demanding recovery journey’, ‘Intense and strange emotions led to realisations’ and ‘Living as the future self”.Conclusions: The findings suggest that FSCI is acceptable and feasible, although more research would be beneficial. Changes in motivation were facilitated through experiencing emotion and embodiment of future selves. Participants described an emotionally evocative response, which led to realisations and new understanding.
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Citation
Psychological Medicine. 2024;54(8):1702-1708
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Journal
Psychological Medicine
Volume
54
Issue
8