Transitional discharge model for community mental health integration: A focused ethnographic study of clients’ perspectives

Author(s):  
Cheryl Forchuk ◽  
Sebastian Gyamfi ◽  
Mary‐Lou Martin ◽  
Deborah Corring ◽  
Rani Srivastava ◽  
...  
2009 ◽  
Vol 57 (2) ◽  
pp. 240-261 ◽  
Author(s):  
Paul Stronge

The paper posits an intervention in current debates around ‘method making’ in the social sciences, drawing on the experience of undertaking an ethnographic study of a community mental health team in East London. Theoretical recourse is made to the process philosophy of A.N. Whitehead and to the enduring provenance of the problem of ‘suggestion’ in the history of medicine and psychology. These offer rich and provocative theoretical resources with which to rethink the interpenetration of subject and object and ‘feeling’ and ‘finding’. Whitehead's work provides a general philosophical framework whereby the ongoing subjective experience of the researcher can no longer be sharply demarcated from the ‘data’ encountered. Meanwhile the adoption of a ‘register of suggestion’ opens up insights into the inevitably selective and singular character of any given methodological procedure. It maintains the importance of affective factors at the forefront of analysis, and brings into focus the parts played by indeterminacy and risk in the research event.


2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


1976 ◽  
Vol 21 (10) ◽  
pp. 705-706
Author(s):  
BONNIE SPRING

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