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Training clinical psychologists to be able to work with those who will use their services in ways that are not 'othering' or stigmatising and that facilitate a safe, compassionate and accepting place from where psychological therapy can be undertaken, is an essential task for trainers. Although simulation training is widely used in some healthcare professions, it is a relatively new method in clinical psychology training. In this article we describe a simulation training exercise as one effective way to achieve the goals described above.

This article reports on an exploration of social workers' perspectives on the social policy and agency processes that shape their experiences of working in child protection services. A qualitative constructivist grounded theory methodology was employed, and 17 qualified social workers and managers were recruited. Social workers described working within an oppressive system, balancing unrealistic demands placed on them, and struggling to restore balance and hope. They shared how this filtered into the work they do with families and the role that relationality and peer support has in surviving the work. [ABSTRACT FROM AUTHOR]

This paper reports on the results of a study exploring sibling stories of parental mental distress and the societal discourses that may have contributed to the adult siblings' sense‐making. Four sibling pairs were purposively recruited and interviewed, using a narrative inquiry approach. Two main plots were constructed through analysis of the participants' narratives: 'The story of us' and 'We are who we are because of what happened'. Results highlighted that the identity construction of each sibling and the collective identities of the sibling pairs are influenced by the parental mental health context. The findings also suggest a change in the siblings' meaning‐making from childhood to adulthood. These findings are considered along with the implications for systemic practice and research. [ABSTRACT FROM AUTHOR]

The experience of psychosis can sweep into a life like a violent storm. In this paper, I first attempt to fully imagine the experience of such a storm by drawing on first person accounts and then consider the clinical encounter between mental health practitioners and those who find themselves amidst this storm. I reflect on ways we can better support meaning-making of, and purposefully living with, these potentially intensely distressing and disturbing experiences. Drawing on narrative and collaborative practices, I consider grounding the embodied experiences related to psychosis, honouring the stories of severe and enduring mental health problems and the life experiences that lead to them, accompanying people in their meaning-making of these experiences and joining in the fight against stigma. In particular, the importance of walking alongside those in the throes of the storm and bearing witness to their suffering is highlighted. Finally, the implications for the training of mental health professionals are considered.

When a parent is less able to meet their children's needs due to a severe and enduring mental health problem (MHP), other adult family members often help with childcare. We present a Grounded Theory of how children's family caregivers construct meaning about the parental MHP and communicate about it with children. Nineteen caregivers participated in qualitative interviews. Each supported at least one related child aged 4–17 years with a parent with MHPs. We found that caregivers engaged in a Core Social Process of providing protection in uncertainty. This comprised three categories as follows: shaping the interactional space, communicating through the developmental process, and engendering a sense of safety. Caregivers appeared to act from a Key Social Positioning of developing a caregiver identity. The findings implicate family‐focused provision of mental health and social care. Clinical recommendations are made for whole‐family interventions and the role of marital and family therapists. [ABSTRACT FROM AUTHOR]

There is a lack of research concerning therapists' emotional responses to the suicide of clients and/or friends and family and yet, professionally, therapists commonly manage suicide risk of their clients and need to abide by relevant policies. Using a purposive sampling technique, twelve female clinical psychologists working in the UK were recruited via social media platforms. A qualitative method was adopted to offer an in-depth understanding into the lived experiences of losing a loved one and/or client to suicide. The semi-structured interviews took place via video-call or via telephone for up to one hour. Three themes were identified as follows: how talk is experienced as a way of making sense of suicide the messiness of being human,and an experience that helps psychologists face suicide. This study brings to light the dilemmas experienced by clinical psychologists who are both clinicians and survivors of suicide. The findings highlight the lack of conversation relating to bereavement by suicide within mental health services. This study offers insight into how clinical psychologists experience suicide bereavement, and discusses the clinical and UK policy implications. [ABSTRACT FROM AUTHOR]

The profound and lasting impact of losing a child to adoption or foster care has been powerfully described, and the importance of offering therapeutic support to birth relatives is a requirement in most parts of the UK. However, little is known about effective counselling for this group. In this article, we report on the experiences of four counsellors and a project worker who offer counselling to birth relatives whose children have been removed following care proceedings. We present their reflections under four themes, namely: 'It's all about the person, it's all about the relationship'; 'Meeting clients where they are'; 'Having a sense of achievement'; and 'This work can really get into you'. These accounts offer valuable reflections for others offering counselling to birth relatives and their supervisors, as well as those who commission and design these services. [ABSTRACT FROM AUTHOR]

Muscular dystrophy is a terminal muscle-wasting condition, whereby families face continuous challenges as their child's health deteriorates. This research explored accounts of parenthood following bereavement of their child to muscular dystrophy. Narrative inquiry was used to analyse interviews with four couples. Findings suggest an importance in narrating adversities (waking up to different futures) and positive influence (creating legacies). The research highlighted how humour is often used to support others to witness painful accounts (humour through the struggle). Parents appeared to co-regulate the painfulness of narrating loss (storytelling together). Further research is needed on conjoint narrative interviews and how these may enable participants to address shared loss experiences. Practitioners who support bereaved parents could consider the potential value highlighted in this study of meeting with parents conjointly, which include that, through co-regulatory, collaborative processes, families seemed to be supported to reach narrative cohesion, sensitively and safely, when facing loss and bereavement. [ABSTRACT FROM AUTHOR]

There is very little published literature on 'what works' in terms of support for birth mothers following the loss of their children to compulsory adoption or foster care. The aim of this article is to raise the voices of a group of birth mothers, a historically stigmatised, powerless and neglected group, with substantial experience of counselling following the loss of a child. A user of services and expert by experience was recruited to join the research team and was consulted at all stages of the research process. Five birth mothers were interviewed regarding their experiences of involvement with a counselling service for birth relatives post-child removal. These interviews were systematically analysed using an IPA methodology through the lens of the research question: What are the experiences of birth mothers who engage in person-centred counselling following the loss of a child or children to compulsory adoption or foster care? Three master themes were constructed from the data: 'From feeling alone, judged and let down ... to feeling part of a special relationship', 'The healing process' and 'My children are my world'. The clinical invitations extended by these findings are discussed. [ABSTRACT FROM AUTHOR]

Background: There has been an abundance of studies that have employed quantitative methods to research obsessive compulsive disorder (OCD) and its neurobiology and neurochemistry. However, there appears to be a paucity of research investigating how OCD is experienced by those living with the diagnosis, particularly young people. Method: A qualitative cross‐sectional semistructured interview design was used to address this lack of research. Ten young people, aged 14–17 years old, with a diagnosis of OCD were recruited from Child and Adolescent Mental Health Services in the United Kingdom. Thematic analysis was used to analyse the data. Results: Four themes were identified: ‘Traumatic and stressful life events’, ‘Responses to signs of OCD’, ‘The battle of living with OCD’ and ‘Ambivalent relationship to help’. Young people reported experiencing stressful or traumatic life events prior to obsessive and compulsive behaviour. OCD behaviours were misunderstood by the young people and others, leading to delays in finding help. A sense of shame among the young people led them to keep their OCD secret due to feeling ‘crazy’. The all‐encompassing nature of OCD led the young people to withdraw socially. Most of the young people experienced an inner conflict between fighting and giving in to the compulsions. Conclusions: Traumatic experiences may be an important factor in the development of OCD for young people, which might indicate a direction for prevention. The sense of shame and stigma needs addressing if young people are to access help earlier. Education of the public, medical professionals and educators should be a priority. [ABSTRACT FROM AUTHOR]

This study explores the lived experience of black and minority ethnic (BME) clinical psychologists employed in the U.K. National Health Service (NHS). A mixed method qualitative approach was employed using repertory grids and interpretative phenomenological analysis. Six female BME clinical psychologists took part. Four master themes emerged from the analysis, including standing out as different, negotiating cultural and professional values, sitting with uncertainty, and feeling proud to be a clinical psychologist. The repertory grid analysis supported these findings and enriched the study. Implications of the study are discussed—namely, the importance of the profession increasing the cultural competency and sensitivity of its members as well as becoming more diverse. [ABSTRACT FROM AUTHOR]