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2. Surviving an alternative reality : a qualitative analysis of adolescents’ experiences of psychiatric hospitalisation

Author

Painter, Catherine and Crossley, J.

Subjects
362.21
Abstract

Part One: Literature Review Purpose: To explore current knowledge about the psychological impact of psychiatric hospitalisation. Method: A Computerised literature search was completed using six publication databases. Relevant papers were identified and reference list and prospective citation searches were conducted. Particular inclusion and exclusion criteria were employed. Results: Very little literature has explicitly investigated the psychological impact of psychiatric hospitalisation. However, findings around psychological concepts such as identity, stigma, coercion and trauma have started to indicate the nature and extent of psychological responses. The majority of studies are atheoretical in nature and lack methodological rigour. Conclusions: Further research is needed to incorporate psychological theory into an understanding of the experience of psychiatric inpatients. Future research should include rigorous empirical studies within acute adult populations and exploratory qualitative studies with other age/client groups. Part Two: Research Report Objectives: To explore adolescents’ experiences of psychiatric hospitalisation, including the psychological impact of the experience and coping mechanisms. Method: The data from semi-structured interviews with ten adolescents was analysed using the grounded theory method (Glaser & Strauss, 1967). Results: A process model was developed around the core category ‘Living in an Alternative Reality’. Contributory categories highlighted the possible impact of hospitalisation and outcome categories suggested the ways in which adolescents coped. Discussion/Conclusions: The results suggest that the experiences of adolescent inpatients may be similar to adult experiences. The clinical implications of the findings, such as the need to maintain connections with family and friends and foster supportive relationships within the ward environment, highlight the need to prioritise the service-user perspective in clinical settings and future research. Part Three: Critical Appraisal A reflection on the overall research process is provided. Practical and theoretical issues of interest are discussed, including the influence of the self in qualitative research, the editing process, and power and control.

Published
2008

6. Regulation of phagocytosis and (Ca2+)i flux by distinct regions of an Fc receptor

Author

Odin, Joseph A., Edberg, Jeffrey C., Painter, Catherine J., Kimberly, Robert P., and Unkeless, Jay C.

Subjects
Research, Calcium (Nutrient) -- Research, Phagocytosis -- Research, Immunoglobulin G -- Research, Calcium, Dietary -- Research
Abstract

FC RECEPTORS ([Fc.sub.γ.Rs]) FOR IMMUNO-globulin G (IgG) link humoral and cell-mediated immune responses. Activation of [Fc.sub.γ.Rs] requires cross-linking of multiple receptors by immune complexes. In neutrophils and macrophages, the binding [...], The binding of multivalent immunoglobulin G complexes to Fc receptors ([Fc.sub.γ.Rs]) on macrophages activates multiple immune functions. A murine macrophage cell line, but not a fibroblast cell line, that was transfected with human [Fc.sub.γ.RIIA] mediated phagocytosis and an intracellular [Ca.sup.2+] concentration ([[[Ca.sup.2+]].sub.i]) flux upon cross-linking of human [Fc.sub.γ.RIIA]. Transfected macrophages that expressed a truncated receptor lacking 17 carboxy-terminal amino acids phagocytosed small antibody complexes. However, only wild-type transfectants phagocytosed labeled erythrocytes and fluxed [[Ca.sup.2+]].sub.i]. Thus, the cytoplasmic domain of human [Fc.sub.γ.RIIA] conatins distinct functional regions.

Published
1991

14. Communication, organisation... and tea and biscuits.

Author

Painter, Catherine

Subjects
HEALTH care reform, HEALTH policy, PUBLIC health research, RESEARCH management, COMMUNICATION, ORGANIZATION
Abstract

Discusses the experience of the author of conducting large-scale multicenter National Health Service (NHS) research in Great Britain. Claim of the author that communication and organization are key factors in collecting data over a long period from multiple locations; Necessity of regular contact with NHS staff and the appointment of specific liaison personnel to have an efficient research; Importance of giveaways and freebies to encourage greater response and maintain presence for the project; Emphasis on consumer involvement and empowerment as a significant aspect of NHS reform; Issues and problems to be addressed and needed to be conveyed to staff.

Published
2005

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