Dr Michelle CarrForensic Psychologist

To give an overview of the rationale for the study

To give a brief case study incorporating the issues which were brought to the group

Explain the methods of analysis and why this was used

To give an explanation of the results To explain what this means for the patients

and women in secure hospitals Future directions for research and how this

contributes to the field of study

Thematic Review of women's prisons high rates of self injury and adjustment difficulties.

Researched this further and became aware of relational theory.

This theory, the findings and my experience allowed my to make some hypotheses.

Site and participant choice 8 weeks study beginning in October 2012-

January 2013 Analysis and write up- Complete for April

2013

Introduced the study Informed Consent Pre Psychometrics and phenomenological

interviews

“Providing a description of human experience as experienced by the person themselves”

Bentz & Shapiro Six participants with average communication

of approximately two hours.

Qualitative and Quantative Methods Four Questionnaires (BDI, CFSEI, GHQ, CSQ) Transcriptions of the six group sessions Interpretative Phenomenological Analysis 5 Stages of analysis: Familiarization- immersion and coding Identification- annotate transcripts, linking Indexing- key issues, concepts Charting- Rearranging Mapping and Interpretation

‘Self’ I don’t like the term personality disorder, it

feels defective. The word ‘disorder’ implies there is something wrong. I prefer the word difficulties”

Self Others Environment

3 Subordinate themes

7 subordinate themes

2 subordinate themes

‘Others’ “I lied to protect my dad, I wanted to be in

control. I didn’t understand why I hurt myself, maybe I wanted to be in control of the hurting”

“I watch a lot, I’m quite a quiet person I don’t talk and I’m always aware of what’s going on around me and like I watch people it’s not that I’m judging them I see their behaviour and I just don’t want to be around it, it’s not the sort of thing that. I find it quite disturbing at times to be around behaviour like that.”

‘Others’ “I felt horrible, degraded with them in control.

The voices returned but it felt like they were nice voices and a way of coping”

“Just because she doesn’t want to talk don’t leave her. Don’t be put off by her quietness. You could watch tele together or get a drink”

Being able to relate/ understanding Non-judgemental and trustworthy Control Point of intervention

‘Environment’ I” would like to see people that have self

harmed and got through it. I want that in a group I want that. If someone came who self harmed what’s now recovered and same for eating. Because at the minute I don’t feel like I’m ever going to get there but if somebody comes in there is hope. At the minute we haven’t got the hope that we are going to get recovered so for someone to come in that has been through it, it might help us and I think “

‘Environment’ Cont “it’s an unpredictable environment, you

want to get out but its locked doors with no escape”

Spoke of their ‘safe space’ being the bedroom area. A sort of haven and ‘escape’ from the ward environment.

Room searches and material items.

Would anyone like to share their reflections on the qualitative results which have been shared?

Are there any tentative ideas as to theoretical links?

Table showing CSQ results pre and post

P Pre Post Diff RCI Sig1 Det 12

Rat 11Det 21Rat 17

Det 9Rat 6

4.297.15

YesNo

2 Det 5Rat 9

Det 5Rat 10

Det 0Rat 1

4.297.15

NoNo

3 Det 19Rat 25

Det 16Rat 27

Det -3Rat 2

4.297.15

NoNo

Coping style results show

Table showing BDI results pre and post

P Pre Post Diff RCI Sig

1 39 15 24 Yes

2 37 44 7 No

3 10 10 0 No

BDI Results suggest

Table showing CFSEI-2 results pre and post

P Pre Post Diff RCI Sig

1 10 27 17 5 Yes

2 19 10 9 5 Yes

3 24 26 2 5 No

CFSEI-2 results show

Table showing GHQ-28 results pre and post

P Pre Post Diff Sig1 Dep 11

Anx 14Dep 1Anx 8

106

YesYes

2 Dep 7Anx 14

Dep 14 Anx 11

73

YesYes

3 Dep 0Anx 12

Dep 1 Anx 8

14

NoYes

GHQ-28 results show that

Would anyone like to share their reflections on the quantative results which have been shared?

“Starting off research from women’s lives will generate less partial and distorted accounts not only of women’s lives but also of men’s lives and of the whole social order.”

Harding 2004, p56

Any Questions?