Parents difficulties as co-therapists in CBT among non-responding youths with anxiety disorders: Parent and therapist experiences
No increased effect has been associated with parent involvement in cognitive behavioral therapy (CBT) for youths with anxiety disorders. The purpose of this study was to explore parent and therapist experiences of CBT among non-responding youths with anxiety disorders, with a primary focus on parent involvement in therapy. Interpretative phenomenological analysis was applied to 24 sets of semi-structured interviews with families and therapists of anxiety-disordered youths who had not profited from CBT with parental inclusion. From the superordinate theme parents’ difficulties acting as co-therapists, which emerged fr...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Lundkvist-Houndoumadi, I., Thastum, M., Nielsen, K. Tags: Regular Articles Source Type: research

Becoming invisible: The effect of triangulation on childrens well-being
The study explored children’s experience of triangulation in their families. In all, 15 children aged 11–16 years, who were attending an early intervention family therapy service, participated in the study. The children’s understandings and emotional experience of triangulation were explored by comparing their responses to pictures from the Separation Anxiety Test (SAT) and a set of pictures designed for the study depicting a variety of triangulation conflicts in families. An interview regarding the children’s personal family experiences of triangulation was also undertaken and clinical information ...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Dallos, R., Lakus, K., Cahart, M.-S., McKenzie, R. Tags: Regular Articles Source Type: research

Exploring parents understandings of their childs journey into offending behaviours: A narrative analysis
Parents are perhaps the best placed individuals to comment upon their child’s life story, including early life experiences, transitions and their child’s needs. However, research has rarely focussed on the views of parents of young people who have committed serious offences. This research aimed to explore parents’ opinions of which factors may have led to their child becoming involved with the criminal justice system. Interviews were undertaken with six parents who were asked to narrate their child’s life journey into offending behaviours. The data were then analysed using narrative analysis techniq...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Knowles, S. F., Eccles, F. J., Daiches, A., Bowers, M. Tags: Regular Articles Source Type: research

Adverse effects of psychological therapy: An exploratory study of practitioners experiences from child and adolescent psychiatry
The scientific knowledge about adverse effects of psychological therapies and how such effects should be detected is limited. It is possible that children and adolescents are particularly vulnerable and need specific support in order to express adverse effects. In this exploratory study, we used a qualitative approach to explore practitioners’ experiences of this phenomenon. Fourteen practitioners providing psychological therapy within the Child and Adolescent Psychiatric Service were interviewed. Qualitative content analysis was applied to the data. Four overarching categories brought up by the practitioners were id...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Jonsson, U., Johanson, J., Nilsson, E., Lindblad, F. Tags: Regular Articles Source Type: research

'We are dealing with it the best we can: Exploring parents attributions regarding their childs physical disability using the 'Four Ws framework
Conclusion: The Four Ws framework provides a potential tool for clinicians working with parents of children with disabilities, both to guide general conversations when the child’s needs are the main focus and for more in-depth clinical work with struggling parents. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Zschorn, M., Shute, R. Tags: Regular Articles Source Type: research

Beyond awareness of 'difference and towards social action: 'Solidarity practice alongside young people
Who I am as a working-class black African woman cannot be disconnected from how I work. It shapes my lens with regard to power, difference and liberation. It is not surprising that I have been drawn to social justice approaches to psychological intervention, such as Narrative Therapy, Coordinated Management of Meaning (CMM), social constructionist systemic therapy and liberation psychology. These practices involve taking up the cause of the oppressed in ways that respect them as agents of their own liberation. In this article, I describe what I term ‘solidarity practice’ with young people and their families as ...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Afuape, T. Tags: Special Section: Why difference matters Source Type: research

Fear of faith: A reflection on 'Family therapy and fundamentalism
This short essay explores some of the assumptions enbedded within ‘Family therapy and fundamentalism’ from the perspective of a person of faith. It questions the usefulness of the term ‘fundamentalist families’ and highlights the systemic interaction between the secular and religious worlds. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Rivett, M. Tags: Special Section: Why difference matters Source Type: research

Family therapy and fundamentalism: One family therapists exploration of ethics and collaboration with religious fundamentalist families
This article will explore whether the dualist position within some religious movements set against a more secular psychotherapeutic and psychiatric cultural milieu can invite a fundamentalised response from clinicians. The author draws on her own work with families who hold religious fundamentalist beliefs and enquires about ethics, transparency and collaboration within family therapy practice. This article invites complex ongoing challenging questions and debate. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Sherbersky, H. Tags: Special Section: Why difference matters Source Type: research

The right location? Experiences of refugee adolescents seen by school-based mental health services
This study examined young refugees’ impressions and experience of mental health services integrated within the school system. Semi-structured interviews were conducted with 40 adolescent refugees discharged by three school-based mental health services across the United Kingdom. Two-thirds preferred to be seen at school. Rumination and worry about insecurity in the asylum process had a negative impact particularly on the adolescents’ social functioning and ability to focus at school. The important role played by teachers in supporting and mediating contact with mental health services was valued by those intervie...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Fazel, M., Garcia, J., Stein, A. Tags: Special Section: Why difference matters Source Type: research

Soapbox: Class matters in parenting interventions
Class and income level influence parenting styles and values, yet are rarely discussed in treatment approaches and parenting interventions with families. In this soapbox article, I argue that discrepancies in outcome, retention, and participation could be fruitfully addressed through a fuller understanding of the needs, realities, and parenting goals of families struggling with financial disadvantage. I compare and contrast ethnographic studies of parenting in low socioeconomic environments with the types of strategies and interventions commonly advanced in parent training programs and suggest that clinicians must become m...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Zilberstein, K. Tags: Special Section: Why difference matters Source Type: research

Bangladeshi parental ethnotheories in the United Kingdom: Towards cultural collaborations in clinical practice
Parental meaning systems (ethnotheories) constitute a very important part of the context in which children live and develop. Parental ethnotheories are in turn shaped by implicit cultural ideals that organize parental beliefs and actions and frame child-rearing practices. The article presents a qualitative research into Bangladeshi parental ethnotheories in the United Kingdom, which illustrates both the rich cultural meanings that orientate parental action and also demonstrates how parents generate new meanings following migration and culture change. Professional understandings about children’s developmental needs, o...
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Bose, R. Tags: Special Section: Why difference matters Source Type: research

Why who we are makes a difference
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - July 19, 2016 Category: Psychiatry Authors: Messent, P., Singh, R. Tags: Editorial Source Type: research

The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data
Conclusion: In CAMHS, involving both children and parents in decision making may contribute to enhanced treatment outcomes. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Edbrooke-Childs, J., Jacob, J., Argent, R., Patalay, P., Deighton, J., Wolpert, M. Tags: Articles Source Type: research

Ties of silence - Family lived experience of selective mutism in identical twins
This article is based on an in-depth interview with a pair of twins diagnosed with selective mutism and their parents 2 years after recovery. Selective mutism (SM) is a rare disorder, and identical twins sharing the condition are extremely rare. The twins developed SM simultaneously during their first year of school. The treatment and follow-up they received for several years are briefly described in this article. The interview explored the children’s and their parents’ narratives about the origin of the condition, the challenges it entailed in their daily lives, and what they found helpful in the treatment the...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Albrigtsen, V., Eskeland, B., Maehle, M. Tags: Articles Source Type: research

From referral to discharge: Young people and parents experience of a systemic paediatric psychology service
Conclusion: Service user feedback is imperative to providing a high standard of care. This study highlighted positive experiences of a systemic service and indicated areas for future improvement that we are attempting to address (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Girling, I., Colville, S., Borrelli, M., Bowman, N., Christie, D. Tags: Articles Source Type: research