‘I'm not a family therapist. OK?’ Working Constructively with Families in Aged Psychiatry

This paper reports on the first phase of a larger study aimed at investigating factors hindering family work and exploring ways to improve the amount and quality of family contact within a community aged mental health service in Melbourne, Australia. During the first phase of the project, 28 mental health professionals were interviewed about their views and experiences. Interviews were transcribed, coded, and analysed in terms of repeating themes. The range of attitudes, beliefs and feelings about family work is summarised in this paper. Polarities emerged around questions of whether or not to engage family members, and if so, what function family work fulfils. The interviews also provided useful information on clinicians' beliefs about what would increase the possibility of family work. The paper concludes with a discussion about how to recognize and value family work in this area and target sustainable interventions during the second phase of the study.     

Definitions of conflict and the legitimation of resources: The case of environmental risk

This paper examines the social construction of conflict over environmental health and safety issues (i.e., environmental risk). Four explanations for such conflict are commonly offered in the environmental policy literature. We examine the interests served by each. We hypothesize that environmental policy professionals hold definitions of conflict consistent with the values and interests of the organizations for which they work and the professions of which they are members. These definitions enhance the legitimacy of the resources those groups possess in relative abundance. Data from a survey of risk professionals are generally consistent with these hypotheses. We conclude by generalizing beyond environmental conflict to identify ways in which disputes about the nature of a social problem or conflict are often at the same time struggles to determine the value of the resources available to social movements and their opponents.An earlier version of the paper was presented at the 1984 annual meeting of the American Sociological Association. The views expressed herein do not necessarily represent those of George Mason University, George Washington University, or the National Research Council or any of its constituent units.     

Speaking the Unspeakable: Reclaiming Grief and Loss in Family Life

Despite their core place in family life, grief and loss have received only sporadic attention in the family therapy literature. In examining this neglect we briefly revisit earlier family therapy understandings of grief and loss in families, and present a theoretical framework (drawing on Worden, 1982; Walsh & McGoldrick, 1991) that comfortably integrates a wide range of family grief experiences including death and more ambiguous losses.     

Assessing research impact potential: using the transdisciplinary Outcome Spaces Framework with New Zealand’s National Science Challenges

ABSTRACT

Calls for science to have impact as well as excellence have been loud and clear from research funders, policymakers and research institutions for some time. Transdisciplinary research (TDR) is expected to deliver impact by connecting scientists with stakeholders and end users to co-produce knowledge to respond to complex issues. While New Zealand’s science system is geared to deliver excellence, its capability to also deliver impact beyond academic institutions is less clear. This paper has two interconnected aims. Firstly, it presents findings from testing innovations to the TDR Outcome Spaces Framework (OSF+) with four National Science Challenges (NSCs). We conclude that OSF+ is a useful tool for planning for multiple outcomes and assessing the potential for impact. Secondly, it presents findings of how using OSF+ to assess research impact potential revealed a range of implicit theories of change (i.e. catalyst, deficit, engagement and collaboration) across the NSCs. The findings raise important questions about the prospects for New Zealand’s science system to deliver the envisaged and needed levels of research impact when current institutional settings, expectations, recognition systems, career paths and measures of success are not yet able to adequately accommodate TDR to deliver the research impact.     

Family Grief and Mental Health: A Systemic,Contextual and Compassionate Analysis

Although not always named, grief is central to the experience of mental illness — for people diagnosed, their families and their friends. Yet grief is almost absent from the literature and practice of mainstream psychiatry. This curious fact led to the writing of this article by two workers and a carer, with editorial and political advice from a consumer, as a small step in the direction of integrating perspectives of workers, carers and consumers. It examines the nature of grief associated with mental illness, its impact on family members, and why mainstream mental health services do not directly address it, with suggestions for some therapeutic ways to conceptualise and work with it.     

Implementing Single Session Therapy

In recent decades, discussion about clinical practice has been dominated by a focus on evidence‐based treatments, whilst the translation of evidence‐based treatments into practice has been neglected or avoided. The single session therapy (SST) field reflects this general trend. As a result, the community has not benefited from available service improvements simply because they have not found their way into core practice or been translated across state‐wide services. This article draws on a range of implementation projects managed by The Bouverie Centre, in particular a successful state‐wide SST implementation project conducted in collaboration with Victorian community health counselling services, to raise implementation dilemmas and suggest practical ideas about the translation of SST ideas into mainstream clinical practice. It is hoped this discussion will be of interest to those wanting to translate any new idea into practice.     

A Definition and Categorization System for Advanced Materials: The Foundation for Risk‐Informed Environmental Health and Safety Testing

Novel materials with unique or enhanced properties relative to conventional materials are being developed at an increasing rate. These materials are often referred to as advanced materials (AdMs) and they enable technological innovations that can benefit society. Despite their benefits, however, the unique characteristics of many AdMs, including many nanomaterials, are poorly understood and may pose environmental safety and occupational health (ESOH) risks that are not readily determined by traditional risk assessment methods. To assess these risks while keeping up with the pace of development, technology developers and risk assessors frequently employ risk‐screening methods that depend on a clear definition for the materials that are to be assessed (e.g., engineered nanomaterial) as well as a method for binning materials into categories for ESOH risk prioritization. The term advanced material lacks a consensus definition and associated categorization or grouping system for risk screening. In this study, we aim to establish a practitioner‐driven definition for AdMs and a practitioner‐validated framework for categorizing AdMs into conceptual groupings based on material characteristics. Results from multiple workshops and interviews with practitioners provide consistent differentiation between AdMs and conventional materials, offer functional nomenclature for application science, and provide utility for future ESOH risk assessment prioritization. The definition and categorization framework established here serve as a first step in determining if and when there is a need for specific ESOH and regulatory screening for an AdM as well as the type and extent of risk‐related information that should be collected or generated for AdMs and AdM‐enabled technologies.     

Single Session Thinking 2020

This update presents key developments since Talmon’s original (1990) publication, including an account of the three international symposia which have taken place since the last ANZJFT special edition on single session therapy in 2012, and the major compilations that followed the symposia. Underlying elements that unite different single session approaches are explored, and an attempt is made to provide a terminology that is inclusive and coherent. As reflected in the title, the term ‘single session thinking’ is suggested as an over-arching term for the approach that is no longer limited to the therapy room, but reaches into many different contexts. In conclusion, possible future clinical and research developments in the field of single session thinking and practice are reflected upon, and the implications for contemporary health care delivery considered.