33 research outputs found
The effectiveness of Theraplay for children under 12 â a systematic literature review
Background
Theraplay is a relationshipâfocused model of treatment based on attachment theory involving both adult and child. The study aims to review the quality of Theraplay research and Theraplayâs effectiveness for children aged 12 years and under with a range of presenting difficulties, to inform future practice and identify areas for further research.
Methods
A systematic literature search was conducted using PsycINFO, CINAHL, MEDLINE and Web of Science. Quantitative studies using Theraplay only as a treatment for children aged 12 years and under with any presenting difficulty were identified. Additional manual searching was conducted, including eligible studiesâ reference lists. Critical appraisal tools were used to provide a narrative synthesis of Theraplayâs effectiveness and research quality.
Results
Only six eligible articles were identified, meaning there was a lack of rigorous evidence eligible to offer conclusions into Theraplayâs effectiveness. The review highlighted the small evidence base, mixed quality research methodology and high levels of heterogeneity in how Theraplay is practiced and evaluated. Of the eligible studies, Theraplay was found promising in its effectiveness when used with internalising and externalising difficulties, dual diagnoses and developmental disabilities.
Conclusions
Theraplay is regularly practiced across the world; however, the evidence base of rigorous research to inform Theraplayâs effectiveness and mechanisms of change is lacking. Firm conclusions could not be offered, although Theraplay was shown to be promising intervention for some presentations. Further research into Theraplayâs effectiveness and key mechanisms of change are recommended to enhance the quality and depth of Theraplay literature
The nature of and interactions between cognitive and physiological factors in panic attacks and their treatment
SIGLEAvailable from British Library Document Supply Centre- DSC:DX92942 / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Cognitive behaviour therapy for the management of obsessive-compulsive disorder
Current research reflects conflict regarding best practice in the treatment of obsessive-compulsive disorder (OCD). The. present study reports on the psychological treatment of a 54-year-old woman diagnosed with OCD, and follows the implementation of pharmacological treatment. The study utilises both exposure and response prevention (ERP) and cognitive therapy (CT), although there was no attempt to compare these approaches in an experimental design. Measures of avoiding and neutralising behaviours were taken on three occasions across treatment. Measures were also taken of intrusive thoughts, appraisal of responsibility, and effective challenging, both across treatment and at follow-up. The results indicate that gains were made in addition to those reported following the implementation of medication. The results also suggest that the addition of CT to exposure and response prevention facilitates the extinction of neutralising behaviours