A meta-ethnographic study of fathers' experiences of caring for a child with a life-limiting illness

Background: There is a growing body of qualitative studies examining parents’ experiences of caring for a child with a life-limiting condition, coinciding with recent evidence that indicates an increasing incidence of paediatric life-limiting conditions. However, research focusing on fathers’ needs remains sparse and is often diluted among a predominant ‘mother’s voice’, raising questions about whether practices in clinical settings meet fathers’ needs. Aim: To provide an in-depth assembly of the current state of knowledge around fathers’ experiences of caring for their children diagnosed with life-limiting conditions and understand the implications for healthcare services and policies. Design: A meta-ethnography was conducted to synthesise findings from existing qualitative studies exploring fathers’ experiences of caring. Data sources: Four electronic databases (PubMed, PsycINFO, CINAHL and Science Direct) were searched up until April 2020. Qualitative studies exploring fathers’ care experience and published in English language were included. The Critical Appraisal Skills Programme (CASP) checklist was employed for study quality appraisal. No temporal limits were used. Results: Sixty-three studies met the inclusion criteria. Thirty life-limiting conditions were included. Based on responses from 496 fathers, a conceptual model was developed which translates key experiences within the fathers’ caregiving journeys. The overarching concepts identified were: the paradox of support, challenges in the caring process, ‘nobody thinks of men’, impact on family life and the fall of the curtain: an irrevocably altered world. These and associated sub-concepts are discussed, with recommendations for future research and practice provided. Conclusion: The findings indicate the value of a family-oriented approach to develop psychosocial interventions and support channels for fathers, thus empowering them whilst reducing the care-giving burden on the family unit

Learning to “live upside down”: Experiencing the true and false self in psychotherapy training

The emergence of the true self is often a significant part of training to become a psychotherapist. Yet the challenge this presents, particularly in relation to the movement between a true and false self has been largely unacknowledged. This study aimed to explore UK trainee psychotherapists’ first-hand experiences of this, to understand how the phenomenon is experienced, and to explore the impact on trainees’ development. Qualitative semi-structured interviews were conducted with five trainee integrative psychotherapists who identified with this struggle. Interpretative phenomenological analysis illuminated two superordinate themes: The tensions of psychotherapy training and “dropping the shackles”: The journey to self-acceptance. Findings highlight the many challenges of the psychotherapy trainee, illustrating how a conflicting need to be ‘true’ alongside an impossible prospect of letting go of adaptations induces shame and judgments. Findings also highlighted the liberating processes of letting go of old constraints, through a journey of self-acceptance and awareness

Protocol for a meta-ethnographic study of the experience of loss and bereavement in fathers of children diagnosed with life-limiting illnesses

This study aims to provide an in-depth assembly of the current state of knowledge around fathers’ experiences of loss and bereavement following their children’s life-limiting conditions. Previous research has predominantly explored the mothers’ experiences of bereavement and their emotional and psychosocial needs, either explicitly or within ‘parent’ or ‘family’ samples. Fathers are often the forgotten parent. There is an immediate call to understand fathers’ experiences to inform appropriate psychosocial interventions and support channels

“Falling through the cracks”: a retrospective exploration of the barriers to help-seeking among men convicted of sexual crimes

The prevalence and impact of sexual abuse is of global concern, and the alarming rates of victimization have inspired a focus on its prevention. Whilst research has begun to explore the experiences of non-offending individuals to inform prevention initiatives, there is limited exploration of those who have struggled with their sexual interests and go on to commit sexual crime. Arguably these individuals hold key information about gaps in service provision, which may inform approaches to crime prevention. This study aimed to provide a phenomenological exploration of the pre-offense experiences of convicted individuals’ beliefs about help-seeking, their desires for support, and any barriers that might have prevented them from coming forward for help. Semi-structured interviews were conducted with 14 individuals convicted of sexual offenses (n=13 against children; n=1 sexually motivated violence), and interpretative phenomenological analysis elicited three superordinate themes: Desperation, Barriers to Help-seeking, and A Way Forward. The findings shed light on the distressing experience of living with sexual interests that are so openly rejected by society and the many ways participants attempted to cope with this, including multiple failed attempts to seek help. Implications and limitations are discussed

Evaluation of the use of pharmacological treatment with prisoners experiencing high levels of hypersexual disorder

This paper presents an evaluation of the impact of pharmacological treatment in reducing hypersexual disorder in adult males who have been incarcerated following conviction for a sexual offence. The evaluation compares two types of pharmacological treatment, one of which is part of the current NICE guidance for treatment of hypersexuality (Antiandrogens), whilst the other type (SSRIs) is off-label use in the UK for hypersexuality. The participant pool comprised 127 adult male prisoners serving sentences for sexual offences in a UK prison. Participants had been voluntarily referred for pharmacological treatment to manage hypersexual disorder. The results demonstrated a significant reduction of hypersexual disorder pre- and post-medication and contribute to the evidence base for the use of pharmacological treatment with individuals for whom hypersexual disorder may be a salient factor in their offending. Limitations of the current research are discussed

Design Study of CANGAROO-III, Stereoscopic Imaging Atmospheric Cherenkov Telescopes for sub-TeV Gamma-ray

CANGAROO-III is an Imaging Atmospheric Cherenkov Telescope (IACT) array of four 10 m telescopes for very high energy (sub-TeV) gamma-ray astronomy. A design study of the CANGAROO-III telescope system was carried out using the Monte Carlo technique in order to optimize the pixel size and the telescope spacing. Studies were also made of observations at low elevation angles.Comment: 17pages, 13 figures, elsart, to appear in Astro. Part. Phy

Search for TeV gamma-rays from SN 1987A in 2001

We searched for TeV gamma-rays from the remnant of SN 1987A around 5400 days after the supernova. The observations were carried out in 2001, from November 16 to December 11, using the CANGAROO-II Imaging Atmospheric Cherenkov Telescope. In total, 708 minutes of ON- and 1019 minutes of OFF-source data were obtained under good conditions. The detection threshold was estimated to be 1 TeV, due to the mean zenith angle of 39$^\circ$. The upper limits for the gamma-ray flux were obtained and compared with the previous observations and theoretical models. The observations indicate that the gamma-ray luminosity is lower than $1\times 10^{37}$ erg s$^{-1}$ at $\sim 10$ TeV.Comment: 8 pages, 3 figures, submitted for publication, style file adde