Stuart Mitchell – författare

Structured clinical management (SCM) is a unified approach to the treatment of people with personality disorder, which is within reach of general mental health professionals without extensive additional training. However, implementation can be fraught with difficulties, and clinical leads, managers, and practitioners can struggle to implement SCM across complex mental health systems. This book provides an easy to read, practical, and detailed guide on how mental health services can implement SCM in their current clinical pathways and how clinicians can transform their general techniques into a coherent interventional approach for people with personality disorder. Containing insights from clinical experts, researchers, service users, and practitioners of SCM from across the UK and Europe, each chapter outlines a core aspect of the SCM model and its delivery in clinical services. Detailed case studies demonstrate real-world applications of the SCM model, and details are provided about the involvement of carers and families, along with tips on enhancing clinical outcomes and increasing service user engagement.This book will be a valuable resource for qualified and in-training mental health professionals, including psychologists, nurses, occupational therapists, social workers, and psychiatrists. It is particularly relevant to those involved in delivering first-line treatments to people diagnosed with Borderline Personality Disorder and other personality difficulties.

Structured clinical management (SCM) is a unified approach to the treatment of people with personality disorder, which is within reach of general mental health professionals without extensive additional training. However, implementation can be fraught with difficulties, and clinical leads, managers, and practitioners can struggle to implement SCM across complex mental health systems. This book provides an easy to read, practical, and detailed guide on how mental health services can implement SCM in their current clinical pathways and how clinicians can transform their general techniques into a coherent interventional approach for people with personality disorder. Containing insights from clinical experts, researchers, service users, and practitioners of SCM from across the UK and Europe, each chapter outlines a core aspect of the SCM model and its delivery in clinical services. Detailed case studies demonstrate real-world applications of the SCM model, and details are provided about the involvement of carers and families, along with tips on enhancing clinical outcomes and increasing service user engagement.This book will be a valuable resource for qualified and in-training mental health professionals, including psychologists, nurses, occupational therapists, social workers, and psychiatrists. It is particularly relevant to those involved in delivering first-line treatments to people diagnosed with Borderline Personality Disorder and other personality difficulties.

This book offers practical suggestions for how to grow a trauma informed approach and culture within acute mental health services. It starts by building a compassionate understanding of the challenges faced by people receiving, and delivering, care in inpatient settings. It considers the (understandable) ways in which individuals and services have adapted to cope, and what this means for patient care and staff wellbeing. It then offers suggestions relevant to individual clinicians, teams and organizations, aiming to help all readers feel more hopeful, empowered, and equipped. The clinical focus is crisis and inpatient care for people with 'complex emotional needs', where there is a need to build (multidimensional) safety for all involved - patients, but also those caring for them. Some systemic challenges are recognized and discussed, including fear of blame, task focus, fast pace, and increasing clinical acuity. The book makes links between trauma informed care and workforce capacity and wellbeing, organizational culture, mentalizing, and compassion. The book covers all stages of an acute care pathway, including safety planning, crisis care, hospital admission, ward-based intervention, and discharge, with an overarching focus on realistic expectations, attachment-focused interventions, and emotion-regulation skills building. Several therapeutic models, including Dialectical Behavior Therapy (DBT), Compassion-Focused Therapy (CFT), and Mentalization-Based Therapy (MBT) are drawn upon and applied to clinical examples, to help readers integrate understandings and ideas into their everyday clinical practice. The book incorporates lived experience comments from patients and clinicians, and brings the material to life for busy readers through core concept boxes, clinical scenarios, and bullet point summaries.

This book offers practical suggestions for how to grow a trauma informed approach and culture within acute mental health services. It starts by building a compassionate understanding of the challenges faced by people receiving, and delivering, care in inpatient settings. It considers the (understandable) ways in which individuals and services have adapted to cope, and what this means for patient care and staff wellbeing. It then offers suggestions relevant to individual clinicians, teams and organizations, aiming to help all readers feel more hopeful, empowered, and equipped. The clinical focus is crisis and inpatient care for people with 'complex emotional needs', where there is a need to build (multidimensional) safety for all involved - patients, but also those caring for them. Some systemic challenges are recognized and discussed, including fear of blame, task focus, fast pace, and increasing clinical acuity. The book makes links between trauma informed care and workforce capacity and wellbeing, organizational culture, mentalizing, and compassion. The book covers all stages of an acute care pathway, including safety planning, crisis care, hospital admission, ward-based intervention, and discharge, with an overarching focus on realistic expectations, attachment-focused interventions, and emotion-regulation skills building. Several therapeutic models, including Dialectical Behavior Therapy (DBT), Compassion-Focused Therapy (CFT), and Mentalization-Based Therapy (MBT) are drawn upon and applied to clinical examples, to help readers integrate understandings and ideas into their everyday clinical practice. The book incorporates lived experience comments from patients and clinicians, and brings the material to life for busy readers through core concept boxes, clinical scenarios, and bullet point summaries.

This book offers practical suggestions for how to grow a trauma informed approach and culture within acute mental health services. It starts by building a compassionate understanding of the challenges faced by people receiving, and delivering, care in inpatient settings. It considers the (understandable) ways in which individuals and services have adapted to cope, and what this means for patient care and staff wellbeing. It then offers suggestions relevant to individual clinicians, teams and organizations, aiming to help all readers feel more hopeful, empowered, and equipped.The clinical focus is crisis and inpatient care for people with 'complex emotional needs', where there is a need to build (multidimensional) safety for all involved - patients, but also those caring for them. Some systemic challenges are recognized and discussed, including fear of blame, task focus, fast pace, and increasing clinical acuity. The book makes links between trauma informed care and workforce capacity and wellbeing, organizational culture, mentalizing, and compassion.The book covers all stages of an acute care pathway, including safety planning, crisis care, hospital admission, ward-based intervention, and discharge, with an overarching focus on realistic expectations, attachment-focused interventions, and emotion-regulation skills building. Several therapeutic models, including Dialectical Behavior Therapy (DBT), Compassion-Focused Therapy (CFT), and Mentalization-Based Therapy (MBT) are drawn upon and applied to clinical examples, to help readers integrate understandings and ideas into their everyday clinical practice. The book incorporates lived experience comments from patients and clinicians, and brings the material to life for busy readers through core concept boxes, clinical scenarios, and bullet point summaries.

Structured clinical management (SCM) is a unified approach to the treatment of people with personality disorder, which is within reach of general mental health professionals without extensive additional training. However, implementation can be fraught with difficulties, and clinical leads, managers, and practitioners can struggle to implement SCM across complex mental health systems. This book provides an easy to read, practical, and detailed guide on how mental health services can implement SCM in their current clinical pathways and how clinicians can transform their general techniques into a coherent interventional approach for people with personality disorder. Containing insights from clinical experts, researchers, service users, and practitioners of SCM from across the UK and Europe, each chapter outlines a core aspect of the SCM model and its delivery in clinical services. Detailed case studies demonstrate real-world applications of the SCM model, and details are provided about the involvement of carers and families, along with tips on enhancing clinical outcomes and increasing service user engagement.This book will be a valuable resource for qualified and in-training mental health professionals, including psychologists, nurses, occupational therapists, social workers, and psychiatrists. It is particularly relevant to those involved in delivering first-line treatments to people diagnosed with Borderline Personality Disorder and other personality difficulties.

An overview of modern Western militaries'' response to armed rebellion, from Indochina to Northern Ireland to Iraq. Counterinsurgency—or efforts to defeat and confine a rebellion against a constituted authority—has become a buzzword in recent times, but the term is as old as society itself. This concise history covers the development of modern counterinsurgency over the last two hundred years, from the concept of "small wars" and colonial warfare to the ideas of early insurgents like Clausewitz and the theories of Lawrence of Arabia to the methods of twentieth-century insurgents including Mao and Che Guevara. It also examines a number of post-1945 insurgencies and how Western armies have tried to counter them, in particular the French in Indochina and Algeria, as well as the United States in Vietnam and the reaction to the American experience there. This is compared with the British approach in the years after World War II, particularly in Malaya, but also in Kenya and Northern Ireland. Against this backdrop, there is an investigation of counterinsurgency in Afghanistan and Iraq, the rise of COIN literature, and the subsequent backlash against that literature—and finally, a discussion of the future of COIN.

The Brief and Turbulent Life of Modernising Conservatism is an examination of government tensions and frustrations during a time of economic and social flux. It concentrates on the development of domestic industrial policy in the Conservative Party between 1945 and 1964, with particular emphasis on Harold Macmillan’s and Sir Alec Douglas-Home’s administrations. Between the general elections of 1959 and 1964, the Conservative Government effected a series of striking and dangerously controversial policy transformations in response to its recognition of Britain’s relative economic decline. These adjustments were both practical and strategic. The administration’s aim was extraordinarily ambitious. It sought to fashion a recognisably modern and dynamic, yet socially stable, nation that could retain its place in the international élite. Thereby, the Party hoped to ensure its own continuation in power. The author considers policy innovations that included an ill-starred attempt to join the European Community, the development of macro-economic planning, and the abolition of resale price maintenance–an exploit which roused the Tory Party to unusual heights of passion. The book does not simply regurgitate an orthodox high political narrative. Instead, it investigates topics of interest to modern historians and political scientists alike. It will be of value to anyone interested in questions of modern political ideology, social and economic change, the nature of popular political support, or the constraints on state power in the post-war world.

Jan Bosch Stuart Mitchell University of Karlskrona/Ronneby University of York Dept of Computer Science Dept of Computer Science SoftCenter, S-372 25, Ronneby, Sweden York, United Kingdom Jan.Bosch@ide.hk-r.se Stuart@minster.cs.york.ac.uk 1 Introduction Although becoming more accepted in software industry, object-oriented technology still is an active ?eld of research with many issues remaining to be addressed. This workshop reader, in a way, presents the width of the ongoing research activities in object-orientation. However, we feel one can classify these activities into three cate- ries: * Domain-speci?c: Several activities focus on a single application, e.g. telec- munication, or computer-science, e.g. real-time and mobility, domain. Research tries to address the domain-speci?c problems of object-oriented technology. * Design issues: Object-oriented design has been an issue for at least a decade, but one can identify an increasing focus on formal approaches and on the evo- tion and re-engineering of existing object-oriented software.* Beyond object-orientation: The object-oriented paradigm will, at some point, be replaced by a subsequent paradigm and several research efforts investigate alternative or extended approaches. Examples are extended language expr- siveness for, e.g. design patterns and frameworks, component-oriented p- gramming and aspect-oriented programming. 2 Contents The remainder of this book is a selection and re-iteration of the contributions to 12 workshops (of a total of 15) held during the ECOOP'97 conference. The workshops generally relate to one of the above categories.