This paper describes an evaluation of the clinical effectiveness of a counselling psychology serv... more This paper describes an evaluation of the clinical effectiveness of a counselling psychology service in primary care, by a comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving general practitioner-only care, at four points in time; and with scores while waiting for treatment. The design combined elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. A comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment was also carried out. The results indicate that the service was clinically effective: compared to the control condition, the treated clients did better on all indicators, but the difference between the two groups was not great enough to show statistical significance at the 0.1 per cent level required by the use of multiple planned t-tests, or on MANOVA, although on the major indicators (SCL-90R GSI and HAD Depression and Anxiety) significance was reached at the 5 per cent level. The overall effect size was 0.32. The paper also discusses the methodological issues and difficulties in carrying out such outcome studies in primary care.
... 11 French Network ➢ 12 Recorder Groups ➢ 12 Gardening ➢ 13 Scots Language ➢ 14 Visit toCulzea... more ... 11 French Network ➢ 12 Recorder Groups ➢ 12 Gardening ➢ 13 Scots Language ➢ 14 Visit toCulzean Castle ... and then, my sweet, we can marry and set up housekeeping in your castle with my ... growing up on Shetland, and took us on a tour back through the history of Shetland ...
This paper describes an evaluation of the clinical effectiveness of a counselling psychology serv... more This paper describes an evaluation of the clinical effectiveness of a counselling psychology service in primary care, by a comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving general practitioner-only care, at four points in time; and with scores while waiting for treatment. The design combined elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. A comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment was also carried out. The results indicate that the service was clinically effective: compared to the control condition, the treated clients did better on all indicators, but th...
Aim To evaluate the clinical effectiveness of a counselling psychology service in primary care. M... more Aim To evaluate the clinical effectiveness of a counselling psychology service in primary care. Method Comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving GP-only care, at four points in time; and with scores while waiting for treatment. The design combines elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. Comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment. Results The results indicate that the service was clinically effective: clients improved significantly after treatment on the scales used, the numbers of 'casee decreased significantly, and the number of visits t...
International Journal of Applied Psychoanalytic Studies, 2019
Psychoanalytical perspectives on our responses to climate change and environmental destruction ma... more Psychoanalytical perspectives on our responses to climate change and environmental destruction may be said to have begun with Harold Searles in 1972 and have gathered pace in recent years. All these explorations have in common a reliance on a set of conceptual ideas that were initially developed by Sandor Ferenczi, although he is rarely credited. Fully acknowledging of the extent of environmental destruction and climate change is seen as traumatic in these writings, and therefore, concepts that have been developed in working with patients traumatized by abuse have been found essential in trying to understand and describe our responses. This paper will show how Ferenczi's thinking about trauma and about the therapeutic relationship has influenced recent suggestions as to how a psychoanalytical perspective may help us to explore attitudes and beliefs and help others to fully acknowledge the seriousness of climate change and so change damaging behaviors.
This paper describes an evaluation of the clinical effectiveness of a counselling psychology serv... more This paper describes an evaluation of the clinical effectiveness of a counselling psychology service in primary care, by a comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving general practitioner-only care, at four points in time; and with scores while waiting for treatment. The design combined elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. A comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment was also carried out. The results indicate that the service was clinically effective: compared to the control condition, the treated clients did better on all indicators, but the difference between the two groups was not great enough to show statistical significance at the 0.1 per cent level required by the use of multiple planned t-tests, or on MANOVA, although on the major indicators (SCL-90R GSI and HAD Depression and Anxiety) significance was reached at the 5 per cent level. The overall effect size was 0.32. The paper also discusses the methodological issues and difficulties in carrying out such outcome studies in primary care.
... 11 French Network ➢ 12 Recorder Groups ➢ 12 Gardening ➢ 13 Scots Language ➢ 14 Visit toCulzea... more ... 11 French Network ➢ 12 Recorder Groups ➢ 12 Gardening ➢ 13 Scots Language ➢ 14 Visit toCulzean Castle ... and then, my sweet, we can marry and set up housekeeping in your castle with my ... growing up on Shetland, and took us on a tour back through the history of Shetland ...
This paper describes an evaluation of the clinical effectiveness of a counselling psychology serv... more This paper describes an evaluation of the clinical effectiveness of a counselling psychology service in primary care, by a comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving general practitioner-only care, at four points in time; and with scores while waiting for treatment. The design combined elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. A comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment was also carried out. The results indicate that the service was clinically effective: compared to the control condition, the treated clients did better on all indicators, but th...
Aim To evaluate the clinical effectiveness of a counselling psychology service in primary care. M... more Aim To evaluate the clinical effectiveness of a counselling psychology service in primary care. Method Comparison of SCL-90R and HAD scores of a group of clients in treatment with those of a control group receiving GP-only care, at four points in time; and with scores while waiting for treatment. The design combines elements of an open trial with elements of a randomised controlled trial, although full randomisation was not possible in practice. The results are expressed in terms of numbers of cases and effect size, as well as in terms of test scores, in an attempt to indicate levels of clinical as well as statistical significance. Comparison of number of visits made to general practitioners by participants in each group during the six months before and after treatment. Results The results indicate that the service was clinically effective: clients improved significantly after treatment on the scales used, the numbers of 'casee decreased significantly, and the number of visits t...
International Journal of Applied Psychoanalytic Studies, 2019
Psychoanalytical perspectives on our responses to climate change and environmental destruction ma... more Psychoanalytical perspectives on our responses to climate change and environmental destruction may be said to have begun with Harold Searles in 1972 and have gathered pace in recent years. All these explorations have in common a reliance on a set of conceptual ideas that were initially developed by Sandor Ferenczi, although he is rarely credited. Fully acknowledging of the extent of environmental destruction and climate change is seen as traumatic in these writings, and therefore, concepts that have been developed in working with patients traumatized by abuse have been found essential in trying to understand and describe our responses. This paper will show how Ferenczi's thinking about trauma and about the therapeutic relationship has influenced recent suggestions as to how a psychoanalytical perspective may help us to explore attitudes and beliefs and help others to fully acknowledge the seriousness of climate change and so change damaging behaviors.
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Papers by Alan Bellamy