This thesis is submitted in partial fulfilment of the requirements for the degree of Clinical Psychology Doctorate at the University of Birmingham. The two volumes included within this thesis comprise of research (Volume I) and clinical work (Volume II). Volume I presents a literature review, qualitative research paper and a public domain paper. The literature review examines research that explored the links between within-family agreement and disagreement regarding the sharing of responsibility for diabetes management tasks and diabetes outcomes in youth Type 1 Diabetes. The research study used a qualitative approach to explore adolescents’ and parents’ experiences of what it is like for a young person to live with a dual diagnosis of Type 1 Diabetes and Coeliac Disease. The public domain paper presents a summary of the literature review and research paper. Volume II comprises five clinical practice reports reflecting various aspects of clinical work completed across clinical placements.

Part I - Systematic Review: Examines whether women with active or remissive eating disorders are more vulnerable to pregnancy and delivery complications than women without, according to the current literature. Drawing from four electronic databases, 15 papers were evaluated for their quality and findings. Generally, there was no substantial evidence to support previous claims that women with eating disorders are more at risk, though outcome measures were variable and conclusions were therefore difficult. Implications for medical practice are discussed. Part II - Empirical Paper: Investigates the mediating role in the relationship between early parental rearing styles and the development of eating disorders. Online recruitment drawing from clinical and non-clinical samples yielded 130 and 114 respondents respectively. Upon completion of three tools measuring early parental styles, emotion regulation and eating difficulties, data was entered into a mediator model using bootstrapped parameter estimates and confidence intervals. Results revealed that specific emotion regulation deficits were important mediators though they played distinctly different roles in the clinical and non-clinical samples. Tentative explanations are hypothesized and implications for the treatment focus of women with eating disorders are offered.

Using social constructionist approaches this thesis aims to explore the perceptions/expectations/experiences of father-daughter relations in Taiwanese immigrant families living in Britain. Six Taiwanese father-daughter pairs formed the sample. Semi-structered interviews were the main method used to collect information about the participants' perceptions/understandings/experiences. The data was subject to qualitative content analysis which revealed three key findings. These were: 1. Taiwanese immigrant fathers experiences tensions in the process of fathering their daughters to be indeoendent and pursue success in their careers. But deeply held traditional views on monitoring/protecting their daughters led them display behaviours that suggested a desire to control them. These 'mixed messages' created tensions in father-daughter relationships. 2. British-Taiwanese daughters' constructions of daughterhood produced tensions too:their experiences were akin to those of the majority of young women living in western societies who delay motherhood and pursue success at work. However, traditional expectations of daughters to prioritise family responsibilities and show obedience to their parents sets up conflicts both on father-daughter relations and their own personal choices. 3.Father-daughter relationships in Taiwanese immigrant families living in Britain are one where the expectation and practices of conventional fathers and daughters marks relationships daughters' life stages.

The Second Space is a novel that presents the place of women in a patriarchal society, exploring themes such as sexuality, reclamation of space, and the power of physical objects. It follows the story of a woman who escapes from the prospect of marriage and works to discover her self-identity, forging meaningful relationships with other women. The accompanying critical study contributes to the knowledge of women’s writing and the creative process by acknowledging the existence of a distinct space for women in a patriarchal society. This concept is called ‘The Second Space’. This study refutes the assumption that women’s fiction is autobiographical due to the use of themes such as domesticity and motherhood, demonstrating the value of building a narrative for women. The sources that support this research include creative, critical and feminist texts, as follows: Elena Ferrante’s The Days of Abandonment, Margaret Atwood’s Lady Oracle, and Miranda July’s The First Bad Man, Carla Kaplan’s The Erotic’s of Talk: Women’s Writing and Feminist Paradigms, Sean Burke’s Authorship: From Plato to the Postmodern, Micaela Maftei’s The Fiction of Autobiography, Margaret Atwood’s On Writers and Writing, Shulamith Firestone’s The Dialectic of Sex, and Germaine Greer’s The Female Eunuch.

The relationship between the state and citizens can give rise to legal and moral tension when the state interferes into private life in order to fulfil its statutory duties. An important statutory area where the state has such powers occurs in the Children Acts 1989 and 2004. These Acts inter alia confer powers on local authorities to undertake surveillance and assessment of private family life in order to identify and assess children who may be ‘in need’ of services, ‘at risk’, or suffering significant harm. The thesis argues that these powers enable the state to police private family life in order to ensure parents' compliance with prevailing child welfare ideology. Child welfare discourse dominates and mediated debate over the measures used by local authorities to police parents, claiming these state powers are necessary to protect children from harm. The thesis challenges these claims. The justification for 'child protection' and 'safeguarding' is critically examined from post-modem theoretical, statistical and doctrinal law perspectives. Areas of imbalance in current law and practice are identified and these are linked in the conclusion to focus upon the fundamental flaws in the current position. This offers the possibility of more integrated debate that challenges the orthodoxy and suggests fundamental revision of the current policy.

This study examines the female-initiated divorce right of khulʿ in Ḥanafī jurisprudence and its practical implementation in Pakistan. Previous research presents Ḥanafī jurisprudence as only allowing a khulʿ with the consent of the husband coupled with a financial liability placed upon the wife. This thesis argues that there has been a fundamental misunderstanding of the khulʿ under Ḥanafī fiqh, which is capable of providing divorce rights to women without the husband’s consent and financial recompense. This research also illustrates the judicial activism exhibited by the Pakistani courts, which has created a no-fault khulʿ surpassing existing statutory provisions. To date, there have been no studies on the efficacy of these developments, so this research assesses the extent to which these new liberal divorce laws have filtered down into Pakistani society. Through qualitative interviews and observations, this study examines married Muslim women’s perceptions of the khulʿ and the obstacles that female litigants face whilst trying to utilise the khulʿ in the Lahore courts. The findings reveal that whilst the khulʿ has empowered some women within the marital domain, religious and cultural norms coupled with practical problems within the courts have curtailed the potential of the khulʿ as a liberating tool in marriage.

Communication between politicians and the public is rarely direct and first-hand, but almost always mediated by journalist opinions and values. Consequently, the way in which the media reports on State matters has a profound impact on people’s understanding of political processes and their attitudes towards the governing figures. The aim of this research project is to investigate the role that the Polish Press assumes in mediating women’s involvement in contemporary politics. Stemming from the perspective of feminist critical linguistics, the thesis empirically examines a wide array of media publications derived from leading Polish socio-political magazines (‘Polityka’, ‘Wprost’, ‘Newsweek Polska’) and electronic press. By engaging with the journalist discourse, it focuses on the importance of language in generating epistemological claims about women and femininity. It demonstrates not only how female subjectivities are produced in the Polish public domain, but also how history and culture impinge on these constructions in a dialectical-relational manner. The intention is to draw up an ‘inventory’ of signifying practices through which female MPs emerge as gendered subjects in the hope that this will inspire closer scrutiny of media content, leading to its informed critique and transformation.

Volume 1, the research component, includes a literature review examining the efficacy of interventions for parents of children with autism spectrum disorder (ASD) in relation to parent outcomes; an empirical paper, which presents findings of a quantitative study exploring parental illness perceptions, coping, wellbeing, parenting stress and parent perceptions of the child-parent relationship in parents of a child with pathological demand avoidance syndrome (PDA) and a public dissemination document. Volume 2, the clinical component, includes: a report detailing two psychological formulations; one from a cognitive behavioural perspective and one from a systemic perspective, for a 20 year old gentleman who was experiencing anxiety and depression, following removal of part of his bowel; a service evaluation report detailing an investigation of the extent to which a local respiratory service was addressing the psychological needs of COPD patients; a single case experimental design presenting an evaluation of a behavioural intervention for a 25 year old woman with a moderate learning disability, who presented with skin picking behaviours; a case study of a fourteen year old girl, who was under investigation for Crohn's disease and experienced anxiety and an abstract, reflecting on providing consultation within a looked after and adopted child's psychology service.

New technology is increasingly part of children’s lives. While a growing body of literature has explored various aspects of nursery-aged children’s exposure to ICT, children are seldom asked about their experiences. With this in mind, this study sought to explore children’s perceptions of their experiences of ICT. This exploration was underpinned by current trends in the new sociology of childhood studies and the principles of United Nations Conventions on the Rights of the Child, both of which aim at giving a greater status to children’s voice. The thesis reports on a series of ethnographic case studies of three privately run nurseries in the West Midlands, England. It involved fieldwork observations, field notes, and discussions with 65 children aged three and four years old. In carrying out conversations with children, the study made use of some participatory techniques (e.g., photography and drawing). Adopting a friendly adult role, I participated with the children in their daily activities collecting information about their ideas and thoughts with regards to their experiences with new technology. Related ethical issues were discussed, and negotiated in the field. Using their own words, the study captured children’s own perspectives on their encounters with whatever technologies were available in the nurseries. The findings showed that the children tended to perceive their ICT-based activities as play under certain circumstances. Significantly, they were more likely to view these activities as play when they owned their play, felt it was fair, had fun, and felt it accorded with their gendered identities. Conversely, when the children did not have influence on the activity, they often perceived it as boring and unfair. In addition, there was a tension between a preference to conduct their play with a friend(s) and a desire for personal ownership of the experiences. Recommendations for pedagogical practice, policy and future research are suggested.

This thesis considers some of the different forms taken by the intersection of social inequalities and exploitation in Sri Lankan garment factories. It identifies the organisational policies and practices that reproduce different ‘inequality regimes’ (Acker, 2006) in three case study garment companies, including inequalities of gender, class, ethnicity, religion, age and sexuality. These ‘inequality regimes’ also operate as ‘factory regimes’ (Burawoy, 1983), through which companies seek to generate worker productivity. Further, the thesis analyses the relation between women’s domestic situations and their employment, showing how both are shaped by the wider Sri Lankan patriarchal social structure. In order to understand the inequalities experienced by women at work the thesis mainly seeks to answer two research questions. The first research question asks about the nature of intersecting inequalities in the three case study organisations. The second research question relates to how women going to work in garment factories changes women’s lives. This research question pays special attention to Elson and Pearson’s (1981) three possible tendencies in the relationship between the emergence of women’s factory employment and women’s subordination. Methodologically, the research was based on semi-structured interviews with 36 male and female participants, including owners, managers and workers across three case study organisations, and observations in headquarters offices and three factories over nine months in 2014-2015. The research found that although all three case study organisations are located in the Sri Lankan garment industry, each case study organisation is typified by a highly distinctive inequality regime characterised by different mechanisms for maintaining or modifying wider inequalities and generating workers’ consent: one a ‘despotic regime’, one a ‘maternalistic regime’ and one a ‘pragmatic regime’. Each of these is associated with a degree of individual worker agency, but little collective resistance. The research also found that women’s decisions to enter employment is influenced by the income level of their husbands or fathers. When household income is low women are more able to challenge familial patriarchal authority by taking up employment in garment factories. Women’s contributions to household finances are associated with their families gaining status, women being involved in family decision-making and men contributing to domestic work.