Asperger syndrome is a relatively recent diagnostic classification. Several factors, including a high prevalence of mental illness, mean receiving a diagnosis in adulthood is a very unique experience but remarkably there is little literature about the impact on individuals. Instead the dominance of the medical/psychiatric paradigm pervades and limits understanding and possibilities. The main implication is a lack of clarity about what support services are needed and effective, and as such the needs of this population are often overlooked. This is the first study to explore the sense of self among a sample of males and females diagnosed with Asperger syndrome in adulthood using social constructionist and constructivist ideas. It was interested in whether personal construal of the self before diagnosis and self after diagnosis were differentiated. Given the importance in the development of self-concept of discriminations between the self and others, the research also sought to explore how people diagnosed with Asperger syndrome in adulthood construe other people with and without Asperger syndrome. Using the repertory grid and other techniques from Personal Construct Psychology (Kelly, 1955) in combination with a semi-structured interview, this study presents a novel exploration of idiosyncrasies and commonalities across a demographically diverse sample of eight participants. An extended analysis of a unique subsample of women diagnosed aged 50 years and over was undertaken. Both cognitively complex and simple construct systems were found across the sample. Findings indicated the self before diagnosis was construed critically and was more elaborated than the self after diagnosis. Several participants had a reduced sense of self following diagnosis. The diagnosis offered an explanation of symptoms but for some participants these symptoms were a way of life and accommodating the new label with the existing view of self posed challenges. An overarching and striking theme was the sense of difference felt by participants before and after diagnosis. This study offers a fresh insight into a virtually unexplored population which, through dissemination, may influence the way clinical psychologists and other practitioners work to support adults diagnosed with Asperger syndrome. Recommendations for clinical practice included approaches that target the need for individuality, commonality and sociality, and should be gender-specific where possible. Such approaches might elaborate multiple aspects of self, the diagnosis and related dilemmas. They should support people to widen their perceptual field to alternative ways of construing and explore change. The mixed method approach was assessed to be a strength of the study and a number of recommendations for future research are presented.

Research regarding the potential value of using a personal construct psychology (PCP) framework to explore recovery in psychosis has been minimal. Mental health policy guidelines (Shepherd et al., 2008) recommend that recovery in mental health is an important area that needs further research. This study aims to further understanding of recovery in service users with psychosis, by examining personal constructs elicited from participants, in contrast to the researcher supplying constructs (Bell and McGorry, 1992). Further, it attempts to define the degree of recovery using the Recovery Assessment Scale (RAS, Corrigan et al., 1999). Thirty two adults from the NHS and voluntary sector participated in the study; each completed a repertory grid (Kelly, 1955). The RAS enabled recovery to be defined by splitting the sample, and comparisons made between low to moderate and high recovery groups. The main findings of the study show that participants in the high recovery group showed less differentiation between their different selves; greater self-esteem; an experienced sense of control over their environment; a higher degree of quality and quantity of support; and a higher degree of hope and goal setting than participants in the low to moderate recovery group. In addition, content analysis (Landfield, 1971) of current self constructs showed that participants in high recovery construed themselves as being more self-sufficient, more active socially, and displayed higher tenderness compared to those in low to moderate recovery. Findings show how repertory grid methods can be applied clinically in order to help with case assessment and formulation, and help facilitate individually tailored therapeutic interventions to enhance recovery. For example, self differentiation findings suggest that to help an individual move towards a higher degree of recovery involves firstly loosening, and then tightening up their construing system. Secondly, self-esteem measures enabled identification of personal goals to strive towards in terms of an individual’s conception of their current and ideal self, and thus steps to take to progress toward recovery. Thirdly, the Pawn and Origin Scale (Westbrook and Viney, 1980) highlighted the degree of control over one’s external and internal world, thus highlighting areas that could be worked on to progress toward higher recovery. Clinical interventions addressing implicative dilemmas were also identified as enabling a change in behaviour, and therefore movement toward recovery. Limitations of the study are discussed, including using HICLAS (De Boeck, 1992) to measure self elaboration in recovery; and future research outlined, including exploring recovery in psychosis through a longitudinal study, and sampling across different mental health populations.

Over 200 railway suicides occur on the British Rail Network (BRN) every year. Research into the physical and psychological effects of this traumatic event on train drivers has been limited, and has focused very little on the mediating influence of personal factors. Kelly’s Personal Construct Psychology (PCP, 1955) was used in the current study to explore the relationship between train drivers’ views of themselves and others, and the psychological impact of witnessing a railway suicide. This was achieved through the use of repertory grid technique. Repertory grid measures of tightness of the overall construct system, level of elaboration of the self and others, construed distances between the self and others, conflict, extremity of ratings, and superordinacy were compared with participants’ scores on a measure of the psychological impact of the event (Impact of Event Scale Revised, IES-R, Weiss & Marmar, 1997). The fifteen participants in the study also completed a background information questionnaire. A content analysis of the constructs used in the repertory grids, and a thematic analysis of a follow up interview with two of the participants was also conducted. The findings indicated that most drivers experienced symptoms suggestive of a significant posttraumatic stress (PTS) reaction following the incident. For many this appeared to be short-lived, but for some the incident had longer lasting effects, and a third of the sample had been given an official diagnosis of Post-Traumatic Stress Disorder (PTSD). Possibly due to the small sample size, many of the correlations did not achieve statistical significance. However, discrepancy between the self and ideal self, and the number of moral constructs employed by participants, were both positively associated with reported levels of psychological distress. The superordinacy of the traumatised construct, and the number of emotional constructs employed by participants, were both negatively associated with reported levels of psychological distress. These findings therefore gave some support to Sewell and Cromwell’s (1990) PCP model of trauma, and to the importance of emotional processing of traumatic events. The thematic analyses added information about the nature of the changes experienced by train drivers following these events, and the impact of contextual factors. The repertory grid technique proved useful in measuring the influence of personal meaning making on the impact of traumatic events. The findings suggest that drivers can best be supported clinically by reducing the discrepancy between their self after the event and their ideal self, increasing their ability to emotionally process their experience, and by giving consideration to issues such as anger and blame. Limitations of the research are presented, as well as suggestions for further research.

The overall aim of the present research is to contribute to the literature base regarding interventions for women who have experienced Intimate Partner Violence (IPV). The research utilised questionnaires and repertory grid technique to investigate the impact of The Freedom Programme, a group intervention for women who have experienced IPV. 24 participants at pre-intervention and 18 participants at post-intervention completed the measures. The findings suggest that the intervention can be beneficial in terms of lowering: severity of symptoms; utilisation of emotionally focused coping strategies, utilisation of less helpful coping strategies and Triadic Conflict (Bell, 2004). There was a tightening of construing at post-intervention. Participants reported the most helpful aspects of the intervention were ‘Universality’ and ‘Personal Contact’. The most unhelpful aspects were finding it difficult to speak in a group context and the practicalities of the group. The author concludes that the programme provides a valuable first step for women who have experienced IPV, however, development of services that follow on from the intervention need to be more focused to meet individual needs. Recommendations for future research include more longitudinal research, which encompasses Randomised Control Trail methodology reviewing packages of support. There is also a need to conduct research with harder to access women who have experienced IPV.

Due to the nature of the condition, research into selective mutism has tended towards quantitative analyses or individual case studies. This study aimed to explore the personal experiences of adolescents with selective mutism whilst considering the threats to validity that exist in previous qualitative studies. In a series of case studies (n=6), methods of eliciting data derived from Personal Construct Psychology were employed. Experience Cycle Methodology was used to explore the process of construing, whilst the Repertory Grid Technique enabled an exploration of the structure of construing. It was hoped that these methods might identify obstacles to change and inform appropriate interventions. Results suggested that mutism may be ‘chosen’ because it may enable greater anticipation of their interpersonal relationships than does speaking. Furthermore, there were suggestions that selective mutism may be a way of avoiding possible invalidation. Further research into sociality and systemic discourse was proposed in order to understand this condition further.

Despite extensive research into the impact of brain injury on individuals and their adult relatives, much less is know about the impact of parental brain injury on child relatives. The aim of the study was to identify if there was a relationship between changes in how children construed themselves and their parents following the brain injury and adjustment, and to identify if there was a relationship between structure of the child’s construct system and level of adjustment. There were four hypotheses to be tested. Hypothesis one predicted that larger changes in how young people construe themselves and significant others following parental brain injury compared to how they were construed prior to parental brain injury would be associated with poorer adjustment. Hypothesis two predicted that more structured ‘before acquired brain injury’ constructs in comparison to the structure of ‘after acquired brain injury’ constructs would be associated with poorer adjustment. Hypothesis three predicted that more superordinate ‘before acquired brain injury’ constructs in comparison to ‘after acquired brain injury’ constructs would be associated with poorer adjustment. Hypothesis four predicted that tighter construing would be associated with better adjustment following parental brain injury. There were 10 participants in the study aged 10-17 who had a parent with a brain injury. Each participant completed a repertory grid and the Personality Inventory for Youth, a measure of adjustment. It was found that larger distances between how children construed themselves or their parents currently compared to how they were construed pre-injury were related to poorer adjustment. There was also found to be a relationship between relative intensity of the post-brain injury construct system and some aspects of adjustment. There was no significant relationship between adjustment and relative superordinancy of post-injury constructs or adjustment and tightness of construing. Future research is indicated to verify the findings of this study, and to explore possible interventions for young people experiencing poor adjustment following parental brain injury.

National Health Service (NHS) statistics show that 4000 people in the United Kingdom are receiving help for gender concerns (DH, 2008). Research has highlighted the importance of romantic relationships during early adulthood and an association with mental health (Fincham and Cui, 2011). The experience of romantic relationships among transgender people in ‘emerging adulthood’ (Arnett, 2000, 2006) is an under-researched area. The decision making process concerning, and construal of, romantic relationships among this group have yet to be investigated using Personal Construct Theory (PCT). This study uses qualitative and quantitative methods of inquiry from PCT to investigate the experiences of transgender people encountering romantic relationships. Overarching themes emerging from the participants in this study were of identity validation through romantic relationships, having a bi-gendered lens of the world, facilitating greater understanding in society, and learning from past relationships. Participants’ experiences are analysed individually, as well as as a group. Clinical significance of this, limitations and future research are also discussed.

Previous research has indicated the unique contribution that the interaction between looked after children and their foster carers might have on young people’s behaviour, emotional well-being and subsequent placement stability. Furthermore, there may be differences in the way in which young people and their foster carers view a typical family. Despite this, there is a noticeable absence of studies which have specifically explored the foster carer-child relationship, particularly in terms of how their individual perspectives might be negotiated within their interpersonal relationship. The current study therefore aimed to address this gap. Three foster carer-child dyads were recruited from a local Child and Adolescent Mental Health Service, with young people aged between 8 and 16 years. A Personal Construct Psychology (PCP) approach was adopted. Participants each completed an individual interview, facilitated by Perceiver Element Grids (PEGs; Procter, 2002) in which interpersonal construing was explored. Looked after children and their foster carers were then interviewed together to share and discuss their completed PEGs. Interview transcripts were analysed using Thematic Analysis and PCP concepts were used to analyse the interactional processes between young people and their carers. The study highlighted a shared sense of fragmentation across participants’ accounts, with both looked after children and their carers reporting a sense of inauthenticity in the way they negotiated their interpersonal relationships. Differences in the way in which ‘family’ was perceived was also highlighted, with young people expressing a sense of ambivalence regarding their desire to be integrated into their foster family, whilst also retaining a connection to their birth family. These themes were supported in their interactions and co-constructional processes. The findings are discussed in relation to the relevant literature and clinical implications. Methodological limitations and directions for future research are also presented.

Medically Unexplained Symptoms (MUS) are bodily symptoms for which no organic cause has been identified, and which result in significant levels of psychological distress and functional impairment. MUS are thought to be highly prevalent in primary care settings, and have considerable costs to society. Despite evidence of overlapping psychological and physical presentations, MUS are not well understood or treated in culture that predominantly views the body through the lenses of dualism and mechanistic reductionism. An alternative 'interactive' view of the body as playing a more dynamic role is elaborated through George Kelly's (1955) Personal Construct Psychology. The author draws upon Lin & Payne's (2014) 'frozen construing' theory, and empirical literature on relationships between identity and MUS, to suggest that for people with MUS, the symptomatic body is distressing because the person is struggling to integrate its meaning with their identity. It is hypothesized that embodied processes, that may actually protect the self (and others who share a construct system with that person) from events which threaten to dramatically alter how the self is construed, are difficult to understand because of their preverbal nature. Hence symptoms, and the body itself, are dissociated from the person's more elaborated verbal self-constructions. Several hypotheses relating to this suggestion were tested using a modified form of the repertory grid technique that was designed to explore construct systems of both mind and body, for self and others. Twenty participants with MUS, recruited from the community, completed the repertory grid interviews and measures of depression, anxiety and symptom severity, which were correlated with relevant repertory grid indices to test hypotheses. Findings indicated that symptom constructs, contrary to expectations, were well integrated into participants' construct systems. The alleviation of psychological distress was significantly associated with increased perceived distance between the self in general and the self when symptoms are worst (a relationship which appeared to be independent of severity of symptoms), providing evidence of a process of dissociation that protected the current self from assimilating the undesirable characteristics that were associated with the symptom. The way in which the self when symptoms are worst is construed appeared to influence levels of distress, with more predictive power than several other indices. The study also found evidence for some participants of hypothesized relationships between desired aspects of the current self and symptoms, that would imply that symptom disappearance would actually threaten a desirable aspect of how the self is construed. Content analysis of these constructs revealed (as predicted) that such desirable aspects of self tended to relate to being responsible and sensitive to the needs of others, and were elaborated through bodily constructs in a way that suggested that they were not well integrated with the primary ways that these participants made sense of their identity. For these particular participants, discrepancies between the ideals that they had for themselves, and how they would like to be seen by others, were associated with increased depression. Several participants were identified whose constructions of self and others were dominated by constructs relating to both mental and physical strength and weakness. These participants appeared to be struggling to find coherent meaning for themselves as the result of symptoms, which were regarded as invalidating a pre-symptom construal of themselves as being 'strong'. There seemed to be a continuum of being a 'body for others' on the one hand, a previously 'strong person' on the other, and a person who is 'strong for others' in the middle. Implications for clinical practice are discussed. Although the findings of the current study are limited by a small sample size, it appears that exploring the meaning of the body in the construction of self helps to elaborate the meaning of the body and symptoms in a verbal, expressible form. This process is likely to be helpful to those who struggle to find meanings for their symptoms both in their own construct systems and in a society that objectifies the body.

[Truncated abstract] Resilience is a concept that originated from behavioural science; a branch of research aimed at explaining unexpected benign or malignant outcomes associated with human development. It is a psychological construct that encompasses both cognitive and behavioural responses to negative situations and appears to exist at both an individual and group level. As a concept, resilience receives considerable attention from researchers within developmental psychology fields, who primarily identify numerous risk and protective factors. Within sport, however, researchers have demonstrated a preference for the examination of more traditional concepts, such as coping strategies. Moreover, few investigations in either domain employ a cogent theoretical framework to guide the research. Therefore, the present research program utilises Personal Construct Psychology (PCP; Kelly, 1955) principles to direct the proposed research. PCP is a theory about theories that emphasised our underlying ambition to make sense of the world, the events people encounter and themselves. According to Kelly, PCP is guided by the fundamental postulate and 11 corollaries. The PCP research template employed by the current research program promotes the utilisation of multimethod designs (i.e., qualitative and quantitative investigations) in order to understand and facilitate the development of resilience in swimming. Three research investigations are proposed to examine resilience in swimming, and are structured according to PCP. Each investigation is outlined below. Study 1. An interview protocol based upon key elements of Kelly s (1955) psychotherapy retrospective interview protocol was employed to elicit an understanding of resilience in swimming. Fourteen interviews were scheduled with elite Australian swimmers and swimming coaches, utilising the interview schedule. ... Study 3. The aim of this study was to design, implement and evaluate a resilience intervention for youth swimmers. Utilising the data generated from the first study, a resilience enhancement program was designed and delivered to 16 developmental swimmers over a period of three months. Resilience was measured pre, during and post intervention, and three months after the intervention. Resilience was also measured on an age and ability matched control group (n = 20), at the same time points. Results revealed improvements in resilience for the experimental group following the completion of the resilience program. In summary, the present research program employed a PCP (Kelly, 1955) research template to guide the aforementioned studies of resilience. The data collected from the research investigations contributed considerable knowledge to the resilience concept, and the sport psychology field. The qualitative study was the first of its kind to examine the concept in swimming, revealing several elements and process pertaining to resilience that later formed the foundations for the resilience intervention. General conclusions propose that future research combine psychological measurement of resilience and more traditional sport psychology concepts, in addition to the development of a sport specific psychometric measure of resilience.