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Introduction The process of decision making has been widely studied within different academic paradigms. Many theories and models have been developed from this research activity. However, there is a lack of in-depth research on individuals’ experience of decision making. The present research explores this topic with Clinical Psychologists. This group of professionals are trained to be expert in a specific discipline, which emphasises the need for making informed judgements and for justifying decisions. Objectives To provide an in-depth account of how Clinical Psychologists experience decision making in the context of clinical practice. To relate the analysis to theories and models of decision making and to research on factors thought to influence judgement and decision making. Method Semi-structured interviews were conducted with seven Clinical Psychologists. These were transcribed and analysed using Interpretative Phenomenological Analysis (IPA) methodology. Outcomes Elements of the decision making environment such as managing one’s conflicting beliefs and difficult emotions, responding to uncertainty and changeable scenarios and normative versus unique elements of one’s practice were elucidated in the analyses. The contribution of this work to research in decision making and the development of clinical practice are discussed.

Sustainable development and sustainable living, a key pursuit of our times, must be premised on human well-being in order to be truly sustainable. Although many have speculated on the possible interaction between sustainable lifestyle practices and the well-being, or satisfaction, of practitioners, there has been limited empirical study of this connection. The purpose of this study was to explore how people experience satisfaction and frustration in conjunction with the practice of a sustainable lifestyle. Semi-structured interviews were completed with six sustainable lifestyle practitioners associated with Transition Victoria, a community resilience initiative in Victoria, British Columbia, Canada. Interview transcripts were synthesized into explanatory narratives highlighting experienced outcomes of a sustainable lifestyle practice. A further thematic analysis was completed to identify themes to which participants attributed meaning and potential satisfaction. The results of this analysis were interpreted to draw conclusions about the sorts of satisfying and frustrating experiences that were related to sustainable lifestyle practices for these participants. Results of the study revealed twenty-six salient themes of important, potentially satisfying phenomena anticipated and experienced by participants. These included needs for food, shelter, transportation, money, health, well-being, relationships, connection, communication, support, recognition, legitimacy, effectiveness, autonomy, action, enjoyment, knowledge, interest, nature, meaning, and identity, and also needs to pursue certain values. Various actions, relationships, and contexts constituting sustainable lifestyles had implications for both satisfying and frustrating essential needs for security, belonging, esteem, competence, knowledge, creativity, leisure, and autonomy. In addition, the pursuit of a sustainable lifestyle was related to the need for and satisfaction of meaning. The results of this study suggest that, for this small group of participants, sustainable lifestyles hold multiple opportunities for satisfaction and frustration of various needs. Groups wanting to support sustainable lifestyle practitioners might consider ways to maximize opportunities for satisfaction and meaning, and minimize sources of frustration. It is recommended to conduct further research with a larger sample of participants, to extend these findings to more general conclusions about human experiences with sustainable living. / Graduate

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Yes / This qualitative study was designed to understand the impact of social distancing measures on people with dementia and carers living in the community in England and Wales during a period of social restrictions before the COVID-19 vaccination roll-out. We conducted 12 semi-structured interviews with people with dementia aged 50-88 years, living alone or with a partner, and 10 carers aged 61-78 years, all living with the person with dementia. Three of the interviews were with dyads. Participants were recruited during November and December 2020. We used framework analysis to identify themes and elicit suggestions for potential solutions. We identified three interrelated themes. People with dementia experienced a fear of decline in capabilities or mood and attempted to mitigate this. Carers noticed changes in the person with dementia and increased caring responsibilities, and for some, a change in the relationship. Subsequently, reduced confidence in capabilities to navigate a new and hostile environment created a cyclical dilemma of re-engaging where an inability to access usual activities made things worse. People with dementia and carers experienced neglect and being alone in their struggle, alongside feeling socially excluded during the pandemic, and there was little optimism associated with the upcoming vaccine programme. People found their own solutions to reduce the effects of isolation by keeping busy and being socially active, and practising skills deemed to help reduce the progression of dementia. This and some limited local public initiatives for the general public facilitated feelings of social inclusion. This study adds understanding to existing evidence about the longer-term experience of social isolation several months into the pandemic. It highlights the importance of health and community groups and suggests how services can find ways to support, include, and interact with people with dementia and carers during and after social restrictions. / Economic and Social Research Council. Grant Numbers: ES/V004964/1, L001853, V004964. National Institute for Health and Care Research. Grant Number: ES/L001853/2. Department of Health. UK Research and Innovation. Health and Care Research Wales