<p>Mindfulness interventions and practice have seen a recent explosion of interest among researchers and practitioners. The present study examines the research literature on the role of mindfulness in the practice of psychotherapists, specifically in the areas of stress management for clinicians, management of countertransference, development of the therapeutic alliance and attunement, development of empathy and therapeutic presence, and client outcomes. Both qualitative and quantitative research articles published over the past 10 years have been included and meta-analytic techniques utilized where possible. Examination of these data shows that mindfulness is associated with better ability to manage stress among clinicians, better therapeutic alliance, increased empathy, and better client outcomes. These data raise important theoretical and practical considerations, including questions about what makes mindfulness effective, issues regarding the use of techniques derived from the Buddhist tradition outside of their cultural and ethical contexts, and others. Implications and ideas for further research are discussed. </p>

This portfolio thesis is divided into three parts; a systematic literature review, an empirical paper, and a set of appendices. The thesis as a whole seeks to understand positive experiences of professional caregivers, in order to provide a more holistic understanding of caregiving in residential dementia care settings. Part one is a systematic literature review which explores and reviews the literature relating to positive and negative aspects of caregiving experienced by professional caregivers in residential dementia care settings. Factors associated with positive and negative experiences of caregiving are also examined. Fourteen papers were identified and reviewed using a narrative synthesis approach; three themes and six subthemes were identified. The findings are considered and discussed in the context of previous literature relating to caregiving in addition to clinical and research implications. Part two is an empirical paper exploring hope in professional caregivers in residential dementia care settings. The investigation includes the experience of hope, facilitators/barriers of hope and the role of hope in caregiving. Using a constructivist Grounded Theory approach a focus group consisting of six participants was conducted, and purposive theoretical sampling was used to conduct nine individual interviews. Data were analysed using constructivist Grounded Theory and nine categories emerged which were organised into three theoretical concepts. The emergent theory is discussed in the context of previous literature relating to hope and caregiving in addition to clinical and research implications. Part three is a set of appendices for both the systematic literature review and empirical paper, and includes an epistemological statement and reflective statement.

This thesis portfolio is comprised of three parts: Part One – Systematic Literature Review The systematic literature review explored adoptees’ experiences of reunions with birth relatives in adulthood. Thirteen studies were identified to be reviewed through a systematic search of electronic databases. A narrative synthesis of the findings related to the types of relationships developed, impact of the reunion and factors that facilitated or hindered this process is provided. A review of methodological quality of the research is also offered. Important clinical implications, including a role for clinical psychologists, and recommendations for future research are identified. Part Two – Empirical Paper The empirical paper explored social workers’ experiences of deciding how to place siblings for adoption using Interpretative Phenomenological Analysis (IPA). Four superordinate and twelve subordinate themes were identified, which describe participants’ experiences of making decisions, and the role of their experiences and beliefs in the decision-making process. The findings are discussed in relation to theory and a decision-making model. Clinical implications and suggestions for future research are discussed. Part Three – Appendices The appendices provide supporting documentation that are important for the systematic literature review and empirical paper, plus a reflective statement and an epistemological statement.

This portfolio thesis has three parts. Part one is a systematic literature review in which an analysis is conducted on existing research exploring asylum seekers’ and refugees’ beliefs and experiences of interventions for trauma-related distress. A systematic database search identified 18 studies to be reviewed. Narrative Synthesis is used to analyse the findings, and methodological quality is evaluated. The clinical implications for service design and directions for future research are also discussed. Part two is an empirical paper which uses Interpretative Phenomenological Analysis to explore interpreters’ experiences of working in mental health settings and how compassion may be experienced in their role. The findings are discussed in relation to psychological frameworks of compassion, and implications for practice and training, as well as recommendations for future research, are considered. Part three comprises the appendices supporting the systematic literature review and the empirical paper. A reflective statement considering the process of the research, as well an epistemological statement, are also included.

This thesis is split into three parts; a systematic literature review, an empirical research paper and a set of appendices. Part one contains a systematic literature review of the factors which help or hinder military personnel adjusting to civilian life. Fifteen Articles published in the UK, USA and Canada were reviewed. The results are discussed in relation to one another and the psychological understanding of adjustment. The implications of the findings on clinical practice and future research are then discussed. Part two is a piece of original qualitative research exploring the experiences of ex-military amputees. It aims to consider the social and personal perspectives which influenced their adjustment and identity. Five individuals were interviewed and their transcripts were analysed using narrative analysis. The clinical implications of the findings and suggestions for future research are then discussed. Ways to build more positive societal perspectives of ex-military amputees are also considered. Part three contains a complete set of appendices, referenced throughout the previous two parts.

This portfolio thesis has three parts. Part one comprises a systematic literature review, wherein the effectiveness of psychological interventions that integrate religion or spirituality are considered. Part two is an empirical research paper, wherein the role of spirituality is explored when individuals are making sense of hearing voices. Part three collates the appendices, containing supporting documentation and information for the systematic literature review and empirical research paper, as well as epistemological and reflective statements.

This portfolio thesis is comprised of three sections: a systematic literature review, an empirical study and a list of appendices. Part one is a systematic literature review in which a thematic synthesis has been completed to interpret and outline the data from studies which have highlighted positive states and experiences qualitatively reported by non-disabled relatives of people with an intellectual disability (ID). This review rejects the pathological and negative theme across much of the ID literature and, particularly, the literature around family members of people with ID. A systematic search of several electronic databases was completed and 15 studies were included in the review based on a set of inclusion criteria. Three superordinate themes were generated: ‘growth’, considered change from a subjectively less desirable state to a more desirable state; ‘joy’, which describes participants’ positive, joyous and proud moments associated with their disabled relative and ‘developing ways to cope’, which describes mechanisms participants use to help them cope with the inherent stresses associated with ID. The implications of these findings are discussed and an assessment of methodological quality is completed to contextualise the findings. Part two is an empirical paper exploring the lived experiences of personal growth for adult siblings of people with ID. Interpretative Phenomenological Analysis (IPA) was used to understand the participant’s subjective experience and how they made sense of it. Seven semistructured interviews were completed. Three superordinate themes emerged from the data: ‘developing strength’, which describes participants developing acceptance and resilience and advocating for their sibling; ‘learning opportunities’, which described participants learning skills and developing values and ‘family closeness’, which describes participants’ closeness with their families and pride in their disabled sibling. These findings are discussed in relation to implications for the literature in ID and the wider societal context. Part three is a list of appendices from both the literature review and empirical paper.

This portfolio has three parts. Part One: A systematic literature review, in which the available research regarding the interaction of traditional healers and formal mental health professionals, from the perspective of both types of practitioners, is reviewed. Part Two: A qualitative exploration of how clinical psychologists, trained in the United Kingdom, construct their work in countries classified as low to middle income. Taking the form of a social constructionist thematic analysis, informed by Foucauldian Discourse Analysis. Part Three: Appendices for both part one and two. The appendices also include a reflective statement and epistemological statement.

This thesis portfolio comprises of three parts: Part one – Systematic Literature Review The systematic literature review explored the effectiveness of interventions to change negative perceptions of adults with intellectual disabilities. A systematic search identified 19 studies detailing various interventions. A narrative synthesis of the findings is presented, incorporating methodological critique throughout. Conclusions from the evidence base are drawn, with implications for future research. Part two – Empirical Paper The empirical paper explored the impacts of a theatre company on perceptions and understandings of intellectual disabilities from multiple perspectives including; members of the theatre company with intellectual disabilities, significant people in their lives, and members of the wider community. A qualitative approach was adopted, particularly thematic analysis. Four superordinate and nine subordinate themes were identified, acknowledging the connectivity, normality and growth associated with the theatre company, and offering recommendations for similar organisations. The findings are discussed relative to theoretical and empirical literature, culminating in implications of the results and avenues for future research. Part three - Appendices The appendices provide supplementary information for parts one and two, and also includes an epistemological statement and a reflective statement.

This thesis portfolio comprises three parts: Part one is a systematic literature review that explores the impact of having a disabled sibling from a child’s perspective. Part two is a qualitative study using Interpretative Phenomenological Analysis (IPA) to understand the experiences of parents who adopt a child with a disability. Part three is a complete set of appendices for parts one and two. This also includes an epistemological and a reflective statement.