• Pain Processing in Psychiatric Conditions: A systematic review

      Vaughan, Sarah; Poole, Helen M.; Forshaw, Mark J.; McGlone, Francis; Failla, Michelle D.; Cascio, Carissa J.; Moore, David J.; University of Chester, Liverpool John Moores University, Vanderbilt University Medical Centre (American Psychological Society, 2019-04-29)
      Objective: Pain is a universal, multidimensional experience with sensory emotional, cognitive and social components, which is fundamental to our environmental learning when functioning typically. Understanding pain processing in psychiatric conditions could provide unique insight into the underlying pathophysiology or psychiatric disease, especially given the psychobiological overlap with pain processing pathways. Studying pain in psychiatric conditions is likely to provide important insights, yet, there is a limited understanding beyond the work outside depression and anxiety. This is a missed opportunity to describe psychiatric conditions in terms of neurobiological alterations. In order to examine the research into the pain experiences of these groups and the extent to which a-typicality is present, a systematic review was conducted. Methods: An electronic search strategy was developed and conducted in several databases. Results: The current systematic review included 46 studies covering five DSM-5 disorders: autism, attention deficit hyperactivity disorder, schizophrenia, personality disorder and eating disorders, confirming tentative evidence of altered pain and touch processing. Specifically, hyposensitivity is reported in schizophrenia, personality disorder and eating disorder, hypersensitivity in ADHD and mixed results for autism. Conclusions: Review of the research highlights a degree of methodological inconsistency in the utilisation of comprehensive protocols; the lack of which fails to allow us to understand whether a-typicality is systemic or modality-specific.
    • The paradoxes of cyclotourism: Constructing and consuming nature

      Cox, Peter; University of Chester (2013-08-14)
      As an archetypal form of low carbon footprint travel, bicycle tourism appears on the surface to be an ideal candidate for sustainable tourism. Taking a longer historical view, however, one begins to become aware of complex paradoxes emerging from cyclotourist practices. Examination of cyclotourists’ own writings shows how nature and the natural have been successively constructed as an object of discourse. Two themes are of especial interest in this study. First, a discourse of wilderness and otherness is apparent as a key theme reinvented in differing forms by successive generations of riders and writers. Second, there is a parallel discourse of domestication at work in which nature and the natural become tamed and part of the human. Although apparently contradictory, these two themes are deeply intertwined in the literature: the cyclotourist is simultaneously both apart from the landscape and yet belongs in it. Further, the relationship between rider and the spaces ridden has had consequences in terms of the built environment as cyclists pioneered road improvements, transforming the object of their narrative. The paper draws principally on archival material from The Cyclists’ Touring Club (CTC) in the UK (founded 1878) to explore changing constructions of, and attitudes toward, ‘nature’. It chronicles changing attitudes and it analyses the production and reproduction of discourses and maps their transformation through the 20th century. In conclusion it also points to the ambiguities and contradictions inherent in contemporary cyclotourist practices as these have become much more closely enmeshed in the fossil fuel economy through changes in modes of activity.
    • Paradoxical correlates of a facilitative parenting programme in prison—counter-productive intervention or first signs of responsible parenthood?

      Skar, Ane-Marthe Solheim; von Tetzchner, Stephen; Clucas, Claudine; Sherr, Lorraine; University of Oslo; University College London; University of Chester (Taylor and Francis, 2014-04-07)
      Purpose. Parenting programmes are rarely part of prisoners’ rehabilitation, and evaluations of such programmes are lacking. Methods. The present mixed-methods study investigates the International Child Development Programme (ICDP) with 25 incarcerated fathers and a comparison group of 36 community fathers through questionnaires administered before and after parenting courses. Interviews with 20 incarcerated fathers were analysed using thematic analysis. Results. Before the course, the prison group self-reported better parenting skills and poorer psychosocial health than the comparison group. Both groups improved on parenting strategies. On several measures the comparison group improved, while the prison group revealed the same or lower scores. The incarcerated fathers described becoming more aware of their paternal role but also saw the course as emotionally challenging. Conclusions. Some of the self-reported scores of the prison participants related to parental skills and psychosocial health decreased from ‘before’ to ‘after’ ICDP sensitization, pointing to the possibility that the ICDP courses may have contributed to overcoming a ‘prisonization process’, where the prisoner identity overshadows the parental identity, by making them more aware of their parental responsibilities. Due to the emerging possibility of counter-productive influences, a randomized controlled study is needed in the future to ascertain the parenting and recidivism-related effects of this programme.
    • Parents’ resistance of anticipated blame through alignment strategies: a discursive argument for temporary exclusion of children from family therapy.

      Kiyimba, Nikki; O'Reilly, Michelle; University of Chester; University of Leicester (Palgrave Macmillan, 2015-09-02)
      In this chapter, we utilise a discourse perspective to explore ways in which parents manage therapeutic alignment in family therapy. As therapy is an activity which relies heavily on the use of language (McLeod, 2001), we use a language-based analytic approach to explore child mental health, particularly as discourse analysis is most appropriate for looking at family therapy processes (Roy-Chowdhury, 2003). In this chapter, we present a case for the deliberate temporary exclusion of children in the initial stages of a series of therapeutic sessions. The purpose of this temporary exclusion is to provide opportunities for therapists to engage in active solution-focused alignment with parents in order to provide a foundation and set boundaries for later work with the whole family. We also argue that while this initial session with parents is taking place, the child could be otherwise engaged in a session of their own so that the child’s perspective and expectations are also managed effectively.
    • Participant Concerns for the Learner in a Virtual Reality Replication of the Milgram Obedience Study

      Gonzalez-Franco, Mar; Slater, Mel; Birney, Megan E.; Swapp, David; Haslam, S. Alexander; Reicher, Stephen D.; Microsoft Research; University College London; University of Barcelona; University of Chester at University Centre Shrewsbury; University of Queensland; University of St. Andrews (Public Library of Science, 2018-12-31)
      In Milgram’s seminal obedience studies, participants’ behaviour has traditionally been explained as a demonstration of people’s tendency to enter into an ‘agentic state’ when in the presence of an authority figure: they attend only to the demands of that authority and are insensitive to the plight of their victims. There have been many criticisms of this view, but most rely on either indirect or anecdotal evidence. In this study, participants (n = 40) are taken through a Virtual Reality simulation of the Milgram paradigm. Compared to control participants (n = 20) who are not taken through the simulation, those in the experimental conditions are found to attempt to help the Learner more by putting greater emphasis on the correct word over the incorrect words. We also manipulate the extent to which participants identify with the science of the study and show that high identifiers both give more help, are less stressed, and are more hesitant to press the shock button than low identifiers. We conclude that these findings constitute a refutation of the ‘agentic state’ approach to obedience. Instead, we discuss implications for the alternative approaches such as ‘engaged followership’ which suggests that obedience is a function of relative identification with the science and with the victim in the study. Finally, we discuss the value of Virtual Reality as a technique for investigating hard-to-study psychological phenomena.
    • Participatory design for future care related technologies: lessons from the Smart Distress Monitor Project

      Pratesi, Alessandro; Sixsmith, Judith; Woolrych, Ryan (Universidad Iberoamericana Puebla, 2012)
      The impact of care related technology on older people’s health and well-being is growing constantly and at a rapid pace. Participatory approaches to the design and development of care related technology have become increasingly common; however, these approaches have often included older people simply as test participants, rather than co-researchers, in the evaluation of developing technologies. This paper presents a participatory project involving older people in the design and development of an intelligent activity/inactivity monitoring system for domestic environments. In order to be successful, the development of such a system must be viewed less as a technological challenge and more as the creation of an integrated socio-technical system in which technology is functional to the people and organisations involved.
    • Pastoral supervision for clergy and pastoral workers: A personal perspective

      Gubi, Peter M.; University of Chester (British Association for Counselling and Psychotherapy, 2016-07-01)
    • Patient-reported depression measures in cancer: a meta-review

      Wakefield, Claire E.; Butow, Phyllis N.; Aaronson, Neil A.; Hack, Thomas F.; Hulbert-Williams, Nicholas J.; Jacobsen, Paul B.; University of Chester (Lancet, 2015-07)
      It is unclear which patient-reported depression measures perform best in oncology settings. We conducted a meta-review to integrate the findings of reviews of more than 50 depression measures used in oncology. We searched Medline, PsycINFO, EMBASE and grey literature from 1999-2014 to identify 19 reviews representing 372 primary studies. Eleven reviews were rated as being of high quality. The Hospital Anxiety Depression Scale (HADS) was most thoroughly evaluated, but was limited by cut-point variability. The HADS had moderate screening utility indices and was least recommended in advanced cancer/palliative care. The Beck Depression Inventory was more generalizable across cancer types/disease stages, with good indices for screening and case finding. The Centre of Epidemiology-Depression Scale was the best-weighted measure in terms of responsiveness. This meta-review provides a comprehensive overview of the strengths and limitations of available depression measures. It can inform the choice of the best measure for specific settings and purposes.
    • Patient-reported outcomes of sexual and gender minority cancer survivors in Australia

      Lisy, Karolina; Ward, Andrew; Schofield, Penelope; Hulbert-Williams, Nicholas J.; Bishop, Jim; Jefford, Michael; Peter MacCallum Cancer Centre, Melbourne; The Social Research Centre, Melbourne; Swinburne University, Melbourne; University of Chester, UK; Victorian Comprehensive Cancer Centre, Melbourne; University of Melbourne (Wiley, 2018-12-03)
      Five key points: This is the first population‐based survey of Australian cancer survivors to include lesbian, gay, bisexual, transgender, or intersex (LGBTI) identity. Few respondents (1.6%) identified as LGBTI, less than half the reported prevalence in Australia. LGBTI respondents were more likely to be younger, employed, and born in Australia. LGBTI people may experience more problems with anxiety/depression, body image and financial benefits, and greater needs for diet and lifestyle information. Commonly used patient‐reported outcome measures may not be sensitive to LGBTI issues; areas for future enquiry are proposed.
    • Pedagogic partnership in higher education: encountering emotion in learning and enhancing student wellbeing

      Hill, Jennifer; Healey, Ruth L.; West, Harry; Dery, Chantal; University of the West of England; University of Chester; University of the West of England; Université du Québec en Outaouais (Taylor & Francis, 2019-09-17)
      Despite emotion being recognised as fundamental to learning, the affective aspects of learning have often been side-lined in higher education. In the context of rising student wellbeing challenges, exploring ways of supporting students and their emotions in learning is increasingly significant. Pedagogic partnerships have the potential to help students to recognise and work with their emotions in their learning in a positive manner. As such, pedagogic partnerships offer opportunities to promote resilience and enhance student wellbeing. In this paper, we develop partnership research in three ways by: 1) considering the ways in which pedagogic partnership may support students to encounter emotions and empower them to develop resilience, leading to positive wellbeing; 2) exploring how this process might be achieved in the disciplinary context of geography; and 3) developing an evidence-based model to summarise the potential effect of pedagogic partnership in enhancing student wellbeing. We draw upon two case studies of student-faculty and student-student pedagogic partnership within geography curricula in order to evidence that emotional awareness in learning comes through the joys and struggles of working in partnership. We argue that pedagogic partnership may be developed to support the wellbeing of modern-day higher education communities.
    • Perceived Barriers that Prevent High School Students Seeking Help from Teachers for Bullying and their Effects on Disclosure Intentions

      Boulton, Michael J.; Boulton, Louise; Down, James; Sanders, Jessica; Craddock, Helen; University of Chester (Elsevier, 2017-01-29)
      Many adolescents choose not to tell teachers when they have been bullied. Three studies with 12-16 year-old English adolescents addressed possible reasons. In study 1, students (N = 411, 208 females/203 males) identified reasons with no prompting. Three perceived negative outcomes were common; peers would disapprove, disclosers would feel weak/undermined, and disclosers desired autonomy. In study 2, students (N = 297, 153 females/134 males/10 unspecified) indicated how much they believed that the perceived negative outcomes would happen to them, and a substantial proportion did so. Perceived negative outcomes significantly predicted intentions to disclose being bullied. Study 3 (N = 231, 100 females/131 males) tested if the perceived negative outcomes would be strong enough to stop participants from telling a teacher even though the teacher would stop the bullying. This was the case for many of them. Participants did not report disliking peers who disclosed bullying. Theoretical and practical implications are discussed.
    • The perceived benefits of an arts project for health and wellbeing of older offenders

      Wilkinson, Dean J.; Caulfield, Laura S.; University of Chester; University of Wolverhampton (NCBI, 2017-03-31)
      The increasing ageing prison population is becoming a pressing issue throughout the criminal justice system. Alongside the rising population, are a host of health and wellbeing issues that contribute to older offenders needs whilst in prison. It has been recommended that meaningful activities can have positive effects on this population and therefore this paper uniquely reviews older offenders accounts of taking part in an arts based project, Good Vibrations, whilst imprisoned. The Good Vibrations project engages individuals in Gamelan music making with an end of project performance. This study used independent in-depth interviews to capture the voices of older offenders who took part in an art based prison project. The interview data was analysed using thematic analysis, which highlighted themes that were consistent with other populations who have taken part in a Good Vibrations project, along with specific age relating issues of mobility, motivation, identity and wellbeing.
    • Perceived Parenting Styles Fail to Mediate Between Anxiety and Attachment Styles in Adult Siblings of Individuals with Developmental Disabilities

      O’Neill, Linda P.; Murray, Lindsay; University of Chester (Springer, 2016-07-14)
      Adult siblings of individuals with developmental disabilities often experience higher levels of anxiety than individuals in the general population. The present study tested whether perceived parenting could mediate the relationship between attachment styles and anxiety in the sibling group compared to a control group. Little association was found between perceived parenting and attachment styles or anxiety for the siblings but there were robust and expected findings for the control. Adult attachment-related-anxiety was a significant unique predictor of anxiety in the sibling group but there was no mediational role for perceived parenting. Conversely, the majority of parenting styles significantly mediated the relationship between attachment and anxiety in the control. Implications for the atypical findings in the sibling group are discussed.
    • Perceived stress and professional quality of life in nursing staff: how important is psychological flexibility?

      Kent, William; Hochard, Kevin D.; Hulbert-Williams, Nicholas J.; University of Chester (Elsevier, 2019-08-14)
      Objectives: Nurses are at high risk of chronic stress. Tailored, evidence-based stress-management interventions may minimise absenteeism and staff turnover, whilst at the same time promoting good quality patient care. Current literature for nurse-focused stress-management interventions is varied in quality, with little focus on data-driven intervention development. This study explores how process measures related to Acceptance and Commitment Training (ACT) are associated with perceived stress and professional quality of life in nurses, in order to guide intervention development. Design: A cross-sectional, online psychometric survey was implemented using LimeSurvey software. Methods: One-hundred and forty-two nurses were recruited from various specialties across four English National Health Service (NHS) Trusts. Questionnaires assessed demographic and work-related sample characteristics, ACT processes (mindfulness, acceptance, cognitive defusion, self-as-context, values and committed action), and four work-related wellbeing outcomes (perceived stress, burnout, compassion fatigue and compassion satisfaction). Correlation and regression models were used to analyse data. Results: All six ACT processes negatively correlated with perceived stress, burnout and compassion fatigue, and positively correlated with compassion satisfaction (all p<.05). In regression models, these same processes explained significant variance for all outcomes (R2 range=.36-.61), above and beyond that explained by socio-demographic and work-related factors. Acceptance (β range: -.25 to -.55), mindfulness (β range: -.25 to -.39), and values-based processes (β range: -.21 to -.36) were frequent independent contributors to work-related wellbeing. Conclusions: This study demonstrates that the ACT framework provides a promising platform from which to develop nurse-focused stress-management interventions. Interventions focusing on acceptance, mindfulness, and values-linked processes may be most effective.
    • Perceived Stress, Thinking Style and Paranormal Belief

      Lasikiewicz, Nicola; University of Chester (2016-03)
      Paranormal beliefs often become stronger in times of stress. Such beliefs have also been found to vary in accordance with thinking style, whereby stronger beliefs are often observed in experiential thinkers. Little research, however, has explored the interaction between perceived stress and thinking style. 82 males and females aged 18 to 62 years (mean = 29.96 ± 12.53 years) completed measures of perceived stress, thinking style (rational and experiential) and paranormal belief. The results revealed stronger beliefs in experiential thinkers, compared with those with a rational thinking style. Perceived stress alone, was not a prominent predictor of belief but the combination of stress and thinking style, specifically high perceived stress with a rational thinking style, significantly predicted greater global paranormal belief, belief in superstition, traditional religious belief, and belief in psi. High perceived stress appeared to facilitate belief in rational thinkers as conversely, belief was lowest in rational thinkers under conditions of low-perceived stress. These findings suggest that stress may lower the propensity for rational thinking and consequently, encourage belief in scientifically unsubstantiated phenomena. This interaction may have implications for coping during stressful situations.
    • Performing Academic Practice: Using the Master Class to Build Postgraduate Discursive Competences

      Bærenholdt, Jorgen O.; Gregson, Nicky; Everts, Jonathan; Granås, Brynhild; Healey, Ruth L.; Roskilde University; University of Sheffield; University of Sheffield; University of Tromso; University of Chester (Taylor & Francis, 2010-04-27)
      How can we find ways of training PhD students in academic practices, while reflexively analysing how academic practices are performed? The paper’s answer to this question is based on evaluations from a British–Nordic master class. The paper discusses how master classes can be used to train the discursive skills required for academic discussion, commenting and reporting. Methods used in the master class are: performing and creative arts pedagogical exercises, the use of written provocations to elicit short papers, discussion group exercises, and training in reporting and in panel discussion facilitated by a meta-panel discussion. The authors argue that master classes have the potential to further develop advanced-level PhD training, especially through their emphasis on reflexive engagement in the performance of key academic skills.
    • Persistence in gestural communication predicts sociality in wild chimpanzees.

      Roberts, Anna I.; Roberts, Sam G. B. (2018-10-19)
      A key challenge for primates is coordinating behaviour with conspecifics in large, complex social groups. Gestures play a key role in this process and chimpanzees show considerable flexibility communicating through single gestures, sequences of gestures interspersed with periods of response waiting (persistence), and rapid sequences where gestures are made in quick succession, too rapid for the response waiting to have occurred. The previous studies examined behavioural reactions to single gestures and sequences, but whether this complexity is associated with more complex sociality at the level of the dyad partner and the group as a whole is not well understood. We used social network analysis to examine how the production of single gestures and sequences of gestures was related to the duration of time spent in proximity and individual differences in proximity in wild East African chimpanzees (Pan troglodytes schweinfurthii). Pairs of chimpanzees that spent a longer duration of time in proximity had higher rates of persistence sequences, but not a higher rate of single gestures or rapid sequences. The duration of time spent in proximity was also related to the rate of responding to gestures, and response to gesture by activity change. These results suggest that communicative persistence and the type of response to gestures may play an important role in regulating social interactions in primate societies.
    • Persistence of social signatures in human communication

      Saramäki, Jari; Leicht, Elizabeth A.; Lopez, Eduardo; Roberts, Sam G. B.; Reed-Tsochas, Felix; Dunbar, Robin I. M.; Aalto University School of Science; University of Oxford; University of Chester (2014-01-06)
      The social network maintained by a focal individual, or ego, is intrinsically dynamic and typically exhibits some turnover in membership over time as personal circumstances change. However, the consequences of such changes on the distribution of an ego’s network ties are not well understood. Here we use a unique 18-mo dataset that combines mobile phone calls and survey data to track changes in the ego networks and communication patterns of students making the transition from school to university or work. Our analysis reveals that individuals display a distinctive and robust social signature, captured by how interactions are distributed across different alters. Notably, for a given ego, these social signatures tend to persist over time, despite considerable turnover in the identity of alters in the ego network. Thus, as new network members are added, some old network members either are replaced or receive fewer calls, preserving the overall distribution of calls across network members. This is likely to reflect the consequences of finite resources such as the time available for communication, the cognitive and emotional effort required to sustain close relationships, and the ability to make emotional investments.
    • A person-centred approach to breaking the trans-generational cycle of parental rejection

      Clare, Tracey; University of Chester (PCCS Books, 2018-03-31)
      This article uses a case study to explore the concept of self-worth as related to perceived parental rejection in childhood, and the process of becoming a parent oneself.