AuthorsPhillips, Elizabeth H; email: firstname.lastname@example.org
Collins, Graham P
MetadataShow full item record
CitationThe Lancet. Haematology, volume 8, issue 8, page e537-e539
DescriptionFrom PubMed via Jisc Publications Router
History: received 2021-06-24, accepted 2021-06-25
Publication status: ppublish
Showing items related by title, author, creator and subject.
Social Class and the Therapeutic Relationship: The Client's Perspective: To what extent do perceived differences in social class between client and therapist impact upon the therapeutic relationship? A qualitative study using a questionnaire survey.Trott, Alison (University of Chester, 2016-05)The inequalities in society are often mirrored within the therapeutic relationship, particularly for those therapists working in the NHS or for charitable organisations, where therapists are often middle-class and clients working or lower-class. The aim of this research was to explore, using a questionnaire survey, clients’ perceptions of the impact of social class and whether, and if so how, perceived social class disparities impacted the therapeutic relationship. Forty-five completed questionnaires fulfilling the inclusion criteria were returned. Using a quasiphenomenological approach and Thematic Analysis, four primary themes were identified: 1) Perceptions of own social class; 2) Social class as a facilitative aspect of therapy; 3) Negative impact of social class on therapy; and 4) Clients perceptions of their therapeutic relationship. Regardless of social status of the client or their therapist, social class similarities and disparities were found to both help and hinder the therapeutic relationship. Despite many respondents believing social class to be an irrelevant factor within their therapeutic relationship, this study illustrates that social class was a silent but powerful force affecting clients’ feelings of equality, which were often ignored. Though many respondents felt intuitively understood and experienced a more effective therapeutic alliance when perceiving client/therapist social class similarity, there was a danger that therapists could assume too much and/or collude with their clients. The findings also show that where there was social class disparity, though the quality of the relationship, and in particular empathy, were found to be crucial, the explicit recognition and acknowledgement of this disparity were shown to have a positive impact on the client, improving equality, increasing rapport and enabling greater psychological growth. For a client to take full benefit from therapy therapists must recognise the importance of social class and classism and the impact these have upon the therapeutic relationship, and be prepared to attend to these dynamics when appropriate.
Mechanisms of skeletal muscle ageing: avenues for therapeutic interventionNye, Gareth; McCormick, Rachel; Lightfoot, Adam; McArdle, Anne; University of Liverpool (Elsevier, 2014-05-28)Age-related loss of muscle mass and function, termed sarcopenia, is a catastrophic process, which impacts severely on quality of life of older people. The mechanisms underlying sarcopenia are unclear and the development of optimal therapeutic interventions remains elusive. Impaired regenerative capacity, attenuated ability to respond to stress, elevated reactive oxygen species production and low-grade systemic inflammation are all key contributors to sarcopenia. Pharmacological intervention using compounds such as 17AAG, SS-31 and Bimagrumab or naturally occurring polyphenols to target specific pathways show potential benefit to combat sarcopenia although further research is required, particularly to identify the mechanisms by which muscle fibres are completely lost with increasing age.
Drug action: The therapeutic effectRobertson, Deborah A. F.; University of Chester (Mark Allen Publishing, 2017-05-13)Abstract In this article in the series of ‘bite sized’ pharmacology, we will look at the concept of drug action- the therapeutic effect of the medications we give. It is important that prescribers are aware of factors that can affect drug action and the time to onset of and subsequent duration of the desired therapeutic effect. We will look at factors that affect these two important areas of drug action. Knowledge of these factors can assist the prescriber when deciding on doses and dose schedules to ensure that patients receive their medications at the correct dosing, by the correct route and in the right formulation to ensure optimum therapeutic effect. It also helps the prescriber understand why dose adjustments are made or some drugs are avoided in patients with hepatic or renal impairment.