Rethinking Secondary Mental Healthcare : : A Perceptual Control Theory Perspective.

• Author: Griffiths, Robert.
• TeilnehmendeR: Huddy, Vyv.; Eaton, Stuart.; Waldorf, Jasmine.; Mansell, Warren.
• Place / Publishing House: Milton : : Taylor & Francis Group,, 2023.; Ã2024.
• Year of Publication: 2023
• Edition: 1st ed.
• Language: English
• Physical Description: 1 online resource (171 pages)

Table of Contents

Cover -- Endorsement Page -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- Preface -- Robert Griffiths -- Vyv Huddy -- Stuart Eaton -- Jasmine Waldorf -- Warren Mansell -- References -- Acknowledgements -- Chapter 1: Introducing an Approach to Secondary Mental Healthcare that Is Informed by Perceptual Control Theory Principles -- Introduction -- Is a new approach to mental healthcare really needed? -- Defining secondary mental healthcare -- The financial costs of secondary mental healthcare -- Patients' experiences of secondary mental healthcare -- Perceptual Control Theory -- Evidence for the PCT model of human behaviour -- Book overview -- Summary -- References -- Chapter 2: A Perceptual Control Theory Account of Mental Health, Psychological Distress, and Wellbeing -- Introduction -- Control -- Control is wellbeing -- Services should enable control -- Control is often invisible -- Conflict -- Conflict is the problem -- Conflict explains loss of control -- Expressing problems as conflicts is beneficial -- Reorganisation -- Summary -- References -- Chapter 3: Using Perceptual Control Theory Principles to Improve Secondary Mental Healthcare -- Introduction -- Mental health is all about control -- Prioritising the perspectives of people who use mental health services -- Focus on distress rather than symptoms or diagnoses -- Enabling people to resolve internal conflicts -- Our advice is to be cautious about offering advice -- The change process is unique to individuals -- Understanding people as controllers -- Keeping an open mind about people's difficulties -- Conclusions -- References -- Chapter 4: Individual Psychological Therapy: The Method of Levels -- Introduction -- Psychological therapy in secondary care -- A PCT perspective on effective psychological therapy -- The Method of Levels -- Focusing on distress not symptoms.

Treating people as individuals -- Putting patients in control -- The Method of Levels in practice -- Goal 1: Encourage the person to talk freely about a problem -- Goal 2: Ask about disruptions -- Case vignette to illustrate the Method of Levels in action -- Patient-led scheduling -- Patient-led appointment scheduling in practice -- Current evidence base for Method of Levels in secondary care -- Summary -- References -- Chapter 5: Adopting Perceptual Control Theory Principles in Mental Health Inpatient Settings and Other Restrictive Contexts -- Introduction -- Background on restrictive practices: outline of policy and initiatives -- Restrictive practices and related concepts: definitions -- Coercive practices and 'treatment pressures' -- Defining coercion -- From an external to an internal perspective on coercion -- The origins of power imbalances -- The origins of coercion -- Staff experiences of ethical dilemmas and inner conflict -- Implications of this approach to understanding restrictive practices -- Patient and staff perspectives -- Synthesis -- Key messages for staff and commissioners -- Designing ward environments -- Summary -- References -- Chapter 6: Towards a Perceptual Control Theory-Informed Framework for Ethical Decision Making in Secondary Mental Healthcare -- Introduction -- Perceptual Control Theory and ethics -- Framework for biomedical ethics -- Respect for autonomy -- Nonmaleficence -- Beneficence -- Justice -- PCT principles for ethical decision making -- Respect other people's controlling -- Avoid impeding people's controlling -- Act as a resource that enhances people's controlling -- Address the conditions that disrupt effective controlling -- Resolving ethical conflicts -- Increasing the available degrees of freedom -- Power differences -- Summary -- References.

Chapter 7: Working with Relatives and Carers of People Using Secondary Mental Healthcare -- Introduction -- Terminology -- Experiences of relatives -- Existing approaches to working with relatives -- The concept of 'expressed emotion' -- The stress-vulnerability model -- Distinctions between Perceptual Control Theory and existing theories and approaches -- Applying PCT principles of control, conflict, and reorganisation -- Illustrative case study -- Applying PCT in practice -- Explore sources of interpersonal conflict -- Exploring intrapersonal conflicts -- Going up levels -- Facilitating reorganisation -- Adopt a stance of genuine curiosity -- Provide a context where people can speak openly -- Hope and optimism -- Summary -- References -- Chapter 8: Perceptual Control Theory as a Unique Biopsychological Approach to Secondary Mental Healthcare -- Introduction -- The biology of Perceptual Control Theory -- Biological research on mental health through the PCT lens -- PCT as a biopsychosocial framework versus alternative contemporary approaches -- Summary -- References -- Index.