‘Monsters don’t bother me anymore’ forensic mental health service users’ experiences of acceptance and commitment therapy for psychosis

Acceptance and Commitment Therapy for psychosis (ACTp) is an approach that aims to change the relationship an individual with psychosis has with difficult thoughts, emotions and experiences. It promotes the use of acceptance, defusion, mindfulness and focussing on valued outcomes as opposed to struggling with psychotic experiences. This service evaluation project explored service users’ experiences and meanings of ACTp within a medium secure mental health service. Thematic analysis was used to analyse interviews with 10 male service users. Four main themes emerged from the data: ‘Recovery’, ‘Insight’, ‘Developing Skills’ and ‘Accessibility’. Overall, service users viewed their experience of ACTp positively and identified encouraging therapeutic outcomes. These findings suggest that ACTp is an approach that should be considered a therapeutic option within forensic mental health contexts. These outcomes were compared with previous research findings. Limitations of the study, clinical implications and ideas for future research have been discussed.     

Organizational and Human Factors Affecting Forensic Decision-Making: Workplace Stress and Feedback

Although forensic examiners operate in a stressful environment, there is a lack of understanding about workplace stress and feedback. These organizational and human factors can potentially impact forensic science judgments. In this study, 150 practicing forensic examiners from one laboratory were surveyed about their experiences of workplace stress, and the explicit and implicit feedback they receive. Forensic examiners reported that their high stress levels originated more from workplace-related factors (management and/or supervision, backlogs, and the pressure to do many cases) than from personal related factors (family, medical, and/or financial). The findings showed that a few (8%) of the forensic examiners sometimes felt strong implicit feedback about what conclusions were expected from them and that some (14%) also strongly felt that they were more appreciated when they helped to solve a case (e.g., by reaching a “match” as opposed to an “inconclusive” conclusion). Differences were found when comparing workplace stress and feedback levels across three core forensic science fields (forensic biology, chemistry, and latent prints) and across career stages (early, mid, and late). Gaining insights into the stress factors within a workplace and explicit and implicit feedback has implications for developing policies to improve the well-being, motivation, and performance of forensic examiners.     

Promises to keep: Enforcement of prepublication agreements and first amendment rights

Since the Supreme Court's ruling in Cohen v. Cowles Media, several courts have found that prepublication agreements are legally binding promises between journalists and their sources of information, and that the First Amendment does not protect journalists from civil sanction for the breach of such agreements. An agreement between a journalist and a private individual not to disclose a source's information or the source's identity might constitute a legally binding commitment, especially if the plaintiff is able to show that a clear and specific commitment was made not to reveal certain information and that as a result of the breach of promise the plaintiff suffered specific harm.

However, the Court's analysis of enforcement of confidentiality promises as having merely incidental effects is flawed. Because it did not balance the enforcement of prepublication agreements against the First Amendment interests in nonenforcement of the agreements, the Court in Cohen departed from its compelling interest analysis of prepublication agreements in Snepp v. United States as well as its previous standards in finding incidental effects of generally applicable laws.     

Women's work,artisanal discourse,and community: a response to Sheila Blackburn

This article is a comment on Sheila Blackburn's response to the author's original essay, ‘Gender Constructions and Gender Relations in Cotton and Chain-making in England: a contested and varied terrain’, which appeared in Women's History Review (6[3], 1997). As the author repeats in this response, the apparently dominant artisanal discourse of the male chainmakers of nineteenth-century Walsall, supporting the exclusion of female labor from the trade, was undermined by conditions existing in Cradley Heath, where the community depended on that labor. Foregrounding this division regarding gender understandings, it is argued, provides a vantage point from which to gain a fuller and more accurate picture of the ways in which those understandings, as well as gender and community relations, were negotiated in one industry towards the end of the nineteenth century     

‘A sort of land debatable’: female influence,civic virtue and middle-class identity,c 1830-c 1860[1]

The recent emphasis on the bourgeois public sphere as a predominantly masculine space means that the wider meanings and interpretations of respectable women's presence at public occasions have been ignored or misunderstood. This article addresses the contribution of urban middle-class women to the public construction and expression of middle-class identity in the mid-nineteenth century, and examines the way in which women were written into civic narratives as champions of public virtue. It is argued that the notion of ‘female influence’ allowed women to expand their public roles, and even to participate in potentially subversive political activities. However, it also effectively contained such activities by distancing ‘respectable’ women from the potentially corrupting arena of political controversy.