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Relationships, families, couples & psychosexual

When we are tired, we are attacked by ideas we conquered long ago.

- Friedrich Nietzsche

Here are a series of questionnaires and handouts on couples, sexuality, parenting, attachment, and abuse.  The first sequence of 20 or so handouts are from a two day workshop I run - for more details including downloadable copies of the slides, see the blog post "Psychotherapy with couples & other close relationships".  Listed below these are further relevant handouts & questionnaires.

Relationships in general

“ The "real world" is a construct, and some peculiarities of scientific thought become more intelligible when this fact is recognized ... Einstein himself in 1926 told Heisenberg it was nonsense to found a theory on observable facts alone, saying "In reality the very opposite happens. It is theory which decides what we can observe." ” - D. O. Hebb

Relationships are right at the heart of human health and wellbeing.  The first four sets of handouts listed below highlight the increased death rates, poorer psychological health and lowered wellbeing in those with worse relationships.  There is a rather confusing plethora of different questionnaires for assessing relationship networks.  I like the large amount of helpful information one can elicit from the "Personal community map" and associated sheets (below).  Sheldon Cohen has argued convincingly that social intimacy, social integration, and social conflict all make independent contributions to our health and wellbeing - we want higher scores for intimacy & integration and (usually) lower scores for conflict.  The community map overall question sheet and the associated brief three question current a

Handouts & questionnaires for panic, agoraphobia & depersonalization

I've been working on the 'Panic & depersonalization' handouts list in the Good Knowledge section of this website.  The list contains most of the handouts and questionnaires I currently use when working with people suffering from panic disorder, agoraphobia or depersonalization/ derealization disorder.  Here they are with brief descriptions: 

Relationships, self-esteem and health - first posting

Poor relationships damage our health.  Recent research powerfully demonstrates this point (Stinson, Logel et al. 2008).  In these studies, relationships were assessed in three different ways - relationship quality (closeness, trust, satisfaction), number of friends, and relationship stress.  Sheldon Cohen (Cohen 2004) has argued that these three aspects of relationships are all important in the relationships-health link - emotional closeness, broader social network, and low interpersonal conflict.  In this Stinson et al research, all three aspects were assessed and all three predicted subsequent health.  In the team's second study, they showed relationship stress (function) and number of friends (structure) were independently linked to health outcomes - the former a bit more strongly than the latter.  More stress and fewer friends both predicted more health difficulties.  Health difficulties too were assessed in three different ways - simply by asking participants whether they had developed any health problems during the study period, by asking about time off work, and by asking about visits to doctors.  Poor relationships led to increases in all three of these health indicators.

Wellbeing, time management, self-control & self-determination

If you don't change, you don't change.

- Coen de Koning, psychedelic guide

This is a bit of a ragbag section.  It contains a mixture of handouts on wellbeing, time management and related topics.  A lot of my work involves helping people face fear and anxiety.  The "Determination training" and more straightforward monthly "Practice record" are often helpful here.  The "Respected figures exercise" is one of the most frequent forms that I ask people to fill in - it clarifies values and so highlights how one wants to act.  The handout on Kohlberg's work is relevant to values too, especially at times when the focus is on fairness and assertiveness.  I often move from the "Respected figues exercise" to the five "Goals for roles" handouts.  They build from clarifying "Role areas" and using this for the "Funeral speeches" or "80th birthday party exercise&qu

Increasing access to psychological therapies (IAPT) outcomes toolkit

How many things, both just and unjust, are sanctioned by custom!

- Terence

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  It comments "The Improving Access to Psychological Therapies (IAPT) programme began in 2008 and has transformed treatment of adult anxiety disorders and depression in England. Over 900,000 people now access IAPT services each year, and the 'five year forward view for mental health' committed to expanding services further, alongside improving quality."  

PTSD assessment, images, memories & information

Nothing is so strong as gentleness and nothing is so gentle as real strength

- Ralph Sockman

Here are a whole series of handouts and questionnaires on intrusive memories, imagery, trauma and PTSD.  They overlap with handouts listed in the "Life review, traumatic memories & therapeutic writing" section of this website.  The "tag cloud" provides links to further relevant information - for example by clicking on tags like "PTSD""trauma" or "imagery".  Also of specific relevance are three posts about Marylene Cloitre's

Panic, OCD & depersonalization information & assessment

There is nothing so easy but that it becomes difficult when you do it reluctantly.

- Terence

Here are many of the handouts and questionnaires I use currently (autumn '09) when working with people suffering from panic disorder, agoraphobia, OCD or depersonalization/derealization disorder. 

Social anxiety information & assessment

Man, sometimes it takes a long time to sound like yourselfl

- Miles Davis

In May 2013, the National Institute for Health and Clinical Excellence (NICE) published a new evidence-based clinical guideline on "Social anxiety disorder: recognition, assessment and treatment".  They state: "This clinical guideline offers evidence-based advice on the recognition, assessment and treatment of social anxiety disorder in children and young people (from school age to 17 years) and adults (aged 18 years and older).

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