- Psychosomatic Disorders and Their Treatments
- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Mindfulness and Compassion Interventions
- Psychotherapy Techniques and Applications
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Psychiatric care and mental health services
- Mental Health Treatment and Access
- COVID-19 and Mental Health
- Mental Health Research Topics
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Diabetic Foot Ulcer Assessment and Management
- Psychology of Moral and Emotional Judgment
- Wound Healing and Treatments
- Music Therapy and Health
- Antibiotic Resistance in Bacteria
- Antibiotics Pharmacokinetics and Efficacy
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Pressure Ulcer Prevention and Management
- Bacterial biofilms and quorum sensing
- Personality Disorders and Psychopathology
- Educational and Psychological Assessments
- Healthcare Decision-Making and Restraints
- Sleep and Wakefulness Research
University of Bath
2019-2025
King's College London
2012-2024
Birmingham City University
2024
College of Podiatry
2018
King's College School
2015-2018
University of Exeter
2000-2016
Bioanalytica (Switzerland)
2016
The London College
2016
City, University of London
2016
Salford Royal NHS Foundation Trust
2011
We offer provisional support for a new cognitive approach to understanding and treating drug-resistant auditory hallucinations in people with diagnosis of schizophrenia. Study 1 emphasises the relevance model by detailing behavioural, affective responses persistent voices 26 patients, demonstrating that highly disparate relationships - fear, reassurance, engagement resistance reflect vital differences beliefs about voices. All patients viewed their as omnipotent omniscient. However, voice's...
To assess the reliability and validity of Southampton mindfulness questionnaire (SMQ), a 16-item measure mindful awareness distressing thoughts images.A total 256 people participated, comprising non-clinical community sample 134 (83 meditators 51 non-meditators) clinical 122 with current psychosis. concurrent validity, participants half (total 197 participants) completed attention scale (MAAS). Predicted links were assessed affect, 59 patients validated to link between intensity 'delusional'...
Background We present a revised Beliefs About Voices Questionnaire (BAVQ–R), self-report measure of patients' beliefs, emotions and behaviour about auditory hallucinations. Aims To improve measurement omnipotence, pivotal concept in understanding hallucinations, elucidate links between beliefs voices, anxiety depression. Methods Seventy-one participants with chronic hallucinations completed the BAVQ–R, 58 also Hospital Anxiety Depression Scale. Results The mean Cronbach's α for five...
Depression in schizophrenia is a rather neglected field of study, perhaps because its confused nosological status. Three course patterns depression schizophrenia, including post-psychotic (PPD), are proposed.We chart the ontogeny and psychotic symptoms from acute episode over 12-month period test validity proposed patterns.One hundred five patients with ICD-10 were followed up on occasions 12 months following episode, taking measures depression, positive symptoms, negative neuroleptic...
Background. A preliminary report by the authors suggested that range of affect generated voices (anger, fear, elation) was linked not to form, content or topography voice activity, but beliefs patients held about them, in particular their supposed power and authority. We argued this conformed a cognitive model; is, represent an attempt understand experience voices, cannot be understood reference form/content alone. This study puts model empirical test.Methods. Sixty-two hearers conforming...
The study's objective was to assess the impact on clinical functioning of group based mindfulness training alongside standard psychiatric care for people with current, subjectively distressing psychosis. Data are presented from first 10 complete one four Mindfulness Groups, each lasting six sessions. People were taught breath, and encouraged let unpleasant experiences come into awareness, observe note them, them go without judgment, clinging or struggle. There a significant pre-post drop in...
In paper I we reported that depression in the acute stage remitted line with psychosis and 36% of patients developed post-psychotic (PPD).We apply our cognitive framework to PPD chart appraisal self their link later emergence PPD.Patients ICD-10 schizophrenia (n=105) were followed up over 12 months following episode, taking measures depression, working self-concept, vulnerability, insight appraisals psychosis.Before developing PPD, these felt greater loss, humiliation entrapment by illness...
Background: The clinical literature cautions against use of meditation by people with psychosis. There is, however, evidence for acceptance-based therapy reducing relapse, and some benefits mindfulness groups distressing psychosis, though no data on whether participants became more mindful. Aims: To assess feasibility randomized evaluation group to replicate gains observed in one small uncontrolled study, changes mindfulness. Method: Twenty-two current psychotic experiences were allocated at...
Developments in cognitive therapies and theories for paranoid psychosis have constituted a significant breakthrough our understanding of this disorder, offering valid psychological alternative to biomedical approaches, which been criticized on scientific, pragmatic, ethical grounds. However, we recently found evidence two types paranoia which, together with other conceptual empirical work, show these be insufficient. We propose an interpersonal theory the self, places cognitive, emotional,...
It has been proposed that delusional thinking may be on a continuum with normal behavior and can assessed by taking account of factors such as the client's degree belief conviction or extent preoccupation belief. In our research number measures were used to assess people diagnosed schizophrenic. Two interventions used: (a) structured verbal challenge (b) reality test in which was subject an empirical test. We multiple-baseline, across-subjects design. Of 6 clients, 2 completely rejected...
We describe the development and psychometric investigation of Beliefs About Voices Questionnaire (BAVQ), a self-report measure how people understand respond to their voices. The is unique in being driven by gathering data essential cognitive formulation voices.Sixty subjects with chronic hallucinatory voices took part.Psychometric properties scales were established, including test-retest reliability (mean = 0.89), internal Cronbach's alpha 0.85), construct validity using factor analysis...
This study investigates the psychological process involved when people with current distressing psychosis learned to respond mindfully unpleasant psychotic sensations (voices, thoughts, and images). Sixteen participants were interviewed on completion of a mindfulness group program. Grounded theory methodology was used generate core using systematically applied set methods linking analysis data collection. The inducted describes experience relating differently through three-stage process:...
Individuals reporting persistent psychotic experiences (PEs) in the general population, but without a “need for care”, are unique group of particular importance identifying risk and protective factors psychosis. We compared people with PEs no care” (non‐clinical, N=92) patients diagnosed disorder (clinical, N=84) controls (N=83), terms their phenomenological, socio‐demographic psychological features. The 259 participants were recruited from one urban rural area UK, as part UNIQUE (Unusual...
Background: Mindfulness-based interventions have been shown to effectively reduce anxiety, depression and pain in patients with chronic physical illnesses. Objectives: We assessed the potential effectiveness cost-effectiveness of a specially adapted Skype distant-delivered mindfulness intervention, designed distress for people affected by primary secondary progressive MS. Methods Forty participants were randomly assigned eight-week intervention ( n = 19) or waiting-list control group 21)....
Group Person-Based Cognitive Therapy (PBCT) integrates cognitive therapy and mindfulness to target distinct sources of distress in psychosis. The present study presents data from the first randomised controlled trial investigating group PBCT people distressed by hearing voices. One-hundred eight participants were receive either Treatment As Usual (TAU) or TAU only. While there was no significant effect on primary outcome, a measure general psychological distress, results showed between-group...
The present study examined the incidence of paranoid ideation in a nonclinical population. A sample 324 college students completed questionnaire assessing their personal experiences paranoia, with an emphasis on cognitive, behavioral, and affective components experience. They also general measure paranoia samples, Fenigstein Vanable Paranoia Scale, Rosenberg Self-Esteem Scale. total 153 participants reported experience which included clear statement planned intention to harm. This group...