RESEARCH PROJECTS offered by Dr Anja Wittkowski

2. RESEARCH PROJECTS offered by Dr Anja Wittkowski Project Fair � Wednesday 5th January 2011 Telephone: 3060400 or 439 (direct) Email: Anja.wittkowski@manchester.ac.uk

3. Current research interests Perinatal psychology � anything to do with mothers or parents (e.g. antenatal and postnatal difficulties, postnatal depression or psychosis, expectations about motherhood/ parenthood, adjustment to parenting, bonding and attachment issues, etc.) Psychological interventions specific to mothers and babies (e.g. Baby Triple P or MCT for PND) Severe mental ill health in women or in context of parenting Self-esteem and self-concept Open to suggestions

4. Some past projects Alison Cooper: Do maternal specific cognitions during pregnancy determine a women�s risk of developing postnatal depression? Ameera Zumla: Postnatal depression in Asian women (completed 2008) (in collaboration with John Fox and Suzanne Glendenning) Jo Blundell: Mental Illness and Motherhood: A repertory grid study examining psychiatric nursing staffs� construal of clients on an inpatient mother and baby unit (completed 2009) (with Dougal Hare and Angelika Wieck) Erica Lam (MRes, completed 2009): A qualitative study of the postpartum experience of Chinese women living in the UK (with John Fox) Denise Bevan (2010): A Controlled Evaluation of Metacognitive Therapy (MCT) in the Treatment of Postnatal Depression (PND) (with Adrian Wells and Angelika Wieck) Marianne Durand (2010): Care Staffs� attributions toward clients with learning disabilities who exhibit challenging behaviour (with Steve Hendy and Dougal Hare)

5. Current Clin Psy D projects Ross Mackenzie (Year 3): Investigating the transmission of anxiety from parent to child: How does parental anxiety influence child-related cognition and parenting behaviour? (in collaboration with Ben Laskey) Sonia Patel (Year 3): An exploration of illness beliefs in mothers with depression following (with Angelika Wieck and John Fox) Tineke Tait (Year 3): Illness beliefs of mothers with depression after childbirth (with Angelika Wieck) Philippa Gardner (Year 2): The experience of postnatal depression in African women living in the UK (with Penny Bunton and Dawn Edge) Laura McGrath (Year 2): Women who have experienced psychotic symptoms following childbirth (with Sarah Peters) Omar Kowlessar (Year 2): Partners� perceptions of the Baby Triple P Positive Parenting Programme and adjustment to parenthood (with Rachel Calam)

6. Current PhD and MRes projects James Newham (PhD in Year 3): Yoga as an intervention to reduce anxiety in pregnant women and improve pregnancy aftercare (with Melissa Westwood and John Aplin) Zoe Tsivos (PhD in Year 2): An evaluation of Baby Triple P positive parenting programme for mothers with postnatal depression and their infants (with Rachel Calam and Matt Sanders) Aleksandra Staneva (MRes): Refining the PRBQ (Pregnancy Related Beliefs Questionnaire)

7. Study 1: Evaluating the implementation of Baby Triple P on the Mother and Baby Unit Co-supervisor: Angelika Wieck All mothers admitted to the Manchester MBU will be offered Baby Triple P sessions (in near future) Pre- and post-evaluations will be carried out Primary outcome: proportion willing to take part, adherence to programme and reasons for refusal/dropping out, service user perception of Baby Triple P and that of their partners, staff perception of programme

8. Study 1 continued Advantages: interesting project which is part of a larger study (evaluating outcome as symptom and mother-infant relationship improvements), part of service being offered on MBU to all mothers Disadvantages: Service evaluation-type project, working in an inpatient environment

9. Study 2: A pilot RCT to evaluate the impact of active participation in a structured acquatic taught baby programme on obese mothers� bonding and well-being Co-supervisor: Debbie Smith 60-80 first-time mothers with a postpartum BMI of over 30 will be randomily allocated to TAU plus 10 sessions of Waterbabies or TAU only. Rater will be blind to allocation Primary outcome: proportion willing to be randomised, adherence to programme and reasons for not taking part/dropping out

10. Study 2 continued Advantages: DoH focus on obesity, support from Waterbabies, good links with midwives/health visitors (especially in Bolton) to help with recruitment, great link to health psychology theories, interesting project which is part of a larger study (with focus group for treated group) Disadvantages: Recruitment (possibly) and pilot RCT with defined outcomes but could look at group differences in bonding, parental self-efficacy, mood, social support and well-being

11. Study 3: Repertory grid study of midwives� construal of pregnant women who are obese Extension of similar rep grid projects (see Jo Blundell�s study into nursing staff�s contrual of mothers with mental health problems) Co-supervisors: Dougal Hare and Debbie Smith Might suit somebody who is interested in this area (perinatal psychology, midwifery and obesity) and this research methodology Participants: Approximately 10 midwives

12. Study 3 continued Advantages: similar studies have successfully been done, good links with midwives, qualitative study using rep grid based interviews Disadvantages: time-consuming analyses, intensive, need for reflection, possible staff refusal to participate

13. Repertory grid study � some references Blundell, J., Wittkowski, A., Wieck, A. & Hare, D.J. (accepted). Using the repertory grid technique to examine nursing staff�s contrual of mothers with mental health problems. Clinical Psychology & Psychotherapy Leach, C., Freshwater, K., Aldridge, J., & Sunderland, J. (2001). Analysis of repertory grids in clinical practice. British Journal of Clinical Psychology, 40, 225-248 Bell, R. C. (2004). When is my grid cognitively complex and when is it simple? Some approaches to deciding. Personal Construct Theory and Practice, 1, 28-32 Fransella, F., Bell, R., & Bannister, D. (2004). A Manual for Repertory Grid Technique (2nd ed.). Chichester: Wiley Ralley, C., Allott, R. Hare, D.J.R. & Wittkowski, A. (2009). The use of the repertory grid technique to examine staff beliefs about clients with dual diagnosis. Clinical Psychology & Psychotherapy

14. Open to suggestions Fathers perception of the care their partners receive on the Mother and Baby Unit (done as a questionnaire study with Dr Wieck) Further exploration of mothering orientation/maternal expectations and PND Comparison of different bonding questionnaires (internet study) Continuation of investigation of PND in particular groups of mothers Rep grid studies in the area of postpartum difficulties (with staff)

15. How to contact me I�m in the office every Wednesday and the 1st and 3rd Monday of each month I don�t work on Fridays and I�m at NHS every Tuesday (and every 2nd and 4th Monday of the month) I check email regularly and can be contacted on Thursdays

16. Research projects Dr Emma Gowen

17. General Background Overall research interest sensory motor integration Multi-sensory integration How are different senses integrated? Imitation How does the brain transform visual information into an action? What factors influence imitation? Robot vs. person Attention Autism I study sensory motor aspects in relation to autismI study sensory motor aspects in relation to autism

18. Autism: 3 key components Reciprocal social interaction Unable to read social signals Aloofness Communication Words/gestures/facial expressions Two way chit-chat Restricted to demands Repetitive activities and narrow interests Resistance to change Poor imagination Sensory issues Sensory overload Motor difficulties Increased clumsiness Balance, eye hand coordination (Gowen and Miall, 2005;Freitag et al 2007) Imitation impairments (Williams et al., 2004) Lack of engagement with others, one way conversations or conversely talk too much without listening to you Re-read the same book, eat the same food, hand flapping Smells, avoidance of touchLack of engagement with others, one way conversations or conversely talk too much without listening to you Re-read the same book, eat the same food, hand flapping Smells, avoidance of touch

19. Project 1: Motor control and timing in autism Timing: perception of time Circadian Sleep-wake cycles Second-minute range Decision making Sub-second range Motor control Timing and sequence of different muscles involved in an action Question: could impaired sub-second timing be responsible for motor deficits? Important in many rolesImportant in many roles

20. Project 1: Motor control and timing in autism Accurate motor timing relies on 2 processes Central time-keeper Peripheral implementation process Aim 1: Examine whether central or peripheral timing processes affected in autism Compare perceptual and motor timing tasks Impairments on both tasks = Central time-keeper Impairments on motor task only = Peripheral Aim 2: Examine whether timing ability is related to motor ability Correlate timing ability with a simple motor task

21. Project 1:Motor control and timing in autism Two phases: Small pilot study with controls Develop and pilot timing and motor tasks Recruit and test autistic participants High functioning autistic adults Matched controls

22. Project 1: Significance Aetiology of poor motor control unknown Project will establish whether timing is a key issue Influence future therapies Relates to temporal binding theory (Gepnor and Feron, 2009) Impairment in processing moving input Difficulties understanding actions, sensory overload in busy areas Due to under-connectivity of brain areas? Timing training Can relate to general theory of temporal binding. If have problems processing dynamic stimuli can lead to confusion/lack of understanding of actions/moving objects (cars)\ Underconnectivity � cant process stimuli quick enough or talk to each otherTiming training Can relate to general theory of temporal binding. If have problems processing dynamic stimuli can lead to confusion/lack of understanding of actions/moving objects (cars)\ Underconnectivity � cant process stimuli quick enough or talk to each other

23. Project 2: Imitation in autism Imitation Ability to voluntarily copy another person�s actions Essential for learning new skills Social function Social bonding and play Understanding other people�s actions Imitation in autism Could imitation impairments cause social difficulties in autism? Controversial Imitation appears impaired but not across all types of task (Hamilton et al., 2007; Williams et al., 2004) Goal directed vs goal-less imitation Learning tennis. Children imitate each other for fun As imitation important in social interaction people have investigated imitation in autismLearning tennis. Children imitate each other for fun As imitation important in social interaction people have investigated imitation in autism

24. Project 2: Imitation in autism Indicates imitation is abnormal for some tasks onlyIndicates imitation is abnormal for some tasks only

25. Project 2: Imitation in autism Aim: investigate reasons for poor imitation during goal-less condition Top down impairment Explicit instructions to look at moving hand Imitation should improve with instructions Impaired eye movements Check simple eye movements are within normal limits Abnormal eye movements would suggest reason for imitation impairment

26. Project 2: Imitation in autism Adult autistic participants Repeat previous experiment Explicit instructions vs. no instructions Examine eye movement integrity Motion tracking Eye tracking

27. Project 2: Significance Provide important quantitative data on imitation and eye movements in autism A step closer to understanding imitation impairments If due to top down issues � training paradigms? Impact on social learning and interaction

28. Acquired Skills

29. References Buhusi,C.V. and Meck,W.H. (2005). What makes us tick? Functional and neural mechanisms of interval timing. Nat.Rev.Neurosci. 6, 755-765. Freitag,C.M., Kleser,C., Schneider,M., and von Gontard,A. (2007). Quantitative assessment of neuromotor function in adolescents with high functioning autism and asperger syndrome. J.Autism Dev.Disord. 37, 948-959. Gepner,B. and Feron,F. (2009). Autism: a world changing too fast for a mis-wired brain? Neurosci.Biobehav.Rev. 33, 1227-1242. Gowen,E. and Miall,R.C. (2005). Behavioural aspects of cerebellar function in adults with Asperger syndrome. Cerebellum. 4, 279-289. Hamilton,A.F., Brindley,R.M., and Frith,U. (2007). Imitation and action understanding in autistic spectrum disorders: how valid is the hypothesis of a deficit in the mirror neuron system? Neuropsychologia 45, 1859-1868. Wild,K.S., Poliakoff,E., Jerrison,A., and Gowen,E. (2010). The influence of goals on movement kinematics during imitation. Exp.Brain Res. 204, 353-360. Williams,J.H., Whiten,A., and Singh,T. (2004). A systematic review of action imitation in autistic spectrum disorder. J.Autism Dev.Disord. 34, 285-299.

30. Contact me Faculty of Life Sciences Moffat Building The University of Manchester PO Box 88 Sackville StreetManchester M60 1QD Tel: 0161 306 4548 emma.gowen@manchester.ac.uk http://personalpages.manchester.ac.uk/staff/emma.gowen/

31. Developing a clinically relevant measure of guilt Large Scale Research Project

32. Work done so far Literature review Looking at other guilt measures Develop measure based on own clinical knowledge Approach R & D Approach research academic- Support of Katherine Berry and Christine Barrowclough

33. Clinical Context Later Life CMHT Guilt is a common issue in later life- linked to anxiety, depression, shame etc Therefore cause of much distress Guilt conceptualised as an intrusive thought Clinical observation- people had very different reactions to guilt which tends to mediate their distress

34. Rationale for research Clinically relevant Most measures are very old, long and emotive (i.e. Guilt Inventory ) Wanting to develop measure that indicates type and severity of guilt but most importantly guides intervention The Guilt Level and Management Scale (GLAMS) is born!! Premise- mindful coping=less guilt related distress

35. Ongoing Work Look at mindfulness and coping questionnaires Seek other�s opinion (i.e. experts in field) Develop measure further Start to write up literature review (Assistant Psychologist) Masters student will be involved in recruiting non-clinical sample

36. Longer Term Work and Trainee Involvement Ethical approval Recruitment of clinical sample (across lifespan) Administer GLAMS and a number of other related measures Client follow up (if necessary) Factor analysis to look at construct validity Develop final version of scale Other reliability and validity checks Final write up with publication (s)

37. Selling Points Research has developed from clinical need Unique and interesting piece of work Clear process to follow (little ambiguity) Supervisors are working in the relevant field Experienced supervision (especially academic) available Scope for further research and therefore acknowledgement of work

38. Contact details : Dr Katherine Maddox Clinical Psychologist MMHSCT Sir Sydney Hamburger Unit North Manchester General Hospital M8 5RB Tel : 0161 720 2852 email : Katherine.Maddox@mhsc.nhs.uk

39. Dr Warren Mansell DClinPsy Large Scale Research Project 2011

40. Project Ideas Evaluating a Transdiagnostic Group CBT for Anxiety Disorders Investigating the role of control in psychological therapies

41. Transdiagnostic Group CBT Review indicates that Group Transdiagnostic CBT for Anxiety is associated with improvements (McEvoy, Nathan & Norton, 2009) But, methodological limitations & modest effect sizes Limited use of a coherent, transdiagnostic model of anxiety Limited assessment of mediating processes Small group sizes

42. Planned Study Provide a large group CBT based on a transdiagnostic CBT model informed by control theory (Carey, 2011; Mansell, 2005, 2007, 2011; Mansell, Fairhurst, & Bates, under review) Supplement with evidence-based self-help book (Mansell, 2007; Mansell et al., 2011) Explore key process of change, such as �reorganisation of goal conflict�

43. The Model Explicitly ambivalent about alignment with 1st, 2nd & 3rd wave CBT Effective changes occurs when people shift awareness to their higher order goals and how they are achieved / blocked in the present moment Imagery can be used to simulate real world scenarios This allows people to gradually �pursue values�, �challenge beliefs�, �face fears� & �shift priorities� Change across therapies is �goal-oriented & self-controlled exposure� (Carey, 2011; Mansell, 2011)

44. Further Details Working within the IAPT Low Intensity Service in Salford (Phil McEvoy) Large turnover; maximise efficiency Provide psychoeducation Provide personalised goal assessment & prioritising Provide group engagement in personalised exposure exercises � in imagination Waiting list control group Monitor outcomes & processes pre, mid, post, follow-up

45. The Role of Control �Loss of Control� marks out psychopathology across disorders (Mansell, 2005) Perceptual Control Theory suggests that: �life is control� effective, flexible control is established at higher levels in a hierarchical system Therapy helps people regain control

46. Research Plan How much control is �right� in therapy? The client�s perspective The therapist�s perspective Outcomes Assess perceived control over a session at random intervals Compare different forms of therapy (e.g. Method of Levels with and without asking about disruptions) Student samples

47. Aims What is the relationship between perceived control in a session and: Satisfaction Therapeutic Relationship Outcomes Explore patterns of change in control

48. Hypothesised Effective Pattern

49. Any Questions?

50. Research ProposalJanuary 2011 Sandra Bucci Katherine Berry Gillian Haddock Field Supervisor � Brigid Corrigan? Attend Psychological Therapies Network Meeting (CBT for Psychosis) with Gill on 2nd February. Clarify whether project is about severity of voices or distress or attachment and social rank and voices??? Difficult to get voice hearers. Consider broadening the sample to include people with psychosis?Field Supervisor � Brigid Corrigan? Attend Psychological Therapies Network Meeting (CBT for Psychosis) with Gill on 2nd February. Clarify whether project is about severity of voices or distress or attachment and social rank and voices??? Difficult to get voice hearers. Consider broadening the sample to include people with psychosis?

51. Distress arising from voices mediated by individual�s beliefs about their voices Also associated with social and interpersonal cognitions of social power and rank Studies investigating the relevance of interpersonal theories to the study of voice hearing Associations between beliefs about relationship with voices and beliefs in other social relationships (e.g. Birchwood et al., 2004) The relationship between attachment style and voice hearing: a social rank approach Social mentalities approach, with a focus on social rank mentality. That is, the interpersonal relationship a voice hearer has with their voice is partly shaped via recruitment of specialised social processing systems (social mentalities) that act as guides for social roles and scripts. You might experience others as threatening or powerful, perhaps as a result of past trauma or attachment problems, therefore you take defensive actions. For these people, the dominate-subordinate social mentality becomes the social processing system that guides attention and evaluation of social signals, including the relationship with the personified voice. Role-relationships a person has with others are mirrored in the inner experiences with voices, highlighting the importance of the dominant-subordinate-relating style for voice hearers. Indeed, voices have much in common with self-critical thoughts in depression and the behaviour of critical relatives (Gilbert et al., 2001). Social mentalities approach, with a focus on social rank mentality. That is, the interpersonal relationship a voice hearer has with their voice is partly shaped via recruitment of specialised social processing systems (social mentalities) that act as guides for social roles and scripts. You might experience others as threatening or powerful, perhaps as a result of past trauma or attachment problems, therefore you take defensive actions. For these people, the dominate-subordinate social mentality becomes the social processing system that guides attention and evaluation of social signals, including the relationship with the personified voice. Role-relationships a person has with others are mirrored in the inner experiences with voices, highlighting the importance of the dominant-subordinate-relating style for voice hearers. Indeed, voices have much in common with self-critical thoughts in depression and the behaviour of critical relatives (Gilbert et al., 2001).

52. Appraisal of one�s social rank in relation to the dominant voice are primary organising schema underlying the appraisal of voice power/distress That is, voices operate like external social relationships, mirroring one�s social sense of being powerless/controlled by others E.g. If you feel powerless, inferior and subordinated with others (past trauma/attachment problems), more likely to feel powerless and subordinated with voices �Dominate-subordinate social mentality� Background Associated with hallucinations, but we want to take a closer look at the relationship between attachment and voice hearing in particular (rather than hallucinations in general). Associated with hallucinations, but we want to take a closer look at the relationship between attachment and voice hearing in particular (rather than hallucinations in general).

53. Attachment theory - key theory of social relationships Evidence that insecure attachment (particularly avoidance) predicts hallucinations in analogue samples (e.g. MacBeth et al., 2008) Evidence to suggest that attachment avoidance and anxiety (?) are +vely associated with subclinical hallucinatory phenomena (Berry et al., 2006) Further evidence to suggest associations between attachment anxiety and avoidance and positive psychotic symptoms (Ponizovsky et al., 2007) However, no studies specifically investigating associations between attachment, beliefs about voices and the experience of voice hearing in clinical samples Background Attachment theory � interpersonal experiences influence future interpersonal functioning, the ability to regulate distress and cognitive representations about the self and others in relationships. E.g. If a caregiver is responsive and sensitive to distress, you develop a secure attachment, which is associated with a positive self image, a capacity to manage distress and ability to form relationships with others. Attachment theory � interpersonal experiences influence future interpersonal functioning, the ability to regulate distress and cognitive representations about the self and others in relationships. E.g. If a caregiver is responsive and sensitive to distress, you develop a secure attachment, which is associated with a positive self image, a capacity to manage distress and ability to form relationships with others.

54. Aim: To investigate associations between beliefs about voices, insecure attachment and distress in relation to voice hearing Method: Cross sectional, correlational design questionnaire based study Current voice hearers (min. 2 year duration) with a DSM-IV diagnosis of a schizophrenia-related disorder Recruited from NHS services across Greater Manchester Identify Field Supervisor to assist with recruitment Aim and Method (2 year duration based on Birchwood, 2004 article) Hypotheses: - Insecure attachment is associated with negative beliefs about voices, which mediate distress - Does attachment influence beliefs about voices?(2 year duration based on Birchwood, 2004 article) Hypotheses: - Insecure attachment is associated with negative beliefs about voices, which mediate distress - Does attachment influence beliefs about voices?

55. Demographic Information Psychosis Attachment Measure (Berry et al., 2008) Beliefs About Voices Questionnaire (BAVQ; Chadwick & Birchwood, 1995) Cognitive Assessment of Voices (CAV)? Voice Power Differential Scale (VPD; Birchwood et al., 2000) Potential Measures 1 Demographics include: age, gender, diagnosis, number of voices heard, currently on medicationDemographics include: age, gender, diagnosis, number of voices heard, currently on medication

56. Social Power Differential Scale (SPD)? / Social Comparison Scale (SCS; Allan & Gilbert, 1995)? Positive and Negative Syndrome Scale (PANSS; Kay et al., 1987) / Psychotic Symptoms Rating Scale (PSYRATS; Haddock et al., 1999) Trauma Measure? Due to the association between trauma and the experience of voice hearing (Read, et al., 2005) Potential Measures 2

57. Birchwood, M., Gilbert, P., Gilbert, J., Trower, P., Meaden, A., Hay, J., Murray, E. & Miles, J.N.V. (2004). Interpersonal and role-related schema influence the relationship with the dominant �voice� in schizophrenia: a comparison of three models. Psychological Medicine, 34, 1571-1580. MacBeth, A., Schwannauer, M. & Gumley, A. (2008). The association between attachment style, social mentalities, and paranoid ideation: An analogue study. Psychology and Psychotherapy: Theory, Research and Practice, 81, 79-93. Berry, K., Barrowclough, C. & Wearden, A. (2008). Attachment theory: A framework for understanding symptoms and interpersonal relationships in psychosis. Behaviour Research and Therapy, 46, 1275-1282. Key References

58. Possible ClinPsyD projects 2011 Richard J. Brown Academic Division of Clinical Psychology University of Manchester, UK

59. Main areas of interest 1. Medically unexplained symptoms (MUS) - somatoform and dissociative disorders - non-epileptic attack disorder - functional somatic syndromes (e.g. chronic fatigue syndrome, irritable bowel syndrome, fibromyalgia etc.) 2. Somatic perception more generally - tactile / bodily attention, interoception and hypervigilance - role of cognitive factors in pain experience - placebo

60. Possible projects (1): Illusory touch in MUS ? Brown (2004) model suggests that over-activation of somatic representations in memory can lead to development of MUS ? We have developed a method of creating illusory somatic (touch) experiences in the lab using the somatic signal detection task (SSDT) ? We have shown that illusory touch is more common in high symptom reporters and correlates with total number of symptoms experienced ? We have been testing hypotheses from the Brown (2004) model using this paradigm and the proposed project will extend this work ? effect of illness priming in high vs low symptom reporters? ? effect of cognitive load on illusory touch? ? Trainee would join an established group of researchers working on the SSDT

61. Possible projects (2): Studies on NEAD ? Non-epileptic attack disorder is poorly understood and there are no proven treatments ? Psychological research in this area is quite limited and there is a need for high quality studies in various areas ? Possible research topics include: ? attentional mechanisms of NEAD ? characterising different NEAD sub-types ? family dynamics in NEAD

62. Possible projects (3): Cognitive inhibition and dissociation ? Dissociative experiences are said to be related to a tendency to keep threatening material out of awareness (i.e. cognitive inhibition / repression) ? There is a paucity of research in this area and existing measures are limited ? We have developed a binocular rivalry paradigm to measure cognitive inhibition of different stimuli and have used it to compare high and low dissociators ? We now wish to extend this research by looking at the difference between high and low dissociators under conditions of neutral and negative affect

71. The Feasibility of Neurorehabilitation Care Mapping Supervised by Russell Sheldrick (main supervisor) Dougal Hare (academic supervisor) Catriona McIntosh (field supervisor)

72. Background Dementia Care Mapping is an observational method to assess how person centred care is by using a coding system. Results are fed back to staff with the aim of developing the care. Catriona McIntosh and Jenna Stevens are doing a joint research project looking at the acceptability and feasibility of DCM on a neurorehabilitation ward. Results: Very positive feedback from staff and patients. The coding system works well, although some alterations are recommended for that setting.

73. Further research.. Our aim is to write a manual and training program with the hope that this will become an established methodology for developing care in this setting. The project for the trainee/s would involve testing this adapted version of DCM and manual in a greater range of settings.

74. Perks to the research project You will be trained as a Dementia Care Mapper Be involved in novel research that really improves peoples lives. You will have minimal difficulties recruiting your participations on the wards. Its very publishable.

75. Contact Details Please feel free to contact Russell or myself if you want any further information Dr Russell Sheldrick, Salford Royal Hospital Russell.Sheldrick@srft.nhs.uk Catriona McIntosh, Manchester University Catriona.mcintosh@postgrad.manchester.ac.uk 0161 2062373/ 2065588

76. RESEARCH FAIRAPRIL 2011 Dr Rachel Calam rachel.calam@manchester.ac.uk

77. Do parent skills training programmes affect positive aspects of parenting and foster broaden and build processes? Are parents attending IAPT services interested in having help with parenting skills? Are some groups less likely to take up parenting interventions?

78. LSRP Research Fair Dan Pratt Academic Tutor 5th January 2011

79. Suicide Research Group Nick Tarrier Gill Haddock Trish Gooding Dan Pratt James Kelly Yvonne Awenat Maria Panagioti (PhD) Kate Sheehy (PhD) Naomi Humber (ClinPsyD)

80. The Schematic Appraisals Model of Suicide

81. Where does Suicide start? Develop a measure of �Suicide Sensitivity� In depression research, measures have been developed to assess �cognitive reactivity� � a cognitive style linked with elevated vulnerability for depression Can a similar measure identify �suicide sensitivity�? Can this measure distinguish between previously suicidal and never suicidal groups?

82. Where does Suicide start? Are individuals with a history of suicidal behaviour more reactive to small, mild, non-pathological mood fluctuations? Between groups comparison design Negative mood induction paradigm (sad music) How do positive beliefs/schemas impact upon suicidality? Between groups comparison design Positive mood induction paradigm (happy music)

83. Where does Suicide start? Experience Sampling Methodology (ESM) Momentary, repeated assessments Structured Diary �Opens the black box of daily life� What momentary thoughts, feelings, activities, events are present when suicidal ideation occurs? Joint project for 2 trainees sharing recruitment? Two groups of 30 p�pants (suicide v non-suicide)

84. What maintains Suicidality? Do suicide schema / beliefs decay or do they become latent? Longitudinal, naturalistic study of individuals following suicidal behaviour Recently discharged from hospital? Regular, monthly follow-up to assess �decay�

85. What maintains Suicidality? Accessibility of suicide schema: Constructs that have been more frequently activated in the past are more likely to be re-activated in future situations (Segal, 1988) Which constructs are more commonly stored in suicide schemas? Which constructs are more easily accessible (come to mind) to individuals during potentially suicidal situations?

86. Other areas of interest Suicide & Stigma The impact of suicidal behaviour on others Suicide and Bipolar Disorder Can Mindfulness help suicidal ideation?

87. Service User Research �Traditional� weekly psychiatric ward rounds: An investigation of service user and staff views, experiences and preferences A controversial compromise between professional efficiency and patient satisfaction (Hodgson et al, 2005) �Traditional� ward rounds may serve the interests of staff rather than service users (Palin, 2005) Recent attempts to revise ward round practices in Manchester have struggled to succeed (Fiddler et al, 2010) Appreciative Inquiry: The �best� ward round

88. Service User Research �Burnout� in mental health service users Large literature describing �Burnout� within health professionals (up to 40%) Not so for service users who exist within the same organisational system (NHS) Can and do long term users of the NHS mental health services experience burnout as a result of their �illness career�? How may service user �burnout� impact upon their engagement with service and recovery pathway?

89. Research ProposalsJanuary 2011 Katherine Berry

90. Personality disorders and recovery Background The personality disorder hub service in 5 Boroughs Partnership. Offers specialist assessment and staff training for PD. Concept of recovery well recognised in field of psychosis, but limited investigation in people with PD diagnosis.

91. Personality disorders and recovery Aims - To develop a questionnaire measure of recovery in PD through literature reviews, qualitative interviews and Q-sort method.

92. Personality disorders and recovery Key references - Personality Disorder and Community Mental Health Teams: A Practitioner�s Guide by Mark Sampson, Remy McCubbin & Peter Tyrer (Eds). (2006) Wiley - Neil, S. T., Kilbride, M., Pitt, L., Nothard, S., Welford, M., Sellwood, W., & Morrison, A. P. (2009) 'The questionnaire about the process of recovery (QPR): A measurement tool developed in collaboration with service users', Psychosis,1:2,145-155.

93. Attachment and suicide Background Associations between suicide and difficulties with social relationships (Adam, 1994) Attachment theory key interpersonal theory (Bowlby, 1980) Insecure attachment associated with difficulties in affect regulation and interpersonal difficulties (Shaver & Mikulincer, 2007). Some evidence of associations between insecure attachment and suicide in quantitative research (Mikulincer & Shaver, 2007).

94. Attachment and suicide Aims To identify how difficulties in attachment relationships with significant others increase vulnerability to suicidal behaviour from service user perspectives. To identify how positive attachment relationships with significant others facilitate recovery from suicidal behaviour from service user perspectives. 

95. Attachment and suicide Method Grounded theory approach Qualitative interviews with service users reporting suicidal behaviour No set sample size Participants recruited from inpatient and community services in Greater Manchester �

96. Attachment and suicide Key collaborators - Dan Pratt (University of Manchester � Division of Clinical Psychology) - Yvonne Awenat (University of Manchester � Service User Consultant) - James Kelly (Clinical Psychologist - GMW) - Sharon McDonnell (University of Manchester � Community-Based Medicine)

97. Attachment and suicide Key references - Adam, K. S. (1994). Suicidal Behaviour and Attachment. In M. B. Sperling & W. H. Berman (Eds.), Attachment in Adults. New York: Guilford Press. - Mikulincer, M., & Shaver, P. R. (2007). Attachment in Adulthood. New York: Guilford Press.

98. Secure attachment and paranoia Background Role of attachment system in affect regulation (Bowlby, 1980) Activation of representations of attachment security can elicit positive affect (e.g. Mikulincer et al., 2001) and responses to psychological pain (Cassidy et al., 2009). Results vary depending upon the individual�s attachment style. High self-awareness experimental tasks have been used to trigger paranoia in non-clinical samples, permitting analogue studies of paranoia (Ellett & Chadwick, 2007).

99. Secure attachment and paranoia Aims To replicate experiments to induce paranoia via high self-awareness tasks. To assess the impact of secure attachment priming on experimentally induced paranoia. To investigate whether effects vary according to the individual�s attachment style. 

100. Secure attachment and paranoia Method Experimental design Student sample Questionnaires measures of attachment and paranoia Tasks to induce paranoia and secure attachment �

101. Secure attachment and paranoia Key references - Cassidy, J., Shaver, P.R., Mikulincer, M., & Lavy, S. (2009). Experimentally induced security influences responses to psychological pain. Journal of Social and Clinical Psychology, 28, 463-478. Ellett, L. & Chadwick, P. (2007). Paranoid cognitions, failure, and focus of attention in college students. Cognition and Emotion, 21, 558-576. Mikulincer, M., Hirschberger, G., Nachmias, O., & Gillath, O. (2001). The affective component of the secure base schema: Affective priming with representations of attachment security. Journal of Personality and Social Psychology, 81, 305, 321.

102. Research Supervision2011-2013 Dr Dougal Julian Hare dougal.hare@manchester.ac.uk

103. Research interests

104. Research disinterests

105. Current research interests Clinical applications of psychological constructionism ( esp. Kelley�s personal construct theory and Stevenson�s Q methodology) Time-based processes in DD/ID: Sleep Time perception Movement Psychological and emotional well-being in AS Attachment in intellectual and developmental disorders

106. Previous LSRPs (2006-2010) Investigation of the phenomenology of anxiety in people with Asperger�s syndrome using experience sampling Chris Wood (with Paul Skirrow) Using repertory grid techniques to investigate Zigler�s personality model in people with ID Alex Leonard (with Steve Hendy) The construing of �self� in young adults with disordered eating behaviours using repertory grid techniques Bev Harding (with John Fox)

107. Recent LSRPs (2006-2010) Staff constructs of patients: Repertory grid analysis of nurse perceptions of patients with severe anorexia nervosa Ceri Woodrow (with John Fox) Mental illness and motherhood: A repertory grid study examining psychiatric nursing staffs� construal of clients on an inpatient mother and baby unit. Jo Blundell (with Anja Wittkowski & Angelika Weick) Disordered attachment in adults with intellectual disabilities � development of a measure using Q methods Sam Walker (with Andrea Flood and Kate Limb)

108. Recent LSRPs (2007-2010) Care staff attributions toward clients with ID who exhibit challenging behaviour � a repertory grid study Marianne Durand (with Steve Hendy) Use of Q-Methodology to identify the factors informing decisions to use pharmacological interventions for challenging behaviour in people with ID Sarah Wastell (with Paul Skirrow)

109. Current LSRPs - Yr 3 Anxiety and Asperger�s syndrome: evaluation of a real-time ESM-based stress management approach Carolyn Gracey (with Chris Wood & Frank Chapman) Development of a third-party observational measure of secure attachment in people with ID Vicky Penketh (with Sam Walker & Steve Hendy) Social cognitive mechanisms in Aspergers syndrome & contribution to the development of delusional beliefs. Claire Jansch

110. Current LSRPs - Yr 2 Investigation of behavioural phenotype, family coping and circadian rhythm & sleep functioning in children with Sanfilippo syndrome (MPS III) Louise Mahon, Sheena Grant, Elaine Cross & Michelle Lomax (Ed Wraith, Simon Jones & Brian Biggar [Willink Biomedical Genetics Unit])

111. Potential research projects 2011-2013 Developmental & Intellectual Disabilities Investigation of the developmental course of autistic catatonia Investigation of the factors associated with secure and insecure attachment in adults with ID Development of the palm pilot based stress management approach for anxiety and Asperger�s syndrome Investigation of additional aspects of MPS III syndrome

112. Potential research projects 2011-2013 Psychological constructionism Clinical applications of Q or repertory grid methodology in people with/without ID/DD, including: Parallel investigations of carer, staff and service user beliefs Idiosyncratic assessment of therapeutic change Normal and pathological construction of the self Possibly co-supervised with Anja Wittkowski

113. Potential research projects 2011-2013Anomalous experience and psychopathology Investigation of the links between circadian rhythm disturbance, schizotypy and anomalous experience, with transliminality, boundary thinness and temporal lobe lability

114. All research to be carried out in Manchester and the North West, primarily in clinical settings I will consider joint approaches to link or divide projects so as to facilitate liaison with services, LREC applications, recruitment and data collection. dougal.hare@manchester.ac.uk Tel. 0161 306 0400 The ever open door along the corridor and round the corner�

115. RESEARCH FAIRAPRIL 2011 Professor Adrian Wells Professor of Clinical & Experimental Psychopathology adrian.wells@manchester.ac.uk

116. RESEARCH PROJECTS: ADRIAN WELLS Neuropsychological correlates of Attention Training Using functional EEG to map the effects of attention training practise versus passive listening and correlating activity with cognitive and affective change Metacognition, life experiences and emotional symptoms Examining the relationship between stressful life experiences and emotional outcomes and the extent to which these effects are transmitted or moderated by metacognition and cognition

117. Dr Stephen MullinClinical NeuropsychologistDepartment of Clinical NeuropsychologySalford Royal HospitalTel: 0161 206 5588stephen.mullin@srft.nhs.uk

119. I am very happy to discuss projects in the following areas: Traumatic Brain Injury: - Assessment and Predictors of Family Functioning Post Injury - Assessment and Treatment of PTSD following TBI - Use of Mindfulness with People following TBI

120. Inpatient Neuro-rehab Predictors of Cognitive & Functional Recovery following neuro-rehab Family Functioning & support during the inpatient post-acute phase. Predictors of the use (and effectiveness) of cognitive rehabilitation strategies during neuro-rehab and following the return home

121. I am also willing to be approached regarding other ideas for research within neuropsychology/neuro-rehab.

122. Research fair information Prof Gillian Haddock

123. Main interest areasPsychological aspects of psychosis Investigation of cognitive models of psychotic symptoms Development of valid and reliable assessments of psychosis Development of effective psychological treatments for psychosis (including acute, recent onset and chronic psychosis as well as dual diagnosis) Integration of psychosis treatments into practice

124. Methodologies Quantitative approaches Qualitative methods e.g. IPA Q methodology Experience sampling

125. Possible topics for projects Cognitive processes and hallucinations/delusions Recovery processes in psychosis Measurement of the impact of psychosis Attitudes to mental illness and violence Implementation and understanding of psychological treatments for psychosis in the NHS

126. Contact Gillian.haddock@manchester.ac.uk

127. Projects with Sara Dr Sara Tai Clinical Psychologist Department of Psychology - Manchester University 

128. Experiences of reduced control (Delusions of Control) Experiences of reduced control (ERC) = Belief that an external agent is controlling one�s own thoughts, behaviour, emotions, impulses. Little known about these specific types of unusual beliefs (delusions) These kind of beliefs are thought to be extremely common in psychosis

129. Experiences of reduced control Project 1: secondary analysis I have collected several data bases from large trials that have measures of ERC At present N= aprx. 30,000 Aim = Complete secondary Analysis of existing trial data We have some research questions developed from preliminary investigations��..

130. Potential research questions Are delusions of control (ERC) more responsive at end of CBT therapy than other psychotic symptoms? Are ERC associated with more anxiety and depression than other psychotic experiences? Are ERC associated with less self efficacy and more dependency and passivity? Is ERC associated with more �uncontrollability of thinking� (worry and rumination)? Do people with ERC have more command halls than people with persecutory delusions?

131. I also have a range of related studies that I am involved in as part of a programme of research into ERC & psychosis. I would be happy to talk to people about these or if people have their own ideas.

132. Other potential studies Small case series piloting a brief metacognitive therapy for people with psychosis Piloting an acute in-patient ward based self referral �drop in� service

133. Contact details Sara.tai@manchester.ac.uk Tel: 0161 2752595