Voices from the margins

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dc.contributor.advisor Dempsey, Maria en
dc.contributor.author Doyle, Niamh
dc.date.accessioned 2019-09-24T08:33:22Z
dc.date.available 2019-09-24T08:33:22Z
dc.date.issued 2019
dc.date.submitted 2019
dc.identifier.citation Doyle, N. 2019. Voices from the margins. DClinPsych Thesis, University College Cork. en
dc.identifier.endpage 142 en
dc.identifier.uri http://hdl.handle.net/10468/8599
dc.description.abstract Empirical Study Abstract - Background: Against a tradition that has given preference to the ‘expert’ view of practitioners, a growing number of former service users have campaigned for mental health services to restore personal meaning to their mental health. Open Dialogue is an approach to mental health services that facilitates shared meaning-making among service users and professionals. Aims: This study investigated how individuals currently engaged in an Open Dialogue informed mental health clinic in Ireland made sense of their mental health. Method: Six individual semi-structured interviews were conducted and analysed using interpretative phenomenological analysis. Results: Two superordinate themes and related subthemes are discussed: ‘The Context of Meaning-Making: Relationships and Conversations’ and ‘New Meanings’. Conclusions: The participants provided evocative accounts of meaning-making within an OD informed mental health service, drawing from experiences of non-dialogical services to make valuable comparisons. The narratives provide evidence to support OD as a humanising approach to mental health services, which facilitates, rather than imposes meaning, and may lead to relational and individualised narratives that reduce self-blame. en
dc.description.abstract Systematic Review Abstract - Background: A father’s understanding, management and support of his partner through maternal postpartum depression (PPD) has implications for the mother’s recovery, the couple relationship and infant development. Aim: To systematically review qualitative research investigating fathers’ experiences of their partners’ PPD. Method: The following databases were searched from inception to October 2018: Academic Search Complete, MEDLINE, PsycINFO, PsycARTICLES, Psychology & Behavioral Sciences Collection, CINAHL and Maternity & Infant Care. Inclusion criteria were qualitative or mixed methodology, English language papers, and fathers as primary informants, whose partners had a current or previous diagnosis of PPD. Eight studies were included for thematic synthesis, with a combined sample size of 67. Overarching themes were: Understanding PPD; Relationships; Supporting a Partner with PPD; Burden of PPD; and Supporting Fathers. Conclusion: There has been limited research on this topic over the past two decades. Key limitations of studies include the prevalence of snowball sampling methods and lack of information about fathers’ previous mental health history. Findings point to fathers’ limited understanding of maternal PPD, a desire to be included in interventions, and a negative impact on fathers’ well-being and parenting capacity. There is a need for increased psychoeducation, father support, and partner-inclusive interventions en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2019, Niamh Doyle. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Open dialogue en
dc.subject Qualitative en
dc.subject Meaning-making en
dc.title Voices from the margins en
dc.title.alternative Systematic Review: Fathers’ experiences of their partners’ postpartum depression: a systematic review and thematic synthesis en
dc.title.alternative Empirical Study: ‘Treated as a person, not a case’: exploring meaning-making in an open dialogue informed mental health service en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DClinPsych - Doctor of Clinical Psychology en
dc.internal.availability Full text available en
dc.check.info Not applicable en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Applied Psychology en
dc.check.type No Embargo Required
dc.check.reason Not applicable en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
ucc.workflow.supervisor m.dempsey@ucc.ie
dc.internal.conferring Autumn 2019 en

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