The impact of social network contact on recovery from alcohol problems

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Watson, Thomas (2021). The impact of social network contact on recovery from alcohol problems. University of Birmingham. Clin.Psy.D.

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Abstract

Thesis Overview:
This thesis was submitted as partial fulfilment of the Doctorate of Clinical Psychology. It comprises two volumes. The first volume is a research component comprising a literature review and an empirical study. The second volume is a clinical component comprising five Clinical Practice Reports (CPRs).

Volume One Abstract:
The present thesis explored the role of social networks in recovery from alcohol-use disorders. While literature exists linking networks to alcohol usage, uptake of network-based interventions within clinical practice remains slow, and gaps remain within the evidence.

The literature review reports a meta-analysis of randomised control trials assessing the efficacy of network-based interventions compared with non-network-based controls. Small but significant advantages of network-based interventions were found across a range of network interventions.

The empirical paper was a mixed methods case series. Using a sample of six participants with alcohol-use disorders, it incorporates experience sampling methodology using a custom-made smartphone app; monitoring temptation to drink, confidence to refrain and social contact over two weeks. Network characteristics and feasibility data are presented, while qualitative interviews explored participants’ experiences of network influence on alcohol recovery. The methodology was found to be feasible and acceptable to participants, while thematic analysis presented both perceived active and passive network influence on alcohol recovery, highlighting the role of network awareness, motivation, availability and relationship quality.

Together, the thesis provides a holistic investigation of network influences on alcohol recovery among those with alcohol use disorders, with significant implications for clinical practice and future research.

Volume Two Abstract:
The second volume of the thesis comprises five reports evidencing clinical practice in the field of Clinical Psychology over three years. The reports are as follows:
1) Formulating generalised anxiety from cognitive behavioural and psychodynamic perspectives.
2) Service evaluation: How is effectively is trauma assessed and addressed in individuals with psychosis in a Community Mental Health Team?
3) An integrated case study of skin-picking in a woman with moderate learning disability and her family.
4) The treatment of incontinence anxiety in an older adult in an inpatient setting – A single-case experimental design.
5) Neuropsychological assessment of a man following a right middle cerebral artery stroke.

Type of Work: Thesis (Doctorates > Clin.Psy.D.)
Award Type: Doctorates > Clin.Psy.D.
Supervisor(s):
Supervisor(s)EmailORCID
Copello, AlexUNSPECIFIEDUNSPECIFIED
Burnett Heyes, StephanieUNSPECIFIEDUNSPECIFIED
Licence: All rights reserved
College/Faculty: Colleges (2008 onwards) > College of Social Sciences
School or Department: School of Psychology
Funders: None/not applicable
Subjects: B Philosophy. Psychology. Religion > BF Psychology
URI: http://etheses.bham.ac.uk/id/eprint/11899

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