Dr Andrew Thompson's Publications\Journal Articles Books Book Chapters Journal ArticlesEgan, K., Harcourt, D., Rumsey, N., appearance, i. c. r., & THOMPSON, A. R. (in press). A qualitative study of the experiences of people who identify themselves as having adjusted positively to a visible difference. Journal of Health Psychology.
Rayner, K., & THOMPSON, A. (In press). Clients' experience of the process of change in cognitive analytic therapy. Psychology and Psychotherapy.
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THOMPSON, A., Smith, J. A., & Larkin, M. (In press). Interpretative Phenomenological Analysis and Clinical Psychology Training: Results from a Survey of the Group of Trainers in Clinical Psychology. Clinical Psychology Forum.
THOMPSON, A. R., & Russo, K. (In press). Ethical dilemas for clinical psychologists in conducting qualitative research. Qualitative Research in Psychology.
Banks, S., Allmark, P., Barnes, M., et_al_including, & THOMPSON, A. R. (2010). Interprofessional ethics: a developing field? Notes from the Ethics Social Welfare conference, Sheffield, May 2010. Ethics & Social Welfare, 4(3).
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Lavda, A. C., & THOMPSON, A. (2010). Psychosocial impact of skin conditions: interventions for nurses. Dermatological Nursing, 9(4), 38-41.
Palayiwa, A., SHEERAN, P., & THOMPSON, A. R. (2010). "Words Will Never Hurt Me": Implementation Regulate Attention to Stigmatising Comments about Appearance. Journal of Social and Clinical Psychology, 29, 575-598.
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THOMPSON, A. R., Clark, S. A., Newell, R. J., Gawkrodger, G. J., & Appearance_Research_Consortium. (2010). Vitiligo linked to stigmatisation in British South Asian women: A qualitative study of the experiences of living with vitiligo. British Journal of Dermatology, 163(3), 481-486.
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Allmark, P., Boote, J., Chambers, E., Clarke, A., McDonnell, A., THOMPSON, A., et al. (2009). Ethical issues in the use of in-depth interviews: literature review and discussion. Research Ethics Review, 5(2), 48-54.
This paper reports a literature review on the topic of ethical issues in in-depth interviews. The review returned three
types of article: general discussion, issues in particular studies, and studies of interview-based research ethics. Whilst
many of the issues discussed in these articles are generic to research ethics, such as confidentiality, they often had particular
manifestations in this type of research. For example, privacy was a significant problem as interviews sometimes
probe unexpected areas. For similar reasons, it is difficult to give full information of the nature of a particular interview
at the outset, hence informed consent is problematic. Where a pair is interviewed (such as carer and cared-for) there are
major difficulties in maintaining confidentiality and protecting privacy. The potential for interviews to harm participants
emotionally is noted in some papers, although this is often set against potential therapeutic benefit. As well as
these generic issues, there are some ethical issues fairly specific to in-depth interviews. The problem of dual role is noted
in many papers. It can take many forms: an interviewer might be nurse and researcher, scientist and counsellor, or
reporter and evangelist. There are other specific issues such as taking sides in an interview, and protecting vulnerable
groups. Little specific study of the ethics of in-depth interviews has taken place. However, that which has shows some
important findings. For example, one study shows participants are not averse to discussing painful issues provided they
feel the study is worthwhile. Some papers make recommendations for researchers. One such is that they should consider
using a model of continuous (or process) consent rather than viewing consent as occurring once, at signature, prior to the interview. However, there is a need for further study of this area, both philosophical and empirical.
Donnison, J., THOMPSON, A. R., & Turpin, G. (2009). A qualitative study of the conceptual models employed by community mental health team staff. International Journal of Mental Health Nursing, 18, 310-317.
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Hughes, J., Naqvi, H., Saul, K., et_al_including, Thompson, A. R., & as_part_of_Appearance_Research_Consortium. (2009). South Asian Community views about indviduals with a disfigurement. Diversity in Health & Care, 6(4), 241-253.
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Johnson, H., THOMPSON, A. R., & Downs, M. (2009). Non-western interpreters' experiences of trauma: Culturally protective factors following exposure to extreme stress. Ethnicity & Health, 14(4), 407-418.
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Martindale, S. J., Chambers, E., & THOMPSON, A. (2009). Clinical psychology service uers' experiences of confidentiality and informed consent: A qualitative analysis. Psychology and Psychotherapy: Theory, Research and Practice, 82, 355-368.
Objectives:
To explore and describe the experience of clinical psychology service users in relation to the processes associated with confidentiality and the generation of informed consent in individual therapy.
Design:
A qualitative interview-based study employing interpretative phenomenological analysis was conducted with service users. User researchers were active collaborators in the study.
Methods:
A focus group of four users was convened to explore issues related to confidentiality and consent, which then informed the development of the semi-structured interview schedule. Twelve users of community mental health clinical psychology services were interviewed by user researchers. A user researcher and a clinical psychologist undertook joint analysis of the data. A second clinical psychologist facilitated reflexivity and wider consideration of validity issues.
Results:
Four main themes were identified from the data: being referred; the participant's feelings, mental health difficulties, and their impact; relationships with workers and carers; and autonomy.
Conclusions:
The meaningfulness of processes of discussing confidentiality, and generating informed consent, can be improved by psychologists placing a greater emphasis on choice, control, autonomy, individual preferences, and actively involving the user in dialogue on repeated occasions.
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THOMPSON, A. (2009). Managing the psychosocial impact of skin conditions: theory and the nursing role. Dermatological Nursing, 8, 43-48.
THOMPSON, A., Wilde, E., & Boon, K. (2009). The development of group cognitive behavioural therapy for the treatment of road traffic accident related posttraumatic stress disorder: A pilot study. The Cognitive Behavioural Therapist, 2(1), 32-42.
Individually focused CBT for road traffic accident (RTA)-related post-traumatic stress disorder (PTSD) involving exposure and cognitive restructuring has been shown to be effective. Group CBT interventions provide an opportunity for treatment to be delivered in a cost-effective fashion and may also be ‘normalizing’ for patients, but few evaluations have been published. Many elements of CBT lend themselves well to group presentation, although implementing exposure presents a specific problem. The development and preliminary evaluation of a group (n = 6) targeting RTA-related PTSD is described here. Pre- and post-questionnaire evaluation is accompanied by assessment of patient satisfaction. Four of the group no longer met diagnostic criteria and the remaining two showed clinically significant change in both the number and severity of symptoms. In addition symptoms of depression decreased from the severe to the mild range within the group and there were high levels of participant satisfaction reported. Further research is required to evaluate this and similar packages before group treatment can be advocated as an alternative to individual CBT for PTSD.
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THOMPSON, A. R., & Broom, L. (2009). Positively managing intrusive reactions to disfigurement: An interpretative phenomenological analysis of naturalistic coping. Diversity in Health & Care, 6, 171-180.
Biggerstaff, D., & THOMPSON, A. (2008). Interpretative Phenomenological Analysis (APA): A Qualitative Methodology of Choice in Healthcare Research. Qualitative Research in Psychology, 5, 173-183.
This paper focuses on the teaching of the qualitative method, Interpretative Phenomenological Analysis (IPA), to healthcare professionals (HCPs). It introduces briefly the philosophical background of IPA and how it has been used within healthcare research, and then discusses the teaching of IPA to HCPs within received educational theory. Lastly, the paper describes how IPA has been taught to students/trainees in some specific healthcare professions (clinical psychology, medicine, nursing and related disciplines). In doing this, the paper demonstrates the essential simplicity, paradoxical complexity, and methodological rigour that IPA can offer as a research tool in understanding healthcare and illness from the patient or service user perspective.
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Clarke, Z., THOMPSON, A. R., Buchan, L., & Combes, H. (2008). Pain and Discomfort in People with Intellectual Disabilities - Parents' Experiences. British Journal of Intellectual Disabilities, 36(2), 84-90.
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Johnson, H., THOMPSON, A. R., & Downs, M. (2008). The Development and Maintenance of Post. Traumatic Stress Disorder (PTSD) in civilian adult survivors of war trauma and torture: A review. Clinical Psychology Review, 28, 36-47.
This review provides a comprehensive and critical summary of the literature as to the development and maintenance of post-traumatic stress disorder (PTSD) following civilian war trauma and torture. Prevalence rates are reviewed and predictors are discussed in terms of risk factors, protective factors, and factors that maintain PTSD. Most epidemiologically sound studies found relatively low rates of PTSD. There is good evidence of a dose–response relationship between cumulative war trauma and torture and development and maintenance of PTSD. There is also some evidence that female gender and older age are risk factors in development of PTSD. Some refugee variables may exacerbate symptoms of PTSD and contribute to their maintenance. Preparedness for torture, social and family support, and religious beliefs may all be protective against PTSD following war trauma and torture. Applicability of the concept of PTSD to non-western populations and areas for much needed further study are discussed.
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Marriott, C., & THOMPSON, A. R. (2008). Managing threats to femininity: Personal and interpersonal experience of living with vulval pain. Psychology & Health, 22, 243-258.
Women living with vulval pain can experience psychosocial difficulties. The current study explores the meaning and impact of vulval pain using interpretative phenomenological analysis. Interviews were conducted with eight women. Three overlapping super-ordinate themes emerged: (1) loss of femininity/sexual identity, (2) centrality of sex within relationships and (3) uncertainty surrounding the diagnosis. The participants here did not report the actual pain as being the central issue rather they felt the condition affected their sense of femininity, which was perceived in many ways as analogous to loss of sexual identity. Although they often avoided sexual contact, they also reported deep concern about the sexual needs of their partners and consequently often prioritised their partners, needs over their own in order to regain both their femininity and avoid anticipated rejection. The results indicate that the meaning the vulval pain had on the identity and relationships of the participants is the central concern in coping with this condition. These psychosocial factors need to be considered alongside existing medical management by health care professionals.
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Saradijian, A., THOMPSON, A. R., & Datta, D. (2008). The experience of men using an upper limb prosthesis following amputation: Positive coping and minimizing feeling different. Disability and Rehabilitation, 30(11), 871-883.
Purpose. Psychosocial factors are likely to play a crucial role in adjustment to upper limb amputation and prosthesis use, and yet have received only minimal exploration within the literature. This study therefore, sought to gain a rich understanding of the experience of living with an upper limb amputation and of using a prosthetic arm and hand.
Methods. The qualitative method of Interpretive Phenomenological Analysis was used. Purposive sampling culminated in a homogenous sample of 11 males with unilateral upper limb amputations, who wore a prosthesis at least weekly. Semi-structured interviews were carried out, transcribed and analysed according to the methodology.
Results. Participants identified a theme of ongoing awareness of difference in appearance and ability. Consequently, participants described themes of psychosocial and functional adjustment to minimize this sense of difference. This was facilitated by the participants' prostheses and their positive coping style. Within this, participants also identified the personal meanings of their prosthesis and highlighted the terms of its use. The minimization of their sense of difference resulted in participants regaining a sense of worth.
Conclusions. The findings offer a greater psychological insight into adjustment from an upper limb amputation and the role of prostheses. These findings have implications for both the clinical rehabilitation of patients who undergo upper limb amputations, as well as for future research into the use and value of prostheses in facilitating the adjustment to this experience.
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THOMPSON, A. R., Donnison, J., Warnock-Parkes, E., TURPIN, G., Turner, J. & Kerr, I.B. (2008). Multidisciplinary community mental health team staff's experience of a ‘skills level’ training course in cognitive analytic therapy. International Journal of Mental Health Nursing, 17, 131-137.
his study sought to explore community mental health teams' (CMHTs) experiences of receiving an innovative introductory level training in cognitive analytic therapy (CAT). CMHTs are important providers of care for people with mental health problems. Although CMHTs have many strengths, they have been widely criticized for failing to have a shared model underlying practice. Inter-professional training which develops shared therapeutic models from which to plan care delivery is, therefore, essential. We have been developing such a training based on the psychotherapeutic principles of CAT. Twelve community mental health staff (six mental health social workers and six community psychiatric nurses) were interviewed by an independent interviewer following the completion of the training programme. The interviews were analysed using a qualitative thematic analysis. The analysis revealed that the programme increased the participants' self-assessed therapeutic confidence and skill and fostered the development of a shared model within the team, although the training was also perceived as adding to workload. The results of this study suggest that whole-team CAT training may facilitate cohesion and also suggest that having some shared common language is important in enabling and supporting work with 'difficult' and 'complex' clients, for example, those with personality disorders. Further development of such training accompanied by rigorous evaluation should be undertaken.
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THOMPSON, A. R., Powis, J., & Carradice, A. (2008). Community mental health nurses’ experiences of working with people who engage in deliberate self-harm: an interpretative phenomenological analysis. International Journal of Mental Health Nursing, 17, 151-159.
his paper reports on a study that explored community psychiatric nurses' experiences of working with people who self-harm. Interpretative Phenomenological Analysis was used with eight experienced community psychiatric nurses who participated in semi-structured interviews. Established quality control procedures were utilized including audit of the analysis process and validating the results with participants. The participants described struggling to conceptualize self-harm behaviour and generally reported finding working with people who self-harm stressful particularly in terms of managing the emotional impact upon themselves and the boundaries of their professional responsibilities in relation to managing risk. The therapeutic relationship was viewed as crucial and a variety of coping methods to manage the impact of the work, which had largely developed through 'on the job', experience were described. The results highlight the potential difficulties faced by community staff and can be translated into clear recommendations for training and support.
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Edwards, C. R., THOMPSON, A. R., & Blair, A. (2007). An 'Overwhelming Illness': Women's Experiences of Learning to Live with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis. Journal of Health Psychology, 12(2), 203-214.
GRANDFIELD, T., THOMPSON, A. R., & TURPIN, G. (2005). An attitudinal study of responses to a range of dermatological conditions using the Implicit Association Test. . Journal of Health Psychology, 10, 821-829.
Lobeck, M., THOMPSON, A. R., & Shankland, M. C. (2005). The importance of social context in adjustment: An exploration of the experience of stroke for men in retirement transition. . Qualitative Health Research, 15, 1022-1036.
Nicholl, C., & THOMPSON, A. R. (2004). The psychological treatment of PTSD in adult refugees: A review of the current state of psychological therapies. Journal of Mental Health, 13, 351-362.
THOMPSON, A. R., & BEAIL, N. (2002). The Treatment of auto-erotic asphyxiation in a man with severe intellectual disabilities; the effectiveness of a behavioural and educational programme. Journal of Applied Research in Intellectual Disabilities, 15, 36-47.
THOMPSON, A. R., KENT, G., & Smith, J. A. (2002). Living with vitiligo: Dealing with difference. . British Journal of Health Psychology, 7, 213-225.
THOMPSON, A. R., & KENT, G. (2001). Adjusting to disfigurement: Processes involved in dealing with being visibly different. Clinical Psychology Review, 21, (5): 663-682.
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Peace, K. A., Orme, S. M., Sebastian, J. P., THOMPSON, A. R., Barnes, S., Ellis, A., et al. (1997). The effect of treatment variables on mood and social adjustment in adult patients with pituitary disease. Clinical Endocrinology, 46, 445-450.
Peace, K. A., Orme, S. M., THOMPSON, A. R., Padayatty, S., Ellis, A. W., & Belchetz, P. E. (1997). Cognitive dysfunction in patients treated for pituitary tumours. Journal of Clinical and Experimental Neuropsychology, 19, 1-6.
BooksHarper, D., Thompson, A. R., & (Eds). (2011: forthcoming). Qualitative research methods in mental health and psychotherapy: An introduction for students and practioners. London: Wiley.
Book ChaptersTHOMPSON, A. R., & Chambers, E. (2011: forthcoming). Ethical issues for qualitative researchers in mental health. In D. Harper & A. R. THOMPSON (Eds.), Qualitative research methods in mental health and psychotherapy: An introduction for students and practitioners. London: Wiley.
THOMPSON, A. R. (2011: forthcoming). Skin conditions. In T. Cash (Ed.), The encyclopaedia of body image and human appearance: Elsevier.
THOMPSON, A. R. (2011: forthcoming). Research directions in appearance research: models for the future. In N. Rumsey & D. Harcourt (Eds.), Oxford handbook of appearance. Oxford: Oxford University Press.
THOMPSON, A. R. (2011: forthcoming). Adaptation in long-term conditions: the role of stigma particularly in conditions that affect appearance. In S. Randall & H. Ford (Eds.), The Textbook of Long-term Conditions: Wiley.
THOMPSON, A. R. (2011: forthcoming). Body Image Issues in Dermatology. In T. Cash & L. Smolak (Eds.), Body Image: A Handbook of Science, Practice and Prevention: Guildford.
Larkin, M., & THOMPSON, A. R. (2011: forthcoming). Interpretative phenomenological analysis in mental health research. In D. Harper & A. R. THOMPSON (Eds.), Qualitative research methods in mental health and psychotherapy: An introduction for students and practitioners. London: Wiley.
THOMPSON, A. R. (2005). Coping with chronic skin conditions: Factors important in explaining individual variation in adjustment. In L. Papadopoulos & C. Walker (Eds.), The impact of skin disorders. Cambridge: Cambridge University Press.
KENT, G., & THOMPSON, A. R. (2002). Models of disfigurement: Implications for treatment. In P. Gilbert & J. Miles (Eds.), Understanding body shame (pp. 106-116). Hove, UK.: Brunner-Routledge.
Last update: 10 Nov 2011
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