Prof. Graham Tupin's Publications\Journal Articles Book Chapters Journal ArticlesLilley, S. A., ANDRADE, J., TURPIN, G., Sabin-Farrell, R., & Holmes, E. (in press). Visuo-spatial working memory interference with recollections of trauma. British Journal Of Clinical Psychology.
Objectives: Laboratory research using a working memory framework has shown modality-specific reductions in image vividness and emotionality when concurrent tasks are performed while maintaining the image in consciousness. We extended this research to trauma images in a clinical population awaiting treatment for post-traumatic stress symptoms.
Design: A within-subjects design was used, with each participant completing an imagery task under three concurrent task conditions: side-to-side eye-movements, counting, and exposure only (no concurrent task).
Methods: Eighteen participants selected three images each, the images being those that were the most distressing from participants' trauma memories and most likely to intrude involuntarily. Participants gave baseline ratings of the vividness and emotionality of each of their trauma images. Each image was assigned to a condition. Each condition comprised 8 trials in which participants recollected the appropriate image for 8 s while performing eye-movements, counting or no concurrent task, and then rated its vividness and emotionality. Follow-up ratings were obtained by telephone 1 week later.
Results: The eye-movement task reduced vividness and emotionality of the trauma images relative to the counting task and exposure only, but did so only during the imagery period and not at follow-up. The images were predominantly visual.
Conclusions Concurrent tasks matched to the modality of trauma images may provide a useful treatment aid for temporarily dampening emotional responses to recollections of trauma.
Mata, J. L., Rodriguez, S., Ruiz-Padia, E., TURPIN, G., & Vila, V. (in press). Short-term habituation and sensitization among protective reflexes: cardiac defense and eye-blink startle. Biological Psychology.
Bugg, A., TURPIN, G., Mason, S., & Scholes, C. (2009). A randomised controlled trial of the effectivness of writing as a self-help intervention for traumatic injury patients at risk of developing post-traumatic stress disorder. Behavior Research and Therapy, 47, 6-12.
The study investigated the effects of writing and self-help information on severity of psychological symptoms in traumatic injury patients at risk for developing post-traumatic stress disorder (PTSD). Patients attending Accident and Emergency (A & E), were screened for Acute Stress Disorder and randomised to an information control group (n=36) or a writing and information group (n=31). Participants in both groups received an information booklet one-month post-injury. Participants in the writing group also wrote about emotional aspects of their trauma during three 20-min sessions, five to six weeks post-injury. Psychological assessments were completed within one month and at three and six months post-injury. There were significant improvements on measures of anxiety, depression and PTSD over time. Differences between groups on these measures were not statistically significant. However, subjective ratings of the usefulness of writing were high. In conclusion, the results do not currently support the use of writing as a targeted early intervention technique for traumatic injury patients at risk of developing PTSD.
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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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TURPIN, G. (2009). The future world of psychological therapies: implications for counseling and clinical psychologists. Counseling Psychology Review, 24, 23-33.
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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TURPIN, G., Richards, D., Hope, R., & Duffy, R. (2008). Delivering the IAPT programme. Healthcare Counselling and Psychotherapy Journal, 8, 2-8.
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TURPIN, G., Richards, D., Hope, R., & Duffy, R. (2008). Improving access to psychological therapies: A national initiative to ensure the delivery of high quality evidence-based therapies. Papeles del Psicologo, 29, 271-280.
Cooper, M., & TURPIN, G. (2007). Clinical Psychology Trainees' Research Productivity and Publications: An Initial Survey and Contributing Factors. Clinical Psychology and Psychotherapy, 14, 54-62.
Ononaiye, M. S. P., TURPIN, G., & Reidy, J. G. (2007). Attentional bias in social anxiety: Manipulation of stimulus duration and social-evaluative anxiety. Cognitive Therapy and Research, 31(6), 727-740.
This study investigated the nature of pre-attentive and conscious attentional processing to different categories of threatening words in a non-clinical socially anxious sample. Individuals high (n = 41) and low (n = 41) in social avoidance and distress, as measured by the Social Avoidance and Distress Scale (SAD), performed a visual dot-probe task which included four word groups; negative evaluation, social situations, somatic sensation and physical threat. Participants completed masked trials (14 ms + masking for 486 ms), followed by unmasked trials (500 ms/no mask), under conditions of either social-evaluation or non-evaluation. The results showed that in the social-evaluation condition, high socially anxious individuals, in comparison to the low socially anxious, demonstrated an attentional bias towards masked physical threat words. There were no further attentional processing differences between the social anxiety groups to masked or unmasked stimuli, in either experimental condition. The results suggest that theories of social anxiety might need to accommodate biases to physical threat cues.
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Scholes, C., TURPIN, G., & Mason, S. (2007). A randomised control trial to assess the effectiveness of providing self-help information to people with symptoms of acute stress disorder following a traumatic injury. Behaviour Research and Therapy, 45, 2527-2536.
Background
Patients attending accident and emergency (A&E) may develop long-term psychological difficulties. Psycho-education has been suggested to reduce the risk of post-injury disorders.
Aims
We tested the efficacy of providing self-help information to a high-risk sample.
Methods
A&E attenders were screened for acute stress disorder and randomised to two groups: patients (n=116) receiving a self-help booklet and those who did not (n=111). A sample of ‘low’ scorers was also included (n=120); they did not receive a booklet. Psychological assessments were completed at baseline (within 1 month post-injury) and 3 and 6 months post-injury.
Results
Post-traumatic stress disorder (PTSD), anxiety and depression decreased (p
Conclusions
This trial failed to support the efficacy of providing self-help information, as a preventative strategy to ameliorate PTSD.
Keywords: Trauma; Prevention; Self-help; Information; Acute stress disorder; Post-traumatic stress disorder
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Mason, S. M., Wardrobe, J., TURPIN, G., Woods, D., & Rowlands, A. (2006). A Prospective Study of Posttraumatic Stress Disorder in Accident and Emergency Attenders. British Journal Of Clinical Psychology, 45(217-230).
TURPIN, G., Hope, H., Duffy, R., Fossey, M., & Seward, J. (2006). Improving Access to Psychological Therapies: Implications for the Mental Health Workforce. Journal of Mental Health Workforce Development, 1, 7-15.
Williams, P., HARDY, G., & TURPIN, G. (2006). Clinical psychology and the diversity of service provision in the UK: A review of the literature. Clinical Psychology and Psychotherapy, 13, 324-338.
There is substantial evidence to suggest that clinical psychology services are failing to meet the psychological and clinical needs of people from minority ethnic groups. This paper reviews current knowledge and understanding of factors that may be contributing to this, by examining the diversity of clinical psychology service provisions for minority ethnic groups in the United Kingdom (UK). Research that focuses on the poor utilization of clinical psychology services by minority ethnic groups is identified, and this is related to the limitations offered by mainstream psychological services. References to developments from abroad are also included where they enhance understanding of the current situation affecting minority ethnic groups in the UK. The findings show that minority ethnic groups are generally marginalized and excluded from mainstream clinical psychology services on a number of different levels. These are often influenced by referral conventions, professional misunderstandings of psychological distress and an over-reliance on ethnocentric and eurocentric conceptual frameworks. Cultural factors are also implicated. This review illustrates that the profession needs to be more considerate in its provision of services for minority ethnic users and indelible steps taken to increase the accessibility and credibility of clinical psychology services to Black and other minority ethnic groups. Copyright © 2006 John Wiley & Sons, Ltd.
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Williams, P., HARDY, G. E., & TURPIN, G. (2006). Clinical Psychology Service Provision and Ethnic Diversity within the UK: A review of the literature. Clinical Psychology and Psychotherapy, 13(5), 324-338.
Black, S., HARDY, G. E., TURPIN, G., & Parry, G. (2005). Self-reported attachment style and therapuetic orientation of therapists and heir relationship with reported general alliance quality and problems in therapy. Psychology and Psychotherapy: Theory, Research, and Practice, 78, 363-377.
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.
Bywaters, M., ANDRADE, J., & TURPIN, G. (2004). Intrusive and non-intrusive memories in a non-clinical sample: The effects of mood and affect on imagery vividness. Memory, 12(4), 467-478.
Bywaters, M., ANDRADE, J., & TURPIN, G. (2004). The contribution of affective stimulus variables and individual differences to vividness of visual imagery. Memory.
Bywaters, M., ANDRADE, J., & TURPIN, G. (2004). "Determinants of the vividness of visual imagery: The effects of delayed recall, stimulus affect and individual differences". Memory, 12(4), 479-488.
Harrison, L. K., & TURPIN, G. (2003). PredImplicit memory bias and trait anxiety: a psychophysiological analysis. Biological Psychology, 62, (2): 97-114.
Hobbis, I. C. A., TURPIN, G., & Read, N. W. (2003). Abnormal illness behaviour and locus of control in patients with functional bowel disorders. British Journal of Health Psychology, 8, 393-408.
Espejo, A., Goudie, F., & TURPIN, G. (1999). Hospital discharge into to nursing home care: psychological reactions and contributing factors. Aging and Mental Health, 3, (1): 69-78.
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TURPIN, G., Schaefer, F., & Boucsein, W. (1999). "Effects of stimulus intensity, risetime, and duration on autonomic and behavioural responding: Implications for the differentiation of orienting, startle, and defence responses." Psychophysiology, 36, (4): 453-463.
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Harrison, L., & TURPIN, G. (1998). Anxiety-related memory biases & psychophysiological responding in generalised anxiety disorder. "38th Meeting of the Society for Psychophysiological Research, Denver, USA. Psychophysiology", 35, (Suppl.1).
Leon, G., Reyes, G., Perez, N., TURPIN, G., & Vila, J. (1998). Anger effects on cardiovascular reactivity in tonic paradigms. Journal of Psychophysiology, 12, (1): 102.
Leon, G., Reyes, G., Perez, N., TURPIN, G., & Vila, J. (1998). Anger modulation of the cardiac defense response (CDR): The effect of frustration/harassment. Journal of Psychophysiology, 12, (1): 102.
Mason, S., Rowlands, A., TURPIN, G., & Wardrobe, J. (1998). A six month follow up study assessing the psychological impact of injury on 210 male accident and emergency attenders. "International Conference of Accident and Emergency Medicine, Vancouver, Canada".
TURPIN, G. (1997). "Anxiety, attention and defense responses." Journal of Psychophysiology, 11.
TURPIN, G., & Cuthbert, B. (1996). Clinical psychology and behavioural medicine. Current Opinion in Psychiatry, 9, 6: 413-416.
Book ChaptersTURPIN, G., & Llewellyn, S. (in press). Clinical Psychology and service organisation. In P. Beinart, P. Kennedy & S. Llewellyn (Eds.), Clinical Psychology in Practice: BPS Blackwells.
TURPIN, G. (in press). Orienting response. In D. Sander & K. Scherer (Eds.), Oxford Companion to the Affective Sciences. Oxford: Oxford University Press.
TURPIN, G. (2007). Electrodermal Activity. In G. Fink. (Ed.), Encyclopedia of Stress (2nd ed., Vol. 2, pp. 23-27): Academic Press.
KENT, G., & TURPIN, G. (2000). Attention and information processing - applications to schizophrenia. In D. Gupta & R. Gupta (Eds.), Psychology for Psychiatrists. (pp. 41-59): London, Whurr Publishers.
TURPIN, G., & SLADE, P. (1998). Aerial photographs and Understanding Places. In S. Scoffham (Ed.), Primary Sources: research findings in primary geography.: Blackwell: Oxford.
TURPIN, G., & Heap, M. (1998). Arousal reduction methods: Relaxation, biofeedback, meditation and hypnosis. In M. Hersen & A. Bellack (Eds.), Comprehensive Handbook of Clinical Psychology. Volume 6; Adults: Clinical formulation and treatment.
Last update: 10 Nov 2011
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