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Title: A review of imaginal exposure treatment for post-traumatic stress disorder and the development and validation of a short-version of the supervisory relationship questionnaire (S-SRQ)
Author: Cliffe, Thomas David
Awarding Body: University of Oxford
Current Institution: University of Oxford
Date of Award: 2013
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The first paper is a review of Imaginal Exposure treatment for Post-Traumatic Stress Disorder (PTSD). There are still questions around the effectiveness and acceptability of exposure treatments for PTSD, and whether different forms of exposure such as Imaginal Exposure (lE) are equally as effective as other psychological treatments for this presentation. Such knowledge may prove useful for services and clinicians who want to utilise an effective and acceptable treatment. This review summarises and evaluates empirical literature on lE treatment for PTSD. Numerous methodological limitations were raised , however evidence suggests that lE treatments are effective in the treatment of PTSD, including some co-morbid difficulties such as depression and anxiety. Nonetheless, lE is not always as effective when compared to other PTSD treatments or 'combination' treatments, and cannot yet be recommended by itself for more complex PTSD presentations or Type-II trauma. Acceptability of lE was not determined in any of the studies, although dropout rates (a potential marker 0 acceptability) were similar to other PTSD treatment studies. The findings also support the Emotional Processing Model as a potential mechanism in exposure treatment. Clinical, service and research implications are discussed. The second paper aimed to produce a shorter version of the Supervisory Relationship Questionnaire (the Short-Supervisory Relationship Questionnaire: S-SRQ) that retained its reliability and psychometric validity. Two hundred and three UK trainee clinical psychologists completed a series of on line questionnaire including the developed S-SRQ. A Principal Component Analysis identified three components of the S-SRQ: 'Safe Base', 'Reflective Education' and 'Structure'. The S-SRQ (three subscales, 18 items) has high internal reliability, adequate test-retest reliability and good convergent, divergent, and predictive validity. Certain supervisor and supervisee characteristics were associated with higher supervisory relationship (SR) scores. Findings also support aspects of existing S models. The S-SRQ is a promising measure for use in clinical, training and research settings.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psych.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available