Tag Archives: psychology

Rehearsing “why” and “how” to not drink alcohol during social occasions may help promote safer student drinking

2014 photoThis post was contributed by Dr Dominic Conroy, a Research Fellow in the Department of Psychological Sciences at Birkbeck. Dr Conroy is currently working on an NIHR-funded study with Professor Jonathan Smith to explore adolescents with conduct disorders’ experiences of multisystemic therapy. 

Students-drinking1Understanding how to successfully encourage university students to understand and heed government drinking recommendations remains one of the holy grails of health promotion research. One aspect of these drinking recommendations is to encourage individuals to take two ‘dry days’ per week where they do not drink any alcohol at all (National Health Service, 2014). In research recently published in the British Journal of Health Psychology, my research colleagues Dr Paul Sparks and Dr Richard de Visser and I were interested in assessing an exercise designed to explore how students might be encouraged to consider how occasional non-drinking during social occasions could be thought of as a more beneficial, achievable behaviour.

Students-drinking2This experiment involved a  ‘mental simulation’ exercise in which 211 undergraduate student participants were encouraged to ‘mentally simulate’ possible benefits of socialising without drinking alcohol and/or possible strategies which might make not drinking during a social occasion more straightforward. Findings indicated that compared with maintaining a drinks diary, mentally simulating benefits led to reduced overall weekly consumption, and mentally simulating strategies involved in non-drinking led to reduced episodes of heavy episodic drinking. Findings also suggested that all participants held more favourable perceptions of non-drinkers than they had at baseline, though not significantly so.

Several indicative areas for future research were clearly identified from this study. Options for delivering health promotion messages containing a non-drinking mental simulation to encourage young people and/or students to consider the achievability and possible advantages involved in periodically not drinking during social occasions are currently being explored in collaboration with DrinkAware. It would also be useful to understand whether improving perceptions of non-drinkers might offer one route toward promoting safer levels of alcohol consumption. So for example, measuring self-reported perceptions of ‘the typical non-drinker’ might provide a useful screening tool for identifying those most at risk of harmful drinking. However, future research might also help clarify how different strands of ‘perceptions of non-drinkers’ are implicated in alcohol-related perceptions and behaviour. For example, it would be useful to understand how beliefs about non-drinking as a behaviour  chosen by others or as a personal behaviour imagined or enacted by the respondent may hold links with drinking behaviour, just as ‘perceptions of the prototypical non-drinker’ seem to.

Students face a wealth of social opportunities involving alcohol consumption during their time at university. In this context research must continue to explore ways of encouraging students to think about drinking less during occasions when alcohol consumption is inevitable. This said, findings from my PhD research favour the view that efforts to successfully promote moderate drinking among students may benefit from greater consideration over how to encourage individuals to re-appraise non-drinking as a periodic behavioural option available to them personally. This might include instilling more positive appraisals of non-drinking as a social behaviour in others as well as prompting students to consider non-drinking at some social occasions as something more achievable and holding more distinct benefits than they may had previously thought. At a health promotion guideline level, this would be consistent with recent recommendations to take two ‘dry days’ each week provided by the House of Commons Science and Technology Committee.

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What the Thunder Said: theatre-based intervention for children who have witnessed violent events

Natasha KirkhamThis post was contributed by Dr Natasha Kirkham from Birkbeck’s Department of Psychological Sciences.

In 2012, I took part in a research project looking into children’s reaction to witnessing violent events. Working with a playwright from Theatre Centre, I conducted workshops in 10 primary schools, located in areas with high levels of violence. The workshops fed into the writing of a new play, which then toured primary schools across the UK. We handed out questionnaires to the children and their teachers about  responses to and understanding of violent behaviour and bullying before and after seeing the play.

Until now, my research has been solidly experimental, investigating theories on attention and learning. This project opened my eyes to just how important it is for developmental scientists to get out of the lab and into the field, to shake up their methods, and to listen to individual children.  And to remind ourselves that development does not happen in a vacuum. These children were extraordinary – tough, interesting, heart-breaking, and funny – and all of them had thoughtful, strong opinions about the very real bullying in their environments. I learned about ‘circle of friends’ (peer-groups assigned to befriend and look out for each other), I learned about the role of humour in the lives of these children (both appropriate and inappropriate), and I learned how easily these children shift between reality and fantasy (seamlessly moving from laughing about parents in prison to discussing Xbox characters). Importantly, I learned that with bullying, ‘walking away’ does not always work.

This experience was personally and professionally cathartic for me, offering new insights into modern-day parenting, coping strategies (for children and teachers), and developmental resilience. Ultimately, it proved to me that a lot of our ideas about how to deal with bullying need to be re-worked.

We hope that the pre and post play surveys will show a significant shift in people’s perspective on community violence and the effects of bullying, and provide some evidence for theatre-based intervention in areas rife with violence and trouble.

Dr Kirkham’s review of her experience with this project was originally published in The Psychologist magazine.

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The emotional complexities of transplantation

This post was contributed by Johanna Spiers, a PhD student in the Department of Psychological Sciences, supervised by Professor Jonathan A Smith

I am a qualitative, psychological researcher exploring the experiences of people living with kidney disease. End stage renal disease (ESRD) is a complex beast that may require its sufferers to undergo gruelling dialysis sessions three times a week, to restrict their diets and how much they drink, to bide time on a waiting list hoping for a kidney from a deceased donor, or to negotiate the emotional complexities of receiving a kidney from a living donor. Even when – if – a transplant has taken place, the renal patient has to take a cocktail of drugs (which come with a serving platter of side effects) every day for the rest of their lives. That’s a lot of different challenges for a person to get their head around.

My research involves speaking to people in-depth about their experiences, and then trying to illuminate those experiences in a resonant manner so that other people can walk a mile in their shoes – or perhaps more appropriately cleanse a pint of blood in their dialysis machines. My hope is that my work will better our understanding of the lives of renal patients; and better understanding makes for a better world, on so many levels.

Accepting a kidney from a living donor

Two of my studies have looked at the experience of receiving a kidney from a living donor. Common sense, that oh-so-reliable source, may predict that the decision to give a kidney away is a weighty and difficult one, a decision that may keep the potential donor up all night as they fret about whether they will ever play the piano again.

I’m sure this is the case for some donors, but I know from both research and personal experience that it’s not the case for most. When I made the decision to give a kidney to my dear friend, I did so in the blink of an eye. Why would I not want my friend to be healthy and happy, especially if it did me no harm? Somewhat less altruistically, why would I not want the accolades of friends and family for being a so-called hero? My somewhat shop-worn self esteem regularly needs a lift, and I now have an instant booster that I can reliably get out the memory cabinet and polish up for inspection any time I feel self-loathing start to creep in.

That same common sense might suggest that anyone who needed a kidney would jump at the chance to take any they are offered, and would be undyingly grateful for this chance at a fresh start.

But think about that for a moment. Would you want to be undying grateful? To anyone? Even if it does mean a chance at health? The shackles of indebtedness are real and heavy, and a kidney patient needs to be sure that any potential donor will not be pulling out the ‘but I saved your LIFE eyes’ during any disagreement, or expecting that they will now be a BFF until the end of time.

Add to this the fact that the recipient is asking the donor to undergo painful elective surgery (something the foolhardy donor may well not care about, but you still don’t want to ask for it, do you?) and we can start to see that receiving a kidney is much more emotionally complex process than donating one.

My findings

This dilemma is the driving motivation for my research, and my findings from both studies on this topic bear out the prediction that recipient/donor relationships are complicated stuff. In one study, one participant had received a kidney from a second cousin, a woman who lived on the other side of the world and who was no longer that close to her recipient. Another study participant received a kidney from her best friend, a friend so close they were almost like sisters. Counter-intuitively, the latter woman found post-op adjustment harder as she felt she could never speak her mind in an argument again.

A participant in another study was given a kidney by her daughter. She felt wracked with conflict and distress over this, in her words, ‘wrong direction’ transplant. Her family wanted her to be well and so were invested in the transplant going ahead. She presented a position of being happy with this, yet seemed wracked with uncertainties beneath the surface.

These were the sorts of situations that came up for my participants; emotionally complex situations which have gone largely unnoticed by the current literature. I hope that by illuminating the fact that renal patients agonise over situations like these, I can help them be more fully supported through those decisions.

Johanna will be talking about her research at an event called “Psychology: what’s the next big thing?“, at the Science Museum on Wednesday 15 January 2014.

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Silent Witnesses: Children’s Experiences of Community Violence

This post was contributed by Edward D. Barker, PhD and Natasha Z. Kirkham, PhD from Birkbeck’s Department of Psychological Sciences.

High poverty neighbourhoods are rife with high rates of violence and crime. Scientific research shows that, in certain neighbourhoods, there exists a “subculture of violence”, where a person’s reputation is based on his or her ability to use aggression to solve disagreements with others. Against this backdrop, children have increased potential to behave aggressively, as these children not only experience violence in the community and schools, but also often do not have adults with whom they can discuss victimization experiences. Importantly, within high poverty neighbourhoods, children (on average) receive less supervision from parents, and hence are more exposed to violence and behave more violently. Informing parents of the role they can play in supervising children is a critical first step in raising community awareness of children’s safety and wellbeing. Yet, to our knowledge, little research exists in which children’s experiences of violence, in schools and communities, are recorded via interviews with children – and importantly, the roles that adult care-givers have played in protecting children against such experiences

In the project named, “Silent Witnesses”, a collaboration between Birkbeck, the Theatre Centre, and Actorshop Limited, we will interview a group of high poverty inner city primary school children accross the UK. The children will discuss their community violence experiences. These discussions will be used to create a bespoke theatrical production, which will be shown to parents, teachers and children at targeted primary schools.  The parents will receive pre-play and post-play evaluations of their attitudes towards aggression with respect to children. A documentary will track the full duration of the project – from the child interviews, the final production, and the responses of the teachers, parents, and children.

Updates about this project will be published on this blog.

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