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Emerging evidence suggests that social identities are an important determinant of adaptation following traumatic life experiences. In this paper, we analyse accounts of people who experienced child sexual abuse. Using publicly available talk of people who waived their right to anonymity following successful conviction of perpetrators, we conducted a thematic analysis focusing on trauma‐related changes in their social identities. Analysis of these accounts highlighted two themes. The first highlights the acquisition in these accounts of unwanted and damaging identity labels. The second presents child sexual abuse as a key destructive force in terms of important identity work during childhood. Discussion of this analysis centres on the pathological consequences of social identity change. Both the loss of valued identities and the acquisition of aberrant and isolating identities are experienced and constructed as devastating by those affected by child sexual abuse. This has important implications, not only for those impacted by child sexual abuse but for how abuse is discussed in society, and how it is approached by policy makers, educators and individuals working with survivors and their families. [ABSTRACT FROM AUTHOR]

Trauma-informed care (TIC) benefits to service users and providers are increasingly acknowledged across various health and social care settings. TIC can potentially increase service user engagement, prolong shelter placements, and lessen staff vicarious trauma and burnout. However, studies documenting staff experiences and/or the implementation of TIC are scarce. This limitation has prompted calls for more grounded and applied research into trauma-informed practice, tracking implementation in practice, staff perceptions, barriers, and organisational change. This study aims to address this gap and is an ecological, mixed-methods evaluation of the efficacy of TIC training in a female-only homeless shelter. Quantitative data included 132 incident reports during the first yearly quarters pre- and post-training, hypothesising post-training reductions in incident numbers and severity. Using expansive thematic analysis, semi-structured interviews with six shelter staff (n = 6) explored employee views of TIC relative to trauma understanding, incident management, and integration in practice. Findings revealed a marginal increase in incident numbers and a statistically significant reduction in incident severity post-TIC with a 50% reduction in calls to emergency medical services (EMS). Participant accounts of working practice pre- and post-TIC uncovered increased trauma understanding, increased confidence and competence, healing relationships, and enhanced selfcare. Findings are discussed with reference to Substance Abuse and Mental Health Services Administration (SAMHSA)'s (2014) traumainformed framework and Yatchmenoff et al's. (2017) core questions in evaluating TIC. While these results are significant as one of the first evaluations of TIC training in Ireland, limitations and implications for future research and practice are considered. [ABSTRACT FROM AUTHOR]

Caring when young can have long-term negative consequences. Recently, more nuanced accounts have revealed potential positive impacts. The aim of this study was to give voice to participants from NI to gain a better understanding of the lived experience of childhood caring. Individual interviews were conducted with six females aged between 19 and 24. Unstructured interviews were transcribed verbatim, analysed using Interpretive Phenomenological Analysis (IPA), and had a participatory element. Presented are findings showing four superordinate themes: Making sense of childhood experiences through adult eyes; An unpredictable and stressful childhood; Key people and their understanding; Onwards and upwards in transitioning forward. Participants reported difficulty understanding their caring experiences as children and how with age and comparison to others their knowledge increased. They detailed unpredictable, stressful childhoods involving juggling responsibilities in an attempt to cope. The quality of relationships with others appeared to influence resilience levels and their ability to manage stress. Participants were not hidden from view but often felt ignored especially at school. Participants though had a remarkable ability to spontaneously find benefit from their caring childhoods which seemed vital when deriving meaning from the experience and moving forward. Findings are discussed and future implications are recommended. [ABSTRACT FROM AUTHOR]

My practice explores how to transfer my design knowledge of embroidery and print into 3D printing technologies and software. My Doctoral practice-based research explores the rationale behind using open-source, low-cost 3D printing technologies and software, which enabled me to change, remix and use the 3D printer as a flexible design tool like a sewing machine. The research aims to investigate the digitalisation of traditional textile craft techniques to produce a new taxonomy of design applications. I have produced a collection of 3D-printed embellished textiles demonstrating my practice-based research's ongoing outcomes. By engaging with online communities and Open-Source Technologies, I have developed the skills to apply my specialist knowledge to this alternative technology to translate and interpret traditional textile and manipulation techniques. The exhibition will showcase these outcomes and demonstrate the opportunities within the fashion, textiles and costume industries. The postproduction processes engage with my specialist background knowledge of print and dye techniques. [ABSTRACT FROM AUTHOR]

A qualitative interview study was undertaken to determine the information and support needs of carers of adults who have Down's syndrome and dementia. The data were analysed thematically. Carers' information and support needs were seen to change at pre-diagnosis, diagnosis and post-diagnosis. Helping carers to manage the changing nature of the adult with dementia is seen to be an essential part of the health professional's role.

This paper examines the perceived influence of parents and family and the construction of national and religious identification amongst adolescents theoretically sampled from along the border between the Irish Republic and the Northern Ireland. Two hundred and sixty-one young people wrote essays on the meaning of their national identity and the influence of parents, families and the border on national and religious identities. Lengthy and detailed responses were subjected to a grounded analysis. Results revealed the complexity of young people's identification processes and their opinions and experiences of religious and national socialization. The majority of respondents attached a great deal of significance to their national identity. Identity was represented across a range of meanings including sport, government policy, culture, folklore and characteristics thought typical of a given nationality. Diversity was valued though national and religious categories were defined exclusively. Parents and family were viewed as important sources of socialization and the intergenerational transmission of identity was viewed as natural and inevitable. There was a widespread belief that national and religious identity overlapped and though many asserted that religion could promote tolerance and inclusion there was an implicit acceptance that it could also fuel intergroup hostilities.

Aim: Reminiscence therapy is a popular therapeutic intervention for people with dementia. This review set out to provide a better understanding of reminiscence therapy through a deeper analysis of its contents and delivery. Method: This review examined 22 studies from the most recent Cochrane review (Woods, B., O'Philbin, L., Farrell, E. M., Spector, A. E., & Orrell, M. (2018). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews, 3, Article 001120) and addressed the following research questions: (1) What are the components of reminiscence therapy? (2) Who delivers reminiscence therapy? (3) How is reminiscence therapy delivered? (4) Is reminiscence therapy underpinned by a theoretical framework? (5) Is reminiscence therapy delivered according to a programme/model? (6) Are there commonalities in the reminiscence therapy components utilised? Multiple and layered narrative analyses were completed. Findings: Thirteen reminiscence therapy components were identified. 'Memory triggers' and 'themes' were identified as the most common but were found not to be consistently beneficial. Reminiscence therapy was typically delivered in a care setting using a group approach; however, there was no consistency in session composition, intervention duration, as well as the training and supervision provided to facilitators. Operationalisation of theory within reminiscence therapy was not identified. Reminiscence therapy was not consistently delivered according to a programme/model. Lastly, as a result of a small number of studies, the components 'life stages', 'activities' and 'family-only sessions', showed beneficial promise. In summary, this review highlights that reminiscence therapy needs more consistency in content and delivery, in addition to a clear theoretical framework. [ABSTRACT FROM AUTHOR]

Background Although music therapy (MT) is considered an effective intervention for young people with mental health needs, its efficacy in clinical settings is unclear. We therefore examined the efficacy of MT in clinical practice. Methods Two hundred and fifty-one child (8-16 years, with social, emotional, behavioural and developmental difficulties) and parent dyads from six Child and Adolescent Mental Health Service community care facilities in Northern Ireland were randomised to 12 weekly sessions of MT plus usual care [ n = 123; 76 in final analyses] or usual care alone [ n = 128; 105 in final analyses]. Follow-up occurred at 13 weeks and 26 weeks postrandomisation. Primary outcome was improvement in communication (Social Skills Improvement System Rating Scales) (SSIS) at 13 weeks. Secondary outcomes included social functioning, self-esteem, depression and family functioning. Results There was no significant difference for the child SSIS at week 13 (adjusted difference in mean 2.4; 95% CI −1.2 to 6.1; p = .19) or for the guardian SSIS (0.5; 95% CI −2.9 to 3.8; p = .78). However, for participants aged 13 and over in the intervention group, the child SSIS communication was significantly improved (6.1, 95% CI 1.6 to 10.5; p = .007) but not the guardian SSIS (1.1; 95% CI −2.9 to 5.2; p = .59). Overall, self-esteem was significantly improved and depression scores were significantly lower at week 13. There was no significant difference in family or social functioning at week 13. Conclusions While the findings provide some evidence for the integration of music therapy into clinical practice, differences relating to subgroups and secondary outcomes indicate the need for further study. ISRCTN Register; ISRCTN96352204. [ABSTRACT FROM AUTHOR]

It is widely known that many students withdraw from their course before qualifying, so what was their motivation to enter nursing in the first place? A better understanding of students' [...]