This special issue of Clinical Psychology Forum, focusing on clinical psychology training, has be... more This special issue of Clinical Psychology Forum, focusing on clinical psychology training, has been in genesis and uncomfortable gestation (because of the subject matter) for several years, and builds on previous Forum special issues on racism (e.g. Daiches and Golding, 2005; Newland, 1998). Both of us have worked on clinical psychology training programmes for many years. We each have professional, academic and clinical interests beyond racism, Whiteness and clinical psychology. Yet, racism has profoundly shaped our histories and our personal and professional lives and sadly, also resurfaced in the many trainees' accounts we have heard over the last three decades of their own journeys and experiences before and during training. With that has come our commitment to ensuring that clinical psychology training adequately prepares and supports trainees to see racism in all its guises, to name it, talk about it, combat
International Journal Of Engineering And Computer Science, 2016
Offering "Computing as a utility" on pay per use plan, Cloud computing has emerged as a technolog... more Offering "Computing as a utility" on pay per use plan, Cloud computing has emerged as a technology of ease and flexibility for thousands of users over last few years. In Cloud, computational resources are rented avoiding huge investment on the industry part. Due to this attractive offering, adoption and deployment of Cloud have become very popular not only among industries but also in the research community. But, due to lack of infrastructure and due to problems using the real hardware and software resources because of its high costs and other economical issues, it is not always possible for the research community to work on the actual Cloud for carrying out their experiments and testing & implementing proposals. For fulfilling such requirement, modeling and simulation technologies are required which make them available a look and feel of real Cloud offerings. In this paper, we make an exhaustive assessment and comparative analysis of around twenty simulation tools for Cloud environment.
The efforts and struggles within one training programme to address race, racism and Whiteness are... more The efforts and struggles within one training programme to address race, racism and Whiteness are discussed. Key lessons learnt so far are shared, and include the responsibility of all trainers to keep race in mind;, to avoid paralysis and face our own anxieties, guilt and histories; and continuing to engage meaningfully, to innovate, to try and keep trying.
Whilst it is established that torture survivors suffer from complex, multiple and often severe an... more Whilst it is established that torture survivors suffer from complex, multiple and often severe and enduring physical, psychological, social, welfare and many other difficulties; and that rehabilitation as reparation should be holistic, interdisciplinary and specialist, majority of the research on rehabilitation focuses increasingly and almost exclusively on psychological interventions. Further, assumptions that this research provides evidence of which are effective psychological interventions may underpin and skew services funded and provided to torture survivors. In this paper we challenge some of those assumptions, and discuss the conceptual, theoretical, epistemological and methodological limitations of this research and implications for future research.
Abstract. This article addresses the nature and framework of human rights and its relevance to he... more Abstract. This article addresses the nature and framework of human rights and its relevance to health care and to applied psychology. It outlines some of the limitations of human rights, but argues...
Clinical psychology, ‘rase' and culture : a training manual
Part 1: Introduction. . Part 2: Introductory module:. 1. Why look at racism and cultural diversit... more Part 1: Introduction. . Part 2: Introductory module:. 1. Why look at racism and cultural diversity?. 2. Basic information on demography and inequality. 3. Developing a language. 4. The partiality of academic psychology. 5. Theories of racism. 6. Identifying and placing oneself within a cultural framework. 7. Models of racial and cultural identity. 8. Working with interpreters. . Part 3: Speciality modules:. 9. Child, adolescent and family. 10. Adult mental health. 11. Older adults. 12. Learning disabilities. 13. Primary care. 14. Psychosocial rehabilitation (long term needs). 15. Health. 16. HIV / GUM sexual health. 17. Substance misuse. 18. Neuropsychology. 19. Forensic. 20. Research. 21. Professional and organisational issues.
This paper addresses the challenge to organisations seeking to address institutional racism. It i... more This paper addresses the challenge to organisations seeking to address institutional racism. It is argued that racism is systemic in its historical roots, anchored in racialising discourses, bolstered and fused by the ideology of Whiteness. It describes an approach to organisational consultancy, where the consultant can facilitate change in organisations by adopting an anti‐racism stance and approach which disrupts Whiteness and engages the organisation in anti‐racism praxis, towards dismantling institutionalised racism. Ways in which this process can be facilitated are outlined, as part of the change process towards institutionalising anti‐racism praxis. Practitioner pointsWhat is already known about this topic Racism is historically scaffolded by Whiteness, and it is institutionalised in every aspect of organisations, including in policies, structures and practices. Whiteness is reproduced, including in the theories, models and practices of systemic psychotherapy, our training ins...
reportingsupports-accounts-of-tortureandexecution-insyria-a-945760.html Rubenstein, L., & Bittle ... more reportingsupports-accounts-of-tortureandexecution-insyria-a-945760.html Rubenstein, L., & Bittle M. (2010) Responsibility for protection of medical workers and facilities in armed conflict.
I used to be a strong man, healthy, I played sport for my country, I was strong, I could do so mu... more I used to be a strong man, healthy, I played sport for my country, I was strong, I could do so much. I could take care of my parents, my children and my wife. I was a man. I had a family. Now look at me, I am nothing, I have nothing, not my family, no home, I cannot work, I have no life. I am a shell, broken, empty… nothing. Sometimes I eat, I sit, wait…for what, I don't know. I don't want to see anyone, or go anywhere or do anything… the whole day, thinking, thinking, afraid, empty….lost. I don't sleep much, always scared. Then I wake, still scared. I have nightmares of the torture, I wait endlessly for the morning, exhausted, I am tired of living… and it goes like this, every day. I have no life now. This is a life worse than an animal's, not the life of a man. I have no hope, hope is the privilege of being human-is it not? I am nothing, not even a human being'.
This article introduces the challenges of providing psychological assessments of people seeking a... more This article introduces the challenges of providing psychological assessments of people seeking asylum in the wake of their reported torture. These challenges invite professionals to consider ontology (what happened to people, physically and psychologically) and epistemology (the reports about what happened and how those reports are interpreted). Critical realism is well-positioned to underlabour for the process of understanding a human rights violation, in which the complainant is both the key, and often sole, witness and claimed victim. For instance, the layered reality of critical realism allows practitioners to use retroduction to describe deeper structures and mechanisms of torture. The judgemental rationality of critical realism allows practitioners to distinguish between competing interpretations of the evidence. Critical realism also avoids both the positivistic assumption that assessors can be value-free; and the relativist social constructionist position that, because assessors cannot avoid values, they should surrender any attempt to achieve objectivity. KEYWORDS Torture; asylum seekers; psychological formulation; human rights … any act by which severe pain or suffering, whether physical or mental, is intentionally inflicted upon a person for such purposes as obtaining from him or a third person information or a confession, punishing him for an act he or a third person has committed or is suspected of having committed, or intimidating or coercing him or a third person, or for any reason based on discrimination of any kind, when such pain or suffering is inflicted by or at the instigation of or with the consent or acquiescence of a public official … 1
Background: Torture survivors face multiple problems, including psychological difficulties, wheth... more Background: Torture survivors face multiple problems, including psychological difficulties, whether they are refugees or remain in the country where they were tortured. Provision of rehabilitation varies not only with the needs of survivors and resources available, but also with service models, service provider preferences and the local and country context. Despite increasing efforts in research on effectiveness of psychological interventions with torture survivors, results are inconclusive. Methods: We undertook a Cochrane systematic review of psychological, social and welfare provision, with meta-analysis to best estimate efficacy. The process raised conceptual, methodological and ethical issues of relevance to the wider field. Findings: We searched very widely, but rejected hundreds of papers which recommended treatment without providing evidence. We found nine randomised controlled trials, from developed and under-resourced settings. All conceptualised survivors' problems in psychiatric terms, using outcomes of post-traumatic stress symptoms, distress, and quality of life, by self-report, with or without translation or unstandardised interpretation, and with little mention of cultural or language issues. None used social or welfare interventions. Four related studies used narrative exposure therapy (NET) in a brief form, and without ensuring a safe setting as recommended. Five used mixed methods, including exposure, cognitive behavioural therapy, and eye movement desensitisation. Combined, the studies showed no immediate improvement in PTSD, distress, or quality of life; at six months follow-up, a minority showed some improvement in PTSD and distress, although participants remained severely affected. Conclusions: While applauding researchers' commitment in running these trials, we raise ethical issues about exposure in particular, and about the effects of shortcomings in methodology, particularly around assessment using unfamiliar cultural frameworks and language, and the lack of concern about dropout which may indicate harm. The
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Papers by Nimisha Patel