Background: Posttraumatic stress disorder (PTSD) is common in people with serious mental illness who come into contact with the criminal justice system. Little evidence exists on EMDR treatment in forensic mental health, with no prior qualitative research exploring lived experience perspectives.Objective: This qualitative study recruited adult forensic mental health patients with PTSD and psychotic disorders, predominantly schizophrenia, who had received EMDR as part of a clinical trial, either in prison or in hospital. We sought to understand their experiences of EMDR therapy while receiving forensic care.Method: Ten in-depth, semi-structured qualitative interviews were undertaken and analysed using thematic analysis. We used an inductive, realist approach, reporting the experiences, meanings, and reality of the participants.Results: Five overarching themes were identified. First, severe trauma was ubiquitous and participants felt Seriously Messed Up by their traumatic experiences, with debilitating and enduring PTSD symptoms contributing to offending and psychosis (\'giving the voices something to feed on\'). Second, EMDR was regarded with Early Scepticism. Third, the therapy itself was initially emotionally taxing and Not Easy but participants generally felt safe and persevered. Fourth, they were often surprised and delighted by results (And it Worked!), describing significant symptom reduction and personal transformation. Lastly, EMDR Fits the Forensic Setting, bringing empowerment in a place perceived as disempowering. People reported changes that increased their hope in a violence-free future.Conclusions: The limited research on EMDR in forensic mental health is unfortunate given how common PTSD is in mentally unwell offenders and its potential to impede recovery and contribute to further offending. This first qualitative study found participants experienced positive transformative change, extending beyond symptom reduction. Themes support previously published quantitative outcomes showing EMDR to be safe and effective in this cohort. EMDR was well suited to a forensic setting and was seen as an empowering therapy.Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12618000683235.Study registration: The study was registered on the Australia and New Zealand Clinical Trials Network, registration number ACTRN12618000683235 (registered prospectively, 24 April 2018), https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id = 374682.
This study canvases the lived experiences of forensic patients receiving EMDR for PTSD – people whose views are seldom captured. They described being profoundly impacted by trauma, developing debilitating and enduring PTSD symptoms which variably contribute to offending and psychosis.Participants did not have favourable first impressions when they first heard about EMDR, thinking it ‘quackery’. However, they were surprised and delighted by results, with the majority describing marked symptom reduction and personal transformation. Having targeted some of the underlying drivers of maladaptive behaviour, people reported hope for a better future.EMDR was well suited to a forensic setting and was seen as an empowering therapy.

OBJECTIVE: To explore the opinion of different key stakeholders regarding the requirements that tobacco, alcohol and/or cannabis cessation interventions should meet to be implemented and to be acceptable and useful during pregnancy.
METHODS: A qualitative study with phenomenological approach. SITE: The study was conducted in Spain in 2022.
METHODS: Decision makers, health professionals, pregnant women using tobacco, alcohol and/or cannabis and their partners who are also users.
METHODS: Data were collected through focus groups and in-depth interviews, until discourse saturation was reached and accurately transcribed. Exploratory analysis and inductive open coding were conducted, codes were merged into categories and subcategories were identified.
RESULTS: Four categories and 18 subcategories were identified. The results suggest that interventions should be multicomponent. Among the interventions most accepted by pregnant women and their partners were specific cessation consultations, information, peer support (although they did not specify how) and financial incentives. Among other options to consider, co-oximetry, proposed by managers to obtain an objective register.
CONCLUSIONS: The conclusion is that this intervention should be carried out at the level of prenatal care in primary care. There are doubts regarding the frequency, purpose, and follow-up of this multicomponent intervention, as well as the possibility of incorporating couples.

To identify missed opportunities in the diagnosis of ovarian cancer (OC) in the public health system of Catalonia, through the analysis of the perceptions of health professionals on the stories\'s experiences of OC patients.
Qualitative exploratory-descriptive study, with two focus groups.
Primary Care, November 2017.
Thirty-four professionals based on theoretical sampling: 21 family doctors, 8 professionals from sexual and reproductive health centres and 5 hospital gynaecologists.
Participants discussed the different diagnostic pathways for women with OC through the presentation of flowcharts which were developed with three storie\'s and experiences of OC patients.
Three themes with various sub-themes were identified as follow: a)lack of cancer diagnostic suspicion (lack of knowledge of symptoms of OC, anamnesis and physical examination overlooked, fragmentation of patient\'s care and bias and prejudice); b)difficulties in activating the diagnostic process (limited access to tests, unequal accessibility to gynaecology and lack of follow-up); and c)absence of fast-track referral system.
The results offer insight into the difficulties of early diagnosis of OC in our setting. We believe that their identification will allow the development of strategies to improve diagnostic accuracy and quality of care for women with OC in our setting.

Dating violence has negative consequences on the well-being of college students. Thus, it is imperative that providers of student-oriented services can detect and respond to dating violence. Although many universities worldwide have implemented dating violence screenings protocols, they are not yet common practice in Costa Rica. As a result, there is inadequate recognition of this problem, so it remains unaddressed. Therefore, this qualitative descriptive study explored the perceptions of professionals working in student-oriented services in Costa Rica about dating violence warning signs exhibited by college students. 29 providers from four public universities were interviewed, and three main areas were identified from a content analysis: the process that providers follow to identify dating violence, the visible signs that victims display, and the self-protective strategies that victims employ to hide their abuse. These findings are important for researchers and practitioners wanting to improve dating violence screening instruments for the Central American context. Resumen La violencia en el noviazgo tiene consecuencias negativas en el bienestar de los estudiantes universitarios. Por lo tanto, es determinante que los proveedores de servicios orientados a los estudiantes universitarios puedan detectar y responder a la violencia en el noviazgo. Aunque muchas universidades en todo el mundo han implementado protocolos de detección de violencia en el noviazgo, aunque aún no es una práctica común en Costa Rica. Como resultado, el reconocimiento de este problema es insuficiente y sigue sin abordarse. Por lo tanto, este estudio descriptivo cualitativo exploró las percepciones de los profesionales que trabajan en servicios orientados a los estudiantes universitarios en Costa Rica sobre las señales de alerta de violencia en el noviazgo manifestadas exhibidas por los estudiantes universitarios. Se entrevistó a 29 proveedores de cuatro universidades públicas. A partir de un análisis de contenido se identificaron tres temas principales: el proceso que los proveedores siguen para identificar la violencia en el noviazgo, los signos visibles que muestran las víctimas y las estrategias de autoprotección que las víctimas emplean para ocultar su abuso. Estos hallazgos son importantes para los investigadores y profesionales que desean mejorar los mecanismos de detección temprana de la violencia en el noviazgo para el contexto universitario.

Characterize the current situation of the demand manager physician (DMP) in primary health care (PHC), from the perceptions of those who fulfill this role, their medical peers and the directors of the family health centers (CESFAMs).
Qualitative cross-sectional study with a grounded theory approach. SITE: Four CESFAMs from the South East Metropolitan Health Service in Santiago, Chile.
Demand manager physician, general practitioners and directors of CESFAM.
A semi-structured interview and discussion group were used as data collection technique. Open, axial, and selective coding was carried out with the support of the NVivo12 software.
In practice, DMP performs more functions than those defined for the position by the Ministry of Health, generating the feeling of lack of time to carry out their work, what represents their main barrier at work and reflects the absence of institutional support they receive from their employees. Among these invisible functions are: providing feedback to the medical team, leading clinical meetings, and generating reference protocols. For the good performance of the DMP it is necessary to have technical skills and be recognized by their peers. It was estimated that the family doctor is the most suitable professional for the position. The work of the DMP is limited by institutional factors such as waiting lists, lack of specialists, and poor coordination between levels of care.
Standardizing the functions of the DMP is a necessary element for its consolidation and achieving the objectives of maintaining continuity of care in the population.

Trauma-related symptoms are often experienced after a first psychotic episode.
In this study, we conduct a qualitative analysis of referred traumatic experiences of outpatients diagnosed with psychotic disorders.
Focus groups were formed and in-depth interviews conducted with 30 participants, focusing on their experience with the disorder and the health care received. Given the frequency with which trauma and psychosis have been associated in the scientific literature, the nature of this relation is addressed as a secondary objective, via a qualitative analysis.
Analysis revealed two main themes in the patients\' discourse. On many occasions, traumatic experiences were related to the development of the disorder. Although most participants referred to traumatic experiences during childhood, episodes during adult life were also reported, which may have triggered the disorder. The second theme was that of the interlocking relationship between the psychotic experience and certain coercive practices undergone during the provision of health care for psychosis, and the traumatic effects thus generated.
The participants considered both themes to be highly important. Accordingly, these issues should be carefully assessed and managed in order to provide appropriate person-centred care.
Antecedentes: Los síntomas relacionados con el trauma a menudo se experimentan después de un primer episodio psicótico.Objetivo: En este estudio, realizamos un análisis cualitativo de experiencias traumáticas de pacientes ambulatorios diagnosticados con trastornos psicóticos.Método: Se conformaron grupos focales y se realizaron entrevistas en profundidad a 30 participantes, enfocándose en su experiencia con el trastorno y la atención médica recibida. Dada la frecuencia con la que el trauma y la psicosis se han asociado en la literatura científica, la naturaleza de esta relación se aborda como un objetivo secundario, a través de un análisis cualitativo.Resultados: El análisis reveló dos temas principales en el discurso de los pacientes. En muchas ocasiones, las experiencias traumáticas se relacionaron con el desarrollo del trastorno. Aunque la mayoría de los participantes se refirieron a experiencias traumáticas durante la infancia, también se informaron episodios durante la vida adulta, los que pueden haber desencadenado el trastorno. El segundo tema fue el de la relación entrelazada entre la experiencia psicótica y ciertas prácticas coercitivas sufridas durante la prestación de atención médica para la psicosis, y los efectos traumáticos generados por ésta.Conclusiones: Los participantes consideraron que ambos temas eran de gran importancia. En consecuencia, estas situaciones deben evaluarse y gestionarse cuidadosamente para proporcionar una atención adecuada centrada en la persona.
背景: 创伤相关症状常在第一次精神病发作后出现。目的: 在本研究中, 我们对诊断有精神障碍的门诊患者提及的创伤经历进行了定性分析。方法: 形成了焦点小组并对 30 名参与者进行了深入访谈, 重点关注其疾病经历和接受的健康护理。鉴于科学文献中创伤和精神病相关的频繁性, 此关系的性质被视为通过定性分析的次要目标。结果: 分析揭示了患者论述中的两个主要主题。在许多情况下, 创伤经历与疾病发展相关。虽然大多数参与者提到了童年期创伤经历, 也报告了成年生活中的事件, 这可能触发了疾病。第二个主题是精神病经历与在精神病健康护理期间所经历的某些强制做法之间的连锁关系, 以及由此产生的创伤影响。结论: 参与者认为这两个主题都非常重要。因此, 应仔细评估和管理这些问题, 以提供适当的以人为本的护理。.

BACKGROUND: The analysis of songs as discursive practices contributes to the understanding of the social representations of mental disorders in specific populations, as has been suggested in the literature. The aim of this article is to expand the knowledge about the depictions of madness (a broader but less delimited concept than psychosis) in the popular music focussing on emerging themes and their cross relations within the discourses of the madness in Spanish punk.
METHODS: Qualitative research method. After the review of 3653 songs (1981-2010) insights from the Thematic Analysis of all the 163 identified lyrics of Spanish punk songs with the terms \'mad,\' \'madness\' or other related words are provided.
CONCLUSIONS: After a thorough discussion of the main themes, the expression of subculture\'s identity became evident. Its otherness was recognizable on the exaltation of madness as loss of control or unpredictability as well as its links with crime, substance abuse or ideological opposition, among others.
CONCLUSIONS: The idea of dangerousness linked to \'madness\' emerges as a final pathway of different identified themes, suggesting a potential explanation for the general population attitudes towards the theme of madness.

To summarize the qualitative evidence on the role of care providers in the prevention of falls of persons over 65 years of age in centres and in the community.
Meta-summary of qualitative evidence following the aggregation method.
Extensive manual search of 16 databases (CINAHL, Pubmed/Medline, Embase, PsycInfo, Cochrane Library, PeDRO, Opengrey (Reports), Cuiden, Cuidatge, Enfispo, Medes, Lilacs, Teseo, Dissertation and Thesis Global and Ibecs), in English, French, Spanish and Portuguese; no time limit.
Selection and blind critical appraisal by pairs. A first relevance and relevance screening and a second critical appraisal screening were carried out. A total of 4170 articles were located; 41 qualitative articles were critically appraised and 31 were selected.
Data regarding author, year, study design, location, participants (number, age, sex and occupation), study methods and findings were extracted.
The analysis revealed four major themes: precipitating factors, preventive models, feelings and decision-making process. It also highlights the difficult act of ethical balance, the role of the institution in prevention and the fragmentation of care, as keys to successful implementation.
The findings show the complexity of fall prevention and the need to incorporate care providers\' opinions in preventive models.

Circle of Security Parenting (COS-P) is an attachment-theory-informed program for parents of infants and young children. Designed for scalability, COS-P has been widely adopted internationally. Evidence for the program\'s effectiveness is limited, however, restricting capacity to make informed decisions about program allocation, and threatening ongoing program funding. To help address this evidence gap, this qualitative study explored the experiences and perceptions of 20 COS-P facilitators and 14 parent recipients in Australia, where COS-P uptake has been particularly widespread. Thematic analysis of combined interview and focus group data revealed a perception that COS-P primarily changes the lens through which parents view (a) their child, (b) themselves in the parenting role, and (c) the parent-child relationship, and that this was a pathway to increased empathy, compassion, and parenting confidence. Participants identified four components that underpinned program impact: key content, skills practice, group processes, and facilitator support. Although COS-P was considered suitable for broad application, limitations were noted. Findings can guide clinical application of COS-P and inform empirical research.
El Círculo de Seguridad - Crianza (COS-P) es un programa basado en la teoría de la afectividad para progenitores de infantes y niños pequeños. Diseñado con un enfoque de escala, COS-P ha sido ampliamente adoptado internacionalmente. La evidencia de su eficacia es limitada, sin embargo, lo cual restringe la capacidad de tomar decisiones fundamentadas acerca de la distribución de fondos y amenaza el continuo apoyo económico del programa. Este estudio cualitativo explora las experiencias y percepciones de 20 mediadores que facilitaban el programa COS-P y 14 progenitores que lo recibían en Australia, donde la aceptación de COS-P ha sido particularmente extensa. Los análisis temáticos de entrevistas combinadas y datos de grupos de enfoques revelaron una percepción de que COS-P cambia el lente a través del cual los progenitores ven (a) a su niño, (b) a sí mismos en el papel de crianza, y (c) la relación progenitor-niño, y que este era una trayectoria para incrementar la empatía, la compasión, así como la confianza en la crianza. Los participantes identificaron cuatro componentes que respaldan el impacto del programa: contenido clave, práctica de habilidades, procesos de grupo y apoyo del mediador. Aunque COS-P se consideró apropiado para una aplicación más amplia, se indicaron las limitaciones. Los resultados pueden guiar la aplicación clínica de COS-P y sustentar la investigación empírica.
Le Parentage Cercle de Sécurité (en anglais Circle of Security Parenting, soit COS-P) est un programme basé sur la théorie de l\'attachement pour les parents de nourrissons et de jeunes enfants. Conçu pour son extensibilité le COS-P a été largement adopté au niveau international. Les preuves d\'efficacité sont cependant limitées, ce qui restreint la capacité à prendre des décisions informées sur les allocations au programme et menaçant le financement continu du programme. Cette étude qualitative a exploré les expériences et les perceptions de 20 facilitateurs COS-P et 14 récipiendaires parents en Australie, ou l\'adoption du COS-P est particulièrement répandue. Une analyse thématique consistant en une combinaison d\'entretien et de données de groupes de discussion a révélé une perception que le COS-P change principalement le prisme au travers duquel les parents voient (a) leur enfant, (b) eux-mêmes dans le rôle de parentage, et (c) la relation parent-enfant, et que cela crée un chemin d\'empathie, de compassion et de confiance de parentage accrue. Les participants ont identifié quatre composantes qui étaient l\'impact du programme: un contenu clé, la pratique des compétences, les processus de groupe et le soutien au facilitateur. Bien que le COS-P soit considéré comme étant adapté à une application générale des limites ont été notées. Les résultats peuvent guider l\'application clinique du COS-P et éclairer la recherche empirique.
Eltern- und Praktiker:innenperspektiven auf Circle of Security Parenting (COS-P): Eine qualitative Studie Circle of Security Parenting (COS-P) ist ein auf Bindungstheorien basiertes Programm für Eltern von Säuglingen und Kleinkindern. COS-P ist auf Skalierbarkeit ausgelegt und international weit verbreitet. Wirksamkeitsevidenzen sind jedoch nur begrenzt vorhanden, was fundierte Entscheidungen zur Implementierung des Programms einschränkt und die laufende Programmfinanzierung bedroht. Diese qualitative Studie untersuchte Erfahrungen und Wahrnehmungen von 20 COS-P Praktiker:innen und 14 Eltern in Australien, wo das COS-P Programm besonders verbreitet ist. Eine thematische Analyse kombinierter Interview- und Fokusgruppendaten wurde durchgeführt. Ergebnisse zur Wahrnehmung von COS-P ergaben, dass das Programm in erster Linie den Blick verändert, mit dem die Eltern (a) ihr Kind, (b) sich selbst in der Elternrolle und (c) die Eltern-Kind-Beziehung sehen und dass dies zu mehr Empathie, Mitgefühl und Vertrauen in die eigen Elternkompetenz führt. Die Teilnehmenden identifizierten vier Komponenten, die die Wirkung des Programms untermauern: Schlüsselinhalte, Kompetenzpraxis, Gruppenprozesse und Unterstützung durch die Praktiker:innen. COS-P wurde als für eine breite Anwendung geeignet eingeschätzt. Einschränkungen des Programms wurden vermerkt. Die Ergebnisse können der klinischen Anwendung von COS-P eine Basis bieten und Einfluss auf die empirische Forschung nehmen.
「安心感の輪」子育て (COS-P) に関する親と実践者の視点:質的研究 「安心感の輪」子育て (COS-P) は、愛着理論に基づいた乳幼児の親のためのプログラムである。スケーラビリティ/拡張性を重視して設計されたCOS-Pは、国際的に広く採用されている。しかしながら有効性の証拠は限られ、プログラムへの予算配分を十分な情報に基づいて決定される可能性を狭めており、進行中のプログラムの資金調達が危ぶまれている。この質的研究では、COS-Pが特に広まっているオーストラリアで、20人のCOS-Pファシリテーターと14人の親の受講者の体験と認識を調査した。面接とフォーカスグループのデータを組み合わせた主題分析を行い、COS-Pはまず (a) 我が子、 (b) 親役割における自分自身、および (c) 親-子関係を見る親の見方を変え、そして、これが共感や思いやりや子育てへの自信が深まっていく道だったという認識が明らかになった。参加者は、4つの要素、すなわち主要な内容、スキルの実践、集団過程/グループプロセス、ファシリテーターの支援がプログラムの効果を支えると特定した。COS-Pは幅広い応用に適するとされる一方、限界を指摘された。調査結果は、COS-Pの臨床応用の指針となり、実証研究を活性化するであろう。.
安全圈育儿 (COS-P) 是一个基于依恋理论的婴幼儿父母教育项目。COS-P是为可扩展性而设计的, 已被国际广泛采用。然而, 有效性的证据是有限的, 这限制了对项目资金分配作出明智决定的能力, 并威胁到正在进行的项目资助。这项定性研究探讨了澳大利亚20名COS-P推动者和14名接受教育的父母的经验和看法, 在澳大利亚, COS-P的应用特别普遍。对访谈和焦点小组数据的专题分析显示, COS-P主要改变了父母看待 (a) 他们的孩子, (b) 自己在育儿中的角色, 以及 (c) 亲子关系的视角, 这是增强同理心、同情心和育儿信心的途径。参与者确定了构成项目影响的四个部分:关键内容、技能实践、小组流程和推动者支持。虽然COS-P被认为适合广泛应用, 但仍存在局限性。研究结果可以指导COS-P的临床应用, 并为实证研究提供参考。.
وجهات نظر الوالدين والممارسين حول برنامج الرعاية الوالدية في دائرة الأمان (COS-P): دراسة وصفية الرعاية الوالدية في دائرة الأمان هو برنامج للآباء والرضع والأطفال الصغار قائم على نظرية التعلق وقد تم تصميمه خصيصًا بحيث يقبل التوسع والتطبيق المرن، وتم اعتماده على نطاق واسع على الصعيد الدولي. ولكن الأدلة على فعاليته محدودة، مما يحد من القدرة على اتخاذ قرارات مستنيرة بشأن تخصيص البرامج، ويهدد التمويل الجاري للبرنامج. وقد تناولت هذه الدراسة الوصفية تجارب وتصورات 20 من منسقي برنامج (COS-P) و14 من المستفيدين من الآباء والأمهات في أستراليا، حيث كان تطبيق البرنامج واسع الانتشار بشكل خاص. وكشف التحليل المواضيعي لبيانات المقابلات الجماعية المشتركة ومجموعات المناقشة عن تصور بأن برنامج (COS-P) يغير في المقام الأول المنظور الذي ينظر من خلاله الآباء إلى (أ) أطفالهم، و (ب) أنفسهم في دور الأبوة والأمومة، و (ج) العلاقة بين الوالدين والطفل، وأن هذا البرنامج كان يمثل مسارا لزيادة التعاطف والمودة والثقة في تقديم الرعاية الوالدية. وحدد المشاركون أربعة عناصر تدعم تأثير البرنامج: المحتوى الرئيسي، ممارسة المهارات، العمليات الجماعية ودعم المنسق. وفي حين تم اعتبار برنامج (COS-P) مناسب للتطبيق على نطاق واسع، كانت هناك بعض الحدود. ويمكن أن توجه النتائج مجالات التطبيق الإكلينيكي والبحوث التجريبية المستقبلية.

OBJECTIVE: To explore the experiences of schoolchildren in an exceptional health alert situation in which strict confinement measures have been applied to the population.
METHODS: Qualitative exploratory study through the analysis of illustrations carried out by schoolchildren aged 7 to 8. The analysis was carried out according to Rose\'s theoretical framework. Descriptive analysis of socio-demographic data was performed.
RESULTS: Five categories emerged from the analysis of the content: 1) feelings of sadness and fear; 2) importance of the family nucleus, safety and protection; 3) sedentary living habits during confinement; 4) housing infrastructure and social inequalities (life through a window); and 5) social response, collective struggle and through health professionals.
CONCLUSIONS: The COVID-19 pandemic situation and the strict confinement measures have had a significant impact on the school population, who had experienced the greatest restrictions. Household infrastructure has been shown to be a clear differentiator that deepens social inequalities and the impact that the situation has on school children. More studies are needed on the long-term psychosocial impact of this situation on their physical and mental health.