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dc.contributor.authorVeale, David
dc.contributor.authorMiles, Sarah
dc.contributor.authorNaismith, Iona
dc.contributor.authorPieta, Maria
dc.contributor.authorGilbert, Paul
dc.date.accessioned2018-02-09T12:18:53Z
dc.date.available2018-02-09T12:18:53Z
dc.date.issued2016-01-02
dc.identifier.citationVeale, D. et al (2016) 'Development of a compassion-focused and contextual behavioural environment and validation of the Therapeutic Environment Scales (TESS)', BJPsych Bulletin, 40 (01):12.en
dc.identifier.issn20564694
dc.identifier.doi10.1192/pb.bp.114.048736
dc.identifier.urihttp://hdl.handle.net/10545/622107
dc.description.abstractAims and method The aims of the study were to develop a scale sensitive enough to measure the interpersonal processes within a therapeutic environment, and to explore whether the new scale was sensitive enough to detect differences between settings, including a community based on compassionate mind and contextual behaviourism. The Therapeutic Environment Scales (TESS) were validated with 81 participants in three different settings: a specialist service for anxiety disorders, a specialist in-patient ward and a psychodynamic therapeutic community. Results TESS was found to be reliable and valid. Significant differences were seen between the services on the dimensions of compassion, belongingness, feeling safe, positive reinforcement of members' acts of courage, extinction and accommodation of unhelpful behaviours, inconsistency and high expressed emotion. These processes were over time associated with improved outcomes on a specialist service for anxiety disorders. Clinical implications The TESS offers a first step in exploring important interpersonal relationships in therapeutic environments and communities. An environment based on a compassionate mind and contextual behaviourism offers promise for the running of a therapeutic community.
dc.description.sponsorshipN/Aen
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.urlhttps://www.cambridge.org/core/product/identifier/S2056469400001352/type/journal_articleen
dc.rightsArchived with thanks to BJPsych Bulletinen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectAnxietyen
dc.subjectCompassionen
dc.subjectTherapeutic environmenten
dc.titleDevelopment of a compassion-focused and contextual behavioural environment and validation of the Therapeutic Environment Scales (TESS).en
dc.typeArticleen
dc.identifier.eissn20564708
dc.contributor.departmentKing's College Londonen
dc.contributor.departmentUniversity of Derbyen
dc.identifier.journalBJPsych Bulletinen
dcterms.dateAccepted2015-01-19
dcterms.dateAccepted2015-01-19
refterms.dateFOA2019-02-28T16:33:18Z
html.description.abstractAims and method The aims of the study were to develop a scale sensitive enough to measure the interpersonal processes within a therapeutic environment, and to explore whether the new scale was sensitive enough to detect differences between settings, including a community based on compassionate mind and contextual behaviourism. The Therapeutic Environment Scales (TESS) were validated with 81 participants in three different settings: a specialist service for anxiety disorders, a specialist in-patient ward and a psychodynamic therapeutic community. Results TESS was found to be reliable and valid. Significant differences were seen between the services on the dimensions of compassion, belongingness, feeling safe, positive reinforcement of members' acts of courage, extinction and accommodation of unhelpful behaviours, inconsistency and high expressed emotion. These processes were over time associated with improved outcomes on a specialist service for anxiety disorders. Clinical implications The TESS offers a first step in exploring important interpersonal relationships in therapeutic environments and communities. An environment based on a compassionate mind and contextual behaviourism offers promise for the running of a therapeutic community.


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