Stirling Moorey | King's College London (original) (raw)
Papers by Stirling Moorey
Modelling, Measurement and Control C, 2020
Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric... more Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric Association (EPA) offered a Massive Open Online Course (MOOC), “Introduction to Cognitive Behavioural Therapy”. We will present an overview of the course participants and engagement metrics, and propose improvements for future courses. Methods: Non-identifiable participant information was collected through a welcome survey. Additional data were internally extracted, including demographic information, interests, educational background, learning objectives, completion and satisfaction rate. Engagement strategy questionnaires were distributed and screen time calculated. Results: There were 7.116 enrollments, 1.504 completed the welcome survey and 954 (13%) the overall course. The three most represented countries were: Greece (18%), France (8%) and the UK (7%). Psychologists and psychology students represented 41% of the initial participants, psychiatrists and psychiatry trainees 33%. Concl...
Behavioural and Cognitive Psychotherapy, 2003
Psychiatric Bulletin, 1995
Our objective was to establish a mechanism for monitoring indicators of the state of health of in... more Our objective was to establish a mechanism for monitoring indicators of the state of health of inner London's mental illness services. Data were collected for a census week around 15 June 1994. Local data collection was coordinated by consultant pyschiatrists working in inner London services. Twelve services participated with a combined catchment population of 2.6 m. They included ten London services which were among the 17 most socially deprived areas of England. Main indicators were admission bed occupancy levels (including an estimate of the total requirement), proportion of patients detained under the Mental Health Act, number of assaults committed by inpatients, number of emergency assessments and CPN caseloads. The mean true bed occupancy (which reflects the number of patients who were receiving, or required, in-patient care on census day) was 130%. To meet all need for acute psychiatric care, including for patients who should have been admitted and those discharged premat...
Frontiers of cognitive therapy, 1996
... p. 327) What upsets people is not things themselves but their judgements about the things. ..... more ... p. 327) What upsets people is not things themselves but their judgements about the things. ... carried out comparing cognitive factors in the depression of patients with and without physical illness ... room for interventions that identify the distor-tions in the thinking of people in adverse ...
Http Www Libreriasaulamedica Com, 2011
Tienda online donde Comprar Oxford Guide To Cbt For People With Cancer al precio 40,91 € de Steve... more Tienda online donde Comprar Oxford Guide To Cbt For People With Cancer al precio 40,91 € de Steven Greer | Stirling Moorey, tienda de Libros de Medicina, Libros de Oncologia - Oncologia general
Oxford Guide to CBT for People with Cancer, 2011
Cognitive Therapy with Couples and Groups, 1983
Psychotherapy traditionally has been a meeting of two individuals; whether the therapist has seen... more Psychotherapy traditionally has been a meeting of two individuals; whether the therapist has seen him or herself as counselor or analyst, the assumption has been that the one-to-one relationship is an essential factor in the solution of the patient’s problems. In the relatively brief history of psychotherapy, there have been those who have noted the value of a therapeutic ratio greater than one-to-one, both as a treatment and training method. In the 1920s Adler remarked on the usefulness of bringing in another counselor when sessions with children became difficult and emotional blocking occurred. Reeve (1939) used a combination of social worker and psychiatrist to teach the former interviewing skills and found the “joint interview” surprisingly effective as both a therapeutic and a training device. It was only in the 1950s that “multiple therapy” was explored in any systematic manner. Whitaker, Warkentin, and Johnson (1950) found it more effective than individual therapy with virtually all patients. They felt that this approach required therapists of “equal capacity” and therapeutic experience. Dreikurs (1950) in contrast claimed that multiple therapy could be used with therapists in training. His description of the techniques and dynamics involved in this type of theory contains the clearest and most practical advice of all the papers in this field. Haigh and Kell (1950) also saw the potential of this method.
Mindfulness‐Based Cognitive Therapy for Cancer, 2011
Psychological Reports, 2006
The present study investigated use of life review, a form of reminiscence, on the depression and ... more The present study investigated use of life review, a form of reminiscence, on the depression and self-esteem in cancer patients. 15 cancer patients in the experimental group participated in individual reminiscence therapy. 21 patients in the comparison group received no therapy. All patients were measured on both depression and self-esteem scales during two testing periods. Analysis showed mean depression scores of the cancer patients decreased and mean self-esteem increased significantly after the life-review therapy sessions, while the scores of the comparison group did not change. Furthermore, patients' psychological states were improved, and they thought their problems had been addressed. These results suggest reminiscence therapy can be useful for cancer patients.
Palliative Medicine, 2013
The Mental Adjustment to Cancer Scale is an assessment tool commonly used to measure coping in ca... more The Mental Adjustment to Cancer Scale is an assessment tool commonly used to measure coping in cancer patients, which characterises adaptive coping under the label of 'fighting spirit'. This study explores adaptation in patients with advanced cancer, by examining the factor structure of the Mental Adjustment to Cancer Scale. Further aims were to examine associations between types of coping and psychological outcomes measured at the same time (time 1) and 4 weeks after referral to palliative care services (time 2). A cross-sectional study with a follow-up assessment 4 weeks later. Factor analysis examined the structure of the Mental Adjustment to Cancer Scale at time 1. A total of 275 patients with advanced cancer receiving palliative care, of whom 193 took part at follow-up. This study provided evidence for the internal consistency and validity of a new scale of 'acceptance and positivity' for use in advanced cancer patients. Patients with a desire for hastened death had lower acceptance and positivity, and patients with higher global quality of life reported a higher level. Social support was positively associated with acceptance and positivity. Higher scores on the acceptance and positivity scale were associated with reduced odds of a desire for hastened death at time 2. Adaptation to advanced cancer differs from adaptation to early stage cancer, comprising a general acceptance of the illness and trying to make the most of the time that is left. Individuals with low social support were less likely to evidence appropriate adaptation to their illness.
European Psychiatry, 2002
To give participants an introduction to the cognitive model and methods as applied to common psyc... more To give participants an introduction to the cognitive model and methods as applied to common psychiatric conditions and to review the evidence for the effectiveness of cognitive therapy. Course description: Cognitive therapy is establishing itself in psychiatry as a powerful treatment for a variety of psychological disorders, including anxiety, depression, eating disorders and schizophrenia. In less severe conditions it can prove as effective as psychotropic medication, while in more severe conditions it can complement drug treatment. Follow up studies suggest that cognitive therapy has a long term effect on relapse in anxiety and depression. Cognitive therapy is a brief, structured, problem focused approach that aims to alleviate symptoms and solve problems, teach coping strategies and prevent relapse through changing underlying beliefs and assumptions. Patients learn to identify and modify unhelpful thoughts and behaviours within a collaborative relationship with the therapist. The general cognitive model as applied to anxiety and depression will be described and a method for conceptualising cases presented. Specific models for panic disorder and schizophrenia workshop will be outlined. A mixture of presentation, video and group discussion will be used to demonstrate the therapy in action and introduce participants to some basic cognitive and behavioural techniques. Empirical evidence for cognitive therapy in psychiatric disorders will be reviewed. Educational methods and course material: Handouts & reference lists. Target audience: Psychiatrists and other mental health professionals. Course level: No previous knowledge or experience of cognitive therapy is required.
The Therapeutic Relationship in Cognitive Behavioural Therapy
European Psychiatry
A better training in psychotherapy is needed for psychiatry trainees. Online Cognitive Behavioura... more A better training in psychotherapy is needed for psychiatry trainees. Online Cognitive Behavioural Therapies (CBT) could be a good solution. Free and wide audience course like Massive Open Online course (MOOCs) increase dissemination and accessibility of the training. However, the engagement needs to be improved. A hybrid approach seems relevant with the MOOC as an incentive. Beyond the promotion of the topic, a MOOC can be a promotion tool for the provider. The economic model of the MOOC needed to be taken into account to allow sustainability. To explore these elements, we take into account a survey taken during the 1st European Psychiatric Association MOOC about CBT.
Behavioural and Cognitive Psychotherapy
The Problem Solving Scale (PSS) is a 15-item questionnaire measuring the problem solving componen... more The Problem Solving Scale (PSS) is a 15-item questionnaire measuring the problem solving component of self-control behaviours. It is derived from the 36-item Rosenbaum Self-Control Schedule. This paper presents some preliminary psychometric data on the PSS from a sample of 153 patients referred for cognitive therapy. The paper reports descriptive statistics, Cronbach's Alpha Correlations, correlations of the PSS with the Beck Depression Inventory and Beck Anxiety Inventory and results of a Principal Components Analysis. The PSS has good internal reliability and, like the Self-Control Schedule itself, seems to measure a dimension of coping that is independent of age, sex and diagnostic status. The PSS may prove a useful instrument both to measure change in problem solving in therapy and to predict outcome.
Behav Cognitive Psychother, 2007
Negative thoughts about the self are a core component of Beck's cognitive triad of depression... more Negative thoughts about the self are a core component of Beck's cognitive triad of depression, and are seen by some as the central cognitive symptom of the disorder. The role of negative thoughts about the self in secondary depression associated with medical illness is less clear: thoughts relating to hopelessness and helplessness rather than guilt, self blame and failure may be more prominent. This study tested the hypothesis that the cognitive symptoms of depression in cancer patients would be less negatively self-referent than a psychiatric control group. Forty patients with cancer referred to a psychological medicine department were matched for age, sex and BDI score with 40 patients referred to a psychological therapies department for CBT. The cognitive-affective section of the BDI (items 1–14) was divided into a negative self-referent cognitions subscale (items 3, 5, 7, 8) and a mood-motivation subscale. These two subscales were then compared with the somatic-performance subscale (items 15–21). As a percentage of the total matched BDI score, the cancer patients had more somatic symptoms (42.7 v 34.8%), equivalent mood/motivation symptoms (44.5 v 45.6%) and less negative self-referent symptoms (12.8 v 19.5%). This difference may apply more to mild symptoms than moderate-severe symptoms. Some preliminary support for the hypothesis is therefore available.
Modelling, Measurement and Control C, 2020
Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric... more Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric Association (EPA) offered a Massive Open Online Course (MOOC), “Introduction to Cognitive Behavioural Therapy”. We will present an overview of the course participants and engagement metrics, and propose improvements for future courses. Methods: Non-identifiable participant information was collected through a welcome survey. Additional data were internally extracted, including demographic information, interests, educational background, learning objectives, completion and satisfaction rate. Engagement strategy questionnaires were distributed and screen time calculated. Results: There were 7.116 enrollments, 1.504 completed the welcome survey and 954 (13%) the overall course. The three most represented countries were: Greece (18%), France (8%) and the UK (7%). Psychologists and psychology students represented 41% of the initial participants, psychiatrists and psychiatry trainees 33%. Concl...
Behavioural and Cognitive Psychotherapy, 2003
Psychiatric Bulletin, 1995
Our objective was to establish a mechanism for monitoring indicators of the state of health of in... more Our objective was to establish a mechanism for monitoring indicators of the state of health of inner London's mental illness services. Data were collected for a census week around 15 June 1994. Local data collection was coordinated by consultant pyschiatrists working in inner London services. Twelve services participated with a combined catchment population of 2.6 m. They included ten London services which were among the 17 most socially deprived areas of England. Main indicators were admission bed occupancy levels (including an estimate of the total requirement), proportion of patients detained under the Mental Health Act, number of assaults committed by inpatients, number of emergency assessments and CPN caseloads. The mean true bed occupancy (which reflects the number of patients who were receiving, or required, in-patient care on census day) was 130%. To meet all need for acute psychiatric care, including for patients who should have been admitted and those discharged premat...
Frontiers of cognitive therapy, 1996
... p. 327) What upsets people is not things themselves but their judgements about the things. ..... more ... p. 327) What upsets people is not things themselves but their judgements about the things. ... carried out comparing cognitive factors in the depression of patients with and without physical illness ... room for interventions that identify the distor-tions in the thinking of people in adverse ...
Http Www Libreriasaulamedica Com, 2011
Tienda online donde Comprar Oxford Guide To Cbt For People With Cancer al precio 40,91 € de Steve... more Tienda online donde Comprar Oxford Guide To Cbt For People With Cancer al precio 40,91 € de Steven Greer | Stirling Moorey, tienda de Libros de Medicina, Libros de Oncologia - Oncologia general
Oxford Guide to CBT for People with Cancer, 2011
Cognitive Therapy with Couples and Groups, 1983
Psychotherapy traditionally has been a meeting of two individuals; whether the therapist has seen... more Psychotherapy traditionally has been a meeting of two individuals; whether the therapist has seen him or herself as counselor or analyst, the assumption has been that the one-to-one relationship is an essential factor in the solution of the patient’s problems. In the relatively brief history of psychotherapy, there have been those who have noted the value of a therapeutic ratio greater than one-to-one, both as a treatment and training method. In the 1920s Adler remarked on the usefulness of bringing in another counselor when sessions with children became difficult and emotional blocking occurred. Reeve (1939) used a combination of social worker and psychiatrist to teach the former interviewing skills and found the “joint interview” surprisingly effective as both a therapeutic and a training device. It was only in the 1950s that “multiple therapy” was explored in any systematic manner. Whitaker, Warkentin, and Johnson (1950) found it more effective than individual therapy with virtually all patients. They felt that this approach required therapists of “equal capacity” and therapeutic experience. Dreikurs (1950) in contrast claimed that multiple therapy could be used with therapists in training. His description of the techniques and dynamics involved in this type of theory contains the clearest and most practical advice of all the papers in this field. Haigh and Kell (1950) also saw the potential of this method.
Mindfulness‐Based Cognitive Therapy for Cancer, 2011
Psychological Reports, 2006
The present study investigated use of life review, a form of reminiscence, on the depression and ... more The present study investigated use of life review, a form of reminiscence, on the depression and self-esteem in cancer patients. 15 cancer patients in the experimental group participated in individual reminiscence therapy. 21 patients in the comparison group received no therapy. All patients were measured on both depression and self-esteem scales during two testing periods. Analysis showed mean depression scores of the cancer patients decreased and mean self-esteem increased significantly after the life-review therapy sessions, while the scores of the comparison group did not change. Furthermore, patients' psychological states were improved, and they thought their problems had been addressed. These results suggest reminiscence therapy can be useful for cancer patients.
Palliative Medicine, 2013
The Mental Adjustment to Cancer Scale is an assessment tool commonly used to measure coping in ca... more The Mental Adjustment to Cancer Scale is an assessment tool commonly used to measure coping in cancer patients, which characterises adaptive coping under the label of 'fighting spirit'. This study explores adaptation in patients with advanced cancer, by examining the factor structure of the Mental Adjustment to Cancer Scale. Further aims were to examine associations between types of coping and psychological outcomes measured at the same time (time 1) and 4 weeks after referral to palliative care services (time 2). A cross-sectional study with a follow-up assessment 4 weeks later. Factor analysis examined the structure of the Mental Adjustment to Cancer Scale at time 1. A total of 275 patients with advanced cancer receiving palliative care, of whom 193 took part at follow-up. This study provided evidence for the internal consistency and validity of a new scale of 'acceptance and positivity' for use in advanced cancer patients. Patients with a desire for hastened death had lower acceptance and positivity, and patients with higher global quality of life reported a higher level. Social support was positively associated with acceptance and positivity. Higher scores on the acceptance and positivity scale were associated with reduced odds of a desire for hastened death at time 2. Adaptation to advanced cancer differs from adaptation to early stage cancer, comprising a general acceptance of the illness and trying to make the most of the time that is left. Individuals with low social support were less likely to evidence appropriate adaptation to their illness.
European Psychiatry, 2002
To give participants an introduction to the cognitive model and methods as applied to common psyc... more To give participants an introduction to the cognitive model and methods as applied to common psychiatric conditions and to review the evidence for the effectiveness of cognitive therapy. Course description: Cognitive therapy is establishing itself in psychiatry as a powerful treatment for a variety of psychological disorders, including anxiety, depression, eating disorders and schizophrenia. In less severe conditions it can prove as effective as psychotropic medication, while in more severe conditions it can complement drug treatment. Follow up studies suggest that cognitive therapy has a long term effect on relapse in anxiety and depression. Cognitive therapy is a brief, structured, problem focused approach that aims to alleviate symptoms and solve problems, teach coping strategies and prevent relapse through changing underlying beliefs and assumptions. Patients learn to identify and modify unhelpful thoughts and behaviours within a collaborative relationship with the therapist. The general cognitive model as applied to anxiety and depression will be described and a method for conceptualising cases presented. Specific models for panic disorder and schizophrenia workshop will be outlined. A mixture of presentation, video and group discussion will be used to demonstrate the therapy in action and introduce participants to some basic cognitive and behavioural techniques. Empirical evidence for cognitive therapy in psychiatric disorders will be reviewed. Educational methods and course material: Handouts & reference lists. Target audience: Psychiatrists and other mental health professionals. Course level: No previous knowledge or experience of cognitive therapy is required.
The Therapeutic Relationship in Cognitive Behavioural Therapy
European Psychiatry
A better training in psychotherapy is needed for psychiatry trainees. Online Cognitive Behavioura... more A better training in psychotherapy is needed for psychiatry trainees. Online Cognitive Behavioural Therapies (CBT) could be a good solution. Free and wide audience course like Massive Open Online course (MOOCs) increase dissemination and accessibility of the training. However, the engagement needs to be improved. A hybrid approach seems relevant with the MOOC as an incentive. Beyond the promotion of the topic, a MOOC can be a promotion tool for the provider. The economic model of the MOOC needed to be taken into account to allow sustainability. To explore these elements, we take into account a survey taken during the 1st European Psychiatric Association MOOC about CBT.
Behavioural and Cognitive Psychotherapy
The Problem Solving Scale (PSS) is a 15-item questionnaire measuring the problem solving componen... more The Problem Solving Scale (PSS) is a 15-item questionnaire measuring the problem solving component of self-control behaviours. It is derived from the 36-item Rosenbaum Self-Control Schedule. This paper presents some preliminary psychometric data on the PSS from a sample of 153 patients referred for cognitive therapy. The paper reports descriptive statistics, Cronbach's Alpha Correlations, correlations of the PSS with the Beck Depression Inventory and Beck Anxiety Inventory and results of a Principal Components Analysis. The PSS has good internal reliability and, like the Self-Control Schedule itself, seems to measure a dimension of coping that is independent of age, sex and diagnostic status. The PSS may prove a useful instrument both to measure change in problem solving in therapy and to predict outcome.
Behav Cognitive Psychother, 2007
Negative thoughts about the self are a core component of Beck's cognitive triad of depression... more Negative thoughts about the self are a core component of Beck's cognitive triad of depression, and are seen by some as the central cognitive symptom of the disorder. The role of negative thoughts about the self in secondary depression associated with medical illness is less clear: thoughts relating to hopelessness and helplessness rather than guilt, self blame and failure may be more prominent. This study tested the hypothesis that the cognitive symptoms of depression in cancer patients would be less negatively self-referent than a psychiatric control group. Forty patients with cancer referred to a psychological medicine department were matched for age, sex and BDI score with 40 patients referred to a psychological therapies department for CBT. The cognitive-affective section of the BDI (items 1–14) was divided into a negative self-referent cognitions subscale (items 3, 5, 7, 8) and a mood-motivation subscale. These two subscales were then compared with the somatic-performance subscale (items 15–21). As a percentage of the total matched BDI score, the cancer patients had more somatic symptoms (42.7 v 34.8%), equivalent mood/motivation symptoms (44.5 v 45.6%) and less negative self-referent symptoms (12.8 v 19.5%). This difference may apply more to mild symptoms than moderate-severe symptoms. Some preliminary support for the hypothesis is therefore available.