‘You'll never walk alone’: Supportive social relations in a football and mental health project
Corresponding Author
Mick McKeown
School of Health, University of Central Lancashire, Preston, UK
Correspondence: Mick McKeown, School of Health, University of Central Lancashire, Preston PR1 2HE, UK. Email: [email protected]Search for more papers by this authorAlastair Roy
School of Social Work, University of Central Lancashire, Preston, UK
Search for more papers by this authorHelen Spandler
School of Social Work, University of Central Lancashire, Preston, UK
Search for more papers by this authorCorresponding Author
Mick McKeown
School of Health, University of Central Lancashire, Preston, UK
Correspondence: Mick McKeown, School of Health, University of Central Lancashire, Preston PR1 2HE, UK. Email: [email protected]Search for more papers by this authorAlastair Roy
School of Social Work, University of Central Lancashire, Preston, UK
Search for more papers by this authorHelen Spandler
School of Social Work, University of Central Lancashire, Preston, UK
Search for more papers by this authorAbstract
Football can bring people together in acts of solidarity and togetherness. This spirit is most evocatively illustrated in the world renowned football anthem ‘You'll Never Walk Alone’ (YNWA). In this paper, we argue that this spirit can be effectively harnessed in nursing and mental health care. We draw on data from qualitative interviews undertaken as part of evaluating a football and mental health project to explore the nature of supportive social relations therein. We use some of the lyrics from YNWA as a metaphor to frame our thematic analysis. We are especially interested in the interactions between the group facilitators and group members, but also address aspects of peer support within the groups. A contrast is drawn between the flexible interpersonal boundaries and self-disclosure evident in the football initiative, and the reported, more-distant relations with practitioners in mainstream mental health services. The findings suggest scope for utilizing more collective, solidarity-enhancing initiatives and attention to alliances and boundaries to maximize engagement and therapeutic benefits within routine practice.
References
- Anderson, D. (1981). Perspectives on Treatment – The Minnesota Experience. Center City, MN: Hazelden Foundation.
- Balague, G. (2005). A Season on the Brink. A Portrait of Rafael Benitez's Liverpool. London: Weidenfeld & Nicolson.
- Baldwin, S., Wampold, B. & Imel, Z. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 75 (6), 842–852.
- Barker, P. (1998). Sharpening the focus of mental health nursing: Primary health care. Mental Health Practice, 1 (7), 14–15.
10.7748/mhp.1.7.14.s13 Google Scholar
- Barker, P., Manos, E., Novak, V. & Reynolds, B. (1998). The wounded healer and the myth of mental well-being: Ethical issues concerning the mental health status of psychiatric nurses. In: P. Barker & B. Davidson (Eds). Psychiatric Nursing: Ethical Strife. (pp. 334–348). London: Hodder Arnold.
- Barraclough, C. (2002). Getting your head to the ball. Mental Health Nursing, 22 (5), 10–11.
- Bauman, Z. (2000). Am I my brother's keeper? European Journal of Social Work, 3 (1), 5–11.
10.1080/714052807 Google Scholar
- Bouchard, L., Montreuil, M. & Gros, C. (2010). Peer support among inpatients in an adult mental health setting. Issues in Mental Health Nursing, 31 (9), 589–598.
- Calton, T. & Spandler, H. (2009). Minimal-medication approaches to treating schizophrenia. Advances in Psychiatric Treatment, 15 (3), 209–217.
10.1192/apt.bp.107.004028 Google Scholar
- Calton, T., Ferriter, M., Huband, N. & Spandler, H. (2008). A systematic review of the soteria paradigm for the treatment of people diagnosed with schizophrenia. Schizophrenia Bulletin, 34, 181–192.
- Carter-Morris, P. & Faulkner, G. (2003). A football project for service users: The role of football in reducing social exclusion. Journal of Mental Health Promotion, 2 (1), 24–30.
- Cleary, M. (2003). The challenges of mental health care reform for contemporary mental health nursing practice: Relationships, power and control. International Journal of Mental Health Nursing, 12, 139–147.
- Coffey, A. & Atkinson, P. (1996). Making Sense of Qualitative Data. Thousand Oaks, CA: Sage.
- Collins, N. & Miller, L. (1994). Self-disclosure and liking: A meta-analytic review. Psychological Bulletin, 116, 457–475.
- Conti-O'Hare, M. (2002). The Nurse as Wounded Healer: From Trauma to Transcendence. Sudbury, MA: Jones & Bartlett Learning.
- Danforth, J. (2003). Football for fun. A Life in the Day, 7 (1), 25–28.
10.1108/13666282200300008 Google Scholar
- Dulit, R., Goldman, B., Siris, S. et al. (2001). Reexamination of therapist self-disclosure. Psychiatric Services, 52 (11), 1489–1493.
- Frank, J. D. & Frank, J. B. (1991). Persuasion and Healing: A Comparative Study of Psychotherapy, 3rd edn. Baltimore: Johns Hopkins.
10.56021/9780801840678 Google Scholar
- Goldstein, E. (1994). Self-disclosure in treatment: What therapists do and don't talk about. Clinical Social Work Journal, 22, 417–433.
- Hewitt, J. & Coffey, M. (2005). Therapeutic working relationships with people with schizophrenia: Literature review. Journal of Advanced Nursing, 52, 561–570.
- Hill, C. & Knox, S. (2001). Self-disclosure. Psychotherapy: Theory, Research, Practice, Training, 38 (4), 413–417.
- Holbrook, T. (2000). The experiential connection. Perspectives: A Professional Journal of the Renfrew Center Foundation, 5 (2), 10–11.
- Horvath, A. & Symonds, B. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 38 (2), 139–149.
- M. Hubble, B. Duncan & S. Miller (Eds) (1999). The Heart and Soul of Change: What Works in Therapy. Washington, DC: American Psychological Association.
- Hynes, J. (2008). The Positive Mental Attitude (PMA) Football League. A Life in the Day, 12 (3), 6–10.
10.1108/13666282200800022 Google Scholar
- Johansson, H. & Eklund, M. (2003). Patient's opinions on what constitutes good psychiatric care. Scandinavian Journal of Caring Science, 17, 339–346.
10.1046/j.0283-9318.2003.00233.x Google Scholar
- Johnson, C. (2000). Been there, done that: The use of clinicians with personal recovery in the treatment of eating disorders. Perspectives: A Professional Journal of the Renfrew Center Foundation, 5 (2), 1–4.
- Jones, A. (2009). Football as a metaphor: Learning to cope with life, manage emotional illness and maintain health through to recovery. Journal of Psychiatric and Mental Health Nursing, 15 (5), 488–492.
- Kelly, J. F., Stout, R. L., Magill, M. & Tonigan, J. S. (2011). The role of Alcoholics Anonymous in mobilizing adaptive social network changes: A prospective lagged mediational analysis. Drug Alcohol Dependence, 114, 119–126.
- Kennard, D. (2004). The therapeutic community as an adaptable treatment modality across different settings. Psychiatric Quarterly, 75 (3), 295–307.
- Kleinke, C. (1979). Effects of personal evaluations. In: G. Chelune (Ed.). Self-Disclosure: Origins, Patterns, and Implications of Openness in Interpersonal Relationships. (pp. 59–79). San Francisco, CA: Jossey-Bass.
- Lambert, M. (1992). Implications of outcome research for psychotherapy integration. In: J. Norcross & M. Goldfried (Eds). Handbook of Psychotherapy Integration. (pp. 94–129). New York, NY: Basic Books.
- McGilley, B. (2000). On the being and telling of the experience of anorexia: A therapist's perspective. Perspectives: A Professional Journal of the Renfrew Center Foundation, 5 (2), 5–7.
- Martin, D., Garske, J. & Davis, M. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68 (3), 438–450.
- Mead, S. & MacNeil, C. (2006). Peer support: What makes it unique? International Journal of Psychosocial Rehabilitation, 10 (2), 29–37.
- Mead, S., Hilton, D. & Curtis, L. (2001). Peer support: A theoretical perspective. Psychiatric Rehabilitation Journal, 25 (2), 134–141.
- Morrison, E. (1990). The tradition of toughness: A study of nonprofessional nursing care in psychiatric settings. Image: The Journal of Nursing Scholarship, 22 (1), 32–38.
- J. Muran & J. Barber (Eds) (2010). The Therapeutic Alliance: An Evidence-Based Guide to Practice. New York: Guilford Press.
- Newton-Howes, G. (2010). Coercion in psychiatric care: Where are we now, what do we know, where do we go? Psychiatric Bulletin, 34, 217–220.
10.1192/pb.bp.109.027391 Google Scholar
- O'Brien, A. (2001). The therapeutic relationship: Historical development and contemporary significance. Journal of Psychiatric and Mental Health Nursing, 8, 129–137.
- O'Hagan, M. (2014). Madness Made Me. A Memoir. Wellington, NZ: Open Box.
- O'Kane, P. & McKenna, B. (2002). Five a side makes a difference. Mental Health Nursing, 22, 8–12.
- Oldknow, H. & Grant, G. (2008). Does joining a football academy help mental health recovery? Mental Health Nursing, 28 (2), 8–11.
- Peplau, H. (1952). Interpersonal Relations in Nursing. New York: G. P. Putnam & Sons.
10.1097/00000446-195206000-00062 Google Scholar
- Porter, S. (1993). The determinants of psychiatric nursing practice: A comparison of sociological perspectives. Journal of Advanced Nursing, 18, 1559–1566.
- Pringle, A. (2009). The growing role of football as a vehicle for interventions in mental health care. Journal of Psychiatric and Mental Health Nursing, 16, 553–557.
- Pringle, A. & Sayers, P. (2004). It's a Goal! Basing a CPN service in a football stadium. Journal of the Royal Society for the Promotion of Health, 124 (4), 234–238.
- Pringle, A. & Sayers, P. (2006). It's a Goal! The half time score. Mental Health Nursing, 26 (3), 14–17.
- Randall, D. & McKeown, M. (2014). Editorial. Failure to care: Nursing in a state of liquid modernity? Journal of Clinical Nursing, 23, 766–767.
- Repper, J. & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20, 392–411.
- Rodgers, R. & Hammerstein II, O. (1945). [Williamson Music], producers. You'll Never Walk Alone (song). [New York]: [Williamson Music].
- Roy, A. (2014). Looking beneath the surface of recovery: Analysing the emergence of recovery oriented treatment policies. In: D. Korf, T. Decorte & G. Potter (Eds). Drugs in Europe: Change and Continuity. (pp. 76–86). Pabst: Lengerich.
- Sayers, P. & Spandler, H. (2015). It's a Goal: A football-based mental health programme. In: D. Conrad & A. White (Eds). Sports-Based Health Interventions: Case Studies from Around the World. (pp. 39–56). Berlin: Springer Press.
- Simpson, A. (2013). Peer support in mental health needs a welcome, not wariness. Nursing Times, 109 (26), 7.
- Simpson, A., Flood, C., Rowe, J. et al. (2014). Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK. BMC Psychiatry, 14 (1), 30.
- Smith, M. & Pringle, A. (2010). The Latest Score: An Evaluation of the It's a Goal! Programme. Nottingham: SAMHS and the University of Nottingham.
- Solomon, P. (2004). Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatric Rehabilitation Journal, 27 (4), 392–401.
- Spandler, H. (2006). Asylum to Action: Paddington Day Hospital, Therapeutic Communities and beyond. London: Jessica Kingsley Publications.
- Spandler, H. & Stickley, T. (2011). No hope without compassion: The importance of compassion in recovery-focused mental health services. Journal of Mental Health, 20, 555–566.
- Spandler, H., Roy, A. & McKeown, M. (2013a). Competing for the turf?: A gendered exploration of using football talk in a mental health project. In: D. Hynes & A. Kiernan (Eds). Football and its Communities. (pp. 95–106). Oxford: Interdisciplinary Press.
- Spandler, H., Roy, A. & McKeown, M. (2013b). The therapeutic benefits of football metaphor. Journal of Social Work Practice, 28 (2), 229–245.
- Spandler, H., McKeown, M., Roy, A. & Hurley, M. (2013c). Football metaphor and mental well-being: An evaluation of the It's a Goal! programme. Journal of Mental Health, 22 (6), 544–554.
- Spandler, H., Roy, A. & McKeown, M. (2014). Playing by the rules? Gender relations in a football and mental health project. Journal of Men's Studies, 22 (2), 140–154.
10.3149/jms.2202.140 Google Scholar
- Stanhope, V., Barrenger, S., Salzer, M. & Marcus, S. (2013). Examining the relationship between choice, therapeutic alliance and outcomes in mental health services. Journal of Personalized Medicine, 3, 191–202.
- Vogel, D. & Wester, S. (2003). To seek help or not to seek help: The risks of self disclosure. Journal of Counselling Psychology, 50, 351–361.
- Winship, G. (2004). Democracy in practice in 14 UK psychotherapeutic communities. Therapeutic Communities, 25 (4), 275–290.
- Wolgien, C. & Coady, N. (1997). Good therapists' beliefs about the development of their helping ability: The wounded healer paradigm revisited. The Clinical Supervisor, 15 (2), 19–35.
10.1300/J001v15n02_02 Google Scholar