Welcome to Jennifer Heathcote
Counselling services

I am a qualified Counsellor, situated in Blythe Bridge near Stoke-on-Trent. 
" Well-served by public transport, Blythe Bridge is just off the A50.

Client Feedback
  • Masters Qualified Counsellor
  • Person-centred and CBT practitioner
  • Individual and Couples Counselling (including same sex couples)
  • Comfortable private consulting room
  • Flexible appointments including evenings and Saturdays
  • Discounted daytime availability for those with more flexibility

Issues I deal with include:

  • Abuse
  • Affairs and Betrayals
  • Anger Management
  • Anxiety
  • Bereavement & Loss
  • Bullying
  • Career Counselling
  • Child Related Issues
  • Couples Counselling
  • Depression
  • Emotional Abuse
  • Fostering ⁄ Adoption
  • Generalised Anxiety
  • Living Apart from Children
  • Low Self-Confidence
  • Low Self-Esteem
  • Panic Attacks
  • Parental Separation
  • Parental Alienation Syndrome
  • Phobias
  • Postnatal Depression
  • Relationship Issues
  • Separation and Divorce
  • Self-Esteem
  • Sexuality
  • Stress
  • Trauma
  • Work Related Stress ⁄ Issues

Abuse is the improper usage or treatment for a bad purpose, often to unfairly or improperly gain benefit, physical or verbal maltreatment, injury, sexual assault, violation, rape, unjust practices; wrongful practice or custom; offense; crime, or otherwise verbal aggression. Abuse can come in many forms.

A romantic affair, also called an affair of the heart, may refer to sexual liaisons among unwed parties, or to various forms of nonmonogamy. Unlike a casual relationship, which is a physical and emotional relationship between two people who may have sex without expecting a more formal romantic relationship, an affair is by its nature romantic.

Affair may also describe part of an agreement within an open marriage or open relationship, such as swinging, dating, or polyamory, in which some forms of sex with one's non-primary partner(s) are permitted and other forms are not. Participants in open relationships, including unmarried couples and polyamorous families, may consider sanctioned affairs the norm, but when a non-sanctioned affair occurs, it is described as infidelity and may be experienced as adultery, or a betrayal both of trust and integrity, even though to most people it would not be considered "illicit."

When a romantic affair lacks both overt and covert sexual behaviour and yet exhibits intense or enduring emotional intimacy it may be referred to as an emotional affair, platonic love, or a romantic friendship.

Betrayal (or backstabbing) is the breaking or violation of a presumptive social contract, trust, or confidence that produces moral and psychological conflict within a relationship amongst individuals, between organizations or between individuals and organizations. Often betrayal is the act of supporting a rival group, or it is a complete break from previously decided upon or presumed norms by one party from the others. Someone who betrays others is commonly called a traitor or betrayer. Betrayal is also a commonly used literary element and is often associated with or used as a plot twist.

Rodger L. Jackson, author of the article, The Sense and Sensibility of Betrayal: Discovering the Meaning of Treachery Through Jane Austen, writes that "there has been surprisingly little written about what we even mean by the term". In psychology, practitioners describe betrayal as the breaking of a social contract; however, critics of this approach claim that the term social contract does not accurately reflect the conditions and motivations for, and effects of, betrayal. Philosophers Judith Shklar and Peter Johnson, authors of The Ambiguities of Betrayal and Frames of Deceit respectively, contend that while no clear definition of betrayal is available, betrayal is more effectively understood through literature.

The term anger management commonly refers to a system of psychological therapeutic techniques and exercises by which someone with excessive or uncontrollable anger can control or reduce the triggers, degrees, and effects of an angered emotional state. In some countries, courses in anger management may be mandated by their legal system.

One technique for controlling anger is finding agreement with another person rather than conflict. The use of deep breathing and meditation can be used as a means of relaxation. Other interventions include learning empathy, stress management skills, forgiveness, changing how you speak about yourself or others and improving optimism. As the issue of anger varies from person to person, the treatments are designed to be personal to the individual.

Anxiety is a psychological and physiological state characterized by cognitive, somatic, emotional, and behavioral components. These components combine to create an unpleasant feeling that is typically associated with uneasiness, apprehension, fear, or worry. Anxiety is a generalized mood condition that can often occur without an identifiable triggering stimulus. As such, it is distinguished from fear, which occurs in the presence of an observed threat. Additionally, fear is related to the specific behaviors of escape and avoidance, whereas anxiety is the result of threats that are perceived to be uncontrollable or unavoidable.

Another view is that anxiety is "a future-oriented mood state in which one is ready or prepared to attempt to cope with upcoming negative events" suggesting that it is a distinction between future vs. present dangers that divides anxiety and fear. Anxiety is considered to be a normal reaction to stress. It may help a person to deal with a difficult situation, for example at work or at school, by prompting one to cope with it. When anxiety becomes excessive, it may fall under the classification of an anxiety disorder.

Grief is a multi-faceted response to loss, particularly to the loss of someone or something to which a bond was formed. Although conventionally focused on the emotional response to loss, it also has physical, cognitive, behavioral, social, and philosophical dimensions. Common to human experience is the death of a loved one, whether it be a friend, family, or other companion. While the terms are often used interchangeably, bereavement often refers to the state of loss, and grief to the reaction to loss.

Losses can range from loss of employment, pets, status, a sense of safety, order, or possessions, to the loss of loved ones. Our response to loss is varied and researchers have moved away from conventional views of grief (that is, that people move through an orderly and predictable series of responses to loss) to one that considers the wide variety of responses that are influenced by personality, family, culture, and spiritual and religious beliefs and practices.

Bereavement, while a normal part of life, carries a degree of risk when limited support is available. Severe reactions to loss may carry over into familial relations and cause trauma for children, spouses and any other family members: there is an increased risk of marital breakup following the death of a child, for example. Issues of faith and beliefs may also face challenge, as bereaved persons reassess personal definitions in the face of great pain.

While many who grieve are able to work through their loss independently, accessing additional support from licensed psychologists or psychiatrists may promote the process of healing. Grief counseling, professional support groups or educational classes, and peer-led support groups are primary resources available to the bereaved. In the United States, local hospice agencies may be an important first contact for those seeking bereavement support.

Bullying is a form of abuse. It comprises repeated acts over time that involves a real or perceived imbalance of power with the more powerful individual or group abusing those who are less powerful. The power imbalance may be social power and/or physical power. The victim of bullying is sometimes referred to as a target.

Bullying consists of three basic types of abuse - emotional, verbal and physical. It typically involves subtle methods of coercion such as psychological manipulation. Bullying can be defined in many different ways. Although the UK currently has no legal definition of bullying, some US states have laws against it.

Bullying in school and the workplace is also referred to as peer abuse. Robert W. Fuller has analyzed bullying in the context of rankism.

Bullying can occur in any context in which human beings interact with each other. This includes school, church, the workplace, home and neighborhoods. It is even a common push factor in migration. Bullying can exist between social groups, social classes and even between countries.

Career counseling and career coaching are similar in nature to traditional counseling ). However, the focus is generally on issues such as career exploration, career change, personal career development and other career related issues Typically when people come for career counseling they know exactly what they want to get out of the process, but are unsure about how it will work In the UK Career Counseling would usually be referred to as Careers Advice or Guidance.

Career counselors work with people from various walks of life such as adolescents seeking to explore career options, or experienced professionals contemplating a career change. Career counselors typically have a background in , vocational psychology, or industrial/organizational psychology .

The approach of career counseling varies by , but will generally include the completion of one or more assessments. These assessments typically include:, cognitive ability tests, and personality assessments. The two most commonly used assessments are The Strong Interest Inventory and the MBTI.

Sometimes children and young people (and their families) may need extra support if they are finding it difficult to deal with or understand their emotions and/or behaviour. Schools often provide professionals to help young people and their families, such as learning or behaviour mentors, family liaison officers or professionals from external services. However some children and young people, or their families, may decide to seek further help in the form of counselling.

Counselling for children and young people may differ from counselling for adults, and will depend on the child’s age, specific difficulties and their development. Different methods may be used to encourage young children to be able to express their difficulties, such as play and art. For example, reading stories and talking about feelings of a character in that story may help the child to discuss their own feelings, or drawing/painting/drama may help children to express themselves. These methods all give the counsellor a great insight into the unconscious mind of the child.

Older children may prefer talking therapy, or a mixture of both, and the counselling approach will depend on a particular individual. Although different methods may be used for counselling children, the aim of counselling for both children and adults is ultimately the same; to help the individual cope better with their emotions and feelings.

Counselling children and young people involves helping the child to develop a positive attitude to life, recognise their strengths and express themselves. It does not involve making decisions for the child, imposing beliefs on them or preaching. Counselling may be provided to children and young people on their own, or it may be provided to a child as part of a family (family counselling).
[from the Counselling Directory website]

Relationship counseling is the process of counseling the parties of a relationship in an effort to recognize and to better manage or reconcile troublesome differences and repeating patterns of distress. The relationship involved may be between members of a family or a couple (see also family therapy), employees or employers in a workplace, or between a professional and a client.

Couple therapy (or relationship therapy) is a related and different process. It may differ from relationship counseling in duration. Short term counseling may be between 1 to 3 sessions whereas long term couples therapy may be between 12 and 24 sessions. An exception is brief or solution focused couples therapy. In addition, counseling tends to be more 'here and now' and new coping strategies the outcome. Couples therapy is more about seemingly intractable problems with a relationship history, where emotions are the target and the agent of change.

Marriage counseling or marital therapy can refer to either or some combination of the above.

The methods may differ in other ways as well, but the differences may indicate more about the counselor/therapist's way of working than the title given to their process.

Depression is a state of low mood and aversion to activity. It may be accompanied by any of a number of symptoms. A depressed person may feel sad, anxious, empty, hopeless, helpless, worthless, guilty, irritable or restless. They may lose interest in activities that once were pleasurable, experience loss of appetite, overeating, or problems concentrating, remembering details or making decisions, and may contemplate or attempt suicide. Insomnia, waking early, excessive sleeping, fatigue, loss of energy, or aches, pains or digestive problems that are resistant to treatment may be present.

Psychological abuse, also referred to as emotional abuse or mental abuse, is a form of abuse characterized by a person subjecting or exposing another to behavior that is psychologically harmful. Such abuse is often associated with situations of power imbalance, such as abusive relationships, bullying, child abuse and in the workplace.

Fostering and adoption impacts on birth (biological) parents foster parents and children alike. There are many issues that can arise. Whether you have placed a child for adoption, are considering adoption or fostering or are an adopted child yourself, counselling may help you explore your thoughts and feelings. Some adults experienced a shared care situation as a child or were placed into a residential setting for a while as a teenager. You're issue may be as a result of these experiences..

Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties. They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, difficulty concentrating, trembling, twitching, irritability, sweating, restlessness, insomnia, hot flashes, and rashes. These symptoms must be consistent and on-going, persisting at least 6 months, for a formal diagnosis of GAD to be introduced. Approximately 6.8 million American adults experience GAD.

Children need to know it is alright for them to love both parents even if their parents don't love each other. Children benefit when parents encourage the relationship between their children and the other parent.

Self-image and self-esteem are made up from what children know about their parents. They have been told all their lives they are like their parents...'you have your father's curly, thick hair,' 'you have your mother's sense of humor,' 'you have your father's charm,' 'you have your mother's eyes.' When children hear bad things about their parents...the divorce is one parent's fault or one is a jerk or one drinks too much or one is a lazy bum, children believe these messages are true about themselves also.

Making sure your children can be proud of both their parents and hear good things about their parents is essential to keeping the children free from stress and the trauma seperation and divorce causes a child. All parents make mistakes. Even if you believe the other parent IS a jerk, it causes unnecessary harm to tell children. Children feel defensive when someone criticizes their mom or dad. Children are stuck in the middle of having to choose sides when they hear negative things about their parents. Remember, even if you no longer love the other parent, your children love both of you and it hurts them to hear bad things about someone they love.

Self-confidence does not necessarily imply 'self-belief' or a belief in one's ability to succeed. For instance, one may be inept at a particular sport or activity, but remain 'confident' in one's demeanor, simply because one does not place a great deal of emphasis on the outcome of the activity. The key element to self-confidence is, therefore, an acceptance of the myriad consequences of a particular situation, be they good or bad. When one does not dwell on negative consequences one can be more 'self-confident' because one is worrying far less about failure or (more accurately) the disapproval of others following potential failure. One is then more likely to focus on the actual situation which means that enjoyment and success in that situation is also more probable. If there is any 'self-belief' component it is simply a belief in one's ability to tolerate whatever outcome may arise; a certainty that one will cope irrespective of what happens. Belief in one's abilities to perform an activity comes through successful experience and may add to, or consolidate, a general sense of self-confidence.

Self-esteem is a term used in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs (for example, "I am

competent" or "I am incompetent") and emotions such as triumph, despair, pride and shame. A person's self-esteem may be reflected in their behaviour, such as in assertiveness,

shyness, confidence or caution. Self-esteem can apply specifically to a particular dimension (for example, "I believe I am a good writer, and feel proud of that in particular")

or have global extent (for example, "I believe I am a good person, and feel proud of myself in general").

Psychologists usually regard self-esteem as an enduring personality characteristic ("trait" self-esteem), though normal, short-term variations ("state" self-esteem) also exist.

Synonyms or near-synonyms of self-esteem include: self-worth, self-regard, self-respect, self-love (which can express overtones of self-promotion), and self-integrity. Self-

esteem is distinct from self-confidence and self-efficacy, which involve beliefs about ability and future performance.

Panic attack has been described as an episode of incredibly intense fear or apprehension that is of sudden onset. The DSM-IV describes a panic attack as a discrete period of intense fear or discomfort in which (at least 4 of 13) symptoms developed abruptly and reached a peak within 10 minutes.

According to the American Psychological Association, the symptoms of a panic attack commonly last approximately thirty minutes. However, panic attacks can be as short as 15 seconds, while sometimes panic attacks may form a cyclic series of episodes, lasting for an extended period, sometimes hours. Often those afflicted will experience significant anticipatory anxiety and limited symptom attacks in between attacks, in situations where attacks have previously occurred.

The effects of a panic attack vary from person to person. Some, notably first-time sufferers, may call for emergency services. Many who experience a panic attack, mostly for the first time, fear they are having a heart attack or a nervous breakdown. Experiencing a panic attack has been said to be one of the most intensely frightening, upsetting and uncomfortable experiences of a person's life.

Many children in Britain will experience the separation and divorce of their parents by the time they are 16.

When the parents' relationship breaks down, it is usually painful for everyone in the family. It's very important to try to minimise the stress and bitterness that can result, particularly when children are involved. It is easy for parents to be so distracted by their own feelings about the situation that they lose sight of how it may be affecting their children.

Research shows that the children of parents that separate can experience poorer outcomes than other children. However, some of the difficulties can be offset by the way parents deal with the separation.

Good, continuing communication and contact between children and both parents appear especially important in assisting children to adapt. Clear explanations about 'what' is happening and 'why' can help, as can reassurance for younger children that they are not being abandoned and that a parent can still be a parent even if he/she leaves the home to live elsewhere. (Joseph Rowntree Foundation)

Importantly, although experiencing a parental separation can be very upsetting for children, parents can help prevent the experience being traumatic for their children.

Parental alienation syndrome (abbreviated as PAS) is term coined by Richard A. Gardner in the early 1980s to refer to what he describes as a disorder in which a child, on an ongoing basis, belittles and insults one parent without justification, due to a combination of factors, including indoctrination by the other parent (almost exclusively as part of a child custody dispute) and the child's own attempts to denigrate the target parent. Gardner introduced the term in a 1985 paper, describing a cluster of symptoms he had observed during the early 1980s

Parental alienation syndrome is not recognized as a disorder by the medical or legal communities and Gardner's theory and related research have been extensively criticized by legal and mental health scholars for lacking scientific validity and reliability. However, the separate but related concept of parental alienation, the estrangement of a child from a parent, is recognized as a dynamic in some divorcing families. Jennifer has a particular expertise in the experiences of parents living apart from their children and the impact of PAS on all parties involved.

A phobia (from the Greek: φόβος,phóbos, meaning "fear" or "morbid fear") is an irrational, intense and persistent fear of certain situations, activities, things, animals, or people. The main symptom of this disorder is the excessive and unreasonable desire to avoid the feared stimulus. When the fear is beyond one's control, and if the fear is interfering with daily life, then a diagnosis under one of the anxiety disorders can be made.

This is caused by what are called, neutral, unconditioned, and conditioned stimuli, which trigger either conditioned or unconditioned responses. An example would be a person who was attacked by a dog (the unconditioned stimulus) would respond with an unconditioned response. When this happens, the unconditioned stimulus of them being attacked by the dog would become conditioned, and to this now conditioned stimulus, they would develop a conditioned response. If the occurrence had enough of an impact on this certain person then they would develop a fear of that dog, or in some cases, an irrational fear of all dogs.

Phobias are a common form of anxiety disorders. An American study by the National Institute of Mental Health (NIMH) found that between 8.7% and 18.1% of Americans suffer from phobias. Broken down by age and gender, the study found that phobias were the most common mental illness among women in all age groups and the second most common illness among men older than.

Phobias are not generally diagnosed if they are not particularly distressing to the patient and if they are not frequently encountered. If a phobia is defined as "impairing to the individual", then it will be treated after being measured in context by the degree of severity. A large percent of the American population is afraid of public speaking, which could range from mild uncomfortability, to an intense anxiety that inhibits all social involvement.[citation needed]

Phobias are generally caused by an event recorded by the amygdala and hippocampus and labeled as deadly or dangerous; thus whenever a specific situation is approached again the body reacts as if the event were happening repeatedly afterward. Treatment comes in some way or another as a replacing of the memory and reaction to the previous event perceived as deadly with something more realistic and based more rationally. In reality most phobias are irrational, in the sense that they are thought to be dangerous, but in reality are not threatening to survival in any way.

Some phobias are generated from the observation of a parent's or sibling's reaction. The observer then can take in the information and generate a fear of whatever they experienced.

Postnatal Depression, is a form of clinical depression which can affect women, and less frequently men, after childbirth. Studies report prevalence rates among women from 5% to 25%, but methodological differences among the studies make the actual prevalence rate unclear. Among men, in particular new fathers, the incidence of postpartum depression has been estimated to be between 1.2% and 25.5%. Postpartum depression occurs in women after they have carried a child, usually in the first few months, and may last up to several months or even a year. Symptoms include sadness, fatigue, changes in sleeping and eating patterns, reduced libido, crying episodes, anxiety, and irritability. It is sometimes assumed that postpartum depression is caused by a lack of vitamins, but studies tend to show that more likely causes are the significant changes in a woman's hormones during pregnancy. On the other hand, hormonal treatment has not helped postpartum depression victims. Many women recover because of a support group or counseling.

Relationship counseling is the process of counseling the parties of a relationship in an effort to recognize and to better manage or reconcile troublesome differences and repeating patterns of distress. The relationship involved may be between members of a family or a couple (see also family therapy), employees or employers in a workplace, or between a professional and a client.

Couple therapy (or relationship therapy) is a related and different process. It may differ from relationship counseling in duration. Short term counseling may be between 1 to 3 sessions whereas long term couples therapy may be between 12 and 24 sessions. An exception is brief or solution focused couples therapy. In addition, counseling tends to be more 'here and now' and new coping strategies the outcome. Couples therapy is more about seemingly intractable problems with a relationship history, where emotions are the target and the agent of change.

Marriage counseling or marital therapy can refer to either or some combination of the above.

The methods may differ in other ways as well, but the differences may indicate more about the counselor/therapist's way of working than the title given to their process.

Legal separation (sometimes "judicial separation", "separate maintenance", "divorce a mensa et thoro", or "divorce from bed-and-board") is a legal process by which a married couple may formalize a de facto separation while remaining legally married. A legal separation is granted in the form of a court order, which can be in the form of a legally-binding consent decree. The most common reason for filing with the courts for a legal separation is to make interim financial arrangements for the two of them, such as deciding which one will pay which bills, possess which property, and whether one of them shall pay the other temporary financial support. These financial arrangements are actually what the term "separate maintenance" refers to, and "separate maintenance" is not a synonym for "legal separation".

Furthermore, in cases where the couple has a child or children, the court order of legal separation often makes temporary arrangements for the care, custody, and financial support of the children ("for the time being"). Thus, part of the court order is a document in child custody. Some couples, especially in past times, might have obtained a legal separation as an alternative to a divorce, based on moral or religious objections to divorce, and intend to abide by the legal separation permanently.

Legal separation does not automatically lead to divorce. The couple might reconcile, in which case they do not have to do anything in order to continue their marriage. If the two do not reconcile, and they wish to proceed with a divorce, they must file for divorce explicitly.

Divorce (or the dissolution of marriage) is the final termination of a marital union, cancelling the legal duties and responsibilities of marriage and dissolving the bonds of matrimony between the parties. In most countries divorce requires the sanction of a court or other authority in a legal process. The legal process for divorce may also involve issues of spousal support, child custody, child support, distribution of property and division of debt.

In Western countries, a divorce does not declare a marriage null and void, as in an annulment, but it does cancel the married status of the parties. Where monogamy is law, this allows each former partner to marry another. Where polygyny is legal, divorce allows the woman to marry another. Divorce laws vary considerably around the world. Divorce is not permitted in some countries, such as in Malta and in the Philippines, though an annulment is permitted. From 1971 to 1996, four European countries legalised divorce: Spain, Italy, Portugal and the Republic of Ireland.

Self-esteem is a term used in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs (for example, "I am competent" or "I am incompetent") and emotions such as triumph, despair, pride and shame. A person's self-esteem may be reflected in their behaviour, such as in assertiveness, shyness, confidence or caution. Self-esteem can apply specifically to a particular dimension (for example, "I believe I am a good writer, and feel proud of that in particular") or have global extent (for example, "I believe I am a good person, and feel proud of myself in general").

Psychologists usually regard self-esteem as an enduring personality characteristic ("trait" self-esteem), though normal, short-term variations ("state" self-esteem) also exist.

Synonyms or near-synonyms of self-esteem include: self-worth, self-regard, self-respect, self-love (which can express overtones of self-promotion), and self-integrity. Self-esteem is distinct from self-confidence and self-efficacy, which involve beliefs about ability and future performance.

Human sexuality is how people experience the erotic and express themselves as sexual beings. Frequently driven by the desire for sexual pleasure, human sexuality has biological, physical, and emotional aspects. Biologically, it refers to the reproductive mechanism as well as the basic biological drive that exists in all species and can encompass sexual intercourse and sexual contact in all its forms. Emotional aspects deal with the intense emotions relating to sexual acts and associated social bonds. Physical issues around sexuality range from purely medical considerations to concerns about the physiological or even psychological and sociological aspects of sexual behaviour.

The term can also cover cultural, political, legal and philosophical aspects. It may also refer to issues of morality, ethics, theology, spirituality or religion and how they relate to all things sexual.

The term stress was first employed in a biological context by the endocrinologist Hans Selye in the 1930s. He later broadened and popularized the concept to include inappropriate physiological response to any demand. In his usage stress refers to a condition and stressor to the stimulus causing it. It covers a wide range of phenomena, from mild irritation to drastic dysfunction that may cause severe health breakdown.

Signs of stress may be cognitive, emotional, physical or behavioral. Signs include poor judgment, a general negative outlook, excessive worrying, moodiness, irritability, agitation, inability to relax, feeling lonely, isolated or depressed, aches and pains, diarrhea or constipation, nausea, dizziness, chest pain, rapid heartbeat, eating too much or not enough, sleeping too much or not enough, social withdrawal, procrastination or neglect of responsibilities, increased alcohol, nicotine or drug consumption, and nervous habits such as pacing about or nail-biting.

Trauma models of mental disorders (alternatively called trauma models of psychopathology) emphasize the effects of psychological trauma, particularly in early development, as the key causal factor in the development of some or many psychiatric disorders (in addition to post-traumatic stress disorder).

Trauma models are typically founded on the view that traumatic experiences (including but not limited to actual physical or sexual abuse) are more common or more serious than thought in the histories of those diagnosed with mental disorders. Such models have traditionally been associated with psychoanalytic approaches, notably Sigmund Freud's early ideas on childhood sexual abuse and hysteria.

John Bowlby, who developed attachment theory, also describes many forms of mental illness as based on early childhood trauma. In addition there is significant research supporting the linkage between early experiences of chronic maltreatment and later problems.

In the 1960s trauma models also became associated with humanist and anti-psychiatry approaches, particularly in regard to understanding schizophrenia and the role of the family. Personality disorders have also been a focus, particularly borderline personality disorder. Extreme versions of trauma models have implicated the fetal environment and the trauma of being born, or have been associated with recovered memory controversies.

More generally, trauma models highlight particularly stressful and traumatic factors in early attachment relations and in the development of mature interpersonal relationships. They are often presented as a counterpoint to a psychiatry claimed to be too focused on genetics, neurochemistry and medication.

Well-designed, organised and managed work helps to maintain and promote individual health and well-being. But where there has been insufficient attention to job design, work organisation and management the benefits and assets associated with 'good work' could be lost. One common result is Work related stress.

By the term work related stress we mean the process that arises where work demands of various types and combinations exceed the person's capacity and capability to cope. Think of this as 'bad work'. It is a significant cause of illness and disease and is known to be linked with high levels of sickness absence, staff turnover and other indicators of organisational underperformance - including human error.

For some the way to deal with work related stress is to diagnose, treat and rehabilitate people who experience it. For others, it is economically and morally preferable to assess and repair the failed work system or organisation. This action reduces the risk of future failure and the likelihood of future work-related ill-health. This approach focuses attention on the antecedents of work related stress in the design and management of work – but recognises that interventions at the individual level have a part to play.

Recent statistics confirm that work related stress is widespread in the UK working population and is not confined to particular sectors or high risk jobs or industries. That is why a population-wide approach is necessary to tackle it.

This website represents our current understanding and best practice based on recent work with organisations from the public and private sector. It is not meant to replace our existing guidance Managing the causes of work related stress (HS (G) 218)

The core of the HSE approach for dealing with work related stress is the Management Standards approach. The Management Standards represent a set of conditions that, if present, reflect a high level of health, well-being and organisational performance. This approach, details of which can be found elsewhere on this website, is designed to help those people who have key roles in promoting organisational and individual health and well-being and preventing illness and diseases resulting from stress.
[extract from the HSE]