Zoe Fisher

Zoe Fisher
Swansea University and Swansea Bay Health Board · Health and Wellbeing Academy and Regional Neuropsychology Department

BSc, Ph.D, DClin Psych PGDip

About

22
Publications
22,497
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186
Citations
Introduction
Zoe Fisher is a Consultant Clinical Psychologist and Associate Professor. She is the lead for Community Neurorehabilitation services in Swansea Bay health Board as well as working as an Associate Professor at the Health and Wellbeing Academy at Swansea University.

Publications

Publications (22)
Article
Full-text available
Dominant psychological models of wellbeing neglect the role that nature connection and other key factors, such as positive health behaviours and behaviour change, play in determining wellbeing. The present mixed-methods evaluation explores the impact of "Surf-Ability", an adapted surf therapy intervention delivered in collaboration with a UK neuror...
Preprint
Full-text available
This is a preprint of the following chapter: Gibbs, K., Fisher, Z. & Kemp, A.H., ‘Toward a Culture of Care for Societal Wellbeing: A Perspective from the Healthcare Sector’, to be published in Broadening the Scope of Wellbeing Science: Multidisciplinary and Interdisciplinary Perspectives on Human Flourishing and Wellbeing, edited by A.H. Kemp & D...
Article
Full-text available
Background: The wellbeing of university students is deteriorating, highlighting a critical role for institutions to better support student wellbeing. Objective: The goal of this work is to determine whether a final-year undergraduate wellbeing science module, inspired by recent theoretical developments, improved wellbeing during the COVID-19 pande...
Article
Full-text available
The construct of wellbeing has been difficult to define and has avoided straightforward solutions (Bache et al., 2016). This also makes the topic a fascinating one to reflect on and study. Here we introduce the complex construct of wellbeing, then discuss how the vagus nerve might support the experience of it, before reflecting on some complexities...
Article
Full-text available
COVID-19 presented a major societal challenge including threat to life, bereavement, self-isolation, loss of income and significant psychological distress. Yet, it is possible that such suffering may also lead to post-traumatic growth (PTG) and subsequent wellbeing. The current study aimed to investigate the contributors to PTG and whether PTG medi...
Article
Co-design involves engaging with the end-user in the design process and may help reduce the barriers to assistive technology use. Previous research has used co-design in the provision of assistive technology, but no research has looked at applying it within a healthcare setting. This service evaluation examines the use of co-design in providing cus...
Article
Full-text available
Nature has long demonstrated the capacity to facilitate wellbeing. Interventions involving the natural environment such as surf therapy, are increasingly being used to facilitate aspects of wellbeing in clinical populations. However, explorations of how nature-based interventions such as surf therapy may be used to promote wellbeing in the context...
Article
Full-text available
Society faces several major interrelated challenges which have an increasingly profound impact on global health including inequalities, inequities, chronic disease and the climate catastrophe. We argue here that a focus on the determinants of wellbeing across multiple domains offers under-realised potential for promoting the 'whole health' of indiv...
Article
Full-text available
Abstract Introduction: Psychological science is undergoing a period of change and transformation. Statement of the Problem: The crisis in confidence over psychological science has led to an emphasis on larger and larger sample sizes, sustaining an unfortunate neglect of single-subject research designs in undergraduate education. Literature Review...
Article
Full-text available
The COVID-19 pandemic has presented a global threat to physical and mental health worldwide. Research has highlighted adverse impacts of COVID-19 on wellbeing but has yet to offer insights as to how wellbeing may be protected. Inspired by developments in wellbeing science and guided by our own theoretical framework (the GENIAL model), we examined t...
Article
Full-text available
The construct of wellbeing has been criticised as a neoliberal construction of western individualism that ignores wider systemic issues such as inequality and anthropogenic climate change. Accordingly, there have been increasing calls for a broader conceptualisation of wellbeing. Here we impose an interpretative framework on previously published li...
Article
Full-text available
Individuals with Acquired Brain Injury (ABI) suffer chronic impairment across cognitive, physical and psycho-social domains, and the experience of anxiety, isolation and apathy has been amplified by the COVID-19 pandemic. A qualitative evaluation was conducted of 14 individuals with ABI who had participated in series of COVID adapted group-based in...
Preprint
Full-text available
Here we examine the impact of the COVID-19 pandemic lockdown on wellbeing among UK-based respondents (N = 133). We explore the extent to which variables across wellbeing domains (physical activity, gratitude, tragic optimism, social support, and nature connection) contribute to wellbeing according to our previously proposed GENIAL model. Wellbeing...
Article
Purpose Assistive technology can provide a key tool to enabling independence, greater inclusion and participation in society for individuals with chronic conditions. This potential is currently not always realized due to barriers to accessing and using assistive technology. This review aims to identify the common barriers to acquiring and using ass...
Article
Full-text available
Research indicates that Acquired Brain Injury (ABI) is associated with significant and chronic impairment across multiple areas of functioning including physical, cognitive, emotional and behavioral domains. Whilst impairments associated with ABI can be ameliorated, cure is seldom possible. The emergence of positive psychology reflects a paradigm s...
Article
Full-text available
Research indicates that Acquired Brain Injury (ABI) is associated with significant and chronic impairment across multiple areas of functioning including physical, cognitive, emotional and behavioural domains. Whilst impairments associated with ABI can be ameliorated, cure is seldom possible. The emergence of positive psychology reflects a paradigm...
Chapter
Wellbeing is now a topic of substantial research interest, yet definitions emphasize health, happiness and the absence of illness. This implies that people with neurological conditions have limited opportunities for experiencing wellbeing. We argue that this is not the case. Here we summarize the neurobiology of emotional processing and wellbeing,...
Preprint
Full-text available
1 The construct of wellbeing has been criticised as a neoliberal construction of western individualism that ignores 2 wider systemic issues including increasing burden of chronic disease, widening inequality, concerns over environ-3 mental degradation and anthropogenic climate change. While these criticisms overlook recent developments, there 4 rem...
Chapter
Full-text available
Humanity is facing an increasing burden of chronic disease and an aging population that will lead to more years lived with disability. Dealing with these issues is difficult, made more so by deteriorating social ties and decline in social connectedness, which may also impact on health and wellbeing. However, research on the association between soci...
Article
Previous research has demonstrated that people with mild intellectual disabilities (ID) have difficulty in 'weighing up' information, defined as integrating disparate items of information in order to reach a decision. However, this problem could be overcome by the use of a visual aid to decision making. In an earlier study, participants were taught...

Projects

Projects (3)
Project
Inspired by recent developments in positive psychology and the heterogeneous discipline of wellbeing science, this project reflects on how we might integrate multi-disciplinary findings and to teach these to undergraduate students in such a way that enhances student learning and provides opportunities for students to apply recent findings to their own lives, reinforcing opportunities for evidence-based living.
Project
Wellbeing is a topic of increasing research interest, yet is a topic of much controversy and complexity. The promotion of individual wellbeing has been criticised as a banal form of spirituality that reinforces the neoliberal status quo. A new science of wellbeing is needed that rises above disciplinary silos and focuses on the interconnectedness of the individual and their social and natural ecologies.
Project
The global epidemiological transition is changing the nature of health and disease. Healthcare systems remain focused on dealing with acute conditions, yet chronic disease is associated with greater burden. Doctors often think of health as the absence of disease, yet chronic conditions are seldom curable. Chronic conditions are typically managed, not cured, yet the psychological wellbeing of patients with chronic conditions is seldom addressed by treating physicians. This is unfortunate considering that psychological distress contributes to premature mortality, and that psychiatric conditions can lead to reductions in life expectancy of up to 20 years. Loneliness – an epidemic of our age – is associated with an increase in risk of mortality that is equivalent to smoking 15 cigarettes a day. By contrast, positive psychological attributes including optimism and psychological wellbeing are associated with longevity, and positive relationships may have beneficial effects on health outcomes. It is possible therefore that patients with chronic conditions would benefit the most from interventions to improve psychological wellbeing, yet have fewer opportunities to experience them, leading to a downward spiral of negative emotion, social isolation, loneliness, and further ill-health. According to salutogenic theory, patients with chronic disease who also have a sense of optimism, control over their life, purpose and meaning, capacity to overcome obstacles, and positive social ties might be considered healthy. These possibilities lead to important questions. Is it possible to flourish when one is also afflicted with chronic disease? Is it possible to flourish despite being physically ill? Might flourishing be more achievable in some conditions than others? Which interventions are the most effective? If mental wellbeing can be improved, are there subsequent beneficial effects on health outcomes? This research topic led to publication of 32 articles that have attracted more than 120,000 views: https://www.frontiersin.org/research-topics/6392/improving-wellbeing-in-patients-with-chronic-conditions-theory-evidence-and-opportunities