Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-10T09:46:35.283Z Has data issue: false hasContentIssue false

Exploring Service Users’ Perceptions of Cognitive Behavioural Therapy for Psychosis: A User Led Study

Published online by Cambridge University Press:  04 July 2012

Martina Kilbride
Affiliation:
Greater Manchester West Mental Health NHS Foundation Trust, UK
Rory Byrne*
Affiliation:
Greater Manchester West Mental Health NHS Foundation Trust, UK
Jason Price
Affiliation:
Greater Manchester West Mental Health NHS Foundation Trust, UK
Lisa Wood
Affiliation:
North Essex Partnership NHS Foundation Trust, Chelmsford, UK
Sarah Barratt
Affiliation:
University of Liverpool, UK
Mary Welford
Affiliation:
Greater Manchester West Mental Health NHS Foundation Trust, UK
Anthony P. Morrison
Affiliation:
Greater Manchester West Mental Health NHS Foundation Trust, UK
*
Reprint requests to Rory Byrne, Greater Manchester West Mental Health NHS Foundation Trust, Psychology Services, Bury New Road, Prestwich, Manchester M25 3BL, UK. E-mail: rory.byrne@gmw.nhs.uk

Abstract

Background and aims: This study explored individuals’ subjective experiences of Cognitive Behavioural Therapy for psychosis (CBTp) with the aim of identifying coherent themes consistent across individual accounts and any potential barriers to CBTp effectiveness. Method: Semi-structured interviews were conducted with nine individuals with experience of CBTp. A qualitative Interpretive Phenomenological Analysis was used to analyze the data collected to identify common themes. Results: Five super-ordinate themes emerged from our analyses: CBT as a process of person-centred engagement; CBT as an active process of structured learning; CBT helping to improve personal understanding; CBT is hard work; Recovery and outcomes of CBT for psychosis. Conclusions: The theoretical and clinical implications are discussed.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bentall, R. P. (2003). Madness Explained: psychosis and human nature. London: Penguin Books.Google Scholar
Berry, C. and Hayward, M. (2011). What can qualitative research tell us about service user perspectives of CBT for psychosis? A synthesis of current evidence. Behavioural and Cognitive Psychotherapy, 39, 487494.CrossRefGoogle ScholarPubMed
Byrne, R. E., Davies, L. and Morrison, A. P. (2010). Priorities and preferences for the outcomes of treatment of psychosis: a service user perspective. Psychosis, 2, 210217.CrossRefGoogle Scholar
Chadwick, P. and Birchwood, M. (1994). The omnipotence of voices: a cognitive approach to auditory hallucinations. British Journal of Psychiatry, 164, 190201.CrossRefGoogle ScholarPubMed
Department of Health (2005). Creating a patient-led NHS: delivering the NHS improvement plan. London: NHS.Google Scholar
Dunn, H., Morrison, A. P. and Bentall, R. P. (2002). Patients’ experiences of homework tasks in cognitive behavioural therapy for psychosis: a qualitative analysis. Clinical Psychology and Psychotherapy, 9, 361369.Google Scholar
Fowler, D., Garety, P. and Kuipers, E. (1995). Cognitive-Behaviour Therapy for Psychosis: theory and practice. Chichester: Wiley.Google Scholar
Garety, P. A., Kuipers, E., Fowler, D., Freeman, D. and Bebbington, P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189195.Google Scholar
Greenwood, K. E., Sweeney, A., Williams, S., Garety, P., Kuipers, E., Scott, J., et al. (2010). CHoice of Outcome In Cbt for psychosEs (CHOICE): the development of a new service user-led outcome measure of CBT for psychosis. Schizophrenia Bulletin, 36, 126135.Google Scholar
McGowan, J. F., Lavender, T. and Garety, P. A. (2005). Factors in outcome of cognitive-behavioural therapy for psychosis: users’ and clinicians’ views. Psychology and Psychotherapy: Theory, Research and Practice, 78, 513529.CrossRefGoogle ScholarPubMed
Messari, S. and Hallam, , , R. (2003). CBT for psychosis: a qualitative analysis of clients’ experiences. British Journal of Clinical Psychology, 42, 171188.CrossRefGoogle ScholarPubMed
Miles, H., Peters, E. and Kuipers, E. (2007). Service-user satisfaction with CBT for psychosis. Behavioural and Cognitive Psychotherapy, 35, 109116.Google Scholar
Morberg-Pain, C., Chadwick, P. and Abba, N. (2008). Clients’ experience of case formulation in cognitive behaviour therapy for psychosis. British Journal of Clinical Psychology, 47, 127138.Google Scholar
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257276.Google Scholar
Morrison, A. P. and Barratt, S. (2010). What are the components of CBT for psychosis? A Delphi study. Schizophrenia Bulletin, 36, 136142.Google Scholar
National Institute for Clinical Excellence (2009). Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care. London: NICE.Google Scholar
Neil, S. T., Kilbride, M., Pitt, L., Nothard, S., Welford, M., Sellwood, W., et al. (2009). The questionnaire about the process of recovery (QPR): a measurement tool developed in collaboration with service users. Psychosis: Psychological, Social and Integrative Approaches, 1, 145155.CrossRefGoogle Scholar
Pitt, L., Kilbride, M., Nothard, S., Welford, M. and Morrison, A. P. (2007). Researching recovery from psychosis: a user-led project. Psychiatric Bulletin, 31, 5560.Google Scholar
Rose, D. (2001). Users’ Voices. London: The Sainsbury Centre for Mental Health.Google Scholar
Rose, D. (2008). Service user produced knowledge. Journal of Mental Health, 17, 447451.Google Scholar
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behaviour therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523537.Google Scholar
Submit a response

Comments

No Comments have been published for this article.