The paper explores London-based third sector practitioners' engagement with vulnerability in their work with refugee and migrant women during pregnancy and in the postnatal period. Practitioners draw on notions of vulnerability that signal weakness and passivity as a strategy, which enables them to secure resources for the women they support as well as to sustain their own organisational existence in a third sector landscape that has been transformed by a range of neoliberal measures. Despite this invoking of essentialised vulnerability practitioners possess an awareness of how the broader context of women's lives, including government policies and structural disadvantage, acts to shape their vulnerability. The paper argues practitioners' contextual understanding of refuge and migrant women's vulnerability resonates with theoretical approaches that conceptualise vulnerability as an ontological characteristic of human existence. Strategic use of essentialised vulnerability is central to accessing resources, while an ontological understanding of vulnerability as a universal potential activated by socially mediated unequal power relations enables practitioners to address the specific factors that are producing women's vulnerability to harm. Crucially, this includes challenging the effects of the UK government's anti-immigrant "hostile environment" policy and neoliberal austerity measures.
Background: The Feeling Safe Programme is a cognitive therapy developed to improve outcomes for individuals with persecutory delusions. It is theoretically driven, modular and personalised, with differences in therapeutic style and content compared with first-generation cognitive behavioural therapy for psychosis. Objectives: We set out to understand the participant experience of the Feeling Safe Programme. Design: A qualitative study employing interpretative phenomenological analysis. Methods: Using a peer research approach, semi-structured face-to-face interviews were conducted with six people who had received the Feeling Safe Programme as part of the outcome clinical trial. Results: Participants spoke of feeling 'unsafe' in their daily lives before the intervention. Openness to the intervention, facilitated by identification with the programme name, and willingness to take an active role were considered important participant attributes for successful outcomes. The therapist was viewed as a professional friend who cared about the individual, which enabled trust to form and the opportunity How to cite this article:
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