Attachment to the clinical team and its association with therapeutic relationships, social networks, and clinical well‐being

Catty, Jocelyn; Cowan, Naomi; Poole, Zoe; Ellis, Gemma; Geyer, Connie; Lissouba, Pascale; White, Sarah; Burns, Tom

doi:10.1111/j.2044-8341.2010.02011.x

Cited by 20 publications

(19 citation statements)

References 56 publications

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“…Several studies have previously found STAR to be associated with study adherence, either through an improved attachment to the team/program [27], or through greater program satisfaction [11]. Our findings support this dynamic, as participants who felt they had a better relationship with the CHW were more likely to keep all of their appointments.…”

Section: Discussionsupporting

confidence: 77%

“…As described previously, this theory asserts that participants who rate their CHW relationship higher are in part doing so because they are more agreeable to social interactions. This was not the case using STAR in the field of community psychiatry [27]. The association between effect size and changes in psychosocial health would seem to support the idea that as participants are experiencing increasing anxiety and depression symptoms they are becoming less agreeable with their CHW.…”

Section: Discussionmentioning

confidence: 99%

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Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention

et al. 2016

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Community health workers (CHWs) are increasingly utilized to reach low-resource communities. A critical domain influencing success is the CHWs’ ability to create and maintain a therapeutic relationship with the participants they serve. A limited evidence base exists detailing this construct, and evaluating CHW-participant relationships in the context of CHW-led programs. In a longitudinal study design, data on this therapeutic relationship were collected [as captured using The Scale to Assess the Therapeutic Relationship in Community Mental Health Care (STAR)] on 141 participants who had been assigned to a CHW during their perinatal period. Results indicate that therapeutic relationship was associated with the participant’s psychosocial health, and independently predicted study adherence in the longitudinal intervention. Changes in therapeutic relationship over the months following birth were strongly associated with changes in anxiety and depression symptoms. A trustful relationship is critical in ensuring CHWs can effectively reach the population they serve. The findings offer additional psychometric evidence of the uses and benefits of STAR outside of the traditional clinical setting in the context of public health research.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention

et al. 2016

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“…Catty et al . () has also found that among patients in active psychiatric treatment, the therapeutic relationship was strongly associated with team attachment. These observations are consistent with the increasing recognition of the role of interpersonal factors in predicting the course of psychotic illnesses (Bentall & Fernyhough, ; Gumley, ).…”

Section: Introductionmentioning

confidence: 93%

Anxious and avoidant attachment styles and indicators of recovery in schizophrenia: Associations with self‐esteem and hope

et al. 2013

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If self-esteem and/or hopelessness are identified as a focus of treatment, focusing on attachment style may be an important treatment component. Therapist understanding of patients' attachment style may allow for a better understanding of resistance in the therapeutic relationship. Helping persons with schizophrenia to recognize and change how they tend to relate to others may promote gains in subjective elements of recovery.

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“…). Patients' relationships with clinical teams appear moderated by their attachment style (Catty et al . 2012).…”

mentioning

confidence: 99%

Team consultancy using cognitive analytic therapy: a controlled study in assertive outreach

Kellett

Wilbram

Davis

et al. 2014

Psychiatric Ment Health Nurs

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Accessible summary Cognitive analytic consultancy involves mapping the dysfunctional procedures and relationships that exist between team and patient using cognitive analytic theory. The study showed no impact on patient outcomes, but a significant organizational impact in terms of team practices and relationships. Cognitive analytic consultancy offers promise in helping in‐patient and community clinical teams manage those patients not suitable for individual or group psychotherapy. Abstract The objective of this study was to evaluate the clinical and organizational efficacy of formulation‐based consultancy to clinical teams using a randomized control trial methodology. Patients in an Assertive Outreach Team (AOT) were randomized into cognitive analytic consultancy (CAC; n = 10) or treatment as usual (TAU; n = 10). CAC consisted of three consultancy sessions with individual team members to formulate and map the dysfunctional roles and procedures adopted by both patient and team. Subsequent changes to practice were then supported via team supervision. Measures of patient and team functioning were taken across four discrete study phases; (1) baseline team training, (2) case consultation, (3) team supervision and (4) 3‐month follow‐up. Team members were additionally interviewed before and following the trial. No differences were evident between CAC and TAU in terms of patient outcomes. However, the climate of the AOT significantly improved longitudinally over the course of the trial, with CAC facilitating enhanced clinical and team practices. The results are discussed in terms of methodological limitations, the advantages/disadvantages of team consultation and the potential for the further development of the CAC model.

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Attachment to the clinical team and its association with therapeutic relationships, social networks, and clinical well‐being

Cited by 20 publications

References 56 publications

Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention

Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention

Anxious and avoidant attachment styles and indicators of recovery in schizophrenia: Associations with self‐esteem and hope

Team consultancy using cognitive analytic therapy: a controlled study in assertive outreach

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