Expectations and experiences of psychological therapy from the client perspective: a qualitative study

Brooks, Joanna; Bratley, Rachael; Jones, Leigh; King, Nigel; Lucock, Mike

doi:10.1080/03069885.2019.1707167

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…Whether through the use of exercises, such as focusing, or by modeling, clients can be guided to develop the ability to look inward, pose questions about their internal experience, and develop solutions that are appropriate for their contexts. Indeed, clients may define therapy success as learning to process their experiences with greater complexity and attunement, both in therapy and across contexts, rather than as no longer experiencing any distress (Brooks et al, 2021). Confidence in this ability can support clients to be self-determining and to guide their own growth so they need not rely on their therapist.…”

Section: Developing Confidence In Self-referencingmentioning

confidence: 99%

Rethinking therapists’ responsiveness to center clients’ experiences of psychotherapy.

Levitt¹,

Collins²,

Rizo³

et al. 2022

The Other Side of Psychotherapy: Understanding Clients’ Experiences and Contributions in Treatment.

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F or many years, the psychotherapy literature has focused on therapists' theories of psychopathology and of their clients' change processes. It is therapists' interpretations, conceptualizations, and interventions that are foundational in most theories of psychotherapy and psychotherapy research endeavors. Although their perspectives have advanced the development of the field of psychotherapy, this focus historically has excluded the other contributor to change in therapy-namely, the client. It is only within the last 50 years that research on clients' experiences of psychotherapy has begun to blossom (Levitt, 2015). Foregoing the perspective of clients in our representations of the coconstructed process of change has meant that the self-healing activities of clients and their efforts to manage the therapeutic encounter are rarely integrated into our professional understanding of what psychotherapy entails (Gordon, 2012). Although clients have been found to contribute most to the variance in client change scores (e.g., Wampold & Imel, 2015), they remain the neglected factor in psychotherapy research (Bohart & Tallman, 2010). In this chapter, we argue that an understanding of clients' experiences provides necessary guidance for the training and practice of responsive therapists. We first consider what the literature on clients' experiences teaches us about the skills that therapists need, both to implement interventions responsively and to support clients' self-healing efforts, and then make recommendations for practice, training, and research. We draw primarily on the findings from an omnibus qualitative meta-analysis (Levitt, Pomerville, & Surace, 2016

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Section: Developing Confidence In Self-referencingmentioning

confidence: 99%

Rethinking therapists’ responsiveness to center clients’ experiences of psychotherapy.

Levitt¹,

Collins²,

Rizo³

et al. 2022

The Other Side of Psychotherapy: Understanding Clients’ Experiences and Contributions in Treatment.

View full text Add to dashboard Cite

show abstract

“…The obvious difficulties inherent in undertaking work with those who withdraw from research studies have been acknowledged previously in this and in other research settings. 30,31 Nonetheless, we recognise that eliciting the views of those who do not undertake or complete LCDs (as well as those who do) is needed for a fuller understanding of any adaptations required in content and presentation to maximise the accessibility and acceptability of these dietary interventions.…”

Section: Discussionmentioning

confidence: 99%

Do people with type 2 diabetes find continuous and intermittent low‐energy diets for weight loss and diabetes remission acceptable?

Brooks,

Ruane,

McDiarmid

et al. 2024

J Human Nutrition Diet

Self Cite

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BackgroundThe Manchester Intermittent versus Daily Diet App Study (MIDDAS) tested the feasibility and potential efficacy of two remotely delivered low‐energy diet (LED) programmes (800 kcal/day) to support weight loss and remission of type 2 diabetes: continuous [CLED] (8 weeks of daily LED) and intermittent [ILED] (2 days of LED/week for 28 weeks). Understanding participant experiences can help us to understand the acceptability of LED programmes to people with type 2 diabetes, informing future programme development and implementation.MethodsTwenty participants (10 CLED; 10 ILED) took part in interviews conducted at the end of the active weight loss phase (CLED week 12, ILED week 28). Interviews were transcribed and analysed thematically using the template analysis approach, with an a priori focus on acceptability. Four themes are presented: prospective acceptability, intervention coherence and perceived effectiveness, opportunity costs and self‐efficacy.ResultsBoth remotely supported CLED and ILED interventions appeared acceptable to participants. CLED participants found the rapid initial weight loss phase comparatively easy and highly motivating but expressed more concerns around weight maintenance. ILED participants found the more gradual weight loss initially frustrating but expressed greater confidence in their longer‐term adherence. The importance of continued individualised support from healthcare professionals was emphasised, and evidence of weight loss and improvement in other medical markers through monitoring via the mobile phone app was useful.ConclusionDifferent approaches to remotely delivered LEDs appear acceptable; therefore asking patients which approach may be more acceptable to them may be a useful way to offer individualised and tailored support.

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“…Data were analyzed through template analysis using the MAXQDA 20 software package program. Template analysis enables analytical examination of recurring patterns within and across participants (Brooks et al, 2020). Template analysis is useful when it comes to compare different perspectives in a speci c context.…”

Section: Discussionmentioning

confidence: 99%

A New Concept in Our Relationship with Time:Time Appropriation

Karasu

Cesur

2023

Preprint

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The aim of this study is to explore the dimensions and processes of time appropriation as a new concept. The sample of the study consists of 15 participants (Female = 7; Male = 8) in Van, Turkey reached by criterion and snowball sampling. Semi-structured in-depth interviews were analyzed through template analysis. Time appropriation is addressed in terms of recurrent time units and time zones. The results show that the process of time appropriation consists of dimensions of identification, meaning, emotion, ownership, transformativeness, sociability, and physical environment. The appropriation process involves high identification with the appropriating time, special-unique meanings, satisfying and generally positive emotions. Participants have a high degree of ownership of the time periods they appropriate time and experience more individual control over these time periods. In addition, participants are able to psychologically renew and transform themselves through these time periods. These psychological processes in the appropriating time take place in specific social and physical environments. We understand that the social and physical environments in the appropriating time consisted of social circles and environments where the participants felt free, safe and comfortable, and with which they established strong bonds. We discuss “time appropriation” as a new concept from a social-psychological perspective in this study.

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Expectations and experiences of psychological therapy from the client perspective: a qualitative study

Cited by 6 publications

References 24 publications

Rethinking therapists’ responsiveness to center clients’ experiences of psychotherapy.

Rethinking therapists’ responsiveness to center clients’ experiences of psychotherapy.

Do people with type 2 diabetes find continuous and intermittent low‐energy diets for weight loss and diabetes remission acceptable?

A New Concept in Our Relationship with Time:Time Appropriation

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