Researching clients' experiences: A review of qualitative studies

Hodgetts, Alison; Wright, John

doi:10.1002/cpp.527

Cited by 61 publications

(62 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The preceding phases in preparation for this study were: i) qualitative interviews conducted with bipolar individuals concerning their experiences of anxiety and their views about psychological treatment; and ii) a series of focus groups conducted with services users and health professionals to develop and refine the treatment manual employed here. The findings of both previous phases have informed the content and presentation of the therapy evaluated here, consistent with wider recogntion of the crucial importance of involving service users in treatment development, planning and provision [14]. There is an increasing recognition that qualitative methods are better suited to understanding the perspectives of service users and capitalizing on their insights [15].…”

Section: Introductionsupporting

confidence: 61%

A randomised controlled trial of time limited CBT informed psychological therapy for anxiety in bipolar disorder

et al. 2013

View full text Add to dashboard Cite

BackgroundAnxiety comorbidity is common in bipolar disorder and is associated with worse treatment outcomes, greater risk of self harm, suicide and substance misuse. To date however there have been no psychological interventions specifically designed to address this problem. The primary objective of this trial is to establish the acceptability and feasibility of a new integrated intervention for anxiety in bipolar disorder designed in collaboration with individuals with personal experience of both problems.Methods and designSingle blind randomised controlled trials to assess the feasibility and acceptability of a time limited CBT informed psychological intervention for anxiety in bipolar disorder (AIBD) compared with treatment as usual. Participants will be recruited from across the North West of England from specialist mental health services and through primary care and self referral. The primary outcome of the study is the feasibility and acceptability of AIBD assessed by recruitment to target and retention to follow-up, as well as absence of untoward incidents associated with AIBD. We will also estimate the effect size of the impact of the intervention on anxiety and mood outcomes, as well as calculate preliminary estimates of cost-effectiveness and investigate potential mechanisms for this (stigma, self appraisal and stability of social rhythms).DiscussionThis is the first trial of an integrated intervention for anxiety in bipolar disorder. It is of interest to researchers involved in the development of new therapies for bipolar disorder as well as indicating the wider potential for evaluating approaches to the treatment of comorbidity in severe mental illness.Trial registration numberISRCTN84288072

show abstract

Section: Introductionsupporting

confidence: 61%

A randomised controlled trial of time limited CBT informed psychological therapy for anxiety in bipolar disorder

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Lambert () asserted that to reduce negative effects of therapy, we must first be capable of predicting them. Therapists have limited abilities in predicting deterioration in clients (Hannan et al., ), and research has consistently found discrepancies between client and practitioner perceptions (Hodgetts & Wright, ; Llewellyn, ), particularly when client views of therapy are negative (Von Below & Werbart, ). Researchers have attempted to identify factors associated with non‐response.…”

Section: Introductionmentioning

confidence: 99%

Clients' experience of non‐response to psychological therapy: A qualitative analysis

Radcliffe

Masterson

Martin

2018

Couns and Psychother Res

View full text Add to dashboard Cite

Objective The evidence is that therapy only works for some. This study aimed to explore clients' subjective experience of non‐improvement; specifically how do participants who feel they have not benefitted from psychological therapy describe the experience and make sense of their therapy? Method Eight people from a National Health Service Psychological Therapies Department in the UK who felt their therapy had not resulted in improvement took part in semi‐structured interviews, later analysed using interpretative phenomenological analysis. Results Participants described a process, beginning with their difficulties, negative feelings about themselves, and initial hopes and anxieties for therapy. Once in therapy, participants described overwhelming fears of losing control and being judged. They described attempts to manage this, using self‐censoring and compliance. After therapy, while most could identify some gain, they felt disappointed and that they were having to ‘make do’. The sense of not having succeeded or being sufficiently deserving of further input, in turn, reinforced participants' initial negative self‐beliefs. Conclusion Although participants identified themselves as not having improved through therapy, the accounts suggested more complexity. All participants reported detrimental effects and accounts contained qualified, thoughtful descriptions of these experiences: participants acknowledged some gains, even though they felt that therapy had not met their expectations.

show abstract

“…Metcalf & Thomas 1994, Couture & Sutherland 2004, Crowe & Luty 2005). There is emerging advocacy in psychotherapy research for the use of qualitative‐oriented process methods (McLeod 2001, Elliot 2002, Hodgetts & Wright 2007). Ozkan (2004) has also suggested that there is a general lack of writing in qualitative research that sheds light on the ‘nuts and bolts’ of the qualitative data analysis.…”

Section: Introductionmentioning

confidence: 99%

The process of change in psychotherapy for depression: helping clients to reformulate the problem

Crowe

Whitehead

Carlyle

et al. 2011

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

There is increasing interest in mental health nurses delivering structured short-term evidence-based psychotherapies such as cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT); however, while there is evidence of the efficacy of psychotherapy for depression, there is limited understanding of the treatment processes. Data were drawn from audio tapes of CBT and IPT sessions for treatment of depression. The transcripts of the initial, middle and final psychotherapy sessions of 40 clients were analysed. A thematic analysis was conducted to identify what was occurring in the sessions, how the client was describing psychotherapy and how the client was describing improvement or lack of improvement in depressive symptoms. There were differences in descriptions of therapy and the experience of depression between clients who responded and those who did not respond to therapy that were related to improvement in symptoms but not to the specific therapy. These differences were in the client's engagement with the language of therapy, sense of optimism about the particular model of psychotherapy, ability to examine their own role in the problem and desire to engage with new ways of being in their lives. Clients who responded to CBT or IPT had flexibility to develop new ways of thinking and acting, the ability to accept responsibility for their role in the identified problem and were willing to risk change.

show abstract

Researching clients' experiences: A review of qualitative studies

Cited by 61 publications

References 38 publications

A randomised controlled trial of time limited CBT informed psychological therapy for anxiety in bipolar disorder

A randomised controlled trial of time limited CBT informed psychological therapy for anxiety in bipolar disorder

Clients' experience of non‐response to psychological therapy: A qualitative analysis

The process of change in psychotherapy for depression: helping clients to reformulate the problem

Contact Info

Product

Resources

About