scholarly journals The therapeutic relationship in Cognitive Behaviour Therapy with depressed adolescents: A qualitative study of good‐outcome cases

2019 ◽  
Vol 93 (2) ◽  
pp. 276-291 ◽  
Author(s):  
Eva Wilmots ◽  
Nick Midgley ◽  
Lisa Thackeray ◽  
Shirley Reynolds ◽  
Maria Loades
Keyword(s):  
Qualitative Study ◽  
Therapeutic Relationship ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
Good Outcome ◽  
Cognitive Behaviour

Reconsidering perfect: a qualitative study of the experiences of internet-based cognitive behaviour therapy for perfectionism

2020 ◽  
Vol 48 (4) ◽  
pp. 432-441
Author(s):  
Alexander Rozental ◽  
Radha Kothari ◽  
Tracey Wade ◽  
Sarah Egan ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Qualitative Study ◽  
Psychiatric Disorders ◽  
Interpersonal Relationships ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Comprehensive Treatment ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Positive Results

AbstractBackground:Internet-based cognitive behaviour therapy (ICBT) is a promising format for treating different psychiatric disorders. In addition, several clinical trials have found positive results when using it to target transdiagnostic processes, such as perfectionism. However, few qualitative investigations have been conducted on the experiences of clients undergoing such treatments.Method:In the current study, clients completing 12-week guided ICBT for perfectionism responded to open-ended questions at post-treatment. In total, 30 out of 62 (48.4%) described their impressions of its content and the support provided by their guide.Results:The results were analysed qualitatively using thematic analysis. Five themes were found in the responses: Learning how to do things differently, Noticing the positives, Feeling safe to be honest, A comfortable treatment format and Barriers to treatment.Conclusions:The results suggest that many clients were able to achieve a change in perspective in relation to their perfectionism and started facing their fears. They were also able to report the benefits of doing things differently as part of treatment, such as an improvement in their interpersonal relationships. Most clients were also positive about the treatment format, enjoying its flexibility and the encouragement offered by their therapist. However, obstacles such as conflicting commitments, personal difficulties, time-consuming and comprehensive treatment modules, and a desire for more support were brought up by some, suggesting that there are aspects that could be considered in the future.

Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis

2014 ◽  
Vol 43 (4) ◽  
pp. 490-501 ◽  
Author(s):  
Caroline Lawlor ◽  
Katherine Hall ◽  
Lyn Ellett
Keyword(s):  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Structured Interview ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Psychotic Experience ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Therapy Sessions

Background and aims: This study explored therapists’ and clients’ experiences of paranoia about the therapist in cognitive behaviour therapy. Method: Ten therapists and eight clients engaged in cognitive behaviour therapy for psychosis were interviewed using a semi-structured interview. Data were analyzed using thematic analysis. Results: Clients reported experiencing paranoia about their therapist, both within and between therapy sessions. Therapists’ accounts highlighted a number of dilemmas that can arise in responding to clients’ paranoia about them. Conclusions: The findings highlight helpful ways of working with clients when they become paranoid about their therapist, and emphasize the importance of developing a therapeutic relationship that is radically collaborative, supporting a person-based approach to distressing psychotic experience.

Editorial for Special Issue: Complexity within Cognitive Behaviour Therapy

2017 ◽  
Vol 10 ◽  
Author(s):  
Claire Lomax ◽  
Stephen Barton
Keyword(s):  
Therapeutic Relationship ◽  
Cognitive Behaviour Therapy ◽  
Healthcare Setting ◽  
Clinical Settings ◽  
Shared Understanding ◽  
Past Participle ◽  
Special Issue ◽  
Behaviour Therapy ◽  
Outcomes Of Care ◽  
Cognitive Behaviour

As therapists we frequently use and hear the term ‘complexity’ in relation to clients, situations and settings. Although we may assume there is a shared understanding of what is meant by complexity, is this true? Do we really know what we mean by describing someone, or something, as complex? If we define complexity as ‘consisting of many different and connected parts, not easy to analyse or understand’ (Oxford English Dictionary, 2017), then we are probably describing intersections and interactions between different elements that can influence each other. Interestingly, the origin of the term derives from the Latin past participle plexus, meaning braided or entwined, which captures neatly the sense of the term ‘complex’ as meaning literally braided together. The breadth of this definition therefore may help to account for the diversity of the ways in which the term complexity is used in clinical settings. Continuing with the idea of the plait or braid, it also gives a sense of the number of threads or strands that could be incorporated within such a system. Complexity can derive from any source, and can interact with any part, so it can derive from the patient, the therapist, the therapeutic relationship or the healthcare setting; and each of these may interact with one or more parts. So from any source, complexity can affect processes and outcomes of care.

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