Counselling & Psychotherapy Research最新文献

{"title":"Clients' narratives of healing and harm in psychotherapy: A qualitative method","authors":"Seyed Vahid Tavallaei,&nbsp;Samaneh Najarpourian,&nbsp;Yaser Rastegar","doi":"10.1002/capr.12855","DOIUrl":"https://doi.org/10.1002/capr.12855","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>For decades, researchers have acknowledged the potential for negative effects in psychotherapy, highlighting the need for further investigation. However, a clear understanding of the nature and definition of harm within this context has remained elusive. Efforts were made to clarify terminology such as ‘side effects’ and ‘negative effects’, but a consensus on the extent and definition of harm has continued to evade the field. Notably, existing research on negative effects has often prioritised expert and therapist perspectives, neglecting the crucial insights offered by the client's subjective experience of harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study adopted an exploratory approach, employing qualitative research methods. To uncover and illuminate past experiences of harm within the therapeutic context, semi-structured interviews were conducted with 21 participants (15 female, 6 male) who reported perceiving their psychotherapy sessions as harmful. Data analysis utilised the theoretical framework of Strauss and Corbin's grounded theory approach, facilitated by the MAXQDA2020 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study results offered a comprehensive examination of factors contributing to client-perceived harm in psychotherapy, categorised as both client-related and therapist-related. Additionally, the definition of harm was explored through the lens of emotional and cognitive experiences. The client's reaction to perceived harm (submission, avoidance and compensation) and the therapist's course of action vs. the client's reaction (corrective and justifying) respectively, can cause consequences (strengthening the therapeutic alliance and the client's healing or individual and interpersonal impacts) from the client's perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A significant finding was the lack of attention paid to the interpersonal nature of psychotherapy in past understandings of harm. The results highlight the potential for harm in any therapeutic relationship, regardless of the therapist. This potential appears to be particularly heightened when therapists display a lack of responsiveness to clients' internal experiences, especially through justifying comments in response to client-reported negative experiences within the therapeutic relationship. Based on these findings, the study offers clinical recommendations for therapists to enhance their responsiveness and mitigate potential harm.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stability of response styles in a personality measure: Evidence with clinical adolescents","authors":"Pei-Chen Wu","doi":"10.1002/capr.12859","DOIUrl":"https://doi.org/10.1002/capr.12859","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In counselling and psychotherapy, individuals may exhibit response styles when completing personality measures, potentially distorting comparisons of inter- and intra-differences. However, previous research has primarily focused on nonclinical samples and cross-sectional data, leaving gaps in our understanding of the stability of response styles and their impact on clinical samples. This study aimed to fill gaps in knowledge by applying a mixed Rasch model to explore response style stability in a personality measure in clinical adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study sample consisted of 290 clinical adolescents (112 males and 178 females) who were experiencing depressive symptoms and receiving continuous treatment for at least 2 years. Each participant completed a personality assessment at four time points with a six-month interval between each assessment. To comprehensively examine the stability of response styles over an extended period, this study utilised mixed Rash modelling to analyse enduring response patterns using data collected at the initial (T1) and fourth (T4) assessments, which were spaced 2 years apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using mixed Rasch modelling, the results showed that the extreme response style (ERS) and middle response style (MRS) were the two most common response styles in the five domains of the Big Five Inventory-21 at T1 and T4. The ERS and MRS remained stable throughout the mental health intervention. There was no gender-related relationship found for response styles in the data at separate time points (T1 and T4) or in the longitudinal data (long-format data). Importantly, the findings revealed that odds of a clinical adolescent changing their personality response style (ERS → MRS or MRS → ERS) increased by 1.15 times with each unit increase in depression score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Researchers and practitioners should be aware that the stability of the ERS and MRS for a personality measure may result in response style-based explanations for findings obtained from longitudinal data, such as trait stability or trait change over waves.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The journey of therapists diagnosed with psychiatric disorders in adolescence","authors":"Elif Yüksel,&nbsp;Esin Çalışkan,&nbsp;Eylül Ceren Demir","doi":"10.1002/capr.12853","DOIUrl":"https://doi.org/10.1002/capr.12853","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although psychotherapists' motivations in choosing the profession have been investigated, there is not enough information in the literature about how personal motivations affect their choice of becoming a psychotherapist. For this reason, this study aimed to reveal the reasons why therapists who received a psychiatric diagnosis during adolescence chose this profession and their relationship with the disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To explore this, semi-structured interviews were conducted with five female psychotherapists in Turkey who had a psychiatric diagnosis between the ages of 12 and 18 years and had at least a clinical master's degree and practical experience. Interpretative phenomenological analysis (IPA) was used in the research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Three superordinate themes and nine subthemes depending on these superordinate themes were created: the first theme, ‘Identity’, has three subthemes; the second theme, ‘Why I chose this profession and what I found’, has five subthemes; and the final theme, ‘Being a diagnostic psychotherapist’, has two subthemes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study suggests that incorporating therapists' personal experiences into supervision may contribute to improved professional skills, patient interactions and the overall effectiveness of therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapists' lived experiences of identifying with sensory processing sensitivity: A phenomenological inquiry","authors":"Elizabeth C. Roxburgh,&nbsp;Mel Wright-Bevans","doi":"10.1002/capr.12857","DOIUrl":"https://doi.org/10.1002/capr.12857","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study explored the lived experiences of therapists who self-identify as being highly sensitive persons (HSP), otherwise termed sensory processing sensitivity (SPS). SPS is an innate personality trait identified by deeper processing of information, overarousal, emotional intensity and sensory sensitivities (Aron &amp; Aron, 1997). Of particular interest in this study was how being both a therapist and a HSP impacts on participants' well-being and therapeutic work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with a purposive sample of 10 qualified therapists. There were nine females and one male, with ages ranging from 34 to 59 years, length of practice ranging from 2 to 15 years and length of time identifying as HSP ranging from 6 months to 12 years. Data were analysed using interpretative phenomenological analysis (Smith et al., 2022).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Two group experiential themes were derived which have implications for therapists' training, practice and supervision. Participants felt that their heightened sensitivity helped them to establish relational depth with clients quickly and that they had an intuitive understanding of the nuances of clients' issues, which was often an embodied experience. They also spoke about the importance of processing time and setting boundaries to avoid burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a need for increased awareness about SPS in counselling and psychotherapy training, supervision and practice. Future research may find it fruitful to explore whether SPS has an impact on therapeutic outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtue engagement in contemporary relational psychotherapy: A mixed methods practice-based study","authors":"Sarah A. Crabtree,&nbsp;Laura E. Captari,&nbsp;Kristen R. Hydinger,&nbsp;Peter J. Jankowski,&nbsp;Steven J. Sandage","doi":"10.1002/capr.12856","DOIUrl":"https://doi.org/10.1002/capr.12856","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Positive psychology and virtue ethics traditions suggest that virtue development is a pathway to well-being, but few studies have examined how psychotherapy in naturalistic settings contributes to clients' virtue engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study was conducted at a community mental health clinic specialising in contemporary relational psychotherapy (CRP) in the northeast United States. The embedded, explanatory mixed method design included (a) longitudinal mixture-modelling to identify clients showing gains in relational virtue engagement over time, and (b) interviewing a subsample (<i>N</i> = 15) of these clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our findings suggest that virtue engagement in CRP emerges (a) within the dynamic conditions of the alliance and (b) through holistic attunement to clients' identities, experiences, mental health and growth in capacities that promote wisdom and flourishing. Clinical and research implications and future research directions are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The modern role of paraprofessionals in delivering brief psychological interventions","authors":"Nicholas R. Morrison,&nbsp;Mu-Yin Chang,&nbsp;Alice Xie,&nbsp;Youngsuk Kim","doi":"10.1002/capr.12854","DOIUrl":"https://doi.org/10.1002/capr.12854","url":null,"abstract":"<p>The increasing global demand for mental health services, compounded by the COVID-19 pandemic, has spurred innovative approaches. Among these, the utilisation of paraprofessionals for delivering brief psychological interventions (BPIs) is gaining significant traction across diverse settings and populations. Paraprofessionals (individuals equipped with specialised mental health training but lacking formal qualifications) have emerged as a valuable resource. They have the potential to offer cost-effective, culturally sensitive and readily accessible support. The integration of paraprofessionals into various healthcare settings, such as inpatient psychiatric units and primary care clinics, underscores their potential to enhance holistic well-being and early intervention. This integration not only lightens the load on licensed therapists but also broadens access to services while reducing treatment costs. At a global scale, paraprofessionals, armed with local knowledge and community connections, play a pivotal role in improving mental health outcomes among underserved populations. Furthermore, the rise of telemental health, an increasingly crucial aspect of mental healthcare, presents new avenues for paraprofessionals to deliver psychological care. Despite their potential, paraprofessionals encounter challenges related to work-life balance, boundary-setting and the stigma attached to their roles. Their integration into healthcare systems requires clear roles and responsibilities, along with continuous support to ensure effective intervention and the well-being of both providers and recipients. Further research and development are necessary to harness their full potential and meet the increasing demand for accessible mental health services.</p>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Thanks, but no thanks’: The public's response to engagement with NHS Talking Therapies – a salutary tale?","authors":"Michael J. Scott","doi":"10.1002/capr.12852","DOIUrl":"https://doi.org/10.1002/capr.12852","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The English NHS Talking Therapies has been hailed as a world leader in demonstrating outcomes, generating 1.76 million referrals in the year 2022–2023, with a claimed 49.9% recovery rate, but there has been a dearth of independent evaluations. Importantly, there have been no published data on those who only attended one assessment/treatment session. This also applies to public services internationally. The issue of the acceptability of psychological treatment has not been addressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The user-friendliness of NHS Talking Therapies was examined, drawing on unpublished data revealed following a Freedom Of Information request response to the author in June 2024. These data are set alongside the service's published data to give a more comprehensive view of real-world outcomes and whether it should be a template for other countries to follow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Almost half (45%) do not complete treatment, and for completers, the results are no better than for placebo. The diagnostic status of almost a third (29.1%) who attend just one session is unknown. The numbers of people who attend one assessment/ treatment session is approximately half of those who attend two or more treatment sessions, but the ratio varies by disorder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>NHS Talking Therapies' engagement difficulties casts serious doubt on the service's claim to be a ‘world beater’. There is no evidence that NICE-compliant evidence-based psychological treatments have been delivered. While this model has been widely adopted in the UK, this should not be transferred to other service systems without contextualisation and evidence on whether/how some of its components could be implemented in those settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12852","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mentalising severe self-harm: A longitudinal single case study of an add-on AMBIT program","authors":"Stine Steen Høgenhaug,&nbsp;Marie Skaalum Bloch,&nbsp;Stefan Lock Jensen,&nbsp;Anne Vingaard Olesen,&nbsp;Gry Kjærsdam Telléus","doi":"10.1002/capr.12851","DOIUrl":"https://doi.org/10.1002/capr.12851","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mentalization-based treatment (MBT) has been proposed as a promising approach when treating patients suffering from borderline personality disorder (BPD) and severe self-harm. Though study findings on MBT for patients who self-harm are convincing, a meta-analysis showed mixed results, calling for further research and the development of treatment protocols (Gross et al., 2024).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to describe an add-on AMBIT intervention for adult patients suffering from severe self-harm. To demonstrate the add-on AMBIT’s potential, a descriptive longitudinal study design was facilitated and illustrated with a single case of a woman in her mid-twenties suffering from BPD and severe self-harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Multiple data sources were applied to show the longitudinal development of the patient one year before entering treatment, during treatment, and one year after treatment including calculation of number of hospitalized bed days, coercion episodes, and suicide attempts. Additionally, the Deliberate Self-Harm Inventory, the Affect Integration Inventory, the Inventory of Interpersonal Problems, the Hopkins Symptom Checklist, and the WHO’s Quality of Life questionnaire were measured every third month during a 2-year treatment period to examine trajectories of change across time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results revealed significant improvements on all measured parameters including a reduction in the patient’s number of bed days (from 166 to 0), hospitalizations (from 4 to 0), coercion episodes (from 22 to 0), and suicide attempts (from 2 to 0). Furthermore, measures during the treatment period showed reduced self-harm, decreased symptomatology, increased affect integration, better interpersonal functionality, and improved everyday functioning. Measures 1 year after treatment suggested lasting effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The potential of the add-on AMBIT intervention is discussed, including limitations and future research recommendations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do therapists in the UK navigate the issue of loneliness when working with destitute asylum seekers? A focus group using reflexive thematic analysis","authors":"Elmira Gerayeli,&nbsp;Alex Kyriakopoulos","doi":"10.1002/capr.12840","DOIUrl":"https://doi.org/10.1002/capr.12840","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This research study explores how therapists in the United Kingdom (UK) navigate the issue of loneliness when working with destitute asylum seekers (DAS). Loneliness and social isolation have adverse effects on the mental and physical health of individuals, and migrants, including asylum seekers and refugees, are particularly vulnerable to these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study aimed to provide valuable insights into the strategies employed by therapists to address loneliness in this specific population and may contribute to the development of effective interventions and programmes in mental health services for asylum seekers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Braun and Clarke's reflexive thematic analysis of focus group data revealed two main themes: (1) perceived factors that impact loneliness and (2) therapeutic strategies for alleviating loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This paper concludes with a discussion of the findings of this study and provides recommendations for future research directions, aiming to further enhance our understanding and support for DAS in addressing loneliness and to continue improving mental health services for this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12840","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative report on metacognitive training (MCT) for people with schizophrenia","authors":"Vanessa Acuña,&nbsp;María Guerra,&nbsp;Orlando Toledo,&nbsp;Matías Cobaisse,&nbsp;Javier Silva,&nbsp;Álvaro Cavieres","doi":"10.1002/capr.12846","DOIUrl":"https://doi.org/10.1002/capr.12846","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Metacognitive training (MCT) for psychosis is a psychological intervention that blends cognitive behavioural therapy and psychoeducation. Several published systematic reviews and meta-analyses have provided robust evidence of its efficacy. However, patients' opinions regarding the intervention or their own perception of the changes achieved have been overlooked. This study synthesises the first-person reports of people with schizophrenia who completed MCT at the Hospital Del Salvador de Valparaiso.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a qualitative methodology. Semi-structured interviews were conducted with patients who completed MCT. The interviews were reliably transcribed, and a content analysis was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All the participants interviewed were positive about MCT, highlighting improvements in various aspects and emphasising factors that contributed to the changes achieved. Four main themes emerged from the analysis: <i>Sowing the seeds of doubt</i>; <i>Significant changes in MCT attendees</i>; <i>Community formation;</i> and <i>What the MCT needs to improve</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results provide an in-depth report on MCT from the users' perspective and allow reflection on new outcomes to be studied in the future, with quantitative and qualitative methods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12846","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}