Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis
Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis
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.
490-501
Lawlor, Caroline
6e6b2082-a99a-4ba0-b89d-d899bb842f02
Hall, Katherine
c1dd13d0-1d31-48c8-b450-a33172166a00
Ellett, Lyn
96482ea6-04b6-4a50-a7ec-ae0a3abc20ca
July 2015
Lawlor, Caroline
6e6b2082-a99a-4ba0-b89d-d899bb842f02
Hall, Katherine
c1dd13d0-1d31-48c8-b450-a33172166a00
Ellett, Lyn
96482ea6-04b6-4a50-a7ec-ae0a3abc20ca
Lawlor, Caroline, Hall, Katherine and Ellett, Lyn
(2015)
Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis.
Behavioural and Cognitive Psychotherapy, 43 (4), .
(doi:10.1017/S1352465814000071).
Abstract
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.
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e-pub ahead of print date: 11 March 2014
Published date: July 2015
Identifiers
Local EPrints ID: 453483
URI: http://eprints.soton.ac.uk/id/eprint/453483
ISSN: 1352-4658
PURE UUID: 2a7897f4-5331-4f2a-a20c-4ebffdd71210
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Date deposited: 18 Jan 2022 17:38
Last modified: 17 Mar 2024 04:10
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Author:
Caroline Lawlor
Author:
Katherine Hall
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