Formulating psychosis: a thematic analysis of CBTp trainees’ experiences
Formulating psychosis: a thematic analysis of CBTp trainees’ experiences
The NICE guidance states that cognitive behavioural therapy (CBT) should now be offered to everyone with psychosis in the UK. This has rightly resulted in an increased demand for adherent therapy from qualified clinicians. Individualised formulation is a key component of CBT for psychosis, yet many trainees struggle to make sense of and apply the theoretical models on which these are based. This study explored trainee and recently qualified therapists' experience of formulating CBT for psychosis, to help us understand how best to guide training and clinical practice. We ran focus groups with trainees who were completing, or had recently completed, postgraduate training in CBT for psychosis. We then analysed verbatim transcripts of the semi-structured interviews. and completed a thematic analysis of the data using inductive open coding. Three over-arching themes were generated: (1) purpose of formulation, (2) formulation in practice, and (3) (reflection on) learning to formulate. Training programmes and clinical supervisors should focus on fostering trainees' and newly qualified therapists' ability to develop simple, targeted formulations. These will draw on maintenance and developmental models of psychosis, depending on the person's needs and goals. Opportunities for procedural learning are likely to improve skilful formulation, and use as the basis for therapeutic change.
CBT for psychosis, formulation, training
Newman-Taylor, Katherine
e090b9da-6ede-45d5-8a56-2e86c2dafef7
Wood, Rachael
312c2bdf-5ad8-4449-bb18-5cb3abe8ff1d
Ellis, Abigail
84d6fdfb-011e-460e-b3b5-999489b2306f
Isham, Louise
19182a7b-175d-4f68-83b7-e17a6236799f
1 December 2022
Newman-Taylor, Katherine
e090b9da-6ede-45d5-8a56-2e86c2dafef7
Wood, Rachael
312c2bdf-5ad8-4449-bb18-5cb3abe8ff1d
Ellis, Abigail
84d6fdfb-011e-460e-b3b5-999489b2306f
Isham, Louise
19182a7b-175d-4f68-83b7-e17a6236799f
Newman-Taylor, Katherine, Wood, Rachael, Ellis, Abigail and Isham, Louise
(2022)
Formulating psychosis: a thematic analysis of CBTp trainees’ experiences.
The Cognitive Behaviour Therapist, 15, [e54].
(doi:10.1017/S1754470X22000459).
Abstract
The NICE guidance states that cognitive behavioural therapy (CBT) should now be offered to everyone with psychosis in the UK. This has rightly resulted in an increased demand for adherent therapy from qualified clinicians. Individualised formulation is a key component of CBT for psychosis, yet many trainees struggle to make sense of and apply the theoretical models on which these are based. This study explored trainee and recently qualified therapists' experience of formulating CBT for psychosis, to help us understand how best to guide training and clinical practice. We ran focus groups with trainees who were completing, or had recently completed, postgraduate training in CBT for psychosis. We then analysed verbatim transcripts of the semi-structured interviews. and completed a thematic analysis of the data using inductive open coding. Three over-arching themes were generated: (1) purpose of formulation, (2) formulation in practice, and (3) (reflection on) learning to formulate. Training programmes and clinical supervisors should focus on fostering trainees' and newly qualified therapists' ability to develop simple, targeted formulations. These will draw on maintenance and developmental models of psychosis, depending on the person's needs and goals. Opportunities for procedural learning are likely to improve skilful formulation, and use as the basis for therapeutic change.
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Formulating psychosis - for tCBT - blind msv3 - accepted ms
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formulating-psychosis-a-thematic-analysis-of-cbtp-trainees-experiences
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e-pub ahead of print date: 1 December 2022
Published date: 1 December 2022
Additional Information:
Funding Information:
We thank our CBT trainees who help us understand how better to teach and supervise CBT for psychosis. We would also like to thank Micha Exton and Rosemole Vinny who drew on this data for their MSc projects and raised interesting questions in supervision. This research received no specific grant from any funding agency, commercial or not-for-profit sectors.
Publisher Copyright:
© The Author(s), 2022.
Keywords:
CBT for psychosis, formulation, training
Identifiers
Local EPrints ID: 473190
URI: http://eprints.soton.ac.uk/id/eprint/473190
ISSN: 1754-470X
PURE UUID: 03f742cf-4c22-46ed-90cd-43dafb7f44f2
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Date deposited: 11 Jan 2023 17:58
Last modified: 17 Mar 2024 03:59
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Author:
Rachael Wood
Author:
Abigail Ellis
Author:
Louise Isham
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