The University of Southampton
University of Southampton Institutional Repository

Exploring therapeutic endings and the role of therapeutic relationships in promoting recovery for secure inpatients; an interpretative phenomenological analysis study and a systematic review and narrative synthesis

Exploring therapeutic endings and the role of therapeutic relationships in promoting recovery for secure inpatients; an interpretative phenomenological analysis study and a systematic review and narrative synthesis
Exploring therapeutic endings and the role of therapeutic relationships in promoting recovery for secure inpatients; an interpretative phenomenological analysis study and a systematic review and narrative synthesis
Research suggests that Therapeutic Relationships (TRs) are important across disciplines and can improve outcomes. This is also true for secure care, where there is an increased risk of attachment difficulties and experience of trauma. Yet there is little research on the role of TRs in promoting recovery. Secure inpatients may also experience several therapeutic endings, such as ending therapy, moving wards, staff leaving or a change in care team. Given the importance of TRs and the attachment difficulties experienced by secure inpatients, and the volume of endings experienced, it is important to understand the experience of therapeutic endings for this population.
Chapter 1 is a systematic review of the qualitative literature around patient perspectives of recovery and TRs in secure care, to understand the role of TRs in promoting recovery. 11 papers were quality assessed and analyzed using thematic synthesis. This produced two overarching themes of Promoters, highlighting how positive TRs can promote recovery and Barriers, highlighting how difficult TRs can become a barrier to recovery. Results aligned with previous reviews regarding recovery in secure care.
Chapter 2 is an empirical paper exploring low secure inpatient experiences of therapeutic endings, using Interpretative Phenomenological Analysis (IPA). Three Group Experiential Themes were identified from an IPA of interviews with eight participants: The Flow of Power, Endings Through Time and Coming to Terms with the Loss of Connection.
Results of both chapters are discussed in line with the current literature and clinical implications, strengths and limitations, and directions for future research are considered.
University of Southampton
Collingwood, Sophie Rose
6a43f836-e877-4c36-bcdd-49ceed1a3f5d
Collingwood, Sophie Rose
6a43f836-e877-4c36-bcdd-49ceed1a3f5d
Lawrence, Pete
0d45e107-38ef-4932-aec1-504573de01ef
Hodgkinson, Melanie
72964a09-0d9c-4941-91ee-a37d33a81d7b
Clarke, Caroline
5acff001-301b-49a6-9c87-a03721566c32
Mulhern, Niamh
12d1925b-896c-43e5-adb9-5daad10a9ed1

Collingwood, Sophie Rose (2024) Exploring therapeutic endings and the role of therapeutic relationships in promoting recovery for secure inpatients; an interpretative phenomenological analysis study and a systematic review and narrative synthesis. University of Southampton, Doctoral Thesis, 145pp.

Record type: Thesis (Doctoral)

Abstract

Research suggests that Therapeutic Relationships (TRs) are important across disciplines and can improve outcomes. This is also true for secure care, where there is an increased risk of attachment difficulties and experience of trauma. Yet there is little research on the role of TRs in promoting recovery. Secure inpatients may also experience several therapeutic endings, such as ending therapy, moving wards, staff leaving or a change in care team. Given the importance of TRs and the attachment difficulties experienced by secure inpatients, and the volume of endings experienced, it is important to understand the experience of therapeutic endings for this population.
Chapter 1 is a systematic review of the qualitative literature around patient perspectives of recovery and TRs in secure care, to understand the role of TRs in promoting recovery. 11 papers were quality assessed and analyzed using thematic synthesis. This produced two overarching themes of Promoters, highlighting how positive TRs can promote recovery and Barriers, highlighting how difficult TRs can become a barrier to recovery. Results aligned with previous reviews regarding recovery in secure care.
Chapter 2 is an empirical paper exploring low secure inpatient experiences of therapeutic endings, using Interpretative Phenomenological Analysis (IPA). Three Group Experiential Themes were identified from an IPA of interviews with eight participants: The Flow of Power, Endings Through Time and Coming to Terms with the Loss of Connection.
Results of both chapters are discussed in line with the current literature and clinical implications, strengths and limitations, and directions for future research are considered.

Text
Exploring Therapeutic Endings and the Role of Therapeutic Relationships in Promoting Recovery for Secure Inpatients; an Interpretative Phenomenological Analysis Study and a Systematic Review and Narrative Synthesis. - Version of Record
Available under License University of Southampton Thesis Licence.
Download (1MB)
Text
Final-thesis-submission-Examination-Miss-Sophie-Collingwood
Restricted to Repository staff only

More information

Submitted date: 23 August 2024

Identifiers

Local EPrints ID: 493228
URI: http://eprints.soton.ac.uk/id/eprint/493228
PURE UUID: b762d2b8-e2e3-469a-9d52-e46ca4435f1b
ORCID for Pete Lawrence: ORCID iD orcid.org/0000-0001-6181-433X

Catalogue record

Date deposited: 28 Aug 2024 16:51
Last modified: 29 Aug 2024 01:46

Export record

Contributors

Author: Sophie Rose Collingwood
Thesis advisor: Pete Lawrence ORCID iD
Thesis advisor: Melanie Hodgkinson
Thesis advisor: Caroline Clarke
Thesis advisor: Niamh Mulhern

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×