ResearchPad - qualitative-paper Default RSS Feed en-us © 2020 Newgen KnowledgeWorks <![CDATA[‘Like a human being, I was an equal, I wasn't just a patient’: Service users’ perspectives on their experiences of relationships with staff in mental health services]]> The quality of therapeutic relationships in psychiatric services has a significant impact upon the therapeutic outcomes for people diagnosed with a severe mental illness. As previous work has not explicitly explored service users’ in‐depth views about the emotional impact of these relationships, the objective of this work was to bring this perspective to the fore and to gain a greater understanding about which relational components can lead to psychological change.DesignThe project was conducted alongside a service user organization. An interview design was used to qualitatively explore service users’ experiences and perceptions of their relationships with mental health practitioners.MethodsEight individuals who had experience of the mental health system in the United Kingdom were interviewed. Interpretative phenomenological analysis was used to analyse the data.FindingsThree superordinate themes emerged from the analysis. These were (1) Trying to survive: am I a person or just an object in the system?; (2) Traumatic experiences within relationships; and (3) Helpful and transformative relationships. Further, the key transformative components of these relationships were power, safety, and identity.ConclusionsMental health services should be more focused upon care, rather than control. The Power Safety Identity (PSI) model, a reflexive model based upon key relational components highlighted by participants, is proposed for services and professionals to consider their work. The components of this model are managed by mental health practitioners and can determine whether these relationships maintain, increase, or alleviate psychological distress.Practitioner points Awareness of the relational components of power, safety, and identity has the potential to help practitioners reflect upon the tensions they experience in their relationships with service users.Mental health services and professionals that are sensitive to issues related to power, safety, and identity when responding to the needs of the service users can improve how individuals perceive the quality of care provided by them.Relationships between service users and mental health practitioners can encourage recovery if they are consistent, safe, trusting, provide protective power, and mirror a positive sense of self. ]]> <![CDATA[The therapeutic relationship in Cognitive Behaviour Therapy with depressed adolescents: A qualitative study of good‐outcome cases]]> This paper aimed to explore client experiences of the therapeutic relationship among adolescents with good outcomes after receiving Cognitive Behaviour Therapy (CBT) for moderate to severe depression.DesignThis was a qualitative study employing Interpretative Phenomenological Analysis (IPA).MethodsAs part of a randomized clinical trial, 77 adolescents with moderate to severe depression were interviewed using a semi‐structured interview, which was audio‐recorded. Five of these interviews, with adolescents aged 14–18 years who completed CBT and had good outcomes, were purposively sampled and analysed using IPA.ResultsThe findings indicated that a positive therapeutic relationship was fostered with therapists who respected the adolescents’ autonomy and sense of individuality, while offering experiences of emotional closeness and connection. This was achieved by balancing the dual roles of being ‘friendly’ and affable, with being a ‘professional expert’ thereby embodying a collaborative and egalitarian approach.ConclusionsThe therapeutic relationship in CBT can help to motivate adolescents to engage with cognitively and emotionally challenging tasks. By providing an understanding of what helps and hinders the development of a positive therapeutic relationship, the current findings offer important insight into how therapists can foster positive relationships with depressed adolescents. This knowledge will make it more likely that adolescents will engage in the treatment process and in turn experience greater therapeutic gains.Practitioner points Offers a detailed phenomenological analysis of what fostered a positive therapeutic relationship in good outcome CBT, and what was experienced as harmful from the adolescents’ perspective.Provides support that the therapeutic relationship is crucial in CBT; a respectful and understanding relationship provides a platform for the adolescent to carry out CBT activities and tasks. ]]> <![CDATA[Discussing age-related functional decline in family medicine: a qualitative study that explores both patient and physician perceptions]]> ]]>