Abstract
This study aimed to gain an understanding of the aspects of trauma-focused cognitive behavioural therapy (Trauma-Focused-CBT) for post-traumatic stress disorder (PTSD) that service-users find important in contributing to their improvement. Nine people (5 females and 4 males, mean age 53 years old who had received on average 12 sessions of Trauma-Focused-CBT) who reported a significant reduction in their symptoms following treatment of PTSD took part in semi-structured interviews. Interpretative phenomenological analysis identified five themes: Living with Symptoms before Therapy; Feeling Ready for Therapy; Being Involved; Bringing About Therapeutic Change; and Life After Therapy. This study contributes towards a clearer understanding of the aspects of the Trauma-Focused-CBT process that service-users found important in aiding their improvement. In particular, it highlights the central role that participants attributed to their own involvement in the therapeutic process and how much they valued this. Limitations and future directions are discussed.
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Notes
The Trauma-Focused-CBT sessions were run as individual sessions. However, partners and family members were allowed to sit in on any of the sessions if requested by the client.
References
Beck, J., & Coffey, S. (2005). Group cognitive behavioural treatment for PTSD: Treatment of motor vehicle accident survivors. Cognitive and Behavioural Practice, 12, 267–277.
Bevan, A., Oldfield, V. B., & Salkovskis, P. M. (2010). A qualitative study of the acceptability of an intensive format for the delivery of CBT for obsessive–compulsive disorder. British Journal of Clinical Psychology, 49, 173–191.
Borrill, J., & Foreman, E. (1996). Understanding cognitive change: A qualitative study of the impact of cognitive—behavioural therapy on fear of flying. Clinical Psychology and Psychotherapy, 3(1), 62–74.
Chadwick, P. D., Birchwood, M. H. J., & Trower, P. (1996). Cognitive therapy for delusions, voices and paranoia. Chichester: Wiley.
Clarke, H., Rees, A., & Hardy, G. (2004). The big idea: Clients’ perspectives of change processes in cognitive therapy. Psychology and Psychotherapy; Theory, Research and Practice, 77, 67–89.
Dunn, H., Morrison, A., & Bentall, R. (2002). Patients’ experiences of homework tasks in cognitive behavioural therapy for psychosis; a qualitative analysis. Clinical Psychology and Psychotherapy, 9, 361–369.
Ehlers, A., & Clark, D. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.
Ehlers, A., Gene-Cos, N., & Perrin, S. (2009). Low recognition of post-traumatic stress disorder in primary care. London Journal of Primary Care, 2, 36–42.
Forbes, D., Creamer, M., & Biddle, D. (2001). The validity of the PTSD checklist as a measure of symptomatic change in combat-related PTSD. Behaviour Research and Therapy, 39(8), 977–986.
Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G., et al. (2007). Australian guidelines for the treatment of adults with acute stress disorder and post traumatic stress disorder. Australian and New Zealand Journal of Psychiatry, 41, 637–648.
Gordan, N. (2000). Researching psychotherapies, the importance of the client’s view: A methodological challenge. The Qualitative Report, 4(3), 1–17.
Hansson, L., Björkman, T., & Berglund, I. (1993). What is important in psychiatric inpatient care? Quality of care from the patient’s perspective. Quality Assurance Health Care, 5, 41–47.
Kinderman, P., Setzu, E., Lobban, F., & Salmon, P. (2006). Illness beliefs in schizophrenia. Social Science and Medicine, 63, 1900–1911.
Klein, M. J., & Elliott, J. (2006). Client accounts of personal change in process-experiential psychotherapy: A methodologically pluralistic approach. Psychotherapy Research, 16, 91–105.
Kubany, E. S., Hill, E. E., Owens, J. A., Iannce-Spencer, C., McCaig, M. A., Tremayne, K. J., et al. (2004). Cognitive trauma therapy for battered women with PTSD (CTT-BW). Journal of Consulting and clinical Psychology, 72(1), 3–18.
Laberg, S., Tornkvist, A., & Anderson, G. (2001). Experiences of patients in cognitive behavioural group therapy: A qualitative study of eating disorders. Scandinavian Journal of Behaviour Therapy, 30(4), 161–178.
McGowan, J., Lavender, T., & Garety, P. (2005). Factors in outcome of cognitive-behavioural therapy for psychosis: Users’ and clinicians’ views. Psychology and Psychotherapy: Theory, Research and Practice, 78, 513–529.
Messari, S., & Hallam, R. (2003). CBT for psychosis: A qualitative analysis of clients’ experiences. British Journal of Clinical Psychology, 42, 171–188.
National Institute of Clinical Excellence. (2005). PTSD: The management of PTSD in adults and children in primary and secondary care. London; NICE. Clinical guideline 26.
Rennie, D. L. (1994). Clients’ deference in psychotherapy. Special section; Qualitative research in counselling process and outcome. Journal of Counselling Psychology, 41(4), 427–437.
Rossberg, J. I. (2004). Patients’ and staffs’ perceptions of the psychiatric ward environment. Psychiatric Services, 7, 798–803.
Smith, J. A. (1996a). Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology. Psychology and Health, 11, 261–271.
Smith, J. A. (1996b). Qualitative methodology: Analysing participants’ perspectives. Current Opinion in Psychiatry, 9, 417–421.
Smith, J. A., & Osborn, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods. London: Sage.
Smith, J. A., & Osborn, M. (2008). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to methods (2nd ed.). London: Sage.
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Lowe, C., Murray, C. Adult Service-Users’ Experiences of Trauma-Focused Cognitive Behavioural Therapy. J Contemp Psychother 44, 223–231 (2014). https://doi.org/10.1007/s10879-014-9272-1
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DOI: https://doi.org/10.1007/s10879-014-9272-1