Reconsidering perfect: a qualitative study of the experiences of internet-based cognitive behaviour therapy for perfectionism

2020 ◽  
Vol 48 (4) ◽  
pp. 432-441
Author(s):  
Alexander Rozental ◽  
Radha Kothari ◽  
Tracey Wade ◽  
Sarah Egan ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Qualitative Study ◽  
Psychiatric Disorders ◽  
Interpersonal Relationships ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Comprehensive Treatment ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Positive Results

AbstractBackground:Internet-based cognitive behaviour therapy (ICBT) is a promising format for treating different psychiatric disorders. In addition, several clinical trials have found positive results when using it to target transdiagnostic processes, such as perfectionism. However, few qualitative investigations have been conducted on the experiences of clients undergoing such treatments.Method:In the current study, clients completing 12-week guided ICBT for perfectionism responded to open-ended questions at post-treatment. In total, 30 out of 62 (48.4%) described their impressions of its content and the support provided by their guide.Results:The results were analysed qualitatively using thematic analysis. Five themes were found in the responses: Learning how to do things differently, Noticing the positives, Feeling safe to be honest, A comfortable treatment format and Barriers to treatment.Conclusions:The results suggest that many clients were able to achieve a change in perspective in relation to their perfectionism and started facing their fears. They were also able to report the benefits of doing things differently as part of treatment, such as an improvement in their interpersonal relationships. Most clients were also positive about the treatment format, enjoying its flexibility and the encouragement offered by their therapist. However, obstacles such as conflicting commitments, personal difficulties, time-consuming and comprehensive treatment modules, and a desire for more support were brought up by some, suggesting that there are aspects that could be considered in the future.

How does supervision aid cognitive behaviour therapy skill development? Perspectives of CBT trainees: a thematic analysis

2020 ◽  
Vol 13 ◽  
Author(s):  
Stephanie Murr ◽  
Leeanne Nicklas ◽  
Sean Harper
Keyword(s):  
Clinical Supervision ◽  
Negative Feedback ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Skill Development ◽  
List Type ◽  
Negative Consequences ◽  
Behaviour Therapy ◽  
Theory To Practice ◽  
Cognitive Behaviour

Abstract Eleven cognitive behaviour therapy (CBT) trainees in Scotland were interviewed regarding their experiences of clinical supervision and its impact on their skill development. Using thematic analysis, the authors developed four main themes: Linking Theory to Practice, Mirroring CBT in Supervision, The Expert Supervisor, and Trainees’ Reluctance to Give Negative Feedback. Clinical supervision was essential in helping trainees to link theory to practice; particularly through audio recordings, discussing formulations, and modelling and role-play. A CBT-specific approach to supervision and a CBT expert supervisor were also identified as valuable to learning. Trainees were reluctant to give negative feedback to supervisors, fearing negative consequences. The findings inform supervision practice. Key learning aims Readers of this paper will be able to: (1) Describe trainees’ most valued elements of CBT supervision. (2) Determine key learning methods in CBT supervision. (3) Explain the value of modality specific CBT supervision. (4) Articulate the context of supervision in CBT training and consider mutual feedback as a method to address identified challenges.

Cognitive behaviour therapy for depressive disorders

2012 ◽  
pp. 1304-1313 ◽  
Author(s):  
Melanie J. V. Fennell
Keyword(s):  
Mental Illness ◽  
Personality Disorder ◽  
Severe Mental Illness ◽  
Effective Treatment ◽  
Psychiatric Disorders ◽  
Cognitive Behaviour Therapy ◽  
Depressive Disorders ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

This chapter describes A.T. Beck's cognitive behaviour therapy (CBT) for depression. Beck's is probably the most fully developed, comprehensively evaluated, and widely disseminated cognitive behavioural approach to depression. Additionally, CBT is an effective treatment for a range of acute psychiatric disorders, shows promise for severe mental illness and personality disorder, and is thus helpful not only with primary depression, but also with a range of comorbid conditions.

Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis

2014 ◽  
Vol 43 (4) ◽  
pp. 490-501 ◽  
Author(s):  
Caroline Lawlor ◽  
Katherine Hall ◽  
Lyn Ellett
Keyword(s):  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Structured Interview ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Psychotic Experience ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Therapy Sessions

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.

scholarly journals Long-term outcome of cognitive behaviour therapy clinical trials in central Scotland

2005 ◽  
Vol 9 (42) ◽  
Author(s):  
R Durham ◽  
J Chambers ◽  
K Power ◽  
D Sharp ◽  
R Macdonald ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cognitive Behaviour

MINDFULNESS BASED INTERVENTIONS (MBIS) IN PSYCHIATRY – A BIRD'S EYE VIEW FROM THE FIRST DECADES OF THE 21ST CENTURY.

2021 ◽  
pp. 11-13
Author(s):  
Krishnan Sivasubramoney
Keyword(s):  
Interpersonal Relationships ◽  
21St Century ◽  
Stress Reduction ◽  
Cognitive Behaviour Therapy ◽  
Present Moment ◽  
Attention And Memory ◽  
Behaviour Therapy ◽  
Life Management ◽  
Cognitive Behaviour ◽  
The World

Psychiatry of the 21st century is also characterized by ramication into various specialized branches. Revolutions in the areas of psychopharmacology, psychotherapies and social therapies have become a routine in the eld of psychiatry. Mindfulness is one concept spanning across the bio-psycho-social realms which continues to be a topic of current interest both for the professionals as well as the lay public since more than 5 decades. Two of the most common among them are Mindfulness Based Stress Reduction, a stress management model by Jon Kabat Zinn and Mindfulness Based Cognitive Therapy , a mindfulness based model devised to prevent the relapse of depression6, by John Teasdale, Mark Williams and Zindel Segal. Several countries in the world have their own MBIs like Mindfulness Integrated Cognitive Behaviour therapy by Bruno Cayoun8. India also has its own share of MBIs in the form of Mindful Life Management 9 and Mindfulness Unied Cognitive Behaviour Therapy 10 developed by the author, though research evidences are only getting accumulated. MBIs aim to enhance greater attention to and awareness of present moment experience12. MBIs have been found to be of use in realms of health, cognitive, affective and interpersonal relationships. Various other factors related to MBIs like psychological and neurobiological mechanisms and potential risks also have been studied by several authors. Neurobiological effects of MBIs have been reported as functional and structural alterations in grey and white matter, especially in areas related to attention and memory, interoception and sensory processing, or self- and auto-regulation of stress and emotions. Amidst all these researches happening in different parts of the world, India didn't have any structured MBIs of its own till the end of the rst decade of 21st century, until the development of Mindful Life Management and Mindfulness Unied Cognitive Behavior Therapy by the author. This article covers the work being done by mindfulness researchers during the rst two decades of the 21st century

Sign in / Sign up

Export Citation Format

Share Document