Small, C., Pistrang, N., Huddy, V. orcid.org/0000-0002-0567-8166 et al. (1 more author) (2018) Individual psychological therapy in an acute inpatient setting : service user and psychologist perspectives. Psychology and Psychotherapy: Theory, Research and Practice, 91 (4). pp. 417-433. ISSN 1476-0835
Abstract
Objectives
The acute inpatient setting poses potential challenges to delivering one‐to‐one psychological therapy; however, there is little research on the experiences of both receiving and delivering therapies in this environment. This qualitative study aimed to explore service users’ and psychologists’ experiences of undertaking individual therapy in acute inpatient units. It focused on the relationship between service users and psychologists, what service users found helpful or unhelpful, and how psychologists attempted to overcome any challenges in delivering therapy.
Design
The study used a qualitative, interview‐based design.
Methods
Eight service users and the six psychologists they worked with were recruited from four acute inpatient wards. They participated in individual semi‐structured interviews eliciting their perspectives on the therapy. Service users’ and psychologists’ transcripts were analysed together using Braun and Clarke's (2006, Qualitative Research in Psychology, 3, 77) method of thematic analysis.
Results
The accounts highlighted the importance of forming a ‘human’ relationship – particularly within the context of the inpatient environment – as a basis for therapeutic work. Psychological therapy provided valued opportunities for meaning‐making. To overcome the challenges of acute mental health crisis and environmental constraints, psychologists needed to work flexibly and creatively; the therapeutic work also extended to the wider context of the inpatient unit, in efforts to promote a shared understanding of service users’ difficulties.
Conclusions
Therapeutic relationships between service users and clinicians need to be promoted more broadly within acute inpatient care. Psychological formulation can help both service users and ward staff in understanding crisis and working collaboratively. Practice‐based evidence is needed to demonstrate the effectiveness of adapted psychological therapy models.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 The British Psychological Society. This is the peer reviewed version of the following article: Small, C. , Pistrang, N. , Huddy, V. and Williams, C. (2018), Individual psychological therapy in an acute inpatient setting: Service user and psychologist perspectives. Psychol Psychother Theory Res Pract, 91: 417-433, which has been published in final form at https://doi.org/10.1111/papt.12169. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
Keywords: | acute inpatient; individual therapy; inpatient; psychological therapy; qualitative; Adult; Attitude of Health Personnel; Female; Hospitals, Psychiatric; Humans; Inpatients; Interviews as Topic; London; Male; Mental Disorders; Mental Health Services; Middle Aged; Physician-Patient Relations; Psychotherapy; Qualitative Research; Young Adult |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Jul 2019 11:02 |
Last Modified: | 04 Jul 2019 11:06 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/papt.12169 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:147804 |