Engagement in psychoeducational family interventions for psychoses
James, Carolyn Mary (2003) Engagement in psychoeducational family interventions for psychoses. DClinPsych thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b1667199~S15
The aim of this study was to examine relationship and process issues in
psychoeducational family interventions in psychosis with particular reference to
engagement. A review of the literature in this field demonstrated that whilst
such approaches are beneficial in reducing relapse and readmission rates, the
implementation of family work into routine clinical practice remains problematic.
It was argued that research addressing therapist and client factors and the
process of therapy may assist in understanding implementation issues. Six
papers examining family and client factors were discussed. The majority of the
studies were quantitative and focussed on family factors. The literature
demonstrated that family factors were important in engagement and the
process of therapy. However, there appeared to be an absence of studies
addressing therapist factors, in addition to the dominance of quantitative
methods. It was argued that further research should address these issues.
The first study in this thesis was a questionnaire survey relating to therapist
assessment of engagement. Results suggested that therapists were able to
identify signs of engagement as changing over time. The relative importance of
the signs was also reported. The findings and the low response rate were
discussed. The second study used qualitative methods to examine
engagement in behavioural family therapy (BFT). Participants were workers
trained in the approach and families who had engaged in the therapy. Data
collected by semi-structured interview were analysed using a grounded theory
approach. A model depicting the therapists’ experience of engagement
emerged from the data. The core category of “humanity” and other categories
were described. The implications of the model for research, theory and practice
were suggested. The final paper in the thesis discusses the impact of the
research process on the researcher.
|Item Type:||Thesis or Dissertation (DClinPsych)|
|Subjects:||R Medicine > RC Internal medicine|
|Library of Congress Subject Headings (LCSH):||Psychoses -- Treatment, Family psychotherapy, Mentally ill -- Family relationships, Behavior therapy|
|Official Date:||May 2003|
|Institution:||University of Warwick|
|Theses Department:||Department of Psychology|
|Supervisor(s)/Advisor:||Cushway, Delia ; Fadden, Gráinne|
This is an abridged version for electronic use; please see the official URL for details on how to access the full version. Completed in conjunction with Coventry University. School of Health and Social Sciences.
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