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Title: Clients' experiences of CBT : meta-synthesis exploring experience and a narrative analysis of maintaining change
Author: Carr, Sharon M.
Awarding Body: Lancaster University
Current Institution: Lancaster University
Date of Award: 2012
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This thesis explored clients' experiences of CBT for various psychological difficulties. Limited research has explored and integrated clients' views of psychotherapy into the knowledge-base, particularly within CBT literature. The literature review focused on interpreting and integrating the findings from qualitative studies that have explored clients' views ofCBT. A meta-synthesis was completed of nine qualitative studies. Four themes emerged: "Excited and absorbed"; "Accessing and acquiring knowledge"; "Understanding, holding and engaging with the therapist's model of reality"; and "Awareness of one's self-agency and responsibility as a change agent". The findings offered a description of the stages clients move through in CBT and highlighted difficulties associated with each stage. The research paper qualitatively explored clients' views of what helped them to maintain changes made following CBT in the long-term. A narrative approach was adopted to allow participants' to describe their journey through therapy, and the factors that helped them to maintain their changes. The composite story that was created consisted of a prologue, three chapters, and an epilogue: "You just get to the point, you think 'what's wrong with me?"; "I made a decision to go 'right, I'm committing to this now"; "Whilst I'm working away ... I just remember things that she said"; "I still have problems, but they're not, y'know, devastating"; and "If I did start becoming ill again, I mean I'm sure I wouldn't, but if! did ... ". Factors that helped participants to maintain changes included internalising and applying specific CBT strategies automatically, becoming aware of their self-agency for making changes, and embedding the changes made within their identities. Finally, the critical review discussed my journey through the research process and the issues that became prominent. This was presented as five chapters: beginning the project; recruitment; research interviews; analysis; and dissemination and implications of the findings.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available