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Title: Experiences of receiving cognitive behavioural therapy in the Bangladeshi community : a qualitative exploration of clients' accounts
Author: Khanom, Shomsi
ISNI:       0000 0004 2701 0591
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2009
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This thesis was undertaken to consider Bangladeshi peoples 'subjective' experience of receiving CBT for emotional difficulties. CBT is proposed as an effective treatment for common mental health difficulties. However, there appeared to be little systematic research on how people of a non-Western background experience this kind of therapy. Therefore, the aims of this research were to look in-depth at how people of Bangladeshi background experience such therapy. This was particularly important, in light of current debates taking place following Lord Layard's speech for CBT to be readily available to the unemployed, which implicitly include the Bangladeshi population as there are high unemployment rates in the community. This qualitative study adopted Interpretative Phenomenological Analysis (IPA) to explore Bangladeshi people's accounts, paying attention to their understanding of why they were being referred and what they found to be helpful and unhelpful about receiving CBT. Eight participants were involved in this study. The themes identified by the Interpretative Phenomenological Analysis included, causes of problems, there appeared to be differences in the way in which Bangladeshi participants understood their problem (externally located) and the way therapists explained their problems as being located within them (internally). Perceptions of therapy was another theme identified by the IPA, this included participants experience of doctors as experts and decision makers. Participants' were unfamiliar with the concept of one-to-one therapy. CBT was seen as a resource, providing some skills in management. However, interestingly the non-specific therapeutic factors such as sense of therapist as interested and valuing sameness linguistic ease were more salient for participants than CBT specific factors. The negative aspects of the wider mental health care system included psychotherapy being offered as a last resort and stigma to family members. The theme of poor fit with cultural experience reflects participants difficulties in applying ideas of therapy into practice in their every day lives. The findings and clinical implication will be discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available