Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.817696
Title: A qualitative investigation of the therapeutic relationship in the facilitation of empowerment in psychological therapy for adults with learning disabilities
Author: Alonso, Phoebe
ISNI:       0000 0004 9358 0680
Awarding Body: University of Wolverhampton
Current Institution: University of Wolverhampton
Date of Award: 2019
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Abstract:
Background: Many authors in the field of adult learning disabilities have described the challenges experienced by clinicians in obtaining evidence regarding the effectiveness of psychological therapies for this particular client group (e.g. it can be a costly, lengthy, time-consuming process) (Taylor, Lindsay, Hastings & Hatton, 2013). Gaps also exist in the area of social justice and empowerment in relation to this population, which has historically experienced significant inequalities. This research intended to contribute to the current information available for researchers and psychological practitioners and to focus upon particular practical issues highlighted as important to the service-users, therapists and support workers within a single UK NHS service. The aims of this research project were: 1. To investigate what factors clients with learning disabilities find most helpful and empowering in the psychological therapy received from psychological therapists. 2. To ascertain how the therapeutic relationship affects psychological well-being within a learning disabled population, as facilitated by their therapists and support workers. 3. To explore the importance of support workers’ involvement in providing support with psychotherapeutic work for PWLD. 4. To consider how empowerment is experienced and conceptualised by the main stakeholders in the therapeutic encounter, between PWLD, their therapist and their support worker. Method: Five triads were interviewed, each consisting of a person with learning disabilities, a psychological therapist and a support worker. Qualitative methodology was used to analyse the data obtained, via Interpretative Phenomenological Analysis (IPA). Findings: The resulting research findings highlighted the importance of four super-ordinate themes: i) Values, Stigma & Social Equity; ii) Building Relationships, Collaboration & Trust; iii) Coping & Adaptations and iv) Positive Outcomes. Implications for various key groups including counselling psychologists, were considered and findings were contextualised with prior research findings. Conclusions: The researcher’s original contribution to knowledge relates to the inclusion and exploration of the experiences and perspectives of three related stakeholder groups, including previously under-represented participants with learning disabilities, in order to voice what was important to them in terms of the therapeutic relationship and the facilitation of empowerment through psychological therapy.
Supervisor: Chadwick, Darren ; Wesson, Caroline Sponsor: Not available
Qualification Name: Thesis (D.Prof.Couns.Psy.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.817696  DOI: Not available
Keywords: learning disabilities ; empowerment ; psychological therapy ; therapeutic relationship ; support workers ; NHS ; IPA ; Qualitative methodology
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