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Exploring Service Users’ Perceptions of Cognitive Behavioural Therapy for Psychosis: A User Led Study

  • Martina Kilbride (a1), Rory Byrne (a1), Jason Price (a1), Lisa Wood (a2), Sarah Barratt (a3), Mary Welford (a1) and Anthony P. Morrison (a1)...


Background and aims: This study explored individuals’ subjective experiences of Cognitive Behavioural Therapy for psychosis (CBTp) with the aim of identifying coherent themes consistent across individual accounts and any potential barriers to CBTp effectiveness. Method: Semi-structured interviews were conducted with nine individuals with experience of CBTp. A qualitative Interpretive Phenomenological Analysis was used to analyze the data collected to identify common themes. Results: Five super-ordinate themes emerged from our analyses: CBT as a process of person-centred engagement; CBT as an active process of structured learning; CBT helping to improve personal understanding; CBT is hard work; Recovery and outcomes of CBT for psychosis. Conclusions: The theoretical and clinical implications are discussed.


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Reprint requests to Rory Byrne, Greater Manchester West Mental Health NHS Foundation Trust, Psychology Services, Bury New Road, Prestwich, Manchester M25 3BL, UK. E-mail:


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Bentall, R. P. (2003). Madness Explained: psychosis and human nature. London: Penguin Books.
Berry, C. and Hayward, M. (2011). What can qualitative research tell us about service user perspectives of CBT for psychosis? A synthesis of current evidence. Behavioural and Cognitive Psychotherapy, 39, 487494.
Byrne, R. E., Davies, L. and Morrison, A. P. (2010). Priorities and preferences for the outcomes of treatment of psychosis: a service user perspective. Psychosis, 2, 210217.
Chadwick, P. and Birchwood, M. (1994). The omnipotence of voices: a cognitive approach to auditory hallucinations. British Journal of Psychiatry, 164, 190201.
Department of Health (2005). Creating a patient-led NHS: delivering the NHS improvement plan. London: NHS.
Dunn, H., Morrison, A. P. and Bentall, R. P. (2002). Patients’ experiences of homework tasks in cognitive behavioural therapy for psychosis: a qualitative analysis. Clinical Psychology and Psychotherapy, 9, 361369.
Fowler, D., Garety, P. and Kuipers, E. (1995). Cognitive-Behaviour Therapy for Psychosis: theory and practice. Chichester: Wiley.
Garety, P. A., Kuipers, E., Fowler, D., Freeman, D. and Bebbington, P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189195.
Greenwood, K. E., Sweeney, A., Williams, S., Garety, P., Kuipers, E., Scott, J., et al. (2010). CHoice of Outcome In Cbt for psychosEs (CHOICE): the development of a new service user-led outcome measure of CBT for psychosis. Schizophrenia Bulletin, 36, 126135.
McGowan, J. F., Lavender, T. and Garety, P. A. (2005). Factors in outcome of cognitive-behavioural therapy for psychosis: users’ and clinicians’ views. Psychology and Psychotherapy: Theory, Research and Practice, 78, 513529.
Messari, S. and Hallam, , , R. (2003). CBT for psychosis: a qualitative analysis of clients’ experiences. British Journal of Clinical Psychology, 42, 171188.
Miles, H., Peters, E. and Kuipers, E. (2007). Service-user satisfaction with CBT for psychosis. Behavioural and Cognitive Psychotherapy, 35, 109116.
Morberg-Pain, C., Chadwick, P. and Abba, N. (2008). Clients’ experience of case formulation in cognitive behaviour therapy for psychosis. British Journal of Clinical Psychology, 47, 127138.
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257276.
Morrison, A. P. and Barratt, S. (2010). What are the components of CBT for psychosis? A Delphi study. Schizophrenia Bulletin, 36, 136142.
National Institute for Clinical Excellence (2009). Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care. London: NICE.
Neil, S. T., Kilbride, M., Pitt, L., Nothard, S., Welford, M., Sellwood, W., et al. (2009). The questionnaire about the process of recovery (QPR): a measurement tool developed in collaboration with service users. Psychosis: Psychological, Social and Integrative Approaches, 1, 145155.
Pitt, L., Kilbride, M., Nothard, S., Welford, M. and Morrison, A. P. (2007). Researching recovery from psychosis: a user-led project. Psychiatric Bulletin, 31, 5560.
Rose, D. (2001). Users’ Voices. London: The Sainsbury Centre for Mental Health.
Rose, D. (2008). Service user produced knowledge. Journal of Mental Health, 17, 447451.
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behaviour therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523537.



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Exploring Service Users’ Perceptions of Cognitive Behavioural Therapy for Psychosis: A User Led Study

  • Martina Kilbride (a1), Rory Byrne (a1), Jason Price (a1), Lisa Wood (a2), Sarah Barratt (a3), Mary Welford (a1) and Anthony P. Morrison (a1)...
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