A Qualitative Study of Patients' Perceptions of a ‘Minimal’ Psychological Therapy.
Background: Access to psychological therapy is often difficult. Problems with access may be overcome through ‘minimal interventions’ (such as books and computer programs), which encourage self-help for mental health problems and are less dependent on the availability of specialist therapists. Howeve...
| Publicado en: | International Journal of Social Psychiatry Vol. 53; no. 1; pp. 23 - 36 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications, Ltd.
January 2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=510696350&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510696350 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00207640 ISP jtl: International Journal of Social Psychiatry issn: 00207640 maglogo: N pubinfo: dt: January 2007 vid: 53 iid: 1 pid: 2171 pub: Sage Publications, Ltd. artinfo: ui: 510696350 10.1177/0020764006066841 ppf: 23 ppct: 13 formats: tig: atl: A Qualitative Study of Patients' Perceptions of a ‘Minimal’ Psychological Therapy. aug: au: Macdonald, Wendy Mead, Nicola Bower, Peter su: People with mental illness Care of people Self-help techniques Mental depression Attitude (Psychology) sug: subj: People with mental illness Care of people Self-help techniques Mental depression Attitude (Psychology) ab: Background: Access to psychological therapy is often difficult. Problems with access may be overcome through ‘minimal interventions’ (such as books and computer programs), which encourage self-help for mental health problems and are less dependent on the availability of specialist therapists. However, to be effective, such interventions must be acceptable to patients. Aims: To use qualitative methods to explore patient attitudes, by examining patient expectancies of psychological therapy and their experiences with a ‘minimal intervention’ (guided self-help). Methods: Qualitative interviews (N = 24) were conducted with patients after they had received guided self-help for depression as part of a randomised controlled trial. Results: There were important gaps between patients' expectancies of psychological therapy and their experience of the guided self-help. These gaps related to the process of therapy (e.g. time, professional expertise) and outcomes. Particularly salient was a theme relating to explanatory models. Patients were often seeking insight into the ‘cause’ of their current difficulties, whereas the minimal intervention was largely focused on symptom resolution. Conclusions: The effective implementation of ‘minimal interventions’ requires an understanding of the expectancies of patients concerning psychological therapy, in order to provide a basis for effective communication and negotiation between professionals and patients. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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