Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-24T03:53:38.083Z Has data issue: false hasContentIssue false
  • English
  • Français

Taking Steps: using collaborative group game design to consolidate and evaluate experiences of individual chief complaint-orientated cognitive behavioural therapy for psychosis (C-Co CBTp) in conditions of high security

Published online by Cambridge University Press:  26 May 2016

Jonathon J. G. Slater  and
Glenn Painter
Jonathon J. G. Slater*
Affiliation:
Nursing Practice, Rampton Hospital, Nottinghamshire Healthcare NHS Foundation Trust, Woodbeck, Notts, UK
Glenn Painter
Affiliation:
Occupational Therapy Department, Rampton Hospital, Nottinghamshire Healthcare NHS Foundation Trust, Woodbeck, Notts, UK
*
*Author for correspondence: Mr J. J. G. Slater, Nursing Practice, Rampton Hospital, Nottinghamshire Healthcare NHS Foundation Trust, Woodbeck, Notts DN22 0PD, UK. (email: Jonathon.slater@nottshc.nhs.uk)
Get access Rights & Permissions [Opens in a new window]

Abstract

Although individual cognitive behavioural therapy for psychosis (CBTp) is a recommended treatment in the UK, studies evaluating participant experiences are limited, particularly in high-security (HS) conditions. Traditional methods of participant evaluation disadvantage HS patients. Individual chief-complaint orientated CBTp (C-Co CBTp), a variant of CBTp, is offered in a HS setting. The paper aimed first, to evaluate participant experiences of individual C-Co CBTp within HS conditions, and second, to evaluate collaborative group game design as a means of evaluating participants’ experiences. Collaborative group game design was used as a novel method of participatory action research to evaluate patient and practitioner experiences of C-Co CBTp. Fifteen participants (10 inpatients, five staff) developed a life-size game representing their experiences of C-Co CBTp and offered feedback on the process. The game comprised of 24 squares, each depicting and describing a therapy experience, and a set of game-play cards. Collaborative group game design is a viable means of evaluating participant experiences. Findings corroborate and add to the current evaluation literature. Participants placed particular emphasis on collaboration, the therapeutic relationship, therapy as a nonlinear process and vulnerability and hope.

Keywords

C-Co CBTpcollaborationgame designhigh securityparticipant experience
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 9 , 2016 , e9
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Kindon, S, Pain, R, Kesby, M (2007). Participatory Action Research Approaches and Methods: Connecting People, Participation and Place. Abingdon: Routledge.CrossRefGoogle Scholar
Whitton, N, Moseley, A (2012). Using Games to Enhance Learning and Teaching: A Beginner's Guide. New York: Routledge.CrossRefGoogle Scholar
Wood, L, Price, J, Morrision, A, Haddock, G (2013). Exploring service users perceptions of recovery from psychosis: a Q-methodological approach. Psychology and Psychotherapy: Theory, Research and Practice 86, 245–261.CrossRefGoogle ScholarPubMed

References

Benn, A (2002). Cognitive behaviour therapy for psychosis in conditions of high security. Cases 13 (Malcolm) and 14 (Colin). In: The Case Study Guide to Cognitive Behaviour Therapy of Psychosis (ed. Kingdon, D. G. & Turkington, D.), pp. 159–179. Chichester: John Wiley and Sons.CrossRefGoogle Scholar
Bentall, RP, Haddock, G (2000). Cognitive behaviour therapy for auditory hallucinations. In: Forensic Mental Healthcare: A Case Study Approach (ed. Mercer, D., Mason, T., McKeown, S. & McCann, G.), pp. 67–75. London: Churchill Livingstone.Google Scholar
Berry, C, Hayward, M (2011). What can qualitative research tell us about service user perspectives of CBT for psychosis? A synthesis of current evidence. Behavioural Cognitive Psychotherapy 39, 487–494.CrossRefGoogle ScholarPubMed
Boyatzis, RE (1998). Transforming Qualitative Information: Thematic Code Analysis and Code Development, London, Sage Publications.Google Scholar
Bryman, A (2012). Social Research Methods, 4th edn. Oxford, Oxford University Press.Google Scholar
Burns, AM, Erickson, DH, Brenner, CA (2014). Cognitive-behavioral therapy for medication-resistant psychosis: a meta-analytic review. Psychiatric Services 65, 874–880.CrossRefGoogle ScholarPubMed
Charmaz, K (2006). Constructing Grounded Theory: a Practical Guide through Qualitative Analysis. London: Sage Publications.Google Scholar
Davis, LW, Ringer, JM, Strasburger, AM, Lysaker, PH (2008). Participant evaluation of a CBT program for enhancing work function in schizophrenia. Psychiatric Rehabilitation Journal 32, 55–58.CrossRefGoogle ScholarPubMed
Department of Health (2013). The NHS Constitution for England. London, Department of Health.Google Scholar
Dunn, H, Morrison, AP, Bentall, RP (2002). Patients' experiences of homework tasks in cognitive behavioural therapy for psychosis: a qualitative analysis. Clinical Psychology & Psychotherapy 9, 361–369.CrossRefGoogle Scholar
Ewers, P, Leadley, K, Kinderman, P (2000). Cognitive therapy for delusions. In: Forensic Mental Healthcare: A Case Study Approach (ed. Mercer, D., Mason, T., McKeown, S. & McCann, G.), pp. 77–89. London: Churchill Livingstone.Google Scholar
Glaser, BG (1992). Basics of Grounded Theory: Emergence vs Forcing. Mill Valley, CA: Sociology Press.Google Scholar
Glaser, BG, Strauss, A (1967). The Discovery of Grounded Theory: Strategies for Qualitative Research. New York: Aldine Publishing Company.Google Scholar
Health Research Authority (2014). Is my study research – HRA decision tool (http://www.hra-decisiontools.org.uk/research/). Accessed 9 August 2014.Google Scholar
Kilbride, M, Byrne, R, Price, J, Wood, L, Barratt, S, Welford, M, Morrison, AP (2013). Exploring service users’ perceptions of cognitive behavioural therapy for psychosis: a user led study. Behavioural and Cognitive Psychotherapy 41, 89–102.CrossRefGoogle ScholarPubMed
Kindon, S, Pain, R, Kesby, M (2007). Participatory Action Research Approaches and Methods: Connecting People, Participation and Place. Abingdon: Routledge.CrossRefGoogle Scholar
Laithwaite, H, Gumley, A (2007). Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting. Clinical Psychology & Psychotherapy 14, 302–316.CrossRefGoogle Scholar
McGowan, JF, Lavender, T, Garety, PA (2005). Factors in outcome of cognitive-behavioural therapy for psychosis: users' and clinicians' views. Psychology and Psychotherapy 78, 513–529.CrossRefGoogle ScholarPubMed
Messari, S, Hallam, R (2003). CBT for psychosis: a qualitative analysis of clients' experiences. British Journal of Clinical Psychology 42, 171–188.CrossRefGoogle ScholarPubMed
Miles, H, Peters, E, Kuipers, E (2007). Service-user satisfaction with CBT for psychosis. Behavioural and Cognitive Psychotherapy 35, 109–116.CrossRefGoogle Scholar
Morberg Pain, C, Chadwick, P, Abba, N (2008). Clients' experience of case formulation in cognitive behaviour therapy for psychosis. British Journal of Clinical Psychology 47, 127–138.CrossRefGoogle ScholarPubMed
Morrison, AP, Turkington, D, Pyle, M, Spencer, H, Brabban, A, Dunn, G, Christodoulides, T, Dudley, R, Chapman, N, Callcott, P, Grace, T, Lumley, V, Drage, L, Tully, S, Irving, K, Cummings, A, Byrne, R, Davies, LM, Hutton, P (2014). Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single-blind randomised controlled trial. Lancet 383, 1395–1403.CrossRefGoogle Scholar
National Research Ethics Service (2013). Defining research: NRES guidance to help you decide if your project requires review by a research ethics committee. London: NRES.Google Scholar
NCCMH (2014). Psychosis and schizophrenia in adults: the NICE guideline on treatment and management. Leicester and London, The British Psychological Society and Royal College of Psychiatrists.Google Scholar
NICE (2014). Pyschosis and schizophrenia in adults: treatment and managment (Clinical Guideline 178) (www.nice.org.uk/cg178). Accessed 21 December 2014.Google Scholar
NICE Health and Social Care Directotate (2014). Quality standards and indicators: psychosis and schizophrenia in adults (http://www.nice.org.uk/guidance). Accessed 21 December 2014.Google Scholar
Pitt, L, Kilbride, M, Nothard, S, Welford, M, Morrison, AP (2007). Researching recovery from psychosis: a user-led project. Psychiatric Bulletin 31, 55–60.CrossRefGoogle Scholar
Rogers, P, Curran, J (2004). Working with people in forensic settings. In: Cognitive Behavioural Therapy in Mental Healthcare (ed. Grant, A., Mills, J., Mulhern, R. & Short, N.), pp. 128–142. London: Sage Publications.Google Scholar
Schell, J (2008). The Art of Game Design: a Book of Lenses. Burlington, USA: Morgan Kaufmann Publishers Inc.CrossRefGoogle Scholar
Slater, J (2011). Cognitive behaviour therapy for psychosis in conditions of high security a case study analysis of impact on psychosis experiences and risk (unpublished MSc Thesis), University of Derby.Google Scholar
Steel, C (2008). Cognitive behaviour therapy for psychosis: current evidence and future directions. Behavioural and Cognitive Psychotherapy 36, 705–712.CrossRefGoogle Scholar
Strauss, A, Corbin, J (1998). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. London: Sage Publications.Google Scholar
Waller, H, Garety, P, Jolley, S, Fornells-Ambrojo, M, Kuipers, E, Onwumere, J, Woodall, A, Craig, T (2013). Training frontline mental health staff to deliver ‘low intensity’ psychological therapy for psychosis: a qualitative analysis of therapist and service user views on the therapy and its future implementation. Behavioural and Cognitive Psychotherapy 43, 298–313.Google Scholar
Whitton, N, Moseley, A (2012). Using Games to Enhance Learning and Teaching: A Beginner's Guide. New York: Routledge.CrossRefGoogle Scholar
Wood, L, Price, J, Morrision, A, Haddock, G (2013). Exploring service users perceptions of recovery from psychosis: a Q-methodological approach. Psychology and Psychotherapy: Theory, Research and Practice 86, 245–261.CrossRefGoogle ScholarPubMed
Wykes, T, Steel, C, Everitt, B, Tarrier, N (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin 34, 523–537.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.