Service user experiences of the sequential diagrammatic reformulation (SDR) in cognitive analytical therapy (CAT): an interpretative phenomenological analysis.



Taplin, Kimberley
Service user experiences of the sequential diagrammatic reformulation (SDR) in cognitive analytical therapy (CAT): an interpretative phenomenological analysis. Doctor of Clinical Psychology thesis, University of Liverpool.

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Abstract

This thesis is organised into two chapters: a systematic review; an empirical research paper; and relevant appendices. Each chapter is presented as a standalone component adding to current gaps in the literature. Chapter 1 presents a systematic literature review of all current research aiming to understand service-users’ views of psychological formulation. A total of 297 studies were initially retrieved. 11 papers were included in the final review. A narrative synthesis of their findings is presented. The literature suggests several common themes include: responses to formulation; biopsychosocial understanding; practicable and tangible; collaboration; therapeutic relationship; process; communication; change and diagnostic symptoms. Clinical implications, gaps in knowledge and the need for further research are discussed. Chapter 2 extends the research discussed in the systematic review with a qualitative empirical paper exploring service-users experiences of the SDR. Interpretative Phenomenological Analysis (IPA) was used to explore/analyse the data. Four superordinate themes emerged from the data: ‘Chaos to clarity (a process of meaning making)’; ‘The change process’; ‘Relational dynamics’; and ‘Focus on treatment context/options’. Findings are consistent with, and extend, the current literature on CAT and formulation. Strengths and weaknesses of this research, future research ideas and clinical implications at an individual therapy and service/organisational level are discussed.

Item Type: Thesis (Doctor of Clinical Psychology)
Additional Information: Date: 2015-06-08 (completed)
Depositing User: Symplectic Admin
Date Deposited: 28 Jan 2016 14:07
Last Modified: 17 Dec 2022 01:30
DOI: 10.17638/02031479
URI: https://livrepository.liverpool.ac.uk/id/eprint/2031479