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The lifeline in narrative exposure therapy: the experience of therapists

Dix, Jayde M; (2021) The lifeline in narrative exposure therapy: the experience of therapists. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Overview Psychological interventions for PTSD and complex PTSD can be effective in reducing distress and improving wellbeing. The majority of the evidence base is quantitative in nature, meaning relatively little is known about clinician and service user views on the benefits and challenges of these interventions. This thesis uses qualitative methods to explore several questions about the experience of trauma-focussed therapies. Part 1 is a thematic synthesis. Twenty-one qualitative studies which explored the service user experience of evidence-based trauma therapies were reviewed and synthesised. The findings suggest that these interventions can be very beneficial, but can also be distressing and difficult. The findings also suggest a range of factors which may support initial and continued engagement with the therapies. Part 2 is a qualitative study exploring the therapist experience of the lifeline component of narrative exposure therapy (NET). In NET, a lifeline is constructed using physical materials to depict the chronology of a person’s life. Sixteen therapists were interviewed about their experience of this component of NET and their responses were analysed using thematic analysis. The findings suggest that the lifeline is a valued part of the therapy, and a range of suggested functions, challenges, and processes therapists felt were associated with the lifeline are detailed. Part 3 of this thesis is a critical appraisal of the process of the research. Through the chronology of the project from proposal to submission, a range of issues are reflected on, including the challenges of conducting research in clinical settings and the experience of adapting to qualitative methodology.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: The lifeline in narrative exposure therapy: the experience of therapists
Event: UCL
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10134564
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