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Using Self-Practice/Self-Reflection to support CBT Therapists from minoritised ethnic backgrounds: A reflexive thematic analysis

Malik, Zara; (2025) Using Self-Practice/Self-Reflection to support CBT Therapists from minoritised ethnic backgrounds: A reflexive thematic analysis. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Aims: CBT Therapists from minoritised ethnic backgrounds experience increased work-related difficulties compared to their white counterparts, with little supportive spaces to address these difficulties. This study aims to qualitatively evaluate a novel Self-Practise/Self-Reflection (SP/SR) programme that supports CBT Therapists to reflect on how their ethnic background relates to their clinical role. Method: Reflexive Thematic Analysis was used to explore eight CBT Therapists experiences of the programme. Interviews were conducted via an online videoconference platform and transcribed verbatim. Results: The analytical process developed three superordinate themes. Firstly, ‘Organisational culture’ provided insights into some of the system-level factors that affected therapists ability to navigate personal and professional issues of race, ethnicity and culture; secondly, ‘A search for understanding’ captured participants’ experiences of understanding themselves and feeling understood by others in relation to their ethnic identity; thirdly, ‘Contextualising CBT’ centred participants experience of reflecting on their own and their patients racial, ethnic and cultural backgrounds to improve their culturally-informed CBT skills. Conclusion: The themes from this novel programme suggest that the SP/SR exercises and the group component had a positive impact on therapist’s ethnic identity, and their provision of culturally-competent care. Systemic barriers were identified in the way therapists experienced their ethnicity and accessing support in relation to their ethnicity. System-level changes are discussed in relation to improving employee satisfaction and providing effective psychological services.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Using Self-Practice/Self-Reflection to support CBT Therapists from minoritised ethnic backgrounds: A reflexive thematic analysis
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2025. 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/10206429
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