Mann, DK; (2014) Clients' experiences of cognitive restructuring techniques: A tape-assisted recall study. Doctoral thesis , University College London.

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Abstract

Aim: Despite being the treatment of choice for many psychological disorders,there are still gaps in our understanding of the process and experience of CBT. This paper aimed to conduct a meta-synthesis of clients’ perspectives of CBT, in order to investigate these gaps and to contribute to a cumulative knowledge base concerning clients’ experiences of therapeutic processes in CBT. Method: Nine qualitative studies that examined clients’ experiences of individual CBT met the inclusion criteria for the review. Methodological appraisal of the studies was conducted and the findings were synthesised using thematic analysis. Results: The meta-synthesis generated ten themes which were clustered into three domains: “Technical aspects of CBT”, “The therapeutic relationship” and “The therapeutic journey: from doubt to belief”. Conclusion: The meta-synthesis showed that clients value both the technical and relational aspects of therapy, suggesting that both are important ingredients of change. A possible direction for future research is to specify the interrelationships between these factors to provide a more fine-grained understanding of the ingredients of effective therapeutic interactions.

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