{"title":"Editorial acknowledgement","authors":"","doi":"10.1111/papt.70024","DOIUrl":"https://doi.org/10.1111/papt.70024","url":null,"abstract":"","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"298-299"},"PeriodicalIF":2.7,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This qualitative study explored the subjective experiences of psychologists in terms of the establishment and development of the therapeutic relationship with adults with intellectual disabilities (ID). It placed a particular focus on the psychologist's own process in their work.
Method
Sixteen psychologists took part in semi-structured interviews. Psychologists were asked to reflect on the process of developing a therapeutic relationship in addition to other relevant factors such as their attitudes, biases and the transferential relationship. The interviews were analysed using reflexive thematic analysis (RTA).
Results
Two main themes were developed including: (1) the relationship is key—a desire for friendship, balancing formality with informality and (2) letting go of what you know—psychologist's biases and the transferential relationship.
Discussion
The results highlighted the importance of the psychologist's process in the work with adults with ID, and the need for future research with adults with ID themselves to ascertain their views on the therapeutic relationship.
{"title":"Letting go of what you know: Psychologists' perspectives on the therapeutic relationship and providing psychological therapy for people with intellectual disabilities","authors":"Emmeline Gillan, Gary Byrne, Johnny Watters","doi":"10.1111/papt.70025","DOIUrl":"10.1111/papt.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This qualitative study explored the subjective experiences of psychologists in terms of the establishment and development of the therapeutic relationship with adults with intellectual disabilities (ID). It placed a particular focus on the psychologist's own process in their work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Sixteen psychologists took part in semi-structured interviews. Psychologists were asked to reflect on the process of developing a therapeutic relationship in addition to other relevant factors such as their attitudes, biases and the transferential relationship. The interviews were analysed using reflexive thematic analysis (RTA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two main themes were developed including: (1) the relationship is key—a desire for friendship, balancing formality with informality and (2) letting go of what you know—psychologist's biases and the transferential relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The results highlighted the importance of the psychologist's process in the work with adults with ID, and the need for future research with adults with ID themselves to ascertain their views on the therapeutic relationship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"277-296"},"PeriodicalIF":2.7,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica O'Connell, Michelle H. Lim, Ilias Kamitsis, Sarah Bendall
Objectives
Dissociation is a well-established mediator of the relationship between trauma and psychosis. Despite identified phenomenological similarities, there is limited research regarding the nature of the relationship between dissociation and delusions. The study aimed to identify dissociative experiences within delusions and examine whether these are associated with childhood trauma and its psychological sequelae.
Methods
Sixty-four young people were recruited from an early psychosis service and completed a cross-sectional assessment of childhood trauma, psychosis, PTSD and dissociation. A coding frame was developed to identify dissociative detachment and compartmentalisation within descriptions of delusions. Group comparisons were conducted to examine differences in the severity and frequency of trauma, PTSD, dissociation and psychosis between those with and without dissociative delusions.
Results
Thirty-four participants (59%) had at least one delusion that clearly included dissociative content. Compartmentalisation was identified in the descriptions of delusions for 25 participants (43%), and detachment was identified in the descriptions of delusions for 12 participants (21%). Three participants (5%) described a delusion that contained both compartmentalisation and detachment. All participants described at least one delusion without compartmentalisation or detachment. Those with dissociative delusions had a significantly higher frequency of PTSD diagnoses (χ2(1) = 5.32, p = .02, ϕc = 0.31).
Conclusion
Dissociative experiences are prevalent amongst those with early psychosis and can be reliably identified in the descriptions of delusions. It is likely that dissociation is phenomenologically important for the experience of some delusions.
目的：分离是创伤和精神病之间关系的一个公认的中介。尽管确定了现象学上的相似性，但关于分离和妄想之间关系的本质的研究有限。该研究旨在确定妄想中的分离体验，并检查这些体验是否与童年创伤及其心理后遗症有关。方法：从早期精神病服务中心招募64名年轻人，完成童年创伤、精神病、创伤后应激障碍和分离的横断面评估。编码框架的发展，以确定分离脱离和区隔的描述妄想。进行组间比较，以检查有和没有分离性妄想的患者在创伤、创伤后应激障碍、分离和精神病的严重程度和频率上的差异。结果：34名参与者（59%）至少有一种妄想明显包括分离性内容。在25名参与者（43%）的妄想描述中发现了隔离，在12名参与者（21%）的妄想描述中发现了脱离。三名参与者（5%）描述了一种既包含分隔又包含超然的错觉。所有参与者都描述了至少一种错觉，没有区分或脱离。分离性妄想组PTSD诊断频率显著高于对照组(χ2(1) = 5.32, p =。02， ϕc = 0.31)。结论：解离性经历在早期精神病患者中普遍存在，并能在妄想的描述中得到可靠的识别。从现象学上讲，分离对某些错觉的体验很可能是重要的。
{"title":"The dissociative architecture of delusions: Investigating the relationship between trauma, dissociation and delusions in first episode psychosis","authors":"Jessica O'Connell, Michelle H. Lim, Ilias Kamitsis, Sarah Bendall","doi":"10.1111/papt.70022","DOIUrl":"10.1111/papt.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Dissociation is a well-established mediator of the relationship between trauma and psychosis. Despite identified phenomenological similarities, there is limited research regarding the nature of the relationship between dissociation and delusions. The study aimed to identify dissociative experiences within delusions and examine whether these are associated with childhood trauma and its psychological sequelae.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-four young people were recruited from an early psychosis service and completed a cross-sectional assessment of childhood trauma, psychosis, PTSD and dissociation. A coding frame was developed to identify dissociative detachment and compartmentalisation within descriptions of delusions. Group comparisons were conducted to examine differences in the severity and frequency of trauma, PTSD, dissociation and psychosis between those with and without dissociative delusions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-four participants (59%) had at least one delusion that clearly included dissociative content. Compartmentalisation was identified in the descriptions of delusions for 25 participants (43%), and detachment was identified in the descriptions of delusions for 12 participants (21%). Three participants (5%) described a delusion that contained both compartmentalisation and detachment. All participants described at least one delusion without compartmentalisation or detachment. Those with dissociative delusions had a significantly higher frequency of PTSD diagnoses (<i>χ</i><sup>2</sup>(1) = 5.32, <i>p</i> = .02, <i>ϕ</i><sub>c</sub> = 0.31).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Dissociative experiences are prevalent amongst those with early psychosis and can be reliably identified in the descriptions of delusions. It is likely that dissociation is phenomenologically important for the experience of some delusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"259-276"},"PeriodicalIF":2.7,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jenna McAllister, Sophie M. Allan, Alie Phiri, Kara Keddie, Tracey McKee, Leonie Richardson, Felicity Waite, Rebekah Carney, Gillian MacAfee, Andrew Gumley, Stephanie Allan
Purpose
Body image is a transdiagnostic construct that seems poorly understood in psychosis. Poor body image is associated with paranoia, which makes it a theoretically meaningful treatment target in psychosis. We systematically reviewed associations between body image and psychosis symptoms in both the ‘general’ population and people living with psychotic disorders, synthesised known correlates of negative body image in people living with psychotic disorders and performed a meta-synthesis to understand the lived experience of body image in people with psychosis.
Methods
Ovid MEDLINE, OVID Embase, OVID APA PsycINFO, EBSCOhost Cinahl and the Cochrane Central Register of Controlled Trials were searched in January 2024. The methodological quality and risk of bias were assessed using the mixed-methods appraisal tool.
Results
20,565 participants were included from 31 studies, of which 2127 (10.3%) were living with psychotic conditions, 18,294 from the general population, 129 people with other conditions being compared to psychosis (such as bipolar disorder) and 15 carers. There were 25 quantitative studies (24 cross-sectional, 1 prospective), 5 qualitative studies and 1 mixed-methods study. Cross-sectional evidence suggests associations between negative body image and psychotic symptoms, especially paranoia, as well as wider mental and physical health outcomes. Potential factors contributing to the persistence of poor body image include psychotic symptoms, worries about appearance-related judgements, negative self-concept, body ambivalence, appearance-related safety-seeking behaviours and traumatic memories.
Conclusions
Negative body image is relevant to the lives of people with psychosis spectrum conditions. Recommendations to guide and improve future research are reported.
目的：身体意象是一种跨诊断的构造，在精神病中似乎很少被理解。不良的身体形象与偏执有关，这使其成为理论上有意义的精神病治疗目标。我们系统地回顾了“普通”人群和精神病患者身体形象与精神病症状之间的联系，综合了精神病患者负面身体形象的已知相关因素，并进行了综合研究，以了解精神病患者身体形象的生活经历。方法：检索2024年1月的Ovid MEDLINE、Ovid Embase、Ovid APA PsycINFO、EBSCOhost Cinahl和Cochrane Central Register of Controlled Trials。使用混合方法评估工具评估方法学质量和偏倚风险。结果：从31项研究中纳入了20,565名参与者，其中2127人（10.3%）患有精神病，18,294人来自普通人群，129人患有其他疾病（如双相情感障碍）和15名护理人员。定量研究25项（横断面研究24项，前瞻性研究1项），定性研究5项，混合方法研究1项。横断面证据表明，负面身体形象与精神病症状，特别是偏执，以及更广泛的精神和身体健康结果之间存在关联。导致不良身体形象持续存在的潜在因素包括精神病症状、对与外表有关的判断的担忧、消极的自我概念、身体矛盾心理、与外表有关的安全寻求行为和创伤记忆。结论：负性身体意象与精神障碍患者的生活相关。报告了指导和改进未来研究的建议。
{"title":"The experience of body image in people with psychosis and psychotic-like experiences: A co-produced mixed-methods systematic review and narrative synthesis","authors":"Jenna McAllister, Sophie M. Allan, Alie Phiri, Kara Keddie, Tracey McKee, Leonie Richardson, Felicity Waite, Rebekah Carney, Gillian MacAfee, Andrew Gumley, Stephanie Allan","doi":"10.1111/papt.70021","DOIUrl":"10.1111/papt.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Body image is a transdiagnostic construct that seems poorly understood in psychosis. Poor body image is associated with paranoia, which makes it a theoretically meaningful treatment target in psychosis. We systematically reviewed associations between body image and psychosis symptoms in both the ‘general’ population and people living with psychotic disorders, synthesised known correlates of negative body image in people living with psychotic disorders and performed a meta-synthesis to understand the lived experience of body image in people with psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ovid MEDLINE, OVID Embase, OVID APA PsycINFO, EBSCOhost Cinahl and the Cochrane Central Register of Controlled Trials were searched in January 2024. The methodological quality and risk of bias were assessed using the mixed-methods appraisal tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>20,565 participants were included from 31 studies, of which 2127 (10.3%) were living with psychotic conditions, 18,294 from the general population, 129 people with other conditions being compared to psychosis (such as bipolar disorder) and 15 carers. There were 25 quantitative studies (24 cross-sectional, 1 prospective), 5 qualitative studies and 1 mixed-methods study. Cross-sectional evidence suggests associations between negative body image and psychotic symptoms, especially paranoia, as well as wider mental and physical health outcomes. Potential factors contributing to the persistence of poor body image include psychotic symptoms, worries about appearance-related judgements, negative self-concept, body ambivalence, appearance-related safety-seeking behaviours and traumatic memories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Negative body image is relevant to the lives of people with psychosis spectrum conditions. Recommendations to guide and improve future research are reported.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"1-39"},"PeriodicalIF":2.7,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hibah Hassan, Sarah Lack, Paul M. Salkovskis, Graham R. Thew
Objectives
Accessing psychological therapy presents unique challenges for Muslims, who are underrepresented in primary care mental health services in the United Kingdom. This qualitative study sought the narratives of British Muslims to gain insight into the perceived barriers and facilitators to engagement with therapy.
Methods
Eighty participants responded to an online free-text survey question enquiring about their views on therapy with a non-Muslim therapist after completing a short experimental study. A structured tabular approach grounded in reflexive thematic analysis was used to analyse data.
Results
Three main themes were identified in our analysis: ‘Fundamental differences’, ‘It's not worth the risk’ and ‘Overcoming barriers’. Within these themes we explore perceived interpersonal and systemic tensions, as well as facilitators to engagement with psychological therapy.
Conclusions
These findings are discussed in terms of implications for clinicians working with Muslim clients, with a focus on the importance of understanding and attending to faith and relational concerns.
{"title":"British Muslims' perceptions of therapy with non-Muslim therapists: A qualitative analysis of survey responses","authors":"Hibah Hassan, Sarah Lack, Paul M. Salkovskis, Graham R. Thew","doi":"10.1111/papt.70023","DOIUrl":"10.1111/papt.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Accessing psychological therapy presents unique challenges for Muslims, who are underrepresented in primary care mental health services in the United Kingdom. This qualitative study sought the narratives of British Muslims to gain insight into the perceived barriers and facilitators to engagement with therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighty participants responded to an online free-text survey question enquiring about their views on therapy with a non-Muslim therapist after completing a short experimental study. A structured tabular approach grounded in reflexive thematic analysis was used to analyse data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes were identified in our analysis: ‘<i>Fundamental differences</i>’, ‘<i>It's not worth the risk</i>’ and ‘<i>Overcoming barriers</i>’. Within these themes we explore perceived interpersonal and systemic tensions, as well as facilitators to engagement with psychological therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings are discussed in terms of implications for clinicians working with Muslim clients, with a focus on the importance of understanding and attending to faith and relational concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"249-258"},"PeriodicalIF":2.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Talking about the present-moment quality of a therapy relationship—sometimes termed immediacy or working in the here and now—has been recommended as a technique to enhance the therapeutic alliance and treatment outcome. The aim of the present study was to compare perceptions of therapy when the discussion was of the client's relationship with the therapist or with someone else.
Method
In the study, undergraduate participants were presented with an audio recording of a therapist and client discussing their relationship and another recording in which the discussion was of the client's relationship with someone else. For approximately half the participants, the relationships discussed were both positive; for the other participants, both relationships were problematic. After listening to each recording, participants rated the therapeutic bond and treatment credibility.
Results
Results revealed that the effect of discussing the therapy relationship depended on the relationship valence: When the valence was positive, participants rated the therapeutic bond and treatment credibility higher for discussions of the therapy relationship; when the valence was negative, ratings were higher for discussions of an outside relationship.
Conclusion
These findings suggest that focusing the therapy discussion on the therapeutic relationship may be more helpful when the relationship is positive than when it is negative.
{"title":"Perceptions of psychotherapy when therapists focus on the therapy relationship or other relationships","authors":"Erin M. Solomon, Jeffrey S. Berman","doi":"10.1111/papt.70020","DOIUrl":"10.1111/papt.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Talking about the present-moment quality of a therapy relationship—sometimes termed <i>immediacy</i> or <i>working in the here and now</i>—has been recommended as a technique to enhance the therapeutic alliance and treatment outcome. The aim of the present study was to compare perceptions of therapy when the discussion was of the client's relationship with the therapist or with someone else.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In the study, undergraduate participants were presented with an audio recording of a therapist and client discussing their relationship and another recording in which the discussion was of the client's relationship with someone else. For approximately half the participants, the relationships discussed were both positive; for the other participants, both relationships were problematic. After listening to each recording, participants rated the therapeutic bond and treatment credibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results revealed that the effect of discussing the therapy relationship depended on the relationship valence: When the valence was positive, participants rated the therapeutic bond and treatment credibility higher for discussions of the therapy relationship; when the valence was negative, ratings were higher for discussions of an outside relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that focusing the therapy discussion on the therapeutic relationship may be more helpful when the relationship is positive than when it is negative.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"238-248"},"PeriodicalIF":2.7,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joachim Schnackenberg, Dirk Corstens, Samantha Bowe, Craig Steel, Eleanor Longden
The Talking With Voices approach, influenced by the work of the survivor-led Hearing Voices Movement, is a non-pathologising way of relating to the experience of voice hearing which emphasises coping enhancement, formulation and direct dialogue as a way to promote control, cooperation and relationship-building while reducing distress. This article presents insights from specialised mental health practice regarding potential facilitators and obstacles to implementing this approach more widely within statutory settings. Consideration is given to transferable skills for practitioners, guiding principles and values, training requirements and the ongoing challenges of bridging the gap between research and practice in clinical services.
{"title":"Relating positively and openly with voices through dialogue: A talking with voices implementation guide for mental health practitioners.","authors":"Joachim Schnackenberg, Dirk Corstens, Samantha Bowe, Craig Steel, Eleanor Longden","doi":"10.1111/papt.70015","DOIUrl":"https://doi.org/10.1111/papt.70015","url":null,"abstract":"<p><p>The Talking With Voices approach, influenced by the work of the survivor-led Hearing Voices Movement, is a non-pathologising way of relating to the experience of voice hearing which emphasises coping enhancement, formulation and direct dialogue as a way to promote control, cooperation and relationship-building while reducing distress. This article presents insights from specialised mental health practice regarding potential facilitators and obstacles to implementing this approach more widely within statutory settings. Consideration is given to transferable skills for practitioners, guiding principles and values, training requirements and the ongoing challenges of bridging the gap between research and practice in clinical services.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The integration of religious beliefs is considered an essential component of evidence-based practice; however, clients from faith-based communities frequently report that their beliefs are overlooked in therapy. While existing research primarily centres on therapists' perspectives, there is limited understanding of how Muslim clients themselves make sense of therapy when their religious identity is not acknowledged, particularly within mental health systems often grounded in Western psychological models. This study, therefore, aimed to explore the mental healthcare experiences of Muslim therapy users in the UK who received therapy where their religion was perceived as minimised or excluded, despite its personal significance.
Design
A qualitative approach was adopted, underpinned by a critical realist epistemology. Semi-structured interviews were conducted with 25 Muslim participants, aged 18–56 years. These interviews were conducted remotely via Teams and subsequently transcribed for analysis. Data analysis was performed using reflexive thematic analysis.
Results
Three overarching themes were generated through the analysis: feeling powerless and unseen when attempting to bring Islam, shaking my foundation and feeling compelled to choose between my faith or therapy. Participants described a significant emotional impact when Islam was excluded or minimised.
Conclusion
These findings highlight the need for therapists to actively explore and integrate clients' religious worldviews, and for services to consider culturally responsive practices. The findings also suggest a need for enhanced cultural competence training and systemic changes to improve the therapeutic experience for Muslim clients. This study offers insight for developing more inclusive and effective mental health practices as well as implications for clinical practice.
{"title":"Therapy without faith: Muslim clients' experience of religious exclusion and minimisation in therapy","authors":"Rumena Islam, Paul Chadwick","doi":"10.1111/papt.70019","DOIUrl":"10.1111/papt.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The integration of religious beliefs is considered an essential component of evidence-based practice; however, clients from faith-based communities frequently report that their beliefs are overlooked in therapy. While existing research primarily centres on therapists' perspectives, there is limited understanding of how Muslim clients themselves make sense of therapy when their religious identity is not acknowledged, particularly within mental health systems often grounded in Western psychological models. This study, therefore, aimed to explore the mental healthcare experiences of Muslim therapy users in the UK who received therapy where their religion was perceived as minimised or excluded, despite its personal significance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative approach was adopted, underpinned by a critical realist epistemology. Semi-structured interviews were conducted with 25 Muslim participants, aged 18–56 years. These interviews were conducted remotely via Teams and subsequently transcribed for analysis. Data analysis was performed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three overarching themes were generated through the analysis: feeling powerless and unseen when attempting to bring Islam, shaking my foundation and feeling compelled to choose between my faith or therapy. Participants described a significant emotional impact when Islam was excluded or minimised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight the need for therapists to actively explore and integrate clients' religious worldviews, and for services to consider culturally responsive practices. The findings also suggest a need for enhanced cultural competence training and systemic changes to improve the therapeutic experience for Muslim clients. This study offers insight for developing more inclusive and effective mental health practices as well as implications for clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"219-237"},"PeriodicalIF":2.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In recent decades, research has increasingly highlighted the devastating effects of childhood trauma and relational processes that violate human development. However, the unique dynamics of such early-life deprivations in adults who practice meditation, a context where the complexity of such wounding (and healing) may become apparent, remains underexplored. The objectives of this study were to explore how individuals with a history of inconsistent evolved developmental niche (EDN) care experience their meditation journeys, and to understand the emotional and relational processes that emerge in this context.
Design
A qualitative design using interpretative phenomenological analysis (IPA) was adopted to capture participants' lived experiences.
Methods
Six adults with a history of inconsistent EDN care and at least 3 months of regular meditation practice participated in semi-structured interviews. Transcripts were analysed using IPA to identify key experiential themes.
Results
Three themes emerged from the data: (1) ‘An inconsistent EDN in childhood left lasting emotional and relational wounds into adulthood’, (2) ‘Meditation eased inner turmoil but revealed different ways of dealing with emotions and the body’, and (3) ‘Meditation offered a space to explore relating to the self and others, areas complicated by their inconsistent EDN’. Findings illustrated the inheritance and development of immature defence mechanisms alongside emotional and relational challenges. Participants described feelings of increased calmness and closeness with others as benefits of meditation, though for some, pre-existing difficulties persisted or were amplified.
Conclusion
These results raise awareness of the long-term effects surrounding unresolved traumatic dynamics and the importance of delivering trauma-informed care. They also highlight the potential of meditation to uncover psychological dynamics and experiences rooted in early life which have the emotional potency to pose risks to individuals coming into contact with them.
{"title":"Personal and relational experiences on meditation journeys following developmental trauma: An IPA study of adults who experienced an inconsistent evolved developmental niche","authors":"Anna-Maria Frastali, Adhip Rawal","doi":"10.1111/papt.70018","DOIUrl":"10.1111/papt.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>In recent decades, research has increasingly highlighted the devastating effects of childhood trauma and relational processes that violate human development. However, the unique dynamics of such early-life deprivations in adults who practice meditation, a context where the complexity of such wounding (and healing) may become apparent, remains underexplored. The objectives of this study were to explore how individuals with a history of inconsistent evolved developmental niche (EDN) care experience their meditation journeys, and to understand the emotional and relational processes that emerge in this context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative design using interpretative phenomenological analysis (IPA) was adopted to capture participants' lived experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six adults with a history of inconsistent EDN care and at least 3 months of regular meditation practice participated in semi-structured interviews. Transcripts were analysed using IPA to identify key experiential themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes emerged from the data: (1) ‘An inconsistent EDN in childhood left lasting emotional and relational wounds into adulthood’, (2) ‘Meditation eased inner turmoil but revealed different ways of dealing with emotions and the body’, and (3) ‘Meditation offered a space to explore relating to the self and others, areas complicated by their inconsistent EDN’. Findings illustrated the inheritance and development of immature defence mechanisms alongside emotional and relational challenges. Participants described feelings of increased calmness and closeness with others as benefits of meditation, though for some, pre-existing difficulties persisted or were amplified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results raise awareness of the long-term effects surrounding unresolved traumatic dynamics and the importance of delivering trauma-informed care. They also highlight the potential of meditation to uncover psychological dynamics and experiences rooted in early life which have the emotional potency to pose risks to individuals coming into contact with them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"201-218"},"PeriodicalIF":2.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adolescent depression is a significant public health concern, with emotional neglect and psychoticism identified as key risk factors. This study investigated their longitudinal effects on adolescent depression within a unified framework.
Method
A total of 1894 Italian adolescents (M = 15.46, SD = 1.10) participated in a three-wave longitudinal study, with assessments conducted at baseline (T1), six months (T2) and twelve months (T3). A cross-lagged panel design was applied to examine the bidirectional relationships and mediation effects among study variables over time.
Results
Emotional neglect was associated with higher levels of psychoticism and depression one year later. Psychoticism, in turn, predicted increases in depression one year later. Mediation analyses showed that emotional neglect indirectly contributed to later depression through its effects on psychoticism. Overall, these findings support cumulative developmental risk models, underscoring the psychological and clinical relevance of these pathways in adolescence.
Conclusions
These results suggested that adolescents experiencing emotional neglect are at heightened risk for depression, with psychoticism compounding this risk. Interventions focusing on emotional support and addressing psychotic tendencies may help mitigate depression and improve adolescent mental health outcomes.
{"title":"The longitudinal effects of emotional neglect and psychoticism on adolescent depression","authors":"Valeria Saladino, Valeria Verrastro, Fiorenza Giordano, Danilo Calaresi","doi":"10.1111/papt.70017","DOIUrl":"10.1111/papt.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Adolescent depression is a significant public health concern, with emotional neglect and psychoticism identified as key risk factors. This study investigated their longitudinal effects on adolescent depression within a unified framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 1894 Italian adolescents (<i>M</i> = 15.46, <i>SD</i> = 1.10) participated in a three-wave longitudinal study, with assessments conducted at baseline (T1), six months (T2) and twelve months (T3). A cross-lagged panel design was applied to examine the bidirectional relationships and mediation effects among study variables over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Emotional neglect was associated with higher levels of psychoticism and depression one year later. Psychoticism, in turn, predicted increases in depression one year later. Mediation analyses showed that emotional neglect indirectly contributed to later depression through its effects on psychoticism. Overall, these findings support cumulative developmental risk models, underscoring the psychological and clinical relevance of these pathways in adolescence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggested that adolescents experiencing emotional neglect are at heightened risk for depression, with psychoticism compounding this risk. Interventions focusing on emotional support and addressing psychotic tendencies may help mitigate depression and improve adolescent mental health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"99 1","pages":"185-200"},"PeriodicalIF":2.7,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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