Longitudinal assessments of therapeutic alliance predict work performance in vocational rehabilitation for persons with schizophrenia
ConclusionsDiscrepancy in scores was also shown to be predictive of work performance during the program. Clinicians are advised to routinely assess the therapeutic alliance from both client and therapist perspectives and calculate the discrepancy between them as they may indicate ruptures are occurring and thus hamper the intervention.Practitioner points Clinicians are advised to regularly assess the therapeutic alliance from both their own and the client ’s perspective. Growing discrepancy in scores may impede intervention effectiveness. Therapeutic alliance may help buffer against work stresses experienced by p...
Source: Psychology and Psychotherapy: Theory, Research and Practice - May 4, 2021 Category: Psychiatry & Psychology Authors: Steven de Jong, Ilanit Hasson ‐Ohayon, Adi Lavi‐Rotenberg, Sarah A. Carter, Stynke Castelein, Paul H. Lysaker Tags: Research Paper Source Type: research

Issue Information
(Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 20, 2021 Category: Psychiatry & Psychology Tags: Issue Information Source Type: research

Depth of experiencing and therapeutic alliance: What predicts outcome for whom in emotion ‐focused therapy for trauma?
ConclusionsThe findings of this study suggest that focusing on the process that clients have trouble with early in therapy contributes to the best treatment outcome.Practitioner points Sometimes early treatment sessions reveal an abundance of one kind of processing but limitations to another, which poses a puzzle for treatment planning. Our findings suggest that within the first four sessions, therapists could develop tailored treatments based on the relative presence or absence of critical therapeutic changes processes. When it becomes evident that therapy is progressing with a weaker alliance between client and therapi...
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 12, 2021 Category: Psychiatry & Psychology Authors: Shawn Harrington, Antonio Pascual ‐Leone, Sandra Paivio, Christopher Edmondstone, Tabarak Baher Tags: Review Paper Source Type: research

Yoga complements cognitive behaviour therapy as an adjunct treatment for anxiety and depression: Qualitative findings from a mixed ‐methods study
ConclusionsTherapeutic yoga warrants consideration as an adjunct treatment for anxiety and depression as it offers unique and complementary elements to CBT and can enhance engagement and perceived clinical outcomes.Practitioner points Adults with anxiety and depression experienced a therapeutic yoga programme as a suitable and appealing adjunct that enhanced engagement with psychological treatment. Yoga offers a unique combination of elements, including a values system, body ‐based mindfulness practices, and breathing techniques, that complement CBT processes, such as behavioural activation, awareness of maladaptive p...
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 9, 2021 Category: Psychiatry & Psychology Authors: Hannah Capon, Melissa O ’Shea, Subhadra Evans, Shane McIver Tags: Original Article Source Type: research

Internet ‐based psychological therapies: A qualitative study of National Health Service commissioners and managers views
ConclusionsThe study highlights factors influencing access to Internet ‐based therapies, important given the rapid evolution of e‐therapies, and particularly timely given increasing use of remote therapies due to COVID‐19 restrictions. Interviewees were open to Internet‐based approaches, particularly GSH interventions, so long as they do not compromise on thera py quality. Interviewees acknowledged implementation may be challenging, and recommendations were offered.Practitioner points There is a shift in practice and increasingly positive views from NHS staff around remote psychological therapies and different wa...
Source: Psychology and Psychotherapy: Theory, Research and Practice - April 6, 2021 Category: Psychiatry & Psychology Authors: Natalie Simon, Matt Ploszajski, Catrin Lewis, Kim Smallman, Neil P. Roberts, Neil J. Kitchiner, Lucy Brookes ‐Howell, Jonathan I. Bisson Tags: Original Article Source Type: research

Young adults ’ dynamic relationships with their families in early psychosis: Identifying relational strengths and supporting relational agency
ConclusionsThis paper advances understanding of recovery in psychosis through consideration of the importance of reciprocity, and the identification and nurturance of relational strengths. The capacity of a young person to withdraw or hold back when trying to protect others is understood as an example of relational agency. The possibility for extending strengths ‐based approaches and family work within the context of early intervention in psychosis services is discussed.Practitioner points Young adults experiencing early psychosis may benefit from support to identify their relational strengths and the opportunities the...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 30, 2021 Category: Psychiatry & Psychology Authors: Zo ë V. R. Boden‐Stuart, Michael Larkin, Chris Harrop Tags: Research paper Source Type: research

Skills ‐homework completion and phone coaching as predictors of therapeutic change and outcomes in completers of a DBT intensive outpatient programme
ConclusionsResults suggest that within a DBT programme modified for an intensive outpatient setting, skills homework and phone coaching may enhance therapeutic change and outcomes in target behaviours. These generalization methods appear to be important ingredients of DBT effectiveness.Practitioner points In dialectical behaviour therapy (DBT), therapeutic skills homework and phone coaching are specifically designed to promote generalization of skills from the therapeutic context to the patient ’s real‐world contexts. In a DBT intensive outpatient programme, patient engagement with therapeutic homework and phone c...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 28, 2021 Category: Psychiatry & Psychology Authors: Emily R. Edwards, Hedy Kober, Gabrielle R. Rinne, Sarah A. Griffin, Seth Axelrod, Emily B. Cooney Tags: Research Paper Source Type: research

Impulsiveness and suicide in male offenders: Examining the buffer roles of regulatory emotional self ‐efficacy and flourishing
ConclusionsRegulatory emotional self ‐efficacy, especially its NEG dimension, can buffer the impact of impulsiveness on suicide risk in male offenders, indicating that these factors might be useful supplements in suicide prevention.Practitioner points Offender with higher level of RESE and flourishing show lower level of impulsiveness and suicide risk. High level of RESE and its NEG dimension can buffer the effect of impulsiveness on suicide risk. RESE, especially its NEG dimension might be a useful supplement for suicide prevention in offenders with high impulsiveness. (Source: Psychology and Psychotherapy: Theory, ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 25, 2021 Category: Psychiatry & Psychology Authors: Yiling Mai, Ruilai Yang, Xiaohua Wu, Zhaoming Xie, Xin Zhang, Xueling Yang, Huanhuan Liu, Jiubo Zhao Tags: Original article Source Type: research

Service user and eating disorder therapist views on anorexia nervosa recovery criteria
ConclusionsOur findings indicate disparities between academically derived recovery criteria and lived experiences and indicate perceived challenges in using such criteria in therapeutic settings. Including SUs and EDTs in the development of criteria may improve the likelihood of consolidating AN recovery criteria, but conceptual challenges remain.Practitioner points AN recovery is complex, and the use of research ‐based AN recovery criteria in therapeutic settings could have a detrimental effect on SUs’ outcomes. EDTs should be aware of efforts to define AN recovery criteria. EDTs should engage with debates on ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 24, 2021 Category: Psychiatry & Psychology Authors: Sarah McDonald, A. Jess Williams, Phoebe Barr, Niamh McNamara, Mike Marriott Tags: Qualitative Paper Source Type: research

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community
ConclusionsThe BRS is a valid measure that can be used by clinical and research professionals to assess levels of resilience in adults with SMI at baseline and across time.Practitioner points TheBrief Resilience Scale (BRS) was developed to measure a person ’s ability to bounce back from stressful situations. The BRS was examined in adults with serious mental illness living in the community. The BRS presented a bifactor structure measuringresilience (an outcome) and correlated with positive psychology ‐ and psychopathology‐related measures. The BRS can be used by practitioners to assess levels ofresilience i...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 22, 2021 Category: Psychiatry & Psychology Authors: Jennifer S ánchez, Noel Estrada‐Hernández, Jamar Booth, Deyu Pan Tags: Original Article Source Type: research

Exploring factors associated with personal recovery in bipolar disorder
This study aimed to explore the association of sociodemographic variables, social participation, psychopathology, and positive emotion regulation with personal recovery in BD.MethodsBaseline data from a randomized controlled trial and survey data were combined (N  = 209) and split into a training (n = 149) and test sample (n = 60). Block‐wise regression analyses and model training were used to determine the most relevant predictors. The final parsimonious model was cross‐validated in the test sample.ResultsIn the final parsimonious model, satisfaction with social roles ( β = .442,p 
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 20, 2021 Category: Psychiatry & Psychology Authors: Jannis T. Kraiss, Peter M. ten Klooster, Emily Frye, Ralph W. Kupka, Ernst T. Bohlmeijer Tags: Research Paper Source Type: research

A second independent audit of electroconvulsive therapy in England, 2019: Usage, demographics, consent, and adherence to guidelines and legislation
ConclusionsGiven the apparent failure of current monitoring and accrediting of ECT clinics in England, by the Royal College of Psychiatrists ’ ECT Accreditation Service (ECTAS), an independent government sponsored review is urgently needed.Practitioner points Psychologists and other mental health staff should ensure that people are offered evidence ‐based psychological treatments before being offered E.C.T. All staff should ensure that patients are fully informed of the high risk of memory loss and the smaller risk of cardiovascular failure and mortality. Individuals receiving ECT should be closely monitored fo...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 17, 2021 Category: Psychiatry & Psychology Authors: John Read, Christopher Harrop, Jim Geekie, Julia Renton, Sue Cunliffe Tags: Original Article Source Type: research

The relative benefits of nonattachment to self and self ‐compassion for psychological distress and psychological well‐being for those with and without symptoms of depression
ConclusionIn conclusion, the present study suggests both nonattachment to self and self ‐compassion are associated with better mental health in non‐clinical populations. Further, for individuals experiencing at least mild symptoms of depression, self‐compassion may be less beneficial than taking a more nonattached stance towards the self. The findings have implications for the wa y we conceptualize self‐focused attention and suggest assisting individuals to let go of their fixated, self‐focused attention may be especially beneficial for individuals with depressive symptoms.Practitioner points The notion of lett...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 10, 2021 Category: Psychiatry & Psychology Authors: Richard Whitehead, Glen Bates, Brad Elphinstone, Yan Yang Tags: Research Paper Source Type: research

Editorial acknowledgement
(Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 9, 2021 Category: Psychiatry & Psychology Tags: Editorial acknowledgement Source Type: research

Are there reliable and valid measures of anxiety for people with psychosis? A systematic review of psychometric properties
ConclusionsThe instruments listed are recommended as at least adequate for the assessment of anxiety in psychosis on the basis of these preliminary data. Further validation of existing instruments designed to measure anxiety in people with psychosis is strongly recommended.Practitioner points Anxiety has a developmental and maintaining role in psychosis; therefore, we should routinely screen for symptoms of anxiety when working with people with psychosis spectrum disorders. Studies included in this review reported reliable and valid measures of anxiety for people with psychosis; however, the methodological quality of mo...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Emma L. Smith, Philippa A. Garety, Helen Harding, Amy Hardy Tags: Review article Source Type: research

Psychological consultancy in mental health services: A systematic review of service, staff, and patient outcomes
ConclusionsPsychological consultation appears a useful and worthwhile aspect of leadership by psychological therapists. Training in delivering consultancy needs to be well integrated into the core curricula of clinical training programmes. The evidence base is still in its infancy, and further well ‐controlled research is required. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Jeetender Ghag, Stephen Kellett, Katie Ackroyd Tags: Review paper Source Type: research

Issue Information
(Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Tags: Issue Information Source Type: research

Patient perfectionism and clinician impression formation during an initial interview
ConclusionsFindings highlight the importance of evaluating and addressing trait and self ‐presentation components of perfectionism early in the therapeutic process.Practitioner points Higher levels of other ‐oriented perfectionism and non‐display of imperfection were associated with greater clinician‐rated hostility during an initial interview. Patient hostility mediated the relationship between patients’ other‐oriented perfectionism, non‐display of imperfection, and less favourable clinic ian impressions. Our study highlights the importance of assessing and attending to patient perfectionism and disp...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Paul L. Hewitt, Chang Chen, Martin M. Smith, Lisa Zhang, Marie Habke, Gordon L. Flett, Samuel F. Mikail Tags: Research Paper Source Type: research

Positive, not negative, self ‐compassion mediates the relationship between self‐esteem and well‐being
ConclusionsThe findings evinced that positive, not negative, self ‐compassion mediated the relationship between self‐esteem and hedonic well‐being as well as self‐esteem and eudaimonic well‐being. Moreover, self‐esteem and self‐compassion have predictive strengths for both kinds of well‐being. The findings showed the relevance of self‐esteem and self‐compassion to underscore well‐being. The implications and directions for future researchers have been discussed.Practitioner points Contrary to the earlier findings suggesting self ‐esteem and self‐compassion carrying relevance to explicate performa...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Ruchi Pandey, Gyanesh Kumar Tiwari, Priyanka Parihar, Pramod Kumar Rai Tags: Original article Source Type: research

How is paranoia experienced in a student population? A qualitative study of students scoring highly on a paranoia measure
ConclusionsKey aspects of the findings discussed in the context of the literature include paranoia as a threat heuristic; the role of internal and external dialogues; the influence of gender on content; and the importance of meaning in life as a coping resource.Practitioner points Paranoia may be a significant issue for some students. Paranoia needs to be seen in the context of past aversive experiences. Dialogical approaches may be useful in developing new therapeutic narratives. Valued social roles, activities, and responsibilities may be an important coping resource. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: David J. Harper, Caoilfhionn Timmons Tags: Original article Source Type: research

A randomized controlled trial examining the impact of individual trauma ‐focused therapy for individuals receiving group treatment for depression
ConclusionsWhile differences in outcomes were minimal immediately post ‐treatment, differences among treatment groups increased over time. Thus, as few as three additional TFT sessions may impact positively on symptom change for people completing a group programme for the treatment of depression.Practitioner points Depression is the greatest cause of disability worldwide. Adverse experiences are linked with an increased likelihood of depression, more severe symptoms and poor treatment outcomes following evidence ‐based interventions. As few as three trauma‐focused sessions can improve treatment outcomes in terms ...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Sarah Dominguez, Peter Drummond, Bethanie Gouldthorp, Diana Janson, Christopher William Lee Tags: Original Article Source Type: research

Illness ‐related intrusive thoughts and illness anxiety disorder
ConclusionIllness ‐ITs are a dimensional cognitive experience. The way they are appraised facilitates their escalation into symptoms of IAD.Practitioner points Provides support for the cognitive explanatory model of IAD and its usefulness in clinical practice. Indicates that the way people interpret and react to naturally occurring intrusive thoughts about illness seems to be a vulnerability marker for developing an illness anxiety disorder. Emphasizes that the meaning that patients with IAD ascribe to their intrusive thoughts about illnesses must be a main target in the cognitive ‐behavioral treatment of IAD. Sug...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Sandra Arn áez, Gemma García‐Soriano, Jose López‐Santiago, Amparo Belloch Tags: Original article Source Type: research

Young people ’s trauma‐related cognitions before and after cognitive processing therapy for post‐traumatic stress disorder
ConclusionsOur results support the notion that cognitive change is an important mechanism of change in CPT in a sample of younger, non ‐English‐speaking clients. (Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Julia K önig, Brigitte Kopp, Angela Ziegelmeier, Eline Rimane, Regina Steil, Babette Renneberg, Rita Rosner Tags: Original Article Source Type: research

The relationship between ingroup identity and Paranoid ideation among people from African and African Caribbean backgrounds
ConclusionsIdentification with the majority culture is associated both positively and negatively with paranoid beliefs depending on the types of social interactions people experience. The findings have implications for preventative social prescribing initiatives and for understanding the causes of the high rates of psychosis in ethnic minority populations.Practitioner points People from African and African Caribbean backgrounds experience high rates of paranoia, which may stem from social causes such as lack of belonging and negative social experiences. Among people from African backgrounds living in the UK, British ide...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Jason C. McIntyre, Anam Elahi, Fiona Kate Barlow, Ross G. White, Richard P. Bentall Tags: Research Paper Source Type: research

Understanding, treating, and renaming grandiose delusions: A qualitative study
ConclusionsWe conclude that grandiosity is a psychologically rich experience, with a number of maintenance factors that may be amenable to a targeted psychological intervention. Importantly, the term ‘grandiose delusion’ is an imprecise description of the experience; we suggest ‘delusions of exceptionality’ may be a credible alternative.Practitioner points Harm from grandiose delusions can occur across multiple domains (including physical, sexual, social, occupational, and emotional) and practitioners should assess accordingly. However, grandiose delusions are experienced by patients as highly me...
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Authors: Louise Isham, Laura Griffith, Anne ‐Marie Boylan, Alice Hicks, Natalie Wilson, Rory Byrne, Bryony Sheaves, Richard P. Bentall, Daniel Freeman Tags: Qualitative paper Source Type: research

Editorial acknowledgement
(Source: Psychology and Psychotherapy: Theory, Research and Practice)
Source: Psychology and Psychotherapy: Theory, Research and Practice - March 4, 2021 Category: Psychiatry & Psychology Tags: Editorial acknowledgement Source Type: research