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Publication Detail
The lifeline in narrative exposure therapy: the experience of therapists
  • Publication Type:
    Thesis/Dissertation
  • Authors:
    Dix J
  • Date awarded:
    2021
  • Supervisors:
    Fornells-Ambrojo M
  • Awarding institution:
    UCL
  • Language:
    English
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.
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