'Everyone should do it': client experience of receiving adapted Dialectical Behaviour Therapy - an interpretative phenomenological analysis

Article


Childs-Fegredo, Jasmine and Fellin, L. 2018. 'Everyone should do it': client experience of receiving adapted Dialectical Behaviour Therapy - an interpretative phenomenological analysis. Counselling and Psychotherapy Research. 18 (3), pp. 319-331. https://doi.org/10.1002/capr.12178
AuthorsChilds-Fegredo, Jasmine and Fellin, L.
Abstract

Objective: There is a dearth of practice-based evidence of adapted or ‘DBT-informed’ transdiagnostic models, which could provide services and clinicians with information of what works and for whom, in which settings. This paper aims to bridge this gap by exploring the client experience of a 12-week transdiagnostic dialectical behaviour therapy (DBT) group programme in a private psychiatric hospital.
Method: Five participants with varied clinical diagnoses and previous therapeutic experiences were interviewed following completion of one or more of the same adapted DBT programme, comprising of the standard four modules over 12 weeks, including a weekly skills group and 1:1 therapy. Interpretative phenomenological analysis (IPA) was applied to give voice to the clients’ lived experience of the group
. Results: Three master themes were identified: ‘Pre DBT: Crisis & Desperation’; ‘In-session: Belonging’; and ‘The Real World: Living’, each characterised by 4 sub-themes, highlighting helpful and hindering factors of clients’ current and previous therapeutic experiences.
Conclusion: Overall this version of DBT in a transdiagnostic setting was experienced as helpful and positive by participants; main outcomes included being able to build a life worth living, feel hope and joy, build DBT skills into a lifestyle, and develop reflective practice. Implications for clinical practice, service delivery and policy are also discussed. The article aims to provide clinicians with practice-based evidence to inform the delivery of DBT as well as supporting the case for the use of DBT with various disorders, thus paving the way for future research in this area.

JournalCounselling and Psychotherapy Research
Journal citation18 (3), pp. 319-331
ISSN1473-3145
Year2018
PublisherWiley for British Association for Counselling and Psychotherapy
Accepted author manuscript
License
Digital Object Identifier (DOI)https://doi.org/10.1002/capr.12178
Web address (URL)https://doi.org/10.1002/capr.12178
Publication dates
Online19 Jun 2018
Publication process dates
Deposited17 Apr 2018
Accepted13 Apr 2018
Accepted13 Apr 2018
Copyright informationThis is the peer reviewed version of the following article: Childs-Fegredo, Jasmine and Fellin, Lisa (2018) ‘'Everyone should do it': client experience of receiving adapted Dialectical Behaviour Therapy - an interpretative phenomenological analysis’, Counselling and Psychotherapy Research, which has been published in final form at: https://doi.org/10.1002/capr.12178. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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