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Client Reluctance During Chairwork: A Qualitative Analysis of Schema Therapists' Experiences and Perceptions

Halls, Natalie; (2023) Client Reluctance During Chairwork: A Qualitative Analysis of Schema Therapists' Experiences and Perceptions. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Many clients and therapists described chairwork as an emotionally intense but effective technique for psychological change. This three-part thesis examines client reluctance to chairwork in the context of schema therapy. Part one of this thesis is a conceptual introduction introducing schema therapy, chairwork and client reluctance, and the theoretical models relevant to the study. It then reviews the schema therapy and chairwork effectiveness studies and qualitative research. The conceptual introduction highlights gaps in the literature and methodological issues. It also provides a rationale for the study, the research aims, and the methodological approach. Part two is a qualitative study exploring how schema therapists understand, experience, and respond to client reluctance to chairwork. Individual semi-structured interviews were conducted to gather data from 16 accredited schema therapists across nine countries. A reflexive thematic analysis was used to analyse the interview data. The themes generated were seeing reluctance as normal and something to be understood, the impact of reluctance on the therapist, the relationship overcoming reluctance and warming the client up to chairwork. The themes are discussed in relation to existing theory and research, and the implications and suggestions for future research are outlined. Part three critically appraises the key points of reflection and methodological considerations I encountered during the research process. Topics include research interest, the context, self-reflexivity, becoming a research interviewer, interviewing therapists, challenges generating themes, and further elaborating on the clinical implications for training providers.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Client Reluctance During Chairwork: A Qualitative Analysis of Schema Therapists' Experiences and Perceptions
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2023. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10177490
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