A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions

Jessica Bond; Alexandra Kenny; Andreja Mesaric; Natalie Wilson; Vanessa Pinfold; Thomas Kabir; Daniel Freeman; Felicity Waite; Michael Larkin; Dan J. Robotham

doi:10.1111/papt.12421

A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions

Jessica Bond^*, Alexandra Kenny, Andreja Mesaric, Natalie Wilson, Vanessa Pinfold, Thomas Kabir, Daniel Freeman, Felicity Waite^*, Michael Larkin, Dan J. Robotham

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The Feeling Safe Programme is a cognitive therapy developed to improve outcomes for individuals with persecutory delusions. It is theoretically driven, modular and personalised, with differences in therapeutic style and content compared with first-generation cognitive behavioural therapy for psychosis.

OBJECTIVES: We set out to understand the participant experience of the Feeling Safe Programme.

DESIGN: A qualitative study employing interpretative phenomenological analysis.

METHODS: Using a peer research approach, semi-structured face-to-face interviews were conducted with six people who had received the Feeling Safe Programme as part of the outcome clinical trial.

RESULTS: Participants spoke of feeling 'unsafe' in their daily lives before the intervention. Openness to the intervention, facilitated by identification with the programme name, and willingness to take an active role were considered important participant attributes for successful outcomes. The therapist was viewed as a professional friend who cared about the individual, which enabled trust to form and the opportunity to consider new knowledge and alternative perspectives. Doing difficult tasks gradually and repeatedly to become comfortable with them was important for change to occur. The intervention helped people to do ordinary things that others take for granted and was perceived to produce lasting changes.

CONCLUSIONS: The Feeling Safe Programme was subjectively experienced very positively by interview participants, which is consistent with the results of the clinical trial. The successful interaction of the participant and therapist enabled trust to form, which meant that repeated practice of difficult tasks could lead to re-engagement with valued everyday activities.

Original language	English
Pages (from-to)	1108-1125
Number of pages	18
Journal	Psychology and Psychotherapy: Theory, Research and Practice
Volume	95
Issue number	4
Early online date	8 Aug 2022
DOIs	https://doi.org/10.1111/papt.12421
Publication status	Published - Dec 2022

Bibliographical note

Copyright © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Funding Information:
Wellcome Trust, Grant/Award Number: 102176/B/13/Z; NIHR Oxford Health Biomedical Research Centre, Grant/Award Number: BRC-1215-20005; NIHR Research, Grant/Award Number: NIHR- RP- 2014- 05- 003.

Keywords

CBT
cognitive therapy
delusions
paranoia
schizophrenia
treatment

Access to Document

10.1111/papt.12421Licence: CC BY 4.0

A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions
Copyright © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Final published version, 303 KBLicence: CC BY 4.0

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Bond, J., Kenny, A., Mesaric, A., Wilson, N., Pinfold, V., Kabir, T., Freeman, D., Waite, F., Larkin, M., & Robotham, D. J. (2022). A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions. Psychology and Psychotherapy: Theory, Research and Practice, 95(4), 1108-1125. https://doi.org/10.1111/papt.12421

Bond, Jessica ; Kenny, Alexandra ; Mesaric, Andreja et al. / A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions : A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions. In: Psychology and Psychotherapy: Theory, Research and Practice. 2022 ; Vol. 95, No. 4. pp. 1108-1125.

@article{379d49ccf52d4024a32daff0318532d3,

title = "A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions",

abstract = "BACKGROUND: The Feeling Safe Programme is a cognitive therapy developed to improve outcomes for individuals with persecutory delusions. It is theoretically driven, modular and personalised, with differences in therapeutic style and content compared with first-generation cognitive behavioural therapy for psychosis.OBJECTIVES: We set out to understand the participant experience of the Feeling Safe Programme.DESIGN: A qualitative study employing interpretative phenomenological analysis.METHODS: Using a peer research approach, semi-structured face-to-face interviews were conducted with six people who had received the Feeling Safe Programme as part of the outcome clinical trial.RESULTS: Participants spoke of feeling 'unsafe' in their daily lives before the intervention. Openness to the intervention, facilitated by identification with the programme name, and willingness to take an active role were considered important participant attributes for successful outcomes. The therapist was viewed as a professional friend who cared about the individual, which enabled trust to form and the opportunity to consider new knowledge and alternative perspectives. Doing difficult tasks gradually and repeatedly to become comfortable with them was important for change to occur. The intervention helped people to do ordinary things that others take for granted and was perceived to produce lasting changes.CONCLUSIONS: The Feeling Safe Programme was subjectively experienced very positively by interview participants, which is consistent with the results of the clinical trial. The successful interaction of the participant and therapist enabled trust to form, which meant that repeated practice of difficult tasks could lead to re-engagement with valued everyday activities.",

keywords = "CBT, cognitive therapy, delusions, paranoia, schizophrenia, treatment",

author = "Jessica Bond and Alexandra Kenny and Andreja Mesaric and Natalie Wilson and Vanessa Pinfold and Thomas Kabir and Daniel Freeman and Felicity Waite and Michael Larkin and Robotham, {Dan J.}",

note = "Copyright {\textcopyright} 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Funding Information: Wellcome Trust, Grant/Award Number: 102176/B/13/Z; NIHR Oxford Health Biomedical Research Centre, Grant/Award Number: BRC-1215-20005; NIHR Research, Grant/Award Number: NIHR- RP- 2014- 05- 003.",

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doi = "10.1111/papt.12421",

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Bond, J, Kenny, A, Mesaric, A, Wilson, N, Pinfold, V, Kabir, T, Freeman, D, Waite, F, Larkin, M & Robotham, DJ 2022, 'A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions', Psychology and Psychotherapy: Theory, Research and Practice, vol. 95, no. 4, pp. 1108-1125. https://doi.org/10.1111/papt.12421

A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions. / Bond, Jessica; Kenny, Alexandra; Mesaric, Andreja et al.
In: Psychology and Psychotherapy: Theory, Research and Practice, Vol. 95, No. 4, 12.2022, p. 1108-1125.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions

T2 - A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions

AU - Bond, Jessica

AU - Kenny, Alexandra

AU - Mesaric, Andreja

AU - Wilson, Natalie

AU - Pinfold, Vanessa

AU - Kabir, Thomas

AU - Freeman, Daniel

AU - Waite, Felicity

AU - Larkin, Michael

AU - Robotham, Dan J.

N1 - Copyright © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Funding Information: Wellcome Trust, Grant/Award Number: 102176/B/13/Z; NIHR Oxford Health Biomedical Research Centre, Grant/Award Number: BRC-1215-20005; NIHR Research, Grant/Award Number: NIHR- RP- 2014- 05- 003.

PY - 2022/12

Y1 - 2022/12

N2 - BACKGROUND: The Feeling Safe Programme is a cognitive therapy developed to improve outcomes for individuals with persecutory delusions. It is theoretically driven, modular and personalised, with differences in therapeutic style and content compared with first-generation cognitive behavioural therapy for psychosis.OBJECTIVES: We set out to understand the participant experience of the Feeling Safe Programme.DESIGN: A qualitative study employing interpretative phenomenological analysis.METHODS: Using a peer research approach, semi-structured face-to-face interviews were conducted with six people who had received the Feeling Safe Programme as part of the outcome clinical trial.RESULTS: Participants spoke of feeling 'unsafe' in their daily lives before the intervention. Openness to the intervention, facilitated by identification with the programme name, and willingness to take an active role were considered important participant attributes for successful outcomes. The therapist was viewed as a professional friend who cared about the individual, which enabled trust to form and the opportunity to consider new knowledge and alternative perspectives. Doing difficult tasks gradually and repeatedly to become comfortable with them was important for change to occur. The intervention helped people to do ordinary things that others take for granted and was perceived to produce lasting changes.CONCLUSIONS: The Feeling Safe Programme was subjectively experienced very positively by interview participants, which is consistent with the results of the clinical trial. The successful interaction of the participant and therapist enabled trust to form, which meant that repeated practice of difficult tasks could lead to re-engagement with valued everyday activities.

AB - BACKGROUND: The Feeling Safe Programme is a cognitive therapy developed to improve outcomes for individuals with persecutory delusions. It is theoretically driven, modular and personalised, with differences in therapeutic style and content compared with first-generation cognitive behavioural therapy for psychosis.OBJECTIVES: We set out to understand the participant experience of the Feeling Safe Programme.DESIGN: A qualitative study employing interpretative phenomenological analysis.METHODS: Using a peer research approach, semi-structured face-to-face interviews were conducted with six people who had received the Feeling Safe Programme as part of the outcome clinical trial.RESULTS: Participants spoke of feeling 'unsafe' in their daily lives before the intervention. Openness to the intervention, facilitated by identification with the programme name, and willingness to take an active role were considered important participant attributes for successful outcomes. The therapist was viewed as a professional friend who cared about the individual, which enabled trust to form and the opportunity to consider new knowledge and alternative perspectives. Doing difficult tasks gradually and repeatedly to become comfortable with them was important for change to occur. The intervention helped people to do ordinary things that others take for granted and was perceived to produce lasting changes.CONCLUSIONS: The Feeling Safe Programme was subjectively experienced very positively by interview participants, which is consistent with the results of the clinical trial. The successful interaction of the participant and therapist enabled trust to form, which meant that repeated practice of difficult tasks could lead to re-engagement with valued everyday activities.

KW - CBT

KW - cognitive therapy

KW - delusions

KW - paranoia

KW - schizophrenia

KW - treatment

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DO - 10.1111/papt.12421

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Bond J, Kenny A, Mesaric A, Wilson N, Pinfold V, Kabir T et al. A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions. Psychology and Psychotherapy: Theory, Research and Practice. 2022 Dec;95(4):1108-1125. Epub 2022 Aug 8. doi: 10.1111/papt.12421

A life more ordinary: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions: A peer research method qualitative study of the Feeling Safe Programme for persecutory delusions

Abstract

Bibliographical note

Keywords

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