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Collecting subjective and rating scale data within a single case study design: cognitive behavioural therapy for a person experiencing psychosis
Author(s) -
CARDEN J.,
JONES A.
Publication year - 2009
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2009.01484.x
Subject(s) - psychosis , rating scale , cognition , psychological intervention , psychology , schizophrenia (object oriented programming) , clinical psychology , mental health , intervention (counseling) , randomized controlled trial , psychiatry , cognitive behavioral therapy , scale (ratio) , psychotherapist , medicine , developmental psychology , physics , surgery , quantum mechanics
Accessible summary• Cognitive Behavioural Therapy (CBT) for psychotic symptoms is seen as an increasingly important treatment option for individuals with long‐term mental health problems such as schizophrenia. CBT for psychosis has been evaluated in a number of randomized controlled trials, with evaluation often being determined only by rating scale data. • By using scale data alone within clinical practice it has been argued that this method only provides a narrow view of the effect of the specific intervention being utilized and what benefit this has had for the individual. • This paper reports on a case study whereby scale data alone were inconclusive, yet the subjective viewpoint of the person receiving the therapy identified changes that were not evident within the sale data. • Within current mental health services, collaboration and engaging with service users regarding their own outcomes are viewed as fundamental to a recovery‐orientated approach. The findings from this case study recognize the potential flaws in utilizing a one‐dimensional approach to determining outcome and highlights the value of reporting subjective data, not just within clinical practice, but within the wider literature on CBT for psychosis.Abstract This paper reports on a case study for a person with a diagnosis of schizophrenia using cognitive behavioural therapy. A range of scales was used to detect treatment effect and outcome. No significant clinical changes were detected using the scales, which are routinely used with such interventions. Subjective data were also collected in the form of a narrative, with the recipient of therapy identifying outcomes, which are not reflected within the rating scale data. Implications for practice include valuing the subjective experience reported by service users. The paper concludes that rating scale data and subjective accounts should be seen on an equal footing when evaluating specific therapeutic interventions.