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‘Life just kind of sparkles’: clients’ experiences of being in cognitive behavioural group therapy and its impact on reducing shame in obsessive compulsive disorder

Published online by Cambridge University Press:  25 March 2015

Melanie Spragg  and
Sharon Cahill
Melanie Spragg*
Affiliation:
University of East London, Stratford Campus, Water Lane, London, UK
Sharon Cahill
Affiliation:
University of East London, Stratford Campus, Water Lane, London, UK
*
*Author for correspondence: Dr M. Spragg, University of East London, Stratford Campus, Water Lane, London E15 4LZ, UK ([email protected]).
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Abstract

This study explored the personal accounts of service users relating to their experiences of being in group cognitive behavioural therapy (GCBT) for obsessive compulsive disorder (OCD). Eight participants were purposively selected from two groups whose therapy had finished. These participants were interviewed, the data transcribed verbatim and analysed using interpretative phenomenological analysis (IPA). Five superordinate themes were generated: ‘Engagement in the group process’, ‘Normalizing’, ‘Courage to fight’, ‘Being my own therapist’ and ‘Restricted vs. engagement with life’. The findings in this study have implications for theory in terms of the relevance of shame-based appraisals in conceptualizations of OCD. Suggestions for future groups include the importance of exploring the development of the problem in the group setting and highlight an important role for the group in terms of increasing motivation and preventing dropout. Directions for future research and implications for theory are explored.

Keywords

Group therapyobsessive compulsive disorderqualitative research
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e6
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

Bieling, PJ, McCabe, RE, Antony, MM (2006). Cognitive Behavioural Therapy in Groups. New York: Guilford Press.Google Scholar
Prochaska, JO, Norcross, JC (2002). Stages of change. In: Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients (ed. Norcross, J. C.), pp. 303–314. Oxford: Oxford University Press.Google Scholar
Salkovskis, P, Shafran, R, Rachman, S, Freeston, H (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: origins and implications for therapy and research. Behaviour Research and Therapy 37, 1055–1072.Google Scholar
Smith, JA, Flowers, P, Larkin, J (2009). Interpretative Phenomenological Analysis: Theory, Method and Research. London: Sage Google Scholar

References

Anderson, RA, Rees, CS (2007). Group versus individual cognitive behavioural treatment of obsessive compulsive disorder: a controlled trial. Behaviour Research and Therapy 45, 123–137.Google Scholar
Aviram, RB, Rosenfeld, S (2002). Application of social identity theory in group therapy with stigmatized adults. International Journal of Group Psychotherapy 52, 121–130.Google Scholar
Bieling, PJ, McCabe, RE, Antony, MM (2006). Cognitive Behavioural Therapy in Groups. New York: The Guilford Press.Google Scholar
Burlingame, GM, Fuhriman, A, Johnson, JE (2002). Cohesion in group psychotherapy. In: Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients (ed. Norcross, J. C.), pp. 71–88. Oxford: Oxford University Press.Google Scholar
BPS (2005). Guidelines for the professional practice of counselling psychology. Leicester: The British Psychological Society.Google Scholar
Clarke, D, Rees, A, Hardy, GE (2004). The big idea: clients’ perspectives of change processes in cognitive therapy. Psychology and Psychotherapy: Research and Practice 77, 67–89.CrossRefGoogle ScholarPubMed
Clarke, DA (2005). Cognitive Behavioural Therapy for OCD. New York: Guilford Press.Google Scholar
Cooper, M (2008). Essential Research Findings in Counselling and Psychotherapy: The Facts are Friendly. London: Sage.Google Scholar
Department of Health (1996). NHS Psychotherapy Services: Review of Strategic Policy. Wetherby: NHS Executive.Google Scholar
Eatough, V, Smith, J (2007). Interpretative phenomenological analysis. In: Handbook of Qualitative Research Methods in Psychology (ed. Willig, C. and Stainton, R.), pp. 54–80. London: Sage.Google Scholar
Elliott, R, Fisher, CT, Rennie, DL (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology 38, 215–229.Google Scholar
Foulks, E (1990). Selected Papers of S. H. Foulks. London: Karnac Books.Google Scholar
Gilbert, P (1998). What is shame? Some core issues and controversies. In: Shame: Interpersonal Behaviour, Psychopathology and Culture (ed. Gilbert, P. and Andrews, B.), pp. 11–15. Oxford: Oxford University Press.CrossRefGoogle Scholar
Gilbert, P, Trower, P (1990). The evolution and manifestation of social anxiety. In: Shyness and Embarrassment: Perspectives from Social Psychology (ed. Crozier, W. R.), pp. 144–177. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Guimond, S (2006). Social Comparison and Social Psychology: Understanding Cognition, Intergroup Relations, and Culture. Cambridge: Cambridge University Press.Google Scholar
Henwood, KL, Pigeon, NF (1992). Qualitative research and psychological theorising. British Journal of Psychology 83, 97–112.CrossRefGoogle Scholar
Jaurrietta, N, Jimenez-Murcia, S, Menchon, JM, Del Pino Alonso, M, Segalas, C, Alvarez-Moya, EM, Labad, J, Granero, R, Vallejo, J (2008). Individual versus group cognitive-behavioural treatment for obsessive compulsive disorder: a controlled pilot study. Psychotherapy Research 18, 604–614.Google Scholar
Kasket, E (2012). The counselling psychologist researcher. Counselling Psychologist Review (Special Edition: Systematic Case Studies) 27, 64–73.Google Scholar
Kobak, KA, Rock, AL, Griest, JH (1995). Group behaviour therapy for obsessive compulsive disorder. Journal for Specialists in Group Work 20, 26–32.Google Scholar
Laberg, S, Tornkvist, A, Anderson, G (2001). Experiences of patients in cognitive behavioural group therapy: a qualitative study of eating disorders. Scandinavian Journal of Behaviour Therapy 30, 161–178.Google Scholar
Landridge, D (2007). Phenomenological Psychology Theory, Research and Method. Essex: Pearson Prentice Hall.Google Scholar
Leahy, RL (2009). Anxiety free: unravel your fears before they unravel you, ch. 6. In: ‘Never Enough’ Obsessive Compulsive Disorder: Hay House: UK.Google Scholar
McLeod, J (2001). Qualitative Research in Counselling and Psychotherapy. London: Sage.Google Scholar
Newth, S, Rachman, S (2001). The concealment of obsessions. Behaviour Research and Therapy 39, 457–464.Google Scholar
Newton, E, Larkin, M, Melhuish, R, Wykes, T (2007). More than just a place to talk: young people's experience of group psychological therapy as an early intervention for auditory hallucinations. Psychology and Psychotherapy: Theory, Research and Practice 80, 127–149.Google Scholar
NICE (2005). Obsessive compulsive disorder: core interventions in the treatment of obsessive compulsive disorder and body dysmorphic disorder. Clinical Guideline 31. National Institute for Health and Clinical Excellence.Google Scholar
O’Connor, C, Gordon, O, Graham, M, Kelly, F, O’Grady-Walshe, A (2008). Service user perspectives of a psychoeducation group for individuals with a diagnosis of bipolar disorder. Journal of Nervous and Mental Disease 196, 568–571.Google Scholar
Prochaska, JO, Norcross, JC (2002). Stages of change. In: Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients (ed. Norcross, J. C.), pp. 303–312. Oxford: Oxford University Press.Google Scholar
Prochaska, JO, Norcross, JC (2010). Systems of Psychotherapy: A Transtheoretical Analysis, 7th edn. Australia: Brooks/Cole.Google Scholar
Puthenpadath, L, Culbertson, P (2000). Mental health and Indian clients. The G.M. Resource and Referral Directory, pp. 258–259 (http://www.ptprof.com/articles/indianmh.html). Accessed June 2012.Google Scholar
Rachman, SJ (1997). A cognitive theory of obsessions. Behaviour Research and Therapy 35, 793–802.Google Scholar
Rachman, SJ (2003). The Treatment of Obsessions. Oxford: Oxford University Press.CrossRefGoogle Scholar
Renoux, M, Wade, A (2008). Resistance to violence: a key symptom of chronic mental wellness. Context 98, 2–4.Google Scholar
Rose, D (2001). Users’ Voices. The Perspectives of Mental Health Service Users on Community and Hospital Care. London: The Sainsbury Centre for Mental Health.Google Scholar
Rose, D (2003). Partnership, co-ordination of care and the place of user involvement. Journal of Mental Health 12, 59–70.Google Scholar
Salkovskis, P (1998). Psychological approaches to the understanding of obsessional problems. In: Obsessive Compulsive Disorder: Theory Research and Treatment (ed. Swinson, R. P., Antony, M. M., Rachman, S. and Richter, M. A.), pp. 33–48. New York: Guilford Press.Google Scholar
Salkovskis, P (1999). Understanding and treating obsessive compulsive disorder. Behaviour Research and Therapy 37, S29–S52.CrossRefGoogle ScholarPubMed
Salkovskis, P, Shafran, R, Rachman, S, Freeston, H (1999). Multiple pathways to inflated responsibility beliefs in obsessional problems: origins and implications for therapy and research. Behaviour Research and Therapy 37, 1055–1072.CrossRefGoogle Scholar
Salkovskis, PM (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy 27, 677–682.Google Scholar
Salkovskis, PM, Wroe, A, Gledhill, A, Morrison, N, Forrester, E, Richards, HC, Reynolds, M, Thorpe, S (2000). Responsibility attitudes and interpretations are characteristic of obsessive-compulsive disorder. Behaviour Research and Therapy 38, 347–372.Google Scholar
Schmalisch, S, Bratiotis, C, Muroff, J (2010). Processes in group cognitive behavioral treatment for hoarding. Cognitive and Behavioral Practice 17, 414–425.CrossRefGoogle Scholar
Smith, JA (2008). Qualitative Psychology: A Practical Guide to Research Methods, 2nd edn. London: Sage.Google Scholar
Smith, JA, Flowers, P, Larkin, J (2009). Interpretative Phenomenological Analysis: Theory, Method and Research. London: Sage.Google Scholar
Steketee, GS, Wilhelm, S (2006). Cognitive Therapy for Obsessive Compulsive Disorder: A Guide for Professionals. Oakland: New Harbinger Publications.Google Scholar
Thordarson, DS, Shafran, R (2002). Importance of thoughts. In: Cognitive Approaches to Obsessions and Compulsions, Theory, Assessment and Treatment (ed. Frost, R. and Steketee, G.). Oxford: Elsevier Science Ltd.Google Scholar
Thornton, C (2004). Borrowing my self: an exploration of exchange as a group specific therapeutic factor, Group Analysis 37, 305–320.Google Scholar
Veale, D (2007). Cognitive-behavioural therapy for obsessive-compulsive disorder. Advances in Psychiatric Treatment 13, 438–446.Google Scholar
Veale, D, Wilson, R (2005). Overcoming Obsessive Compulsive Disorder: A Self-help Guide using Cognitive Behavioural Techniques. London: Robinson.Google Scholar
Wade, A (1997). Small acts of living: everyday resistance to violence and other forms of oppression. Contemporary Family Therapy 19, 23–39.Google Scholar
Whitfield, G (2010). Group therapy for anxiety and depression. Advances in Psychiatric Treatment 16, 219–227.Google Scholar
Wills, TA (1981). Downward comparison principles in social psychology. Psychological Bulletin 90, 245–271.Google Scholar
Wong, Y, Tsai, J (2007). Cultural models of shame and guilt. In: The Self Conscious Emotions: Theory and Research (ed. Tracy, J. L, Robins, R. W. and Tangney, J. P.), pp. 209–221. New York: Guilford Press.Google Scholar
Yalom, ID (1995). Theory and Practice of Group Psychotherapy, 4th edn. New York: Basic Books.Google Scholar
Yalom, ID, Leszcz, M (2005). Theory and Practice of Group Psychotherapy, 5th edn. New York: Basic Books.Google Scholar
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