Every year we award two PhD bursaries to students undertaking research relevant to our strategic aims. Here are the projects our current PhD students are undertaking.
Jennifer Holland, University of Nottingham (2018)
Development of a competency framework for person-centred experiential therapy for post-traumatic stress (PCE-PTS)
Until now, humanistic therapies have not been given the recognition, or approval that they might warrant within this field. Despite existing research proposing that relational therapies contribute to good outcome cases, there is not a defined set of competences that can be tested using a RCT methodology. The study, delivered in two parts, will provide evidenced based outcome research demonstrating the impact of person-centred experiential therapy within the field of trauma counselling.
NICE approved therapies for trauma are CBT and EMDR. These therapies are time-boundaried, exposure focused or based on cognitive modification strategies, and while suitable for PTSD, their efficacy when working with complex trauma presentations has been questioned. By providing the necessary research evidence it is hoped that person-centred therapy will become a NICE approved therapy for people who are dealing with the psychological impact of traumatic events. It can then be made more widely available and accessible to those that require it, through IAPT and NHS practitioners.
This research will bridge the widening gap between the medical model language of diagnosis, dysfunction and disorder, and the person-centred language of growth. It specifically looks at understanding how person-centred therapy facilitates post traumatic growth, providing a researched evidence base that will examine its effectiveness and efficacy. It helps to ensure that humanistic therapies become approved therapies for trauma.
The methodology is designed to develop an articulation and understanding of the necessary competencies, when working with these clients. The competency framework will be researched using good outcome cases and developed ideographically, creating a standardised baseline for good practice. The tangible outcome of this research and proposed impact will be a manual and training course deliverable to humanistic therapists wishing to work within this field. It will ensuring that traumatised clients are receiving the best possible therapy, to facilitate a higher proportion of good outcome cases.
"Receiving the studentship is such an incredible opportunity for me. I am committed to achieving what I have set out to do, and I am delighted to do it with the support of the BACP and the Centre of Human Flourishing at The University of Nottingham. Having worked with many clients who have experienced trauma, this work is dedicated to them and their sheer determination to recover and grow."
Rinda Haake, University of Sheffield (2018)
The role of competences in person-centred experiential therapy and their impact on the effectiveness of counsellors
Person-centred experiential therapy (PCET) is based on a humanistic model of brief psychological therapy developed to help adult clients who are experiencing depression, and is delivered in England within the Improving Access to Psychological Therapies (IAPT) service. Within IAPT, PCET is labelled Counselling for Depression (CfD). Since 2011, five-day CfD training courses have been delivered by a select number of university centres, followed by supervision and assessment of recordings of live PCET sessions.
Trained PCET counsellors working in IAPT services are using the model in their everyday practice and there is a need for the effectiveness of this training to be evaluated, in terms of both therapist competences and client outcomes. The proposed research will investigate these two critical aspects of the effectiveness of the PCET model using qualitative and quantitative methodologies.
Qualitative methods will be used to investigate the delivery of PCET training, focusing on similarities and differences between training sites, and in particular on the role of person-centred and emotion focused competences. It will also explore the experience of trainees, and the impact of training on their competences. PCET competences will be further examined through the analysis of session recordings from the PCET arm of the PRaCTICED trial, which compared PCET with CBT, by contrasting good and less good client outcome cases with specific reference to clients experiencing more severe depression.
Quantitative methods will be used to measure potential differences in client outcomes for therapists pre- and post-training in PCET as compared with general counselling.
"The research will be carried out in collaboration with the training centres and will bring a specific focus to the key components of PCET. The aim will be to capture the challenges in PCET training and delivery of the model, provide recommendations to training providers and counsellors, and to determine the potential therapeutic gains for clients in response to PCET."
Mary Atito, Metanoia Institute and Middlesex University (2017)
Men and Therapy; A mixed-method study into men's experiences of therapy, focusing on black men in London
A positive future for black men in psychotherapy
Research in the UK (De Maynard, 2007; Dupont-Joshua, 2003; Keating & Robertson, 2004; Miller’s, 2003; Sainsbury Centre for Mental Health, 2002) has begun to acknowledge men’s challenges to engage in therapy. This highlights the need for significant qualitative understanding in this area for appropriate therapeutic interventions to be established and targeted.
This study focuses on black men’s means of ‘coping’, with a special interest in their documented reluctance to seek assistance for emotional or physical problems. Statistics and research reveal the economic, social status, and health (De Maynard, 2007; Dupont-Joshua, 2003; Keating & Robertson, 2004; Sainsbury Centre for Mental Health, 2002) deficits of black men in the UK and the black male population is underrepresented in therapy. The process of black men considering therapy is also absent in the literature.
A suggestion for research is proposed which gives a podium to black men to voice their perspective. A future study will provide understanding of black males: occupying an active position in the growth of therapeutic theory and practice.
"I am honoured to be given the opportunity to produce research at this level, with the backing of the BACP, on an under-represented area in psychotherapy. This opportunity will help to shed light on the area of men and therapy, with the aim of providing practitioners with insight in to positive practices to better engage men in psychological therapies."
Antonella Cirasola, University College London (2017)
The role of therapeutic alliance in psychological therapies for adolescent depression
While the efficacy of psychotherapy has been established, little is known about how therapeutic change is facilitated, especially in adolescence. The therapeutic alliance is considered an active agent of change across most psychotherapies.
This study aims to:
- investigate if early alliance predicts symptom change in psychotherapy for adolescents with depression, and whether patients’ characteristics moderate the alliance–outcome relation
- compare trajectories/patterns of alliance during treatment and explore their relationship to symptom change
- describe the development of the alliance, including ruptures and resolutions, and explore how patients and therapists negotiate this over treatment.
The setting for this study is the Improving Mood with Psychoanalytic and Cognitive Therapies (IMPACT) trial, in which 465 adolescents with diagnosis of major depression were randomised to receive cognitive-behavioural therapy, short-term psychoanalytic psychotherapy and brief psychological intervention. Data includes audio recordings of therapy sessions, patient and therapist evaluated alliance, a battery of outcome measures and in-depth qualitative interviews with patients and their therapists. The use of self-report, observational and qualitative data will allow a mixed-methods, multi-perspective, longitudinal description of the alliance and its link to psychotherapy process and outcome.
"I am very excited to undertake research in psychotherapy in collaboration with BACP, due to our common interest in improving counselling and psychotherapy for young people with relevant research. Studying more closely specific dimensions of change, such as therapeutic alliance, might help to gain a better understanding of psychotherapy change mechanisms and outcomes, which would impact upon and improve the provision and delivery of psychological therapies for adolescents."