White Rose University Consortium logo
University of Leeds logo University of Sheffield logo York University logo

A Meta-ethnography of Qualitative Accounts of Personal Recovery from Depression and, a Qualitative Study Exploring Engagement in the Early Stages of Psychotherapy for Depression

Campbell, Natasha E. K. (2015) A Meta-ethnography of Qualitative Accounts of Personal Recovery from Depression and, a Qualitative Study Exploring Engagement in the Early Stages of Psychotherapy for Depression. DClinPsy thesis, University of Sheffield.

[img] Text (A Meta-ethnography of Qualitative Accounts of Personal Recovery from Depression and, a Qualitative Study Exploring Engagement in the Early Stages of Psychotherapy for Depression)
CAMPBELL .pdf
Restricted until 17 February 2021.

Request a copy

Abstract

This thesis consists of a literature review and research study. The literature review employed a meta-ethnographic approach to synthesise first person accounts of recovery from depression. Critical appraisal was used to contextualize the rigour of studies. The final synthesis conceptualised recovery as an non-linear process over time, encapsulating periods of relapse and gains over baseline functioning, which could be represented as growth through adversity. A number of interlinked processes worked in concert to support recovery: “recovery toolkit”, “agency”, “being-in-relationships”, “insight”, “stigma”, “resilience” and “hope”. Findings converged with the existing literature on recovery, suggesting that recovery from depression is governed by similar processes to other mental health conditions. The review highlighted the limitations of retrospective accounts and the need for studies which could evaluate the identified gains following recovery on future well-being. The empirical study used Template Analysis to explore common process of early engagement across two psychotherapies for depression from the clients’ perspective. Sixteen transcripts representing the first two sessions for eight clients receiving either Cognitive Behavouiral Therapy or Counselling for Depression were analysed. The analysis found that, in order to engage, clients: (i) must learn about the tasks and principles of therapy; (ii) are active in adapting and managing the relationship with their therapist, and (iii) must be able to flexibly and responsively assert their own agency. The results argue for the active role of the client in managing early engagement. Future research directions and methodological shortcomings are outlined.

Item Type: Thesis (DClinPsy)
Academic Units: The University of Sheffield > Faculty of Science (Sheffield) > Psychology (Sheffield)
Depositing User: MS Natasha E. K. Campbell
Date Deposited: 01 Mar 2016 12:06
Last Modified: 01 Mar 2016 12:06
URI: http://etheses.whiterose.ac.uk/id/eprint/12038

Please use the 'Request a copy' link(s) above to request this thesis. This will be sent directly to someone who may authorise access.
You can contact us about this thesis. If you need to make a general enquiry, please see the Contact us page.

Actions (repository staff only: login required)