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SlowMo therapy, a new digital blended therapy for fear of harm from others: An account of therapy personalisation within a targeted intervention.
- Source :
-
Psychology & Psychotherapy: Theory, Research & Practice . Jun2022, Vol. 95 Issue 2, p423-446. 24p. 2 Color Photographs, 2 Diagrams, 4 Charts. - Publication Year :
- 2022
-
Abstract
- Objectives: SlowMo therapy is a pioneering blended digital therapy for paranoia, augmenting face‐to‐face therapy with an interactive 'webapp' and a mobile app. A recent large‐scale trial demonstrated small–moderate effects on paranoia alongside improvements in self‐esteem, worry, well‐being and quality of life. This paper provides a comprehensive account of therapy personalisation within this targeted approach. Design: Case examples illustrate therapy delivery and descriptive data are presented on personalised thought content. Method: Thought content was extracted from the webapp (n = 140 participants) and coded using newly devised categories: Worries: (1) Persecutory, (2) Negative social evaluation, (3) Negative self‐concept, (4) Loss/life stresses, (5) Sensory‐perceptual experiences and (6) Health anxieties. Safer thoughts: (1) Safer alternative (specific alternatives to worries), (2) Second‐wave (generalised) coping, (3) Positive self‐concept, (4) Positive activities and (5) Third‐wave (mindfulness‐based) coping. Data on therapy fidelity are also presented. Results: Worries: 'Persecutory' (92.9% of people) and 'Negative social evaluation' (74.3%) were most common. 'General worries/ life stresses' (31.4%) and 'Negative self‐concept' (22.1%) were present in a significant minority; 'Health anxieties' (10%) and 'Sensory‐perceptual' (10%) were less common. Safer thoughts: 'Second‐wave (general) coping' (85%), 'Safer alternatives' (76.4%), 'Positive self‐concept' (65.7%) and 'Positive activities' (64.3%) were common with 'Third‐wave' (mindfulness) coping observed for 30%. Fidelity: Only three therapy withdrawals were therapy related. Session adherence was excellent (mean = 15.2/16; SD = 0.9). Behavioural work was conducted with 71% of people (119/168). Conclusion: SlowMo therapy delivers a targeted yet personalised approach. Potential mechanisms of action extend beyond reasoning. Implications for cognitive models of paranoia and causal interventionist approaches are discussed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *UNIVERSAL design
*MINDFULNESS
*THOUGHT & thinking
*THERAPEUTICS
*COMPUTERS in medicine
*PSYCHOSES
*USER interfaces
*APPLICATION software
*SELF-perception
*RESEARCH methodology
*DIGITAL technology
*FEAR
*PATIENT-centered care
*MEDICAL care
*HARM reduction
*DESCRIPTIVE statistics
*WORRY
*ANXIETY
*PSYCHOLOGICAL adaptation
*COGNITIVE therapy
*TELEMEDICINE
*PARANOIA
*WORLD Wide Web
*PSYCHOLOGICAL stress
Subjects
Details
- Language :
- English
- ISSN :
- 14760835
- Volume :
- 95
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Psychology & Psychotherapy: Theory, Research & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 156806562
- Full Text :
- https://doi.org/10.1111/papt.12377