title: Paranoia in the therapeutic relationship in cognitive behavioural therapy for psychosis.
abstract: OBJECTIVE
  This study explored therapists' and clients' experiences of paranoia about the therapist in cognitive behaviour therapy.
  
  
  METHODS
  Ten therapists and eight clients engaged in cognitive behaviour therapy for psychosis were interviewed using a semi-structured interview. Data were analyzed using thematic analysis.
  
  
  RESULTS
  Clients reported experiencing paranoia about their therapist, both within and between therapy sessions. Therapists' accounts highlighted a number of dilemmas that can arise in responding to clients' paranoia about them.
  
  
  CONCLUSIONS
  The findings highlight helpful ways of working with clients when they become paranoid about their therapist, and emphasize the importance of developing a therapeutic relationship that is radically collaborative, supporting a person-based approach to distressing psychotic experience.
authors.affiliation: Royal Holloway,University of London,Egham,UK.
authors.forename: Caroline
authors.initials: C
authors.lastname: Lawlor
authors.affiliation: Royal Holloway,University of London,Egham,UK.
authors.forename: Katherine
authors.initials: K
authors.lastname: Hall
authors.affiliation: Royal Holloway,University of London,Egham,UK.
authors.forename: Lyn
authors.initials: L
authors.lastname: Ellett
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D010259:Paranoid Disorders / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D011369:Professional-Patient Relations; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy*
keywords: Therapeutic relationship; cognitive behaviour therapy for psychosis; paranoia; person-based cognitive therapy; radical collaboration