Acknowledging religion in cognitive behavioural therapy: The effect on alliance, treatment expectations and credibility in a video‐vignette study

Author:

Hassan Hibah12,Lack Sarah12,Salkovskis Paul M.123ORCID,Thew Graham R.23

Affiliation:

1. The Oxford Institute of Clinical Psychology Training and Research University of Oxford Oxford UK

2. Oxford Health NHS Foundation Trust Oxford UK

3. Department of Experimental Psychology University of Oxford Oxford UK

Abstract

AbstractObjectivesDeveloping mental health services which are accessible and acceptable to those from minority backgrounds continues to be a priority. In the United Kingdom, individuals who identify with a religion are underrepresented in Talking Therapies services as compared to those with no religion. This necessitates an understanding of how therapy is perceived. This online study explored the impact of explicitly acknowledging religion on anticipated alliance, treatment credibility and expectations of therapy in a non‐clinical sample of British Muslims.MethodsA video‐vignette experimental design was used in which participants who self‐reported as either high or low in religiosity were randomly allocated to receiving information about cognitive behavioural therapy either with or without an explicit mention of religion as a value in the therapeutic process.ResultsOne hundred twenty‐nine British Muslim adults aged 18–70+ years from various ethnic backgrounds participated in the study. Between‐subjects ANOVAs showed that scores on the perceived credibility of therapy and treatment expectations were significantly higher when religion was explicitly mentioned by the ‘therapist’, but that acknowledging religion did not impact upon anticipated alliance.ConclusionsThese findings suggest that mentioning religion as a value to be considered in therapy has some positive impacts upon how therapy is perceived by British Muslims. Although video vignettes do not provide insight into the complexity of actual therapeutic encounters, acknowledging religion in mental health services more broadly remains an important consideration for improving equity of access and may bear relevance to other minoritized groups.

Publisher

Wiley

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