Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective

Access to psychological therapies continues to be poor for people experiencing psychosis. To address this problem, researchers are developing brief interventions that address the specific symptoms associated with psychosis, i.e., hearing voices. As part of the development work for a brief Cognitive Behaviour Therapy (CBT) intervention for voices we collected qualitative data from people who hear voices (study 1) and clinicians (study 2) on the potential barriers and facilitators to implementation and engagement. Thematic analysis of the responses from both groups revealed a number of anticipated barriers to implementation and engagement. Both groups believed the presenting problem (voices and psychosis symptoms) may impede engagement. Furthermore clinicians identified a lack of resources to be a barrier to implementation. The only facilitator to engagement was reported by people who hear voices who believed a compassionate, experienced and trustworthy therapist would promote engagement. The results are discussed in relation to how these barriers could be addressed in the context of a brief intervention using CBT techniques

New Labour’s ‘hybrid’ political economy

The pre-crisis conjuncture was an era of relatively sustained and stable capitalist expansion. In this period, New Labour advanced a distinctive ‘hybrid’ political economy. On the one hand, New Labour advanced a finance-led accumulation strategy which bolstered Britain’s growth model of privatised Keynesianism. On the other hand, New Labour advanced a distinctive ‘One Nation’ hegemonic project which sought to channel material concessions to its social base. This led to a large increase in public expenditure and a (limited) redistribution of resources to social groups who might otherwise have been excluded from privatised Keynesian expansion. This regime of development temporarily stabilised British capitalism in the pre-crisis conjuncture. In the aftermath of the 2008 crisis, it would quickly unravel