Rosemarie McCabe

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BACKGROUND No instrument has been developed specifically for assessing the clinician-patient therapeutic relationship (TR) in community psychiatry. This study aimed to develop a measure of the TR with clinician and patient versions using psychometric principles for test construction. METHOD A four-stage prospective study was undertaken, comprising(More)
BACKGROUND Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance. AIMS To compare explanatory models among people with schizophrenia from four cultural backgrounds and explore their relationship with clinical and psychological characteristics. METHOD Explanatory models, insight, treatment(More)
BACKGROUND Patient-clinician communication is central to mental healthcare but neglected in research. AIMS To test a new computer-mediated intervention structuring patient-clinician dialogue (DIALOG) focusing on patients' quality of life and needs for care. METHOD In a cluster randomised controlled trial, 134 keyworkers in six countries were allocated(More)
OBJECTIVE Effective doctor-patient communication, including a shared understanding, is associated with treatment adherence across medicine. However, communication is affected by a diagnosis of schizophrenia and reaching a shared understanding can be challenging. During conversation, people detect and deal with possible misunderstanding using a(More)
AIMS To review the methods and findings from studies of the therapeutic relationship (TR) in the treatment of severe mental illness. METHOD A literature search was conducted to identify all studies that used an operationalised measurement of the TR in the treatment of severe mental illness. RESULTS Fifteen scales--the majority of which were developed(More)
OBJECTIVE To investigate the therapeutic relationship and how it is influenced by sociodemographic and clinical factors. METHOD This study analysed self-ratings of the therapeutic relationship in 90 first-admitted, 72 long-term hospitalised and 41 out-patients with schizophrenia along with 249 alcoholic and 42 depressive in-patients and their association(More)
BACKGROUND Nonverbal communication is a critical feature of successful social interaction and interpersonal rapport. Social exclusion is a feature of schizophrenia. This experimental study investigated if the undisclosed presence of a patient with schizophrenia in interaction changes nonverbal communication (ie, speaker gesture and listener nodding). (More)
BACKGROUND Nonadherence to mental health treatment incurs clinical and economic burdens. The clinician-patient alliance, negotiated through clinical interaction, presents a critical intervention point. Recent medical reviews of communication and adherence behaviour exclude studies with psychiatric samples. The following examines the impact of(More)
Patients with a diagnosis of schizophrenia display social cognitive deficits. However, little is known about patients' nonverbal communication during their social encounters with others. This review identified 17 studies investigating nonverbal communication in patients' unscripted face-to-face interactions, addressing a) nonverbal differences between(More)
Patient involvement in decision making is endorsed by patients and professionals. While research has recently been conducted on how professionals can promote shared decision making (SDM), little is known about how patients can also facilitate SDM. Seven focus groups were conducted: 3 with psychiatrists and 4 with patients with schizophrenia or depression.(More)