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Qualitative study—other
Valuing therapeutic alliances with people experiencing acute psychosis
  1. Nicola Clibbens
  1. University of Leeds, Leeds, UK
  1. Correspondence to: Dr Nicola Clibbens, School of Healthcare, Baines Wing, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK; N.Clibbens{at}

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Implications for practice and research

  • Mental health professionals must value the therapeutic relationship as central to providing recovery focused nursing care to people experiencing acute psychosis on acute mental health wards.

  • Therapeutic alliances can be maintained by skilled mental health professionals even when containment measures are required.

  • Further research focused on detailed accounts of therapeutic interactions could provide the basis for the development of practice guidance, measurement of outcomes and enhanced education of mental health professionals.


Interpersonal relationships are at the heart of mental health nursing and yet nurses on acute mental health wards have struggled to articulate what they do to help.1 They have felt diverted from caring by burdensome administration and …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.