{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:04:50Z","timestamp":1790287490769,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Self\u2010harm in adults is a complex and highly prevalent problem. The Relational Approach to Treating Self\u2010Harm (RELATE, ISRCTN code: ISRCTN75661422) trial investigated the feasibility, acceptability and safety of 8\u2010session cognitive analytic therapy (CAT) for self\u2010harm, compared with treatment as usual. This qualitative evaluation explored participants' experiences of study processes and of brief CAT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Semi\u2010structured one\u2010to\u2010one interviews were carried out with\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200924 participants and reflexive thematic analysis explored participants' experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five themes were identified supporting the perceived acceptability of the trial and the therapy.\n                      <jats:italic>Being responsible to accept uncertainty<\/jats:italic>\n                      was the concern prior to and at the start of the CAT and centred on a sense of vulnerability during the therapy itself.\n                      <jats:italic>Self\u2010acceptance through more understanding<\/jats:italic>\n                      and\n                      <jats:italic>taking ownership<\/jats:italic>\n                      illustrated understandings of how CAT worked.\n                      <jats:italic>Living with urges<\/jats:italic>\n                      was seen as the impact of the CAT on impulsivity, and\n                      <jats:italic>being prepared for the end of treatment<\/jats:italic>\n                      was a key factor in the overall view of brief CAT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Brief CAT for self\u2010harm appears acceptable in terms of intervention coherence, self\u2010efficacy and perceived effectiveness. Anticipation of increased vulnerability (i.e., affective attitudes) and the energy required (i.e., burden) in talking through difficulties and trauma suggest a need to manage patient expectations before brief CAT is started.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70057","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:41:31Z","timestamp":1773920491000},"page":"783-800","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding factors that could influence feasibility and acceptability of brief CAT for adults who self\u2010harm: A qualitative exploration using the theoretical framework of acceptability"],"prefix":"10.1111","volume":"99","author":[{"given":"Isabel","family":"Adeyemi","sequence":"first","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Marlow","sequence":"additional","affiliation":[{"name":"Rotherham, Doncaster, and South Humber NHS Foundation Trust  Doncaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadika","family":"Asmal","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Pritchard","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima Saima","family":"Uddin","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Latham","sequence":"additional","affiliation":[{"name":"Division of Psychology &amp; 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