{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:56:09Z","timestamp":1791035769185,"version":"4.1.0"},"reference-count":90,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Forschung, Technologie und Raumfahrt","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009379","name":"Heinrich B\u00f6ll Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009379","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This uncontrolled study aims to gather a comprehensive understanding of participants' experiences during an inpatient intervention specialized in the treatment of psychotic disorders, embedded in a holistic therapeutic ward\u2010concept rooted in acceptance and commitment therapy (ACT), extending its isolated delivery in group therapies. Particular attention was paid to participants' perceptions of the concept, the mechanisms of impact they described and the transfer of therapy\u2010related experiences into daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study design was used to evaluate experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty semi\u2010structured interviews were conducted with inpatients with psychosis upon completing the intervention. Following a later protocol amendment, 11 complementary follow\u2010up interviews were conducted. All were audio\u2010recorded and transcribed. A Straussian grounded theory\u2010informed content structuring analysis was carried out to create a comprehensive coding scheme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants regarded the general concept as fostering for their personal development, emphasizing positive interactions with staff and other inpatients, while pointing out structural barriers. Group therapies were perceived as highly relevant, engaging and practical in nature. Reported impacts represent the established ACT\u2010domains \u2018open\u2019, \u2018aware\u2019 and \u2018active\u2019. Meaningful transfers to daily life were prevalent at both times of interviews, and participants generally displayed an optimistic and life\u2010oriented attitude half a year upon completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The holistic therapeutic concept appears to succeed in impactfully conveying the principles of ACT. Findings suggest that through including the entire ward staff as ACT\u2010therapists, it promotes therapeutic alliance and interpersonal connectedness to a particular degree. Participants highlighted the hands\u2010on and guiding nature of therapy contents as especially motivating, leading to meaningful change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70113","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:49:58Z","timestamp":1791035398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acceptance and commitment therapy for schizophrenia and psychosis inpatients with recovery and experience orientation (\n                    <scp>ASPIRE<\/scp>\n                    ): A qualitative study of participant experiences"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9797-6496","authenticated-orcid":false,"given":"Henrik","family":"Vo\u00df","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Charit\u00e9 Campus Mitte Charit\u00e9\u2010University Medical Center Berlin, 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Epidemiology and Health Economics Charit\u00e9 \u2010 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2822-2469","authenticated-orcid":false,"given":"Friederike","family":"Sachsenheimer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatic Medicine Incorporating FRITZ am Urban and Soulspace Vivantes Hospital am Urban and im Friedrichshain  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5801-7873","authenticated-orcid":false,"given":"Stefan","family":"Wagler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy and Psychosomatic Medicine Incorporating FRITZ am Urban and Soulspace Vivantes Hospital am Urban and im Friedrichshain  Berlin 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