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However, drivers of a productive service user-practitioner relationship are still insufficiently understood, with particularly limited exploration of service users\u2019 perspectives. The present study aims to address a gap in the working alliance literature through a qualitative exploration of service user attitudes towards seeking treatment from a practitioner with personal experience of mental ill-health. Semi-structured interviews and an online survey were completed by adults (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u200935) who self-identified as mental health service users. Participant attitudes were varied, although generally positive, and reflexive thematic analysis developed understandings of how a practitioner\u2019s lived experience of mental ill-health may be considered a therapeutic resource to strengthen working alliance. The social identity model of the working alliance provided valuable insights, where practitioner lived experience of mental ill-health poses an additional avenue for facilitating the therapeutic relationship.\n                  <\/jats:p>","DOI":"10.1177\/13591053261490898","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:56:20Z","timestamp":1791438980000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cYou wouldn\u2019t want to talk to someone who doesn\u2019t understand\u201d: Mental health service user attitudes towards practitioners with lived experience of mental ill-health"],"prefix":"10.1177","author":[{"given":"Lillian E.","family":"Starling","sequence":"first","affiliation":[{"name":"The Australian National University, Canberra, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Roennfeldt","sequence":"additional","affiliation":[{"name":"Griffith University, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7284-3246","authenticated-orcid":false,"given":"Cole","family":"Johnson","sequence":"additional","affiliation":[{"name":"The Australian National University, Canberra, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2819-994X","authenticated-orcid":false,"given":"Brett","family":"Scholz","sequence":"additional","affiliation":[{"name":"The Australian National University, Canberra, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Ardito RB Rabellino D (2011) Therapeutic alliance and outcome of psychotherapy: Historical excursus measurements and prospects for research. 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