ABSTRACT
When psychological approaches began to gain increasing respectability (positioned as they still are as adjuncts to psychiatric interventions) in the early 1990s (e.g. Chadwick & Lowe, 1990), they did so by largely targeting populations who were not responding to standard psychiatric treatment (e.g. medication, rehabilitation). These innovations (CBT, Behavioural Family therapy, coping strategy enhancement, etc.) promised a breakthrough in treatment and were extensively trialled. Clients themselves often preferred these interventions to the side effects of medical treatments. However, over two decades later there clearly remains a substantial group for whom these approaches have not proven to be of benefit (Jones et al., 2012; Meaden & Hacker, 2010) and there remains a need to continue to understand how current practice can be improved.
