An Exploration of Self-as-Context and Group Interventions for Individuals with a Diagnosis of Functional Neurological Disorder

Hinchliffe, Rachel

Abstract

This thesis portfolio is comprised of three parts: a systematic literature review, an empirical paper,and appendices.
Part One: Systematic Literature Review
The systematic literature review explored group psychological interventions for individuals with a diagnosis of Functional Neurological Disorder (FND). A narrative synthesis approach was used to review the 17 studies that were identified as meeting the inclusion criteria following a systematic search of the literature. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the included studies. The findings suggest that group psychological therapy can be beneficial in improving: FND symptoms, the understanding of FND, mental and physical health, and quality of life. Participants also described personal benefits of attending the group. The clinical implications and recommendations for future research are discussed.
Part Two: Empirical Paper
The empirical paper explored experiences of Functional Neurological Disorder (FND) through the lens of ‘self-as-context’ from Acceptance and Commitment Therapy (ACT). A qualitative Interpretative Phenomenological Analysis (IPA) methodology was used. From the ten participants that completed a semi-structured interview, three themes emerged. These were: the loss of self in FND, acceptance of FND, and the positioning of self in the FND journey. The findings suggested that individuals with FND may struggle with an incongruence between their self-identity and ability to engage in activities. Self-as-context may play an important role in managing the incongruence. The clinical implications and recommendations for future research are discussed.
Part Three comprises the Appendices
The appendices contained additional information to support the systematic literature review and empirical paper. The appendices included the epistemological position of the researcher and the
reflective statement.

Citation

Hinchliffe, R. (2024). An Exploration of Self-as-Context and Group Interventions for Individuals with a Diagnosis of Functional Neurological Disorder. (Thesis). University of Hull. https://hull-repository.worktribe.com/output/5077627

• Thesis Type: Thesis
• Deposit Date: Mar 11, 2025
• Publicly Available Date: Mar 13, 2025
• Keywords: Clinical psychology
• Public URL: https://hull-repository.worktribe.com/output/5077627
• Award Date: Oct 3, 2024