Cognitive behavioural therapists’ experiences of working remotely with language interpreters

In the United Kingdom, approximately one million people cannot speak English well enough to access therapy in English. If there is no shared language used by both the client and therapist, then individuals require access to an interpreter so that they receive an equitable service. Research highlights the anxiety and pressures that working with an interpreter can bring for professionals. In light of the Coronavirus pandemic and increased remote working, this research aimed to explore the experience and perspectives of cognitive behavioural therapists working with language interpreters remotely. Semi-structured interviews were conducted with eighteen participants who were asked about their experience of working with interpreters remotely. Data was analysed using Braun and Clarke’s six phases of reflexive thematic analysis (Braun & Clarke, 2019; Braun & Clarke, 2006). The analysis resulted in five main themes being constructed: the system doesn’t make it easier; therapist values of inclusive and self-reflective practice; working in a culturally sensitive way; the powerful role of the interpreter and remote therapy – different landscape, different journey. In total, 17 subthemes were created. Findings offer an understanding of how working with an interpreter impacts CBT ways of working. The findings draw attention to the impact of the organisational context where therapists work. The results also offer an insight into the relationship dynamics when introducing a third person in a remote setting as opposed to the traditional client-therapist dyad. Findings are considered in relation to competencies and therapeutic skills. Training and learning needs are highlighted, along with service level implications.