Dr Raphael Underwood is a Clinical Psychologist with the Psychological Interventions Clinic for Outpatients with Psychosis (PICuP). He provides cognitive behavioural therapy for psychosis (CBTp), family interventions for psychosis (FIp), and co-facilitates therapy groups. Alongside this he provides clinical supervision to assistant psychologists.
Raphael was awarded a first class BSc (Hons) in Psychology from the University of Kent, followed by a Master’s degree in Psychology research methods at the University of Oxford. He then spent a year working for the NIHR Clinical Research Network as a Clinical Studies Officer, before pursuing a PhD at the Institute of Psychiatry, Psychology and Neuroscience (IOPPN), King’s College London. His PhD explored the cognitive model of psychosis by measuring subjective and neural responses to experimentally-induced unusual experiences, comparing individuals reporting psychotic experiences with and without a clinical need for care. During his PhD he worked part-time as an Honorary Assistant Psychologist delivering co-therapy for individuals attending a psychosis outpatients service. Following this, Raphael spent a year as a postdoctoral Research Associate, carrying out qualitative research projects investigating GPs’ and service users’ perspectives of migraine management in primary care.
Raphael went on to complete the Doctorate in Clinical Psychology at the IoPPN, King’s College London. During his clinical training, he continued to develop his knowledge and experience in psychosis, completing a research project looking at the impact of CBTp on neural responses to threat. Clinically, he chose elective placements specialising in the delivery of CBTp in inpatient and outpatient settings. Raphael has worked at PICuP since qualifying.
Research and clinical interests
Raphael works part-time as a Trial Coordinator for the Study of Trauma and Recovery (STAR) trial, which aims to evaluate the effectiveness of trauma-focused cognitive behavioural therapy for psychosis. As part of this role he provides supervision to research assistants. His research interests primarily focus on understanding the psychology and neuroscience of unusual experiences and threat processing in psychosis.
Education and training
- Doctorate in Clinical Psychology (DClinPsy), Institute of Psychiatry, Psychology and Neuroscience, King’s College London, 2019
- PhD, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, 2015
- MSc in Psychological Research, University of Oxford, 2010
- First class BSc in Psychology, University of Kent, 2008
McKinlay, A., Underwood, R., Wojewodka, G., Mazumder, A., Kilner, R., and Ridsdale, L. (2019). Should GPs have direct access to imaging for headache?
A qualitative study of patients’ views in the UK. BMJ open, 9(8), e029376.
Pitman, A., Underwood, R., Hamilton, A., Tyrer, P., and Yang, M. (2019). Enhanced peer-review for optimising publication of biomedical papers submitted from low-and middle-income countries: feasibility study for a randomised controlled trial.
BJPsych open, 5(2).
Underwood, R., Kilner, R., and Ridsdale, L. (2017). Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners’ views.
BMJ open, 7(11).
Underwood, R., Kennis, K., and Ridsdale, L. (2017). Achieving a balance between the physical and the psychological in headache.
British Journal of General Practice, 67(661), 374-375.
Underwood, R., Kumari, V., and Peters, E. (2016). Cognitive and neural models of threat appraisal in psychosis: a theoretical integration.
Psychiatry Research, 239, 131-138.
Carhart-Harris, R. L., Kaelen, M., Bolstridge, M., Williams, T. M., Williams, L. T., Underwood, R., ... and Nutt, D. J. (2016). The paradoxical psychological effects of lysergic acid diethylamide (LSD).
Psychological medicine, 46(7), 1379-1390.
Underwood, R., Kumari, V., and Peters, E. (2016). Appraisals of psychotic experiences: an experimental investigation of symptomatic, remitted and non-need-for-care individuals.
Psychological medicine, 46(6), 1249-1263.
Underwood, R., Peters, E., and Kumari, V. (2015). Psychobiology of threat appraisal in the context of psychotic experiences: a selective review.
European Psychiatry, 30(7), 817-829.
Farias, M., Underwood, R., and Claridge, G. (2013). Unusual but sound minds: mental health indicators in spiritual individuals. British journal of psychology, 104(3), 364-381.