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portrait of Professor Rose McCabe

Professor Rose McCabe

Professor of Clinical Communication

School of Health Sciences, Division of Health Services Research and Management

Contact Information


Postal Address

City, University of London
Northampton Square
United Kingdom



Rose is a psychologist specialising in professional-patient communication in mental health care. She records professional-patient encounters and micro-analyses verbal and nonverbal communication. She also works on translating these findings into novel interventions to improve communication and patient outcomes in mental healthcare. She joined City University in 2018 and leads the Centre for Mental Health Research. She previously worked in the College of Medicine and Health at the University of Exeter and was Deputy Director of the WHO Collaborating Centre for Mental Health Services Development at Queen Mary University of London.

Her research investigates how communication may be affected by mental health problems and improving communication to improve patient centred care, patient experience and benefit from treatment. This work applies innovative methods to analyse communication in real clinical consultations, including conversation analysis, 3D motion capture and natural language processing.

Current work focuses on: nonverbal interpersonal coordination using 3D motion capture technology; involving patients and carers in decision making about treatment; how General Practitioners communicate with patients with common mental health problems; how professionals ask people about suicidal thoughts and plans; communication of a diagnosis of dementia; communication skills training to improve communication about psychosis; and a brief psychological intervention in Emergency Departments to improve outcomes for people who present with self-harm.


  1. PhD, National University of Ireland, Ireland
  2. B.A. Single Honours Psychology, Trinity College Dublin, Ireland


  1. Lead, Centre for Mental Health Research, City, University London, Feb 2019 – present
  2. Trustee of a Mental Health Charity, McPin Foundation, Oct 2018 – present
  3. Professor of Clinical Communication, City, University of London, Oct 2018 – present
  4. Professor of Clinical Communication, University of Exeter, Sep 2013 – Sep 2018
  5. Senior Lecturer, Queen Mary University of London, Oct 2007 – Oct 2013

Visiting appointments

  1. Honorary Professor of Clinical Communication, University of Exeter
  2. Honorary Professor, Queen Mary, University of London
  3. Honorary Professor, Devon Partnership Trust


Conference papers and proceedings (2)

  1. Howes, C., Purver, M. and McCabe, R. (2014). Linguistic Indicators of Severity and Progress in Online Text-based Therapy for Depression. Proceedings of the Workshop on Computational Linguistics and Clinical Psychology: From Linguistic Signal to Clinical Reality June.
  2. Howes, C., Purver, M., McCabe, R., Healey, P.G.T. and Lavelle, M. (2012). Predicting adherence to treatment for schizophrenia from dialogue transcripts.

Journal articles (51)

  1. XANTHOPOULOU, P., DOOLEY, J., MEO, I., BASS, N. and MCCABE, R. (2019). Patient and companion concerns when receiving a dementia diagnosis: an observational study of dementia diagnosis feedback meetings. Ageing and Society, 39(8), pp. 1782–1805. doi:10.1017/s0144686x18000247.
  2. Borek, A.J., Abraham, C., Greaves, C.J., Gillison, F., Tarrant, M., Morgan-Trimmer, S. … Smith, J.R. (2019). Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework. Health Psychology Review. doi:10.1080/17437199.2019.1625282.
  3. Borek, A.J., Smith, J.R., Greaves, C.J., Gillison, F., Tarrant, M., Morgan-Trimmer, S. … Abraham, C. (2019). Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study. Efficacy and Mechanism Evaluation, 6(3), pp. 1–162. doi:10.3310/eme06030.
  4. McCabe, R., Pavlickova, H., Xanthopoulou, P., Bass, N.J., Livingston, G. and Dooley, J. (2019). Patient and companion shared decision making and satisfaction with decisions about starting cholinesterase medication at dementia diagnosis. Age and Ageing. doi:10.1093/ageing/afz045.
  5. Dooley, J., Bass, N., Livingston, G. and McCabe, R. (2019). Involving patients with dementia in decisions to initiate treatment: effect on patient acceptance, satisfaction and medication prescription. The British Journal of Psychiatry, 214(4), pp. 213–217. doi:10.1192/bjp.2018.201.
  6. McCabe, R., Garside, R., Backhouse, A. and Xanthopoulou, P. (2018). Effectiveness of brief psychological interventions for suicidal presentations: a systematic review. BMC Psychiatry, 18(1). doi:10.1186/s12888-018-1663-5.
  7. Steele, A., Chadwick, P. and McCabe, R. (2018). Let's Talk About Psychosis. Clinical Schizophrenia & Related Psychoses, 12(2), pp. 69–76. doi:10.3371/
  8. Davis, K.A.S., Coleman, J.R.I., Adams, M., Allen, N., Breen, G., Cullen, B. … Hotopf, M. (2018). Mental health in UK Biobank: development, implementation and results from an online questionnaire completed by 157 366 participants. BJPsych Open, 4(3), pp. 83–90. doi:10.1192/bjo.2018.12.
  9. Bailey, C., Dooley, J. and McCabe, R. (2018). ‘How do they want to know?’ Doctors’ perspectives on making and communicating a diagnosis of dementia. Dementia pp. 147130121876390–147130121876390. doi:10.1177/1471301218763904.
  10. McCabe, R. and Healey, P.G.T. (2018). Miscommunication in Doctor-Patient Communication. Topics in Cognitive Science, 10(2), pp. 409–424. doi:10.1111/tops.12337.
  11. Dooley, J., Bass, N. and McCabe, R. (2018). How do doctors deliver a diagnosis of dementia in memory clinics? The British Journal of Psychiatry, 212(4), pp. 239–245. doi:10.1192/bjp.2017.64.
  12. McCabe, R., Sterno, I., Priebe, S., Barnes, R. and Byng, R. (2017). How do healthcare professionals interview patients to assess suicide risk? BMC Psychiatry, 17(1). doi:10.1186/s12888-017-1212-7.
  13. Backhouse, A., Richards, D.A., McCabe, R., Watkins, R. and Dickens, C. (2017). Stakeholders perspectives on the key components of community-based interventions coordinating care in dementia: a qualitative systematic review. BMC Health Services Research, 17(1). doi:10.1186/s12913-017-2725-y.
  14. Backhouse, A., Ukoumunne, O.C., Richards, D.A., McCabe, R., Watkins, R. and Dickens, C. (2017). The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components. BMC Health Services Research, 17(1). doi:10.1186/s12913-017-2677-2.
  15. Orfanos, S., Akther, S.F., Abdul-Basit, M., McCabe, R. and Priebe, S. (2017). Using video-annotation software to identify interactions in group therapies for schizophrenia: assessing reliability and associations with outcomes. BMC Psychiatry, 17(1). doi:10.1186/s12888-017-1217-2.
  16. Bronner, K., Perneczky, R., McCabe, R., Kurz, A. and Hamann, J. (2016). Which medical and social decision topics are important after early diagnosis of Alzheimer’s Disease from the perspectives of people with Alzheimer’s Disease, spouses and professionals? BMC Research Notes, 9(1). doi:10.1186/s13104-016-1960-3.
  17. McCabe, R., Garside, R., Backhouse, A. and Xanthopoulou, P. (2016). Effective communication in eliciting and responding to suicidal thoughts: a systematic review protocol. Systematic Reviews, 5(1). doi:10.1186/s13643-016-0211-y.
  18. McCabe, R., John, P., Dooley, J., Healey, P., Cushing, A., Kingdon, D. … Priebe, S. (2016). Training to enhance psychiatrist communication with patients
    with psychosis (TEMPO): cluster randomised controlled trial.
    British Journal of Psychiatry, 209(6), pp. 517–524. doi:10.1192/bjp.bp.115.179499.
  19. Barnicot, K., Gonzalez, R., McCabe, R. and Priebe, S. (2016). Skills use and common treatment processes in dialectical behaviour therapy for borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 52, pp. 147–156. doi:10.1016/j.jbtep.2016.04.006.
  20. Thompson, L., Howes, C. and McCabe, R. (2016). Effect of questions used by psychiatrists on therapeutic
    alliance and adherence.
    British Journal of Psychiatry, 209(1), pp. 40–47. doi:10.1192/bjp.bp.114.151910.
  21. Hamann, J., Kohl, S., McCabe, R., Bühner, M., Mendel, R., Albus, M. … Bernd, J. (2016). What can patients do to facilitate shared decision making? A qualitative study of patients with depression or schizophrenia and psychiatrists. Social Psychiatry and Psychiatric Epidemiology, 51(4), pp. 617–625. doi:10.1007/s00127-015-1089-z.
  22. John, P., Khanom, H., Cameli, M., McCabe, R. and Priebe, S. (2016). How to value patients with psychosis: An inductive study of psychiatrists’ behaviour in routine consultations. Communication & Medicine, 12(1), pp. 55–69. doi:10.1558/cam.v12i1.26363.
  23. Backhouse, A., Dickens, C., Richards, D. and McCabe, R. (2015). Key components in models of community-based interventions coordinating care in dementia: a mixed studies systematic review protocol. Systematic Reviews, 4(1). doi:10.1186/s13643-015-0143-y.
  24. Bhui, K.S., Aslam, R.W., Palinski, A., McCabe, R., Johnson, M.R.D., Weich, S. … Szczepura, A. (2015). Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review. British Journal of Psychiatry, 207(2), pp. 95–103. doi:10.1192/bjp.bp.114.158899.
  25. Dooley, J., Bailey, C. and McCabe, R. (2015). Communication in healthcare interactions in dementia: a systematic review of observational studies. International Psychogeriatrics, 27(8), pp. 1277–1300. doi:10.1017/s1041610214002890.
  26. Priebe, S., Kelley, L., Omer, S., Golden, E., Walsh, S., Khanom, H. … McCabe, R. (2015). The Effectiveness of a Patient-Centred Assessment with a Solution-Focused Approach (DIALOG+) for Patients with Psychosis: A Pragmatic Cluster-Randomised Controlled Trial in Community Care. Psychotherapy and Psychosomatics, 84(5), pp. 304–313. doi:10.1159/000430991.
  27. Lavelle, M., Dimic, S., Wildgrube, C., Mccabe, R. and Priebe, S. (2015). Non-verbal communication in meetings of psychiatrists and patients with schizophrenia. Acta Psychiatrica Scandinavica, 131(3), pp. 197–205. doi:10.1111/acps.12319.
  28. Zangrilli, A., Ducci, G., Bandinelli, P.L., Dooley, J., McCabe, R. and Priebe, S. (2014). How do psychiatrists address delusions in first meetings in acute care? A qualitative study. BMC Psychiatry, 14(1). doi:10.1186/1471-244x-14-178.
  29. (2014). Correction: The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study. PLoS ONE, 9(10). doi:10.1371/journal.pone.0110097.
  30. Sweeney, A., Fahmy, S., Nolan, F., Morant, N., Fox, Z., Lloyd-Evans, B. … Johnson, S. (2014). The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study. PLoS ONE, 9(7). doi:10.1371/journal.pone.0100153.
  31. Lavelle, M., Healey, P.G.T. and McCabe, R. (2014). Participation during first social encounters in schizophrenia. PLoS ONE, 9(1). doi:10.1371/journal.pone.0077506.
  32. Lavelle, M., Healey, P.G.T. and McCabe, R. (2014). Nonverbal behavior during face-to-face social interaction in schizophrenia: A review. Journal of Nervous and Mental Disease, 202(1), pp. 47–54. doi:10.1097/NMD.0000000000000031.
  33. Bhui, K., McCabe, R., Weich, S., Singh, S., Johnson, M. and Szczepura, A. (2013). THERACOM: a systematic review of the evidence base for interventions to improve Therapeutic Communications between black and minority ethnic populations and staff in specialist mental health services. Systematic Reviews, 2(1). doi:10.1186/2046-4053-2-15.
  34. McCabe, R., Healey, P.G.T., Priebe, S., Lavelle, M., Dodwell, D., Laugharne, R. … Bremner, S. (2013). Shared understanding in psychiatrist-patient communication: Association with treatment adherence in schizophrenia. Patient Education and Counseling, 93(1), pp. 73–79. doi:10.1016/j.pec.2013.05.015.
  35. Reininghaus, U., McCabe, R., Slade, M., Burns, T., Croudace, T. and Priebe, S. (2013). The validity of patient- and clinician-rated measures of needs and the therapeutic relationship in psychosis: A pooled analysis. Psychiatry Research, 209(3), pp. 711–720. doi:10.1016/j.psychres.2013.01.013.
  36. Lavelle, M., Healey, P.G.T. and McCabe, R. (2013). Is nonverbal communication disrupted in interactions involving patients with schizophrenia? Schizophrenia Bulletin, 39(5), pp. 1150–1158. doi:10.1093/schbul/sbs091.
  37. McCabe, R., Khanom, H., Bailey, P. and Priebe, S. (2013). Shared decision-making in ongoing outpatient psychiatric treatment. Patient Education and Counseling, 91(3), pp. 326–328. doi:10.1016/j.pec.2012.12.020.
  38. Bridle, D., McCabe, R. and Priebe, S. (2013). Incorporating psychotherapeutic methods in routine community treatment for patients with psychotic disorders. Psychosis, 5(2), pp. 154–165. doi:10.1080/17522439.2012.683036.
  39. Richardson, M., McCabe, R. and Priebe, S. (2013). Are attitudes towards medication adherence associated with medication adherence behaviours among patients with psychosis? A systematic review and meta analysis. Social Psychiatry and Psychiatric Epidemiology, 48(4), pp. 649–657. doi:10.1007/s00127-012-0570-1.
  40. Howes, C., Purver, M. and McCabe, R. (2013). Using Conversation Topics for Predicting Therapy Outcomes in Schizophrenia. Biomedical Informatics Insights, 6s1. doi:10.4137/bii.s11661.
  41. Federico, M.T., Priebe, S., Fusco, C., Strapelli, N., Singh, R. and McCabe, R. (2013). Communication about Psychotic Symptoms in Long-Term Psychiatric Illness. Psychopathology, 46(4), pp. 233–240. doi:10.1159/000342259.
  42. Thompson, L. and McCabe, R. (2012). The effect of clinician-patient alliance and communication on treatment adherence in mental health care: a systematic review. BMC Psychiatry, 12(1). doi:10.1186/1471-244x-12-87.
  43. Priebe, S., Golden, E., McCabe, R. and Reininghaus, U. (2012). Patient-reported outcome data generated in a clinical intervention in community mental health care - psychometric properties. BMC Psychiatry, 12(1). doi:10.1186/1471-244x-12-113.
  44. Giacco, D., McCabe, R., Kallert, T., Hansson, L., Fiorillo, A. and Priebe, S. (2012). Friends and Symptom Dimensions in Patients with Psychosis: A Pooled Analysis. PLoS ONE, 7(11). doi:10.1371/journal.pone.0050119.
  45. McCabe, R., Bullenkamp, J., Hansson, L., Lauber, C., Martinez-Leal, R., Rössler, W. … Priebe, S. (2012). The Therapeutic Relationship and Adherence to Antipsychotic Medication in Schizophrenia. PLoS ONE, 7(4). doi:10.1371/journal.pone.0036080.
  46. Reininghaus, U., McCabe, R., Burns, T., Croudace, T. and Priebe, S. (2012). The validity of subjective quality of life measures in psychotic patients with severe psychopathology and cognitive deficits: an item response model analysis. Quality of Life Research, 21(2), pp. 237–246. doi:10.1007/s11136-011-9936-1.
  47. van den Brink, R., Wiersma, D., Wolters, K., Bullenkamp, J., Hansson, L., Lauber, C. … Priebe, S. (2011). Non-uniform effectiveness of structured patient–clinician communication in community mental healthcare: an international comparison. Social Psychiatry and Psychiatric Epidemiology, 46(8), pp. 685–693. doi:10.1007/s00127-010-0235-x.
  48. Priebe, S., McCabe, R., Schützwohl, M., Kiejna, A., Nawka, P., Raboch, J. … Kallert, T.W. (2011). Patient Characteristics Predicting Better Treatment Outcomes in Day Hospitals Compared With Inpatient Wards. Psychiatric Services, 62(3), pp. 278–284. doi:10.1176/ps.62.3.pss6203_0278.
  49. Reininghaus, U., McCabe, R., Burns, T., Croudace, T. and Priebe, S. (2011). Measuring patients' views: a bifactor model of distinct patient-reported outcomes in psychosis. Psychological Medicine, 41(2), pp. 277–289. doi:10.1017/s0033291710000784.
  50. Priebe, S., Richardson, M., Cooney, M., Adedeji, O. and McCabe, R. (2011). Does the Therapeutic Relationship Predict Outcomes of Psychiatric Treatment in Patients with Psychosis A Systematic Review. Psychotherapy and Psychosomatics, 80(2), pp. 70–77. doi:10.1159/000320976.
  51. McCabe, R. (2002). Engagement of patients with psychosis in the consultation: conversation analytic study * Commentary: Understanding conversation. BMJ, 325(7373), pp. 1148–1151. doi:10.1136/bmj.325.7373.1148.

Other Activities

Editorial activity (2)

  1. BJPsych Advances, Editorial Board Member.
  2. Research on Language and Social Interaction, Editorial Board Member.

Keynote lecture/speech

  1. Communicating a Diagnosis of Dementia. East Midlands Conference Centre, Birmingham (2019). Royal College of Psychiatrists
    Faculty of Old Age Psychiatry Annual Scientific Meeting