108 Chapter 4 "It was initiated by Inforsa. By [name of clinician], to whom I've been talking to for quite a while. She told me to do it, that it’s a good idea. So I did it on her advice. Only I finally decided not to do it because [it is] quite difficult for me. I do have to make time for it and that's quite difficult because I have my work and my own friends." – patient 006. Attitudes The attitudes of patients affected patients’ receptivity to FNC. One coach reported that a patient showed a hostile and offensive attitude, which prevented them from developing a bond. Communication with this patient was difficult as the words of the coach were repeatedly misunderstood and interpreted negatively by the patient. Furthermore, some patients experienced difficulties trusting other people, which led them to reject FNC. Some coaches recognized an avoidant and passive attitude of patients, complicating the achievement of social network-related goals. "…I don't need a [coach] honestly. […] All what I say, I mean that … I better keep that to myself ... in my opinion that's better for me. [...] Another person does not need to know or, […] what I'm struggling with or what I need I can solve myself." – patient 011. Timing Another reported problem affecting patients’ receptivity to FNC was the timing of the intervention, as patients reported being too occupied with mental problems or other types of problems. Several patients discussed feeling mentally or physically unwell, which prevented them from participating actively. For example dyads could not participate in outdoor activities due to physical limitations of patients. Coaches also discussed that it was difficult to develop a bond, let alone work on social network-related goals, with patients who were in a difficult social situation (e.g., financial problems, marital and relationship problems, unstable housing situation), or suffering from severe mental or addiction problems. "…Yes of course I [can use a coach] because I don't have any friends or family [or] that kind of things, so I can use it but I have to be ready." – patient 017. Several participants indicated that patients were too occupied with diverse responsibilities and life events. Patients who failed to engage in FNC often revealed that they were occupied with work, education, and appointments at the mental health service.
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