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1
Nygren, Marianne. "Rorschach Comprehensive Variables and Assessment for Psychodynamic Psychotherapy." Doctoral thesis, Stockholm University, Department of Psychology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-368.
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Rationally selected Comprehensive System (CS; Exner, 1991, 1993, 2003) Rorschach variables and suitability for psychodynamic psychotherapy were investigated in four studies with different designs. The participants comprised three clinical samples (n = 52, 25, and 69) of patients applying for and/or selected for dynamic psychotherapy. With few exceptions the CS variables were the same in the studies, and in all the studies the Rorschach was independent of clinical ratings/assessments and/or selection of patients for treatment. The first study dealt with the relation between 17 rationally selected CS variables and suitability for psychotherapy as represented by ratings of Dynamic Capacity and Ego Strength and by selection of therapy applicants for psychotherapy. The second and third studies concerned CS score differences between groups of patients differing in suitability for dynamic psychotherapy. In the second study, differences for CS variables were predicted for three groups of dynamic psychotherapy patients with mixed diagnoses. In the third study, CS score differences between two groups, differing in suitability but similar in comprising personality disordered patients, were predicted and tested. In the fourth study, correlations were predicted between 18 pre-therapy CS variables and patient post-therapy satisfaction with therapy and also with therapist post-therapy ratings of their patients’ suitability for dynamic therapy.
For the four studies taken together, positive results were obtained for EA, FC, the D Score, Blends, Zf, F%, MQo, and AG. The results for m, SumT, WSUM6, X-%, S, and FrrF were negative, whereas the results for YFY, FD, COP, and PER were too weak to permit interpretation.
The main limitation of the research in this thesis is the lack of psychometric data concerning the clinical ratings whereas the strength is the ecological validity. The results are positive for some of the CS variables selected, mainly concerning control and cognition but also touching upon emotional integration and interpersonal forcefulness. The usefulness of the CS in psychotherapy assessment may be enhanced if only those CS variables that are found valid for the purpose are used and general personality descriptions are avoided.
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Levy, Lisa-Ann. "Assessment of children for brief psychodynamic psychotherapy : training implications." Master's thesis, University of Cape Town, 1991. http://hdl.handle.net/11427/13539.
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Includes bibliography.The aim of this study is to develop a framework for the assessment of children for short-term psychodynamic psychotherapy, with a particular emphasis on the training of child therapists. For this purpose the literature on brief child psychotherapy is reviewed, and selection criteria mentioned in the literature are collated and summarized. These criteria are then applied to 5 cases seen by trainees or newly qualified clinicians in order to assess their usefulness in a training setting. Potential sources of difficulty for inexperienced clinicians in the assessment for and process of this specialized form of child psychotherapy are considered, and guidelines as to how this approach could be usefully employed in a training institute are suggested. On the basis of the literature and case discussions, a format for the assessment of children for brief psychotherapy is devised in order to assist the trainee.
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Martens, Marlyn Leslie. "An investigation into the experience of being a protagonist in a psychodrama." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28831.
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The purpose of this study was to investigate the meaning of the psychodrama process as experienced by individuals who claim that it resulted in significant change. Using an existential-phenomenological approach, the study described the meaning of the experience for six adult co-researchers. The co-researchers were asked to describe their experiences before, during, and after their psychodramas. Two interviews were conducted and these were tape recorded and transcribed. The transcripts were analyzed and themes were formulated which were validated by the co-researchers and woven into an exhaustive description of the psychodrama experience. The exhaustive description was condensed into an essential structure. Both the exhaustive description and the essential structure were validated by all the co- researchers. The results support elements of both psychodrama and Gestalt theory, as well as current theories of group development. Implications for counselling and further research are discussed.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Widgery, Camilla. "Working with parents and carers within psychodynamic child and adolescent psychotherapy." Click here to access this resource online, 2008. http://hdl.handle.net/10292/502.
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This dissertation uses a modified systematic literature review to look at working with parents and carers within child and adolescent psychotherapy, and to consider this tasks relationship to therapeutic outcomes for children and adolescents. The topic is important because psychotherapy with children and adolescents inevitably involves additional relationships. The literature indicates the way this undertaking has been regarded has varied through the history of psychodynamic child and adolescent psychotherapy. Numerous writers reflect on the ongoing neglect and absence of systematic thinking in relation to the task of work with parents and carers. This lack of attention is understood to have been influenced by the traditional model of child and adolescent psychotherapy where the source of the child or adolescent’s distress or difficulty was regarded as being primarily intrapsychic. What is now known regarding the current and active nature of the child or adolescent’s relationship with the parent or carer, and the power and persistence of the parent-child bond has resulted in an acknowledgement of the need for a more equitable balance of focus between internal and external factors. In acknowledging that the external can no longer be seen as peripheral there are compelling clinical reasons to work with parents and carers. This undertaking should not be seen as dependant on the therapist’s orientation or interest. The significant scope of possibilities for work with parents and carers within child and adolescent psychotherapy is explored; however there is a lack of data relating to the clinical effectiveness of these approaches. The future need is for systematic thinking, and the development of practice guidelines for this clinical task.
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Rawson, Penelope Mary Hamilton. "Short term psychodynamic psychotherapy : an analysis of the key principles." Thesis, Durham University, 1998. http://etheses.dur.ac.uk/1048/.
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Jacobs, H. Sean. "The psychodynamic psychotherapy of a male transvestite : a case study." Master's thesis, University of Cape Town, 1988. http://hdl.handle.net/11427/14321.
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Includes bibliography.The present study provides a description of selected core psychodynamic issues pertinent to a male transvestite patient. Case material from an ongoing 11 month psychodynamically-oriented psychotherapy is used for illustrative purposes. The theoretical roles of the 'core complex', castration anxiety; aggression and a particular ego style are thematically outlined and illustrated by a discussion of the therapeutic process. An attempt is made to demonstrate an increased capacity for depression, increased object-relatedness and disidentification from a symbiotically related female introject as the aim and partial gain of the therapy. The transference, case management difficulties and the therapeutic process of what has occurred as well as what is likely to, are considered. The unexpected outcome, in that the patient has ceased to fetishistically cross-dress, given the short space of therapeutic time is discussed. It is concluded that this be viewed tentatively. Finally, some thoughts are raised as to the utility of the psychoanalytic approach as against the general psychiatric-diagnostic approach.
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Duarte-Gómez, Nancy. "Integration of psychodynamic psychotherapies with Latinos." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.
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Egberg, Thyme Karin. "What do you see? : studies on time-limited psychodynamic art psychotherapy." Doctoral thesis, Umeå universitet, Onkologi, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1684.
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The main purpose of this thesis is to explore experiences of two different psychological interventions based on art psychotherapy in women with a psychological or physical illness. The two interventions are art psychotherapy and art therapy. The difference between these two interventions is that the art therapist works with the transference in art psychotherapy but not in art therapy. The thesis consists of two studies of art psychotherapy: An art psychotherapy intervention is evaluated in Study 1 (papers III and V) which examines a group of patients diagnosed with depression and Study 2 (paper II) which examines experiences in a group of six patients diagnosed with vulva vestibulitis. An art therapy intervention is evaluated in the third study (papers I and IV); where experiences in patients diagnosed with breast cancer are examined. In Study 1, forty-three (n=43) depressed women were randomly assigned to either an intervention group or a control group (verbal psychotherapy). The aim was to examine the outcome of time limited psychodynamic art therapy compared to time-limited psychodynamic verbal therapy for patients with depressive symptoms. Interviews were performed before, immediately after, and three months after the termination of psychotherapy, and self-rating scales which focus on stress reactions, depression and symptoms as well as an observer rating scale on depression were used. The interviews and the art sessions were video-recorded, and the verbal psychotherapy was tape-recorded. The results showed that the art and verbal psychotherapies were comparable. The conclusion was that short-term psychodynamic art psychotherapy could be a valuable treatment for depressed women. In an in-depth content analysis, the method of scribbling was further investigated and exemplified with the therapies of two participants. In this study, the patients’ pictures and verbal expressions of progress, along with considerations of how to interpret the pictures were in focus. When leaving therapy the two patients took advantage of the paper, made complete forms, symbolised in words what they have expressed in pictures; in pace with psychotherapy the themes alter towards separation, individuation, and attempt to relate in a new way. The conclusion was that limelimited psychodynamic art therapy suggests giving a safer place for the self as the cohesion is firmer with better boundaries. Study 2 is a pilot study, which involved six young patients newly diagnosed with vulva vestibulitis. The aim of the study was to investigate pain at vestibulum, mental health, and self-image after fifteen sessions of art psychotherapy. Five of the patients were judged to have less pain three months after termination of therapy. The conclusion was that art psychotherapy with its openness seemed to affect young women in their experiences of vulva vestibulitis in a positive direction. Study 3 examined the potential benefit of art therapy for women with primary breast cancer. The sample comprised forty-one (n=41) patients who were randomly assigned either to an art therapy group or to a control group. The art therapy was going on during five weeks radiation treatment, one session per week. The aim was to investigate the outcome of art therapy, to quantify and compare the participant coping s, self-image, and the symptoms with the participant in the control group. Interviews were performed before, immediately after, and six month after inclusion. A set of self-rating scales was used: Coping Resources Inventory, the Structural Analysis of Social Behavior, and Symptom Check List – 90. The result showed that the patients in the art therapy group rated their coping s and especially their social s, higher than the control group, and that the average patients in the art therapy group improved in depressive symptoms and symptoms of anxiety, and that the general psychiatric symptoms improved as well. A linear regression analysis showed a tendency that the coping s increased in the art therapy group and decreased in the control group or even stagnated in the social domain. A second report on self-image, symptoms, treatment, and social variables showed that art therapy was related to lower ratings of depression, anxiety, and general symptoms after treatment; chemotherapeutic treatment predicted lower depressive symptoms and general symptoms in contrast to axilliary surgery and hormonal treatment. The results showed that art therapy could be valuable complementary therapy in routine oncology practise. The conclusion is that art therapy can have a positive long-term effect on the crisis following the primary breast cancer and its consequences. Conclusion: The results show that time-limited psychodynamic art psychotherapy is valuable for depressed women; that it is a valuable complement for women with vulva vestibulitis; and that art therapy is a valuable complement in the care and cure of women with primary breast cancer.
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Bourne, Margaret, University of Western Sydney, College of Social and Health Sciences, and School of Applied Social and Human Sciences. "Trusting the artwork." THESIS_CSHS_ASH_Bourne_M.xml, 2003. http://handle.uws.edu.au:8081/1959.7/682.
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The purpose of this research was to inquire into the subjective experience of participants of psychodynamic group art therapy.This investigation was designed to record participants' responses and understanding of their art-making and their artwork in therapy. The qualitative methodology of phenomenography was chosen to record the art-making process. The sample included three women from a women's centre and six university students. A single interview was conducted with each of the nine participants and included their artwork from the group art therapy. Group art therapy committed to a participant's personal development was effective in contributing to a resolution of personal conflicts, whereas group art therapy committed to professional development was effective in stimulating group dynamics, but the participants were guarded when discussing the personal content of their artwork.Master of Arts (Hons) (Art Therapy)
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Tebbutt, Hayley Lynne. "Psychodynamic case formulations : reflections of a neophyte therapist's experiences of how developing and using a psychodynamic formulation may have influenced treatment?" Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1006812.
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Although it is generally acknowledged and accepted that case formulations are useful in psychotherapy treatment, there is significantly little research illustrating how case formulations are useful in treatment. Research also suggests that case formulations are seldom used in practice after initial training (Eells, 1997; Sim, Gwee, & Bateman, 2005). This research was premised on a particular case study which appeared to highlight shifts in psychotherapy treatment in the sessions directly after the writing or revising of the case formulation, thus prompting the inquiry into the influence of the case formulation on therapeutic work. The research utilised a qualitative methodology and focused on a single case which was a 19 year old university student who expressed a problem with binge eating. The data was drawn from five original and revised case formulations. The participant was seen for 27 therapy sessions, over which time five case formulations were developed and revised. The findings in this study highlight the process of how a psychodynamic case formulation can influence therapeutic work, as reflected in three broad themes of adherence to the case formulation, the confidence of the therapist, and using the formulation as an intervention. The study contributes to arguments for the revival of the case formulation as a necessary therapeutic tool.KMBT_363
Adobe Acrobat 9.54 Paper Capture Plug-in
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Hays, Johanna T. "Healing trauma in the psyche-soma| Somatic experiencing(RTM) in psychodynamic psychotherapy." Thesis, Pacifica Graduate Institute, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3611759.
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Addressing the aftermath of trauma is among the most important contributions of psychology. As the numbers of individuals experiencing posttraumatic symptom sequelae continues to increase, it becomes imperative to research and explore a wider range of trauma treatment approaches in order to provide more individualized care. The goal of this study was to gain insights into the body-based approach of Somatic Experiencing®, a short-term naturalistic approach developed by Peter Levine (2007), through experiences of practitioners. The participants practice the Somatic Experiencing® in integration with psychodynamic psychotherapy. Based on a phenomenological case study approach, 4 licensed psychologists and Somatic Experiencing® practitioners were interviewed in order to learn more about how their integration of the 2 approaches impacts their clinical approach to working with trauma symptoms. Among the key themes that emerged from the analysis was the significance of integration in positive outcomes for individuals experiencing posttraumatic reactions by reducing or resolving their symptoms through a novel approach. The implications of this study for the field of clinical psychology are in further elucidation of the integration and its distinct contributions to treatment of trauma. Keywords: treatment of trauma; somatic psychotherapy; psychodynamic psychotherapy; posttraumatic stress disorder
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Madill, Anna Louise. "Developing a discourse analytic approach to change processes in psychodynamic-interpersonal psychotherapy." Thesis, University of Sheffield, 1996. http://etheses.whiterose.ac.uk/10245/.
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This thesis develops a discourse analytic approach to change processes in psychotherapy and addresses the question: 'how does change occur in psychodynamicinterpersonal psychotherapy? '. An extended rationale for utilising discourse analysis (Potter & Wetherell, 1987) is provided by way of a detailed deconstruction of an alternative stage model approach as represented by the assimilation of problematic experiences scale (Stiles, Elliott, Llewelyn, Firth-Cozens, Margison, Shapiro, & Hardy, 1990). Discursive analysis is then applied to the study of three cases of psychodynamic-interpersonal psychotherapy selected from the Second Sheffield Psychotherapy Project (Shapiro, Barkham, Hardy, & Morrison, 1990). Cases were selected on the criterion of client Beck Depression Inventory scores; two successful cases and one unsuccessful case of therapy. Analysis focuses on a resolved client-specified problematic theme from each of the successful cases, and on an unresolved theme from the unsuccessful case. Findings suggest that the pattern of change promoted by psychodynamicinterpersonal psychotherapy is (1) the identification of a problem internal to the client, and (2) accomplishing an account of this problem implicating an external attribution of blame. Further research is required to assess the generalisability of this, pattern and whether clients co-operating with such accounts are more likely to be helped by this form of therapy than those who do not. Specific rhetorical strategies utilised in negotiating and legitimating such accounts are identified and linked to the protocol of psychodynamic-interpersonal psychotherapy and the three stages of problem (re)formulation established by Davis (1984,1986). Findings are discussed in relation the connection between therapy processes and the moral sphere, particularly in relation to the negotiation of rights and obligations, responsibility and blame. Moreover, discursive psychology is offered as a means of facilitating the development of research on depression and attribution. Conceptualising accounts as occasioned versions of the world, rather than as verifiable descriptions of states of affair, speculation is made regarding the therapeutic utility of matching clients' preferred problem accounts with the preferred accounts implicit in therapeutic rationales.
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Hughes, Rebecca. "Positive and negative therapist interventions and outcome in psychodynamic interpersonal therapy." Thesis, Bangor University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327461.
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Peschken, Wiebke E. "Interpersonal process, therapists' supportive and interpretive interventions, and intrapsychic change in psychodynamic psychotherapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0008/NQ41621.pdf.
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Blow, Tracy Jacqueline. "The constellation of the archetypal feminine : a psychic process essential to psychodynamic psychotherapy." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13464.
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Bibliography: leaf 59-60.The aim of this study is to explore and demonstrate the necessity for a psychodynamic psychotherapy which embodies and thus evokes the qualities of the Archetypal Feminine. C.G. Jung's concept of the coniunctio, or union of psychic opposites, forms the central theoretical premise on which the study is based. It is with the constellation of the coniunctio that psychic tranformation is achieved. The re-evocation and hence constellation of the archetypal feminine is viewed here as essential for the attainment of psychic integration, in view of the denigration and splitting off of psychic feminine aspects so evident in the histories of most cultures. The role of the feminine in personality development is described by way of an analysis of the archetype of the Feminine, and a documentation of early infant object relations as posited by such Analytical Psychotherapists as Michael Fordham and Mara Sidoli. These early infantile experiences can potentially be re-evoked in the therapeutic transference, particularly when a regressed psychic state is facilitated. This is well documented by analytical psychotherapists, and it is posited here that in order for this process to occur, a therapeutic approach which reveres and hence evokes the Feminine in all her manifestations is critical. This theoretical proposition is examined by way of an analysis of a series of dreams. The dreams were recorded by the dreamer while in a psychodynamically-oriented psychotherapy. The dreams occurred over a seven month period, and were presented in written form to the researcher with accompanying associations. Without gaining any further insights from the dreamer, the researcher analysed the dream series by utilising the associations provided, and amplifying archetypal material. In this way, the need for a therapeutic approach which facilitates the spontaneous emergence of feminine symbolism is demonstrated, and hence the gradual constellation of the coniunctio is shown. The implications for psychotherapy which emerge from this analysis involve the need for an approach to psychic healing which allows for the facilitation of the constellation of the archetypal feminine. Such an approach would provide a sense of secure therapeutic boundaries which would evoke the qualities of the containing vessel. Within this holding environment, a state of regression would occur in which the patient could re-experience infantile levels of relating, levels at which original damage occurred. With an awareness of the dynamics of such early relating, and the potential for their re-evocation,the therapist would facilitate healing and psychic transformation. Myth and fairytale would provide a rich source of reference for the interpretation of dream symbols, and for understanding the myth being lived out by each patient.
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Pehl, Julie Ann. "An exploration of the therapist's experience of psychodynamic psychotherapy with people with learning disabilities." Thesis, University of Sheffield, 2007. http://etheses.whiterose.ac.uk/3623/.
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This thesis explores the field of psychotherapy with clients with learning disabilities. The work is organised into three sections: Part One: Literature Review. The review examines the available literature on psychotherapeutic contact with people with learning disabilities. The emphasis is on exploring the attitude of the profession towards such clients and charts the move from exclusion to partial inclusion. The review then explores in greater depth, the experience of providing therapy to this client group. The review notes the paucity of information on the topic and concludes that access to services has been affected by the stigmatised identity of the group. The spoiled identity associated with learning disabilities appears to be a central focus in the client-therapist relationship. Part Two: Research Report. This section describes a qualitative study exploring therapists' experience of providing therapy to this client group. Personal accounts were elicited from eleven therapists using a semi structured interview. Data were analysed using the principles ofInterpretative Phenomenological Analysis (IPA). Super ordinate themes emerged, relating to the similarities and differences with other client groups, and the experience of working with stigmatised clients. Themes were identified and theoretical links made with prior case descriptions. Part Three: Critical Appraisal. This section gives a detailed critique of the study's methodology, and explores limitations, clinical implications and directions for future research. A personal account the research process is given, including learning outcomes.
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Marozsan, Isabel T. "Psychodynamic psychotherapists' lived experience of working with patients with borderline personality disorder : an interpretative phenomenological analysis." Thesis, University of Roehampton, 2012. https://pure.roehampton.ac.uk/portal/en/studentthesis/psychodynamic-psychotherapists’-lived-experience-of-working-with-patients-with-borderline-personality-disorder(95737ecc-1d8a-49ba-b2c7-09d574d51bc9).html.
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This thesis presents an in-depth exploration of psychotherapists’ lived experience of working with borderline personality (BPD) disorder in psychodynamic psychotherapy, using interpretative phenomenological analysis (IPA). The existing research literature suggests that working with borderline patients is very difficult, as they can evoke negative counter transference experiences in therapists and thus make the working alliance difficult to maintain. The stigmatising and negative attitude towards BPD, which is found amongst mental health professionals, can cause many therapists to avoid working with this patient population, leaving many patients without the necessary help for treatment. Some literature also suggests that psychodynamic therapy may not be helpful for the treatment of BPD in its traditional form, because of the neutrality of the model and borderline patients’ ‘reduced capacity to mentalise’. Instead, empathy and the therapeutic relationship have been reported to be significant factors. This qualitative study aimed to provide a rich and detailed examination of the experiences, which psychodynamic psychotherapists and counselling psychologists might have in their work with BPD patients. Five psychodynamic psychotherapists were interviewed twice in one unstructured and one semi-structured interview, and IPA was used to analyse the data. The five master-themes (Negative countertransference feelings; “Sitting in the dark together”; Hindrance in therapeutic work; Therapist omnipotence; Labelling as problematic) found in this study suggested that borderline patients could benefit from a modified version of psychodynamic 1 Note that the ‘psychodynamic’ and ‘psychoanalytic’ terms will be interchangeably used in this study. 2 The researcher, as a trainee-counselling psychologist, is in favour of using the word ‘client’. However, psychodynamic practitioners talk about their ‘patients’ rather than ‘clients’, and as this study focuses on psychodynamic therapists’ experiences, the researcher will use these two terms interchangeably. Thus, the word ‘patient’ here is applied in the psychodynamic and not in the medical sense. 9 psychotherapy with a focus on empathy and a bond between therapist and patient. Furthermore, the therapists’ awareness of negative countertransference feelings and emergent obstacles in the therapeutic work, as well as their understanding of BPD as a label and its effects on their borderline patients were crucial. Finally, the therapists’ experienced ‘omnipotent’ feelings, which may have emerged in response to their negative countertransference feelings. While these findings support many of the previous publications and accounts reported in the literature, they also shed new light on therapists’ experiences, which might have implications for the approach that psychotherapists and counselling psychologists take towards working with borderline individuals within the psychodynamic modality.
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Lister, Mary. "A study of the working interface between two different therapy and counselling modalities in a low-cost service." Thesis, University of Exeter, 2016. http://hdl.handle.net/10871/28259.
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This is the account of a qualitative study of practitioners in a low-cost counselling and psychotherapy scheme in a rural town. The practitioners within the organisation have been trained in two major modalities, psychodynamic and humanistic. The aim of the research is to look at how the three key psychoanalytic concepts: therapeutic alliance; transference and containment are understood and employed by these practitioners with the aim of demonstrating the differences, similarities and meeting points between the modalities. A total of twenty-eight participants met in six focus groups. These participants were already members of existing groups within the structure of the organisation i.e. the trustees, the management group and four mentor groups. The researcher was the Clinical Director of the service at the time of the study. She was the moderator in each group and an independent observer was present in each group. The discussions were recorded and transcribed and a thematic analysis was then undertaken. The psychoanalytic concepts were adopted as top down themes each with six associated sub-themes. Three further major themes were identified namely: the power dynamics in the therapy relationship; reference to theory: barrier or bridge to communication, and the therapy relationship. The thematic analysis revealed where the statements from the participants in the two modalities agreed, differed and/or demonstrated meeting points. The study includes a reflexivity section focussing on the dynamics of the researcher as the director of the organisation throughout the process, the contributions of the observer in the focus groups and the reflections of the participants about their experience in the focus groups. In addition, how the participants differed and what impact the research has had on the service was thought about in the context of the possible unconscious processes present in this work setting. It was found that there were key differences in the way practitioners from each modality approached the psychoanalytic concepts, but there were also differences between practitioners of the same modality. The differences about theoretical language and experts were substantial. Overall, the participants were able to discuss the subjects and exchange differing viewpoints with enthusiasm and curiosity. These findings are not generalizable to all psychotherapy services, but are likely to be relevant and transferable to those services, both voluntary and otherwise, that employ practitioners from different modalities. A conclusion was that it is not advisable to try and impose one way of working from one theoretical background onto another. This conclusion has implications for the service when providing training events, when matching practitioners with supervisors and when training mentors to lead and facilitate groups of practitioners from differing modalities. The study also offers contributions to the therapy world at large towards the contemporary thinking about the three psychoanalytic concepts, the timing of integrating therapy approaches, the value of mixed modality discussion groups, the obstacles to understanding that theoretical language can cause and the importance of the observation of the unconscious processes in such settings.
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Bourne, Margaret. "Trusting the artwork." Thesis, View thesis, 2003. http://handle.uws.edu.au:8081/1959.7/682.
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The purpose of this research was to inquire into the subjective experience of participants of psychodynamic group art therapy.This investigation was designed to record participants' responses and understanding of their art-making and their artwork in therapy. The qualitative methodology of phenomenography was chosen to record the art-making process. The sample included three women from a women's centre and six university students. A single interview was conducted with each of the nine participants and included their artwork from the group art therapy. Group art therapy committed to a participant's personal development was effective in contributing to a resolution of personal conflicts, whereas group art therapy committed to professional development was effective in stimulating group dynamics, but the participants were guarded when discussing the personal content of their artwork.
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Karlsson, Roger. "Reflective-functioning during the process and in relation to outcome in cognitive-behavioral therapy, interpersonal psychotherapy and brief psychodynamic." Licentiate thesis, Umeå University, Department of Psychology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-14740.
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The objective of this work was to investigate reflective-functioning (RF) as a measure of process in two independent studies that included three types of brief psychotherapy. RF is defined as the ability to recognize the existence and nature of mental processes taking place in the self and in others (e.g., intentions, beliefs, desires, and wishes). Theorists have suggested the ability for RF is crucial for predicting social causality and low RF has been found related to mental disorders. It has recently been suggested in the literature that improved ability for RF might be an important component of successful psychotherapy outcome, especially with respect to achieving structuralchange. RF was in this work investigated during the process through discourse analysis of the patients’ narratives of self-other interactions in the treatment sessions. The Psychotherapy Process Q-set (PQS) was implemented in order to isolate specific components of the process (process correlates) that identified high and low RF and to investigate the links between the process correlates and outcome. The first study investigated 29 cases of cognitive-behavioral therapy(CBT) and 35 cases of interpersonal psychotherapy (IPT) with an average treatment length of 16.2 sessions in a sample from the National Institute of Mental Health (NIMH) randomized clinical trial Treatment of Depression Collaborative Research Program (TDCRP). The sample in the first study consisted of 128 sessions in total, were one session from the early part (on average the 4th session) and one session in the later part of the treatment (on average the 12th session) were rated for RF. The second study investigated a sample of 30 cases of brief psychodynamic psychotherapy (BPDT) with an average treatment length of 15.8 sessions in a naturalistic designand obtained from the Mount Zion Psychotherapy Research Group. In total, the second study included 90 sessions of BPDT, and RF was assessed during the 1st, the 5th, and the 14th session of each treatment. The results from these two studies suggested that the patients’ ability for RF, as measured through the discourse from therapy sessions, is stable (in CBT and BPDT) or decreased(IPT) during the treatments. Furthermore, the process correlates defining high RF had a relation with good outcome, and process correlates defining low RF had a relation with poor outcome.The process correlates identified during the PQS-analysis suggested that both high and low RF was linked with personality characteristics in the patients. For example, high RF was linked to patients’ ability for introspection, expression of negative emotions, and commitment to treatment.Low RF was linked to patients’ expression of passivity, defensiveness, and suspiciousness. This work supported theorists’ suggestions that brief treatments are supportive in their nature and therefore do not promote structural changes (e.g., changes in RF). It is suggested that the abilityfor RF as assessed pre-treatment might be a useful predictor for success in brief psychotherapy and could therefore be used as a patient inclusion criteria for such treatments.
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Leibowitz, Michael S. "A psychodynamic approach to short-term couples therapy in clinical social work : some aspects of the combined conjoint-concurrent technique." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/21884.
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In this dissertation, the writer explores and supports the validity of clinical social wor·k practitioners applying planned therapeutic intervention procedures to couples who are in distress. Written in two parts, this paper is esentially a review of selected literature on the efficacy of social work psychotherapv with couples. Couple therapy, which deals with the two individuals per se and not merely with their interaction, enhances the treatment of both partners. Several intervention strategies are noted by the writer, all of which attempt to alter both individual dynamics and that of the couples relationship. The writer has chosen a "fusion model" comprising of the intra and inter-personal intervention strategies. The therapeutic format of choice proposed by the writer favours a time-limited psychodynamic approach which operates through the medium of a combined concurrent-conjoint technique.
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Heenan, Mary Colleen. "The application of discourse analysis to a feminist psychodynamic psychotherapy group for women with eating disorders." Thesis, Manchester Metropolitan University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.361972.
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Bourne, Margaret. "Trusting the artwork /." View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031223.151032/index.html.
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Druiff, Philippa. "Psychodynamic therapy with low-income women : the 'talking cure' as a desirable and alternative intervention." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52420.
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Thesis (MA)--University of Stellenbosch, 2001.ENGLISH ABSTRACT: This study reviews the literature regarding psychodynamic therapy with low-income women. Low-income women are at psychological risk for developing emotional distress as a result of their deprived living circumstances. They have, however, received little attention from psychological research and practice. This literature review explores what psychological interventions are available for low-income women. It is found that psychodynamic therapy is largely unavailable to low-income women for a variety of reasons, which range from classism, sexism and ignorance to the cogent feminist and cross cultural critiques. It is argued that psychodynamic therapy should be more available to low-income women as it provides a sophisticated understanding of how oppressive social ideologies are internalized in the unconscious, thus facilitating, through therapy, a process of deconstruction and political subversion. Suggestions are also offered as to how to make psychodynamic therapy more accessible to low-income women.
AFRIKAANSE OPSOMMING: Hierdie studie bied 'n oorsig van die beskikbare literatuur aangaande psigodinamiese terapie vir laer inkomste vrouens. Die groep is tot 'n meerdere mate blootgestel aan die ontwikkeling van emosionele stress trauma weens hul ontneemde lewensomstandighede. Laer inkomste vrouens het tot hede min aandag geniet met betrekking tot psigologiese navorsing en praktyk. Hierdie literatuur oorsig fokus op gepaste psigologiese ingryping wat beskikbaar is vir die spesifieke groep. Die ontoeganklikheid van psigodinamiese terapie beskikbaar, vir laer inkomste vrouens, kan toegeskryf word aan 'n verskeidenheid faktore: die strek van klassisme, seksisme en onkunde tot oortuigende feministiese en kruis kulturele beoordeling en debat. Hierdie verhandeling stel voor dat psigodinamiese terapie meer beskikbar moet wees tot laer inkomste vrouens, want dit stel 'n gesofisikeerde begrip, ten doel van hoe onderdrukkende sosiale ideologie geinternaliseer word in die onderbewussyn en die teenwerking daarvan. Die geskrif beredeneer hoe terapie kan fasiliteer in die proses van de-konstruksie en politieke subversie. Dit word ook voorgestel hoe om psigodinamiese terapie toeganklik to maak vir laer inkomste vrouens.
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Gray, Michael Andrew. "Getting Worse Before Getting Better: Using Content Analysis to Examine the Change Process in a Time-Limited Psychodynamic Group Therapy for Social Phobia." Oxford, Ohio : Miami University, 2003. http://www.ohiolink.edu/etd/view.cgi?miami1056733384.
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Thesis (M.A.)--Miami University, Dept. of Psychology, 2003.Title from first page of PDF document. Document formatted into pages; contains iii, 50 p. Includes bibliographical references (p. 36-38).
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von, Below Camilla. "When psychotherapy does not help : ...and when it does: Lessons from young adults' experiences of psychoanalytic psychotherapy." Doctoral thesis, Stockholms universitet, Psykologiska institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-144399.
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The process and outcome of psychoanalytic psychotherapy have been studied for a long time. However, the experiences of patients, particularly in therapies where goals were not met, have not yet been the target of extensive research. Psychoanalytic psychotherapy with young adults might face particular challenges. The overall aim of this thesis was to explore the experiences of young adults in psychoanalytic psychotherapy, with a particular focus on differences between suboptimal therapies and therapies with generally good outcome. The setting was naturalistic, and perspectives of the patient, therapist and observer were combined. Qualitative and quantitative methods were used. Study I explored experiences of psychotherapy process and outcome among seven patients in psychoanalytic psychotherapy, who expressed dissatisfaction. Interviews at termination and 18 months later were analysed using grounded theory and compared to therapist experiences. Patients experienced abandonment with their problems in and after therapy, since therapy according to the patients lacked connections to daily life, as well as flexibility, activity and understanding from the therapist. Therapists presented a different picture of the same therapies, mainly focused on the difficulties of the patients. Study II analysed the experiences of 20 non-improved or deteriorated young adult psychotherapy patients at termination of therapy and 36 months later. Non-improvement and deterioration were calculated based on the reliable change index on self-rating scores. The grounded theory analysis of interviews established spinning one’s wheels as a core category. The relationship to the therapist was described as artificial, although at times helpful. Participants experienced their own activity in life and active components of therapy as helpful, but thought focus in therapy was too much on past experiences. Study III explored the experiences of 17 young adult patients, in psychoanalytic individual or group therapy, overcoming depression. The analysis of interviews from therapy termination and 18 months later indicated that finding an identity and a place in life were perceived as intertwined with symptom relief. Negative experiences included difficulties to change oneself, fear of change, and problems in therapy, such as too little activity on the therapist’s part. The results were discussed in relation to young adulthood, therapeutic alliance, mentalization, and attachment. The conclusion was expressed in a comprehensive process model of suboptimal therapy with young adults, with suggested ways to prevent such a development. The therapist’s meta-communication and correct assessment of the patient’s mentalization capacity from moment to moment are proposed as crucial. Regarding clinical implications, therapists of young adult patients need to establish meta-communication on therapy progress, as even experienced therapists might be unaware of dissatisfaction or deterioration. Meta-communication could be considered part of the treatment itself, as it may foster mentalization and good outcome. Further, the period of young adulthood entails decisions and developing an adult life, and therapists need to make room for this by active interventions.
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Gerber, Andrew James. "Structural and symptomatic change in psychoanalysis and psychodynamic psychotherapy : a quantitative study of process, outcome, and attachment." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1444773/.
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This thesis describes a quasi-experimental study exploring psychotherapeutic process and outcome in 25 young adults sequentially assigned to psychoanalysis (n=14) or psychodynamic psychotherapy (n=11) at the Anna Freud Centre in London, England. Analysts reported process using a novel 899-item questionnaire, the Young Adult Weekly Rating Scale (YAWRS). Patients were assessed by an independent psychiatrist at intake, termination, and at 18 month intervals after intake and termination with Main and Goldwyn's Adult Attachment Interview (AAI) and on a host of symptomatic and diagnostic measures. The patients suffered from depression, anxiety, and personality disorders. Over the course of treatment (6 months to 8 years long), 12 of 19 patients (with adequate data) improved symptomatically on an aggregate measure. Ten of 12 improvers were in the psychoanalysis group, suggesting that it is a more effective treatment in this population. Data from 1,314 YAWRS questionnaires were factor analysed and used to test hypotheses from the psychotherapy process literature. In the first year of psychoanalysis (as compared with psychodynamic psychotherapy), higher scores on therapist dynamic technique, patient dynamic material, and negative patient transference were found. In the combined sample, higher scores in the first year on therapist dynamic technique, patient dynamic material, and discussion of contract were predictive of positive outcome. The AAI classifies patients according to security of "state of mind with respect to attachment" from narratives about early life relationship experiences. Our results show a high proportion of secure classifications at initial assessment and, in successful treatments, a movement towards a preoccupied-entangled attachment pattern which began to resolve by termination. We propose that the AAI be used to measure both structural health and regression/transference neurosis, which must occur and then resolve for treatment to succeed. Further research using the YAWRS and AAI is proposed.
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Johansson, Robert. "Treating depression and its comorbidity : From individualized Internet-delivered cognitive behavior therapy to affect-focused psychodynamic psychotherapy." Doctoral thesis, Linköpings universitet, Psykologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-100385.
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The overarching goal of this thesis has been to enhance Internet-delivered psychological treatments for depression and its comorbidity. To this end, three randomized controlled trials (Study II, III and IV) with a total of 313 participants were conducted. A prevalence study (Study I) was also conducted to provide an up-to-date estimate of the prevalence of depression, anxiety disorders, and their comorbidity in the Swedish general population. Study I showed that more than every sixth individual in Sweden suffers from symptoms of depression and/or anxiety. Comorbidity between depression and anxiety was substantial and associated with higher symptom burden and lower health-related quality of life. Study II showed that a tailored Internet-based CBT protocol (ICBT) was effective in reducing symptoms of depression when compared to a control group. Among individuals with more severe depression and comorbidities, the tailored ICBT treatment worked better than standardized ICBT. Study III showed that a psychodynamic Internet-based psychotherapy was highly effective in the treatment of depression, when compared to a group who received psychoeducation and online support. In Study IV, an Internet-delivered affect-focused psychodynamic psychotherapy proved to have a large effect on depression and a moderately large effect on anxiety disorders. In conclusion, this thesis shows that in the context of treating depression and its comorbidity, Internet-delivered psychological treatments can be potentially enhanced by psychodynamic psychotherapy and by individualization.Det övergripande syftet med denna avhandling har varit att vidareutveckla internetbaserad psykologisk behandling för depression och dess komorbiditet. Tre randomiserade kontrollerade studier (Studie II, III och IV) med totalt 313 deltagare genomfördes i linje med detta syfte. En prevalensstudie (Studie I) genomfördes också för att tillhandahålla ett uppdaterat estimat av prevalensen av depression, ångest och deras komorbiditet i Sverige. Studie I visade att mer än var sjätte individ i Sverige lider av symptom på depression och/eller ångest. Det fanns påtaglig komorbiditet mellan depression och ångest, vilket var associerat med högre symptombörda och lägre livskvalitét. Studie II visade att en skräddarsydd internetbaserad KBT-behandling var effektiv för att reducera symptom på depression, i jämförelse med en kontrollgrupp. Bland individer med svårare depression och komorbiditet, fungerade den skräddarsydda interventionen bättre än en standardiserad. Studie III visade att psykodynamisk internetbehandling var effektiv vid behandling av depression, i jämförelse med en grupp som fick psykoedukation och stödsamtal online. I Studie IV visades att en affektfokuserad psykodynamisk internetbehandling hade stor effekt vad gällde att reducera symptom på depression, och medelstor effekt vad gällde att reducera symptom på ångest. Sammanfattningsvis visar denna avhandling att internetbaserad psykologisk behandling kan potentiellt vidareutvecklas av psykodynamisk psykoterapi och individanpassning, vid behandling av depression och dess komorbiditet.
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Bryngelson, Birgitta. "Att arbeta med Self-Disclosure : En fenomenologisk studie av fem psykodynamiska psykoterapeuters upplevelser." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5153.
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Inledning: Inom den psykodynamiska teoribildningen råder delade meningar om huruvida terapeuten ska berätta om sig själv för patienten. Terapeutens självavslöjande ”Self-Disclosure”, har studerats och debatterats i psykoanalytisk litteratur. Syftet med den här uppsatsen är att beskriva psykodynamiska psykoterapeuters upplevelser av att arbeta med Self-Disclosure. Frågeställning: Hur beskriver psykodynamiska psykoterapeuter sina upplevelser av att arbeta med Self-Disclosure? Metod: I studien används den deskriptiva fenomenologiska humanvetenskapliga metoden. Kvalitativa djupintervjuer genomfördes med fem psykodynamiskt skolade psykoterapeuter på deras arbetsplatser. Intervjuerna spelades in och transkriberades ordagrant. Materialet delades in i meningsenheter vars psykologiska innebörd har tydliggjorts, deras inbördes förhållande studerats och en förståelse har uppnåtts. En pendling mellan helhet och delar har skett kontinuerligt tills fenomenets generella struktur nåtts. Resultat: I analysen framkom sju generella strukturer ur materialet; miljö, personlighet, frågor och svar, om tankar och känslor i terapirummet, om livet utanför terapirummet, känslomässiga upplevelser av Self-Disclosure och Self-Disclosures påverkan på terapiprocessen. Miljö och personlighet ansågs som ofrånkomliga självavslöjanden. Verbala utsagor och uppvisande av känslouttryck kunde ske både avsiktligt och oavsiktligt. Self-Disclosure kunde både försvåra och befrämja terapiprocessen. Diskussion: Trygghet och kontakt betonas som centralt för den terapeutiska processen av samtliga terapeuter i studien. Self-Disclosure bör användas med hänsyn till vilken patient det gäller och vilken fas terapiprocessen befinner sig i. Både innehåll och kontext har betydelse för effekten av Self-Disclosure. Ett pragmatiskt förhållningssätt kan gynna terapiprocessen. Konsekvenserna kan inte förutses utan det centrala är terapeutens uppmärksamhet på hur den upplevs och vilken påverkan den har för terapiprocessenIntroduction: Within the psychodynamic theory, there are different opinions whether the therapist should tell the patient about himself. The therapists self-disclosure have been studied and discussed in psychoanalytic literature. The purpose of this article is to describe psychodynamic psychotherapists experiences of working with Self-Diclosure. Question: How do psychodynamic psychoterapists describe their experiences of working with Self-Disclosure? Method: The study uses the descriptive phenomenological human scientific method. Qualitative deep interviews was made with five psychodynamic psychotherapists at their office. The interviews were recorded and transcribed word for word. The material was divided into meaning units whose psychological content was elucidated, their mutual relations was studied and an understanding has been achieved. An continuous oscillation between the whole and the parts was made until the structure of the phenomenon was discovered. Result: In the analysis seven general structures were discovered. Milieu, personality, questions and answers, thoughts and feelings in the therapy room, life outside therapy, emotional experiences of Self-Disclosure and Self-Disclosure and its influence on the therapy process. Milieu and personality were regarded as inevitable Self-Disclosure. Verbal statements and emotional expressions could be both intentional and unintentional. Self-Disclosure can both hinder and facilitate the therapy process. Discussion: Safety and contact are emphasised as central in the therapy process by all therapists in the study. Self-Disclosure ought to be used with regard to both the patient and the phase in the therapy process. Both the content and the context are of importance for the consequence of Self-Disclosure. A pragmatic stance can favour the therapy process. The consequences cannot be foreseen but the most important is the therapist`s attention to how it is experienced and how it influence the therapy process.
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Milnes, Genevieve. "Rewiring head and heart : An investigation into the efficacy of a clinical psychotherapeutic modality for the treatment of depression." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2010. https://ro.ecu.edu.au/theses/540.
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This is a presentation of the psychotherapeutic treatment modality, „Rewiring Head & Heart (Rewiring)‟ that combines cognitive therapy (“head”) with psychodynamic exercises (“heart”) into an evidence-based clinical treatment modality for use by therapists. This study extends previous research conducted by Milnes (1998). Descriptions of the origins of the treatment modality, the underpinning theoretical framework, and practical application in the Rewiring Manual are followed by an empirical investigation of its efficacy on a sample of adults with depressed mood, before discussing case studies and issues of clinical application of Rewiring. Rewiring consists of two contributing elements – Cognitive Fluency (CF) and Psychodynamic Therapy (PDT). The efficacy of each element and the combination of both were subjected to separate clinical trials. After assessment using the depression subscale of the Depression and Anxiety Stress Scales (DASS), the Beck Depression Inventory – II (BDI-II) and a clinical interview, 47 participants sharing elevated scores of depression were randomly allocated to four conditions: Cognitive Fluency (CF), Psychodynamic Therapy (PDT), Cognitive Fluency combined with Psychodynamic Therapy (CF+PDT) and a control condition. During the 4-session treatment based on Rewiring all participants were measured on Self-Ratings of Belief (SRBs). Case-studies from the efficacy trial and single subject case-studies from clinical practice were also examined. Although the n was inadequate to test the hypotheses, it did indicate a direction for treatment. It was found that both the CF and the PDT treatments were efficacious and the combined condition (CF+PDT) provided still more robust results. The empirical and case study evidence supported Rewiring as a cost-effective, short-term, psychodynamic and cognitive combination therapy that can be used in a variety of settings, and as a psychotherapeutic modality available for use by trained clinicians.
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Stevenson, Alexandra. "The therapeutic relationship in psychodynamic psychotherapy : an exploration of patients’ and therapists’ experiences in the South African context." Diss., University of Pretoria, 2018. http://hdl.handle.net/2263/67317.
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The therapeutic relationship has been a cornerstone of the theory and practice of psychotherapy since it first emerged as a healing modality. Research has extensively reported on the therapeutic relationship and its role in the outcomes of psychotherapy. Despite the vast research on the therapeutic relationship, little qualitative exploration has focused on both patient and therapist lived experience. Using a hermeneutic phenomenological qualitative methodology, this study examined the lived experiences of both patients and therapists, within the same therapeutic relationship in a South African context. Three patients and three therapists (i.e. 3 patient-therapist dyads) were interviewed using in-depth semi-structured individual interviews (six interviews in total) to explore their experience of the relationship they developed during therapy, and the meanings that have been made of this. Through thematic analysis, using interpretation to deepen the analysis, several themes and subthemes were identified. Both patients’ and therapists’ lived experiences of the therapeutic relationship in psychodynamic psychotherapy clustered around three major and somewhat similar themes, with various sub-themes. Patients’ lived experiences of the therapeutic relationship centred around the following themes and sub-themes: therapist’s therapeutic approach (holding the patient in mind—knowing them; non-judgmental stance; providing an objective presence— perspective; and a consistent presence), facilitating therapeutic factors (mutuality; and therapist self-disclosure), and process within the relationship (describing the relationship—a lifeline; moment of meeting; change; and the relationship over time). Whilst therapist-participants’ experiences of the therapeutic relationship held somewhat similar themes with subtle differences, namely, patient qualities, facilitating therapeutic factors (holding and containing; theoretical orientation; use of technique; and supportive factors for therapists), and process within the relationship (describing the relationship—intimate yet formal; moment of meeting; change; and the relationship over time). Similarities and differences between patient and therapist experiences are examined that may influence the therapeutic relationship. Conclusions are discussed with a consideration of the limitations of the study as well as implications for future research, practice, and training.Dissertation (MA)--University of Pretoria, 2019.
Psychology
MA
Unrestricted
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Leichsenring, Falk, Jürgen Hoyer, Manfred Beutel, Sabine Herpertz, Wolfgang Hiller, Eva Irle, Peter Joraschky, et al. "The Social Phobia Psychotherapy Research Network." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133684.
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This paper presents the Social Phobia Psychotherapy Research Network. The research program encompasses a coordinated group of studies adopting a standard protocol and an agreed-on set of standardized measures for the assessment and treatment of social phobia (SP). In the central project (study A), a multicenter randomized controlled trial, refined models of manualized cognitive-behavioral therapy and manualized short-term psychodynamic psychotherapy are compared in the treatment of SP. A sample of 512 outpatients will be randomized to either cognitive-behavioral therapy, short-term psychodynamic psychotherapy or waiting list. Assessments will be made at baseline, at the end of treatment and 6 and 12 months after the end of treatment. For quality assurance and treatment integrity, a specific project using highly elaborated measures has been established (project Q). Study A is complemented by 4 interrelated add-on projects focusing on attachment style (study B1), on cost-effectiveness (study B2), on variation in the serotonin transporter gene in SP (study C1) and on structural and functional deviations of the hippocampus and amygdala (study C2). Thus, the Social Phobia Psychotherapy Research Network program enables a highly interdisciplinary research into SP. The unique sample size achieved by the multicenter approach allows for studies of subgroups (e.g. comorbid disorders, isolated vs. generalized SP), of responders and nonresponders of each treatment approach, for generalization of results and for a sufficient power to detect differences between treatments. Psychological and biological parameters will be related to treatment outcome, and variables for differential treatment indication will be gained. Thus, the results provided by the network may have an important impact on the treatment of SP and on the development of treatment guidelines for SPDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Haumann, Hester Johanna. "An intersubjective perspective on the role of personal therapy in being a psychotherapist." Thesis, OUP, 2005. http://eprints.ru.ac.za/203/1/HaumannPTherapy.pdf.
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The purpose of this study was to explore how personal therapy influences experienced psychodynamic psychotherapists’ ways of being clinicians, and, by implication, their professional development. A hermeneutic research method, which also drew upon aspects of grounded theory methodology, was therefore devised to explore and examine how personal therapy and professional practice relate to each other and to the therapist’s development, and to deepen this descriptive account into a more differentiated and theoretically viable understanding. In-depth, semi-structured interviews were conducted with eight psychodynamic psychotherapists who were working as clinicians and who were concurrently in therapy. Keeping the research objective in mind, a list of questions was developed from the interview material through which the data was re-read and edited. In accordance with the aims of the study, and as suggested by the results of the initial phase of the textual analysis, intersubjective theory, mainly that of Jessica Benjamin, was used to generate a conceptual framework through which the interview material was further interpreted. This foregrounded the shifting power distributions and the varying processes of identification between the treating therapists and the participants. The Jungian notion of the wounded healer was intersubjectively reconfigured as indicating a therapist whose (often unacknowledged) needs and vulnerabilities engender a proclivity to relate to patients as objects rather than subjects. The participants could all be described as having started out their professional lives as wounded healers. The effects of personal therapy on their clinical work were conceptualised in terms of increased abilities for subject-to-subject relating. These were linked to augmented capacities for reflective and symbolic thinking and an enhanced openness to the implicit, unformulated and opaque aspects of experiences in the therapeutic space. Finally an intersubjective model of personal therapy and development as a therapist was generated. It was concluded that because of the focus on the therapeutic relationship as the vehicle for change in psychodynamic psychotherapy, as well as the current increasing emphasis on the use of the therapist’s subjectivity, the therapist’s capacity to engage in and sustain subject-tosubject relating and, by implication, the therapist’s personal therapy, are of pivotal importance for all therapists doing the work of psychodynamic psychotherapy.
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Frankl, My. "Psychotherapy for Substance Use Disorders – the importance of affects." Doctoral thesis, Linköpings universitet, Institutionen för beteendevetenskap och lärande, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-143192.
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Substance use disorder (SUD) is a serious disorder with severe consequences for the individual, the family and for society. Comorbidity is common in the SUD population and the diversity of the disorder calls for a multiplicity of treatment options. The overall aim of this thesis was to explore the role of affects in psychotherapy for SUD. Further aims were to investigate affect-focused therapeutic orientations, demonstrate the importance of common factors and evaluate a measure of affect phobia. In Study I a naturalistic design was employed to examine how the discrepancy between patients' expectations and experience of psychotherapy related to alliance in 41 patients: 24 in individual therapy and 17 in group. An additional analysis concerned whether different dimensions of role expectations predicted retention in psychotherapy. Study II was the first psychometric evaluation of the Affect phobia test – a test developed to screen the ability to experience, express and regulate emotions. Data were collected from two samples: A clinical sample of 82 patients with depression and/or anxiety participating in a randomized controlled trial of Internet-based affect-focused treatment, and a university student sample of 197 students. Data analysed included internal consistency, test-retest reliability, factor analysis and calculation of an empirical cut-off. Study III focused on the feasibility of individual 10 week Affect Phobia Therapy (APT) for patients diagnosed with mild to moderate alcohol use disorder (AUD) and problematic affective avoidance in a nonconcurrent multiple baseline design. Study IV comprised an evaluation of the feasibility and preliminary effectiveness of APT adapted to a structured group format for patients (n=22) with comorbid substance use disorder and ADHD with core features of affective avoidance/emotion dysregulation in an open design. In Study I an overall discrepancy between role expectations and experiences was significantly related to a lower level of therapeutic alliance in group therapy. This relationship was not found in individual therapy. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention, even when controlling for waiting time for therapy. In Study II the internal consistency for the total score on the Affect phobia test was satisfactory but it was not for the affective domains, Anger/Assertion, Sadness/Grief, and Attachment/Closeness. Test retest reliability was satisfactory. The exploratory factor analysis resulted in a six-factor solution and only moderately matched the test´s original affective domains. An empirical cut-off between the clinical and the university student sample were calculated and yielded a cut-off of 72 points. In Study III patients reported no adverse events due to the treatment and finished the whole study period. The patients had different trajectories of alcohol consumption and craving and the hypothesis that heavy episodic drinking would subside during the time in therapy did not hold true. In Study IV patients reported significant pre-to post changes in increased self-compassion and decreased affect phobia but no change in psychological distress or emotion dysregulation. Craving fluctuated throughout the study period and patients’ drinking pattern changed in the direction of more social drinking. Main conclusions are the following: The Affect Phobia Test is a useful screening instrument for detecting emotional difficulties related to psychological malfunction. APT in both group and individual format are feasible treatments for the SUD population and has the potential to broaden the treatment options for some patients with SUD. Investigating expectations and fears prior to therapy may be means to prevent attrition.Substansberoende är en allvarlig störning och samsjuklighet ofta förekommande Den stora variationen av svårigheter kräver olika behandlingsalternativ. Syftet med avhandlingen var att undersöka affekters roll i psykoterapi för populationen. Ytterligare syften var att undersöka betydelsen av gemensamma faktorer i psykoterapi samt normera ett självskattningsformulär för affektfobi. I studie I undersöktes skillnaden mellan patienters förväntningar, erfarenheter av terapi och allians. I studie II utvärderades de psykometriska egenskaperna hos affektfobitestet. I studie III och IV undersöktes genomförbarheten av affektfobiterapi individuellt och i grupp. Resultaten av studierna visade att större skillnad mellan rollförväntningar inför- och erfarenheter av terapi var signifikant korrelerade med lägre allians i gruppterapi. Affektfobitestets psykometriska egenskaper var tillfredsställande avseende skalan som helhet. Affektfobiterapi visade sig öka adaptiv affektiv förmåga och självmedkänsla, men behandlingen gav inget säkert stöd för påverkan på substansbruket. Slutsatserna är att fokus på affekter i terapi för substansberoende har betydelse och att affektfobiterapi är en genomförbar behandling för populationen. Genom att undersöka förväntningar och rädslor inför terapi kan avhopp förhindras.
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Åström, Lena. "Verksamma faktorer i psykodynamisk psykoterapi vid behandling av patienter med anorexia nervosa." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2438.
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Anorexia nervosa är en allvarlig psykologisk sjukdom med hög dödlighet. Studien vill belysa den psykodynamiska terapin som behandlingsmetod vid anorexia nervosa. Frågeställning: Vilka är de verksamma faktorerna i psykodynamisk psykoterapi vid behandling av anorexia nervosa? Semistrukturerade kvalitativa forskningsintervjuer har genomförts med fem kvinnliga psykodynamiskt inriktade psykoterapeuter. Intervjumaterialet har bearbetats och analyserats utifrån tematisk analys (TA). Resultatet visade att det mest verksamma vid behandlingen av anorexia nervosa var att lyckas bryta igenom patientens avvisande förhållningssätt, motstå attacker samt att nå en stark allians. Resultatet visade också att psykoterapeutens syn på patientens symtom och självbild ofta yttrade sig i motöverföringsreaktioner såsom ilska, frustration och känsla av maktlöshet. Tid och kontinuitet uppfattades som viktiga faktorer för det kliniska behandlingsarbetet, liksom att kunna erbjuda psykoterapi efter det att patienten nått viktmål enligt DSM-IV. Undersökningen visade att den psykoterapeutiska relationen i sig anses vara den mest verksamma faktorn vid behandling av anorexia nervosa. Den visade att interaktionen mellan patient och terapeut, den terapeutiska alliansen, uppfattades som den faktor som mest gynnar tillfrisknande för patienter med anorexia nervosa, en sjukdom med ett ofta långdraget förlopp.
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Solovieva, Natalia. "A mixed method Delphi study to determine professional consensus on the key elements of outpatient Psychodynamic Group Psychotherapy (PGP) for psychosis." Thesis, University of Essex, 2015. http://repository.essex.ac.uk/17119/.
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Although psychodynamic group psychotherapy (PGP) has been offered to patients with psychosis for over a century there is little empirical evidence of its effectiveness. In part this has to do with the lack of a consistent and adequately robust definition of this intervention. The aims of this study were to develop a set of the core components of PGP for psychosis and to gain a deeper insight into the current methods of its delivery. A research design using a mixed methodology combining the Delphi method and the thematic analysis has been employed. 37 experts around the world were recruited to participate in three rounds to produce and rate statements that aimed to address the following areas in order to consolidate consensus of opinion: indications for treatment, the aims of therapy, therapy frame, therapeutic factors, assessment and preparatory sessions, the formulation of hypotheses, a general therapeutic approach throughout assessment and therapy, phase specific interventions and attitudes and qualities necessary for therapists conducting PGP for psychosis. 145 components were endorsed as important or essential for PGP for psychosis by more than 80% of the experts. The participants' comments on their rating decisions were then subjected to thematic analysis which highlighted further adaptations of PGP which should be applied to patients with psychosis: more active leadership, and more considered interpretation of unconscious dynamics and transference. Participants argued for the flexible application of PGP principles and stressed the importance of understanding psychosis as a response to overwhelming emotional experiences. Importantly, none of the participants considered PGP to be harmful to patients with psychosis, which warrants a review of the existing warnings against psychodynamic therapies for psychosis. The outcomes of this study could be of value to clinical practice, the training and dissemination of PGP for psychosis, the development of a competency framework as well as for future research into its effectiveness.
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Bush, Steven. "An exploratory study of time-limited psychodynamic psychotherapy for adolescents with an emphasis on the management of suicidal thoughts and actions." Thesis, University of Essex, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536955.
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Lilliengren, Peter. "Exploring therapeutic action in psychoanalytic psychotherapy : Attachment to therapist and change." Doctoral thesis, Stockholms universitet, Psykologiska institutionen, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-106501.
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The overall aim of this thesis was to explore therapeutic action in psychoanalytic psychotherapy from different perspectives (patient, therapist, observer), using different methodological approaches (qualitative and quantitative). Study I explores patients’ views of therapeutic action with grounded theory methodology. The results indicated that talking openly in a safe therapeutic relationship led to new relational experiences and expanding self-awareness. Hindering factors included difficulties “opening up” and experiencing something missing in treatment. Study II investigates experienced therapists’ views of therapeutic action. The development of a close and trusting relationship was perceived as the core curative factor. Patients’ fear of closeness hindered treatment from the therapists’ perspective. Study III involves the development and psychometric examination of a new rating scale for patient-therapist attachment (Patient Attachment to Therapist Rating Scale; PAT-RS). Inter-rater reliability was good for three of the subscales (Security, Deactivation, Disorganization), but poor for one (Hyperactivation). Patterns of correlations with other measures suggest construct validity for the reliable subscales. Study IV examines the relationships between secure attachment to therapist, alliance, and outcome. Linear mixed-effects models, controlling for therapist effects, treatment length and patient-rated alliance, indicated that secure attachment to therapist relates to outcome. Further, the unique variance associated with secure attachment to therapist predicted continued gains in functioning during follow-up. The results of this thesis suggest that the development of a secure attachment to the therapist is a central mechanism of therapeutic change. The results are discussed in relation to established notions of therapeutic action in psychoanalytic psychotherapy. Two tentative process models that may be useful for clinical practice and future research are proposed.At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 4: Epub ahead of print.
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Krieger, Daniela Valle. "Operationalized Psychodynamic Diagnosis 2 : apresentação da versão brasileira e estudos preliminares de validade e confiabilidade." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/143052.
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Introdução: O diagnóstico baseado unicamente na avaliação quantitativa dos sintomas e seu curso muitas vezes não é suficiente para o trabalho em psicoterapia psicodinâmica. Apesar disso, a literatura sobre diagnóstico psicodinâmico ainda é escassa, assim como os estudos empíricos na área. O Operationalized Psychodynamic Diagnosis-2 (OPD-2) tem o objetivo de ampliar o diagnóstico tradicional através da operacionalização de informações psicodinâmicas fundamentais para a compreensão dos fenômenos subjacentes à sintomatologia clínica. A construção multi-axial do OPD-2 possibilita que se abarque a complexidade e a inter-relação das condições e fatores que determinam os fenômenos e as patologias mentais do ponto de vista psicodinâmico. O OPD-2 é composto por 4 eixos psicodinâmicos e 1 eixo descritivo: I: vivência da doença e pré-requisitos para o tratamento; II: Relações interpessoais; III: Conflito psíquico; IV: Estrutura psíquica; V: Diagnóstico nosológico tradicional. Apesar de ser amplamente utilizado em vários países ainda não foram realizados estudos com o OPD-2 no Brasil. Objetivos: Esta dissertação apresenta a versão brasileira do OPD-2 e os estudos de validade de conteúdo, concordância inter-avaliadores e validade concorrente do instrumento. Método: A versão brasileira do instrumento foi criada através da adaptação da versão portuguesa. A avaliação do conteúdo do instrumento foi realizada por experts em psicoterapia psicodinâmica. A concordância inter-avaliadores foi avaliada utilizando-se 51 entrevistas de psicoterapia psicodinâmica. A validade concorrente comparou os itens do OPD-2 com os resultados do The World Health Organization Quality of Life - abbreviated version (WHOQOL-bref) e o Symptom Check-List-90-Revised (SCL-90R). Resultados: A avaliação de conteúdo considerou os itens claros quanto a linguagem e pertinentes teoricamente. Os eixos III e IV apresentaram maior índice de concordância inter-avaliadores. Os eixos I, III e IV obtiveram correlação significativa entre alguns itens com os resultados do SCL-90R e WHOQOL-bref. Conclusão: Este estudo demonstrou que o OPD-2 apresenta boas condições de avaliação de propriedades psicodinâmicas. Outros estudos com diferentes amostras e instrumentos devem ser realizados para verificação das propriedades psicométricas do OPD-2 no Brasil.Background: Diagnoses based upon quantification of symptoms and their course is less suitable to psychodynamic psychotherapy, yet psychodynamic diagnoses are rarely scrutinized scientifically. The Operationalized Psychodynamic Diagnosis-2 seeks to enhance traditional diagnostic schemes through the operationalization of psychodynamic data relevant to the comprehension of psychological phenomena underlying clinical symptomatology. The multi-axial framing of OPD-2 allows the incorporation of the complexity and the inter-relations of conditions and factors determining mental phenomena and pathology from a psychodynamic perspective. OPD-2 has 4 psychodynamic and 1 descriptive axis: I: experience of illness and prerequisites for treatment; II: Interpersonal relations; III: Conflict ; IV: Structure ; V: Mental and psychosomatic disorders. Although largely used in a number of countries, there have been no studies with OPD-2 in Brazil. Objectives: We aimed to present the Brazilian version of OPD-2 and determine the content validity, inter-rater reliability and concurrent validity of the psychodynamic itens of the instrument. Methods: Experts in psychodynamic psychotherapy evaluated content and the inter-rater reliability was based on 51 dialogued interviews obtained during routine clinical practice in a specialized institution. Concurrent validity compared OPD-2 items with results from the World Health Organization Quality of Life - abbreviated version (WHOQOL-bref) and the Symptom Check-List-90-Revised (SCL-90-R). Results: Evaluation of content considered OPD-2 items as clear and theoretically pertinent. Axes III and IV had higher inter-rater concordance. Several items from axes I, III and IV correlated significantly with the SCL-90R and the WHOQOL-bref. Conclusion: OPD-2 is adequate to evaluate psychodynamic properties. Further studies with the OPD-2 in Brazil evaluating different samples and using distinct comparator instruments are needed to confirm and extend our findings.
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MASERATI, ELISA. "Efficacia della psicoterapia psicodinamica in un servizio di neuropsichiatria per l'infanzia e l'adolescenza." Doctoral thesis, Università degli Studi di Milano-Bicocca, 2009. http://hdl.handle.net/10281/7655.
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The use and effectiveness of psychodinamic psychotherapy in childhood and adolescence were object of contest in scientific research until the Seventies of the last century. In spite of this question, the latest literature reports that there is a lack of empirical evaluation about psychodynamic psychotherapy techniques and use. This could be explained considering that a standardization of this method, as for example in the pharmacological-therapy studies, that are so frequently compared with psychotherapy in several studies (i.e. Target e Fonagy, 2004), is quite difficult to act, considering the specificity of therapeutic relationship in psychodinamic psychotherapy technique (i.e. Brusa, 1994)
The newest results of two reviews published in 2005 and 2008 suggest that at the moment psychodinamic psychotherapy has more efficacy in spite of no therapy or other therapies, and underline that a long-term psychodinamic psychotherapy (LTPP) achieves better outcomes that a short term-one (Leichsenring, 2005; Leichsenring et al., 2008).
The aim of this project was to consider the use and effectiveness of time-limited psychodynamic psychotherapy in a sample of inpatients from a child and adolescent public mental health clinic, and to compare two group of patients treated by an individual LTPP and usual-care treatment respectively.
All patients and parents receive a semi structural interview for diagnosis according to the DSM IV-TR criteria (KSADS); to evaluate changes in behavior and global functioning, the operators filled out the Children Global Assessment Scale (C-GAS), than the parents were asked to fill out the Child Behavior Checklist (CBCL), used to obtain standardized reports of children' behavior, considering social and relational capacities and behavior and psychological problems, at the start of study (T0), at the end of therapy (1 year, T1) and 6 months later (follow up, T2).
Starting from 2005 66 subjects were enrolled, between age from 4 to 17 years old, with DSM IV-TR diagnosis of Psychotic Disorder, Personality Disorder and Depressive Disorder and without individual psychodynamic psychotherapy ongoing yet. 33 patients composed the experimental group, mean age 11,3 years old (DS=3,1); control group is constituted by 33 patients, mean age 11,2 years old (DS=4,1). The patients were all collocated in a general waiting list, and assigned to the groups according with therapists' availability; patients' assignment used also clinical criteria, so it wasn't totally blinded, according with ethical matters.
The experimental group was treated by LTPP once a week for 1 year (44 sessions in total); the control group instead received usual-care treatments, focused on rehabilitation and symptoms’ resolution, in the territorial Operative Unit of Neuropsychiatric Clinic of S. Gerardo Hospital.
The data gained at T1 show higher social and relational competencies and a symptoms’ reduction in subjects treated by LTPP, considering both their own characteristics at T0, and the control group ones, too, as it can see at the scores filled out by therapists at C-GAS and parents at CBCL questionnaires.
Psychodynamic psychotherapy shows also at K-SADS interview to be able to get a global symptoms’ reduction from T0 to T1, specially in patients with diagnosis of Depressive Disorders and Personality Disorders, according to literature and American Psychiatric Association’s guidelines, that indicate this therapy as the preferential for these patients.
The preliminary outcomes at follow up show the persistence of the benefits of psychotherapy both considering relational and symptomatological aspects, that can't be observed in control group.
A peculiarity of LTPP was also observed: the data collected at T2 show a further increase of scores in patients treated by LTPP, in particular at C-GAS. Subjects belonged to experimental group in fact achieved at T2 a not pathological score (>70), the control group instead remained in the pathological one. These improvements are reported in literature as "sleeping effects", and are typical of LTPP, that can offer better useful psychological resources and abilities also after the end of therapy.
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Van, Wyk Brian Eduard. "Caring for caregivers : developing a psychodynamic understanding of a process of staff support for primary health care workers." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50294.
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Thesis (PhD)--University of Stellenbosch, 2005.ENGLISH ABSTRACT: The South African primary health care (PHC)system is in a period of transition. This, and the growing HIV epidemic, place tremendous strain on PHCworkers in public health services. Staff morale is low and this results in turnover and poor quality of care. Therefore, staff need to be supported, so that they are better equipped to provide quality care for patients. This dissertation describes a process of action research that aimed to explore possibilities for staff-support interventions to health teams in the public PHCsector. Data were collected through in-depth interviews, group interviews, focus group discussions and consultation sessions, with health staff and middle managers. Data were analysed using a grounded theory approach, with the assistance of the Atlas.ti 4.1 software package.The interpretation of data was informed by psychoanalytic and open systems theories. Four cycles of action research were conducted. The first action stage involved a qualitative assessment of the nature of stressors in the PHC system. The second action stage describes the experiences of two staff teams from a health prevention clinic and a day hospital (curative service) as they prepared to merge and integrate aspects of service delivery. In the third action stage the research team explored the feasibility of a short programme aimed at building capacity amongst middle and facility level managers to act as containers for staff stresses. However, due to external factors the programme was not completed. The final action stage describes interviews with selected participants to reflect on the effects of the current action research process on them and their work. The current research suggests that a psychodynamic approach may be a useful component of action research in health settings. This approach makes room for interpretation of unconscious processes in the stress experiences of health workers, and has the potential to move health staff and management to alternative modes of functioning and coping.
AFRIKAANSE OPSOMMING: Primêre gesondheidsdienste in Suid Afrika is tans in 'n proses van transisie. Die toenemende druk wat die VIGS-epidemie op gesondheidsdienste plaas, maak dit eweneens moeilik vir gesondheidswerkersom aan te pas by 'n gedurig-veranderende stelsel. Dit bring mee dat moraal laag is, baie werkers die publieke sektor verlaat en gehalte van dienslewering verswak. Hierdie situasie noodsaak dat programme ontwikkel moet word om gesondheidswerkerste ondersteun in hul werk, sodat hulle beter toegerus is om kwaliteit sorg aan pasiënte te verleen. Hierdie proefskrif beskryf aksienavorsing wat gedoen is met die doelom ondersteuningsprogramme vir gesondheidswerkers en hulpwerkers in openbare primêre gesondheidsdienste te ontwikkel. Individuele en in-groepsverband in-diepte onderhoude, asook fokusgroepbesprekings en konsultasies met gesondheidswerkers en middelvlak-bestuurders is gevoer om data in te samel. Data-ontleding was gedoen volgens die gegronde teorie aanslag en die Atlas.ti 4.1 sagteware pakket Is vir hierdie doel gebruik. Teorieë van psigoanalise en oop stelsels is deurgans geraadpleeg met die interpretasie van bevindinge. Die navorsingsproses bestaan uit vier siklusse van aksienavorsing. In die eerste navorsingsiklus is ~ie aard van stress in the publieke primêre gesondheidstelsel ondersoek. Die tweede siklus behels 'n beskrywing van die ervaringe van twee personeelgroepe soos hulle gereed gemaak het om aspekte van hulonderskeie dienslewering te integreer met die oprigting van 'n gemeenskaplike gesondheidsentrum. Die derde siklus beskryf die implementering van 'n kort program wat gerig is daarop om middel-vlak en diens-bestuurdersvaardighede aan te leer om personeel beter te ondersteun. Eksterne invloede het meegebring dat hierdie opleidingsprogram nie ten volle uitgevoer kon word nie. In die finale siklus is onderhoude met geselekteerde deelnemers gevoer om te bepaal hoe deelname aan die aksienavorsingsproses hulle in hul persoonlike hoedanigheid asook In die uitvoering van hul pligte beïnvloed het. Die huidige navorsing stel voor dat die psigodinamiese benadering 'n gepaste komponent van aksienavorsing in publieke gesondheidsomgewingskan wees, omdat hierdie benadering Insig kan verleen tot die onbewuste prosesse wat gesondheidswerkersse belewenis van stres beïnvloed, en verder ook die potensiaal het om gesondheidswerkers en bestuurders tot alternatiewe funksionering en hantering van stres te motiveer.
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Tanke, Albin. "Psykoterapins betydelse för patienters gudsupplevelser." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4158.
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Inledning: Människans gudsbilder avslöjar något om de möjligheter och problemområden hon står inför. Att öka kunskapen kring hur gudsföreställningar kan bemötas i psykoterapin är viktigt för forskningen, i synnerhet i mångfaldssamhället. Syftet med studien var att undersöka patienters erfarenheter av om, och i så fall hur, psykoterapin påverkade deras föreställningar om Gud. Frågeställningarna fokuserade patienternas upplevelser av vad som skedde med deras gudsföreställningar under en psykoterapi och erfarenheterna kring vilka faktorer som eventuellt bidrog till en påverkan på dessa. Metod: Fem patienter som avslutat en psykoterapeutisk behandling intervjuades. Studien hade en kvalitativ forskningsansats och tillämpade en fenomenologisk–hermeneutisk analysmetod. Resultat: Studien visar att gudsbilderna förändras genom psykoterapi. Stränga föreställningar blir friare och nyanseras. Metaforer framträder, vilket bidrar till en ny livssyn. Patientens utveckling hör ihop med gudsbildernas utveckling och vice versa. Bearbetningen leder till ökad känsla av ansvar, intresse för den egna utvecklingen och ökade möjligheter att relatera till andra. Förändringsfaktorer beror framför allt på terapeutens sätt att vara och intervenera. Diskussion: Resultaten visar möjlighet att arbeta fruktbart med fundamentalistiskt orienterade patienter. Gud som övergångsobjekt uppfattas som falsk trygghet och den ökade känslan av ansvar lindrar depressiva drag. Terapeutens interveneringar har betydelse för gudsbildernas och livstydningens utveckling, liksom terapeutens förkunskap gällande religiös livsvärld. Bearbetning av gudsbilder förändrar självuppfattningen och ökar skapandeförmågan.
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Leichsenring, Falk, Jürgen Hoyer, Manfred Beutel, Sabine Herpertz, Wolfgang Hiller, Eva Irle, Peter Joraschky, et al. "The Social Phobia Psychotherapy Research Network: The First Multicenter Randomized Controlled Trial of Psychotherapy for Social Phobia: Rationale, Methods and Patient Characteristics." Karger, 2009. https://tud.qucosa.de/id/qucosa%3A27526.
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This paper presents the Social Phobia Psychotherapy Research Network. The research program encompasses a coordinated group of studies adopting a standard protocol and an agreed-on set of standardized measures for the assessment and treatment of social phobia (SP). In the central project (study A), a multicenter randomized controlled trial, refined models of manualized cognitive-behavioral therapy and manualized short-term psychodynamic psychotherapy are compared in the treatment of SP. A sample of 512 outpatients will be randomized to either cognitive-behavioral therapy, short-term psychodynamic psychotherapy or waiting list. Assessments will be made at baseline, at the end of treatment and 6 and 12 months after the end of treatment. For quality assurance and treatment integrity, a specific project using highly elaborated measures has been established (project Q). Study A is complemented by 4 interrelated add-on projects focusing on attachment style (study B1), on cost-effectiveness (study B2), on variation in the serotonin transporter gene in SP (study C1) and on structural and functional deviations of the hippocampus and amygdala (study C2). Thus, the Social Phobia Psychotherapy Research Network program enables a highly interdisciplinary research into SP. The unique sample size achieved by the multicenter approach allows for studies of subgroups (e.g. comorbid disorders, isolated vs. generalized SP), of responders and nonresponders of each treatment approach, for generalization of results and for a sufficient power to detect differences between treatments. Psychological and biological parameters will be related to treatment outcome, and variables for differential treatment indication will be gained. Thus, the results provided by the network may have an important impact on the treatment of SP and on the development of treatment guidelines for SP.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Malmberg, Ekdahl Anna. "Psykoterapi i fjärde åldern." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4679.
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Socialstyrelsen har konstaterat att äldres psykiska hälsa är ett eftersatt område, trots att många äldre drabbas av psykiska besvär, och efterlyser behandlingsalternativ till medicinering. Man konstaterar samtidigt att det saknas undersökningar av effekten av psykoterapi för personer i högre åldrar, något som delvis kan bero på att många studier har en åldersgräns på 75 år. Tidigare studier visar också att psykoterapeuter föredrar att ta emot yngre patienter i psykoterapeutisk behandling. Studien är en beskrivning av några psykoterapeuters upplevelser av det psykoterapeutiska arbetet med personer som är 75 år och äldre. Sju psykoterapeuter intervjuades i denna kvalitativa undersökning där datainsamling skedde genom semistrukturerade intervjuer som analyserades med tematisk analys. Det som upplevs vara vanligast förekommande tema för denna åldersgrupp är förluster och skam kopplat till detta. Det finns många tankar som rör det existentiella men samtal som rör den egna döden tycks förekomma i väldigt begränsad utsträckning. Det framkommer också att samtliga psykoterapeuter i studien ser behovet och nyttan med psykoterapi för äldre men att det oftast handlar om mycket korta terapier, mellan en till tio gånger.The National Board of Health and Welfare has found that older peoples mental health is a neglected area, despite the fact that many older people suffer from mental health problems and calls for alternative treatment to medication. It also notes that there are no studies of the efficacy of psychotherapy for people at older ages, which may partly be due to the fact that many studies have an age limit of 75 years. Previous studies also show that psychotherapists prefer to receive younger clients in the psychotherapeutic treatment. The study is a description of some therapists experiences of psychotherapeutic work with people who are 75 years and older. Seven psychotherapists interviewed in this qualitative study in which data collection was done through semi-structured interviews were analyzed by thematic analysis. What is perceived to be more predominant theme for this age group is loss and shame attached to loss. There are many thoughts concerning the existential issues but topic concerning their own dead seems to occur to a very limited extent. It also emerges that all therapists in the study sees the need and usefulness of psychotherapy for older people but it usually involves very short therapies, between one to ten times.
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Cederlund, Lena. "Effekt av psykodynamisk psykoterapi : - Analys av symptomförändringar från terapistart till avslutning." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1766.
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Inledning: Syftet med denna studie är att, utifrån ett insamlat material vid S:t Lukas mottagningar i Stockholmsområdet, undersöka symptomförändring från start till avslutning i psykodynamiskt inriktade psykoterapier. Frågeställningar: Den övergripande frågeställningen är om patienter och terapeuter bedömer att terapierna haft någon effekt och i så fall vilken. Vidare om bakgrundsfaktorer och självbild påverkat symptombelastningen. Metod: Studien har genomförts med hjälp av självskattningsformulär som fyllts i före och efter behandling. Patienterna har fyllt i Symptom Checklist (SCL-90) och terapeuterna ett frågeformulär där de skattat patienternas besvär. Efter inomgruppsjämförelser har jämförelser gjorts med ett normerings-material. Resultat: Det sker en signifikant symptomlindring under terapierna. Störst är förändringen när det gäller depression, ångest och interpersonell sensitivitet samt i det sammantagna genomsnittsvärdet. Patienternas bakgrund påverkar inte utfallet nämnvärt. Studien visar att patienter med höga värden för självkritik och hat vid terapistart upplever störst symptomlindring. Diskussion: De positiva behandlingsresultaten går tyvärr inte att generalisera p.g.a. ett betydande bortfall. En angelägen utmaning för framtida studier är att begränsa och kontrollera bortfallet. En annan angelägen fråga att följa upp är om påvisad symptomlindring fortsätter efter avslutad terapi i överensstämmelse med andra jämförbara studier.
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Andersson, Karin. "En utvärdering av psykodynamisk psykoterapi på Stadsmissionens Terapicenter för unga : Analys av självskattade symptomförändringar via SCL-90." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4218.
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Inledning: Syftet med undersökningen är att få en bild av självskattade symptomförändringar hos de unga vuxna som genomfört en psykodynamisk psykoterapi på Stadsmissionens Terapicenter för Unga, under perioden 2008-september 2013. Frågeställningar: Den övergripande frågeställningen var om och i vilken grad patienternas självskattade symptom förändrats under behandlingstiden. Utgångshypotesen för undersökningen var att den skulle visa en signifikant förbättrad självupplevd psykisk hälsa hos de unga vuxna som ingår i studien. Metod: Studien har genomförts genom att en statistisk analys gjorts av insamlat självskattningsmaterial i SCL-90, för perioden 2008 - september 2013, från Stadsmissionens Terapicenter för unga. Materialet består av enkätsvar från 209 personer. Resultat: Resultaten visar att det sker en positivt signifikant symptomförändring under behandlingstiden. Störst är den positiva symptomförändringen i det generella genomsnittsvärdet, GSI, samt vad gäller depression, ångest, interpersonell känslighet och tvång. Resultaten visar också att det finns ett betydande bortfall som inte är slumpmässigt, då bortfallet tenderar att överrepresenteras av personer med en högre nivå av psykiska besvär. Diskussion: De positiva behandlingsresultaten går tyvärr inte att generalisera på grund av ett betydande bortfall, dessutom saknades i hög utsträckning persondata i databasen vilket bidrar till en brist i resultatdiskussionen. En bredare och mer kontrollerad bortfallsinformation, såväl som ytterligare persondata, skulle vara till gagn för framtida utvärderingar.
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Town, Joel. "Short-term psychodynamic psychotherapy for personality disorders : An investigation into the relationship between therapist interventions and immediate affect experiencing in an anxiety regulating treatment model." Thesis, University of Sheffield, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.500136.
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Malmström, Linnea. ""Upp till fyra samtal" - psykoterapeuters arbete med unga vuxna i counselling." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4651.
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Unga vuxna är en grupp som i allt större utsträckning söker stöd för sina psykiska svårigheter. Att hitta samtalsformer som är verksamma är därför av stor vikt för målgruppen. På S:t Lukas Stockholmsmottagning har man valt att erbjuda unga i åldrarna 18-29 år ”Upp till fyra samtal” – en form av problemformulerande samtal eller counselling. Genom att sätta sig mer in i hur terapeutens arbete gestaltar sig i den här typen av kortare samtalskontakt, kan stödet till målgruppen förhoppningsvis utvecklas ytterligare. Frågeställningar: Hur arbetar terapeuterna på S:t Lukas Stockholmsmottagning i counselling med målgruppen unga vuxna? Hur upplever terapeuterna arbetet med metoden och målgruppen? Metod: I undersökningen tillämpades en kvalitativ, deskriptiv metod där data samlades in med hjälp av bandinspelade, kvalitativa halvstrukturerade intervjuer. En tematisk analys användes som bearbetningsmetod. Resultat: Studien visar att terapeuternas arbetssätt till viss del skiljer sig åt, främst när det gäller hur de hanterar ramen och inriktningen på interventioner. I upplevelsen är terapeuterna eniga i att motöverföringen är stark och ofta konfliktfylld, men de uppger inget behov av handledning. Skillnader från den ursprungliga metoden framkom även i den yttre ramen, främst i avsaknaden av handledning. Diskussion: Terapeuternas olika arbetssätt diskuterades samt avvikelser från metodens ursprungliga form. Orsaker till terapeuternas avsaknad av behov av handledning diskuterades utifrån arbetet med den komplexa målgruppen och organisatoriska aspekter.Young adults seek help for their psychological problems to an increasing extent. Finding effective forms of therapy is of great importance for this group. At the S:t Lukas office in Stockholm, young adults aged 18-29 are offered “Up to four sessions” – a problem focused form of counselling. By learning more about how the therapist works with and experiences this counselling, the support for the target group might be further improved. Research questions: How do the therapists at S:t Lukas office in Stockholm work in counselling with young adults? What are their experiences from working with the method and the target group? Method: A qualitative, descriptive method was used, where data was collected through recorded semi-structured interviews. When processing the data a thematic analysis was applied. Results: The study shows that the therapists’ ways of working differ in how they handle the frame and what kind of interventions they use. The therapists all experience a strong countertransference, often conflictual, but they do not express any need for supervision. Deviations from the original method were also found in the outer frame, mainly in the lack of supervision. Discussion: The therapists’ different ways of working were discussed and also how the method seems to have changed from its original model. The reasons why the therapists do not express any need for supervision were discussed in relation to the complex target group and organizational factors.
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Faraj, Diana. "Patienters upplevelse och användning av humor i pågående terapier." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5279.
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Inledning: Äkta humor, glädje och skämt kan skapa en lättnad i det mänskliga livet. Men till skillnad från konflikter, smärtor och ångest har dessa känslor inte varit lika framträdande i psykoterapin. Det beror på att systematiska studier av användandet och funktionen av humor i den psykoterapeutiska processen till stor del saknas. Frågeställningar:Vilka är patienters erfarenheter av humor i den psykoterapeutiska relationen? Hur anser patienterna att humor kan ha påverkat den psykoterapeutiska processen? Metod:Studien har en kvalitativ forskningsansats. Fem deltagare som går i psykoterapi intervjuades. Intervjuerna analyserades och tolkades utifrån en kvalitativ innehållsanalys. Resultat:Humor i terapi kan skapa en god allians genom terapeutens delaktighet, ge en ökad känsla av frihet och meningsfullhet för deltagaren, väcka en förändring av det upplevda problemet eller händelsen ur ett mer humoristiskt sätt samt vara ett verktyg för att bearbeta synen på tidigare upplevelser. Användning av humor stärker deltagarnas självuppfattning, intresse för den egna utvecklingen och slutligen möjligheten att utveckla ett förtroende med terapeuten. Diskussion:Humor kan vara en mycket verksam och utvecklande del i psykoterapin. I studien visar användandet av humor främst positiva effekter och få negativa effekter. Användning av humor kan ge optimala förutsättningar för ett positivt terapiarbete och kan utgöra en viktig betydelse för den terapeutiska relationen och processen. Flertalet forskare och terapeuter motsäger sig dock användandet av humor och ser humor som en försvarsmekanism. Tidigare forskning beskriver framväxten av humor i terapin som ytterst begränsad.Introduction: Genuine humor, joy and jokes can create a relief in human life, just as conflicts, pain and anxiety these emotions have been as prominent. The use of humor in therapy and the function of humor in the therapeutic process have had a very limited role in the psychotherapeutic world. Question formulation: What are the patient’s experiences of humor in a psychotherapeutic relationship? How do patients consider that humor may have affected the psychotherapeutic process? Method: The study has a qualitative research approach. Five participants attending psychotherapy were interviewed. The interviews were analyzed and interpreted based on a qualitative content analysis. Results: Humor in therapy can create a good alliance through the therapist's participation, provide a greater sense of freedom and meaningfulness to the participant, bringing a change in the perceived problem or event in a more humorous way, and be a tool to process the view of past experiences. The use of humor strengthens participants' self-perception, interest in their own development, and finally the ability to develop trust with the therapist. Discussion: Humor can be a very effective and stimulating part of psychotherapy. The study shows the use of humor has mostly positive effects with only a few negative effects. The use of humor can provide optimal conditions for a positive therapy work and can be an important bearing on the therapeutic relationship and process. Most researchers and therapists contradict the use of humor and sees it as a defense mechanism. Previous research describes the emergence of humor therapy as extremely limited.
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Bladh, Ulrika. "Informationsteknologi som terapeutiskt hjälpmedel : Den terapeutiska relationen via Skype." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5158.
Full textAbstract:
Dagens informationssamhälle, erbjuder nya sätt att interagera, att etablera relationer och att bibehålla kontakten mellan människor.Teknologi och terapi blir ett sätt att upprätthålla en terapeutisk relation med hjälp av Skype som informationsteknologiskt hjälpmedel. Syftet med studien är att undersöka psykoterapeuters upplevelser avden terapeutiska relationen inom psykodynamisk psykoterapi via videokommunikation. Frågeställningarna fokuserar på terapeuternas användning av de psykodynamiska teorierna, beskrivning av den terapeutiska relationen samt hur den terapeutiska alliansen byggs vid videokommunikation. Studien hade en kvalitativ forskningsansats med en hermeneutisk metod. Sex terapeuter som bedrev terapi på Skype harintervjuats. Resultaten visar att terapeuterna upplevde att det fanns en distans i relationen som kunde användas positivt för att utreda något djupare i terapin. Terapierna blev mer ordrika då överföringaroch motöverföringar inte kunde identifieras lika lätt som vid ett fysiskt möte. Den terapeutiska alliansen upplevdes skörare på Skype. Slutsatser av studien var att bedriva en psykodynamisk psykoterapi på Skype behövde terapeuterna anpassa teorin till teknologin. Distansen irelationen användes som ett hjälpmedel för att terapin skulle utvecklas till en insiktsterapi men kunde även verka till att försvaren förstärktes.Today's information society, is offering new ways to interact, to establish relationships and maintain contact between people.Technology and therapy is a way to maintain a therapeutic relationship with the help of Skype as an information technology tools. The purpose of the study is to examine psychotherapist’s experiences of the therapeutic relationship in psychodynamic psychotherapy via videocommunication. Research questions focuses on the psychotherapists' use of psychodynamic theories, the description of the therapeutic relationship and how the therapeutic alliance is being built in videocommunications. The study was a qualitative research approach with a hermeneutic method. Six therapists who pursued therapy via Skype were interviewed. The results show that therapists felt that there was a distance in the relationship which could be used positively to investigate deeper into the therapy. The therapies became wordier as transferense and countertrancferences could not be identified as easily as in a physical meeting. The therapeutic alliance felt more fragile on Skype. Discussions from the study shows in order to pursue a psychodynamic psychotherapy on Skype the therapists needed to adapt the theory to the technology. The distance in the relationship was used as a means of therapy to be developed into insight therapy but could also seem to strengthen the defenses.