"It Felt Like I Was Being Tailored to the Treatment Rather Than the Treatment Being Tailored to Me": Patient Experiences of Helpful and Unhelpful Psychotherapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-06-04 DOI:10.1080/10503307.2024.2360448

Elizabeth Li, David Kealy, Katie Aafjes-van Doorn, James McCollum, John T Curtis, Xiaochen Luo, George Silberschatz

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引用次数: 0

Abstract

Objective: This qualitative study explores patients' experiences of psychotherapy, focusing on elements perceived as helpful or unhelpful and suggestions for improvement in the context of public mental health care.

Methods: A total of 148 adults (Mean age = 32.24, SD = 9.92) who had been or are currently receiving psychological treatment from the National Health Service (NHS) responded to an online survey. The survey included open-ended questions regarding their experiences of psychotherapy, asking them to identify helpful or unhelpful aspects, and suggestions for improvement. Using thematic analysis, key themes were identified.

Results: The analysis highlighted the patient's preference for personalized treatment, the importance of therapeutic alliance, the demand for depth in therapy, and life skills and agency as therapeutic outcomes. Participants suggested improvements such as more tailored approaches and stronger therapist-patient relationships, supporting an adaptable, patient-centered model.

Conclusion: The study highlights challenges in public mental health services where patients might feel their specific needs are not being recognized and met and underscores the importance of personalized treatment plans that satisfy and evolve with patient needs, suggesting that therapists must be attentive and responsive to individual desires to enhance the patient experience.

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"感觉是治疗为我量身定做，而不是治疗为我量身定做"：病人对有益和无益心理治疗的体验。

目的：本定性研究探讨了患者对心理治疗的体验，重点关注在公共心理健康护理中认为有帮助或无帮助的因素以及改进建议：本定性研究探讨了患者的心理治疗经历，重点是在公共精神卫生保健中认为有帮助或无帮助的因素以及改进建议：共有 148 名曾经或正在接受国民健康服务（NHS）心理治疗的成年人（平均年龄 = 32.24 岁，标准差 = 9.92 岁）参与了在线调查。调查包括有关他们心理治疗经历的开放式问题，要求他们指出有帮助或无帮助的方面，并提出改进建议。通过主题分析，确定了关键主题：分析强调了患者对个性化治疗的偏好、治疗联盟的重要性、对治疗深度的要求以及作为治疗结果的生活技能和能动性。参与者提出了一些改进建议，如采取更有针对性的方法和加强治疗师与患者之间的关系，从而支持一种适应性强、以患者为中心的模式：这项研究凸显了公共心理健康服务所面临的挑战，即患者可能认为他们的特殊需求没有得到认可和满足，并强调了个性化治疗计划的重要性，即满足患者的需求并随着患者需求的变化而变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.