Psychodynamic psychotherapists' perceptions of change: A phenomenological analysis.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-07-23 DOI:10.1080/10503307.2025.2535564

Lorenzo Antichi, Benedetta Biondi, Marco Giannini, Rosapia Lauro-Grotto

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引用次数: 0

Abstract

Objective: This qualitative study aimed to investigate how experienced psychodynamic psychotherapists conceptualize change in psychotherapy by engaging in guided reflection on their professional experiences. Method: Eight psychodynamic therapists participated in the study, with four females and four males. Semi-structured interviews were conducted within a phenomenological-hermeneutic research framework, focusing on several key themes related to the change in psychotherapy. Then, phenomenological categories were identified through a consensual content analysis, applying an inductive approach. Results: Through an iterative analysis, nine overarching themes and their respective subcategories emerged: (a) Orientation; (b) Motivations For Choosing to Train in the Psychodynamic Approach; (c) Areas of Intervention; (d) The Relational Space as the Foundation of Therapy and the Process of Change; (e) Focusing, Exploring, and Processing the Patient's Internal States; (f) The Tools of Change in the Psychodynamic Approach; (g) The Subjectivity and Experiences of the Therapist; (h) New Conceptions of Change in the Psychodynamic Approach; (i) Change as an Unpredictable Process Difficult to Model. Discussion: The findings underscore the importance of employing qualitative methods to study psychotherapy change, as its complexity cannot be easily reduced to simplified models.

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心理动力学心理治疗师对变化的感知：现象学分析。

目的：本定性研究旨在探讨经验丰富的心理动力治疗师如何通过对其专业经验的引导反思来概念化心理治疗中的变化。方法：8名心理动力治疗师参与研究，其中4男4女。在现象学-解释学研究框架内进行了半结构化访谈，重点关注与心理治疗变化相关的几个关键主题。然后，通过共识内容分析，运用归纳方法确定现象学类别。结果：通过反复分析，出现了九个总体主题及其各自的子类别：(a)方向；(b)选择心理动力学方法训练的动机；(c)干预领域；(d)作为治疗基础和变化过程的关系空间；(e)聚焦、探索和处理患者的内部状态；(f)心理动力学方法中的变革工具；(g)治疗师的主体性和经验；(h)心理动力学方法中关于变化的新概念；(i)变化是难以模拟的不可预测过程。讨论：研究结果强调了采用定性方法研究心理治疗变化的重要性，因为它的复杂性不能轻易地简化为简化的模型。

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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.