How to do things with questions: the role of patients’ questions in Short-Term Psychoanalytic Psychotherapy (STPP) with depressed adolescents

IF 0.4 Q4 PSYCHOLOGY, CLINICAL

JOURNAL OF CHILD PSYCHOTHERAPY Pub Date : 2022-01-02 DOI:10.1080/0075417X.2022.2042584

Yael Yadlin, E. Edginton, G. Lepper, N. Midgley

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Abstract

ABSTRACT The role of patients’ questions in psychoanalytic psychotherapy is a neglected topic in the clinical and research literature. This qualitative study aims to bridge this gap by exploring the role of patients’ questions in Short-Term Psychoanalytic Psychotherapy (STPP) with adolescents suffering from depression. This is a single case study, focusing on the interaction between the patient and his therapist when questions were asked by the patient, using conversation analysis methodology. Data was taken from the IMPACT study, a randomised controlled trial, investigating three types of therapy in the treatment of adolescent depression. The findings identify some typical ways in which the therapist responded to the patient’s questions, and show that ‘surprising behaviours’ that seem associated with heightened affect appeared when the patient asked a question, leading to an enlivening of the therapeutic interaction. The study examines the significance of these findings within the context of the therapeutic relationship and discusses the implication of these findings for technique.

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如何处理问题:患者问题在短期精神分析心理治疗(STPP)中对抑郁青少年的作用

摘要在临床和研究文献中，患者问题在精神分析心理治疗中的作用是一个被忽视的话题。这项定性研究旨在通过探索患者问题在患有抑郁症的青少年短期精神分析心理治疗（STPP）中的作用来弥合这一差距。这是一个单一的案例研究，重点是当患者提出问题时，使用对话分析方法，患者和他的治疗师之间的互动。数据来自IMPACT研究，这是一项随机对照试验，研究了青少年抑郁症的三种治疗方法。研究结果确定了治疗师回答患者问题的一些典型方式，并表明当患者提出问题时，似乎与情感增强有关的“令人惊讶的行为”出现了，从而使治疗互动变得活跃起来。该研究在治疗关系的背景下考察了这些发现的意义，并讨论了这些发现对技术的意义。

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

JOURNAL OF CHILD PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

0.70

自引率

50.00%

发文量

期刊介绍： The Journal of Child Psychotherapy is the official journal of the Association of Child Psychotherapists, first published in 1963. It is an essential publication for all those with an interest in the theory and practice of psychoanalytic psychotherapy and work with infants, children, adolescents and their parents where there are emotional and psychological problems. The journal also deals with the applications of such theory and practice in other settings or fields The Journal is concerned with a wide spectrum of emotional and behavioural disorders. These range from the more severe conditions of autism, anorexia, depression and the traumas of emotional, physical and sexual abuse to problems such as bed wetting and soiling, eating difficulties and sleep disturbance.