治疗师在短期强化动态心理治疗中对负面影响的体验:定性访谈研究。

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Tomas Lindegaard, Lovisa Persson, Maria Thorängen, Alexander Rozental
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引用次数: 0

摘要

目的:心理治疗的负面效应是一个广义的术语,包括无反应、恶化和新症状等事件。本研究旨在探讨在短期强化动态心理疗法(ISTDP)框架内工作的临床医生对负面效应的体验:方法:八名 ISTDP 临床医生同意参与研究,并接受了半结构化视频访谈。采用反思性主题分析框架对数据进行转录和分析:专题分析产生了五个主题。总体而言,临床医生认为很难界定负面影响,但无论原因如何,负面影响都可以用于治疗。评估不准确被认为是造成负面影响的主要原因。其他主题涉及辍学与负效应之间的联系、患者反馈以及 ISTDP 社区与负效应的关系:研究结果与 CBT 临床医生对负面效应的定性研究结果基本一致,但本研究中的临床医生更强调这些事件的治疗潜力。通过采用混合方法设计,同时将患者和治疗师都包括在内,可以进一步改善研究领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapists' experiences of negative effects in intensive short-term dynamic psychotherapy: A qualitative interview study.

Objective: Negative effects of psychotherapy are a broad term that encompasses events such as non-response, deterioration, and novel symptoms. The aim of the present study was to explore experiences with negative effects among clinicians working within an intensive short-term dynamic psychotherapy (ISTDP) framework.

Method: Eight ISTDP clinicians consented to participate and were interviewed using semi-structured video interviews. Data were transcribed and analyzed using a reflexive thematic analysis framework.

Results: The thematic analysis resulted in five themes. Overall, the clinicians found it difficult to define negative effects, but that negative effects, regardless of cause, could be used therapeutically. Inaccurate assessment was seen as the main cause of negative effects. Other themes concerned the connection between dropout and negative effects, patient feedback, and the ISTDP community's relationship to negative effects.

Conclusions: The results are largely in line with qualitative studies of CBT clinicians' views of negative effects although clinicians in the present study emphasized more strongly the therapeutic potential of these events. The research field could be further improved by using mixed-method designs while including both patients and therapists.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
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.
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