Mathea Fretheim Walle, Maria Härter Langvik, Reidar Schei Jessen, Line Indrevoll Stänicke
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Sharing, carrying, and tolerating the pain - A meta-synthesis of clinicians' experiences from working with adolescents who self-harm.
Objective: This study aims to review and synthesise qualitative studies of the subjective experiences of clinicians working with adolescents (11-18 years of age) who self-harm.
Method: We conducted a systematic literature search and included 14 studies in a meta-synthesis, applying Noblit and Hare's (1988) [Meta-ethnography - synthesizing qualitative studies. SAGE Publications] seven analytical steps for meta-ethnography.
Results: The meta-synthesis resulted in three meta-themes that narrate a process of the emotional experiences of being in a professional relationship with adolescents who self-harm: (1) "Sharing the pain - The relationship as a vehicle to help, understand, and protect"; (2) "Carrying the pain - Self-harm evokes strong feelings"; and (3) "Tolerating the pain - To show a way out".
Conclusion: Working with self-harm may represent a challenging balance for clinicians between exploring the pain in the therapeutic relationship, while also managing their own ability to tolerate the difficult emotions in this work.
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.