“你显然不够努力”:对过度控制结构的定性探索

IF 1.3 Q3 PSYCHOLOGY, CLINICAL
Claire O'Sullivan, Richard Booth, Rachel Egan, Suzanne Guerin
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引用次数: 0

摘要

在临床环境中,过度控制的概念越来越受到关注。然而,对过度控制的生活经验的研究是有限的。这项研究探讨了什么构成了过度控制,以及它如何与心理健康问题相互作用。方法12名被试分别在干预前和干预后接受2次访谈,共24次访谈,12对。虽然这不是一项干预研究,但该设计用于捕捉个人对过度控制的理解的深度和广度,假设在参与支持的过程中,包括这次干预,这种理解会加深。使用解释性现象学分析方法来探索数据集。结果分析确定了关于如何概念化过度控制的三个上级主题。它们分别是“控制谬误”、“共同人性的孤独局外人”和“环境学习”。研究还确定了与过度控制和心理健康问题之间的相互作用有关的三个主要主题。分别是“隔离”、“安全和掩饰”和“不愿寻求帮助”。过度控制是一个复杂的概念,参与者将其描述为一种最初被认为是固定的、由安全需求驱动的反应方式。它与孤立感和与他人不同的感觉有关。参与者通常将过度控制与具有挑战性的早期生活经历或创伤的反应联系起来。不愿寻求帮助、掩饰内心情绪和孤立等主题被确定为影响心理健康的因素。本研究强调了提高临床医生对过度控制意识的重要性,以制定适当的干预措施,并避免低估过度控制个体所经历的痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
‘You're Obviously Not Trying Hard Enough’: A Qualitative Exploration of the Construct of Overcontrol

Background

The concept of overcontrol is gaining increasing attention in clinical settings. However, research on the lived experience of overcontrol is limited. This study explores what constitutes overcontrol and how it interacts with mental health difficulties.

Method

Twelve participants took part in two interviews each—one at the start of and one after an intervention targeting overcontrol, resulting in 24 interviews, paired as 12 dyads. While this was not an intervention study, this design was used to capture the depth and breadth of individuals' understanding of overcontrol, which was hypothesised to deepen over the course of engagement with supports, including this intervention. An interpretative phenomenological analysis approach was used to explore data sets.

Results

Analysis identified three superordinate themes regarding how overcontrol is conceptualised. These were ‘Fallacy of control,’ ‘Lone outsider to common humanity’ and ‘Environmental learning.’ Three superordinate themes in relation to the interaction between overcontrol and mental health difficulties were also identified. These were ‘Isolation,’ ‘Safety and masking’ and ‘Reluctance to seek help.’

Conclusion

Overcontrol is a complex concept that participants described as a response style often perceived initially as fixed and driven by a need for safety. It was linked to feelings of isolation and being different from others. Participants commonly associated overcontrol with responses to challenging early life experiences or trauma. Themes such as reluctance to seek help, masking inner emotions and isolation were identified as factors affecting mental health. This research highlights the importance of increasing clinician awareness of overcontrol to develop appropriate interventions and to avoid underestimating the distress experienced by overcontrolled individuals.

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来源期刊
Counselling & Psychotherapy Research
Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
4.40
自引率
12.50%
发文量
80
期刊介绍: Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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