为什么,怎么做,接下来要做什么:心理治疗过早终止的定性调查。

IF 3 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Lauren M Lipner, Michael Katz, Ktora Tzor, Adi Amar, Refael Yonatan-Leus
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引用次数: 0

摘要

目的:本质性研究探讨了心理治疗过早终止的复杂现象,探讨了患者决定终止治疗的原因、他们的沟通方式,以及随后对他们参与未来心理健康治疗意愿的长期影响。方法:数据收集通过半结构化访谈14名以色列成年人过早和单方面终止个人,面对面的心理治疗。数据分析采用迭代内容分析方法。结果:被确定为加速终止的关键主题包括未满足的期望、治疗联盟中的困难、消极的治疗师行为、后勤和经济障碍以及情绪压倒的经历。患者通过消失、电话通知或在疗程中明确讨论来沟通终止。即时反应从不联系治疗师到坚持继续,患者体验到缓解或负面影响。长期影响强调了普遍不愿寻求未来治疗,尽管一些报告了纠正治疗的经验。结论:这些发现强调了解决患者期望,培养强大的治疗联盟,以及在敏感和尊重患者自主权的情况下引导终止治疗讨论的重要性,以改善治疗参与和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The why, the how, and the what next: A qualitative investigation of premature termination from psychotherapy.

Objective: This qualitative study investigated the complex phenomenon of premature termination from psychotherapy, exploring the reasons for patients' decisions to end therapy, their methods of communicating this decision, and the subsequent long-term impact on their willingness to engage in future mental health treatment.

Method: Data were collected through semi-structured interviews with 14 Israeli adults who had prematurely and unilaterally terminated individual, in-person psychotherapy. An iterative content analysis approach was used for data analysis.

Results: Key themes identified as precipitating termination included unmet expectations, difficulties in the therapeutic alliance, negative therapist behaviors, logistical and financial barriers, and experiences of emotional overwhelm. Patients communicated termination through disappearance, phone notification, or explicit discussion during a session. Immediate responses varied from therapist non-contact to insistence on continuation, with patients experiencing relief or negative affect. Long-term impacts highlighted a general reluctance to seek future therapy, though some reported corrective therapeutic experiences.

Conclusion: These findings underscore the critical importance of addressing patient expectations, fostering robust therapeutic alliances, and navigating termination discussions with sensitivity and respect for patient autonomy to improve treatment engagement and outcomes.

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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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