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Journal articles on the topic 'Psychotherapists Interviews'
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1
Drozdov, D. S. "Influence of Personal Faith on Psychotherapist’s Professional Activity." Консультативная психология и психотерапия 24, no. 5 (2016): 135–50. http://dx.doi.org/10.17759/cpp.2016240508.
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The article presents the main results of the study of influence of personal faith on psychotherapist’s professional activities.The empirical analysis is based on interviews with practicing Orthodox psychotherapists, conducted in accordance with a specially developed procedure. The author makes a conclusion about the presence of trends in the practice of Orthodox therapists to one of the two poles, distinguished by the degree of directivity, the role of the therapist and their methods. The first pole — pastoral counseling, second — psychotherapy in a spiritual dimension.
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Rosati, Fau, Maric Martin Lorusso, Jessica Pistella, Guido Giovanardi, Bianca Di Giannantonio, Marta Mirabella, Riccardo Williams, Vittorio Lingiardi, and Roberto Baiocco. "Non-Binary Clients’ Experiences of Psychotherapy: Uncomfortable and Affirmative Approaches." International Journal of Environmental Research and Public Health 19, no. 22 (November 20, 2022): 15339. http://dx.doi.org/10.3390/ijerph192215339.
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Non-binary people may face specific challenges in psychological settings. Psychotherapists often display a lack of preparation for non-binary gender identities, resulting in overt or subtle forms of prejudice that compromise the therapeutic alliance. The present study aimed to provide data on non-binary clients’ positive and negative experiences within therapeutic relationships. Twenty-five interviews were conducted with non-binary people in the age range of 19–35. Using codebook thematic analysis, the researchers identified three main themes: (1) the self of the psychotherapist, consisting of the impact of the therapist’s personal (i.e., sexual identity) and professional (i.e., competence) characteristics on the therapeutic experience; (2) the practice of the psychotherapist, emerging as affirmative (validation and microaffirmations) or negative (gender identity change efforts, manifest aggressions, and microaggressions) approaches toward non-binary identities; (3) the therapeutic relationship, referring to the alliance, rupture, and reparation based on the therapists’ openness toward non-binary identities. To provide a safer setting for non-binary clients, psychotherapists should incorporate issues related to gender minority identities in their training, acknowledge clinical errors when they occur and adopt an active predisposition to learn through the client’s experience, giving value to their unique contribution.
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Alpers, Georg W., and Kristina M. Hengen. "Interactions with Standardized Patients to Evaluate Students’ Psychotherapy-Competencies." Zeitschrift für Klinische Psychologie und Psychotherapie 50, no. 3-4 (July 2021): 133–44. http://dx.doi.org/10.1026/1616-3443/a000636.
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Abstract. The use of standardized patients (SPs) in the training of prospective practitioners is a well-established didactic tool in medical schools. Only recently have simulations of patients in psychotherapy been introduced into the training of psychologists. By integrating psychotherapy training into university-level master’s programs, German law now requires licensing exams for psychotherapists (i. e., Approbationsprüfung) to include an assessment of therapeutic competencies in simulated interactions with SPs. Yet, it has not been examined whether these simulations are useful for a reliable assessment of competencies in psychotherapy trainees. Also, we need to develop standardized instruments to evaluate competencies in entry-level psychotherapists. As part of a university course, we trained master’s-level students from three cohorts in clinical interviewing techniques (course title: Klinisch-psychologische Gesprächsführung). We analyzed videotaped 20-min sequences of N = 104 students while they interviewed one of N = 38 trained SPs. The students’ task was to interview the SP, conduct a brief case history, and use the interviewing skills they had learned in class. Two independent raters evaluated their psychotherapeutic competencies with an adapted version of the German Cognitive Therapy Scale (CTS). Raters evaluated students’ performance on two subscales and the total score with satisfactory interrater agreement (intraclass correlations). In general, students performed well in the interviews: They structured the sessions sufficiently, and their global psychotherapeutic competencies were satisfactory. However, the psychotherapeutic competencies of master’s students fell short of the benchmark derived from experienced psychotherapists. This pilot study provides first evidence that simulated interviews with SPs may be a reliable tool in the assessment of practical competencies in psychotherapy trainees at an early stage of their training. Moreover, we found that the CTS, which has demonstrated validity to quantify competencies of psychotherapists, is applicable and reliable in this training context as well. In sum, this suggests that simulated interviews with SPs may be useful for evaluating psychotherapeutic competencies of psychotherapy trainees.
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Li, Xinfang, and Yongping Ran. "Discourse Marker Na (那) as an Interpersonal-Level Compensatory Strategy in Clinical Interviews." Chinese Journal of Applied Linguistics 43, no. 4 (November 1, 2020): 417–38. http://dx.doi.org/10.1515/cjal-2020-0028.
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Abstract Discourse markers (DMs) are characterized by multifunctionality in different contexts. This study addressed the use of the Chinese DM, na (那), as a solution to topical divergence, during clinical interactions with right-hemisphere-damaged (RHD) patients. Drawing on data collected from clinical interviews between psychotherapists and RHD patients, this study examined the functions of na in response to RHD topical divergence, focusing on the topic and attitudinal aspects. It was found that na was mainly employed by psychotherapists to mark a reproffer of interview topics (i. e., an attempt to return to earlier topics), and a display of disalignment and disaffiliation with RHD topical divergence. These functions of na reflect the psychotherapists’ attempts to overcome communicative problems arising from RHD topical divergence, so as to ensure the achievement of the communicative goal. Thus, na can be interpreted as a compensatory strategy for dealing with RHD topical divergence on an interpersonal level. These findings not only expand our knowledge about the function spectrum of na, but also offer insights for RHD patients’ interlocutors to enhance conversational communication with RHD patients via the compensatory strategy.
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Hoskins, David, and Jason Platt. "Building a collaborative framework: a qualitative study of therapists collaborating with Curanderxs." Journal of Mental Health Training, Education and Practice 17, no. 2 (October 25, 2021): 159–77. http://dx.doi.org/10.1108/jmhtep-05-2021-0043.
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Purpose The purpose of this study is to investigate psychotherapists’ perspectives on collaborations with curanderxs that may improve patient outcomes. All participants have licensed psychotherapists (marriage and family therapist, social work and psychology), between ages 40 and 60 years, and spoke both English and Spanish. They had a wide range of experience practicing in the field (5 to 33 years), the number of clients they had worked with of Mexican descent (10 to 2,000), and times they had collaborated with curanderxs (2 to 3 to more than 40). Interviews lasted 2 h. Design/methodology/approach Phenomenological methodology was followed in conducting interviews with eight mainstream mental health practitioners and in identifying codes and themes from the interviews. Findings Collaboration between psychotherapists and curanderxs is rare. Few mental health training programs provide basic information on curanderismo or on how clinicians might integrate concepts related to indigenous healing approaches into their practices or collaborate with traditional healers. Substantial mistrust between psychotherapists and curanderxs is apparent and impedes collaboration. Originality/value The authors believe this to be one of the first integrative models that can provide guidance to services providers who would like to collaborate with traditional healers, not only with Latinx populations but also populations that seek traditional healers for physical, psychological and spiritual healing. Based on study findings, the authors offer educational, clinical and public policy recommendations.
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Thorpe, Mark. "A Phenomenological Investigation into the Psychotherapist’s Experience of Processing Projective Identifications." Ata: Journal of Psychotherapy Aotearoa New Zealand 20, no. 2 (December 30, 2016): 183–97. http://dx.doi.org/10.9791/ajpanz.2016.16.
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Projective identification is arguably one of the most important, complex and difficult to understand psychoanalytic concepts. This paper discusses research which aims to develop a phenomenological description of the psychotherapist’s experience of identifying, containing and processing the client’s projective identifications. The researcher interviewed eight psychoanalytic psychotherapists in depth. The empirical phenomenological method was then used to explicate the transcribed interviews. The results are dialogued with clinical illustrations and the literature on projective identification.
Waitara
Tērā pea kō te whakapūreo tuakiri tētahi o ngā ariā tātarihanga hinengaro whakahirahira, matatini ki te whakamātau. Ko tā tēnei tuhinga, he matapaki i ngā rangahau e whai ana ki te whanake i tētahi whakaahua whakaataata wheako kaitātari hinengaro tohu, pupuri, taki pūreo tuakiri kiritaki. Tokowaru ngā kaitātari whakaora hinengaro i whakamātautau hōhonuhia e te kairangahau, ka whakamahia te huarahi whakamātau whakahirahira ki ngā tuhinga whakamātautau. Ko ngā hua i matapakihia ki te taha o ngā whakaahua haumanu me ngā tuhinga hāngai ki te whakapūreo tuakiri.
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Ellis, Emma. "Internalised Racism." Ata: Journal of Psychotherapy Aotearoa New Zealand 22, no. 1 (September 24, 2018): 85–102. http://dx.doi.org/10.9791/ajpanz.2018.07.
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This article identifies and explores how the internalised racism of racial minority clients is identified and treated clinically by white psychotherapists. Four psychotherapists, who selfidentified as “white”, participated in semi-structured interviews, exploring their perceptions and understandings of how internalised racism and racism manifested within the clinical setting. The data from these interviews was analysed using thematic analysis and produced four main themes: manifestations of internalised racism and racism in therapy, disidentification, therapist’s explicitness, and connection to culture. These themes were supported and anchored by four sub-themes. The themes represent a therapeutic process of: emergence, understanding, intervention and aim. The emergence of racism and internalised racism in therapy describes both the clients’ and the psychotherapists’ experiences of internalised racism and racism as it emerges in the therapeutic encounter. Dis-identification captures the psychotherapists’ understanding of internalised racism operating as their minority clients’ dis-identification with their racial and cultural heritage. Therapist’s explicitness identifies a therapeutic intervention, the psychotherapist’s communication to their minority clients about the racial differences between them. And finally, connection to culture captures the psychotherapist’s therapeutic aim of encouraging a connection to racial and cultural heritage as a protective factor against racism and emotional and psychological difficulties.
Whakarāpopotonga
E tautuhi e tūhura ana tēnei tuhinga pēhea ai te tautuhi te whakaora a ngā kaiwhakaora hinengaro kirimā i te aukatinga iwi ā-roto o ngā kiritaki tokoiti. Tokowhā ngā kaiwhakaora hinengaro, whakatau “kirimā”, i uru mai ki ngā uiuinga kōkau, e tūhura ana i ō rātau whakaaro, mātauranga hoki he pēhea te putanga mai o te aukatinga iwi ā-roto i waenga i te nōhanga haumanu. I whāia te aromatawaihanga kaupapa hai aromatawai i te raraunga o ēnei uiuinga, ā, e whā ngā kaupapa i puta ake: ngā tohu o te aukatinga iwi ā-roto me te aukati iwi i roto i te haumanu, te tuakiri-ui, te mārama o te kaihaumanu me te here ki te ahurea. E whā ngā kaupapa huiroto tuatoko, taunaki hoki i ēnei kaupapa. He kanohitanga ēnei kaupapa i te tukanga haumanu o te: pueatanga, te māramatanga, te whakaurutanga me te whāinga. Te pueatanga ake o te aukatinga iwi me te aukatinga iwi ā-roto i rō haumanutanga e whakaāhua ana i te whaiaro aukatinga iwi ā-roto me te aukatinga iwi hoki o te kiritaki rāuatahi ko te kaiwhakaora hinengaro i te wā haumanutanga. E mau ana i te tuakiri-ui te tirohanga a ngā kaiwhakaora hinengaro o te aukatinga iwi ā-roto whakamahia ai hai tuakiri-whakaui pānga iwi, tuakiri-whakaui ahurea o ō rātau kiritaki tokoiti. He whakaaturanga haumanu aukati te whakamārama koi ā ngā kaihaumanu, ko te whakatau a te kaiwhakaora hinengaro ki ā rātau kiritaki tokoiti mō te rerekētanga iwi i waenga i a rātau. I te mutunga, ko te here ki te ahurea e hopu ana i te whāinga haumanu ā te kaiwhakaora hinengaro, arā ki te whakatenatena herenga tuku iho ā-iwi, ā-ahurea hai mea haumarutanga atu i te aukatinga iwi, whakararutanga kare ā-roto, hinengaro.
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Thomas-Anttila, Kerry. "Towards an Openness of Being." Ata: Journal of Psychotherapy Aotearoa New Zealand 21, no. 2 (March 21, 2018): 149–64. http://dx.doi.org/10.9791/ajpanz.2017.14.
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This paper discusses an aspect of my PhD study on understanding psychotherapists’ experience of ongoing learning. For this study I interviewed 12 practising psychotherapists living in Aotearoa New Zealand. The personal nature of psychotherapists’ ongoing learning and, in particular, the interconnectedness between an individual’s life, past and present, and his or her vocational life as a psychotherapist, emerged as a significant phenomenon. Interview data were analysed using hermeneutic phenomenology as the philosophical underpinning. Resonances between hermeneutic phenomenology and psychotherapy practice are explored. I offer a number of participant stories from the interviews I conducted, together with an interpretation of these narratives. Heidegger’s thinking about “meditative thinking” and Sorge (care) is drawn on, as well as Bion’s idea that thinking/dreaming one’s lived experience is a principal means by which one learns from experience. This research revealed that, over the course of their professional lives, psychotherapists move towards responding to what is essential for their own learning and that this is often an unconscious process. What matters to the individual begins to emerge and to show itself more fully. This has implications for prescriptive and systematised approaches to learning; the question is posed as to how we attune to the movement of our soul.
Whakarāpopotonga
He matapakihanga tā tēnei tuhinga i tētahi wāhanga rangahautanga o taku tohu Kairangi: te wheako o te ako haere tonu o te kaiwhakaora hinengaro. Tekau mā rua ngā kaiwhakaora hinengaro e mahi ana e noho ana i Aotearoa, i uiuia e au mō tēnei rangahau. Ko te wheako whaiaro o te ako haere tonu o te kaiwhakaora hinengaro me te here o te koioranga tangata onamata ki nāianei me tōna koiora mahi tohunga kaiwhakaora hinengaro, i kitea he mea tino whakahirahira. I huri ki te tirohanga e kīa nei ko te āta whakamāoritanga, arā te “hermeneutic phenomenology”, hai tātarii ngā kohinga uiuinga. Ka tūruhahia he paorotanga mai i tēnei tirohanga ki te momo mahi a te kaiwhakaora hinengaro. Ka horaina atu ētahi o ngā kōrero whakaurunga o ngā uiuinga nāku i hiki, me ngā whakamāramatanga hoki mō aua kōrero. I tōia mai anō hoki tā Heitakatirohanga ki te ‘whaiwhakaarohanga hōhonu’ me te aroha me tā Pīona whakaaaro e kī nei, ko te whakaarohanga/moemoeānga wheako whaiaro a te tangata te ara matua o te akohanga mai i te wheako. Ikitea i tēnei rangaha, i roto i te roanga ake o ā rātau mahi mātanga ko ngākaiwhakaora hinengaro urupare haere aiki te iho mō tōna ake mātauranga ahakoa he hātepe maurimoe. Ko te mea nui ki te takitahika tīmata ki te puea haere ake ki te whakaatu whānui haere ake i a ia. He whainga rara tēnei mō te momo whakahau whakahaerenga ki te ako; ko te pātai koia me pehea tewhakahāngai ki te whakanekenga o te wairua.
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Nurmi, Bo, Clive S. Michelsen, and Torsten Norlander. "The Importance of Reflection: An Exploratory Analysis on How Prospective Psychotherapists Learn Self-Determination." Open Psychology Journal 12, no. 1 (September 30, 2019): 197–204. http://dx.doi.org/10.2174/1874350101912010197.
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Background: Learning to become a psychotherapist is a complicated process. Research on this topic has been limited and there is little consensus on how to assess therapeutic skills. SP/SR (Self-Reflection/Self-Practice) has emerged as a theory and method for learning psychotherapy. In this article students' reflections on how to become a psychotherapist has been studied from a phenomenological perspective. Objective: The aim of the present exploratory study was to generate preliminary hypotheses for future investigations in order to elucidate the complicated processes that occur during the therapist training programs. Methods: Five prospective psychotherapists were recruited to the present investigation, who all studied at the penultimate semester at Evidens University College, Gothenburg, Sweden. Unstructured qualitative in-depth interviews were used followed by phenomenological analysis. Results: Analysis yielded 252 meaning units and 12 categories which in turn led to four overarching themes: Learning as a visit to the dentist (when learning becomes painful because certain issues are not resolved); Learning as theatre (when the students just perform what is expected in order to pass); Learning as post-training soreness (when the learning process is challenging on a relevant level); Learning as reflections (when the students seek the intrinsic meaning). Conclusion: The study provided a basis for preliminary hypotheses for future investigations: reflections are helpful for managing the challenges described in the four themes. This, in turn, led to the formulation of some proposals for research questions for future investigations.
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Hobson, R. Peter, Matthew P. H. Patrick, and John D. Valentine. "Objectivity in psychoanalytic judgements." British Journal of Psychiatry 173, no. 2 (August 1998): 172–77. http://dx.doi.org/10.1192/bjp.173.2.172.
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BackgroundThere is widespread scepticism concerning the reliability and validity of psychoanalytic judgements of patient–therapist transactions. We predicted that (a) in reviewing the initial part of 14 videotaped assessment interviews with borderline and dysthymic subjects, dynamic psychotherapists would agree in their ratings of psychoanalytically relevant characteristics of subjects' interpersonal relations; (b) inter-correlations among the ratings would conform with those expected from psychoanalytic descriptions of ‘paranoid-schizoid’ and ‘depressive position’ states of mind; and (c) these ratings would differentiate between borderline and dysthymic groups.MethodSix trained psychotherapists who were blind to the design of the study, independently rated qualities of interpersonal relatedness during the first 30 minutes of each interview, on & 30-item ‘personal relatedness profile’ResultsThere was satisfactory interrater reliability in judgements among the raters, and evidence that the items were interrelated. There was also & significant difference between the two subject groups.ConclusionsIt is possible to make reliable psychoanalytic judgements about qualities of interpersonal relatedness. Moreover, there is evidence that paranoid–schizoid and depressive positive aspects of psychological functioning do constitute & meaningful constellation of clinically grounded phenomena.
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Adame, Alexandra L. "“Present Through It All”: A Qualitative Exploration of Psychotherapy and Psychosis." Journal of Humanistic Psychology 59, no. 6 (September 6, 2016): 859–76. http://dx.doi.org/10.1177/0022167816665524.
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This article provides an overview of a qualitative study that focused on psychotherapists’ experiences of working with people struggling with psychosis. I interviewed four therapists in private practice about their experiences working with this population and describe many aspects of their work including how they understood the nature of psychosis, how they envision process of psychotherapy, and challenges they have faced. I used interpretive phenomenological analysis to analyze the therapists’ interviews. The findings of this project highlight the necessity of a supportive therapy relationship and the therapists’ genuine interest and respect for their clients.
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Bager-Charleson, Sofie, Simon Du Plock, and Alistair McBeath. "Therapists Have a lot to Add to the Field of Research, but Many Don’t Make it There: A Narrative Thematic Inquiry into Counsellors’ and Psychotherapists’ Embodied Engagement with Research." Language and Psychoanalysis 7, no. 1 (July 31, 2018): 4–22. http://dx.doi.org/10.7565/landp.v7i1.1580.
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Research frequently addresses a gap between practice and research in the field of psychotherapy. Castonguay et al (2010) suggest that the practice of many full-time psychotherapists is rarely or nonsubstantially influenced by research. Boisvert and Faust (2005) ask ‘why do psychotherapists not rely on the research to consistently inform their practice?’ and suggest that concerns ‘have echoed through the decades’ about psychotherapists’ failings to integrate of research and practice. This study focuses on therapists’ (counsellors and psychotherapists) reasoning about their engagement with ‘research’ as described in dissertations and in personal, anonymously presented documents, research journals and interviews included. The study focuses on the stages which generally are referred to as ‘data analysis’, which in this study refers research stages where interpretation typically is required with synthesising and analysing in mind. Turning our attention to the therapists’ ‘narrative knowing’ about research during these stages where generating own new knowledge is put to the forefront, have highlighted a complex relationship involving epistemological discrepancies, real or imagined, between practice and research. It also highlighted gender issues, culture and commonly held constructs about what constitutes a ‘counsellor’, which we believe influence therapists’ presence in research. We decided to include the citation “Therapists have a lot to add to the field of research, but many don’t make it there” in the title to illustrate some of the complexity. The study is based on a Professional Doctorate programme, which engages with psychologists, counsellors and psychotherapists in practice-based research. In addition to drawing from dissertations already in the public domain students and graduates from the doctoral programme were invited to contribute their own embodied experiences from ‘doing’ a data analysis. The paper suggests a hybrid for narrative analysis, discussing the options to (re-)present narratives guided by a combined interest into the unique, personal whilst also looking for ‘themes’ within and across these narratives.
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Jones, Jamie Keaton. "A place for therapy: Clients reflect on their experiences in psychotherapists’ offices." Qualitative Social Work 19, no. 3 (May 2020): 406–23. http://dx.doi.org/10.1177/1473325020911676.
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Previous research suggests that the physical environment of the psychotherapy office is important for treatment engagement, client feelings and behavior, and clinician support. However, there is limited research that includes the voices of psychotherapy clients. The purpose of this study was to explore the meanings clients ascribe to the offices in which they seek treatment in order to develop a fuller picture of the importance of the place of treatment. Eight psychotherapy clients in a large urban city were interviewed about their experiences of their psychotherapy offices using semi-structured protocols. Analysis of interviews identified three main themes in regard to client perception of the offices’ uses: (a) comfort, (b) connection, and (c) insight into the therapist. Results highlight the potential importance of the physical environment in psychotherapy treatment and implications for practice are provided.
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Tomcsányi, Teodóra, Viola Sallay, Zsuzsanna Jáki, Péter Török, Tünde Szabó, András Ittzés, Krisztina Csáky-Pallavicini, Edith A. Kiri, Katalin Horváth-Szabó, and Tamás Martos. "Spirituality in Psychotherapy." Archive for the Psychology of Religion 39, no. 3 (December 2017): 235–62. http://dx.doi.org/10.1163/15736121-12341340.
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While scientific interest in the relationship between psychotherapeutic praxis and spirituality is growing, there is still little knowledge on this topic, especially in an East Central European context. To explore how psychotherapists understand spiritual issues and experiences they encounter in their work and to learn what happens to these issues in the course of psychotherapy, this study analyses semi-structured interviews with 30 Hungarian psychotherapists. Applying a grounded theory analytical strategy, three main topics were identified: the therapist's attitude towards spirituality leaves a discernible trace in the psychoterapeutic treatment; the therapist influences the way spiritual issues are treated; and the therapist may have a shared spiritual experience with the client. We present individual variations of these experiences as they appear in the code tree. Results are interpreted with reference to a systemic view of the psychotherapeutic process, the intersubjective space of patient and therapist, and the notion of the therapists’ mentalizational capacity.
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Dahlhausen, Florian, Maximillian Zinner, Linn Bieske, Jan P. Ehlers, Philip Boehme, and Leonard Fehring. "Physicians’ Attitudes Toward Prescribable mHealth Apps and Implications for Adoption in Germany: Mixed Methods Study." JMIR mHealth and uHealth 9, no. 11 (November 23, 2021): e33012. http://dx.doi.org/10.2196/33012.
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Background In October 2020, Germany became the first country, worldwide, to approve certain mobile health (mHealth) apps, referred to as DiGA (Digitale Gesundheitsanwendungen, in German, meaning digital health applications), for prescription with costs covered by standard statutory health insurance. Yet, this option has only been used to a limited extent so far. Objective The aim of this study was to investigate physicians’ and psychotherapists’ current attitudes toward mHealth apps, barriers to adoption, and potential remedies. Methods We conducted a two-stage sequential mixed methods study. In phase one, semistructured interviews were conducted with physicians and psychotherapists for questionnaire design. In phase two, an online survey was conducted among general practitioners, physicians, and psychotherapists. Results A total of 1308 survey responses by mostly outpatient-care general practitioners, physicians, and psychotherapists from across Germany who could prescribe DiGA were recorded, making this the largest study on mHealth prescriptions to date. A total of 62.1% (807/1299) of respondents supported the opportunity to prescribe DiGA. Improved adherence (997/1294, 77.0%), health literacy (842/1294, 65.1%), and disease management (783/1294, 60.5%) were most frequently seen as benefits of DiGA. However, only 30.3% (393/1299) of respondents planned to prescribe DiGA, varying greatly by medical specialty. Professionals are still facing substantial barriers, such as insufficient information (1135/1295, 87.6%), reimbursement for DiGA-related medical services (716/1299, 55.1%), medical evidence (712/1298, 54.9%), legal uncertainties (680/1299, 52.3%), and technological uncertainties (658/1299, 50.7%). To support professionals who are unsure of prescribing DiGA, extended information campaigns (1104/1297, 85.1%) as well as recommendations from medical associations (1041/1297, 80.3%) and medical colleagues (1024/1297, 79.0%) were seen as the most impactful remedies. Conclusions To realize the benefits from DiGA through increased adoption, additional information sharing about DiGA from trusted bodies, reimbursement for DiGA-related medical services, and further medical evidence are recommended.
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Holloway, Katie, Martin Seager, and John A. Barry. "Are clinical psychologists, psychotherapists and counsellors overlooking the needs of their male clients?" Clinical Psychology Forum 1, no. 307 (July 2018): 15–21. http://dx.doi.org/10.53841/bpscpf.2018.1.307.15.
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Around 75 per cent of suicides are male, yet men seek therapy less than women do. Is talking about feelings unappealing to men? Our interviews with 20 experienced therapists identified ways in which therapy might be made more male-friendly.
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Charura, Divine. "Psychotherapists’ experiences of co-facilitating large encounter PCEP groups: an interpretative phenomenological analysis of six interviews." Person-Centered & Experiential Psychotherapies 19, no. 3 (July 2, 2020): 251–70. http://dx.doi.org/10.1080/14779757.2020.1796770.
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Wendt, Lisa Marie, Maria Isabella Austermann, Hans-Jürgen Rumpf, Rainer Thomasius, and Kerstin Paschke. "Requirements of a Group Intervention for Adolescents with Internet Gaming Disorder in a Clinical Setting: A Qualitative Interview Study." International Journal of Environmental Research and Public Health 18, no. 15 (July 23, 2021): 7813. http://dx.doi.org/10.3390/ijerph18157813.
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Internet gaming disorder (IGD) has become an important health concern in a significant proportion of adolescents. Intervention studies in this age group are scarce, mostly follow quantitative designs, and rarely consider adolescents’ experiences. This study aimed to evaluate the requirements for a group therapy program for adolescents with IGD. A qualitative interview study was conducted in a German clinic for addictive disorders in childhood and adolescence with nine participants (seven IGD patients (12–18 years, M = 15.86, SD = 1.95) and two psychotherapists). The semi-structured interviews addressed helpful contents, general conditions, and suggestions for alterations for an effective group intervention. Data were analyzed using content structuring qualitative analysis. Patient interview data resulted in 234 codings with eight main categories. Expert interview data yielded 151 codings with six main categories. The following treatment components were described as effective by the participants and experts: psychoeducation, emotion management, behavior analysis and modification, social skills training, parent participation, and relapse prevention. Additionally, adolescents emphasized the importance of group functionality for coherence, feedback and rewards, content presentation, physical activity and fun. The results are a valuable addition to findings from quantitative studies on IGD interventions and an interesting starting point for further representative studies.
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Georgiou, Konstantinos, David Winter, Stephen Davies, and Aikaterini Katsiana. "But Who Knows What Autism Is? Negotiating the Notion of Autism During Free Associative Narrative Interviews with Psychoanalytic Psychotherapists." Materia Socio Medica 33, no. 2 (2021): 138. http://dx.doi.org/10.5455/msm.2021.33.138-144.
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Noble, Kathleen D. "Counseling Gifted Women: Becoming the Heroes of Our Own Stories." Journal for the Education of the Gifted 12, no. 2 (January 1989): 131–41. http://dx.doi.org/10.1177/016235328901200205.
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The journey toward becoming one's best is a heroic quest which demands strength, courage, independence, and perseverance. This paper assists counselors and psychotherapists to understand and illuminate the issues, obstacles, and challenges confronting gifted women, and to empower their clients to claim and express their high potential. These issues are drawn from the author's interviews with clients and colleagues, a survey of participants at a 1986 conference for and about gifted women, and a comprehensive literature review. Gifted women are urged to recognize and externalize cultural and familial devaluation, refuse to be invisible or to “disappear,” resist the pull of the status quo, and envision new possibilities for personal fulfillment. Guidelines, strategies, and resources for enabling these goals are discussed.
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Fagundes Machado, Leticia, Luan Paris Feijó, and Fernanda Barcellos Serralta. "Online psychotherapy practice by psychodynamic therapists." Psico 51, no. 3 (December 31, 2020): e36529. http://dx.doi.org/10.15448/1980-8623.2020.3.36529.
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Online psychotherapy was recognized by the Federal Council of Psychology Resolution n. 11/2018. With the official recognition of this practice, many professionals raised questions about its equivalence to face-to-face psychotherapy and the possible need of technical adaptations. Considering the lack of research on this theme, this study aimed to explore how psychodynamic/psychoanalytical psychotherapists perceive their own practice in online settings, including technical and relational aspects of the therapeutic process, in comparison to their experience in face-to-face treatments. This is a qualitative study with an exploratory approach. Eight psychologists responded to videoconference interviews. The interviews were audiotaped, fully transcribed, and analyzed by thematic analysis. Results were organized in two major themes (online psychotherapy practice and technique and psychodynamic process in online psychotherapy). Main results indicate online psychodynamic psychotherapy has many distinctive features (e.g. relying on quality of internet connection, fostering focal process, occurring in a more vulnerable setting, and eliciting a different pattern of communication) that require adaptation from therapist. Implication of findings to psychotherapy training and practice are discussed.
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Lanman, M., F. Grier, and C. Evans. "Objectivity in psychoanalytic assessment of couple relationships." British Journal of Psychiatry 182, no. 3 (March 2003): 255–60. http://dx.doi.org/10.1192/bjp.182.3.255.
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BackgroundClinicians claim that partners in a couple can be understood to share a mode of relating, at an unconscious level. Assessment of this depends on inference from observable data. This study tests the viability and reliability of a modification of the Personal Relatedness Profile (PRP) for this purpose.AimsTo test the interrater reliability and construct validity of a joint PRP score for couples.MethodSeven therapists independently rated couples' interactions using the 30-item PRP and segments of videotaped interviews with 19 couples.ResultsInterrater reliability was good and correlations between items clearly supported the underlying Kleinian bipolar model used (paranoid–schizoid/depressive positions).ConclusionsPsychoanalytic couple psychotherapists agree in independent judgements of the nature of couple functioning, these judgements being based on envisaging couples in terms of an unconsciously shared state of mind.
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Denford, J. D. "In-Patient Psychotherapy at the Cassel Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 10 (October 1986): 266–69. http://dx.doi.org/10.1192/s0140078900023051.
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Admission to hospital for psychotherapy facilitates communication with patients and allows more ways of influencing them than do conventional out-patient situations. Small and large groups can be added to individual interviews, and living together allows the development of many potentially therapeutic relationships with other patients and staff. This additional influence can be ignored. If it is assumed to be an integral part of treatment and organised rationally, the whole hospital becomes its instrument; psychotherapists, nurses, patients, domestic staff and administrators can be seen to be subordinate to that whole, and their traditional activities, attitudes to each other, and theories, are inevitably modified. Traditional boundaries between the roles of different workers become blurred, while how they get on with each other has important consequences for patients, so that their separate roles and functions must be clearly defined.
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Ali Besharat, Mohammad. "The application of paradox therapy for the treatment of obsessive-compulsive disorder: A case study." Journal of Clinical Case Reports and Studies 3, no. 4 (May 28, 2022): 01–07. http://dx.doi.org/10.31579/2690-8808/106.
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The course of treatment as well as the treatment costs/benefits are among challenges of the current psychotherapies. The purpose of the present article is to introduce a new psychotherapeutic model for the treatment of Obsessive-Compulsive Disorder (OCD). An evidence-based case study was performed based on a new paradox therapy for the treatment of OCD, called PTC (Paradox + Timetable = Cure). Three patients with OCD are presented based on the accounts of their video recorded therapy sessions. The patients participated in diagnostic interviews and self-report scales pre-, post-, and a follow-up assessment. Results indicated that the treatment of the patients was successfully done after three sessions for the first two patients and four sessions for the last one. The result of a 22 to 32 months follow-up showed that the therapeutic changes were satisfactory and stable, during which no relapse was happened. These results supported the deep and permanent effects of the PTC psychotherapeutic model in the shortest possible time. The influential mechanisms of “paradoxical timetable”, as the main PTC technique, and its adjustment to the treatment outcomes of the three patients are also explained. It is concluded that the PTC psychotherapeutic model can be considered as a very short-term, effective, efficient and yet economical approach for the treatment of OCD. Simple nature of the PTC protocol, described within the present paper, allows psychotherapists and clinical practitioners to use this newly developed psychotherapy model for the treatment of anxiety disorders. The results of the present study can be applied to new developments in the field of psychotherapy theory, research, and practice.
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Frąckowiak-Sochańska, Monika. "Family life as an area of emotional work and investments: an analysis from the perspective of sociology of mental health." Studia Demograficzne, no. 2(176) (March 4, 2020): 71–93. http://dx.doi.org/10.33119/sd.2019.2.4.
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The purpose of this paper is to analyse and interpret family life as an area of individuals’ emotional work and investments. The perspective of the above mentioned analysis is designated by the sociology of mental health. Relationships within a family have undeniable influence on the state of people’s mental health. These relationships can be a source of support as well as emotional burden. Families can either compensate for the social stress individuals experience due to processes at the macro level or enhance the emotional tension resulting from social stress. The main method used in this study is meta-analysis of epidemiological and clinical data concerning the mental health of the global (WHO) and Polish population (EZOP-Poland) and my own research – a nationwide, representative survey (N=1,000) carried out in Poland, which was part of a broader theoretical and empirical project devoted to the process of social construction of the categories of mental health, disease and disorder in late modern society. I also refer to my qualitative research including twenty in-depth interviews with psychologists, psychiatrists and psychotherapists who had experience in carrying out family, couples and individual therapy. The research objective was to find out whether and in what way some issues described from the socio-cultural perspective manifest themselves in the form of problems with which people turn to psychotherapists.
The analysis and interpretation of data from the above mentioned sources enable us to put forward a thesis that living within a family entails not necessarily an alternative (either emotional burden or support), but a conjunction (both emotional burden and support). In this context the practical solutions that enable families to protect and strengthen the individual’s mental health should be searched for.
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Udenze, Silas, and Chinwe Elizabeth Uzochukwu. "Promoting Mental Wellbeing: Young Adults’ Experience on TikTok during the COVID-19 Pandemic Lockdown in Nigeria." Interações: Sociedade e as novas modernidades, no. 40 (June 30, 2021): 9–28. http://dx.doi.org/10.31211/interacoes.n40.2021.a1.
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From the last quarter of 2019, the world witnessed the emergence of the COVID -19 virus that shook it to its knees, and Nigeria is not an exception. While countries were struggling with strategies on how to manage the virus, the lockdown option became paramount. During the period of the lockdown in Nigeria, most persons, especially young people, could not visit places of their choice. Hence, social media became their source of solace. This study examines the experiences of young adults in using TikTok to minimise the negative effect of isolation during the COVID-19 lockdown in Nigeria. The authors interviewed ten young persons between the ages of 19 to 31. A thematic analysis of the interviews using Braun and Clark (2006) steps for conducting thematic analysis revealed four overarching themes that describe the participants’ experiences on TikTok during the lockdown. Prominent among the themes, the study uncovered how TikTok short videos excelled in impacting the research participants therapeutically; easing boredom, and impacting positively on their mental health. The present study suggests that TikTok short videos could be a phenomenon that could be adopted by individuals or even health professionals, especially psychotherapists in managing or treating patients in similar situations like the COVID-19 compulsory lockdown.
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Ghelani, Amar. "Cannabis Use Among Mental Health Professionals: A Qualitative Study of Cannabis-Related Risk Perceptions." Journal of Drug Issues 51, no. 4 (July 20, 2021): 679–89. http://dx.doi.org/10.1177/00220426211032558.
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Background: Perceptions of cannabis-related risk are changing, and many are viewing cannabis as harmless despite the biopsychosocial risks. Perceptions of risk have an impact on behavior as individuals who are less likely to view cannabis as risky are more likely to use it problematically. Purpose: This study examined how mental health professionals who use cannabis perceive the risks related to use. Methods: Interpretative phenomenological analysis was utilized to understand how participants made sense of the harm related to personal and client use. Interviews were conducted with a sample of social workers, nurses, and psychotherapists who work with cannabis-consuming clients. Results: Participants reported cannabis use is related to anxiety, relational challenges, impaired driving, psychosis, cognitive impairment, educational/employment dysfunction, and addiction in some users. Conclusion: Assessing risk perceptions among cannabis users can reveal subtle psychosocial problems the user may be experiencing. Mental health workers may benefit from further education regarding cannabis-related physical health harm.
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Miranda, F. Leao, A. Pazo Pires, and G. Canta. "Specific Factors from Common Factors? Process and Change in Psychoanalytic Psychotherapy." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71288-x.
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The objective of this study consisted in developing a theory about the psychotherapeutic process in Psychoanalytic Psychotherapy and to verify the relevance of the common and specific factors. the participants were three psychoanalytical psychotherapists. Semi-structured interviews and 15 session's notes given by one of the therapists (one psychotherapeutic process of a 24 year old psychotic patient) were used and analysed according to the Grounded Theory method. A process called constant modification was found in the core of psychoanalytic psychotherapy, through which changes occur in the psychic functioning and in the relational style of the patient. This process functions at an intrapsychic and extrapsychic level. A model based on the concept of Enzymatic Catalysis was developed, in order to integrate and relate common factors (therapeutic bond), specific factors (therapeutic interventions), patient characteristics, therapist characteristics, external factors and therapeutic results to the central process. It was concluded that both common and specific factors contribute to the therapeutic process in a mutual dynamic.
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Lee, Kyoo. "‘Our “China Within”’: Minjian Sinopsy Today, a Segue." Psychoanalysis and History 23, no. 2 (August 2021): 135–59. http://dx.doi.org/10.3366/pah.2021.0379.
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In this article I have set out to draw an ethnographically inflected, composite scene of what I would loosely term ‘Sinopsy’ today, drawing on a series of explorative conversations on ‘psychoanalysis in China’ and the questionnaire-based interviews I undertook (between 2015 and 2020) with 18 psychoanalysts, psychotherapists, psychological counselors and engaged academics in or from mainland China, ranging from seasoned professionals to new-generation trainees. My ongoing, modest hope is to get to see a bigger and ‘democalligraphically’ evolving picture of a kind of praxis-oriented community-serving minjian psychoanalysis on the ground. As I turn to this understudied, cartographically complex, porously open-ended zone of Sinopsychoanalysis in the making, a silhouette seems to be emerging on the horizon, itself a question in motion: What is (in) it for people in China, and across and beyond its great walls? Focusing on its transitional specificity, its active indeterminacy and eclectic adaptivity exemplified by Sino-Lacanian analysts’ practices among others, I also try to contextualize its deeper and broader psychocultural dimensions, especially given the turbulent (post)modernity of China, where its ongoing epochal traumas are inextricably private and public, familial, national and diasporic.
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Schaffler, Yvonne, Thomas Probst, Andrea Jesser, Elke Humer, Christoph Pieh, Peter Stippl, Barbara Haid, and Brigitte Schigl. "Perceived Barriers and Facilitators to Psychotherapy Utilisation and How They Relate to Patient’s Psychotherapeutic Goals." Healthcare 10, no. 11 (November 7, 2022): 2228. http://dx.doi.org/10.3390/healthcare10112228.
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Access to psychotherapy is still limited by various barriers, and little is known about the facilitating circumstances. This study aims to assess self-reported barriers and facilitators to psychotherapy utilisation in private practice and how these access factors relate to psychotherapy goals as formulated by patients. The dataset consists of 21 face-to-face semi-structured interviews with patients treated by psychotherapists in private practice in Austria. Data were analysed using qualitative content analysis, including a frequency count of the number of codings to analyse relations between categories. A critical external barrier theme was unaffordable psychotherapy and confusion about how the Austrian funding system works. A negative experience with psychotherapy prior to the current one, such as not being understood and answered well enough by one’s therapist, was a frequently reported internal barrier. Individuals who faced more internal barriers and more external facilitators in seeking therapy, such as moral support from significant others and professionals, formulated less elaborate treatment goals. Although the study was carried out amid the COVID-19 pandemic, the pandemic played a minor role in patients’ self-reported barrier and facilitator themes.
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Stock Gissendanner, Scott, Cornelia Weiß, Benjamin Herten, Wiebke Wrage, Ralf Stegmann, Detlef E. Dietrich, Heiko Stark, and Uwe Krähnke. "Eine psychosomatische Sprechstunde für die regionale betriebsnahe Versorgung." ASU Arbeitsmedizin Sozialmedizin Umweltmedizin 2020, no. 01 (December 23, 2019): 43–49. http://dx.doi.org/10.17147/asu-2001-8465.
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A psychosomatic consultation for regional health care in the workplace – evaluation and recommendations Goal: The study’s goal was the qualitative evaluation of a new variant of the mental health intervention “psychosomatic consultation in the workplace” from the perspective of participating firms and individuals. Methods: The study data encompassed group discussions with workplace actors based on open-ended interview questions about their experiences with the intervention and narrative interviews with individual participants. This material was augmented by problem-oriented expert interviews with psychotherapists and company medical officers and by descriptive statistics of the individuals participating in the consultation. Results: All the firms implemented the consultation in response to perceived high rates of sick leave caused by mental health problems and due to a lack of confidence in how to deal with the employees concerned. The advantages of the consultation are seen to lie in its easily accessible and timely provision of professional assistance (psychoeducation, short interventions, coaching in difficult life situations and referral to other parts of the medical system) and in its flexibility in implementation. The consultation is adaptable to firms’ varying expectations and needs and increases the confidence of workplace actors (especially top management, personnel management, company medical officers and employee representatives) in dealing with mental health problems. Conclusions: The consultation proved to be a flexible, practicable and beneficial part of primary, secondary and tertiary prevention measures in the workplace. It can have positive effects on the preventive behaviour of individual participants. It is recommended that such programmes should be coupled with additional health-promotion services inside and outside the company in the future. Employees should be able to choose between using the consultation either anonymously or non-anonymously in consultation with a trusted colleague or company medical officer. Some form of (anonymous) feedback to company management on the findings of the consultation in relation to systemic sources of psychological distress is also recommended for the purpose of introducing suitable preventive measures. Keywords: psychosomatic consultation in the workplace (PSIB) – mental health – intervention – occupational medicine
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Braun, P., A. K. Schwientek, L. Guthardt, A. Loerbroks, and J. Apolinário-Hagen. "How to raise awareness about electronic mental health services among prospect healthcare providers: a qualitative study on information preferences." European Psychiatry 65, S1 (June 2022): S292. http://dx.doi.org/10.1192/j.eurpsy.2022.745.
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Introduction Since fall 2020, electronic mental health services (eMHSs) like apps can be prescribed by physicians and psychotherapists in Germany. However, future healthcare providers such as medical and psychology students remain reluctant to adopt eMHSs, even though they represent a vulnerable group with respect to developing mental health problems themselves. Reasons include scepticism and lacking awareness, which can be addressed by tailored multi-component information material. However, to date little is known about the most important information attributes to educate prospect healthcare providers on eMHSs. Objectives The objective of this study is to explore information preferences on eMHSs among medical and psychology students. Methods A total of 21 semi-structured interviews were conducted (n=16 medical and n=5 psychology students) across Germany based on a topic guide. Interviews were recorded, transcribed and content-analyzed using MAXQDA. Results Most students reported having little knowledge about eMHSs and that the issue of digital health has never been raised in their study, even though it is perceived as important. Concerning information design preferences, students favored light, neutral colors and a combination of short, compressible texts with matching images. Regarding the content, information about data protection, the underlying evidence base and the match with personal needs were perceived as important for utilization intentions, while there was little interest in tailored information focusing exclusively on psychology or medical students. Conclusions This study provides first insights into eMHS information preferences among prospect healthcare providers. In a next step, a discrete-choice conjoint experiment will be conducted to test the relevant information features on eMHSs. Disclosure No significant relationships.
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Jones, Maria, Marit Råbu, Jan Ivar Røssberg, and Randi Ulberg. "Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression." International Journal of Environmental Research and Public Health 17, no. 13 (June 27, 2020): 4628. http://dx.doi.org/10.3390/ijerph17134628.
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Psychodynamic therapy is an effective treatment for depression. However, a large number of adolescent patients with depression do not respond and/or drop out of therapy and little is known about what therapists actually do in therapy with adolescents. Thus, more research is needed to explore the various actions that therapists do in therapy, so that therapists can tailor their therapy more specifically to each individual adolescent. The present study aimed to investigate how the experience of psychotherapists differs between two treatment modes for adolescents with depression: psychodynamic psychotherapy with and without transference interventions. In-depth interviews were conducted with six therapists. The data, which were analyzed using thematic analysis, generated three key themes: (1) The therapists experienced that transference interventions are often useful in therapies with adolescents with depression, (2) therapies without transference interventions can be challenging for therapists, but still helpful for patients, and (3) the experience contributed to the deepening recognition of therapists that they always need to adapt their techniques to the particular patient. The results enhance our knowledge of the significance of therapists’ actions in therapy with adolescents. The therapists highlighted issues that are important for identifying barriers to incorporating new knowledge into clinical practice.
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Chabokinejad, Zahra, Ozra Etemadi, Fatemeh Bahrami, and Maryam Fatehizadeh. "Investigation of the Interactive Positive Processes of Couples with Different Characteristics: A Qualitative Study." Modern Applied Science 10, no. 7 (April 28, 2016): 49. http://dx.doi.org/10.5539/mas.v10n7p49.
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<p>Interactive processes encompass all those aspects of interpersonal and intrapersonal processes that affect the communication loop of couples. This study aims to test positive interactive processes among couples with different personality traits. In order to collect data, twenty psychotherapists specializing in couples’ therapy and forty eight couples of different personality traits referred to counseling centers of Yazd city were selected (using purposeful sampling). Semi-structured interviews were conducted and the procedure continued up to data saturation. Additionally, books, articles and Internet sites were additionally used for data collection. The research method of qualitative content analysis was conducted. positive test results obtained from the interactive processes between couples with different personality traits can be categorized into the open-ended codes of (levels of give and take, emotional control, Improve cognition, cognitive processing control, Efficient behaviors, planning, accountability, financial management and household) along with the four major codes of “cognitive, emotional, behavioral, and managerial” skills. Differences in personality traits can be traced to all mental, behavioral and functional dimensions of couples and can also influence the total level of communication between the couples. Therefore, taking these differences into account and learning how to manage them can reduce conflicts over such differences.</p>
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Agustin, Sari Monik, and Agatha Josephine. "WOMEN’S RECEPTION ON SOCIAL SUPPORT IN INSTAGRAM ACCOUNT @gethappy.id." WACANA: Jurnal Ilmiah Ilmu Komunikasi 19, no. 1 (June 29, 2020): 40. http://dx.doi.org/10.32509/wacana.v19i1.997.
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Previous research also shows that social media has positive and negative roles related to interpersonal relationships and mental health. The social media used significantly increases social capital and mental well-being, which benefits people with low self-esteem and life satisfaction. Some psychotherapists even use an Instagram platform as their therapeutic medium. This preliminary study frameworks are Stuart Hall’s reception theory, the concept elaborations of social support and online social support, as well as a discussion of the character of social media, Instagram. This paper is based on a qualitative research with data from interviews with 3 female informants on 20-29 years old and gethappy.id account followers. This research succeeded in identifying 2 receptions that emerged from the female group of Instagram account followers gethappy.id. The dominant reader comes from informants who have severe physical health problems and mental health problems related to these physical health problems. Meanwhile, negotiating reader arise from informants who do not have personal physical and mental health problems, but who have a social environment with physical and mental health problems. Another important finding is that the main social support remains family and friends. Social media support is needed when the two main social supports are not present.
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Kotera, Yasuhiro, Greta Kaluzeviciute, Christopher Lloyd, Ann-Marie Edwards, and Akihiko Ozaki. "Qualitative Investigation into Therapists’ Experiences of Online Therapy: Implications for Working Clients." International Journal of Environmental Research and Public Health 18, no. 19 (September 29, 2021): 10295. http://dx.doi.org/10.3390/ijerph181910295.
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Online therapy has increasingly been utilised during the COVID-19 pandemic by many, including working populations. However, few qualitative studies have explored how online therapy is experienced in practice and discussed its implications for those working clients. Semi-structured interviews attended by nine integrative psychotherapists practising in California, the United States, were conducted. Thematic analysis of the transcripts identified three themes: (i) ‘Positive experiences of online therapy’, (ii) ‘Challenges experienced by therapists and clients in online therapy’, and (iii) ‘Preparation and training for online therapy’. Online therapy was assessed as being helpful, particularly in terms of mitigating against previous geographical and temporal barriers to uptake. However, due to technological disruptions and potential blurring of professional boundaries, online therapy may detract from the emotional salience of therapy, negatively impacting the therapeutic relationship and containment. Considering these positive experiences, participants expected that the demand for online therapy would continue to increase. Particularly in the occupational context, online therapy can offer interventions without fostering shame regarding mental health. The findings provide preliminary qualitative evidence that online therapy can be a useful adjunct to traditional forms of face-to-face therapy. However, therapists require more explicit training in implementing online therapy. Results are discussed in particular regarding the utility of this therapy for working clients.
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Bowers, Hannah M., Samantha J. Williams, Adam W. A. Geraghty, Emma Maund, Wendy O’brien, Geraldine Leydon, Carl R. May, and Tony Kendrick. "Helping people discontinue long-term antidepressants: views of health professionals in UK primary care." BMJ Open 9, no. 7 (July 2019): e027837. http://dx.doi.org/10.1136/bmjopen-2018-027837.
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ObjectiveThe aims of this paper were to identify, characterise and explain clinician factors that shape decision-making around antidepressant discontinuation in UK primary care.DesignFour focus groups and three interviews were conducted and analysed using thematic analysis.ParticipantsTwenty-one general practitioners (GPs), four GP assistants, seven nurses and six community mental health team workers and psychotherapists took part in focus groups and interviews.SettingParticipants were recruited from seven primary care regions and two National Health Service Trusts providing community mental health services in the South of England.ResultsParticipants highlighted a number of barriers and enablers to discussing discontinuation with patients. They held a range of views around responsibility, with some suggesting it was the responsibility of the health professional (HP) to broach the subject, and others suggesting responsibility rested with the patients. HPs were concerned about destabilising the current situation, discussed how continuity and knowing the patient facilitated discontinuation talks, and discussed how confidence in their professional skills and knowledge affected whether they elected to raise discontinuation in consultations.ConclusionsFindings indicate a need to consider support for HPs in the management of antidepressant medication and discussions of discontinuation in particular. They may also benefit from support around their fears of patient relapse and awareness of when and how to initiate discussions about discontinuation with their patients.
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Pacetti, M., M. Liotta, F. Ambrosini, and R. P. Sant’Angelo. "Bion's Group Psychotherapy for Dramatic Personality Disorders: An Empirical Study in a Public Mental Health." European Psychiatry 41, S1 (April 2017): s782. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1490.
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Educational objectivesPsychotherapy is the most preferable intervention for personality disorder patients and group psychotherapy offers the possibility to increase the self-perception through resonance and mirroring processes. When a group is disorganized and emotionally tensioned generates regressive movements, which make it a basic assumption group.PurposeTo highlight the change of a group of patients after the inclusion of a new patient named Margherita.MethodsThe patients were included within the group run by two psychotherapists after a cluster B personality disorder's clinical diagnosis (except for antisocial personality disorder), confirmed by SCID II and by a set of individual interviews aimed to prepare the patient to the inclusion within the group.ResultsMargherita, from the first sessions, showed the tendency to coercively polarize the attention on herself through themes of discouragement and helplessness, posing a threat for the members’ identity and resulting in a disorganization of the work group, which became a basic assumption group.ConclusionsThe temporary disorganization of the group with the consequent regression to a worse functioning condition has subsequently allowed to revitalize the group and to avoid its dissolution. After the temporary regression, indeed, the work group was restored and started again to function even based on the new patient's problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Czyzselska, Jane. "The truth that’s denied: Psychotherapy with LGBTIQ+ clients who identify as intersex." Psychology of Sexualities Review 12, no. 1 (2021): 20–33. http://dx.doi.org/10.53841/bpssex.2021.12.1.20.
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There is an absence of literature about people with variations in sex characteristics in the UK. This leaves therapists ignorant of this client group. Since 2013, normalising genital surgery performed on babies born with developmental differences has been described as a human rights violation, and the psychosocial justifications for this surgery is now contested. This paper expands awareness so that psychotherapists will be better informed about the damage, both psychological and physical, which results from the pathologisation of those with what is also referred to as ‘intersex’ variations. Further it identifies how therapists can support this group. The paper presents the findings of a qualitative analysis of four interviews with clients identifying as LGBTIQ+ and intersex, focusing on their experiences of therapy. The findings demonstrate a significant mistrust of therapists and clinicians in general. They raise the possibilities that therapists may develop vicarious trauma, and that therapists’ lack of knowledge prevents exploration at depth of these clients’ gender, biology and sexuality. As a result of the imposition of normative sex and gender categories through institutional treatment practices, the bodily integrity and autonomy of this client group has been severely and repeatedly compromised. It is therefore vital that adequate therapy – and therapeutic training – is provided.
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Kahr, Brett. "Sigmund Freud as the father of attachment theory." Special issue – Fathers 16, no. 2 (December 4, 2022): 123–51. http://dx.doi.org/10.33212/att.v16n2.2022.123.
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Although Dr John Bowlby undertook pioneering work to champion the role of attachment and loss in the development of mental health and mental illness perhaps more so than any other investigator fewer and fewer contemporary practitioners have come to appreciate the extent to which his numerous contributions had emerged first and foremost from classical Freudian psychoanalysis Indeed in this article the author argues that Professor Sigmund Freud had already emphasised the importance of Bindung —the German term for attachment—in many of his writings and that Bowlby would incor porate these foundations which he then expanded in a most impressive manner Drawing upon his own research as a historian of psychoanalysis and upon his personal interviews with John Bowlby during the s the author underscores that an acknowledgement of the Freudian roots of attachment theory not only represents a more accurate and scholarly approach to the field of modern psychology but moreover will help colleagues to appreci ate that the splits which have emerged among classical psychoanalysts relational psychoanalysts attachment based psychotherapists and so on represent manifestations of collegial rivalry and institutional divisiveness rather than genuine theoretical and technical disagreements In reconfiguring Freud as the father of attachment theory the author hopes that modern-day mental health workers will benefit from the insights of both of these genius forefathers.
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Guest, Ella, Catrin Griffiths, and Diana Harcourt. "A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services." Scars, Burns & Healing 4 (January 1, 2018): 205951311876488. http://dx.doi.org/10.1177/2059513118764881.
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Introduction: A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all UK burn services; however, little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in UK burn care, with a focus on the challenges they experience in their role. Methods: Semi-structured telephone interviews with eight psychosocial specialists (two psychotherapists and six clinical psychologists) who worked within UK burn care explored their experiences of providing support to patients and their families. Results and Discussion: Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support, difficulties treating patients with pre-existing mental health conditions within the burn service and individual differences in the stage at which patients are amenable to support. Conclusion: Findings provide an insight into the experiences of psychosocial specialists working in UK burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.
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Collard, Patrizia. "Patrizia Collard interviews Anastasios Gaitanidis—psychoanalytic psychotherapist." Counselling Psychology Quarterly 23, no. 1 (March 2010): 121–24. http://dx.doi.org/10.1080/09515071003687761.
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Korkeila, Jyrki. "Organization of Community Psychiatric Services in Finland." Consortium Psychiatricum 2, no. 1 (March 20, 2021): 55–64. http://dx.doi.org/10.17816/cp64.
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Background. The Finnish psychiatric treatment system has undergone a rapid transformation from operating in institutional settings to a adopting a community-based approach, through implementation of national plans; this process was carried out quickly, due to a severe economic recession in the early 1990s.
Methods. This paper is a narrative review, based on relevant documents by national authorities, academic dissertations and published scientific literature, between 1984 and 2018, as well as the interviews of key experts in 2019.
Results. The municipality is currently the primary organization, responsible for all health services. Municipalities may also work together in organizing the services, either through unions of municipalities or hospital districts. Services are to a great extent outpatient-oriented. The number of beds is one fifth of the previous number, around four decades ago, despite the increase in population. In 2017, 191,895 patients in total (4% of Finns) had used outpatient psychiatric services, and the number of visits totalled 2.25 million. Psychotherapy is mainly carried out in the private sector by licensed psychotherapists. Homelessness in relation to discharged psychiatric patients has not been in evidence in Finland and deinstitutionalization has not caused an increase in the mortality rate among individuals with severe mental disorders.
Conclusion. Psychiatric patients have, in general, benefitted greatly from the shift from institutions to the community. This does not preclude the fact that there are also shortcomings. The development of community care has, to date, focused too heavily on resource allocation, at the expense of strategic planning, and too little on methods of treatment.
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Kuso, Stefanie, Martina Nitsch, Michael Zeiler, Monika Simek, Tanja Adamcik, Michelle Dey, Thomas Berger, et al. "Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe." European Journal of Public Health 31, Supplement_1 (July 1, 2021): i55—i63. http://dx.doi.org/10.1093/eurpub/ckab043.
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Abstract Background Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders’ attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods Stakeholders from Germany, Switzerland, Austria and Spain were surveyed. Potential facilitators/delivery staff (e.g. psychologists, psychotherapists) completed an online questionnaire (n = 183), policy makers (i.e. from the governing sector or health insurance providers) participated in semi-structured interviews (n = 16) and target groups/potential users of mental illness prevention (n = 49) participated in ten focus groups. Thematic analysis was used to identify their experiences with and attitudes and needs regarding online programmes to prevent mental disorders. Additionally, it was examined which groups they consider underserved and which factors they consider as fostering and hindering for reach, adoption, implementation and maintenance (cf. RE-AIM model) when integrating online prevention into existing healthcare systems. Results Main advantages of online mental illness prevention are perceived in low structural and psychological barriers. Lack of personal contact, security, privacy and trust concerns were discussed as disadvantages. Relevant needs are high usability and target group appropriateness, evidence for effectiveness and the use of motivational tools. Conclusions Positive attitudes among stakeholders are the key for successful integration of online mental illness prevention into existing healthcare systems. Potential facilitators/delivery staff must receive training and support to implement these programmes; the programmes must be attractive and continuously evaluated, updated and promoted to ensure ongoing reach; and existing infrastructure and contextual factors must be considered.
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Radcliffe, Kay, Bethany Carrington, and Max Ward. "Exploring offender manager’s experiences of psychologically informed consultation on relationships with service users within the offender personality disorder pathway." Mental Health Review Journal 25, no. 4 (September 24, 2020): 317–28. http://dx.doi.org/10.1108/mhrj-11-2019-0042.
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Purpose The Yorkshire and Humber Personality Disorder Partnership (YHPDP) provides psychological consultation and formulation to offender managers (OMs) within the National Probation Service as part of the offender personality disorder (OPD) pathway. The pathway highlights the importance of formulation-led case management to develop pathways for offenders with personality difficulties at high risk of causing serious harm to others. This study aims to ask what is the experience of psychological consultation/formulation on the relationship between a sample of service users (SUs) and their OMs. Design/methodology/approach Semi-structured interviews were undertaken with five OMs who had engaged in at least three consultations with YHPDP psychologists/psychotherapists within the OPD pathway. Qualitative methods were used to analyse the data, specifically interpretative phenomenological analysis, which is useful when dealing with complexity, process or novelty. Findings OMs experienced the consultation/formulation process to be containing and reflective. They found complex, emotionally demanding clients who have offended and have personality disorder traits could be responded to differently as a result of this process. From an OM perspective, this improved the relationship between themselves and their SUs and supported risk management. These conclusions must be tentative, as they are drawn from a small-scale qualitative study, but provides the basis for further research. Originality/value Although there is increasing research into the outcomes of the OPD pathway, little has been done regarding the experience of the relationship between OMs and SUs. This research takes a qualitative perspective to explore this area.
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Phipps, Catriona, Martin Seager, Lee Murphy, and Chris Barker. "Psychologically informed environments for homeless people: resident and staff experiences." Housing, Care and Support 20, no. 1 (March 20, 2017): 29–42. http://dx.doi.org/10.1108/hcs-10-2016-0012.
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Purpose Many homeless people have significant levels of early adverse experiences and consequent mental health difficulties. The purpose of this paper is to examine the experiences of residents and staff living and working in a psychologically informed environment (PIE), a new model of hostel for homeless people which aims to update and make more flexible the principles of the therapeutic community, thereby meeting the psychological and emotional needs of residents. Design/methodology/approach Semi-structured interviews were carried out with nine residents, ten staff and five psychotherapists at two PIE hostels in London. The data were analysed using thematic analysis with a phenomenological epistemological approach. Findings Analysis generated 18 themes for residents and staff combined, organised into five domains: what makes a home, resident needs, managing relationships, reflective practice and theory vs practice of PIEs. The study suggests that PIEs broadly meet their aim in providing a different type of environment from standard hostels. Efforts to build relationships with residents are particularly prioritised. This work can be challenging for staff and reflective practice groups provide a supportive forum. There are limits to the extent to which the theoretical PIE can be put into practice in the current political and economic climate. Originality/value This is one of the first qualitative studies of PIEs. It provides perspectives on their theoretical background as well as how they operate and are experienced in practice. It may be informative to services intending to establish a PIE and to commissioners in assessing appropriate resources.
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Voronin, A. "Modification of Psychotherapeutic Discourse in the Conditions of Online Consulting." Psikhologicheskii zhurnal 43, no. 6 (2022): 51. http://dx.doi.org/10.31857/s020595920023644-4.
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Remote counseling has become widespread in recent years among broad online communication and is associated with conflicts due to the COVID-19 pandemic. However, language characteristics and features of speech experience during online consultations were not participants in group studies. This work is dedicated to the Royal version of psychotherapeutic discourse in the collection of remote technologies. To achieve the goals set for preliminary research, using the analysis of public interview data, it was revealed that online counseling is indirectly perceived indirectly as an impact and tense, sensitive as a stressor, and changes in discourse are affected as spontaneous coping strategies: different for a psychotherapist. and client verbal and behavioral coping matters. The main research was devoted to the analysis of semantic-syntactic statistics of statements using the method of relational-situational analysis (RSA). During the study, 4 texts of 50 texts in a corpus were collected: replicas of psychotherapists and clients during face-to-face and online counseling. Comparison of therapists' replies, face-to-face and online, showed that there were significant differences in 49 identified features of RSA. When checking customers – 52 indicators. In order to generalize the income increase method, a factorial comparison of the data pooling structure [the pooled data method] was carried out. The resulting factor solutions were interpreted as combined characteristics of psychotherapeutic discourse. For the statements of psychotherapists, 6 such characteristics were identified, for clients – 5. The given changes in the psychotherapeutic discourse are the speech components of a spontaneous coping strategy to overcome the more acute and uncertain online consultation, and its consequences.
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Gornick, Lisa. "Women Treating Men: Interview Data from Female Psychotherapists." Journal of the American Academy of Psychoanalysis 22, no. 2 (June 1994): 231–57. http://dx.doi.org/10.1521/jaap.1.1994.22.2.231.
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Brattland, Heidi, Katrine Høyer Holgersen, Patrick A. Vogel, Timothy Anderson, and Truls Ryum. "An apprenticeship model in the training of psychotherapy students. Study protocol for a randomized controlled trial and qualitative investigation." PLOS ONE 17, no. 8 (August 23, 2022): e0272164. http://dx.doi.org/10.1371/journal.pone.0272164.
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Background One approach towards advancing the quality of mental health care is to improve psychotherapists’ skills through education and training. Recently, psychotherapy training has benefitted from adapting training methods from other professions (e.g., deliberate practice). The apprenticeship model has a long history in skill trades and medicine, but has yet to be adopted in training mental health professionals. This study aims to investigate the impact of apprenticeship training on clinical psychology students’ skills. Methods In a pragmatic mixed-methods trial, 120 first year students in a Master’s degree clinical psychology program will be randomized to either training-as-usual or training-as-usual plus psychotherapy apprenticeship. In the intervention group, students will participate, over a period of 10 weeks, in weekly treatment sessions together with licensed therapists at outpatient mental health and substance use treatment clinics. Outcomes are assessed post-intervention and at two-year follow-up. The main outcome measure is the Facilitative Interpersonal Skills (FIS) performance test. Additional self-report measures tap self-efficacy, self-compassion, worry, rumination, and stress. Weekly reflection log entries written by the students will be qualitatively analyzed in order to gain an in-depth understanding of the learning process. Students’ and therapists’ experiences with the intervention will be explored in focus group interviews. Discussion To the best of our knowledge, this is the first controlled study to investigate the impact of apprenticeship as an isolated training component in the education of clinical psychologists. The study is designed so as to yield a comprehensive understanding of an approach which could prove to be a valuable supplement to the existing educational methods in this field and ultimately, contribute to improve the quality of mental health care.
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Trasmundi, Sarah B., Marie S. Bloch, Stine S. Høgenhaug, Vicki T. Jensen, Katharina K. Wrist, Thomas W. Jensen, and Sune V. Steffensen. "Patient Psychopathology and the Management of Clinical Dilemmas in Psychotherapy: A Qualitative Analysis of Clinical Decision-Making." Journal of Educational and Developmental Psychology 10, no. 1 (March 19, 2020): 29. http://dx.doi.org/10.5539/jedp.v10n1p29.
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Introduction: Clinical dilemma management is an important part of daily decision-making processes in psychotherapy, and hence important for the quality of mental healthcare. However, the situated particularities of such dilemmas have been given little systematic attention – both in research and in practice, even though an improved understanding of the nature of clinical dilemmas is a central key to managing dilemmas successfully.
Method: Eight cases of authentic clinical dilemma management in psychotherapy have been analysed from the perspective of interaction analysis and psychopathology. The article uses video data and narrative interviews from a larger cognitive ethnography study conducted at a psychiatric Hospital in Denmark.
Results: The analysis demonstrates how clinical dilemma management in psychotherapy is particularly difficult due to the nature of a patient’s psychopathology. Thus, it is often difficult to discern whether a given dilemma is intrinsically ethical, or if it is a manifestation of the patient’s pathology. Two overall interaction patterns were identified: In the first pattern, the therapist fails to manage the clinical decision-making in accordance with the therapeutic goal, which strengthens the patient’s psychopathological behaviour, for instance by giving in and do what the patient demands. In the second pattern, the therapist uses the situation as an opportunity to work with the patient’s psychopathological behaviour in situated interaction.
Conclusion: This article presents a model for integrating an understanding of patient pathology into clinical and ethical decision-making. It establishes a window into how psychotherapists manage clinical dilemmas (successfully or not) through interaction. This illustration might impact on how we address, evaluate and understand clinical and ethical dilemma management, which again can contribute to the reduction of moral distress amongst healthcare practitioners, as well as amongst patients.