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Dissatisfied psychotherapy patients: A tentative conceptual model grounded in the participants' view
Youth Centre, Uppsala County Council, Tierp.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2012 (English)In: Psychoanalytic Psychotherapy, ISSN 0266-8734, Vol. 26, no 3, 211-229 p.Article in journal (Refereed) Published
Abstract [en]

Usually, between 5% and 20% of psychotherapy patients are dissatisfied with their treatments. This naturalistic study explores seven clearly dissatisfied patients' view of the therapeutic process and outcome. Interviews at termination of psychoanalytic psychotherapy and at a 1.5-year follow-up were analysed to create a tentative conceptual model of patient dissatisfaction using grounded theory approach. At the core of the model is an experience of abandonment by a therapist felt to be insufficiently flexible, a therapy lacking intensity, and links missing between therapy and everyday life. Dissatisfied patients lacked confidence in their relationship with the therapist, described their therapists in negative terms and concluded that their therapies lacked direction. They wanted more response from the therapist. Paying greater attention to the patient's emerging dissatisfaction may prevent lasting disappointment, unnecessary continuation of fruitless treatment, and probably increase efficiency.

Place, publisher, year, edition, pages
London: Association for psychoanalytic psychotherapy in the National health service , 2012. Vol. 26, no 3, 211-229 p.
Keyword [en]
psychoanalytic psychotherapy, process research, grounded theory, dissatisfied patients, young adults
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Research subject
URN: urn:nbn:se:su:diva-83477DOI: 10.1080/02668734.2012.709536OAI: diva2:575934
Available from: 2012-12-11 Created: 2012-12-11 Last updated: 2013-01-14Bibliographically approved

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Werbart, Andrzej
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