Spinning one's wheels: Nonimproved patients view their psychotherapy
Number of Authors: 4
2015 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 25, no 5, 546-564 p.Article in journal (Refereed) Published
Objective: To explore psychotherapy experiences among nonimproved young adults in psychoanalytic psychotherapy. Method: A two-stage, mixed-method design was used. Twenty patients in the clinical range at pretreatment were identified as either with reliable deterioration or with no reliable change at termination. Interviews at termination and 3-year follow-up were analyzed with grounded theory methodology. Results: Spinning One's Wheels emerged as a core category. The patients described the therapeutic relationship as distanced and artificial. While they saw active components in therapy and their own activities in life as beneficial, therapy itself was experienced as overly focused on problem insight and past history. Conclusions: When the therapist does not contribute to the achievement of the patient's treatment goals-even when the patient gains some benefit-the patient does not fully profit from the therapy.
Place, publisher, year, edition, pages
2015. Vol. 25, no 5, 546-564 p.
qualitative research methods, outcome research, psychoanalytic/psychodynamic therapy, process research, patient perspective, nonimprovement
IdentifiersURN: urn:nbn:se:su:diva-119109DOI: 10.1080/10503307.2014.989291ISI: 000356424200004OAI: oai:DiVA.org:su-119109DiVA: diva2:843852