Change search
Refine search result
1 - 18 of 18
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Arvidsson, David
    et al.
    Sikström, Sverker
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Changes in self and object representations following psychotherapy measured by a theory-free, computational, semantic space method2011In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 21, no 4, p. 430-446Article in journal (Refereed)
    Abstract [en]

    We propose a theory-neutral, computational and data-driven method for assessing changes in semantic content of object representations following long-term psychodynamic psychotherapy. Young adults in psychotherapy are compared with an age-matched, non-clinical sample at three time points. Verbatim transcripts of descriptions of the self and parents were quantified in a semantic space constructed by Latent Semantic Analysis. In the psychotherapy group, all representations changed from baseline to follow-up, whereas no comparable changes could be observed in the comparison group. The semantic space method supports the hypothesis that long-term psychodynamic psychotherapy contributes to sustained change of affective-cognitive schemas of self and others.

  • 2. Carlsson, Jan
    et al.
    Norberg, Joakim
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Sandell, Rolf
    Schubert, Johan
    Searching for recognition: The professional development of psychodynamic psychotherapists during training and the first few years after it2011In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 21, no 2, p. 141-153Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to investigate the development of psychotherapists' professional self during training and the first few years after it. Constant comparison analysis was conducted on interviews with former students (N = 18) at a training institute for psychoanalytic psychotherapy. The resulting core category osearching for recognitiono indicated that participants' ambition during the studied time period was to reach high status by becoming psychotherapists. During training, this was expressed by the category oattachment to preformed professional self,o meaning that students wanted their preconceptions about therapy to be acknowledged by teachers. After training, participants experienced achieved recognition and, as a result, a sense of freedom to use their own judgment.

  • 3. Gidhagen, Ylva
    et al.
    Holmqvist, Rolf
    Philips, Björn
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Falkenström, Fredrik
    The role of the working alliance in psychological treatment of substance use disorder outpatients2021In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 31, no 5, p. 557-572Article in journal (Refereed)
    Abstract [en]

    Objective: The main objective of this study was to explore the relationship between alliance and treatment outcome of substance use disorder (SUD) outpatients in routine care. Attachment, type of substance use, and treatment orientation were analyzed as potential moderators of this relationship.

    Method: Ninety-nine SUD outpatients rated their psychological distress before every session. Patients and therapists rated the alliance after every session. At treatment start and end, the patient completed the Alcohol Use Disorders Identification Test (AUDIT), the Drug Use Disorders Identification Test (DUDIT), and the Experiences in Close Relationships (ECR-S). Data were analyzed using multilevel growth curve modeling and Dynamic Structural Equation Modeling (DSEM).

    Results: The associations between alliance and outcome on psychological distress and substance use were, on average, weak. Within-patient associations between patient-rated alliance and outcome were moderated by self-rated attachment. Type of abuse moderated associations between therapist-rated alliance and psychological distress. No moderating effect was found for treatment orientation.

    Conclusions: Patients' attachment style and type of abuse may have influenced the association between alliance and problem reduction. A larger sample size is needed to confirm these findings.

  • 4. Hatcher, Robert L.
    et al.
    Lindqvist, Karin
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Falkenström, Fredrik
    Psychometric evaluation of the Working Alliance Inventory—Therapist version: Current and new short forms2020In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 30, no 6, p. 706-717Article in journal (Refereed)
    Abstract [en]

    Background: The Working Alliance Inventory (WAI) and its short forms are widely used, although the properties of the therapists? versions have been little studied. Method: We examined the psychometric properties of two short forms (WAI-S-T, WAI-SR-T), and explored the creation of a psychometrically stronger short form using contemporary measure development techniques. Well-fitting items from the full 36-item WAI were identified in a development sample (131 therapists, 688 patients) using multi-level Bayesian Structural Equation Modeling, accounting for therapist rated effects. Multi-level Item Response Theory (IRT) methods aided creation of a revised short form (WAI-S-T-IRT). Factor structures of the three forms were assessed using multi-level ML estimation with robust standard errors. Results: Collinearity problems for the Goal and Task dimensions led to testing a two-factor model (Goal?Task, Bond). All three measures showed satisfactory fit; the WAI-S-T-IRT fit slightly better but differences were minor. Testing the structures in an independent sample (N?=?1117) yielded essentially the same results. No version showed strong measurement invariance. Discussion: Continued use of current therapist forms is supported; differentiation of theoretical dimensions is difficult with current measures, and may not be possible with self-report forms.

  • 5.
    Heffler, Bo
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Sandell, Rolf
    The role of learning style in choosing one´s therapeutic orientation2009In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 19, no 3, p. 283-292Article in journal (Refereed)
    Abstract [en]

    The motives of the beginning psychotherapist for choosing his or her orientation are an underresearched issue in psychotherapy training. This study focuses on the role of personality-based factors, specifically the epistemological preferences of the therapist that Kolb (1984) has termed “learningstyle” (LS). The aim of the present study was to explore possible associations between psychology students’ developing LSs and their choice of psychotherapeutic orientation (psychodynamic vs. cognitive).

  • 6. Leibovich, Liat
    et al.
    Mechler, Jakob
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Lindqvist, Karin
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Mortimer, Rose
    Edbrooke-Childs, Julian
    Midgley, Nick
    Unpacking the active ingredients of internet-based psychodynamic therapy for adolescents2023In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 33, no 1, p. 108-117Article in journal (Refereed)
    Abstract [en]

    Internet-based psychodynamic psychotherapy (iPDT) for adolescents has been found to be effective for treating depression, but not much is known about its active ingredients. Objective: To explore the techniques used in chat sessions in an iPDT program for depressed adolescents, and to investigate whether they predicted improvement in depression symptoms. Method: The study uses data collected from a pilot study. The iPDT consisted of 8 modules delivered over 10 weeks that included text, video, exercises, and a weekly text-based chat session with a therapeutic support worker (TSW). The participants were 23 adolescents meeting criteria for depression. The TSWs were 9 psychology master’s students. A depression inventory QIDS-A17-SR was filled weekly by the participants, and a self-rated techniques inventory (MULTI-30) was filled by the TSWs after each chat session. Results: Common factor techniques were the most widely used techniques in the chat sessions. Both common factors and psychodynamic techniques predicted improvement in depression, with psychodynamic techniques predicting improvement at the following week. CBT techniques were also used but did not predict improvement in depression. Conclusion: iPDT seem to work in line with theory, where the mechanisms thought to be important for change in treatment were predictive of outcome. 

  • 7.
    Lilliengren, Peter
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Risholm Mothander, Pia
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Ekström, August
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Sjögren, Susanna
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Ögren, Marie-Louise
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Patient attachment to therapist rating scale: development and psychometric properties2014In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 24, no 2, p. 184-201Article in journal (Refereed)
    Abstract [en]

    Objective: To report on the development and initial psychometric properties of a new rating scale for patent-therapist attachment. Method: Seventy interviews from the Young Adult Psychotherapy Project (YAPP) were rated. Results: Excellent internal consistency (Cronbach's > .90) was observed for all four subscales (Security, Deactivation, Hyperactivation, and Disorganization). Three subscales showed good inter-rater reliability (ICC > .60), while one (Hyperactivation) had poor (ICC < .40). Correlations with measures of alliance, mental representations, and symptom distress support the construct validity of the reliable subscales. Exploratory factor analysis indicated three underlying factors explaining 82% of the variance. Conclusions: The Patient Attachment to Therapist Rating Scale is a promising approach for assessing the quality of attachment to therapist from patient narratives. Future development should focus on improving the discrimination of the insecure subscales.

  • 8.
    Lindqvist, Karin
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Mechler, Jakob
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Midgley, Nick
    Carlbring, Per
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Carstorp, Katarina
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Källebo Neikter, Hanna
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Strid, Fredrik
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Philips, Björn
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    “I didn’t have to look her in the eyes”—participants’ experiences of the therapeutic relationship in internet-based psychodynamic therapy for adolescent depression2022In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381Article in journal (Refereed)
    Abstract [en]

    Objective: To explore young people’s perceptions of the relationship with the therapist in internet-based psychodynamic treatment for adolescent depression.

    Method: As a part of a randomized controlled trial, 18 adolescents aged 15–19 were interviewed after participating in treatment. Interviews followed a semi-structured interview schedule and were analyzed using thematic analysis.

    Results: The findings are reported around four main themes: “a meaningful and significant relationship with someone who cared”, “a helping relationship with someone who guided and motivated me through therapy”; “a relationship made safer and more open by the fact that we didn’t have to meet” and “a nonsignificant relationship with someone I didn’t really know and who didn’t know me”.

    Conclusion: Even when contact is entirely text-based, it is possible to form a close and significant relationship with a therapist in internet-based psychodynamic treatment. Clinicians need to monitor the relationship and seek to repair ruptures when they emerge.

  • 9.
    Mechler, Jakob
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Lindqvist, Karin
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Falkenström, Fredrik
    Carlbring, Per
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Andersson, Gerhard
    Philips, Björn
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Sudden gains and large intersession improvements in internet-based psychodynamic treatment (IPDT) for depressed adolescents2021In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 31, no 4, p. 455-467Article in journal (Refereed)
    Abstract [en]

    Objective: Sudden gains (SGs) have often been found associated with better treatment outcome across different psychiatric disorders. However, no studies have evaluated SGs in internet-based treatment targeting adolescent depression. Method: The sample consisted of 66 adolescents diagnosed with major depressive disorder, attending psychodynamic internet-based treatment. Effects of SGs were evaluated at posttreatment and 6-month follow-up. We also evaluated effects of large intersession improvements (LIIs; sudden and relatively large gains, between sessions, without the stability criterion). Effects of SGs and LIIs early in treatment were also investigated. Results: A total of 17 patients (25.75%) experienced an SG. The effect of having an SG or early SG was non-significant after treatment (d = 0.48) and at follow-up (d= 0.66). However, having an LII was related to better outcome after treatment (d = 0.97) and at follow-up (d = 0.76). Early LIIs were associated with significantly better results at end of treatment (d = 0.72).Conclusions: The original criteria of SGs might be overly conservative and thus miss important improvements in depression. Relatively large intersession gains, regardless of stability, seem to be predictive of outcome.

  • 10.
    Ramnerö, Jonas
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Öst, Lars-Göran
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Therapists’ and clients’ perceptions of each other and working alliance in the behavioral treatment of panic disorder with agoraphobia2007In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 7, no 3, p. 320-328Article in journal (Refereed)
    Abstract [en]

    Fifty-nine patients who fulfilled criteria for a primary diagnosis of panic disorder with moderate to severe agoraphobia were treated with 16 sessions of behavioral therapy. The study investigated the relationship between therapists' and clients' perception of each other, working alliance, and outcome. There was initially a low correspondence between therapist and client perceptions but a growing consensus during treatment. This was most pronounced regarding high ratings of therapist qualities and the perception of the client as attractive. Clients' perceptions showed virtually zero correlation with outcome regardless of time. Therapist perception of client as showing active participation and goal direction yielded positive correlations with outcome at posttreatment and follow-up from Session 4 and throughout treatment. No significant relation between working alliance and outcome was found apart from the fact that those who improved during follow-up rated the alliance significantly higher than those who did not improve.

  • 11. Roos, Johanna
    et al.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Therapist and relationship factors influencing dropout from individual psychotherapy: A literature review2013In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 23, no 4, p. 394-418Article, review/survey (Refereed)
    Abstract [en]

    Among potential predictors of dropout, client variables are most thoroughly examined. This qualitative literature review examines the current state of knowledge about therapist, relationship and process factors influencing dropout. Databases searches identified 44 relevant studies published January 2000-June 2011. Dropout rates varied widely with a weighted rate of 35%. Fewer than half of the studies directly addressed questions of dropout rates in relation to therapist, relationship or process factors. Therapists' experience, training and skills, together with providing concrete support and being emotionally supportive, had an impact on dropout rates. Furthermore, the quality of therapeutic alliance, client dissatisfaction and pre-therapy preparation influenced dropout. To reduce dropout rates, therapists need enhanced skills in building and repairing the therapeutic relationship.

  • 12. Uckelstam, Carl-Johan
    et al.
    Holmqvist, Rolf
    Philips, Björn
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. Linköping University, Sweden.
    Falkenström, Fredrik
    A relational perspective on the association between working alliance and treatment outcome2020In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 30, no 1, p. 13-22Article in journal (Refereed)
    Abstract [en]

    Objective: Evidence is inconclusive on whether variability in alliance ratings within or between therapists is a better predictor of treatment outcome. The objective of the present study was to explore between and within patient and therapist variability in alliance ratings, reciprocity among them, and their significance for treatment outcome. Method: A large primary care psychotherapy sample was used. Patient and therapist ratings of the working alliance at session three and patient ratings of psychological distress pre–post were used for analyses. A one-with-many analytical design was used in order to address problems associated with nonindependence. Results: Within-therapist variation in alliance ratings accounted for larger shares of the total variance than between-therapist variation in both therapist and patient ratings. Associations between averaged patient and therapist ratings of the alliance for the individual therapists and their average treatment outcome were weak but the associations between specific alliance ratings and treatment outcome within therapies were strong. Conclusions: The results indicated a substantial dyadic reciprocity in alliance ratings. Within-therapist variation in alliance was a better predictor of treatment outcome than between-therapist variation in alliance ratings.

  • 13.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Book review of H. Kächele, J. Schachter, & H. Thomä, 'From psychoanalytic narrative to empirical single case research: Implications for psychoanalytic practice'2010In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 20, no 6, p. 731-733Article, book review (Other academic)
  • 14.
    Werbart, Andrzej
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Andersson, Håkan
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Sandell, Rolf
    Dropout revisited: Patient- and therapist-initiated discontinuation of psychotherapy as a function of organizational instability2014In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 24, no 6, p. 724-737Article in journal (Refereed)
    Abstract [en]

    Objective: To explore the association between the stability or instability of services' organizational structure and patient- and therapist-initiated discontinuation of therapy in routine mental health. Method: Three groups, comprising altogether 750 cases in routine mental health care in eight different clinics, were included: cases with patient-initiated discontinuation, therapist-initiated discontinuation, and patients remaining in treatment. Multilevel multinomial regression was used to estimate three models: An initial, unconditional intercept-only model, another one including patient variables, and a final model with significant patient and therapist variables including the organizational stability of the therapists' clinic. Results: High between-therapist variability was noted. Odds ratios and significance tests indicated a strong association of organizational instability with patient-initiated premature termination in particular. Conclusions: The question of how organizational factors influence the treatment results needs further research. Future studies have to be designed in ways that permit clinically meaningful subdivision of the patients' and the therapists' decisions for premature termination.

  • 15.
    Werbart, Andrzej
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Missios, Peter
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Waldenström, Fredrik
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Lilliengren, Peter
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    “It was hard work every session”: Therapists’ view of successful psychoanalytic treatments2019In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 29, no 3, p. 354-371Article in journal (Refereed)
    Abstract [en]

    Objective: To explore therapists’ experiences of the therapeutic process in successful cases of psychoanalytic psychotherapy.

    Method: A two-stage, mixed-method design was used. Sixteen successful cases were drawn from a sample of 92 young adults in psychoanalytic psychotherapy according to Jacobson’s criteria for reliable and clinically significant improvement. Therapist interviews at baseline and termination were analyzed applying Inductive Thematic Analysis.

    Results: Three core themes emerged: Being Particularly Motivated to be This Patient’s Therapist, Maintaining a Safe and Attentive Therapeutic Position, and Assiduous Work Every Session. The therapists experienced positive feelings towards the patient from the outset of treatment and described active, relational work that included paying attention to incongruities in the patient’s self-presentation and being mindful of patient’s avoidant behavior. The therapist’s motivation and attentive position made it possible to balance support and challenge in the therapeutic relationship.

    Conclusions: Successful therapeutic work presupposes positive expectations, an active therapeutic stance and assiduous work session-by-session. Therapist expertise may involve the ability to mobilize and work effectively with patient-specific resources and obstacles from the beginning of treatment. In addition to identifying the characteristics and actions of effective therapists, research should also focus on processes emerging within effective therapeutic dyads.

    Clinical or methodological significance of this article: Our study indicates several factors that seem to characterize therapist expertise and can inform psychotherapy training. Successful therapeutic work presupposes positive expectations, an active therapeutic stance, courage to challenge the patient, and assiduous work session-by-session. Therapist expertise may involve the ability to mobilize and work effectively with patient-specific resources and obstacles from the beginning of treatment. In addition to identifying the characteristics and actions of effective therapists, research should also focus on processes emerging within effective therapeutic dyads.

  • 16.
    Werbart, Andrzej
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Rådberg, Ulf
    Holm, Isa
    Forsström, David
    Berman, Anne H.
    The meaning and feeling of the time and space between psychotherapy sessions and everyday life: Client experiences of transitions2023In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, p. 1-14Article in journal (Refereed)
    Abstract [en]

    Objective: To explore how clients in psychodynamic or psychoanalytic psychotherapy, conducted in the traditional in-person setting, experience the transitions in time and space between psychotherapy sessions and everyday life.

    Method: Twelve semi-structured interviews were analyzed with inductive experiential thematic analysis, focusing on how the participants experience and make sense of the phenomenon in focus.

    Results: The participants described therapy as a sheltered space where they could be open, vulnerable, receptive, and present. Approaching and leaving psychotherapy sessions, the participants established different behavioral patterns and routines dealing with their anxieties and resistances. In this in-between area, the participants could handle interconnections and differences between therapy and everyday life. Participants stressed the clinical impact of transitions: transitions affect both therapy and everyday life; disturbed transitions have an adverse impact; transitions are insufficiently addressed in therapy.

    Conclusion: Transitions between therapy and life appear to be an essential but seldom recognized part of the therapy process beyond the borders of therapy sessions. Implications of these findings for psychotherapy training and practice are discussed, and a tentative transtheoretical framework for further research is proposed.

  • 17.
    Werbart, Andrzej
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Von Below, Camilla
    St Lukas in Uppsala, Sweden.
    Brun, Jonas
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Gunnarsdottir, Hulda
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    "Spinning one's wheels": Nonimproved patients view their psychotherapy2015In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 25, no 5, p. 546-564Article in journal (Refereed)
    Abstract [en]

    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.

  • 18.
    Werbart, Andrzej
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Engqvist, Karin
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Lind, Sofia
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    “It was like having half of the patient in therapy”: Therapists of nonimproved patients looking back on their work2019In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 29, no 7, p. 894-907Article in journal (Refereed)
    Abstract [en]

    Objective: To explore therapists’ experiences of therapeutic process in psychoanalytic psychotherapy with nonimproved young adults. Method: Eight nonimproved cases were identified according to the criterion of reliable and clinically significant change in self-rated symptoms. Transcripts of therapist interviews (8 at baseline and 8 at termination) were analyzed applying grounded-theory methodology. Results: A tentative conceptual process model was constructed around the core category Having Half of the Patient in Therapy. Initially, the therapists experienced collaboration as stimulating, at the same time as the therapeutic relationship was marked by distance. At termination negative processes predominated: the patient reacted with aversion to closeness and the therapist experienced struggle and loss of control in therapy. The therapists described therapy outcome as favorable in form of increased insight and mitigated problems, while core problems remained. Conclusions: This split picture was interpreted as a sign of a pseudo-process emerging when the therapist one-sidedly allied herself with the patient’s capable and seemingly well-functioning parts. The therapists’ experiences could be compared to the nonimproved patients’ “spinning one’s wheels” in therapy. The therapists seem not to have succeeded in adjusting their technique to their patients’ core problems, despite attempts to meta-communicate.

1 - 18 of 18
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf