Change search
Refine search result
1 - 14 of 14
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.
    Ahlström, Katrin
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Forsström, David
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. Karolinska Institutet & Stockholm Health Care Services, Stockholm, Sweden.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Therapeutic encounters at the onset of the COVID-19 pandemic: psychodynamic therapists' experiences of transition to remote psychotherapy2022In: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 36, no 3, p. 256-274Article in journal (Refereed)
    Abstract [en]

    The COVID-19 pandemic crippled many parts of society as it spread throughout the world beginning in early 2020. Overnight, whole societies were forced to change their way of life, because of social distancing and lockdowns. For therapists, the pandemic meant that in-person sessions were no longer possible and many switched to different forms of synchronous remote communication by telephone, online audio or video link. The aim of this study was to explore psychodynamic therapists’ experiences over time of forced transitions to telepsychotherapy. Five therapists were interviewed at the beginning of the pandemic and at a one-year follow-up. The data were analysed by applying thematic analysis with a phenomenological approach. Initially, the therapists struggled with technical and safety issues. The loss of the therapy room and of access to non-verbal nuances contributed to impaired contact with the patients and more superficial conversations. The therapists experienced that the very nature of psychodynamic psychotherapy was affected, even if telepsychotherapy could give some new opportunities. One year later many of the difficulties remained, but the therapists developed better coping strategies and were back to the therapy focus. One implication of this study is that telepsychotherapy needs to be integrated into psychotherapy training and supervision.

  • 2. Bragesjö, Maria
    et al.
    Arnberg, Filip K.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Stress Research Institute. Uppsala University, Sweden.
    Jelbring, Anna
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Nolkrantz, Johannes
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Särnholm, Josefin
    Olofsdotter Lauri, Klara
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Andersson, Erik
    Demanding and effective: participants' experiences of internet-delivered prolonged exposure provided within two months after exposure to trauma2021In: European Journal of Psychotraumatology, ISSN 2000-8198, E-ISSN 2000-8066, Vol. 12, no 1, article id 1885193Article in journal (Refereed)
    Abstract [en]

    Background: The use of remotely delivered early intervention after trauma may prevent and/or reduce symptoms of post-traumatic stress. Our research group evaluated a novel three-week therapist-guided internet-delivered intervention based on prolonged exposure (Condensed Internet-Delivered Prolonged Exposure; CIPE) in a pilot trial. The results indicated that the intervention was feasible, acceptable and reduced symptoms of post-traumatic stress at post-intervention compared to a waiting-list condition. Exposure to traumatic memories can be emotionally demanding and there is a need for detailed investigation of participants' experiences in receiving this type of intervention remotely.

    Objective: Investigate participants' experiences of receiving CIPE early after trauma.

    Method: In this study, qualitative thematic analysis was used and semi-structured interviews with 11 participants six months after intervention completion were conducted. All interviews were audio-recorded and transcribed verbatim.

    Results: One overarching theme labelled as 'demanding and effective' was identified. Participants expressed that treatment effects could only be achieved by putting in a lot of effort and by being emotionally close to the trauma memory during exposure exercises. Participants reported CIPE to be a highly credible- and educative intervention that motivated them to fully engage in exposure exercises. The most distressing parts of the intervention was perceived as tolerable and important to do to heal psychologically after trauma. For many participants, the possibility to engage in the intervention whenever and where it suited them was helpful, although some participants described it as challenging to find a balance between their own responsibility and when to expect therapist support. The internet-based format was perceived as a safe forum for self-disclosure that helped some participants overcome avoidance due to shame during imaginal exposure.

    Conclusion: CIPE was considered demanding, yet effective by the interviewed participants. The most distressing parts of the intervention was perceived to be the most important and were tolerable and feasible to provide online.

  • 3. De Smet, Melissa M.
    et al.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Acke, Emma
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Meganck, Reitske
    Desmet, Mattias
    When 'good outcome' does not correspond to 'good therapy': Reflections on discrepancies between outcome scores and patients' therapy satisfaction2021In: European Journal of Psychotherapy, ISSN 1364-2537, E-ISSN 1469-5901, Vol. 23, no 2, p. 156-176Article in journal (Refereed)
    Abstract [en]

    In the present paper we examine four cases in which the assumption that good outcome necessarily means good therapy did not hold. Cases were selected that reported good pre-post outcome (i.e., clinically reliable decrease in symptom severity) but a negative (disappointing) therapy experience, drawn from a randomized controlled trial (the Ghent Psychotherapy Study) and a naturalistic outcome study (the Stockholm Young Adults Psychotherapy Project). Analysis of these seemingly contrasting findings made it possible to identify three distinct patterns of client experience of outcome. Implications for research and practice are discussed.

  • 4.
    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.

  • 5.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. S:t Lukas, Sweden.
    Anknytning i psykoterapi2020Book (Other academic)
    Abstract [sv]

    Ur bokens förord:

    Anknytningsteorin förenas här med klinisk praktik. Camilla von Below förmedlar aktuell forskning, visar på bredden och djupet i anknytningsteorin, men även på dess begränsningar. Med många kliniska exempel gör hon anknytningsteorin och dess empiri levande och användbar för dig som möter vuxna patienter i psykoterapi och psykologisk behandling.

    Författaren beskriver anknytningsteori i relation till mentalisering och affektteori, liksom hur man kan se på anknytningsmönsters stabilitet och förändring under livet. Hon visar även hur anknytningsteori kan vara till hjälp för att skapa en terapeutisk relation, liksom hur hinder och svårigheter i det terapeutiska samspelet kan förstås. Betydelsen av terapeutens anknytningsmönster får ett särskilt fokus, med uppmuntran till självreflektion och utveckling.

    Tack vare bokens breda anslag kan den kombineras med läsarens egen teoretiska och terapeutiska referensram.

    Målgruppen är yrkesverksamma och studerande inom psykoterapi och psykologisk behandling. Boken kan med behållning även läsas av andra som arbetar med mänskliga relationer, samspel och samtal.

    ”Som psykolog och psykoterapeut har jag nytta av anknytningsteorin på flera sätt. För det första genom att jag lyssnar på hur en patient berättar och vad det säger om hennes eller hans förhållningssätt till sitt inre och sin förståelse av sina problem. För det andra bidrar teorin med en förståelse av hur svårigheter kan ha uppstått och vad som hindrar patienten från att komma vidare. För det tredje – och i mitt tycka det mest inspirerande – ger anknytningsteori en förståelse för det relationella samspelet och samskapandet i terapi. Terapeuten får hjälp att förstå alliansbrott, brister och rena haverier i den terapeutiska relationen och att utmana sig själv i att göra på nya sätt.”

  • 6.
    Von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Anknytning i relationer: förstå och förändra dina mönster2022Book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Varför hamnar jag hela tiden i samma roll i relationer? Vågar jag lita på att andra vill mig väl? Får jag visa att jag blir arg och ledsen? Kan andra tycka om mig? Erfarenheter från nära relationer under våra första år bevaras som kartor över hur det är att vara med andra –anknytningsmönster. De styr vår uppmärksamhet när vi möter nya människor och de formar vår självbild.

    De tidiga relationerna påverkar oss – men de bestämmer inte allt. Genom att våga utveckla nya sidor, upptäcka känslor som man har undvikit och se sitt samspel med andra på ett nytt sätt kan man utvecklas. Vi kan skapa en trygg anknytning i efterhand.

    Psykologen Camilla von Below berättar om de förflutna relationernas påverkan på nuet – och hur vi kan bli fria att agera på nya sätt. Forskning, exempel och reflektioner vävs ihop till berättelser om våra relationer, där du också får följa ett antal personer och se deras utveckling.

    Anknytning i relationer är till dig som undrar hur dina relationer format dig. Den är till dig som anar att tidigare erfarenheter står i vägen och vill bli fri att göra på ett nytt sätt. Den är också till dig som vill hjälpa ditt barn till en trygg anknytning.

  • 7.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. S:t Lukas psykoterapimottagning, Uppsala.
    Teoretiska perspektiv på anknytning vid patientmöten: Varför är vissa så svåra att hjälpa? [Patients who are difficult to help. Attachment perspectives]2022In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 119, article id 21145Article in journal (Refereed)
    Abstract [en]

    Attachment theory and research show that a patient’s attachment pattern, shaped in close relationships, affects A) the ability to describe symptoms in a structured and detailed manner, and B) the ability to trust physicians’ conclusions and concerns. If physicians are observant of patients’ unstructured, intense or avoidant communication during consultation, they can adjust their communication accordingly and avoid misunderstandings and excessive health care consumption. A patient with insecure ambivalent attachment needs initial empathic listening, whereas a patient with insecure avoidant attachment benefits from a respectful distance. Since insecure attachment is associated with lack of trust combined with difficulties understanding own psychical and psychological symptoms, physicians need to fill in the gaps more carefully than usual. Understanding attachment theory will be of help and is discussed in the article. 

  • 8.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    “We Just Did Not Get on”. Young Adults’ Experiences of Unsuccessful Psychodynamic Psychotherapy – A Lack of Meta-Communication and Mentalization?2020In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11, article id 1243Article in journal (Refereed)
    Abstract [en]

    In order to avoid suboptimal psychotherapy, research needs to highlight and analyze obstacles in such treatments. This clinically oriented article brings together empirical material of unsuccessful psychotherapy with young adults; empirical material on the therapists’ views of the same therapies; and theoretical perspectives on mentalization, therapeutic alliance, and young adulthood. Through a secondary qualitative analysis, it presents a tentative process model of how suboptimal psychotherapy with young adults develops, how it could be handled clinically, and possibly prevented. In three studies, experiences of young adult patients (aged 18–25; n = 27), in psychoanalytic therapy at an outpatient clinic, who did not improve from therapy (defined as no reliable and clinically significant symptom reduction) and/or were dissatisfied, and their therapists, were analyzed. Patients described experiences of not being understood and not understanding therapy, whereas therapists described patient non-commitment. These results were compared from the developmental perspective of mentalization in young adulthood. The primary grounded theory analyses and secondary analysis resulted in a tentative process model of the development of suboptimal psychotherapy with young adults. Suboptimal therapy is described as a vicious circle of therapist underestimation of patient problems, therapeutic interventions on an inadequate level, and diverging agendas between therapist and patient in terms of therapeutic alliance, resulting in pseudo-mentalizing and no development towards agency. A benign circle of successful therapy is characterized by correct estimation of patient problems, meta-communication, and the repair of alliance ruptures. One clinical implication is that therapists of young adult patients need to establish verbal and nonverbal meta-communication on therapy progress and therapeutic alliance. The importance of the patients’ present mentalization capacity and adjusted interventions are demonstrated in an example. Research in the field should be process-oriented and investigate the effect of meta-communication and interventions targeted to foster therapeutic alliance based on this theoretical model, particularly for young adults.

  • 9.
    von Below, Camilla
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    When psychotherapy does not help: ...and when it does: Lessons from young adults' experiences of psychoanalytic psychotherapy2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The process and outcome of psychoanalytic psychotherapy have been studied for a long time. However, the experiences of patients, particularly in therapies where goals were not met, have not yet been the target of extensive research. Psychoanalytic psychotherapy with young adults might face particular challenges. The overall aim of this thesis was to explore the experiences of young adults in psychoanalytic psychotherapy, with a particular focus on differences between suboptimal therapies and therapies with generally good outcome. The setting was naturalistic, and perspectives of the patient, therapist and observer were combined. Qualitative and quantitative methods were used. Study I explored experiences of psychotherapy process and outcome among seven patients in psychoanalytic psychotherapy, who expressed dissatisfaction. Interviews at termination and 18 months later were analysed using grounded theory and compared to therapist experiences. Patients experienced abandonment with their problems in and after therapy, since therapy according to the patients lacked connections to daily life, as well as flexibility, activity and understanding from the therapist. Therapists presented a different picture of the same therapies, mainly focused on the difficulties of the patients. Study II analysed the experiences of 20 non-improved or deteriorated young adult psychotherapy patients at termination of therapy and 36 months later. Non-improvement and deterioration were calculated based on the reliable change index on self-rating scores. The grounded theory analysis of interviews established spinning one’s wheels as a core category. The relationship to the therapist was described as artificial, although at times helpful. Participants experienced their own activity in life and active components of therapy as helpful, but thought focus in therapy was too much on past experiences. Study III explored the experiences of 17 young adult patients, in psychoanalytic individual or group therapy, overcoming depression. The analysis of interviews from therapy termination and 18 months later indicated that finding an identity and a place in life were perceived as intertwined with symptom relief. Negative experiences included difficulties to change oneself, fear of change, and problems in therapy, such as too little activity on the therapist’s part.

    The results were discussed in relation to young adulthood, therapeutic alliance, mentalization, and attachment. The conclusion was expressed in a comprehensive process model of suboptimal therapy with young adults, with suggested ways to prevent such a development. The therapist’s meta-communication and correct assessment of the patient’s mentalization capacity from moment to moment are proposed as crucial. Regarding clinical implications, therapists of young adult patients need to establish meta-communication on therapy progress, as even experienced therapists might be unaware of dissatisfaction or deterioration. Meta-communication could be considered part of the treatment itself, as it may foster mentalization and good outcome. Further, the period of young adulthood entails decisions and developing an adult life, and therapists need to make room for this by active interventions.

    Download full text (pdf)
    When psychotherapy does not help
    Download (jpg)
    Omslagsframsida
  • 10.
    von Below, Camilla
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Bergsten, Jenny
    Midbris, Therése
    Philips, Björn
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
    It turned into something else: patients’ long-term experiences of transitions to or from telepsychotherapy during the COVID-19 pandemic2023In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 14, article id 1142233Article in journal (Refereed)
    Abstract [en]

    Introduction: The shift from in-person therapy to telepsychotherapy during the COVID-19 pandemic was unprepared for, sudden, and inevitable. This study explored patients’ long-term experiences of transitions to telepsychotherapy and back to the office.

    Methods: Data were collected approximately two years after the declaration of COVID-19 as a pandemic. Eleven patients were interviewed (nine women and two men, aged 28 to 56, six in psychodynamic psychotherapy, five in CBT). Treatments switched between in-person and video/telephone sessions. Interview transcripts were analyzed applying the qualitative methodology of inductive thematic analysis.

    Results: (1) The patients experienced the process in telepsychotherapy as impeded. Interventions were difficult to understand and lost impact. Routines surrounding the therapy sessions were lost. Conversations were less serious and lost direction. (2) Understanding was made more difficult when the nuances of non-verbal communication were lost. (3) The emotional relationship was altered. Remote therapy was perceived as something different from regular therapy, and once back in the therapy room, the patients felt that therapy started anew. The emotional presence was experienced as weakened, but some of the patients found expressing their feelings easier in the absence of bodily co-presence. According to the patients, in-person presence contributed to their security and trust, whereas they felt that the therapists were different when working remotely, behaving in a more easygoing and familiar way, as well as more solution-focused, supportive and unprofessional, less understanding and less therapeutic. Despite this, (4) telepsychotherapy also gave the patients an opportunity to take therapy with them into their everyday lives.

    Discussion: The results suggest that in the long run, remote psychotherapy was seen as a good enough alternative when needed. The present study indicates that format alternations have an impact on which interventions can be implemented, which can have important implications for psychotherapy training and supervision in an era when telepsychotherapy is becoming increasingly common.

  • 11.
    von Below, Camilla
    et al.
    Uppsala County Council, Sweden.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Dissatisfied psychotherapy patients: A tentative conceptual model grounded in the participants' view2012In: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 26, no 3, p. 211-229Article in journal (Refereed)
    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.

  • 12.
    von Below, Camilla
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Werbart, Andrzej
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Rehnberg, Susanna
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Experiences of overcoming depression in young adults in psychoanalytic psychotherapy2010In: European Journal of Psychotherapy, ISSN 1364-2537, E-ISSN 1469-5901, Vol. 12, no 2, p. 129-147Article in journal (Refereed)
    Abstract [en]

    The study aims to explore the process of overcoming depression as experienced by young adult psychotherapy patients. Seventeen patients in individual or group psychotherapy with diagnoses within the depression spectrum were interviewed at termination of psychotherapy and at 1.5 years' follow-up. Grounded theory analysis of transcripts resulted in 15 distinct categories, organized into five general domains: experiences of positive change, in-therapy contributions to positive change, extra-therapeutic contributions to positive change, obstacles in therapy and negative experienced outcomes. Exploration of interplay between these domains resulted in a process model for the way out of depression. The positive changes experienced extended beyond symptom relief. The patients emphasised finding out how they wanted to live and how they started forming their lives in that direction. Obstacles in therapy interplayed with the experience of being stuck in depression. These findings are related to age-specific challenges on the threshold of adulthood.

  • 13.
    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.

  • 14.
    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 - 14 of 14
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