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Terapeuters och patienters tankar om vad som är verksamt i individuell psykoterapi
Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Psychology.
2011 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Det övergripande syftet för denna licentiatuppsats är att utforska psykoterapeuters och patienters tankar om vad som är verksamt i individuell psykoterapi med fokus på deras egna erfarenheter av psykoterapeutiskt arbete. Som metod för datainsamling och analys valdes grounded theory i båda de ingående studierna.

I studie 1 intervjuades psykoterapeuter, legitimerade för individuell psykoterapi. Sammanlagt nio informanter deltog i studien, både män och kvinnor med olika yrkesbakgrund och med olika psykoterapeutisk inriktning.

Ett centralt begrepp, förnyande erfarenhet, utvecklades ur data. Förnyande erfarenhet är en process där terapeuten och patienten i samarbete och dialog försöker att skapa situationer där patienten gör erfarenheter som ifrågasätter eller utmanar tidigare erfarenheter som patienten har eller ger ett nytt perspektiv på tidigare erfarenheter som gör dem mer begripliga och hanterbara. Förnyande erfarenhet leder till att patientens upplevelsevärld och beteende förändras i riktning mot ett ökat psykiskt välbefinnande.

I studie 2 intervjuades åtta personer som gått i individuell psykoterapi av olika längd och teoretisk inriktning hos legitimerad psykoterapeut. De bidrog med data om sexton psykoterapier eftersom flera av dem hade erfarenhet av mer än en psykoterapi.

Det centrala begrepp som utvecklades ur data var terapeutens lyhörda acceptans. Lyhördhet innebär att terapeuten har en förmåga att visa sig känslig för patientens behov och känslomässiga tillstånd och att ge gensvar på ett adekvat och konstruktivt sätt. Acceptans representerar en stödjande och icke-dömande atmosfär och terapeutens tolerans, välvilja och förstående inställning.

Abstract [en]

The overall aim of this licentiate thesis is to explore psychotherapists’ and patients’ thoughts about what is effective in individual psychotherapy, focusing on their own experience of psychotherapeutic work. The method chosen for data collection and analysis was grounded theory in both the included studies.

In Study 1 psychotherapists, licensed for individual psychotherapy were interviewed. A total of nine informants participated in the study, both men and women with different professional backgrounds and with different psychotherapeutic approaches.

A core concept, Renewing experience, was developed from the data. Renewing experience is a process where the therapist and patient in cooperation and dialogue are trying to create situations where the patient makes new experiences. These experiences call into question or challenge past experiences of the patient or gives a new perspective on past experiences that make them more understandable and manageable. Renewing experience leads to changes in the patients experiential world and behaviour that increase psychological well-being.

In Study 2 eight persons were interviewed who have attended individual psychotherapy of various lengths and theoretical orientation with a licensed psychotherapist. They contributed data on sixteen psychotherapies as several of them had experience of more than one psychotherapy.

The core concept that evolved from the data was The therapist's responsive acceptance. Responsiveness means that the therapist has the ability to prove sensitive to patient's needs and emotional states and to provide feedback in an appropriate and constructive manner. Acceptance represents a supportive and non-judgmental atmosphere and the therapist's tolerance, kindness and understanding attitude.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet , 2011. , 45 p.
Karlstad University Studies, ISSN 1403-8099 ; 2011:54
Keyword [sv]
Psykoterapi, psykoterapeut, patient, klient, kvalitativ forskning, grounded theory
National Category
Applied Psychology
Research subject
URN: urn:nbn:se:kau:diva-8155ISBN: 978-91-7063-390-4OAI: diva2:450417
2011-12-13, 1B309, Karlstads universitet, Karlstad, 10:00 (Swedish)

Vid tidpunkten för licentiatseminariet var delarbete 2 ej utgivet (i manuskriptform).

Available from: 2011-11-07 Created: 2011-09-05 Last updated: 2014-10-14Bibliographically approved
List of papers
1. Renewing experience: Therapists' Thoughts on What is Effective in Psychotherapy
Open this publication in new window or tab >>Renewing experience: Therapists' Thoughts on What is Effective in Psychotherapy
2012 (English)In: European journal for qualitative research in psychotherapy, ISSN 1756-7599, no 6, 1-7 p.Article in journal (Refereed) Published
Abstract [en]

In this qualitative study, nine psychotherapists with different theoretical approaches were interviewed about their thoughts on what is effective in their work. Data was collected and analyzed according to Grounded Theory. The results are presented as a grounded theory of therapists' thoughts on what is effective in psychotherapy. The theory consists of a core category, Renewing Experience, its subcategories and their subsequent properties. The therapists' efforts in psychotherapy are to use the relationship with the patient as well as psychotherapy techniques available to cause the patient to experience something new. New experiences in psychotherapy add to and place earlier life experiences in a new perspective. If the new experiences are related to the patient's central issues, they can modify and renew existing and maladaptive conceptions of reality and make new life alternatives available to patients. Renewing Experience is a cumulative process where the therapist's ability to individualize interplay is decisive.

National Category
Research subject
urn:nbn:se:kau:diva-8721 (URN)
Available from: 2011-11-07 Created: 2011-11-07 Last updated: 2013-11-13Bibliographically approved
2. Patients’ thoughts on effective psychotherapy
Open this publication in new window or tab >>Patients’ thoughts on effective psychotherapy
2014 (English)In: The European Journal for Qualitative Research in Psychotherapy, ISSN 1756-7599, Vol. 7, 4-21 p.Article in journal (Refereed) Published
Abstract [en]

Earlier studies of patients’ experiences in psychotherapy identify relationship factors as being significant forpatients. Our aim in this study conducted in accord with grounded theory, was to explore in some depth patients’thoughts about what is effective in psychotherapy and thereby increase our knowledge about the processof psychotherapy from a patient perspective. Data were collected in open interviews that provided rich andvaried information. Several informants had been in more than one therapy and thus, eight interviews provideddata about sixteen psychotherapies. The core concept that emerged from the data was that of the therapist’sresponsive acceptance. This concept provides an answer to the question “What do patients think is effective inpsychotherapy?” If the therapist is responsive and accepting, the mutual interplay between the patient and thetherapist becomes productive and collaborative. On the other hand, if responsive acceptance falters, the wholetherapy process is at risk.

Empathy; grounded theory; interviews, unstructured; mental health and illness; psychology; relationships, patientprovider; research, qualitative
National Category
Applied Psychology
Research subject
urn:nbn:se:kau:diva-34288 (URN)
Available from: 2014-10-13 Created: 2014-10-12 Last updated: 2014-10-14Bibliographically approved

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