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  • 1.
    Holmqvist, Rolf
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för beteendevetenskap.
    Change in self-image and PTSD symptoms in short-term therapies with traumatized refugees2006Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 20, nr 4, s. 251-265Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this study, an attempt was made to evaluate changes in the self-image of traumatized refugees receiving short-term psychotherapy. Fourteen clients with war and torture experiences were followed during and after trauma-focused therapies with self-rating instruments. Outcome was measured with SCL-90, measuring overall psychiatric symptoms, and with PTSS-10, measuring Post-traumatic Stress Disorder (PTSD) symptoms. Self-image was measured with Structural Analysis of Social Behavior (SASB). The analyses showed considerable remission of both general psychiatric and PTSD-related symptoms, but more moderate changes in self-image aspects. The positive aspect of the self-image was virtually non-related to the symptom measures and did not change after the termination of the therapy, the negative aspect of the self-image was more strongly related to the symptoms and changed mainly on the last measurement occasion, 15 months after the therapy end. When clients with good and poor outcome were compared, it was found that those with good outcome had higher initial levels on both the positive and the negative aspects of the self-images. This was tentatively interpreted as indicating that clients who had invested more energy in their self-image were better able to utilize the therapy. Different development in the self-image for these two groups indicated that for some clients, the treatment process might have entailed too much strain.

  • 2.
    Holmqvist, Rolf
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap.
    Armelius, K.
    Psychiatric patients' self-image and staff feelings towards them related to gender combinations2004Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 18, nr 2, s. 182-201Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Psychiatric patients' influence on therapists' feelings has received much clinical attention but scant interest among empirical researchers. In this study, the staff at 25 small psychiatric treatment units for mainly psychotic patients reported their feelings towards the patients twice a year over 5 years. At intake, the patients completed the self-rating version of the Structural Analysis of Social Behavior (SASB) protocol, a circumplex model intended to capture internalized perceptions of self and others. The instrument included ratings of the introject and ratings of how the individual remembered that mother and father had treated him or her in childhood. Correlations between the patients' SASB scores and the staff members' average feelings towards the patients were assessed. The associations varied in the different gender combinations, but some overarching patterns were found. Patients scoring high on both the spontaneous and the controlling introject evoked accepting staff feelings, and patients reporting low scores on both these SASB aspects evoked rejecting feelings. These associations were interpreted as reflecting influence from the patients' engagement in and struggle with themselves on the treatment process. Staff identification with a parent figure was particularly evident in the female staff-male patient combination, where the patient's positive image of mother was associated with positive staff feelings towards the patient. © 2004 The Association for Psychoanalytic Psychotherapy in the NHS.

  • 3.
    Kullgard, Niclas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Persson, Per
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Möller, Clara
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Falkenström, Fredrik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Reflective functioning in patients with obsessive–compulsive disorder (OCD) – preliminary findings of a comparison between reflective functioning (RF) in general and OCD-specific reflective functioning2013Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 27, nr 2, s. 154-169Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Several scales for rating the reflective function (RF) in different psychiatric syndromes (symptom-specific reflective function [SRF]) have been developed. In this study, the validity of a rating instrument for measuring obsessive–compulsive disorder (OCD)-specific RF (OCD-SRF) was assessed. The study was conducted at two outpatient psychiatric facilities. A total of 18 women and 12 men were interviewed with adult attachment interview and the OCD–SRF interview. The patients also rated their symptoms on a self-rating scale (Yale-Brown Obsessive–Compulsive Scale [Y-BOCS]). The results indicated that there was a significant difference between the levels of RF in general and SRF. No correlations between Y-BOCS and RF or SRF were found. Illustrations of ratings are presented. The difference between RF and SRF, the relationship between SRF and symptom checklists, and a relational perspective on symptoms in OCD were discussed.

  • 4.
    Palmstierna, Vendela
    et al.
    Huddinge Municipality, Pupil Support Unit for Compulsory School, Huddinge, Sweden.
    Werbart, Andrzej
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen. Child and Adolescent Psychiatry, Karolinska Institutet, Stockholm, Sweden.
    Successful psychotherapies with young adults: an explorative study of the participants' views2013Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 27, nr 1, s. 21-40Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In order to understand mechanisms of change, patients' experiences are an invaluable source of information. Psychotherapy with young adults confronts therapists with specific challenges. This qualitative study explores experiences of therapeutic process and outcome in 11 cases of psychoanalytic psychotherapy that fulfilled the rigorous quantitative criteria for long-term therapeutic success. Interviews at termination and at a 1.5-year follow-up were analysed applying basic grounded theory methodology and the software ATLAS.ti. At the core of the tentative conceptual model is the experience of a growth-promoting and secure therapeutic relationship. Within the therapeutic frames, the patients and the therapists could overcome obstacles to their collaboration. The patients obtained support in close relationships and continued to apply therapeutic experiences after termination. The therapists experienced the therapeutic work in a strikingly similar way, worked actively towards joint goals, explored what was painful and actively promoted the use of new skills after termination. Positive factors in therapy and in life reinforced each other in a positive feedback loop. The patients' and their therapists' view of successful change processes confirms the centrality of the therapeutic relationship as a secure base for exploration and change.

  • 5.
    Ståhlberg, Gustaf
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Teologiska fakulteten, Teologiska institutionen.
    The outcome of short-term psychodynamic art therapy compared to short-term psychodynamic verbal therapy for depressed women2007Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 21, nr 3, s. 250-264Artikel i tidskrift (Övrigt vetenskapligt)
  • 6.
    von Below, Camilla
    et al.
    Uppsala County Council, Sweden.
    Werbart, Andrzej
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen.
    Dissatisfied psychotherapy patients: A tentative conceptual model grounded in the participants' view2012Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 26, nr 3, s. 211-229Artikel i tidskrift (Refereegranskat)
    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.

  • 7.
    Werbart, Andrzej
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen.
    Forsström, David
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen.
    Changes in anaclitic–introjective personality dimensions, outcomes, and psychoanalytic technique: a multi-case study2014Ingår i: Psychoanalytic Psychotherapy, ISSN 0266-8734, E-ISSN 1474-9734, Vol. 28, nr 4, s. 397-410Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigates changes in latent mental structures along the anaclitic and introjective dimensions in relation to outcomes in 14 cases of publicly financed psychoanalysis. The method of prototype matching was adapted for personality assessment, and multiple outcome measures were applied. For the anaclitic cases, symptom reduction was accompanied by more mature integration of anaclitic and introjective personality dimensions, while the introjective cases showed symptom reduction without such improvement. This could indicate that sustainable change in latent mental structures is more difficult to achieve in introjective than in anaclitic patients. Further research is needed to validate these preliminary results.

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