| 1. |
- Aafjes-van Doorn, Katie, et al.
(författare)
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Patients’ Affective Processes Within Initial Experiential Dynamic Therapy Sessions
- 2017
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Ingår i: Psychotherapy. - : American Psychological Association (APA). - 0033-3204 .- 1939-1536. ; 54:2, s. 175-183
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Tidskriftsartikel (refereegranskat)abstract
- Research has indicated that patients’ in-session experience of previously avoided affects may be important for effective psychotherapy. The aim of this study was to investigate patients’ in-session levels of affect experiencing in relation to their corresponding levels of insight, motivation, and inhibitory affects in initial Experiential Dynamic Therapy (EDT) sessions. Four hundred sixty-six 10-min video segments from 31 initial sessions were rated using the Achievement of Therapeutic Objectives Scale. A series of multilevel growth models, controlling for between-therapist variability, were estimated to predict patients’ adaptive affect experiencing (Activating Affects) across session segments. In line with our expectations, higher within-person levels of Insight and Motivation related to higher levels of Activating Affects per segment. Contrary to expectations, however, lower levels of Inhibition were not associated with higher levels of Activating Affects. Further, using a time-lagged model, we did not find that the levels of Insight, Motivation, or Inhibition during one session segment predicted Activating Affects in the next, possibly indicating that 10-min segments may be suboptimal for testing temporal relationships in affective processes. Our results suggest that, to intensify patients’ immediate affect experiencing in initial EDT sessions, therapists should focus on increasing insight into defensive patterns and, in particular, motivation to give them up. Future research should examine the impact of specific inhibitory affects more closely, as well as between-therapist variability in patients’ in-session adaptive affect experiencing.
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| 2. |
- Abbass, Allan, et al.
(författare)
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Intensive Short-Term Dynamic Psychotherapy Trial Therapy Effectiveness and Role of Unlocking the Unconscious
- 2017
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Ingår i: Journal of Nervous and Mental Disease. - 0022-3018 .- 1539-736X. ; 205:6, s. 453-457
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Tidskriftsartikel (refereegranskat)abstract
- This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP), measured at baseline and at 1-month follow-up. Significant outcome effects were observed for both the BSI and the IIP with small to moderate preeffect/posteffect sizes, Cohen's d = 0.52 and 0.23, respectively. Treatment effects were greater in patientswho had a major unlocking of the unconscious comparedwith thosewho did not. The trial therapy interview appears to be beneficial, and its effects may relate to certain therapeutic processes. Further controlled research is warranted.
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| 3. |
- Abbass, Allan, et al.
(författare)
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On Paolo Migione's "What Does Brief Mean?"
- 2014
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Ingår i: Journal of the American Psychoanalytic Association. - : SAGE Publications. - 0003-0651 .- 1941-2460. ; 62:5, s. NP18-NP22
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Abdelzadeh, Ali, 1981-, et al.
(författare)
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Solid or Flexible? : Social Trust from Early Adolescence to Young Adulthood
- 2017
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Ingår i: Scandinavian Political Studies. - : Wiley. - 0080-6757 .- 1467-9477. ; 40:2, s. 207-227
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Tidskriftsartikel (refereegranskat)abstract
- The belief that people are generally fair and trustworthy has generated plenty of scholarly attention in recent decades, particularly in the Scandinavian countries, which are often known for high levels of social trust. This article draws attention to the current discussion in the literature on whether social trust is a stable cultural trait marked by persistence or is based on experiences and subject to change throughout life. Based on unique longitudinal data from five different cohorts of young people in Sweden, ranging in age from 13 to 28 years, this article provides an empirical contribution on how social trust develops over time. The results show that there is a greater degree of instability in social trust between 13 and 15 years of age than in other age groups, and that social trust appears to stabilize with age. Findings also indicate that there are substantial inter-individual differences in social trust among young people within the same age group, both in initial levels and in the rates of change over time. The article concludes that although social trust is relatively stable it tends to crystallize in early adulthood, highlighting the relevance of the impressionable-years hypothesis.
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| 5. |
- Abdelzadeh, Ali, 1981-, et al.
(författare)
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Tolerance and other citizen competencies
- 2017
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Ingår i: Mechanisms of tolerance. - Stockholm : Forum för levande historia. - 9789186261634 ; , s. 149-176
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Abellan, A., et al.
(författare)
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Partner care, gender equality, and ageing in Spain and Sweden
- 2017
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Ingår i: International Journal of Ageing and Later Life. - : Linkoping University Electronic Press. - 1652-8670. ; 11:1, s. 69-89
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Tidskriftsartikel (refereegranskat)abstract
- We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.
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| 7. |
- Adolfsson, Karin, et al.
(författare)
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Referral of patients with cancer to palliative care: Attitudes, practices and work-related experiences among Swedish physicians
- 2022
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Ingår i: European Journal of Cancer Care. - : Hindawi Limited. - 0961-5423 .- 1365-2354. ; 31:6
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Tidskriftsartikel (refereegranskat)abstract
- Objective This study aimed to explore the attitudes, practices and work-related experiences among Swedish physicians regarding the referral process, integration and transition between oncology care and palliative care (PC). Methods A cross-sectional online survey was performed with a study-specific questionnaire in 2016-2017 in south-eastern Sweden. Physicians working with cancer patients within surgical specialties, medical specialties and paediatric oncology participated. Results The vast majority of the 130 participating physicians (99.2%) stated that PC was beneficial for the patient and were positive about early integration of PC (65.5%). Still, only 27.6% of the participants introduced PC at an early stage of non-curable disease. However, paediatric oncologists had a very early introduction of PC in comparison with medical specialties (p = 0.004). Almost 90% of the study population said they wanted to know that the patient had been taken care of by another care facility. Conclusions Despite the physicians' positive attitude towards early integration and referral to PC, they often acted late in the disease trajectory. This late approach can reduce the patient's opportunity of improving quality of life during severe circumstances. There is a need for in-depth knowledge of the physicians' challenges in order to bridge the gap between intentions and actions.
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| 8. |
- af Winklerfelt Hammarberg, Sandra, et al.
(författare)
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Clinical effectiveness of care managers in collaborative primary health care for patients with depression : 12-and 24-month follow-up of a pragmatic cluster randomized controlled trial
- 2022
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Ingår i: BMC Primary Care. - : Springer Nature. - 2731-4553. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- Background In previous studies, we investigated the effects of a care manager intervention for patients with depression treated in primary health care. At 6 months, care management improved depressive symptoms, remission, return to work, and adherence to anti-depressive medication more than care as usual. The aim of this study was to compare the long-term effectiveness of care management and usual care for primary care patients with depression on depressive symptoms, remission, quality of life, self-efficacy, confidence in care, and quality of care 12 and 24 months after the start of the intervention. Methods Cluster randomized controlled trial that included 23 primary care centers (11 intervention, 12 control) in the regions of Vastra Gotaland and Dalarna, Sweden. Patients >= 18 years with newly diagnosed mild to moderate depression (n = 376: 192 intervention, 184 control) were included. Patients at intervention centers co-developed a structured depression care plan with a care manager. Via 6 to 8 telephone contacts over 12 weeks, the care manager followed up symptoms and treatment, encouraged behavioral activation, provided education, and communicated with the patient's general practitioner as needed. Patients at control centers received usual care. Adjusted mixed model repeated measure analysis was conducted on data gathered at 12 and 24 months on depressive symptoms and remission (MADRS-S); quality of life (EQ5D); and self-efficacy, confidence in care, and quality of care (study-specific questionnaire). Results The intervention group had less severe depressive symptoms than the control group at 12 (P = 0.02) but not 24 months (P = 0.83). They reported higher quality of life at 12 (P = 0.01) but not 24 months (P = 0.88). Differences in remission and self-efficacy were not significant, but patients in the intervention group were more confident that they could get information (53% vs 38%; P = 0.02) and professional emotional support (51% vs 40%; P = 0.05) from the primary care center. Conclusions Patients with depression who had a care manager maintained their 6-month improvements in symptoms at the 12- and 24-month follow-ups. Without a care manager, recovery could take up to 24 months. Patients with care managers also had significantly more confidence in primary care and belief in future support than controls.
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| 9. |
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| 10. |
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Against separation : experiences in early intervention for young children with disabilities in Russia and Byelorussia
- 2014
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- This book is a result of a Russian-Swedish cooperation between the St Petersburg Early Intervention Institute and the Department of Social work, Ersta Sköndal University College in Stockholm. The framework of this cooperation has been a project financed by the Swedish International Development Cooperation Agency, Sida. The theme of the book is early intervention for children with disabilities, which is an advancing field of knowledge in Russia and other post-Soviet countries, rapidly catching up with clinical standards in Western Europe and the United States but still facing serious challenges from predominant clinical traditions and general attitudes towards handicapped children.The book provides examples of implementation and development of Early Intervention services in Novgorod, Archangelsk, Minsk and St Petersburg, together with theoretical contributions focusing on subjects like attachment theory, identity development, professional team work, existential and ethical aspects and communication. It also discusses possibilities and dilemmas with practitioners working as researchers in their own field.The book also brings forward some important conclusions for early intervention as a theoretical and practical field. An effective program in the field of early intervention should build on a clinical program, an educational program, knowledge achievement by means of a clinical research program and policymaking activities. We hope this book will be useful, for practitioners struggling with the complex reality related to the implementation of early intervention as well as for academics and students in this field.
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