| 1. |
- Hartzell, Monica, 1953-, et al.
(författare)
-
Parents' perception of their first encounter with child and adolescent psychiatry
- 2010
-
Ingår i: Contemporary family therapy. - : Springer. - 0892-2764 .- 1573-3335. ; 32:3, s. 273-289
-
Tidskriftsartikel (refereegranskat)abstract
- Parents who came with their child to Child and Adolescent Psychiatry (CAP) for the first time were interviewed 1–2 weeks afterwards in the presence of the child and the therapists. In a grounded theory analysis they revealed uncertainty about their role in the first meeting as well as of future planning. What had been important to them were aspects like communication, sharing perspectives, and the reformulation of problems.
|
|
| 2. |
- Hartzell, Monica, 1953-, et al.
(författare)
-
Structuring and Collaboration : Balancing Discourses in the First Meeting at Child and Adolescent Psychiatry
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- The aim was to join together children's, parents' and therapists' views and detect discourses and their influence in the first meeting. Data were collected in joint interviews and qualitative content analysis was used. Two competing discourses were found; Structuring, which was instrumental and Collaboration, concerning relational aspects. The latter dominated. All three parties conveyed that both discourses needed to be acknowledged to avoid that the meeting would be too strict or too flexible.
|
|
| 3. |
- Hartzell, Monica, 1953-, et al.
(författare)
-
Therapists' Views of the First Meeting at Child and Adolescent Psychiatry
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Therapists’ influence on the therapeutic relationship is not much studied. In the first session in child and adolescent psychiatry (CAP) therapists are supposed to conduct assignments connected to the medical model. In psychotherapy the first meeting is regarded as having great impact on the continuation. Despite this, there are few studies on the issue. The aim was to learn more about the therapists’ perception of first meetings in CAP. Therapists were interviewed together with the families they had met. Reflectors helped the interviewer to hold on to the theme. The interviews were video-recorded. The data analysis was inspired by grounded theory. Two aspects appeared in the therapists’ descriptions, psychiatric and family psychotherapeutic ones. Psychiatric aspects included the demands from the organisation like making assessments and making families want to come back. In the meeting it converged with wishes from the family members: wanting to be in a dialogue with their therapists and negotiating the planning process. The therapists addressed that parents and children contributed to success in the meeting. Balancing between the psychiatric and the family psychotherapeutic aspects without questioning one’s own professional skills as CAP personnel seemed to be a challenge for the therapists.
|
|
| 4. |
- Hartzell, Monica, 1953-, et al.
(författare)
-
What children feel about their first encounter with child and adolescent psychiatry
- 2009
-
Ingår i: Contemporary family therapy. - : Springer Science and Business Media LLC. - 0892-2764 .- 1573-3335. ; 31:3, s. 177-192
-
Tidskriftsartikel (refereegranskat)abstract
- The first meeting in psychotherapeutic and psychosocial work, has a big impacton the continuation. It is a less explored research field. Children’s ‘‘voices’’ tend to come inthe back-ground in family therapy and other settings. In a project at CAP (Child andAdolescent Psychiatry) the children’s views were collected in interviews with parents andtherapists present. The grounded theory analysis process was used. The children addressedthe importance of the therapist’s actions and positions in helping them to be able tocommunicate and to be in a dialogue. To be accepted and allowed to express feelings wasimportant, and so was how the therapist managed to adjust to each person in the room andgive space for various perspectives.
|
|
| 5. |
- Hartzell, Monica, 1953-
(författare)
-
The First Meeting at Child and Adolescent Psychiatry
- 2010
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Children and parents who visited child and adolescent psychiatry (CAP) for the first time were interviewed in the presence of their therapists about the first meeting. The interview was intended to make the attendants describe in their own words what the meeting was like for them. The interview was repeated after six months to get complementary information. Research assistants, reflectors, helped the interviewer to prevent from bias and to hold on to the theme. The grounded theory approach was utilised in papers I, II, and III, and qualitative content analysis was used in paper IV. Children appreciated the therapist being in an active as well as in a more passive but alert position, moving between asking adjusted questions and including the parents. The therapists’ skill of listening was also important to them. For the parents, it was important what happened between their child and the therapists. They questioned their own role and presence. Also, they focused on the plan for the meeting and for the coming process. Certain things that happened in the dialogue were useful after the meeting. The results indicate that what was helpful was connected to family therapy matters rather than psychiatric ones. The therapists balanced between a psychiatric and a family therapeutic position, and it was a dilemma for them how to best fulfil their assignment in the organisation as they perceived it. Two competing discourses were found in the first meeting; Structuring, which stood for structure, planning and expertise, while Collaboration represented negotiations of how to work together, empowerment and emotional aspects. The Structuring discourse tended to dominate. Both discourses consisted of valuable elements that needed to be included to ensure that the atmosphere would not be too strict or too flexible. The findings are tentative because of the lack of studies to compare to, and because of the few interviews made.
|
|
