| 1. |
- Bäck, Malin, et al.
(författare)
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Interpersonal psychotherapy for eating disorders with co-morbid depression : A pilot study
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:4, s. 378-395
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms.Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT.Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d =.93). Symptom reduction in the two syndromes were strongly correlated (r = .625, p = .004). Patients with a restrictive ED did not improve on either depression or ED symptoms.Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients.
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| 2. |
- Bäck, Malin, et al.
(författare)
-
Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study [Psychothérapie interpersonnelle dans les cas de troubles alimentaires avec dépression comorbide: une étude-pilote] [Interpersonelle Psychotherapie für Essstörungen mit Ko-morbider Depression: eine Pilot-Studie, Malin.] [Psicoterapia interpersonale per comorbilità tra disturbi alimentari e depressione: uno studio pilota] [PSICOTERAPIA INTERPERSONAL EN TRASTORNOS DE LA ALIMENTACION CON DEPRESION CO-MORBIDA: un estudio piloto.]
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:4, s. 378-395
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms. Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT. Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d =.93). Symptom reduction in the two syndromes were strongly correlated (r =.625, p =.004). Patients with a restrictive ED did not improve on either depression or ED symptoms. Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients. © 2017 Informa UK Limited, trading as Taylor amp; Francis Group.
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| 3. |
- De Smet, Melissa M., et al.
(författare)
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When 'good outcome' does not correspond to 'good therapy' : Reflections on discrepancies between outcome scores and patients' therapy satisfaction
- 2021
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Ingår i: European Journal of Psychotherapy. - : Informa UK Limited. - 1364-2537 .- 1469-5901. ; 23:2, s. 156-176
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Tidskriftsartikel (refereegranskat)abstract
- 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.
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| 4. |
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| 5. |
- Odhammar, Fredrik, 1963-, et al.
(författare)
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Parents' and psychotherapists' goals prior to psychodynamic psychotherapy
- 2015
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Ingår i: European Journal of Psychotherapy & Counselling. - : Informa UK Limited. - 1364-2537 .- 1469-5901. ; 17:3, s. 277-295
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Tidskriftsartikel (refereegranskat)abstract
- In order to explore goals of parents and psychotherapists prior to child psychotherapy, the following questions were asked: (1) How are goals for psychotherapy formulated? (2) How can similarities and differences between parents’ and psychotherapists’ goals be understood? Questionnaires regarding psychodynamic child psychotherapies (n = 33) with parallel parental work were analysed using qualitative methodology. The child psychotherapists’ goals were often connected to the intrapsychic and relational development of the child. The parental therapists formulated goals focused on providing support to parents. The parents’ goals, on the other hand, concerned to a great extent giving the child help and to a lesser degree receiving help for themselves. They expressed their expectations concerning the child’s psychological development with a more everyday use of language, often with an emphasis on general psychological wellbeing. The study also indicated that parents had limited knowledge about the therapy’s implementation and framework. Some clinical conclusions could be made. Negotiating goals prior to parental and child psychotherapy can help create realistic expectations and promote a beneficial therapy situation.
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| 6. |
- Pasquali, C. E., et al.
(författare)
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Client self-image, therapist acting, and the establishment of the therapeutic alliance in a training context
- 2018
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 20:4, s. 373-390
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Tidskriftsartikel (refereegranskat)abstract
- This study examined how clients' self-image and perception of therapist's behavior are related to the therapeutic alliance, as well as how these variables change in the psychotherapy process in trainee-led psychotherapy. A total of 164 participants (M = 28.9 years) who attended two semesters of treatment at the Psychology Clinic of Umea University completed the Working Alliance Inventory (WAI) to evaluate their perception of their alliance with the therapist. They also completed two questionnaires based on the Structural Analysis of Social Behavior (SASB) model to give insight into their self-image patterns and to analyze their perceptions of the therapist's behavior. The results show that a positive self-image and positive perceptions of the therapist's actions increased significantly over the course of the therapy, with a corresponding decrease in negative patterns. The alliance scores show that the therapeutic alliance gains significance over time and that it is influenced more by the perception of the therapist's behavior than by the self-image. The self-image becomes relevant after the mid part of therapy, underlining the role of the therapist in co-creating the treatment relationship. The implications of these results are discussed, and so are directions for future research in other traineeled settings and samples.
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| 7. |
- Sandberg, Jonatan, et al.
(författare)
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Interpersonally traumatised patients' view of significant and corrective experiences in the psychotherapeutic relationship
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:2, s. 175-199
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Tidskriftsartikel (refereegranskat)abstract
- Background: Clinical experience points to the importance of significant experiences in the therapy relationship for patients who have been interpersonally traumatised but the empirical research is limited.Aim: The aim was to gain increased knowledge about how significant and potentially corrective experiences within the therapeutic relationship were described by patients in trauma-focused therapy and how the participants thought such experiences might have affected the therapeutic work.Method: Five patients who were, or recently had been, in trauma-focused therapy were interviewed about their experiences of the therapy relationship. Thematic analysis was used to analyse the interviews.Results: Four themes were identified: 'Human contact', 'Validation', 'To face the painful' and 'Development of trust'. Positive experiences in the therapeutic relationship were sometimes seen as crucial for the therapeutic work and for patients' improvement.Conclusions: Previous findings about the significance of corrective experiences in psychotherapy were confirmed, particularly experiences of the therapist's accepting stance, personal and human contact and encouragement. The therapist's ability to evoke trust in the patient and her capacity to help patients to face painful material may be particularly important for traumatised patients.
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| 8. |
- Sandberg, Jonatan, et al.
(författare)
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Interpersonally traumatised patients’ view of significant and corrective experiences in the psychotherapeutic relationship [Perspectives que des patients ayant subi un traumatisme interpersonnel ont concernant les expériences significatives et correctives au cours de la relation psychothérapeutique] [Interpersonale traumatizzato vista dei pazienti esperienze significative e correttive del rapporto psicoterapeutico] [PUNTOS DE VISTA DE PACIENTES QUE HAN SIDO TRAUMATIZADOS INTERPERSONALMENTE, ACERCA DE EXPERIENCIAS SIGNIFICATIVAS Y CORRECTORAS EN LA RELACION PSICOTERAPEUTICA]
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:2, s. 175-199
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Tidskriftsartikel (refereegranskat)abstract
- Background: Clinical experience points to the importance of significant experiences in the therapy relationship for patients who have been interpersonally traumatised but the empirical research is limited. Aim: The aim was to gain increased knowledge about how significant and potentially corrective experiences within the therapeutic relationship were described by patients in trauma-focused therapy and how the participants thought such experiences might have affected the therapeutic work. Method: Five patients who were, or recently had been, in trauma-focused therapy were interviewed about their experiences of the therapy relationship. Thematic analysis was used to analyse the interviews. Results: Four themes were identified: ‘Human contact’, ‘Validation’, ‘To face the painful’ and ‘Development of trust’. Positive experiences in the therapeutic relationship were sometimes seen as crucial for the therapeutic work and for patients’ improvement. Conclusions: Previous findings about the significance of corrective experiences in psychotherapy were confirmed, particularly experiences of the therapist’s accepting stance, personal and human contact and encouragement. The therapist’s ability to evoke trust in the patient and her capacity to help patients to face painful material may be particularly important for traumatised patients. © 2017 Informa UK Limited, trading as Taylor amp; Francis Group.
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| 9. |
- Sandell, Rolf, et al.
(författare)
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Another way to think about psychological change : experiential vs. incremental
- 2016
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Ingår i: European Journal of Psychotherapy and Counselling. - : Informa UK Limited. - 1364-2537 .- 1469-5901. ; 18:3, s. 228-251
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Tidskriftsartikel (refereegranskat)abstract
- The traditional pre-post treatment difference reflects an incremental notion of change, where a quantity of some psychological function is added to (or subtracted from) a pretreatment quantity. This study presents a complementary, experiential notion of change. Rather than a difference, change is a feeling or experience of having changed, a feeling that one is different than before. Based on a post-treatment interview the Change after Psychotherapy (CHAP) is a method to quantify/rate such ‘differentness’ in terms of how extensively or radically the patient feels having changed. A pre-post quasi-experimental study (N = 49) comparing the CHAP with ratings on the Global Assessment of Functioning, the Karolinska Psychodynamic Profile and the Comprehensive Psychopathological Rating Scale-Self-Affective is reported. The results showed the CHAP to be a reliable, valid and sensitive way to assess an experiential kind of CHAP.
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| 10. |
- Sköld, Mattias Larsson, et al.
(författare)
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To fail psychotherapy training : Students' and supervisors' perspectives on the supervisory relationship
- 2018
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 20:4, s. 391-410
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Tidskriftsartikel (refereegranskat)abstract
- Previous research showed that supervision during psychotherapy training sometimes includes negative alliance and harmful events. The aim of this study was to investigate how such events were related to failing psychotherapy training. Interviews were made with informants from two separate samples: psychotherapy students who had failed training (n = 6) and supervisors with experience from failing students (n = 6). The interviews were analyzed separately for the two samples with inductive thematic analysis and then compared. The core category for students ('Paradoxical response') indicated that they experienced their supervisors as either demanding too much or nothing at all. The core category for supervisors ('Balancing contradictory demands') indicated that they wanted to fail students who did not live up to expectations but were pressured by training institutes to let them pass. Both students and supervisors experienced distress but it seemed that they were not fully aware of each other's vulnerability. The results suggest that a weak supervisory alliance and harmful events may contribute to student failures, independently of students' actual suitability for psychotherapy.
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| 11. |
- Tuuvas, Marianne, et al.
(författare)
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A healing relationship : Clients' experiences of the long-term relational significance of the horse in horse assisted psychotherapy
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:3, s. 307-328
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Tidskriftsartikel (refereegranskat)abstract
- Horse assisted psychotherapy is a type of treatment for mental ill-health in which the client forms a relationship with a horse. Research suggests that the relationship to a horse is very helpful to clients, but how the horse is experienced many years after the end of treatment has not been investigated. The aim of the present study was thus to investigate how former clients from horse assisted psychotherapy experienced the horse several years after treatment was completed. Former clients (n = 5; all females) from one and the same treatment center were interviewed and the data was analyzed with an inductive thematic approach. The analysis showed that many years after completion of treatment, the horses were still remembered as the most important individuals in the informants' lives during the time of treatment. This was captured by the core category 'A healing relationship'. These findings are in line with previous research that found that patients in horse assisted psychotherapy and their family members attributed improvements from treatment to the patients' relationship to the horses, but adds that the clients also keep these views at follow-up several years after termination of treatment.
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| 12. |
- von Below, Camilla, et al.
(författare)
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Experiences of overcoming depression in young adults in psychoanalytic psychotherapy
- 2010
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Ingår i: European Journal of Psychotherapy. - : Informa UK Limited. - 1364-2537 .- 1469-5901. ; 12:2, s. 129-147
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Tidskriftsartikel (refereegranskat)abstract
- 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.
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| 13. |
- Wilhelmsson Göstas, Mona, 1950-, et al.
(författare)
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Increased participation in the life context: A qualitative study of clients´ experiences of problems and changes after psychotherapy
- 2012
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Ingår i: European Journal of Psychotherapy and Counselling. - Oxon, United Kingdom : European Journal of Psychotherapy and Counselling. - 1364-2537 .- 1469-5901. ; 14:4, s. 365-380
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Tidskriftsartikel (refereegranskat)abstract
- People use psychotherapy in different ways depending on how they perceive their problems and themselves. Exploring a person’s experiences of problems and changes after psychotherapy is important for evaluating outcomes of therapies. Based on descriptions from people with recent experiences of psychotherapy, the aim of this study was to gain a deeper understanding of the participants’ problems before psychotherapy and of changes after psychotherapy. Fourteen participants selected based on variations in age, gender, marital status, occupation, number of sessions and psychotherapy orientation (cognitive behavioural therapy and psychodynamic psychotherapy) were interviewed after completing psychotherapy. A qualitative content analysis of the transcribed interviews was performed. Problems before psychotherapy showed a relationship between the categories overwhelming emotions, cognitive problems and problematic behaviours. The theme self-centredness captured the latent content of being so absorbed by problems that these prevent participation in the life context. Descriptions of changes were summarized in the categories emotions became balanced, cognitive functioning became evident and possibility to influence one’s behaviour, overlapping the two therapy orientations. The themes awareness of self-agency and tools to handle problems expressed the understanding of the descriptions of changes which made an optimal participation in the person’s life context possible. No differences between therapy groups were found.
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