| 1. |
- Allwood, Carl Martin, 1952, et al.
(författare)
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The relationship between personality, work, and personal factors to burnout among clinical psychologists: exploring gender differences in Sweden
- 2022
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Ingår i: Counselling Psychology Quarterly. - : Informa UK Limited. - 0951-5070 .- 1469-3674. ; 35:2, s. 324-343
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated the effects of gender, personality (prosocialness, relational-interdependent self-construal, and brooding), job demands, affective work rumination, and personal-to-work conflict on burnout (exhaustion and disengagement), among clinical public-health psychologists in Sweden. The participants answered a self-report questionnaire (n = 828). Hierarchical multiple regression analyses showed that affective work-rumination, brooding and personal-to-work conflict were most strongly associated with exhaustion, whereas affective work-rumination, brooding, role conflict, and prosocialness most strongly predicted disengagement. Furthermore, in the full models, quantitative job demands and relational-interdependent self-construal related to exhaustion, whereas emotional demands related to disengagement. Interestingly, role conflict had a positive relation and emotional demands a negative relation to disengagement. Women reported higher exhaustion, but not higher disengagement, than men. Women also reported higher levels on most of the independent variables. In sum, the results show that a broad range of factors influence burnout among clinical psychologists.
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| 2. |
- Bimont, Diane, et al.
(författare)
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"I've got you under my skin" : Relational therapists' experiences of patients who occupy their inner world
- 2018
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Ingår i: Counselling Psychology Quarterly. - : Informa UK Limited. - 0951-5070 .- 1469-3674. ; 31:2, s. 243-268
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to conduct an in-depth exploration of therapists' experiences of patients who affect them more than others and occupy their inner world beyond the context of therapy sessions. A phenomenological analysis was performed on semi-structured interviews with five relational therapists. All the therapists had a strong experience of a particular patient getting "under their skin". In all these cases, the patient was a traumatized woman. The distinctive characteristic of the phenomenon was a sense of blurred or too permeable boundaries between the therapist and the patient. This was associated with fear and anxiety, but also with feelings of love. The therapists' reactions to having a patient "under their skin" varied from resistance to symbiotic relatedness. The therapists' ideas of their professional role influenced how the experience of carrying the patient's suffering was interpreted. The phenomenon of the patient's presence in the therapist's representational world might be interpreted as a distinct countertransference phenomenon when working in a more "thin boundary" manner with particular cases. The therapists' ability to effectively manage their vulnerabilities, activated in the countertransference, seems to be crucial for therapeutic progress. Implications for research, clinical practice, and training are discussed.
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| 3. |
- Wang, Mo, et al.
(författare)
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Not starting psychotherapy is more often initiated by the therapist than the patient
- 2014
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Ingår i: Counselling Psychology Quarterly. - Abingdon : Routledge. - 0951-5070 .- 1469-3674. ; 27:1, s. 75-95
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Tidskriftsartikel (refereegranskat)abstract
- The phenomenon of not starting psychotherapy is seldom investigated. The present study of psychotherapy in the Swedish mental health services differentiates between patients applying for and being offered psychotherapy but choosing not to start (n = 69), patients recommended to receive no treatment, another type of treatment or treatment at another clinic (n = 133), and therapy starters (n = 1294). After the initial assessment, nearly twice as many patients did not start based on the therapist’s decision than on the patient’s. Cases of not starting psychotherapy decided by the therapist were more frequent among patients whose occupational status was less stable, presented a danger to others, had lower levels of initial therapeutic alliance, and by therapists with lower levels of psychotherapy training and those at less structured and more unstable clinics. Patients choosing not to start therapy had lower levels of mental ill-health than both starters and therapist-initiated nonstarters. The most frequently presented reason for a patient-initiated decision to not start therapy was “patient wished another treatment or therapist,” whereas the most common therapist-initiated reason was “recommended or referred to another treatment or clinic”.
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| 4. |
- Werbart, Andrzej, et al.
(författare)
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Deadlock in psychotherapy : A phenomenological study of eight psychodynamic therapists’ experiences
- 2022
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Ingår i: Counselling Psychology Quarterly. - : Informa UK Limited. - 0951-5070 .- 1469-3674. ; 35:4, s. 744-762
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Tidskriftsartikel (refereegranskat)abstract
- Problematic interactional patterns between client and therapist involve several phenomena, such as different forms of ruptures, enactments, impasses, and stalemates. This study explores psychodynamic therapists’ experiences and understanding of deadlock in the psychotherapy process. Interviews with eight experienced therapists were analyzed applying the Interpretative Phenomenological Analysis (IPA). Generally, the therapists described the deadlock as a negative process, blocking the progress of therapy. The deadlock confronted them with unfulfilled expectations of closeness and connection, as well as unwelcome feelings and wishes, and evoked self-doubt and questioning of their own professional role. The therapists experienced a loss of agency and reflective capacity in the encounter with the client. We found an elusive quality of something absent and incomprehensible in the therapists’ experiences. Resolution of deadlock interacted with therapists finding a constructive role in the therapeutic relationship and being able to give meaning to their experiences. We conclude that the therapists need to be observant of their experiences of deadlock and talk to others about them. The knowledge of deadlocks as natural phenomena in the therapy process that can be recognized, addressed, and worked with must be more widely diffused and should be an integral part of psychotherapy education and training.
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