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Informing patients ...
Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists’ attitudes and practices
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- Westin, Fanny (author)
- Department of Psychology, Uppsala University, Uppsala, Sweden
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- Rozental, Alexander (author)
- Karolinska Institutet,Luleå tekniska universitet,Hälsa, medicin och rehabilitering,Department of Psychology, Uppsala University, Uppsala, Sweden;Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden
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(creator_code:org_t)
- Taylor & Francis, 2024
- 2024
- English.
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In: Psychotherapy Research. - : Taylor & Francis. - 1050-3307 .- 1468-4381. ; 34:6, s. 709-721
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Abstract
Subject headings
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- Objective: The present study explored Swedish clinical psychologists’ attitudes and practices of informing patients about possible negative effects of psychological treatment.Method: An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age M = 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ2, binominal regression analysis, and thematic analysis.Results: No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.Conclusion: The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- attitudes
- informed consent
- negative effects
- online survey
- practice
- psychological treatment
- thematic analysis
- Psychology
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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