| Autor: |
Stormoen, Halvor Raddum, Nissen-Lie, Helene Amundsen, Hillestad Hoff, Cecilie, Strømme, Hanne |
| Předmět: |
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| Zdroj: |
Counselling Psychology Quarterly; Dec2024, Vol. 37 Issue 4, p651-672, 22p |
| Abstrakt: |
There is a need to gain more knowledge of how interpersonally skilled therapists handle demanding clinical situations to better understand therapist effects. The aim of this single-case study was to investigate how the therapist encountered challenging situations where her interpersonal skills were put to test and how her handling likely contributed to patient change. From a larger research project on learning processes, this case was selected since it was judged to be both challenging and with a good outcome. Interpretative phenomenological analysis of video-recordings of a 42 session long psychodynamic psychotherapy, was conducted. The analysis yielded one superordinate theme: The therapist "detoxifies" demanding clinical material, such as aggression and shame. Three constituent sub-themes expressed different ways in which this process took place (1: The therapist tolerates the patient's skepticism and criticism in a non-defensive manner by focusing on the patient's underlying feeling; 2: The therapist responds to the patient's self-destructive behaviors in a non-judgmental and "containing" way that reduces shame; and 3: The therapist interprets the patient's rejection as separation anxiety related to termination of the therapy). Our findings provide a more nuanced understanding on how the interpersonal skills of the therapist come into use in a specific, challenging therapy process. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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