Inledning: Genom delad erfarenhet och igenkänning förmedlas en känsla av att inte vara ensam. Relationer påverkar vår hälsa, är vi inkluderade mår vi bra medan ofrivillig ensamhet påverkas oss negativt. Ensamhet är ett välkänt begrepp, men det saknas studier kring det psykodynamiskt orienterade psykoterapiarbetet med ofrivilligt ensamma patienter.  Syfte och frågeställningar: Studien syftar till att undersöka psykodynamiskt orienterade psykoterapeuters erfarenheter av arbete med ofrivilligt ensamma patienter. Hur beskriver psykodynamiskt orienterade psykoterapeuter arbetet med ofrivilligt ensamma patienter, vad är hjälpande och vad kan vara svårt är frågeställningen. Metod: Sju psykodynamiskt orienterade psykoterapeuter har intervjuats med hjälp av semistrukturerade intervjuer både enskilt och i form av fokusintervju. Bearbetning och analys av materialet gjordes med hjälp av tematisk analys. Resultat: Respondenterna beskrev att det var svårt att hjälpa de patienter som inte kunde eller ville förändras, vidare kunde det också vara så att just den enskilde psykoterapeuten inte var den bäst lämpad att kunna hjälpa. När det gick att hjälpa klarade patienten att integrera det relationella i terapiprocessen. Psykoterapeuten klarade då också av att låta sig beröras, stå ut och hålla gränser i terapirummet. Diskussion: Resultatet diskuteras utifrån svårigheter att etablera kontakt med den som inte själv tagit initiativ till kontakten, att lyckas få unga patienter att stanna kvar i terapin och att få grepp om de patienter som saknade intresse och förmåga att uttrycka sin ensamhet. För terapeuten kunde det vara tungt att bära patientens utsatthet och ibland var terapeuten inte rätt person att hjälpa. De patienter som gick att hjälpa klarade att använda terapirelationen som ett övningsobjekt och en modell för relation. Viktigt i arbetet för terapeuterna var att förstå sin egen ensamhet, låta sig beröras, hålla ramen, härbärgera och ta eget stöd i kollegor. Risker i arbetet var konsekvenser av att bryta ramen och att inte klara att härbärgera. / Introduction: Through shared experience and recognition, a feeling of being alone is conveyed. Relationships affect our health, included we feel good while involuntary loneliness affects us negatively. Loneliness is a well-known concept, but there are few studies on the psychodynamic oriented psychotherapy work with involuntarily lonely patients. Aim and questions: The study aims to investigate psychodynamic oriented psychotherapists' experiences of working with involuntarily lonely patients. How do psychodynamic oriented psychotherapists describe the work with involuntarily lonely patients, what is helpful and what can be difficult is the question. Method: Seven psychodynamic oriented psychotherapists have been interviewed with the help of semi-structured interviews both individually and in the form of a focus interview. Processing and analysis of the material was done using thematic analysis. Results: The respondents described that it was difficult to help the patients who could not or did not want to change, and it could also be the case that the individual psychotherapist was not the best person to be able to help. When it was possible to help, the patient was able to integrate the relational into the therapy process. The psychotherapist then also managed to allow himself to be touched, endure and keep boundaries in the therapy room. Discussion: The results are discussed on the basis of difficulties in establishing contact with those who have not taken the initiative themselves, in succeeding in getting young patients to stay in therapy and in gaining a grip on the patients who lacked interest and ability to express their loneliness. For the therapist, it could be difficult to bear the patient's vulnerability and sometimes the therapist was not the right person to help. The patients who went to help were able to use the therapy relationship as an exercise object and a model for relationship. Important in the work for the therapists was to understand their own loneliness, let themselves be touched, keep the frame, contain and take their own support in colleagues. Risks in the work were consequences of breaking the framework and not being able to contain.

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This study investigated the differences between descriptions of the lived experiences of painful loneliness and comfortable aloneness. Loneliness, is documented as a modern-day social problem, associated with psychic pain and suffering and myriad mental and physical health problems. Uncomplicated, comfortable or neutral aloneness, is scarce in the literature, with allusions to the possibility that people may never feel lonely. The 'essences' of the experience ofpainfol loneliness have been gathered from the literature, while the 'essences' of the experience of comfortable aloneness have been gathered interviews with five people who are comfortable or ambivalent about their aloneness. The qualitative methods of heuristic and phenomenological research have been used to interpret and make sense of the raw data generated. It was found that the subjective experiences of aloneness and loneliness are fundamentally different, and that the thoughts, meanings and realities associated with either state are similarly disparate. / Psychology / M.A. (Clinical Psychology)

This study investigated the differences between descriptions of the lived experiences of painful loneliness and comfortable aloneness. Loneliness, is documented as a modern-day social problem, associated with psychic pain and suffering and myriad mental and physical health problems. Uncomplicated, comfortable or neutral aloneness, is scarce in the literature, with allusions to the possibility that people may never feel lonely. The 'essences' of the experience ofpainfol loneliness have been gathered from the literature, while the 'essences' of the experience of comfortable aloneness have been gathered interviews with five people who are comfortable or ambivalent about their aloneness. The qualitative methods of heuristic and phenomenological research have been used to interpret and make sense of the raw data generated. It was found that the subjective experiences of aloneness and loneliness are fundamentally different, and that the thoughts, meanings and realities associated with either state are similarly disparate. / Psychology / M.A. (Clinical Psychology)