Global ETD Search

11	Sudden Gains: A Pluralistic Approach to the Patient and Therapist Experience Hansen, Brian P 01 December 2013 (has links) (PDF) Qualitative and quantitative research methods were used to study instances of sudden gains within the case load of a private practice practitioner. Five clients whose progress was marked by such changes were contrasted with the views of five clients whose progress was marked by significant setbacks. Results from the quantitative analyses indicated that clients who experienced sudden gains during therapy tended to retain their therapeutic gains over a 2-year time period. In contrast, individuals who experienced setbacks in therapy generally continued to be distressed at the 2-year reassessment. Clients who experienced sudden gains were more distressed prior to treatment and were more satisfied with their experience looking back. A stronger working alliance was found amongst those who experienced sudden gains, although there was no difference between the groups' ratings regarding the strength of the therapeutic bond. Qualitative results suggested that therapy was helpful in bringing about many changes in clients' lives, but clients who experienced sudden gains generally recalled more positive aspects of therapy, demonstrated greater utilization of therapeutic techniques, endorsed more long-term changes, accepted more responsibility for their treatment outcomes, and were less likely to react negatively to therapeutic techniques. Clients who experienced setbacks in therapy were generally less optimistic about the future, felt that they had regressed since termination, and demonstrated more resistance to therapeutic techniques. sudden gains rapid response rapid responders therapy outcome working alliance off-track deteriorators therapist factors satisfaction blue red interpretative phenomenological analysis case-based pluralistic super shrink outcome questionnaire phenomenology measuring change helpful factors Psychology
12	"Nu finns det utrymme för mina känslor" : En kvalitativ studie om plötsliga förbättringar (sudden gains) i internetbaserad psykodynamisk terapi / “There’s room for my feelings now” : A qualitative study on sudden gains in internet based psychodynamic therapy Treutiger, Arvid, Swedenmark, Erling January 2024 (has links) Patienter med plötsliga minskningar i symtom, sudden gains (SG), har i flerastudier visat sig få goda behandlingsresultat, även jämfört med patienter som fårmer gradvisa förbättringar. Det råder en brist på kunskap om vad som leder tillSG, och resultaten från forskning som undersökt orsaker till SG har sällan gåttatt replikera. Majoriteten av tidigare studier har undersökt vuxna patientgruppersom går i sedvanlig kognitiv beteendeterapi, och man har nästan uteslutandeanvänt kvantitativa metoder. I denna studie undersöktes induktivt vad som kanbidra till SG i internetbaserad psykodynamisk terapi (IPDT) för ungdomar meddepression. Reflexiv tematisk analys användes för att analysera totalt 66 chattarfrån 22 patienter. I analysen undersöktes vad som framkom i chattarna tvåsessioner innan, sessionen före, och sessionen efter SG, som kunde bidra tillförståelsen av denna plötsliga förbättring. Genom analysen identifierades att SGi IPDT i majoriteten av fallen föregås av en process som kan beskrivas i fyrateman: 1. “Engagerat arbete utifrån materialet, med stöd från terapeuten”, 2.“Konceptuell förståelse av materialet i relation till patientens egen problematik”,3. “Utvecklad självobservation gör det möjligt att prova nya förhållningssätt tillångest, försvar och känslor”, samt 4. “Självkritik och andra försvar minskar,kontakt med känslor fördjupas”. Studiens resultat kan bidra till en förståelse avprocessen bakom SG i IPDT, och visar även på att kvalitativ analys avutvecklingen under flera sessioner kan vara ett sätt att nå ny kunskap om varförvissa patienter plötsligt förbättras under sin terapi. / ERiCA-projektet Psychology psychotherapy sudden gains adolescents thematic analysis internetbased therapy psychodynamic therapy qualitative method IPDT Psykologi ungdomar internetbaserad terapi depression psykoterapi kvalitativ metod tematisk analys psykodynamisk terapi IPDT Psychology Psykologi
13	Making sense of sudden personal transformation: a qualitative study on people’s beliefs about the facilitative factors and mechanisms of their abrupt and profound inner change. Ilivitsky, Susan 21 June 2011 (has links) Sudden personal transformation (SPT) was defined as a subjectively reported, positive, profound, and lasting personal change that follows a relatively brief and memorable inner experience. Although such change has been described in numerous biographies, works of fiction, and religious and scholarly texts, a consistent definition and systematic program of research is lacking in the psychological literature. Moreover, almost nothing is known about what causes such change from the subjective point of view of individuals who have experienced it first hand. This study used semi-structured interviews and thematic analysis to explore the common beliefs of three participants about the factors that facilitated and the mechanisms that caused their SPT. Findings reveal that all participants reported a life transition, feeling miserable, feeling exhausted, feeling unable to resolve adverse circumstances, reaching a breaking point, and support from others facilitated their individual SPT’s. All participants also indicated that a formalized activity or ceremony as well as a process outside of their conscious control (either a higher power or a deep inner wisdom) produced or caused their SPT’s. Implications for future research and counselling practice are discussed. / Graduate Epiphany Quantum Change Peak Experience Transformative Change Extra-therapeutic Insight Positive Change Transformative Experience Mechanisms of Change Rock Bottom Conversion Breaking Point William James Mystical Experience Turning Point Discontinuous Change Rebirth Born Again Spiritual Awakening Post-traumatic Growth Unencumbered Moment Spiritual Emergencies Transforming Moment Convictional Experience Instantaneous Conversion Enlightenment Alcoholics Anonymous Spontaneous Recovery Facilitative Factors Predisposing Factors Antecedents Conversion Experience Crystallization of Discontent Sudden Gains Chaos Theory Second-order Change Type 2 Change Non-treatment-related Nonlinear Change

Page generated in 0.0595 seconds