Inledning: Det finns idag en brist när det gäller forskning kring privata HVB-institutioner. Denna studie ämnar undersöka miljöterapeutiskt behandlingsarbete på HVB-institution. Författaren är intresserad av hur ett anknytningsbaserat behandlingsarbete kan se ut. Frågeställning: Hur skapar behandlingspersonalen förutsättningar för ungdomarnas möjlighet till anknytning? Metod: Genom att göra djupintervjuer med fem behandlingshemsterapeuter om deras arbete i den ostrukturerade miljöterapin, ämnar författaren att bidra till förståelsen och innebörden av anknytningsbaserat arbete på institution. Intervjuerna har analyserats med hjälp av förutbestämda dimensioner tagna från anknytningsteorin. Dessa fyra dimensioner, som beskriver olika aspekter av lyhördhet i föräldra-barn samspel, antas utgöra grunden för att anknytning skall kunna uppstå. Resultat: I intervjuerna framkommer att personalen använder sig av olika former av anknytningsbaserat samspel. I deras berättelser finns många exempel och beskrivningar av hur detta samspel tar sig uttryck i vardagliga situationer mellan personal och ungdom. Vid en analys av materialet hittar författaren samspel som faller in under samtliga fyra dimensioner. Diskussion: Författaren tycker sig kunna påvisa att det pågår ett medvetet arbete med att skapa förutsättningar för att anknytning skall kunna uppstå. Resultatet överensstämmer med den forskning som finns idag. Forskning har visat att de flesta terapeutiska behandlingar är verksamma, oavsett specifik metodik. En god allians är avgörande för ett positivt behandlingsutfall. För att kunna arbeta med anknytningsrelaterad problematik behöver fokus ligga på att åstadkomma en god relation mellan behandlare och klient. Kvar åsterstår att undersöka vilka ungdomar som kan vara betjänta av en anknytningsbaserad behandling och vilka som är i behov av andra insatser och i så fall vilka? / Introduction: There is a lack of research in the field of HVB-institutional care. In this study Environmental therapy treatments in HVB institutions are examined. The author is interested in what a attachment-based treatment can look like in the day to day work of the treatment-center therapists. Question: How do treatment-staff create the conditions for young people to have the opportunity to develop an attachment? Method: Through in-depth interviews with five treatment-center therapists about their work in unstructured environmental therapy, the author wishes to contribute to the understanding and significance of attachment-based work in HVB-institutions. The interviews have been analyzed with the help of predetermined aspects of attachmenttheory. These four dimensions, which describe different aspects of responsiveness in parent-child interaction, are assumed to be the foundation upon which it is possible for attachment to occur. Result: In the explanations, given by the staff, there are examples and descriptions of interaction which can be attributed to all four dimensions. Discussion: The author believes that they can demonstrate that there is a conscious effort to create the conditions under which it is possible for an attachment to occur. The result of this study corresponds with research which exists today. Research has shown that most therapeutic treatments are effective, regardless of the methodology. A good alliance is decisive for determining a positive result. To be able to work with attachment-based problems, there needs to be focus on achieving a strong relation between the therapist and the client. What remains is to look at which young people would benefit from an attachment-based treatment and which are in need of other treatments and in such cases, what are these?

No description available.

I nuläget finns det mycket begränsad kunskap kring avslut i psykologisk behandling. Olika terapiinriktningar läggerolika fokus och tyngd vid slutskedet av terapin. Inom relationell terapi anses avslutet vara en för dyaden betydandedel av terapin. I denna kvalitativa uppsats har reflexiv tematisk analys använts för att studera interaktioner ochskeenden under det avslutande samtalet i en 16-sessions BRT ur forskningsprojektet LURIPP. Videofilmer från sexolika dyader har analyserats med en inledningsvis induktiv ansats. I formuleringen av de tre teman som framkom uranalysen användes relationella termer och modeller. De slutgiltiga temana benämns relation, ovilja och framåt. Varjeenskilt tema innehåller olika aspekter som presenteras och sedan diskuteras. Förslag på vidare forskning ges.

This study investigated some of the causes of marital pathology of Zulu couples. Through a questionnaire, the study investigated factors which affect Zulu marriages. It was found, according to thi~ research, that communication and infidelity by Zulu husbands are serious causes of marital pathology. The research also revealed that the historical and cultural nature of the Zulu marriage contributes to marital pathology. The second aim of the research was to investigate the marital therapy of Zulu couples. The question was whether marital therapy works among the Zulus, given the unwillingness of Zulu husbands to be counselled. The researcher found that Zulu husbands are resistant to being counselled. A therapeutic model was designed and used with two case examples. In both cases divorces were averted. This seems to indicate that marriage counselling can restore most of the Zulu marriages if husbands could cooperate in being counselled with their wives. / Psychology of Education / M. Ed.

This study investigated some of the causes of marital pathology of Zulu couples. Through a questionnaire, the study investigated factors which affect Zulu marriages. It was found, according to thi~ research, that communication and infidelity by Zulu husbands are serious causes of marital pathology. The research also revealed that the historical and cultural nature of the Zulu marriage contributes to marital pathology. The second aim of the research was to investigate the marital therapy of Zulu couples. The question was whether marital therapy works among the Zulus, given the unwillingness of Zulu husbands to be counselled. The researcher found that Zulu husbands are resistant to being counselled. A therapeutic model was designed and used with two case examples. In both cases divorces were averted. This seems to indicate that marriage counselling can restore most of the Zulu marriages if husbands could cooperate in being counselled with their wives. / Psychology of Education / M. Ed.

Le trouble de l’usage de cannabis (TLUC) est une problématique complexe particulièrement lorsqu’il est comorbide à un trouble mental sévère (TMS). D’une part, aucune pharmacothérapie n’a été approuvée pour son traitement et d’une autre part, les psychothérapies existantes offrent au mieux une efficacité faible et non maintenue dans le temps. L’émergence de la réalité virtuelle (RV) en psychiatrie pourrait augmenter l’efficacité considérant le potentiel qu’elle a démontré pour une variété de conditions psychiatriques. Actuellement, aucune intervention ayant incorporé la RV visant le traitement du TLUC n’a fait l'objet de recherche. L’intervention Avatar pour le TLUC se veut une approche innovante utilisant la RV en tant qu’outil thérapeutique afin de faire des apprentissages et les pratiquer au moment où les cravings et les émotions sont d’intensité similaire à celle de leur quotidien. Cette intervention comprenant huit séances utilise des techniques provenant de thérapie recommandée (ex., thérapie cognitivo-comportementale, entrevue motivationnelle). Durant les périodes d’immersion, les participants ont interagi avec un avatar représentant une personne significative en lien avec leur consommation dont le thérapeute joue le rôle. Cet essai clinique pilote a visé l’évaluation de l’efficacité ainsi que la faisabilité et l’acceptabilité à court terme chez 19 participants ayant un double diagnostic de TMS et TLUC. Les résultats ont montré une réduction significative modérée de la quantité de cannabis consommée (d=0,545; p=0,017), laquelle a été confirmée par quantification du THC-COOH dans les urines. Une tendance a été observée pour la fréquence de l’usage (d=0,313; p=0,052). Concernant la sévérité du TLUC et la motivation aux changements, une petite (d=0,474; p=0,046) et modérée (d=0,523; p=0,046) taille d’effet ont été obtenues respectivement. Aucun effet significatif n’a été observé pour la qualité de vie et les symptômes psychiatriques sont restés stables. Les résultats à moyen et long terme seront évalués lorsque les participants auront terminé les suivis à 3, 6 et 12 mois. Un essai randomisé contrôlé à simple insu comparant l’intervention Avatar pour TLUC à une intervention classique en toxicomanie est en cours. / Cannabis use disorder (CUD) is a complex issue, particularly when it is comorbid with a severe mental disorder (SMD). On one hand, no pharmacotherapy has been approved for its treatment. On the other hand, existing psychotherapies offer, at best, low efficacy that is not sustained over time. The emergence of virtual reality (VR) in psychiatry could increase efficacy, given the potential it has demonstrated for a variety of psychiatric conditions. To date, no intervention incorporating VR for the treatment of CUD has been developed. The Avatar intervention for CUD is an innovative approach using VR as a therapeutic tool to learn and practice in real-time when cravings and emotions are of similar intensity to their everyday lives. This eight-session intervention uses techniques from commonly used therapeutic approaches (e.g., cognitive-behavioral therapy, motivational interviewing). During immersive sessions, participants interacted with an avatar played by the therapist, representing a significant person intrinsically linked with their consumption. This pilot clinical trial was designed to assess efficacy at short-term, feasibility, and acceptability in 19 participants with a dual diagnosis of SMD and CUD. Results showed a significant moderate reduction in the amount of cannabis consumed (d=0.545, p=0.017), which was confirmed by the quantification of THC-COOH in urine. Regarding the severity of TLUC and motivation to change, a small (d=0.474; p=0.046) and moderate (d=0.523; p=0.046) effect size were obtained, respectively. No significant effect was obtained for quality of life, and psychiatric symptoms remained stable. Once participants have completed the 3-, 6- and 12-month follow-ups, medium- and long-term results will also be assessed. A single-blind randomized controlled trial is currently underway to compare the Avatar intervention for CUD with a conventional addiction intervention.