Mot en ökad förståelse av Termination Setback: en processtudie om interventioner vid avslut i panikfokuserad psykodynamisk psykoterapi
(2024) PTPP06 20241Department of Psychology
- Abstract (Swedish)
- Inom det psykodynamiska fältet har det länge funnits en teoretisk medvetenhet om att avslutet i psykoterapi ofta väcker starka känslomässiga reaktioner hos patienter. Symtomökning vid avslut har förståtts som en naturlig och övergående reaktion på den stundande separationen. I studier har symtomökningen visats vara vanligare i psykodynamisk terapi och vara övergående med återhämtning efter avslutad behandling. Om denna symtomökning bättre kan förstås öppnas en möjlighet att utveckla den psykodynamiska metoden. Deltagare från POSE-projektet som erhöll panikfokuserad psykodynamisk terapi och fick termination setback (TS) (Nilsson et al., 2021) (N=15) samt en kontrollgrupp (N=15) valdes ut till studien. Filmade sessioner från veckan före... (More)
- Inom det psykodynamiska fältet har det länge funnits en teoretisk medvetenhet om att avslutet i psykoterapi ofta väcker starka känslomässiga reaktioner hos patienter. Symtomökning vid avslut har förståtts som en naturlig och övergående reaktion på den stundande separationen. I studier har symtomökningen visats vara vanligare i psykodynamisk terapi och vara övergående med återhämtning efter avslutad behandling. Om denna symtomökning bättre kan förstås öppnas en möjlighet att utveckla den psykodynamiska metoden. Deltagare från POSE-projektet som erhöll panikfokuserad psykodynamisk terapi och fick termination setback (TS) (Nilsson et al., 2021) (N=15) samt en kontrollgrupp (N=15) valdes ut till studien. Filmade sessioner från veckan före rapporterad TS har skattats med Comparative Psychotherapy Process Scale (CPPS), Common Factors skattningsskala (CF-skalan) samt ett för studien konstruerat item med fokus på avslut och separation. t-test genomfördes för att undersöka skillnaderna mellan grupperna. Resultaten visade att gruppen med TS fått signifikant mindre interventioner med fokus på känslor inför separationen samt signifikant mindre relationsfrämjande och stödjande psykoterapigemensamma interventioner. Ingen skillnad kunde hittas mellan grupperna avseende psykodynamiska interventioner. Slutsatsen dras därför att psykodynamiska interventioner kan kompletteras med relationsfrämjande och stödjande interventioner samt interventioner med fokus på känslor inför separationen för att minska risken för TS. (Less)
- Abstract
- Within the psychodynamic field, there has long been a theoretical awareness that termination in psychotherapy often evokes strong emotional reactions in patients. Increased symptoms at termination have been understood as a natural and transient reaction to the impending separation. Studies have shown symptom exacerbation to be more common in psychodynamic therapy and to be transient with recovery after treatment completion. If this symptom exacerbation can be better understood, it opens up an opportunity to develop the psychodynamic method. Participants from the POSE project who received panic-focused psychodynamic therapy and experienced Termination Setback (TS) (Nilsson et al., 2021) (N=15) as well as a control group (N=15) were selected... (More)
- Within the psychodynamic field, there has long been a theoretical awareness that termination in psychotherapy often evokes strong emotional reactions in patients. Increased symptoms at termination have been understood as a natural and transient reaction to the impending separation. Studies have shown symptom exacerbation to be more common in psychodynamic therapy and to be transient with recovery after treatment completion. If this symptom exacerbation can be better understood, it opens up an opportunity to develop the psychodynamic method. Participants from the POSE project who received panic-focused psychodynamic therapy and experienced Termination Setback (TS) (Nilsson et al., 2021) (N=15) as well as a control group (N=15) were selected for the study. Filmed sessions from the week before reported TS were rated using the Comparative Psychotherapy Process Scale (CPPS), the Common Factors Rating Scale (CF-scale), and an item constructed focusing on termination and separation. t-tests were conducted to examine differences between the groups. The results showed that the TS group received significantly fewer interventions focusing on feelings about separation and significantly fewer relationship-enhancing and supportive psychotherapy-common interventions. No difference could be found between the groups regarding psychodynamic interventions. The conclusion is therefore drawn that psychodynamic interventions can be complemented with relationship-enhancing and supportive interventions as well as interventions focusing on feelings about separation to reduce the risk of TS. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9158331
- author
- Alvek, Caroline LU and Byrskog Resenterra, Jessica LU
- supervisor
- organization
- course
- PTPP06 20241
- year
- 2024
- type
- H2 - Master's Degree (Two Years)
- subject
- keywords
- Termination setback, panic-focused psychodynamic psychotherapy, terminating, common factors, panikfokuserad psykodynamisk psykoterapi, avslut
- language
- Swedish
- id
- 9158331
- date added to LUP
- 2024-06-17 10:11:28
- date last changed
- 2024-06-17 10:11:28
@misc{9158331,
abstract = {{Within the psychodynamic field, there has long been a theoretical awareness that termination in psychotherapy often evokes strong emotional reactions in patients. Increased symptoms at termination have been understood as a natural and transient reaction to the impending separation. Studies have shown symptom exacerbation to be more common in psychodynamic therapy and to be transient with recovery after treatment completion. If this symptom exacerbation can be better understood, it opens up an opportunity to develop the psychodynamic method. Participants from the POSE project who received panic-focused psychodynamic therapy and experienced Termination Setback (TS) (Nilsson et al., 2021) (N=15) as well as a control group (N=15) were selected for the study. Filmed sessions from the week before reported TS were rated using the Comparative Psychotherapy Process Scale (CPPS), the Common Factors Rating Scale (CF-scale), and an item constructed focusing on termination and separation. t-tests were conducted to examine differences between the groups. The results showed that the TS group received significantly fewer interventions focusing on feelings about separation and significantly fewer relationship-enhancing and supportive psychotherapy-common interventions. No difference could be found between the groups regarding psychodynamic interventions. The conclusion is therefore drawn that psychodynamic interventions can be complemented with relationship-enhancing and supportive interventions as well as interventions focusing on feelings about separation to reduce the risk of TS.}},
author = {{Alvek, Caroline and Byrskog Resenterra, Jessica}},
language = {{swe}},
note = {{Student Paper}},
title = {{Mot en ökad förståelse av Termination Setback: en processtudie om interventioner vid avslut i panikfokuserad psykodynamisk psykoterapi}},
year = {{2024}},
}