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Bergström, Dinara LU (2011) SOPA63 20111
School of Social Work
Abstract
Abstract

The purpose of this study was dual. First, I aimed to examine primary care counsellors’ attitudes towards Cognitive Behavioral Therapy (CBT) and Socialstyrelsen’s recommendation that CBT should be the main treatment option for depression and anxiety disorders. Second, I aimed to explore the counsellors’ discretion in their daily work and whether these recommendations limit their discretion. I have chosen Michael Lipsky’s (1980) street- level bureaucrats theory and discretion theory by Kerstin Svensson, Eva Johnsson & Leili Laanemets (2008). I conducted the study by doing semi-structured interviews with five primary care counsellors, two of whom are also CBT-therapists. The study showed that primary care counsellors have an... (More)
Abstract

The purpose of this study was dual. First, I aimed to examine primary care counsellors’ attitudes towards Cognitive Behavioral Therapy (CBT) and Socialstyrelsen’s recommendation that CBT should be the main treatment option for depression and anxiety disorders. Second, I aimed to explore the counsellors’ discretion in their daily work and whether these recommendations limit their discretion. I have chosen Michael Lipsky’s (1980) street- level bureaucrats theory and discretion theory by Kerstin Svensson, Eva Johnsson & Leili Laanemets (2008). I conducted the study by doing semi-structured interviews with five primary care counsellors, two of whom are also CBT-therapists. The study showed that primary care counsellors have an overall positive view on CBT. Counsellors who are not CBT-therapists are critical towards some parts of it at the same time as they implement other parts in their counselling. CBT-therapists feel that Socialstyrelsen’s recommendations support and validate their work, while the other three counsellors don’t think that the recommendations set limits on their discretion or put pressure on them in any way. The study also shows that the counsellors have a wide discretion and that they are free to shape their work in accordance to their knowledge and assessment. Conclusion: primary care counsellors rely upon their knowledge and skills when they choose therapeutic methods and they have a large amount of autonomy in their work.

Keywords: primary care counsellor, discretion, CBT, Socialstyrelsen, depression, anxiety, knowledge, autonomy, health care, primary care, social work, human service. (Less)
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author
Bergström, Dinara LU
supervisor
organization
course
SOPA63 20111
year
type
M2 - Bachelor Degree
subject
keywords
discretion, primary care counsellor, CBT, Socialstyrelsen, depression, anxiety, knowledge, autonomy, health care, primary care, social work, human service.
language
Swedish
id
1976253
date added to LUP
2011-06-13 17:01:14
date last changed
2011-06-13 17:01:14
@misc{1976253,
  abstract     = {Abstract

The purpose of this study was dual. First, I aimed to examine primary care counsellors’ attitudes towards Cognitive Behavioral Therapy (CBT) and Socialstyrelsen’s recommendation that CBT should be the main treatment option for depression and anxiety disorders. Second, I aimed to explore the counsellors’ discretion in their daily work and whether these recommendations limit their discretion. I have chosen Michael Lipsky’s (1980) street- level bureaucrats theory and discretion theory by Kerstin Svensson, Eva Johnsson & Leili Laanemets (2008). I conducted the study by doing semi-structured interviews with five primary care counsellors, two of whom are also CBT-therapists. The study showed that primary care counsellors have an overall positive view on CBT. Counsellors who are not CBT-therapists are critical towards some parts of it at the same time as they implement other parts in their counselling. CBT-therapists feel that Socialstyrelsen’s recommendations support and validate their work, while the other three counsellors don’t think that the recommendations set limits on their discretion or put pressure on them in any way. The study also shows that the counsellors have a wide discretion and that they are free to shape their work in accordance to their knowledge and assessment. Conclusion: primary care counsellors rely upon their knowledge and skills when they choose therapeutic methods and they have a large amount of autonomy in their work.               

Keywords: primary care counsellor, discretion, CBT, Socialstyrelsen, depression, anxiety, knowledge, autonomy, health care, primary care, social work, human service.},
  author       = {Bergström, Dinara},
  keyword      = {discretion,primary care counsellor,CBT,Socialstyrelsen,depression,anxiety,knowledge,autonomy,health care,primary care,social work,human service. 
},
  language     = {swe},
  note         = {Student Paper},
  title        = {Fri som en... kurator?},
  year         = {2011},
}