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Klienters upplevelser av missnöje med psykoterapi - en interpretativ fenomenologisk analys av missnöje med studentledd terapi

Gabinus, Sofia LU and Carlsson Thyrvin, Petra LU (2019) PSPR14 20182
Department of Psychology
Abstract
The purpose of this study was to explore clients’ experiences of dissatisfaction with completed therapy delivered by therapists in training at the Department of Psychology, Lund University. Semi-structured interviews were conducted with five participants who had received Cognitive Behavioral Therapy (CBT). The material was analysed using Interpretative Phenomenological Analysis (IPA). Five main themes were identified; Dissatisfaction with the interpersonal relationship: Experiencing the relationship as too unequal, too “friendship-like” or too filled with differences. Dissatisfaction with the therapeutic work: Feeling like a guinea pig or working towards the wrong goal. Comparing the therapist with previous therapists: The previous... (More)
The purpose of this study was to explore clients’ experiences of dissatisfaction with completed therapy delivered by therapists in training at the Department of Psychology, Lund University. Semi-structured interviews were conducted with five participants who had received Cognitive Behavioral Therapy (CBT). The material was analysed using Interpretative Phenomenological Analysis (IPA). Five main themes were identified; Dissatisfaction with the interpersonal relationship: Experiencing the relationship as too unequal, too “friendship-like” or too filled with differences. Dissatisfaction with the therapeutic work: Feeling like a guinea pig or working towards the wrong goal. Comparing the therapist with previous therapists: The previous therapist was considered better for the most part. Difficulties with expressing dissatisfaction: Participants described experiences of feeling partly to blame for the dissatisfaction. Effects of the therapy: Experiences of positive outcomes existed side by side with negative effects. The study showed that dissatisfaction was a complex and sometimes contradictory experience that was very difficult for clients to express. The importance of meta-communication about the therapeutic relationship, expectations and the goals of the therapy became clear, in accordance with precious research. (Less)
Abstract (Swedish)
Denna studies syfte var att undersöka upplevelser av missnöje hos klienter som avslutat sina terapier med studentterapeuter på psykoterapimottagningen vid Institutionen för psykologi, Lunds universitet. Semistrukturerade intervjuer genomfördes med fem deltagare som genomgått kognitiv beteendeterapi (KBT). Intervjumaterialet analyserades med hjälp av Interpretativ Fenomenologisk Analys (IPA). Fem huvudteman identifierades; Missnöje med den interpersonella relationen: Klienterna beskrev upplevelser av en terapeutisk relation som var alltför ojämlik, för “vänskapslik” eller för fylld av olikheter. Missnöje med det terapeutiska arbetet: Beskrivningar av att känna sig som en försökskanin eller arbeta mot fel mål förekom. Jämförelser med... (More)
Denna studies syfte var att undersöka upplevelser av missnöje hos klienter som avslutat sina terapier med studentterapeuter på psykoterapimottagningen vid Institutionen för psykologi, Lunds universitet. Semistrukturerade intervjuer genomfördes med fem deltagare som genomgått kognitiv beteendeterapi (KBT). Intervjumaterialet analyserades med hjälp av Interpretativ Fenomenologisk Analys (IPA). Fem huvudteman identifierades; Missnöje med den interpersonella relationen: Klienterna beskrev upplevelser av en terapeutisk relation som var alltför ojämlik, för “vänskapslik” eller för fylld av olikheter. Missnöje med det terapeutiska arbetet: Beskrivningar av att känna sig som en försökskanin eller arbeta mot fel mål förekom. Jämförelser med tidigare terapeuter: deltagarna tyckte oftast att deras tidigare terapeuter varit bättre. Svårigheter att uttrycka missnöje: Deltagarna beskrev att det var svårt att uttrycka missnöje och hade tankar om att själva ha bidragit till missnöjet. Effekter av terapin: Tankar om att terapin gett positiva resultat samexisterade med upplevda negativa effekter. Studien visade att missnöje med terapi är en mångbottnad och ibland motsägelsefull upplevelse som är svår att uttrycka. Vikten av metakommunikation om relationen, förväntningar och målen med terapin blev tydlig i denna studie, vilket också tidigare forskning visat. (Less)
Please use this url to cite or link to this publication:
author
Gabinus, Sofia LU and Carlsson Thyrvin, Petra LU
supervisor
organization
alternative title
Client experience of dissatisfaction with psychotherapy - an interpretative phenomenological analysis of dissatisfaction with therapy carried out by psychologists in training
course
PSPR14 20182
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
Client dissatisfaction, Negative effects, Psychotherapy, Suboptimal therapy, harmful therapy, alliance ruptures, Interpretative Phenomenological Analysis (IPA)
language
Swedish
id
8974106
date added to LUP
2019-04-08 10:23:28
date last changed
2019-04-08 10:23:28
@misc{8974106,
  abstract     = {{The purpose of this study was to explore clients’ experiences of dissatisfaction with completed therapy delivered by therapists in training at the Department of Psychology, Lund University. Semi-structured interviews were conducted with five participants who had received Cognitive Behavioral Therapy (CBT). The material was analysed using Interpretative Phenomenological Analysis (IPA). Five main themes were identified; Dissatisfaction with the interpersonal relationship: Experiencing the relationship as too unequal, too “friendship-like” or too filled with differences. Dissatisfaction with the therapeutic work: Feeling like a guinea pig or working towards the wrong goal. Comparing the therapist with previous therapists: The previous therapist was considered better for the most part. Difficulties with expressing dissatisfaction: Participants described experiences of feeling partly to blame for the dissatisfaction. Effects of the therapy: Experiences of positive outcomes existed side by side with negative effects. The study showed that dissatisfaction was a complex and sometimes contradictory experience that was very difficult for clients to express. The importance of meta-communication about the therapeutic relationship, expectations and the goals of the therapy became clear, in accordance with precious research.}},
  author       = {{Gabinus, Sofia and Carlsson Thyrvin, Petra}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Klienters upplevelser av missnöje med psykoterapi - en interpretativ fenomenologisk analys av missnöje med studentledd terapi}},
  year         = {{2019}},
}