Hinder för emotionell bearbetning vid PTSD - terapeuters erfarenheter av utmaningar i arbetet med Prolonged exposure
(2020) PSPR14 20192Department of Psychology
- Abstract (Swedish)
- Uppsatsens syfte var att undersöka vilka hinder terapeuter inom en psykiatrisk öppenvårdskontext möter i arbetet med Prolonged exposure (PE) – en evidensbaserad form av traumafokuserad KBT – samt vilka organisatoriska förutsättningar de ser som viktiga för att bedriva metoden framgångsrikt. Sex terapeuter som nyligen genomgått utbildning i metoden intervjuades. Intervjuerna spelades in, transkriberades och analyserades med tematisk analys. I resultaten identifierades fem huvudteman: Komplexitet, komorbiditet och undvikande; ”Det känns verkligen”; Att tvivla, tro och lita på metoden; Tiden och behovet av space; och Samsyn och kommunikation inom organisationen. Resultaten synliggjorde utmaningar kopplat till patientrelaterade faktorer,... (More)
- Uppsatsens syfte var att undersöka vilka hinder terapeuter inom en psykiatrisk öppenvårdskontext möter i arbetet med Prolonged exposure (PE) – en evidensbaserad form av traumafokuserad KBT – samt vilka organisatoriska förutsättningar de ser som viktiga för att bedriva metoden framgångsrikt. Sex terapeuter som nyligen genomgått utbildning i metoden intervjuades. Intervjuerna spelades in, transkriberades och analyserades med tematisk analys. I resultaten identifierades fem huvudteman: Komplexitet, komorbiditet och undvikande; ”Det känns verkligen”; Att tvivla, tro och lita på metoden; Tiden och behovet av space; och Samsyn och kommunikation inom organisationen. Resultaten synliggjorde utmaningar kopplat till patientrelaterade faktorer, avvägningar mellan följsamhet i förhållande till patienten och manualens strukturerade upplägg, tro och tillit till behandlingsmetodens effektivitet, samt organisatoriska hinder beträffande patientbedömningar, tidsbrist och tidsprioritering. Därutöver framkom att terapeuterna såg utrymme i schemat och känslomässigt stöd från kollegor eller handledare som viktiga förutsättningar för att orka med arbetet, mot bakgrund av att PE upplevdes vara en tidskrävande och känslomässigt påfrestande metod. (Less)
- Abstract
- The aim of the present study was to increase understanding of clinicians' perceptions and experiences of barriers as well as favorable organizational
conditions related to administering Prolonged Exposure (PE) – an evidence-based form of trauma-focused CBT – in an out-patient care setting. Six therapists were interviewed after having completed a PE workshop. The interviews were recorded, transcribed and analyzed using thematic analysis. Five superordinate themes were identified: Complexity, comorbidity and avoidance; ”It certainly has a strong effect on you”; On doubt, faith and trust in the intervention; Time and the need for space; and Consensus and communication within the organization. The results revealed challenges related to... (More) - The aim of the present study was to increase understanding of clinicians' perceptions and experiences of barriers as well as favorable organizational
conditions related to administering Prolonged Exposure (PE) – an evidence-based form of trauma-focused CBT – in an out-patient care setting. Six therapists were interviewed after having completed a PE workshop. The interviews were recorded, transcribed and analyzed using thematic analysis. Five superordinate themes were identified: Complexity, comorbidity and avoidance; ”It certainly has a strong effect on you”; On doubt, faith and trust in the intervention; Time and the need for space; and Consensus and communication within the organization. The results revealed challenges related to patient factors, a tension between compliance to the structure of the treatment manual and patient-centered care, trust and faith in the effectiveness of PE, as well as organizational barriers concerning patient assessment, lack of time and time-management. Additionally, considering PE as being a time-consuming and emotionally taxing therapeutic method, the therapists reported a flexible schedule and access to emotional support from colleagues or a supervisor as important organizational prerequisites for administering PE. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9001376
- author
- Halling, Isak LU
- supervisor
- organization
- course
- PSPR14 20192
- year
- 2020
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- Prolonged exposure, PTSD, hinder, utmaningar, förutsättningar, spridning, implementering, evidensbaserad vård
- language
- Swedish
- id
- 9001376
- date added to LUP
- 2020-01-16 09:54:14
- date last changed
- 2020-01-16 09:54:14
@misc{9001376,
abstract = {{The aim of the present study was to increase understanding of clinicians' perceptions and experiences of barriers as well as favorable organizational
conditions related to administering Prolonged Exposure (PE) – an evidence-based form of trauma-focused CBT – in an out-patient care setting. Six therapists were interviewed after having completed a PE workshop. The interviews were recorded, transcribed and analyzed using thematic analysis. Five superordinate themes were identified: Complexity, comorbidity and avoidance; ”It certainly has a strong effect on you”; On doubt, faith and trust in the intervention; Time and the need for space; and Consensus and communication within the organization. The results revealed challenges related to patient factors, a tension between compliance to the structure of the treatment manual and patient-centered care, trust and faith in the effectiveness of PE, as well as organizational barriers concerning patient assessment, lack of time and time-management. Additionally, considering PE as being a time-consuming and emotionally taxing therapeutic method, the therapists reported a flexible schedule and access to emotional support from colleagues or a supervisor as important organizational prerequisites for administering PE.}},
author = {{Halling, Isak}},
language = {{swe}},
note = {{Student Paper}},
title = {{Hinder för emotionell bearbetning vid PTSD - terapeuters erfarenheter av utmaningar i arbetet med Prolonged exposure}},
year = {{2020}},
}