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Psykoterapeutiska faktorer i psykodynamisk terapi och kognitiv beteendeterapi - En jämförande kvalitativ intervjustudie

Nilsson, Thomas LU (2020) PSPR14 20192
Department of Psychology
Abstract (Swedish)
Introduktion: Det råder fortfarande oklarheter kring genom vilka mekanismer psykoterapi har effekt. För att förstå detta har psykoterapi undersökts med både komponentstudier och kvalitativa intervjustudier. Föreliggande studies syfte var att genom kvalitativ metod göra en jämförelse mellan verksamma mekanismer i PDT respektive KBT. Metod: Intervjuer genomfördes av 8 personer där 4 hade genomgått KBT och 4 PDT, 2 män och 6 kvinnor i åldern 21-31. Under intervjuerna fördes anteckningar som sedan renskrevs och analyserades med tematisk analys utifrån en kritisk-realistisk ansats. Resultat: Teman som uppkom lika mycket i båda grupper kallades generella teman och rörde att få berätta fritt, en positiv relation till terapeuten och en känsla av... (More)
Introduktion: Det råder fortfarande oklarheter kring genom vilka mekanismer psykoterapi har effekt. För att förstå detta har psykoterapi undersökts med både komponentstudier och kvalitativa intervjustudier. Föreliggande studies syfte var att genom kvalitativ metod göra en jämförelse mellan verksamma mekanismer i PDT respektive KBT. Metod: Intervjuer genomfördes av 8 personer där 4 hade genomgått KBT och 4 PDT, 2 män och 6 kvinnor i åldern 21-31. Under intervjuerna fördes anteckningar som sedan renskrevs och analyserades med tematisk analys utifrån en kritisk-realistisk ansats. Resultat: Teman som uppkom lika mycket i båda grupper kallades generella teman och rörde att få berätta fritt, en positiv relation till terapeuten och en känsla av att vara värdefull. Teman i PDT-gruppen rörde emotionellt utforskande, större självinsikt och större förståelse för och kontroll över interpersonella mönster. Teman i KBT-gruppen rörde beteendestrategier, distans till negativa tankar och förmåga till självhävdelse. Diskussion: Resultaten bekräftar till stor del tidigare kvalitativ psykoterapiforskning och talar emot teorier som anser psykoterapeutisk teknik som irrelevant och relationella aspekter som de enda verksamma mekanismerna. Svårigheter med att jämföra kvalitativ psykoterapiforskning på grund av olika forskares begreppsval och analysnivå diskuteras. Förslag på forskningsmetodologiska åtgärder föreslås. (Less)
Abstract
Introduction: There are still some uncertainties about the mechanisms of psychotherapy. To understand this psychotherapy has been investigated with both component studies and qualitative interview studies. The aim of the present study was to make a comparison between mechanisms in psychodynamic therapy (PDT) and cognitive-behavioural therapy (CBT) respectively using a qualitative method. Method: Interviews were conducted with 8 people of which 4 had undergone KBT and 4 PDT, 2 men and 6 women aged 21-31. Notes were taken during the interviews that were later systematized and analyzed with thematic analysis based on a critical-realist approach. Results: Therapeutic themes that emerged equally in both groups were called General themes and... (More)
Introduction: There are still some uncertainties about the mechanisms of psychotherapy. To understand this psychotherapy has been investigated with both component studies and qualitative interview studies. The aim of the present study was to make a comparison between mechanisms in psychodynamic therapy (PDT) and cognitive-behavioural therapy (CBT) respectively using a qualitative method. Method: Interviews were conducted with 8 people of which 4 had undergone KBT and 4 PDT, 2 men and 6 women aged 21-31. Notes were taken during the interviews that were later systematized and analyzed with thematic analysis based on a critical-realist approach. Results: Therapeutic themes that emerged equally in both groups were called General themes and related to talking freely, a positive relationship with the therapist and a sense of being valued. The themes in the PDT-group related to emotional exploration, greater self-awareness and greater understanding & control of interpersonal patterns. The themes in the CBT-group related to behavioral strategies, distance to negative thoughts and ability for self-assertion. Discussion: The results largely confirm previous qualitative psychotherapy findings and contradict theories that regard psychotherapeutic techniques as irrelevant and relational aspects as the only therapeutic factors. Difficulties in comparing qualitative psychotherapy research due to different researcher choices of terminology and level of analysis are discussed. Proposals to remedy this are given. (Less)
Please use this url to cite or link to this publication:
author
Nilsson, Thomas LU
supervisor
organization
course
PSPR14 20192
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
Psykoterapi, kvalitativ forskning, psykodynamisk psykoterapi, kognitiv beteendeterapi, klient-erfarenhet, intervju
language
Swedish
id
9004191
date added to LUP
2020-02-06 15:26:14
date last changed
2020-02-06 15:26:14
@misc{9004191,
  abstract     = {{Introduction: There are still some uncertainties about the mechanisms of psychotherapy. To understand this psychotherapy has been investigated with both component studies and qualitative interview studies. The aim of the present study was to make a comparison between mechanisms in psychodynamic therapy (PDT) and cognitive-behavioural therapy (CBT) respectively using a qualitative method. Method: Interviews were conducted with 8 people of which 4 had undergone KBT and 4 PDT, 2 men and 6 women aged 21-31. Notes were taken during the interviews that were later systematized and analyzed with thematic analysis based on a critical-realist approach. Results: Therapeutic themes that emerged equally in both groups were called General themes and related to talking freely, a positive relationship with the therapist and a sense of being valued. The themes in the PDT-group related to emotional exploration, greater self-awareness and greater understanding & control of interpersonal patterns. The themes in the CBT-group related to behavioral strategies, distance to negative thoughts and ability for self-assertion. Discussion: The results largely confirm previous qualitative psychotherapy findings and contradict theories that regard psychotherapeutic techniques as irrelevant and relational aspects as the only therapeutic factors. Difficulties in comparing qualitative psychotherapy research due to different researcher choices of terminology and level of analysis are discussed. Proposals to remedy this are given.}},
  author       = {{Nilsson, Thomas}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Psykoterapeutiska faktorer i psykodynamisk terapi och kognitiv beteendeterapi - En jämförande kvalitativ intervjustudie}},
  year         = {{2020}},
}