Resan ingen klarar ensam - Psykodynamiska terapeuters upplevelser i psykoterapi vid psykossjukdom
(2020) PSPR14 20201Department of Psychology
- Abstract (Swedish)
- Studiens syfte var att undersöka psykodynamiska terapeuters upplevelser i psykoterapi med patienter med psykossjukdom. Sex semistrukturerade intervjuer genomfördes. Materialet analyserades med tolkande fenomenologisk analys (IPA), vilket resulterade i fyra huvudteman: Terapeutens egen resa, En avlägsen och skör destination, Att mötas på en gemensam arena samt Smittor och resevaccin. Terapeuterna beskrev att psykosområdets annorlunda och intensiva inslag utövat en stark dragningskraft i den begynnande karriären, medan senare kliniska erfarenheter fått dem att utveckla en mer genuin och personlig terapeutisk hållning. Områdets särskilda utmaningar relaterades till det kontaktskapande och alliansbyggande arbetet. Somliga patienter orsakar... (More)
- Studiens syfte var att undersöka psykodynamiska terapeuters upplevelser i psykoterapi med patienter med psykossjukdom. Sex semistrukturerade intervjuer genomfördes. Materialet analyserades med tolkande fenomenologisk analys (IPA), vilket resulterade i fyra huvudteman: Terapeutens egen resa, En avlägsen och skör destination, Att mötas på en gemensam arena samt Smittor och resevaccin. Terapeuterna beskrev att psykosområdets annorlunda och intensiva inslag utövat en stark dragningskraft i den begynnande karriären, medan senare kliniska erfarenheter fått dem att utveckla en mer genuin och personlig terapeutisk hållning. Områdets särskilda utmaningar relaterades till det kontaktskapande och alliansbyggande arbetet. Somliga patienter orsakar utmattande, sederande och förvirrande reaktioner, medan andra reagerar med starkt motstånd mot realitetsorienterande interventioner. Terapeuterna kunde uppleva sig kontrollerade och attackerade; medan ansvaret att bära patientens ohärbärgerade lidande upplevts överväldigande. I kontrast beskrevs hur en fördjupad kontakt och en känsla av frigörelse uppstått av att såväl mötas och dela en erfarenhet inom ett psykotiskt tillstånd, som då terapeuten utmanat patientens kontroll och demonstrerat sin separata individualitet. Tillgången till kollegialt stöd, handledning och egenterapi lyftes som viktiga funktioner för att hantera arbetets intensiva processer och förvirrande stillestånd. Slutligen konstaterades att psykosområdet givit upphov till såväl vitaliserande och meningsfulla, som djupt berörande upplevelser. (Less)
- Abstract
- The purpose of this study was to explore psychodynamic therapists' experiences in psychotherapy with patients suffering from psychosis. Six semi-structured interviews were conducted. The material was analysed using Interpretative Phenomenological Analysis, resulting in four main themes: The therapist’s own journey, A distant and fragile destination, Meeting in a mutual arena and Contagions and travel vaccinations. The interviewees described that the different and intense elements encountered in the field of psychosis exerted an attractive force in their beginning careers, while later clinical experiences had them develop a more genuine and personal therapeutic stance. Intrinsic challenges were related to establishing contact and a working... (More)
- The purpose of this study was to explore psychodynamic therapists' experiences in psychotherapy with patients suffering from psychosis. Six semi-structured interviews were conducted. The material was analysed using Interpretative Phenomenological Analysis, resulting in four main themes: The therapist’s own journey, A distant and fragile destination, Meeting in a mutual arena and Contagions and travel vaccinations. The interviewees described that the different and intense elements encountered in the field of psychosis exerted an attractive force in their beginning careers, while later clinical experiences had them develop a more genuine and personal therapeutic stance. Intrinsic challenges were related to establishing contact and a working alliance. Some patients induce exhausting, sedative and confusing reactions, and some react with strong resistance towards reality orienting interventions. The therapists could experience themselves being controlled or attacked; while the responsibility of holding the patient’s uncontained suffering felt overwhelming. In contrast, it was expressed how a sense of deepened contact and emancipation had emerged through meeting and sharing an experience within a psychotic state, as well as by confronting the patient’s control and demonstrating one’s separate individuality. Access to peer support, supervision and self-therapy was described as important functions in managing the intense processes and confusing stalemates inherent in practice. Also stated was how clinical engagement with psychotic conditions had given rise to revitalizing and meaningful, deeply touching experiences. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9027177
- author
- Ramner, Jonas LU
- supervisor
-
- Eva Hoff LU
- organization
- course
- PSPR14 20201
- year
- 2020
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- psykos, schizofreni, psykodynamisk psykoterapi, terapeuters upplevelser, tolkande fenomenologisk analys (IPA), psychosis, schizophrenia, psychodynamic psychotherapy, therapist experience, interpretative phenomenological analysis (IPA)
- language
- Swedish
- id
- 9027177
- date added to LUP
- 2020-08-27 15:12:18
- date last changed
- 2020-08-27 15:12:18
@misc{9027177,
abstract = {{The purpose of this study was to explore psychodynamic therapists' experiences in psychotherapy with patients suffering from psychosis. Six semi-structured interviews were conducted. The material was analysed using Interpretative Phenomenological Analysis, resulting in four main themes: The therapist’s own journey, A distant and fragile destination, Meeting in a mutual arena and Contagions and travel vaccinations. The interviewees described that the different and intense elements encountered in the field of psychosis exerted an attractive force in their beginning careers, while later clinical experiences had them develop a more genuine and personal therapeutic stance. Intrinsic challenges were related to establishing contact and a working alliance. Some patients induce exhausting, sedative and confusing reactions, and some react with strong resistance towards reality orienting interventions. The therapists could experience themselves being controlled or attacked; while the responsibility of holding the patient’s uncontained suffering felt overwhelming. In contrast, it was expressed how a sense of deepened contact and emancipation had emerged through meeting and sharing an experience within a psychotic state, as well as by confronting the patient’s control and demonstrating one’s separate individuality. Access to peer support, supervision and self-therapy was described as important functions in managing the intense processes and confusing stalemates inherent in practice. Also stated was how clinical engagement with psychotic conditions had given rise to revitalizing and meaningful, deeply touching experiences.}},
author = {{Ramner, Jonas}},
language = {{swe}},
note = {{Student Paper}},
title = {{Resan ingen klarar ensam - Psykodynamiska terapeuters upplevelser i psykoterapi vid psykossjukdom}},
year = {{2020}},
}