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A model of therapeutic action grounded in the patients’ view of curative and hindering factors in psychoanalytic psychotherapy
Stockholms universitet.
Stockholms universitet.
2005 (Engelska)Ingår i: Psychotherapy, ISSN 0033-3204, E-ISSN 1939-1536, Vol. 42, nr 3, s. 324-339Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
2005. Vol. 42, nr 3, s. 324-339
Nyckelord [en]
Psychoanalytic psychotherapy, Patients’ view, Curative and hindering factors, Therapeutic action, Grounded theory [I]t
Nationell ämneskategori
Tillämpad psykologi
Identifikatorer
URN: urn:nbn:se:esh:diva-6417DOI: 10.1037/0033-3204.42.3.324OAI: oai:DiVA.org:esh-6417DiVA, id: diva2:1148578
Tillgänglig från: 2014-07-31 Skapad: 2017-10-11 Senast uppdaterad: 2017-11-09Bibliografiskt granskad
Ingår i avhandling
1. Exploring therapeutic action in psychoanalytic psychotherapy: Attachment to therapist and change
Öppna denna publikation i ny flik eller fönster >>Exploring therapeutic action in psychoanalytic psychotherapy: Attachment to therapist and change
2014 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim of this thesis was to explore therapeutic action in psychoanalytic psychotherapy from different perspectives (patient, therapist, observer), using different methodological approaches (qualitative and quantitative). Study I explores patients’ views of therapeutic action with grounded theory methodology. The results indicated that talking openly in a safe therapeutic relationship led to new relational experiences and expanding self-awareness. Hindering factors included difficulties “opening up” and experiencing something missing in treatment. Study II investigates experienced therapists’ views of therapeutic action. The development of a close and trusting relationship was perceived as the core curative factor. Patients’ fear of closeness hindered treatment from the therapists’ perspective. Study III involves the development and psychometric examination of a new rating scale for patient-therapist attachment (Patient Attachment to Therapist Rating Scale; PAT-RS). Inter-rater reliability was good for three of the subscales (Security, Deactivation, Disorganization), but poor for one (Hyperactivation). Patterns of correlations with other measures suggest construct validity for the reliable subscales. Study IV examines the relationships between secure attachment to therapist, alliance, and outcome. Linear mixed-effects models, controlling for therapist effects, treatment length and patient-rated alliance, indicated that secure attachment to therapist relates to outcome. Further, the unique variance associated with secure attachment to therapist predicted continued gains in functioning during follow-up. The results of this thesis suggest that the development of a secure attachment to the therapist is a central mechanism of therapeutic change. The results are discussed in relation to established notions of therapeutic action in psychoanalytic psychotherapy. Two tentative process models that may be useful for clinical practice and future research are proposed. 

Ort, förlag, år, upplaga, sidor
Stockholm: Department of Psychology, Stockholm University, 2014. s. 73
Nyckelord
Therapeutic action, Mechanisms of change, Psychoanalytic, Psychodynamic, Psychotherapy, Young adults, Attachment to therapist, Therapeutic alliance, Process, Outcome, Grounded theory, Linear mixed models
Nationell ämneskategori
Tillämpad psykologi
Forskningsämne
psykologi
Identifikatorer
urn:nbn:se:esh:diva-6412 (URN)978-91-7447-988-1 (ISBN)
Disputation
2014-11-21, David Magnussonsalen (U31), Frescati hagväg 8, Stocksholm, 13:00 (Engelska)
Opponent
Handledare
Anmärkning

At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 4: Epub ahead of print.

Tillgänglig från: 2017-11-09 Skapad: 2017-10-11 Senast uppdaterad: 2018-07-09Bibliografiskt granskad

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Lilliengren, Peter
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