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Likt men olikt: alliansen i ISTDP och Klassisk Psykodynamisk Terapi
Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
2017 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Same but different : alliance in ISTDP and Classic PsychodynamicTherapy (English)
Abstract [sv]

Inledning: Olika terapimetoder erbjuder olika sätt att hjälpa patienterna. ISTDP utmärker sig genom att vara offensiv och som i alla metoder tillskrivs alliansen en viktig roll. Det är terapeuter som ska jobba med alliansen men hur de upplever den, vilka likheter och olikheter de ser i de metoderna de jobbar med har knappast uppmärksammats. Studiens syfte är att belysa psykodynamiska psykoterapeuters syn på alliansen i både ISTDP och klassisk psykodynamisk psykoterapi.

Frågeställningar: Hur ser kliniskt verksamma psykodynamiska psykoterapeuter på den terapeutiska alliansen i både klassisk psykodynamisk psykoterapi och ISTDP ser? Vilka är de skillnader och likheter i hur de skapar och upprätthåller den?

Metod: Sex legitimerade psykodynamisk utbildade psykoterapeuter som är utbildade i ISTDP har intervjuats. Data samlades in genom semistrukturerade intervjuer. Grundad teori användes som metod för bearbetning och analys och materialet.

Resultat: Skillnaderna finns i behovet av ram och kontrakt samt metodiken. En könsskillnad finns i synen på möjligheten att engagera sig, i tillskrivning av interventionernas betydelse för alliansskapandet och hur begrepp allians, anknytning och emotionell kontakt används. Likheter gäller betydelsen av terapeutens engagemang, kompetens och patientens problematik.

Diskussion: Resultatet diskuterats utifrån terapeutens syn på alliansen. Terapeutens engagemang och patientens problematik samt hur metodiken påverkar alliansutvecklingen har diskuterats. Upplevelsen av att kunna skapa och upprätthålla alliansen har diskuterats utifrån tydlighet och ett könsperspektiv.

Abstract [en]

Introduction: Different therapy methods provide different help. ISTDP is distinguished by being more intensive and, as in all methods, also here alliance is important. Therapists are the one who are working with the alliance but how they experienced it, what similarities and differences there are in the different methods they work with, has rarely been investigated. The goal with the study is to illustrate psychodynamic psychotherapists view on alliance in both ISTDP and classic psychodynamic psychotherapy.

Questions: How do clinically effective psychodynamic psychotherapists see the therapeutic alliance in both classic psychotherapy and ISTDP? What are the differences and similarities in how they create and maintain it?

Method: Six licensed psychodynamic psychotherapists who also are educated in ISTDP have been interviewed. The research is based on grounded theory.

Result: Differences that are found are the need for contract and frame and how the method is applied. A gender difference is in the therapist's view of the possibility of engagement, in ascribing signification to the interventions that bring about alliance and in the way alliance, attachment and emotional contact has been used. Similarities are regarding the importance of therapist's engagement, competence and patient's problems.

Discussion: The result was discussed on base of the therapist's view upon alliance. Therapist's engagement and patient's problems as well as how the method has an impact on creating the alliance has been discussed. Therapist's experience of being able to create and maintain the alliance has been discussed from a gender perspective and legibility.

Place, publisher, year, edition, pages
2017. , 33 p.
Keyword [en]
Therapeutic alliance, Therapeutic relation, Working alliance
Keyword [sv]
Terapeutisk allians, Terapeutisk relation, Arbetsallians
National Category
Psychology Applied Psychology
Identifiers
URN: urn:nbn:se:esh:diva-5960OAI: oai:DiVA.org:esh-5960DiVA: diva2:1109873
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Examiners
Available from: 2017-06-15 Created: 2017-06-14 Last updated: 2017-06-15Bibliographically approved

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