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Psykoterapins plats i offentligt finansierad sjukvård: Om mellanchefers attityder till psykoterapi som behandlingsform
Ersta Sköndal University College, St Lukas Educational Institute.
2012 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
The Area of Psychotherapy in Public Funded Health Care : On the attitudes of psychotherapy among middle managers (English)
Abstract [sv]

Denna explorativa studie utgår från ett intresse för samspelet mellan den kliniska vardagen och det omgivande samhället. Sju mellanchefer på vårdcentraler och vuxenpsykiatriska öppenvårds-mottagningar har intervjuats i syfte att undersöka deras föreställningar och attityder runt psykoterapi som behandlingsform, exempelvis deras tankar om psykoterapins verkan och tillgänglighet liksom deras medvetenhet om och attityder till en ökande betoningen på evidensbaserad vård. Frågeställningar: 1. Hur beskriver cheferna psykoterapi som behandlingsform och vilka attityder har de till psykoterapi.2. Hur upplever cheferna psykoterapins villkor, exempelvis beträffande gränsdragningar och evidensbaserad vård, och vilka attityder har man. Via semistrukturerade intervjuer har en kartläggning av utfallsrummet gjort genom att svaren har kategoriserats i de områden som framträtt under intervjuerna. Cheferna hade en positiv syn på psykoterapi och ansåg att psykoterapi behövs som behandlingsform. Deras kunskap om psykoterapi och dess villkor skilde sig åt. En misstro mellan beslutsfattare och kliniker beskrevs, liksom en önskan om en mångfald av behandlingsmetoder. Slutsatser var bl.a. att former för att integrera olika typer av kunskap för att öka tilltron mellan sjukvårdens aktörer behövs.

Abstract [en]

This exploratory study is based on an interest in the interaction between clinical routine and the surrounding community. Seven middle managers in health care centers and psychiatric clinics were interviewed to examine their beliefs and attitudes about psychotherapy as a treatment, such as their thoughts on psychotherapy effectiveness and availability as well as their awareness of and attitudes to a growing emphasis on evidence-based care. Questions: 1. How do you describe the heads psychotherapy as a treatment and what attitudes they have to psykoterapi.2. How managers experience psychotherapy conditions, for example on the boundary issues and evidence-based care, and what attitudes they have. Through semistructured interviews, a survey of the sample space made by the responses was categorized into the areas that emerged during the interviews. The managers had a positive view of psychotherapy and found that psychotherapy is needed as a form of treatment. Their knowledge regarding psychotherapy and its terms varied. Mistrust between policy makers and clinicians were described, as well as the desire for a variety of treatment methods. Conclusions included the need to find ways to integrate different types of knowledge, to build trust between healthcare stakeholders.

Place, publisher, year, edition, pages
2012. , 25 p.
Keyword [en]
attitudes, middle managers, evidence-based care, psykotherapy
Keyword [sv]
attityder, mellanchefer, evidensbaserad vård, psykoterapi
National Category
Psychology
Identifiers
URN: urn:nbn:se:esh:diva-1753OAI: oai:DiVA.org:esh-1753DiVA: diva2:561905
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Available from: 2012-11-02 Created: 2012-10-22 Last updated: 2012-11-02Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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