Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Hur resonerar terapeuter i den offentliga sjukvården kring svårigheter att arbeta med trauma?
Ersta Sköndal University College, St Lukas Educational Institute.
2015 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
How do therapists within the Swedish public health care system perceive difficulties in working with trauma? (English)
Abstract [sv]

Syftet med denna studie var att undersöka hur terapeuter inom den offentliga sjukvården resonerar kring svårigheter i att arbeta med trauma. Frågeställningarna var: hur resonerar terapeuter kring svårigheter att arbeta med trauma; vilka känslomässiga reaktioner har de; vad säger de om handledning, kollegialt stöd och organisationen inom vilket de arbetar; samt hur de resonerar kring kultur, språk och tolkanvändning. Semistrukturerade intervjuer genomfördes med fem terapeuter som arbetar inom primärvården respektive psykiatriska öppenvården. Intervjuerna spelades in, transkriberades och analyserades genom Tematisk Analys. Resultaten visar att traumatiserade personer upplevdes som en tung patientgrupp och att de önskade sig mer handledning och utbildning för att klara av arbetet. Det var även svårt för dem att se hur patienterna skickades runt mellan olika vårdinstanser. Resultaten visar också att man upplevde svårigheter kring kulturella skillnader och att arbeta med tolk. Tidsbrist i behandlingarna och underbemanning upplevdes också som försvårande omständigheter i arbetet med trauma. Avslutningsvis diskuteras om den svåra symtomatologin och traumats inbyggda dialektik är bidragande orsaker till att traumatiserade patienter skickas mellan vårdinstanser och upplevs som en tung grupp att arbeta med. Också terapeuternas beskrivningar av underbemanning och tidsbrist diskuterades utifrån de behandlingsrekommendationer som finns och riskerna om dessa inte följs.

Abstract [en]

The purpose of this study was to investigate how psychotherapists within the Swedish health service perceive difficulties in working with trauma. The research questions were how do therapists perceive difficulties in working with trauma; what are their emotional reactions; what are their views concerning supervision, peer support and the organisation within which they work; what thoughts do the therapists have concerning culture, language and the use of interpreters. Semi structured interviews were conducted with five psychotherapists who work in municipal health centers and psychiatric outpatient clinics. The interviews were recorded, transcribed and analysed using thematic analyses. The results show that in general the therapists experienced traumatised people as a difficult group of patients and they felt a need for increased levels of supervision and training. They also experienced difficulties arising from the fact that patients were often moved frequently between different health services. The results also showed that they experienced difficulties due to cultural differences and working with interpreters. Limits on treatment duration and under staffing also contributed to difficulties. The relationships between symptoms and the dialectics of trauma and the fact that patient group are often passed between health services and experienced as a difficult were discussed.

Place, publisher, year, edition, pages
2015. , 25 p.
Keyword [en]
Trauma, Psychotherapy, Difficulties, Support, Refugees
Keyword [sv]
Trauma, Psykoterapi, Svårigheter, Stöd, Flyktingar
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:esh:diva-4627OAI: oai:DiVA.org:esh-4627DiVA: diva2:815368
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Available from: 2015-06-02 Created: 2015-05-30 Last updated: 2015-06-02Bibliographically approved

Open Access in DiVA

fulltext(589 kB)114 downloads
File information
File name FULLTEXT01.pdfFile size 589 kBChecksum SHA-512
f5c1650c309021ecbab1fc93b0e852446ba59d8bb2deb292c47765d5702a15abd3cd2ac71e7c521bd0b3368fa97dd405ed5d9c44438af56c7b6e66ef318738b8
Type fulltextMimetype application/pdf

By organisation
St Lukas Educational Institute
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 114 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 196 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf