Making meaning: The experience of Shared Individual Formulation Therapy in adults with functional neurological disorder

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Counselling & Psychotherapy Research Pub Date : 2024-07-31 DOI:10.1002/capr.12805

Myles Gutkin, Richard A. Kanaan, Loyola McLean, Jodi Cartoon, Richard J. Brown

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Abstract

Objective

Shared Individual Formulation Therapy (SIFT) is a brief, hybrid psychotherapy intervention that uses shared formulation and psychodynamic psychotherapy techniques to help participants expand their understanding of their difficulties. It was used in a pilot study for 29 adults with functional neurological disorder (FND). This analysis explores the experiences of participants using qualitative methods.

Method

Participants underwent semistructured interviews about their experiences of SIFT, which were analysed using reflexive thematic analysis from a critical realist standpoint. Findings were triangulated with the previously published quantitative results.

Results

Participants experienced SIFT as providing a safe space to help them explore and make sense of their FND. The resulting self-knowledge was experienced as promoting recovery and growth, but some participants experienced the process as challenging and were ambivalent about it.

Conclusion

The findings support SIFT's potential value for treating adults with FND. The psychodynamic aspects are an important component of SIFT for many, but not all, participants.

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创造意义：成人功能性神经紊乱患者的共享个体配方疗法体验

目的共享式个体配方疗法（SIFT）是一种简短的混合心理治疗干预方法，它采用共享式配方和心理动力学心理治疗技术，帮助参与者扩大对自身困难的理解。在一项试点研究中，该疗法被用于 29 名患有功能性神经障碍（FND）的成年人。本分析采用定性方法探讨参与者的经历。方法对参与者进行半结构式访谈，了解他们的 SIFT 体验，并从批判现实主义的立场出发，使用反思性主题分析法对这些体验进行分析。研究结果与之前公布的定量结果进行了三角验证。结果参与者认为 SIFT 为他们提供了一个安全的空间，帮助他们探索和理解他们的 FND。由此产生的自我认识被认为促进了康复和成长，但也有一些参与者认为这一过程具有挑战性，并对此感到矛盾。结论研究结果支持 SIFT 对治疗 FND 成人的潜在价值。对许多（但不是所有）参与者来说，心理动力学方面是 SIFT 的重要组成部分。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.