The meaning and feeling of the time and space between psychotherapy sessions and everyday life: Client experiences of transitions.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-10-27 DOI:10.1080/10503307.2023.2274061
Andrzej Werbart, Ulf Rådberg, Isa Holm, David Forsström, Anne H Berman
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Abstract

Objective: To explore how clients in psychodynamic or psychoanalytic psychotherapy, conducted in the traditional in-person setting, experience the transitions in time and space between psychotherapy sessions and everyday life.

Method: Twelve semi-structured interviews were analyzed with inductive experiential thematic analysis, focusing on how the participants experience and make sense of the phenomenon in focus.

Results: The participants described therapy as a sheltered space where they could be open, vulnerable, receptive, and present. Approaching and leaving psychotherapy sessions, the participants established different behavioral patterns and routines dealing with their anxieties and resistances. In this in-between area, the participants could handle interconnections and differences between therapy and everyday life. Participants stressed the clinical impact of transitions: transitions affect both therapy and everyday life; disturbed transitions have an adverse impact; transitions are insufficiently addressed in therapy.

Conclusion: Transitions between therapy and life appear to be an essential but seldom recognized part of the therapy process beyond the borders of therapy sessions. Implications of these findings for psychotherapy training and practice are discussed, and a tentative transtheoretical framework for further research is proposed.

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心理治疗和日常生活之间的时间和空间的意义和感觉:过渡的客户体验。
目的:探讨在传统的面对面环境中进行的心理动力学或精神分析心理治疗的客户如何体验心理治疗与日常生活之间的时间和空间转换。方法:采用归纳体验主题分析法对12个半结构化访谈进行分析,重点关注参与者如何体验和理解焦点现象。结果:参与者将治疗描述为一个隐蔽的空间,在那里他们可以是开放的、脆弱的、可接受的和在场的。在接近和离开心理治疗课程时,参与者建立了不同的行为模式和常规来处理他们的焦虑和阻力。在这个中间区域,参与者可以处理治疗和日常生活之间的相互联系和差异。参与者强调过渡的临床影响:过渡影响治疗和日常生活;受干扰的过渡具有不利影响;过渡在治疗中没有得到充分的解决。结论:治疗和生活之间的过渡似乎是治疗过程中一个重要但很少被认可的部分,超出了治疗过程的范围。讨论了这些发现对心理治疗训练和实践的启示,并提出了进一步研究的初步跨理论框架。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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