Search results for "psykoterapia"

Discordances in Ascriptions of Agency and Reflectivity in the First Psychotherapy Session

2018

We analyzed the first sessions of nine long-term individual psychotherapies with a model of ten discursive tools of agency ascription and studied discursive discordances, sequences of two talk turns in which the therapeutic dyad was misaligned in terms of how they ascribed agency to the client. We also studied how the clients’ agency self-ascriptions in the turn immediately following the discordances changed from the first turn. Classifying these discordance sequences, eight different types of sequences were found. One, in which the clients’ reflective agency constructions were missed by the therapists, was subjected to a detailed analysis. peerReviewed

Soft Prosody and Embodied Attunement in Therapeutic Interaction: A Multimethod Case Study of a Moment of Change

2016

This study focused on a moment of weeping in one psychotherapy case. The overall aim was toexplore the role of “soft prosody” in psychotherapy interaction—that is, the participants’ use ofpauses, a lower volume, slower rhythms, and softer intonation than in the surrounding speech. Amixed-method, micro-analytic perspective was applied to investigate (a) social interaction, includ-ing its verbal and nonverbal elements; (2) the participants’ bodily responses, including autonomicnervous system (ANS) measurements; and (3) the participants’ thoughts and feelings during thetherapy session, as reported in subsequent individual interviews. Soft prosody was observed to be animportant conversational t…

Constructing Nonagency at the Beginning of Psychotherapy : The 10DT model

2018

This study examined how nine clients discursively constructed non-agency in their first session of individual psychotherapy. With open reading and linguistic analysis of the transcribed first sessions, combined with theory-based considerations, we created a model of discursive means for ascribing agentic and non-agentic positions, the 10 Discursive Tools model (10DT). There was large variability in how the tools functioned to create the impression of problematic agency, and the clients could not be classified according to their tool use patterns. The study shows the potential of the 10DT model for the detailed examination of presentations of “not-being-able” produced by psychotherapy client…

Enhancing the efficacy of integrative improvisational music therapy in the treatment of depression : study protocol for a randomised controlled trial

2019

Abstract Background Depression is among the leading causes of disability worldwide. Not all people with depression respond adequately to standard treatments. An innovative therapy that has shown promising results in controlled trials is music therapy. Based on a previous trial that suggested beneficial effects of integrative improvisational music therapy (IIMT) on short and medium-term depression symptoms as well as anxiety and functioning, this trial aims to determine potential mechanisms of and improvements in its effects by examining specific variations of IIMT. Methods/design A 2 × 2 factorial randomised controlled trial will be carried out at a single centre in Finland involving 68 adu…

Assimilation, reflexivity, and therapist responsiveness in group psychotherapy for social phobia: A case study.

2017

Objective: This case study examined reflexivity and the assimilation of problematic experiences, especially its progress within and between the Assimilation of Problematic Experiences Scale (APES) Stages 2–3, in group psychotherapy for social phobia. Method: The data consisted of all of one client's turns expressing the two voices of her main problematic experience in 12 sessions, and all replies by the therapist in direct connection to them. The client's utterances were rated on the APES. Results: A detailed analysis of 13 conversational passages revealed that progress in assimilation happened only when the client took a reflexive stance towards her inner experience or outer actions. There…

Predicting the working alliance over the course of long-term psychodynamic psychotherapy with the Rorschach Ego Impairment Index, self-reported defen…

2021

Better therapeutic alliances are known to predict better treatment outcomes, but little knowledge still exists on the patient characteristics that lead to better alliances. In a sample of 128 outpatients assigned to long-term psychodynamic psychotherapy and suffering from mood and/or anxiety disorder, this study evaluated how the alliance, measured using the Working Alliance Inventory (WAI), is predicted by three different measures for assessing psychological resources and vulnerabilities: the Wechsler Adult Intelligence Scale—Revised (WAIS–R), the Defense Style Questionnaire (DSQ), and the Rorschach-based Ego Impairment Index (EII-2). All the three measures showed some ability to predict t…

Introduction : Open Dialogue around the world – implementation, outcomes, experiences and perspectives

2023

Magis – A magical adventure: Using a mobile game to deliver an ACT intervention for elementary schoolchildren in classroom settings

2022

Studies of the effects of the COVID-19 pandemic have shown that this health emergency has affected especially young people. Supporting the well-being of children is thus particularly urgent. However, the high prevalence of ill-being among children requires novel approaches to providing help. Health care resources are limited, and many children did not receive support even before the pandemic. The current study presents a novel approach to delivering brief interventions for school-aged children. A mobile game based on acceptance and commitment therapy was used to increase psychological flexibility and well-being among 10 to 12-year-old schoolchildren. A sample of 106 students played the game…

Psykoterapiaprosessin keskeiset tekijät perheterapeuttien arvioitavina : Psychotherapy Process Q-set -menetelmän sovittaminen pariterapian tutkimiseen

2016

Tutkimuksessa selvitettiin Psychotherapy Process Q-set -menetelmän (PQS) ominaisuuksia ja sovellettavuutta pari- ja perheterapian näkökulmasta. Tarkastelu suoritettiin asiantuntija-arvioiden avulla kolmessa eri vaiheessa. Asiantuntijoina toimi joukko suomalaisia perheterapiakouluttajia. Ensimmäisessä vaiheessa asiantuntijat (n=8) arvioivat PQS:n kuvaamien yksilöpsykoterapiatekijöiden relevanssia pari- ja perheterapiassa. Toisessa vaiheessa asiantuntijat(n=10) arvioivat muokattujen PQS:n osioiden ja uusien pariterapiaosioiden merkitystä pariterapiaprosessin tutkimisessa. Kolmannessa vaiheessa käytettiin pientä asiantuntijaryhmää(n=5), jonka avulla etsittiin konsensusperiaatetta noudattaen sa…

Constructions of Nonagency in the Clients’ Initial Problem Formulations at the Outset of Psychotherapy

2019

This multiple case study investigated how clients construct nonagentic positions when formulating their problems in the beginning of their first psychotherapy session. The initial problem formulations of nine clients entering psychotherapy were analyzed with a detailed model drawing on discursive methodology, the 10 Discursive Tools model (10DT). We found ten problem formulation categories, each one distinguished by the tool from the 10DT model primarily used to construct nonagency. All clients gave several problem formulations from different categories and constructed nonagentic positions with a variety of discursive tools. When the resulting problem formulation categories were read in com…