Adolescent Patients’ Responses to Interpretations Focused on Endings in Short-Term Psychoanalytic Psychotherapy

Rosa, Elena Della; Midgley, Nick

doi:10.1080/15289168.2017.1378531

Cited by 13 publications

(6 citation statements)

References 16 publications

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“…In FEST the use of transference intervention was explored in connection to the patient's previous history of relationships (poor/low QOR versus good/high QOR). In another study of adolescents exploring whether it is helpful to link discussions of endings to the interpretation of transference, the results indicate other patient characteristics that make the young emphasize or diminish the importance of their relationship to their therapist (Elena Della Rosa & Midgley, 2017). It would be interesting to explore whether these differences are connected, i.e.…”

Section: Discussion Of the Main Resultsmentioning

confidence: 99%

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

Ness¹,

Dahl

Critchfield³

et al. 2018

Journal of Infant, Child, and Adolescent Psychotherapy

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This thesis is dedicated to my sister-in-law Eva who passed away. I miss you. I am grateful to my parents Gerd and Arne, and my siblings Gro and Hans Jørgen. You were in different ways all supporting although it is likely you never grasped what I was actually doing in the field of research. A special thanks to my husband Jon who has supported me along the way. I am grateful to University of Oslo (UiO) and Vestfold Hospital Trust (Sykehuset i Vestfold) for funding and support. A special thanks to Research Unit, Division of Mental Health (KPR) and Department of Child and Adolescent Psychiatry (BUPA) in Vestfold. Thanks to everyone I met at Vinderen (Adult Psychiatry Unit) and especially those who attended the interrater reliability-sessions. You were a group of open-minded, humorous, professional and welcoming researchers and collaborators eager to discuss clinical material. I am also most grateful to my supervisors; Randi Ulberg, Hanne-Sofie Johnsen Dahl and Per Høglend. Randi, I still cannot understand how you can literally be available 24/7 for support, assistance and guidance-always with a smile. Thanks again to everyone involved in FEST and FEST-IT, including the almost 200 patients. Last, but by no means least, to my children Fredrik, Erik and Mari. You keep teaching me the importance of relationships and illustrate the everyday ups and downs that make everyone's life unique in experience, process-and change.

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Section: Discussion Of the Main Resultsmentioning

confidence: 99%

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

Ness¹,

Dahl

Critchfield³

et al. 2018

Journal of Infant, Child, and Adolescent Psychotherapy

View full text Add to dashboard Cite

show abstract

“…How to best tailor interventions in STPP has been debated [ 76 ]. Christogiorgos et al suggested that TI in STPP should focus on positive transference and on work in the “here-and-now” [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

“…This was suggested to have in mind, especially in short-term therapy and when it comes to the issue of ending therapy. A process study found that TI around endings may trigger different types of reactions, which might reflect ways that adolescents use to deal with the anxiety around ending and separation from the therapists [ 76 ]. The authors conclude that the focus on transference should be paced and adapted in a flexible way, based on the particular patient and his/her responses when therapy is coming to an end [ 76 ].…”

Section: Discussionmentioning

confidence: 99%

“…A process study found that TI around endings may trigger different types of reactions, which might reflect ways that adolescents use to deal with the anxiety around ending and separation from the therapists [ 76 ]. The authors conclude that the focus on transference should be paced and adapted in a flexible way, based on the particular patient and his/her responses when therapy is coming to an end [ 76 ]. Many clinicians work in public healthcare and are guided by mental health policies and conditions that limit the amount of time available for treatment [ 79 ].…”

Section: Discussionmentioning

confidence: 99%

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Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression

Jones

Råbu

Røssberg

et al. 2020

IJERPH

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Psychodynamic therapy is an effective treatment for depression. However, a large number of adolescent patients with depression do not respond and/or drop out of therapy and little is known about what therapists actually do in therapy with adolescents. Thus, more research is needed to explore the various actions that therapists do in therapy, so that therapists can tailor their therapy more specifically to each individual adolescent. The present study aimed to investigate how the experience of psychotherapists differs between two treatment modes for adolescents with depression: psychodynamic psychotherapy with and without transference interventions. In-depth interviews were conducted with six therapists. The data, which were analyzed using thematic analysis, generated three key themes: (1) The therapists experienced that transference interventions are often useful in therapies with adolescents with depression, (2) therapies without transference interventions can be challenging for therapists, but still helpful for patients, and (3) the experience contributed to the deepening recognition of therapists that they always need to adapt their techniques to the particular patient. The results enhance our knowledge of the significance of therapists’ actions in therapy with adolescents. The therapists highlighted issues that are important for identifying barriers to incorporating new knowledge into clinical practice.

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“…Less is known about how therapy works for the individual and what the helpful factors are in psychotherapy for young people. To further explore how therapy works, qualitative methods are suitable and requested [ 14 , 15 , 16 ]. Adolescents are in a crucial stage where how to process emotions and acquire a better ability for abstract thinking are changing and under development.…”

Section: Introductionmentioning

confidence: 99%

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Henriksen

Ulberg

Tallberg

et al. 2021

IJERPH

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The incidence of depression in teenagers has increased for many years and is one of the most common diagnosis in adolescent psychiatry. Effective and accessible psychotherapy methods need sustained attention since psychopharmaceutic treatment might be less effective in younger people than in adults. The First Experimental Study of Transference–In Teenagers (FEST-IT) is a Randomized Controlled Study (RCT) with a dismantling design. The main intention in this study was to illustrate a way to address parts of a case formulation by focusing a psychodynamic feature in two different therapies with a good outcome suffering from depression. We present two representative patients from the FEST-IT with case formulations revealing conflicted anger. The patients were different in many aspects, as were the therapeutic methods. Therapies with and without transference interpretations may help to understand what is helpful in therapy in general. It may also show how a more individualized approach can guide the therapy beyond diagnosis and to make it more effective for the specific patient. Looking into individual cases with good outcomes can help us address dynamic features in therapy and give some ideas about what works for whom. The use of nested qualitative double case studies may together add more knowledge about working aspects in successful therapies.

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Adolescent Patients’ Responses to Interpretations Focused on Endings in Short-Term Psychoanalytic Psychotherapy

Cited by 13 publications

References 16 publications

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

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