Experiences of overcoming depression in young adults in psychoanalytic psychotherapy

Below, Camilla von; Werbart, Andrzej; Rehnberg, Susanna

doi:10.1080/13642537.2010.482745

Cited by 15 publications

(23 citation statements)

References 32 publications

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“…difficulties sharing their problems with the group. They could see their own problems as minor or 'censor themselves,' as not everything seemed permissible [47].…”

Section: Group Psychotherapy Patients Typically Experiencedmentioning

confidence: 99%

Patient experiences of psychological therapy for depression: a qualitative metasynthesis

2020

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Background: Globally, national guidelines for depression have prioritised evidence from randomised controlled trials and quantitative meta-analyses, omitting qualitative research concerning patient experience of treatments. A review of patient experience research can provide a comprehensive overview of this important form of evidence and thus enable the voices and subjectivities of those affected by depression to have an impact on the treatments and services they are offered. This review aims to seek a comprehensive understanding of patient experiences of psychological therapies for depression using a systematic and rigorous approach to review and synthesis of qualitative research. Method: PsychINFO, PsychARTICLES, MEDLINE, and CINAHL were searched for published articles using a qualitative approach to examine experiences of psychological therapies for depression. All types of psychological therapy were included irrespective of model or modes of delivery (e.g. remote or in person; group or individual). Each article was assessed following guidance provided by the Critical Appraisal Skill Programme tool. Articles were entered in full into NVIVO and themes were extracted and synthesized following inductive thematic analysis. Results: Thirty-seven studies, representing 671 patients were included. Three main themes are described; the role of therapy features and setting; therapy processes and how they impact on outcomes; and therapy outcomes (benefits and limitations). Subthemes are described within these themes and include discussion of what works and what's unhelpful; issues integrating therapy with real life; patient preferences and individual difference; challenges of undertaking therapy; influence of the therapist; benefits of therapy; limits of therapy and what happens when therapy ends. Conclusions: Findings point to the importance of common factors in psychotherapies; highlight the need to assess negative outcomes; and indicate the need for patients to be more involved in discussions and decisions about therapy, including tailoring therapy to individual needs and taking social and cultural contexts into account.

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“…difficulties sharing their problems with the group. They could see their own problems as minor or 'censor themselves,' as not everything seemed permissible [47].…”

Section: Group Psychotherapy Patients Typically Experiencedmentioning

confidence: 99%

Patient experiences of psychological therapy for depression: a qualitative metasynthesis

2020

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“…Considering the variability in CBT clinical outcomes, an understanding of what fosters a strong therapeutic relationship is imperative to support therapists to develop positive therapeutic relationships, and thus increase the chance of successful outcomes. The client's perspective provides invaluable information for identifying what worked well and what did not as a means to improve therapeutic practice (von Below, Werbart, & Rehnberg, ). Until now, research into depressed adolescents’ experiences of what fosters a positive therapeutic relationship has been fairly limited (Binder, Moltu, Hummelsund, Sagen, & Holgersen, ; Everall & Paulson, ), with no research specifically investigating their experiences of the therapeutic relationship in CBT.…”

Section: Introductionmentioning

confidence: 99%

The therapeutic relationship in Cognitive Behaviour Therapy with depressed adolescents: A qualitative study of good‐outcome cases

et al. 2019

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Objectives. This paper aimed to explore client experiences of the therapeutic relationship among adolescents with good outcomes after receiving Cognitive Behaviour Therapy (CBT) for moderate to severe depression.Design. This was a qualitative study employing Interpretative Phenomenological Analysis (IPA).Methods. As part of a randomized clinical trial, 77 adolescents with moderate to severe depression were interviewed using a semi-structured interview, which was audiorecorded. Five of these interviews, with adolescents aged 14-18 years who completed CBT and had good outcomes, were purposively sampled and analysed using IPA.Results. The findings indicated that a positive therapeutic relationship was fostered with therapists who respected the adolescents' autonomy and sense of individuality, while offering experiences of emotional closeness and connection. This was achieved by balancing the dual roles of being 'friendly' and affable, with being a 'professional expert' thereby embodying a collaborative and egalitarian approach.Conclusions. The therapeutic relationship in CBT can help to motivate adolescents to engage with cognitively and emotionally challenging tasks. By providing an understanding of what helps and hinders the development of a positive therapeutic relationship, the current findings offer important insight into how therapists can foster positive relationships with depressed adolescents. This knowledge will make it more likely that adolescents will engage in the treatment process and in turn experience greater therapeutic gains.

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“…Therapy with adolescents presents the therapist with specific challenges that might be different from psychotherapy with adults. Establishing a therapeutic alliance with adolescents could be comprised by the patients seeing the therapist as just another authority figure in their lives [ 2 ]. Adolescents are at a stage in their development in which they are struggling with autonomy and individuation, and they need to undertake several developmental tasks to make a successful transition to adulthood.…”

Section: Introductionmentioning

confidence: 99%

Assessment of dynamic change in psychotherapy with adolescents

Ness

Dahl

Tallberg

et al. 2018

Child Adolesc Psychiatry Ment Health

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BackgroundDiagnostic interviews and questionnaires are commonly used in the assessment of adolescents referred to child and adolescent mental health services. Many of these rating scales are constructed for adults and focus on symptoms related to diagnosis. Psychodynamic Functioning Scales (PFS) focus on relational aspects and how the patients handle affects and solve problems, rather than manifest symptoms. As these aspects are considered important for mental health, the PFS were developed to assess change in adults, consistent with the relational and intrapsychic concepts of dynamic psychotherapy. The scales describe internal predispositions and psychological resources that can be mobilized to achieve adaptive functioning and life satisfaction. PFS consist of six subscales; the relational subscales Family, Friends and Romantic/Sexual relationships and the dynamic subscales Tolerance for Affects, Insight and Problem-solving Capacity. PFS has been used for the first time as a measure of change in adolescent psychotherapy. This study examines the reliability of PFS when used to assess adolescents’ level of relational functioning, affective tolerance, insight, and problem-solving capacities.MethodsOutpatient adolescents 16–18 years old with a major depressive disorder were included in the First Experimental Study of Transference work in Teenagers (FEST-IT). They were evaluated before and after time-limited psychodynamic psychotherapy with an audio-recorded semi-structured psychodynamic interview. Based on the audio-tapes, raters with different clinical background rated all the available interviews at pre-treatment (n = 66) and post-treatment (n = 30) using PFS. Interrater reliability, the reliability of change ratings and the discriminability from general symptoms were calculated in SPSS.ResultsThe interrater reliability was on average good on the relational subscales and fair to good on the dynamic subscales. All pre-post changes were significant, and the analyses indicated discriminability from general symptoms. The interrater reliability on PFS (mean) and Global Assessment of Functioning were good to excellent.ConclusionBased on the interrater reliability in our study, PFS could be recommended in psychotherapy with adolescents by experienced clinicians without extensive training. From the post-treatment evaluations available, the scales seem to capture statistically and clinically significant changes. However, the interrater reliability on dynamic subscales indicates that subscales of PFS might be considered revised or adjusted for adolescents.Trial registration First Experimental Study of Transference-Work-In Teenagers (2011/1424 FEST-IT). ClinicalTrials.gov Identifier: NCT01531101Electronic supplementary materialThe online version of this article (10.1186/s13034-018-0246-z) contains supplementary material, which is available to authorized users.

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Experiences of overcoming depression in young adults in psychoanalytic psychotherapy

Cited by 15 publications

References 32 publications

Patient experiences of psychological therapy for depression: a qualitative metasynthesis

Patient experiences of psychological therapy for depression: a qualitative metasynthesis

The therapeutic relationship in Cognitive Behaviour Therapy with depressed adolescents: A qualitative study of good‐outcome cases

Assessment of dynamic change in psychotherapy with adolescents

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