Regardless of the type of psychotherapy considered, change is the predominant goal. Psychotherapies differ in their explanations of how change occurs and what it is that needs to change, but pursuing change of something in some way is common. Psychotherapeutic methods, therefore, should be enhanced as knowledge of the change process improves. Furthermore, improving our knowledge about general principles of change may be of greater benefit to psychotherapy than increased knowledge about any particular change technique. This study addresses the questions 'What is psychological change?' and 'How does it occur?' from patients' viewpoints. Answers to these questions were sought using qualitative methodology. At the end of treatment, 27 people were interviewed about their experience of change. Interviews were taped and transcripts analysed using the Framework approach. Change occurred across three domains: feelings, thoughts and actions. Participants described change as both a gradual process and an identifiable moment. In relation to how change occurred, six themes emerged: motivation and readiness, perceived aspects of self, tools and strategies, learning, interaction with the therapist and the relief of talking. Change was experienced in similar ways irrespective of type of treatment. Current stage models of change may not be suited to the explanations of change provided by the participants of this study; the process of insight through reorganization might be a more accurate explanation. Understanding change as a process involving sudden and gradual elements rather than a process occurring through sequential stages could inform the development of more efficacious psychological treatments.
Ss solved 3 circle problems in each of 8 conditions formed by the presence or absence of a requirement to (a) verbalize, (b) attempt a general solution, and (c) work in the presence of another person. Immediate presence of another was found to facilitate performance heavily on the S-tile problem, but not on the 6-tile (test) problem. Verbalization strongly enhanced problem solving on the 6-tile problem, thereby confirming earlier results. Social facilitation and the absence of interactions among main effects on this kind of task were unanticipated; the results were interpreted in terms of mixedtask demands and social facilitation theory.
This paper examines the treatment of women by men in two areas of male-dominated employment: specific professions and non- traditional ‘manual’ employment such as construction, transport, and other trade workers. Based on data from secondary sources, and in-depth interviews with non-traditionally employed women in Northern Ireland, the paper is divided into three main parts. The first section assesses the extent of harassment and discrimination towards women in male- dominated professions; the second provides a similar account of the treatment of non-traditionally employed women in Northern Ireland. Evidence suggests that there is a dichotomy in the treatment of women between the two areas discussed - given that men and women in ‘manual’ employment seem to sustain a more ‘peer-like’ relationship than their counterparts in some male-dominated professions. Thus, in the third section of the paper, while attempting to avoid the trap of dualism, I posit reasons for the existence of such a dichotomy.
We held focus group discussions in clinical psychology departments around Scotland to gauge the feasibility of conducting a large-scale trial of patient-led treatment.
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