Psychotherapy as a Process of Transformation: Analysis of Posttherapeutic Autobiographic Narrations

Kühnlein, Irene

doi:10.1080/10503309912331332761

Cited by 20 publications

(11 citation statements)

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“…En el paciente H se puede observar la expresión a través de procesos metacognitivos de la experiencia. Como trabajos similares han mostrado (Kühnlein, 1999), los esquemas personales sólo son flexibilizados pero no cambiados por la psicoterapia. Esto daría cuenta de los cambios relativos en la pruebas cuantitativas (ver tabla 2) de las mejorías, pero no las recuperaciones.…”

Section: Discussionunclassified

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

Castañeiras¹,

Míguez²,

García³

et al. 2009

Revista Brasileira De Terapias Cognitivas

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This qualitative study explores the impact of a cognitive therapy program on the subjective experience of patients suffering from obsessive-compulsive disorder (OCD). The accounts given by patients were compared with the results obtained from quantitative measures of symptom improvement. A distinction is made between the impact of treatment on patients' behavior and on their lived experience. An individual's experience is seen as a synthesis of his or her mental states (internal representations) expressed through metacognitive processes. Most of the patients organized their subjective experience of change in terms of improvement, not recovery. This was consistent with reduced scores on the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and Obsessive Intrusive Thoughts Inventory (INPIOs). We conclude that all the patients' stories showed a positive evaluation of their therapeutic process, irrespective of quantitative assessment results. Patients tended to describe changes more in terms of symptoms rather than in terms of experience. The advantages and limitations of using qualitative and quantitative methodologies in this context are also discussed.

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Section: Discussionunclassified

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

Castañeiras¹,

Míguez²,

García³

et al. 2009

Revista Brasileira De Terapias Cognitivas

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“…Binder et al, 2009; Nilsson, Svensson, Sandell & Clinton, 2007). Important individual differences in the experience of outcome have also been observed depending on patients’ personal background (Kühnlein, 1999; Valkonen et al, 2011) and the type of therapy (Nilsson et al, 2007). Moreover, it seems that the effects of psychotherapy must be understood in relation to the broader life span of patients (Midgley, Target & Smith, 2006) and other life domains (Binder et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Understanding Long-term Outcome from the Patients’ Perspective: A Mixed Methods Naturalistic Study on Inpatient Psychotherapy

Smet¹,

Meganck

2018

PSYCHOL BELG

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Objective:The complex phenomenon of psychotherapy outcome requires further conceptual and methodological developments that facilitate clinically meaningful research findings. In this study, we rely on an idiosyncratic and process-oriented understanding of treatment effects in order to investigate long-term outcome. A conceptual model of long-term outcome is presented that comprises both a taxonomy of change and explanatory factors.Method:A mixed methods naturalistic study was conducted in an inpatient psychotherapy setting. Long-term quantitative outcome data are complemented with a data-driven thematic analysis of interviews with 22 participants, five to six years after ending inpatient psychotherapy.Results:Long-term outcome findings show improved well-being for the majority of former patients and this until five to six years after treatment. From the patients’ perspectives, long-term changes can be situated on different interrelated existential levels: reconnection to others and (the meaning of) life, a revelation, an altered self, life changes, and altered expectations and ideas about recovery and treatment. The complex interplay of the person, the therapy centre, the outside world and the evolution over time helped explain the experienced changes and individual differences.Conclusion:The findings support the value of an idiosyncratic and process-oriented understanding of outcome and recovery as well as substantiate the importance of multiple methods and perspectives when studying the effects of psychotherapy.

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“…There may also be practical benefits associated with meta-syntheses that generate descriptions of "types" of clients, because it seems likely that practitioners tend to reflect on their work in terms of configurations or gestalts of features that represent "types" of clients, or typical therapeutic trajectories. At the present time, the use of ideal type analysis in qualitative research on therapy has been based on data from interviews (see, for example, Frommer et al, 1996;Kuhnlein, 1999). To my knowledge, no one has attempted to carry out an ideal-type analysis of a group of published case study reports.…”

Section: Qualitative "Meta-synthesis" Of Cross-case Themesmentioning

confidence: 99%

Increasing the Rigor of Case Study Evidence in Therapy Research

McLeod¹

2013

PCSP

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Over recent years, an increasing number of systematic case-based investigations of the process and outcomes of counseling and psychotherapy has been published. Nevertheless, case study knowledge continues to have a limited impact on therapy training, practice and policy. It is argued that improvement in the status of case study evidence requires further attention to ways of enhancing the rigor of case study reports. Strategies for strengthening the credibility of case study evidence are explored in relation to a range of methodological issues: the design and goals of case study research, quality criteria for evaluating the validity of case study findings, approaches to aggregating the conclusions of sets of cases, and the interpretation of case data. The paper concludes with a call for case study investigators to be active in asserting the value and relevance of this form of inquiry.

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Psychotherapy as a Process of Transformation: Analysis of Posttherapeutic Autobiographic Narrations

Cited by 20 publications

References 0 publications

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

Understanding Long-term Outcome from the Patients’ Perspective: A Mixed Methods Naturalistic Study on Inpatient Psychotherapy

Increasing the Rigor of Case Study Evidence in Therapy Research

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