The model of dynamic balance in therapists' experiences and views on working with suicidal clients: A qualitative study

Podlogar, Tina; Poštuvan, Vita; Leo, Diego De; Žvelc, Gregor

doi:10.1002/cpp.2484

Cited by 6 publications

(13 citation statements)

References 35 publications

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“…The 21 articles included in this meta-synthesis were published between 2005 and 2021 and are derived from studies conducted in 10 different countries: Belgium (n=1), 32 Brazil (n=4), 33 - 36 Ireland (n=3), 37 - 39 Norway (n=3), 40 - 42 Peru (n=1), 43 Slovenia (n=1), 44 South Africa (n=1), 45 Sweden (n=3), 46 - 48 Taiwan (n=2), 49 , 50 and United States of America (n=2). 51 , 52 The studies used a variety of theoretical and methodological approaches: phenomenology (n=6), 36 , 40 , 41 , 43 , 48 , 51 phenomenography (n=1), 46 social constructionism (n=1), 39 symbolic interactionism (n=1), 35 and ethnography (n=1).…”

Section: Resultsmentioning

confidence: 99%

“… 50 Eleven studies did not specify the theoretical framework adopted, providing only a generic statement of being a qualitative study in addition to the method or technique used for data analysis, predominantly grounded theory (n=7). 32 , 35 , 38 , 39 , 44 , 49 , 51 …”

Section: Resultsmentioning

confidence: 99%

“…Data were collected through individual interviews (n=12), 36 - 42 , 44 , 46 - 49 focus group (n=1), 34 self-administered questionnaire (n=1), 52 combination of interviews and field notes (n=3), 32 , 45 , 51 combination of individual interview and participant observation (n=1), 50 combination of individual interview, group, and datasheet (n=1), 43 and combination of individual interview and sociodemographic questionnaire (n=2). 33 , 35 …”

Section: Resultsmentioning

confidence: 99%

“…The overall set of 21 studies comprised 435 participants from different fields of knowledge and specialties: nurses, assistant nurses, and undergraduate nursing students (n=10), 32 , 35 , 37 , 38 , 40 , 42 , 47 - 50 psychologists and psychotherapists (n=5), 33 , 36 , 39 , 43 , 44 social workers (n=2), 51 , 52 and physicians (n=1) 41 ; in some studies, the sample included practitioners from the aforementioned professions as well as psychiatrists (n=3). 34 , 45 , 46 The work contexts included psychiatry and mental health in psychiatric and general hospitals, inpatient and outpatient clinics (n=8), 32 , 40 - 42 , 46 - 48 , 50 family health strategy unit (n=1), 34 suicide intervention service (n=1), 39 emergency service (n=1), 35 clinical psychology (n=1), 36 clinical psychiatry (n=1), 49 community services (n=1), 37 and studies carried out in more than one context (n=2).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Bittersweet transformative experiences in professionals working with suicidal patients: a meta-synthesis

Ferracioli¹,

Rodrigues²,

Santos³

2023

Brazilian Journal of Psychiatry

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Objectives: To synthesize and reinterpret findings from primary qualitative studies on the emotional experience of health care professionals working with mental health and mental health professionals providing care for people with suicidal behavior. Methods: We conducted a systematic review of the literature with the SPIDER structured search strategy in six databases (PubMed, Web of Science, Scopus, PsycINFO, CINAHL, and LILACS). A meta-synthesis was performed with data from qualitative studies published between 2005 and 2021. Two independent reviewers screened and assessed the articles. They evaluated methodological quality of included articles, extracted data, and performed the thematic synthesis. Results: Of 852 articles, 21 met the inclusion/exclusion criteria and were synthesized. The meta-synthesis revealed three descriptive themes: coping with adverse experiences; coming across fortunate experiences; professional-personal implications. Based on these descriptive themes, we elaborated the analytical theme: bittersweet experiences of personal and professional transformation. Conclusions: Mental health professionals working with people manifesting suicidal behaviors must cope with complex emotional experiences that involve controversial and ambivalent feelings. Such feelings have repercussions that may transform personal and professional life. The present results are useful for the development and implementation of interventions that promote better overall mental health outcomes for healthcare providers. Registration number: PROSPERO CRD42021257237.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Bittersweet transformative experiences in professionals working with suicidal patients: a meta-synthesis

Ferracioli¹,

Rodrigues²,

Santos³

2023

Brazilian Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Again, supervision can be helpful for clinicians to gain understanding of a difficult moment in the therapeutic process. Thirdly, it should be kept in mind that suicidal ideation is not always reason for an alarm and that it can overshadow other important issues that should be discussed in psychotherapy [54]. Accordingly, it is suggested thatalthough suicidal ideation should always be taken seriouslythe amount of focusing on suicidality should be skillfully balanced with the focus on other meaningful topics.…”

Section: Discussionmentioning

confidence: 99%

Therapists’ emotional state after sessions in which suicidality is addressed: need for improved management of suicidal tendencies in patients with borderline personality pathology

et al. 2021

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Introduction Patient suicidality is a frequently experienced topic for psychotherapists. Especially adolescents with borderline personality pathology (BPP) often exhibit suicidal tendencies. Previous research which examined therapists’ countertransference towards suicidal patients suggested that therapists are negatively affected and distressed by them. We hypothesize that this emotional response of the therapists is related to specific sessions in which suicidality came up as a topic. Accordingly, the objective of this study consists in examining therapists’ emotional state on a session level of analysis. Methods The sample consisted of N = 21 adolescents (age 13–19 years) with BPD or subthreshold BPD. Therapists’ emotional states were measured in n = 418 sessions using the Session Evaluation Questionnaire. Principal component analysis was used to reduce dimensionality of the therapist response. The emotional states were compared depending on whether suicidality has been addressed in the session (SS) or not (NSS). Results Two components could be identified. Firstly, therapists were more aroused, excited, afraid, angry and uncertain after SS than after NSS. Secondly, therapists were more aroused, excited, definite and pleased after SS than after NSS. Discussion: Suicidality does not always have to be a burden for therapists: Both a “distress” and an “eustress” component occur in this context from which the latter is supposed to help clinicians master a difficult situation. Since countertransference feelings are often not fully conscious, it is necessary to do research on therapists’ emotional states after sessions in which suicidality is addressed. This is crucial to both prevent the therapeutic process from being endangered and preserve clinicians’ mental health. Clinical implications and limitations are discussed.

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Pluralistic psychotherapists' and counsellors' experiences of working with actively suicidal clients: A qualitative interpretative phenomenological analysis

Muckley

2024

Couns and Psychother Res

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BackgroundClients presenting as suicidal have been widely recognised as one of the most challenging presenting issues for psychotherapists and counsellors. There is a wealth of literature exploring risk assessment, collaboration, goals, tasks, methods, shared decision making and client preferences employed in therapy with this presenting issue. Yet, no literature explicitly explores combining these approaches or provides a framework that integrates them. Working with actively suicidal clients as a pluralistic psychotherapist and counsellor (PCP) has not been thoroughly examined to date, even though this framework and philosophy for therapy combines many of the aforementioned approaches. Therefore, it is imperative that ways of working safely with this presenting issue, for both the client and the practitioner, are explored and researched through the lens of PCP.ObjectiveTo interpret and explore pluralistic psychotherapists' and counsellors' experiences of working with actively suicidal clients to find what might be added to the body of knowledge.MethodsA qualitative interpretative phenomenological analysis of PCP with actively suicidal clients was conducted via four semi‐structured recorded interviews. Four participants were recruited purposively. Four themes and two subthemes were identified and explored.DiscussionThe findings showed PCP to be a robust holistic approach to actively suicidal clients that is safe for both client and practitioner. Furthermore, the results point towards the need for further research into the idea that PCP is useful when working with actively suicidal clients in line with recommended best practice from the client's perspective.

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The model of dynamic balance in therapists' experiences and views on working with suicidal clients: A qualitative study

Cited by 6 publications

References 35 publications

Bittersweet transformative experiences in professionals working with suicidal patients: a meta-synthesis

Bittersweet transformative experiences in professionals working with suicidal patients: a meta-synthesis

Therapists’ emotional state after sessions in which suicidality is addressed: need for improved management of suicidal tendencies in patients with borderline personality pathology

Pluralistic psychotherapists' and counsellors' experiences of working with actively suicidal clients: A qualitative interpretative phenomenological analysis

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