In the patient’s own words: a qualitative study of what patients find helpful in psychodynamic psychotherapy
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Published:2023-06-12
Issue:4
Volume:18
Page:325-337
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ISSN:1755-6228
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Container-title:The Journal of Mental Health Training, Education and Practice
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language:en
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Short-container-title:JMHTEP
Author:
Richardson Hannah,Ernst Julian,Drill Rebecca,Gill Annabel,Hunnicutt Patrick,Silver Zoe,Coger Mikaela,Beinashowitz Jack
Abstract
Purpose
This study aims to examine what patients say is helpful in psychodynamic psychotherapy by analyzing responses to an open-ended question at two time points: three months into treatment and termination.
Design/methodology/approach
Participants in this naturalistic study were a diverse group of patients seeking treatment at a psychodynamic psychotherapy training clinic (within a public hospital system). The authors used thematic analysis to categorize patient responses to an open-ended question about what is helpful in their treatment.
Findings
The authors found that a majority of patients found their psychotherapy helpful, and patient responses broke down into 16 categories. Themes that emerged from categories were what patients experience or feel, what therapists/therapy provides and what patients do in therapy. The most frequently endorsed category at both three months and termination was embedded within other categories, “mention of an other,” which captured when patients specifically mentioned another person (i.e. the therapist) in their response. The next most frequently endorsed categories were “talking/someone to talk with,” “feeling better/experiencing well-being/improved functioning” and “having regularity/structure” (at three months) and “having attention directed at experience,” “having regularity/structure” and “experiencing the professional role of the therapist” (at termination).
Originality/value
Findings shed light on factors contributing to helpful psychotherapy from patients’ perspectives in their own words. While previous research has shown that the therapy relationship is an important factor in effective therapy, the findings of this study highlight this ingredient in a personal, spontaneous way.
Subject
Psychiatry and Mental health,Organizational Behavior and Human Resource Management,Health Policy,Education,Pshychiatric Mental Health,Health (social science)
Reference34 articles.
1. Validity of controlled clinical trials of psychotherapy: findings from the NIMH treatment of depression collaborative research program;American Journal of Psychiatry,2002
2. Using thematic analysis in psychology;Qualitative Research in Psychology,2006
3. Single session and walk-in psychotherapy: a descriptive account of the literature;Counselling and Psychotherapy Research,2007
4. Single-session approaches to therapy: time to review;Australian and New Zealand Journal of Family Therapy,2012
5. Helpful and hindering events in psychotherapy: a practice research network study;Psychotherapy: Theory, Research, Practice, Training,2010