The experience of patients and therapists in psychological therapy (original) (raw)

Abstract

List of Tables ViLl List of Figures * List of Aplendices xC Chapter 1. Introduction 1.1 Preamble 1.2 Organisation of Thesis 1.3 Background and Brief Overview of Research-On Psychological Therapies 1.4 Current Questions in Psychological Therapy Research 1.5 Possible Causes of Present Problems 1.5.1 Conceptualisation and Analysis 1.5.2 Empirical Issues 1.6 Some Attempts to feet the Need for Lore Adequate Data Gathering 14 1.7 Philosophical Underpinnings 16 1.8 Particular Approach Taken in this Thesis Chapter 2. The Experience Af Participants in psychological Therapy 2.1 Introduction 21 2.2 Objections to the Use of the Patient's Viewpoint 22 2.3 Advantages to the Use of the Patient's Viewpoint 2.3.1 Insight into the Therapeutic Relationship 2.3.2 Responsiveness to the Patients' Needs 2.3.3 Negative and Positive Aspects of Therapy 32 2.3.4 Conc ptual Analysis 35 2.3.5 Educational Benefits 36 2.4 Research into the Patients' Perception of Psychological Therapy 38 2.4.1 Retrospective Accounts 38 2.4.2 Diary Accounts 40 2.4.3 Surveys of Patient Satisfaction 42 2.4.4 Studies of Patients' Retrospective Perception of Treatment 45 2.4.5 Patients' Perceptions of Helpful Events in Therapy 2.4.6 Summary of the Patient's Perspective 2.5 The Therapist's Perspective on Psychological Therapy 2.6 Relationship between Patients' and Therapists' Perspectives 2.6.1 Research Comparing the Perspectives of Patients and Therapists 53 2.6.2 Possible Factors Involved in the Rashomon Phenomenon 55 U.

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  377. Starting to be critical of wife, and her overspendin g, general irritation coming to the surface.
  378. How the therapist spoke to me allowed me to see that I must help myself.
  379. I walked around the shops for an hour. I am agoraphobic so it proved I was better.
  380. Continuing flow of material about her past, which she seems to get benefit from.
  381. Importance of relationship with boyfriend developing.
  382. Talked about his inability to cope with unpredictability of the future, and so having to have rules in the present. He talked about panic feelings when facing unpredictability. Connected to this is a feeling that his body is a machine, out of his control.
  383. Therapist said how important it was to stay on the bus when I panic and not get off early; likewise with my job, not to rush home early.
  384. Talked about his problems in being emotional, especially angry. Does this account for his current symptoms, I wonder? Also his feelings of powerlessness.
  385. I summarised part of today that the main issue is his anger and talk of acceptance of it, not 1?is diagnosis. We continued by discussing anger, and assertion -this seemed to make him feel more hopeful.
  386. Decided to take risks with my therapist who understands and helps me to express what I want to say. But this makes me feel nervous.
  387. The doctor commented that I seem to be rather unforgiving to myself, confirming the idea that it is my own standards I don't live up to, not anyone else's.
  388. John started looking at the way his sister teased him, becoming part of his Top Dog.
  389. Just the general talk about the accident involving my mother, not particularly relevant to my symptoms but it eased my mind.
  390. That he told me more about the problems and that I gave no simple answers.
  391. Having my husband there - W. kllowed himself to talk about the sexual trauma,showing how he could trust me, and allow me to share the pain.
  392. She was able to accept my interpretation of the repetition of her relationships outside, with me here.
  393. Yes, the therapist seems to think I am hiding from him. I don't see it as hiding, more just seeing how far I dare to go.
  394. I think that Jane was more assertive after a bit of a slow start. We then talked about the different sides to her -a strong rational side and a soft feminine side, the dark side of which scares her. Established some sort of agreement to have a look at that. More confidence in me that I won't exploit this part of her.
  395. Discussion of her feelings about leaving home, mixed because of wanting to be independent and yet enjoying being the baby of the family. Also pressure from family to remain so.
  396. For the first time I said something helpful and important to myself.
  397. Relaxation exercises. I felt a definite relief of tension for a while afterwards.
  398. Discussion of what is his motivation for therapy. Patient sees this as external insight and techniques which I ought to give to him.
  399. Confrontation of his avoidance of therapy kj, being constantly late. But he didn't accept that this was anything he could be held responsible for, so I don't know how helpful it was.
  400. Being able to talk with someone who understood me and didn't interrupt. Feeling understood.
  401. I was at first on my guard with the doctor. He was new to me and I him. I feared dislike and as I let myself open up, I cried, but, then I realised I would have to try.
  402. We have similar backgrounds and I felt we shared some of the problems from that.
  403. I felt confused because I got the impression that the analyst doesn't think I'm talking about my emotions. I try very hard but I'm confused about them, I felt he was accusing me of being dishonest.