The COVID-19 pandemic crippled many parts of society as it spread throughout the world beginning in early 2020. Overnight, whole societies were forced to change their way life, because social distancing and lockdowns. For therapists, meant that in-person sessions no longer possible switched different forms synchronous remote communication by telephone, online audio or video link. aim this study was explore psychodynamic therapists' experiences over time transitions telepsychotherapy. Five...

Objectives. The short‐ and long‐term effects of open‐ended, psychoanalytic psychotherapy for young adults were investigated. Possible changes during the year a half follow‐up, as well predictors change, explored. Design. Patients aged 18–25 years who accepted offered individual or group included. filled out questionnaires interviewed at intake, termination, follow‐up. Alliance data collected after second session proper. Methods. primary outcome measures Symptom Checklist‐90 Inventory...

The patients’ view of curative and hindering factors in psychoanalytic psychotherapy was explored, starting from conducting the Private Theories Interview with 22 young adult patients at terminatio ...

To explore psychotherapy experiences among nonimproved young adults in psychoanalytic psychotherapy.A two-stage, mixed-method design was used. Twenty patients the clinical range at pretreatment were identified as either with reliable deterioration or no change termination. Interviews termination and 3-year follow-up analyzed grounded theory methodology."Spinning One's Wheels" emerged a core category. The described therapeutic relationship distanced artificial. While they saw active...

The aims of this naturalistic study are to present patient characteristics and analyse various outcome measures at termination for psychoanalytic psychotherapies with young adults. Patients ( n =134) between 18 25 years were included, whom 92 received individual 42 group therapy. One third had a self‐reported personality disorder. patients considerably more troubled than Swedish norm groups intake they showed improvement on all during However, the post therapy means did not fully reach...

Usually, between 5% and 20% of psychotherapy patients are dissatisfied with their treatments. This naturalistic study explores seven clearly patients' view the therapeutic process outcome. Interviews at termination psychoanalytic a 1.5-year follow-up were analysed to create tentative conceptual model patient dissatisfaction using grounded theory approach. At core is an experience abandonment by therapist felt be insufficiently flexible, therapy lacking intensity, links missing everyday life....

Private theories about psychosis, its background, and cure were studied using narratives of first-time psychotic patients their therapists. Both therapists interviewed on three occasions over a period 1 1/2 years. Three cases chosen as dyads in point order to highlight different relations between the patient's therapist's private theories, patterns recovery from outcomes. The are contrasted by paired comparisons. study indicates that an awareness joint discussion incompatibilities two...

In order to understand mechanisms of change, patients' experiences are an invaluable source information. Psychotherapy with young adults confronts therapists specific challenges. This qualitative study explores therapeutic process and outcome in 11 cases psychoanalytic psychotherapy that fulfilled the rigorous quantitative criteria for long-term success. Interviews at termination a 1.5-year follow-up were analysed applying basic grounded theory methodology software ATLAS.ti. At core...

We propose a theory-neutral, computational and data-driven method for assessing changes in semantic content of object representations following long-term psychodynamic psychotherapy. Young adults psychotherapy are compared with an age-matched, non-clinical sample at three time points. Verbatim transcripts descriptions the self parents were quantified space constructed by Latent Semantic Analysis. In group, all changed from baseline to follow-up, whereas no comparable could be observed...

Suicides are more frequent among boys than girls. A tentative, conceptual model of processes behind suicide and young men (aged 12-25), grounded in their parents' views, is presented. Extensive interviews with parents 33 cases were analyzed using grounded-theory methodology. Family alliances, coalitions, secrets interacted the boy concealing problems "hiding a mask," while professionals did not understand emergency. Four interwoven paths to found: was hunted haunted, addicted, depressed, or...

This naturalistic study presents outcomes for three therapy types practiced in psychiatric public health care Sweden. Data were collected over a 3-year period at 13 outpatient services participating the online Quality Assurance of Psychotherapy Sweden (QAPS) system. Of 1,498 registered patients, 14% never started psychotherapy, 17% dropped out from treatment, and 36% data collection. Outcome measures included symptom severity, quality life, self-rated health. Outcomes studied 180 patients...

Using a novel approach to assess attachment therapist from patient narratives (Patient Attachment Therapist Rating Scale; PAT-RS), we investigated the relationships between secure therapist, patient-rated alliance, and outcome in sample of 70 young adults treated with psychoanalytic psychotherapy. A series linear mixed-effects models, controlling for length therapy effects, indicated that at termination was associated improvement symptoms, global functioning, interpersonal problems. After...

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Objectives. This study examines how young adult patients' ideas of cure prior to psychoanalytic psychotherapy are associated with premature termination, early alliance and therapy outcome. The hypotheses were that about approaching one's problems would be related fewer terminations, higher better outcome, than distancing oneself from problems. Design. Young patients ( N =46) interviewed regarding their cure. Outcome measures administered pre‐ post‐therapy. Alliance in treatment. Methods. A...

Abstract The study aims to explore systematically the ideas of cure among young adults prior psychoanalytic psychotherapy. Forty‐six individuals aged 18 25 years who applied for psychotherapy underwent Private Theories Interview (PTI). Twenty distinct categories were identified. Based on these categories, a theoretical model was constructed with dimensions, Approaching–Distancing and Doing–Receiving. Individuals classified into types using “ideal type analysis.” Seven ideal formed:...

The present study explores the changes in young adult patients’ representations of their parents from prior to psychotherapy through long-term follow-up. Twenty-five women and 16 men Young ...

This study investigates changes in latent mental structures along the anaclitic and introjective dimensions relation to outcomes 14 cases of publicly financed psychoanalysis. The method prototype matching was adapted for personality assessment, multiple outcome measures were applied. For cases, symptom reduction accompanied by more mature integration dimensions, while showed without such improvement. could indicate that sustainable change is difficult achieve than patients. Further research...

Risk factors, suicidal behavior, and help-seeking patterns differ between young women men. We constructed a generic conceptual model of the processes underlying youth suicide, grounded in 78 interviews with parents 52 consecutive cases suicide (19 women, 33 men) identified at forensic medical autopsy compared by sex. found different forms shame hidden behind gender-specific masks, as well gender differences their paths to suicide. Several interacting factors formed negative feedback loops....

The idea of the decisive and complete cure is deeply rooted in our unconscious sacral roots symbolic healing. Double sets private theories can frequently be found among patients psychoanalysis their analysts. utopian involves a profound transformation personality by way deep regression. an attainable more limited includes new ways managing old problems. actual ongoing treatment then seen as 'next‐best solution'. fantasy creating 'the person' means 'proper' or analytic training has...

Studying experienced therapists' implicit theorizing may contribute to our understanding of what is helpful and hinders treatment with particular patient populations. In this study, 16 views curative factors, hindering outcome were explored in 22 interviews conducted at termination individual psychoanalytic psychotherapy young adults. Grounded theory methodology was used construct a tentative model therapeutic action based on the knowledge. The results indicated that developing close, safe...

Objective: To explore the association between stability or instability of services' organizational structure and patient- therapist-initiated discontinuation therapy in routine mental health. Method: Three groups, comprising altogether 750 cases health care eight different clinics, were included: with patient-initiated discontinuation, patients remaining treatment. Multilevel multinomial regression was used to estimate three models: An initial, unconditional intercept-only model, another one...

Decades of psychotherapy research suggest that patient–therapist match accounts for outcome beyond single patient or therapist variables. This study examines the associations between different patterns matching (in terms orientation on relatedness self-definition) and outcomes at termination psychoanalytic with young adults. Thirty-three patients their therapists were classified as predominately anaclitic introjective baseline. Patients in convergent dyads (both both introjective) showed...