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Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

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Published on: January 7, 2019

Commitment under pressure: experienced therapists' inner work during difficult therapeutic impasses.

Christian Moltu¹, Per-Einar Binder, Geir Høstmark Nielsen

¹Helse Forde Psychiatric Clinic, Forde, Norway. christian.moltu@helse-forde.no

Psychotherapy Research : Journal of the Society for Psychotherapy Research

|January 26, 2010

Summary

Therapists view challenging patient impasses as crucial for professional growth. Successfully navigating these impasses involves cultivating a "helpful subjective presence" and managing difficult internal emotions.

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Area of Science:

Psychology
Psychotherapy Research

Background:

Therapeutic impasses are common in clinical practice.
Understanding therapist experiences during impasses is vital for professional development.

Purpose of the Study:

To explore how experienced therapists recall and understand successful impasse resolution.
To identify key therapeutic processes and therapist internal experiences during impasses.

Main Methods:

Qualitative methodology was employed.
In-depth, individual interviews were conducted with 12 highly skilled and experienced therapists.
Transcribed interviews were analyzed to identify themes and categories.

Main Results:

Therapists recognized impasse experiences as significant for their professional development.
A key therapeutic mode identified was "helpful subjective presence" with patients.
Processes threatening this presence included "losing hope" and "difficult feelings in the therapist in the here and now".

Conclusions:

Therapists' internal work on managing "losing hope" and "difficult feelings" is crucial for successful impasse resolution.
Cultivating a "helpful subjective presence" is a therapeutic strategy identified by experienced therapists.
Understanding and addressing therapist-related factors are key to overcoming impasses.