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Therapists' in-session experiences with depressive clients: A grounded theory
1a Department of Psychology , Masaryk University , Brno , Czech Republic.
Summary
Psychotherapists oscillate between closeness and distance when working with depressed clients. A six-phase model illustrates this dynamic, enhancing understanding of in-session therapeutic processes.
Area of Science:
- Psychology
- Psychotherapy Research
- Clinical Psychology
Background:
- Understanding the therapist's subjective experience is crucial for effective psychotherapy.
- Depression is a common and challenging condition for therapists to manage.
Purpose of the Study:
- To explore the experiential process of psychotherapists working with clients experiencing current depression.
- To develop a theoretical model of therapists' in-session experiences.
Main Methods:
- Grounded theory methodology was employed.
- Data collected through individual and focus group interviews with 30 therapists.
Main Results:
- Therapists' experience conceptualized as 'Experiential oscillation'—moving between closeness and distance from the client's depressive experience.
- A six-phase 'Depression Co-experiencing Trajectory' model was developed to depict this process over a session.
Conclusions:
- The developed theory integrates therapists' emotional responses into a coherent process model.
- This model facilitates tracking changes in therapist experience and linking them to in-session microprocesses.
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