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"Afterwork": a clinical-phenomenological report.

H S Bernard1, S Drob

  • 1New York University Medical Center.

The Psychiatric Quarterly
|January 1, 1989
PubMed
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Former patients focus on perspective shifts and therapist qualities, not specific lessons, after therapy ends. Many maintain post-termination contact with their therapists, highlighting the enduring impact of the therapeutic relationship.

Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Therapy termination marks a significant transition for patients.
  • The post-therapy period, or "afterwork," involves continued psychological adjustment.
  • Understanding patient experiences after treatment is crucial for long-term therapeutic effectiveness.

Purpose of the Study:

  • To explore the psychological processes and experiences of former patients after therapy termination.
  • To identify the lasting impacts of psychotherapy beyond explicit lessons or insights.
  • To investigate the nature of post-termination contact between patients and therapists.

Main Methods:

  • Semi-structured interviews were conducted with ten former patients.
  • Participants had previously engaged with ten different therapists.

Related Experiment Videos

  • Qualitative analysis of interview data formed the basis of the findings.
  • Main Results:

    • Former patients recalled minimal specific lessons or insights from therapy.
    • Key enduring elements included shifts in perspective and internalization of the therapeutic process.
    • Positive experiences with therapists' human qualities were significant.
    • A majority of participants maintained some form of contact with their therapists post-termination.

    Conclusions:

    • The long-term impact of psychotherapy is characterized by subtle perspective changes and process internalization, rather than explicit knowledge.
    • The human qualities of the therapist play a vital role in the enduring therapeutic effect.
    • Post-termination contact suggests an ongoing significance of the therapeutic relationship.