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Published on: February 16, 2011
When and for whom do psychodynamic therapists use guided imagery? Explicating practitioners' tacit knowledge
Jule Bauckhage1, Christian Sell1
1Department of Psychology, University of Kassel, Germany.
Psychodynamic therapists use a sequential model to decide when to use guided affective imagery (GAI). Contraindications, patient stability, and therapeutic goals guide these crucial GAI indication decisions.
Area of Science:
- Psychotherapy research
- Clinical psychology
- Psychodynamic theory
Background:
- Guided imagery psychotherapy (GIP) is an established psychodynamic method.
- Evidence supports GIP's general effectiveness, but specific indication criteria remain unclear.
Purpose of the Study:
- To empirically identify indication criteria for guided affective imagery (GAI) within psychodynamic therapies.
- To develop a sequential model of therapists' decisions regarding GAI use.
Main Methods:
- Semi-structured interviews with 15 psychodynamic therapists trained in GAI.
- Grounded theory coding and Consensual Qualitative Research to analyze therapists' case recollections.
Main Results:
- A sequential model of GAI indication decisions was reconstructed.
- Contraindications (reality testing, destructiveness) are considered first.
- Factors like emotional instability, PTSD, patient/therapist characteristics, and therapeutic goals influence decisions.
Conclusions:
- The model highlights a complex interplay of factors in GAI indication.
- Findings can inform GAI training and improve differential efficacy and effectiveness.
- Therapists weigh multiple elements to determine appropriate GAI application.
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