Psykoterapeuters erfarenheter av att arbeta med överdrivet självkritiska patienter : en kvalitativ intervjustudie

Detta är en Uppsats för yrkesexamina på avancerad nivå från Ersta Sköndal Bräcke högskola/Ersta Sköndal högskola/S:t Lukas utbildningsinstitut

Sammanfattning: Introduction: Excessive self-criticism constitute a huge suffering for the individual. Clinical experiences and research indicate that the phenomenon is difficult to treat and one of the strongest obstacles against a healing process. The aim of this study is to develop grounded hypothesis of what can be useful ways of relate to and/or intervene regarding excessive self-criticism. Starting point is the experience and knowledge of licenced psychodynamic psychotherapists.  Questions:What is the experience of working with patients who suffers from excessive self-criticism? In which ways and what is it that causes this condition difficult to treat?Which clinical strategies are perceived to work, respectively not work?  Method:Six semi-structured interviews with experienced psychotherapists which were coded with thematic inductive analysis.  Results: Six themes: 1) Observe reactions suggestive of self-criticism. 2) Separate the patient from self-criticism. 3) Analyse why. 4) Be a counterforce. 5) Synthonicity and mistrust. 6) Build a counterforce within the patient.  Discussion:Based on theory and research, the discussion leads to hypothesis of useful therapeutic approaches: 1) Long experience of the phenomenon. 2) Empathic, warm relational and active stand, a reinforcing counterforce. 3) Specific interventions with the aim to activate the patient’s own empathy, compassion and trust – and to others.

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