“Awkward to ask”: An investigation of inner dialogues helps
explain psychotherapy termination

k 2016

“Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination

UKROPOVÁ, Lucia and Michal ČEVELÍČEK

Basic information

Original name

“Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination

Authors

UKROPOVÁ, Lucia (703 Slovakia, belonging to the institution) and Michal ČEVELÍČEK (203 Czech Republic, guarantor, belonging to the institution)

Edition

22nd Congress of the European Association for Psychotherapy, Zagreb, Croatia, 2016

Other information

Language

English

Type of outcome

Prezentace na konferencích

Field of Study

50100 5.1 Psychology and cognitive sciences

Country of publisher

Croatia

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14230/16:00093966

Organization unit

Faculty of Social Studies

Keywords in English

psychodynamic psychotherapy; inner dialogue; authenticity

Změněno: 23/3/2017 20:15, Mgr. Michal Čevelíček, Ph.D.

Abstract

V originále

Case description: A 23-year old female student presenting with depressive symptoms entered therapy with a 33-year old female therapist who had 8 years of experience in psychodynamic approach. The client completed questionnaires on outcome, therapeutic alliance, and important aspects of therapy. Furthermore, three sessions (out of planned 20) were followed by an Interpersonal Process Recall interview, during which both participants talked about their thoughts and experiencing (i.e., “inner dialogues”) during self-selected important moments of the particular session. Client’s autonomy and authenticity emerged as important topics of these interviews. Treatment goals: Reduction in depressive symptoms (lack of interest in previously enjoyable activities, avoiding social contact, exhaustion, absence of desire to live) was the main goal. The client wanted to become less dependent on opinions of other people, feel less self-conscious regarding her weight and attain higher self-esteem. Course of the treatment: There was a possible alliance rupture identified at the 14th session, which was not discussed during the following session. On a request made by the client, the therapy ended after the 18th session, prior to the 20th session it was scheduled for. Evaluation: The client markedly improved on all outcome measures at the conclusion of the therapy (e.g., Clinical Outcome Routine Evaluation – Outcome Measure). During the treatment, the therapeutic alliance between participants was relatively stable as measured by Working Alliance Inventory and Session Rating Scale. Conclusion: An analysis of therapist’s and client’s inner dialogues explained alliance ruptures and premature conclusion of the therapy: the therapist wanted the client to be more authentic at sessions. Although she was wary of pushing the client too much towards openness and authenticity, the client felt that in many respects the therapist was not close enough for her to share intimate details of her life.

Links

MUNI/A/1160/2014, interní kód MU

Name: Vývoj psychoterapeutů a výzkum terapeutického procesu

Investor: Masaryk University, Category A

Citovat

UKROPOVÁ, Lucia and Michal ČEVELÍČEK. “Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination. In 22nd Congress of the European Association for Psychotherapy, Zagreb, Croatia. 2016.

@proceedings{1376277,
   author = {Ukropová, Lucia and Čevelíček, Michal},
   booktitle = {22nd Congress of the European Association for Psychotherapy, Zagreb, Croatia},
   keywords = {psychodynamic psychotherapy; inner dialogue; authenticity},
   language = {eng},
   title = {“Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination},
   year = {2016}
}

TY  - CONF
ID  - 1376277
AU  - Ukropová, Lucia - Čevelíček, Michal
PY  - 2016
TI  - “Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination
KW  - psychodynamic psychotherapy
KW  - inner dialogue
KW  - authenticity
N2  - Case description: A 23-year old female student presenting with depressive symptoms entered therapy with a 33-year old female therapist who had 8 years of experience in psychodynamic approach. The client completed questionnaires on outcome, therapeutic alliance, and important aspects of therapy. Furthermore, three sessions (out of planned 20) were followed by an Interpersonal Process Recall interview, during which both participants talked about their thoughts and experiencing (i.e., “inner dialogues”) during self-selected important moments of the particular session. Client’s autonomy and authenticity emerged as important topics of these interviews. Treatment goals: Reduction in depressive symptoms (lack of interest in previously enjoyable activities, avoiding social contact, exhaustion, absence of desire to live) was the main goal. The client wanted to become less dependent on opinions of other people, feel less self-conscious regarding her weight and attain higher self-esteem. Course of the treatment: There was a possible alliance rupture identified at the 14th session, which was not discussed during the following session. On a request made by the client, the therapy ended after the 18th session, prior to the 20th session it was scheduled for. Evaluation: The client markedly improved on all outcome measures at the conclusion of the therapy (e.g., Clinical Outcome Routine Evaluation – Outcome Measure). During the treatment, the therapeutic alliance between participants was relatively stable as measured by Working Alliance Inventory and Session Rating Scale. Conclusion: An analysis of therapist’s and client’s inner dialogues explained alliance ruptures and premature conclusion of the therapy: the therapist wanted the client to be more authentic at sessions. Although she was wary of pushing the client too much towards openness and authenticity, the client felt that in many respects the therapist was not close enough for her to share intimate details of her life.
ER  -

UKROPOVÁ, Lucia and Michal ČEVELÍČEK. “Awkward to ask”: An investigation of inner dialogues helps explain psychotherapy termination. In \textit{22nd Congress of the European Association for Psychotherapy, Zagreb, Croatia}. 2016.

Detailed Information on Publication Record