Why did she leave? An evidence-based case study of a dropout in
an effective psychotherapy of depression

k 2017

Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression

DOLEŽAL, Petr a Michal ČEVELÍČEK

Základní údaje

Originální název

Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression

Autoři

DOLEŽAL, Petr (203 Česká republika, garant, domácí) a Michal ČEVELÍČEK (203 Česká republika, domácí)

Vydání

SPR UK & European Chapters 4th Joint Conference, 2017

Další údaje

Jazyk

angličtina

Typ výsledku

Prezentace na konferencích

Obor

50100 5.1 Psychology and cognitive sciences

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL konference

Kód RIV

RIV/00216224:14230/17:00097983

Organizační jednotka

Fakulta sociálních studií

Klíčová slova anglicky

case study; depression; psychotherapy outcome; psychotherapy process; psychotherapeutic relationship

Štítky

rivok

Příznaky

Mezinárodní význam

Změněno: 28. 3. 2018 11:59, Mgr. Blanka Farkašová

Anotace

V originále

Aim: The aim of this study was to explore mechanisms of change in relation to outcome in a successful case of psychodynamic psychotherapy. Qualitative and quantitative evaluation of outcome was put into the context of therapeutic alliance development and its mediation by responsiveness between the psychotherapist and the client. An evidence-based case study design was used to integrate data into a clinically meaningful and complex presentation. Methods: The full course of 18 sessions was videotaped and transcribed. Helpful Aspects of Therapy form was administered to both participants after every session. After the sessions 3, 9, and 13, Interpersonal Process Recall interviews were conducted with both participants. At the end of the psychotherapy, both participants completed Client Change Interviews. As the outcome measures, Symptom Checklist - 90, Personal Health Questionnaire - 9, and Clinical Outcome in Routine Evaluation were used. Session Rating Scale and Working Alliance Inventory were used as alliance measures. Results: Both quantitative and qualitative outcome evaluation strongly supported the good outcome hypothesis. However, after 18 sessions, the client chose to drop out without consulting with the therapist. The analysis of qualitative data showed that the established setting of working alliance had different functions over different stages of psychotherapy. Changes in the client’s life required a different setting, however, a persistence of the psychotherapist may have contributed to the dropout. Discussion: The responsiveness of the psychotherapist to the client’s needs proved to be a crucial aspect in identifying the need to transform psychotherapy setting in response to the changing context.

Návaznosti

MUNI/A/1024/2016, interní kód MU

Název: Změna v psychoterapii: intenzivní případové studie

Investor: Masarykova univerzita, Změna v psychoterapii: intenzivní případové studie, DO R. 2020_Kategorie A - Specifický výzkum - Studentské výzkumné projekty

Citovat

DOLEŽAL, Petr a Michal ČEVELÍČEK. Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression. In SPR UK & European Chapters 4th Joint Conference. 2017.

@proceedings{1393063,
   author = {Doležal, Petr and Čevelíček, Michal},
   booktitle = {SPR UK & European Chapters 4th Joint Conference},
   keywords = {case study; depression; psychotherapy outcome; psychotherapy process; psychotherapeutic relationship},
   language = {eng},
   title = {Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression},
   url = {https://www.researchgate.net/publication/320504980_Why_did_she_leave_An_evidence-based_case_study_of_a_dropout_in_an_effective_psychotherapy_of_depression},
   year = {2017}
}

TY  - CONF
ID  - 1393063
AU  - Doležal, Petr - Čevelíček, Michal
PY  - 2017
TI  - Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression
KW  - case study
KW  - depression
KW  - psychotherapy outcome
KW  - psychotherapy process
KW  - psychotherapeutic relationship
UR  - https://www.researchgate.net/publication/320504980_Why_did_she_leave_An_evidence-based_case_study_of_a_dropout_in_an_effective_psychotherapy_of_depression
L2  - https://www.researchgate.net/publication/320504980_Why_did_she_leave_An_evidence-based_case_study_of_a_dropout_in_an_effective_psychotherapy_of_depression
N2  - Aim: The aim of this study was to explore mechanisms of change in relation to outcome in a successful case of psychodynamic psychotherapy. Qualitative and quantitative evaluation of outcome was put into the context of therapeutic alliance development and its mediation by responsiveness between the psychotherapist and the client. An evidence-based case study design was used to integrate data into a clinically meaningful and complex presentation. Methods: The full course of 18 sessions was videotaped and transcribed. Helpful Aspects of Therapy form was administered to both participants after every session. After the sessions 3, 9, and 13, Interpersonal Process Recall interviews were conducted with both participants. At the end of the psychotherapy, both participants completed Client Change Interviews. As the outcome measures, Symptom Checklist - 90, Personal Health Questionnaire - 9, and Clinical Outcome in Routine Evaluation were used. Session Rating Scale and Working Alliance Inventory were used as alliance measures. Results: Both quantitative and qualitative outcome evaluation strongly supported the good outcome hypothesis. However, after 18 sessions, the client chose to drop out without consulting with the therapist. The analysis of qualitative data showed that the established setting of working alliance had different functions over different stages of psychotherapy. Changes in the client’s life required a different setting, however, a persistence of the psychotherapist may have contributed to the dropout. Discussion: The responsiveness of the psychotherapist to the client’s needs proved to be a crucial aspect in identifying the need to transform psychotherapy setting in response to the changing context.
ER  -

DOLEŽAL, Petr a Michal ČEVELÍČEK. Why did she leave? An evidence-based case study of a dropout in an effective psychotherapy of depression. In \textit{SPR UK \&{} European Chapters 4th Joint Conference}. 2017.

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