Detailed Information on Publication Record
2018
What works, from the therapists’ perspective, in the treatment of medically unexplained somatic symptoms
ČEVELÍČEK, Michal, Jan ROUBAL, Roman HYTYCH, Tomáš ŘIHÁČEK, Jana VRÁNOVÁ et. al.Basic information
Original name
What works, from the therapists’ perspective, in the treatment of medically unexplained somatic symptoms
Authors
ČEVELÍČEK, Michal (203 Czech Republic, guarantor, belonging to the institution), Jan ROUBAL (203 Czech Republic, belonging to the institution), Roman HYTYCH (203 Czech Republic, belonging to the institution), Tomáš ŘIHÁČEK (203 Czech Republic, belonging to the institution), Jana VRÁNOVÁ (203 Czech Republic, belonging to the institution) and Jana MÁCHOVÁ (203 Czech Republic, belonging to the institution)
Edition
SPR 49th Annual International Meeting, June 27–30, 2018, Amsterdam, 2018
Other information
Language
English
Type of outcome
Prezentace na konferencích
Field of Study
50101 Psychology
Country of publisher
Netherlands
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
RIV identification code
RIV/00216224:14230/18:00101045
Organization unit
Faculty of Social Studies
Keywords in English
medically unexplained somatic symptoms; treatment; psychotherapy; principles of change; mechanisms of change
Tags
Tags
International impact
Změněno: 12/3/2019 14:18, Mgr. Blanka Farkašová
Abstract
V originále
Objectives: Psychotherapy of medically unexplained physical somatic symptoms (MUPS) is an established area of practice with an evidence of effectiveness. Yet, there is a lack of research that explores mechanisms which lead to improvements in patients with MUPS. Some variables associated with the effectiveness of psychotherapy in MUPS received empirical support (e.g., symptom acceptance and emotional awareness). However, these variables were mostly studied in isolation and there is a lack of any overarching integration. One of the ways which may contribute to such an integration is asking the psychotherapists experienced in the treatment of people with MUPS about their conceptualizations, treatment plans, and expected mechanisms of effect. The goal of the presentation is to address this area, which has not been sufficiently explored yet. Method: Psychotherapists (N = 28) with different theoretical orientations and with at least 5 years of experience in the treatment of MUPS were recruited and interviewed using a semi-structured protocol. The data was analyzed using grounded theory analytic procedures. Results and conclusion: An analysis of a sub-sample of 8 Gestalt psychotherapists was presented. Change mechanisms and treatment principles reflected by the psychotherapists were reported as a stage model. The starting treatment phase (focusing on the working alliance and the acceptance of somatic symptoms as having a psychological component), was followed by the crucial phase of transition towards the middle "working phase", in which the psychosocial background of MUPS was explored and changes in the clients' lives introduced. The results were discussed in relation to the theory of common factors in psychotherapy and the conceptualization of clinical strategies by Goldfried.
Links
GA18-08512S, research and development project |
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