Socially phobic clients' self-descriptions, treatment progress and reflexivity in short-term cognitive-constructivist group psychotherapy
Julkaistu sarjassa
Jyväskylä studies in education, psychology and social researchTekijät
Päivämäärä
2017Oppiaine
PsykologiaThe aim of the research was to get information about different kinds of clients with
social phobia and their therapeutic progress in cognitive-constructivist group
psychotherapy. The aim was also to offer relevant information to clinicians
working with socially phobic clients on how they could help the progress of the
successful therapeutic change process of socially phobic clients, especially in early
phases of the therapy when clients are developing a reflexive stance toward their
own problematic experiences. Study I supported the view that negative self-image
is central to social phobia, but this ranged from total piteousness to relatively few
negative feelings of insufficiency. Three subgroups were formed on the basis of
commonalities and differences of the self-descriptions which were observed: the
other-oriented (n = 7), the isolated (n = 7) and the self-demanding (n = 3). These
subgroups describe the different strategies that certain socially phobic persons
habitually use when compensating for their social anxiety. In Study II, the
treatment progress of clients from these three subgroups was explored, using
qualitative assimilation analysis. Some similarities and some differences can be
noted, although the clients progressed in their assimilation process to different
degrees. The largest variance was in the isolated subgroup, as there were both
successful and unsuccessful therapeutic change processes. Study III indicated that
reflexivity seems to be a necessary condition for progress in early phases of the
therapy process, but it is important to note that reflexivity can appear in diverse
forms and at different levels. It appeared to be necessary for the therapist to work
inside the client’s therapeutic zone of proximal development (ZPD), since
premature exposure to the therapist’s conclusions, meant to increase the client’s
reflexivity, can be counterproductive. At this early assimilation stage, the client
requires empathy prior to other interventions. The research as a whole emphasizes
the challenges a therapist encounters when treating socially phobic clients with
differing needs in a group format. Socially phobic clients may differ in many ways,
including their compensatory strategies. Thus, a therapist’s responsiveness and
ability to work inside the therapeutic ZPD is necessary for successful therapeutic
progress.
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Socially phobic clients' self-descriptions, treatment progress and reflexivity in group psychotherapyJulkaisija
University of JyväskyläISBN
978-951-39-6986-8ISSN Hae Julkaisufoorumista
0075-4625Asiasanat
Metadata
Näytä kaikki kuvailutiedotKokoelmat
- Väitöskirjat [3520]
Lisenssi
Samankaltainen aineisto
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Assimilation, reflexivity, and therapist responsiveness in group psychotherapy for social phobia : A case study
Penttinen, Henna; Wahlström, Jarl; Hartikainen, Katja (Routledge; Society for Psychotherapy Research, 2017)Objective: This case study examined reflexivity and the assimilation of problematic experiences, especially its progress within and between the Assimilation of Problematic Experiences Scale (APES) Stages 2–3, in group ... -
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