Psykoterapeutin henkilökohtaisten ominaisuuksien merkitys psykoterapiassa ja niiden vaikutus tuloksellisuuteen identiteettihaastattelun perusteella
Abstract
The purpose of my study was to use the Psychotherapist Identity Interview (PII)
method, developed for this study and based on Erik H. Erikson's and Heinz Kohut's
theories, to examine the significance of the personal characteristics of psychotherapists
for psychotherapy, and their effect on treatment results. The study described the
theoretical background and development of the interview method and the validation
of the instrument. The study involved 68 contract therapists from the Helsinki
Psychotherapy Study and 333 patients, of whom 65 therapists and 308 patients were
included in the as-sessment of benefit from therapy. Videotaped, semistructured
therapist interviews were assessed using 16 variables describing therapists and based
on Erikson's and Kohut's theories. Three factors, Creative will, Empathy, and Ability to
form close interpersonal relationships, were formed from the variables and examined in
relation to demographic and therapist factors. Solution-focused therapists had more
slightly pronounced Creative will than advanced specialist level and specialist level
psychodynamic therapists. Therapists delivering solution-focused therapy had more
pronounced Creative will compared to other therapists. Therapists delivering solution-
focused therapy had less Empathy than other therapists. Therapists living alone with
one or more minor children had less Ability to form close interpersonal relationships
than those living with a spouse or with a spouse and one or more minor children.
Cluster analysis provided six clusters described qualitatively on the basis of the
researcher's description of the atmosphere in the interview situation. The clusters were
assessed in relation to the benefit from therapy at 12 months as assessed by outside
interviewers. Based on paired comparison of the clusters only the fifth cluster
(Dependence-tinged warmth and calm unhurriedness, scant awkward feelings) differed from
all others. The patients' benefit from therapy delivered by therapists of that cluster was
clearly less than in the case of the other clusters. According to assessment by external
interviewers at 12 months, patients of therapists administering long-term
psychodynamic psychotherapy had benefited from therapy more, on average, than
patients whose therapists did not administer long-term psychodynamic
psychotherapy. The difference between the benefit obtained by the patients of
therapists providing long-term psychodynamic psychotherapy and the patients of
therapists not providing that therapy was independent of the therapists' characteristics.
Main Author
Format
Theses
Doctoral thesis
Published
2018
Series
Subjects
ISBN
978-951-39-7310-0
Publisher
University of Jyväskylä
The permanent address of the publication
https://urn.fi/URN:ISBN:978-951-39-7310-0Käytä tätä linkitykseen.
ISSN
0075-4625
Keywords
psychotherapypersonal characteristics of psycotherapistidentity intervieweffectivenesspsykoterapiapsykoterapeutitpersoonallisuusammatti-identiteettihoitotulokset
Language
Finnish
Published in
Jyväskylä studies in education, psychology and social research