Hilfreiche Faktoren in der Psychosomatischen Tagesklinik aus Patientensicht - eine qualitative Studie
Auch gedruckt in der BibliothekZ: J-H 13.083; W: W-H 11.535
Ressourcen- / MedientypDissertation, Text
Datum der Freischaltung2008-12-04
The goal of the study was to find out more about the specific psychotherapeutic aspects of a day treatment program and which were experienced as most helpful by the patients. A semi-structured interview was conducted, including 26 patients of the Psychosomatic Dayclinic in Ulm at three assessment times (69 interviews in total). They were asked to talk about problematic situations and to tell the interviewer about relating helpful factors. The collected narrative data were comprised of over 800 pages and were analyzed using a combination of grounded theory (Strauss & Corbin, 1997) and qualitative content analysis (Mayring, 2000). The results show eight categories of helpful factors: group factors regarding the patient group, action factors, transfer factors, reflective factors, therapeutic alliance, environment factors, secure frame and motivation through success. These aspects were embedded in a conceptual frame of other categories, such as: the topic of the problematic situation, the involved persons and the individual psychotherapeutic process-phase. In a following second qualitative analysis some text passages dealing with the transfer between the "spaces" clinic and home environment were excerpted and analyzed (according to the guidelines of objective hermeneutics, Oevermann et al., 1979). In the beginning of therapy patients either experienced the clinic as "secure space" or "confrontation space". It is shown how these two types of patients could or could not benefit from the daily return to their home environment. The discussion provides information on how the transfer factors could be linked to other theoretical and empirical concepts, including the Assimilation of Problematic Experiences Scale (Stiles et al., 1990). Furthermore the clinical relevance of the transfer concept is pointed out: It was not only helpful but necessary for a successful therapeutic process to connect the experiences in the clinic with the experiences at home.
LizenzStandard (Fassung vom 01.10.2008)
DDC-SachgruppeDDC 610 / Medicine & health
OriginalpublikationMörtl, K. & Wietersheim, J.V. (2008): Client experiences of helpful factors in a day treatment program. In: Psychotherapy research 18 (3): p. 281 - 293