Mesh : Humans Female Male Aged Adult Psychotherapists / psychology Psychotherapy / methods Professional-Patient Relations Qualitative Research

来  源:   DOI:10.1371/journal.pone.0295834   PDF(Pubmed)

Abstract:
The current demographic change means that young psychotherapists and older patients will increasingly come into contact. Unique for this constellation is the intergenerational therapeutic relationship, which forms the basis of psychotherapy, but has not yet been the focus of empirical research. This qualitative study provides preliminary insights into how older patients (aged over 65) experience and perceive the therapeutic relationship with young psychotherapists (aged in their mid-20s to mid-30s). We conducted semi-structured interviews with twelve older patients (8 women, 4 men) and analysed their data using the grounded theory approach. We found a connection between the type of transference a participant demonstrated and their biographical as well as social experiences, desires, and fantasies. Overall, a tendency to seek harmony was observed among the participants, which was reflected in their behaviour towards young psychotherapists: (a) conflict avoidance, (b) (fantasised) therapy discontinuation, (c) adaption/subordination, and (d) solidarity, support, and protection. Our findings demonstrated that various intergenerational transference phenomena, including the roles in which young therapists are perceived, are associated with certain particularities and challenges, such as the topic of sexuality. It can be valuable for young psychotherapists to become aware of a potential role reversal that may result in older patients trying to support them.
摘要:
当前的人口变化意味着年轻的心理治疗师和老年患者将越来越多地接触。这个星座的独特之处在于代际治疗关系,这构成了心理治疗的基础,但尚未成为实证研究的重点。这项定性研究提供了有关老年患者(65岁以上)如何体验和感知与年轻心理治疗师(年龄在20多岁至30多岁)的治疗关系的初步见解。我们对12名老年患者(8名女性,4名男性),并使用扎根理论方法分析了他们的数据。我们发现参与者表现出的移情类型与他们的传记和社会经历之间存在联系,欲望,和幻想。总的来说,在参与者中观察到寻求和谐的趋势,这反映在他们对年轻心理治疗师的行为上:(a)避免冲突,(b)(幻想的)治疗中断,(c)改编/从属,(d)团结,支持,和保护。我们的发现表明,各种代际转移现象,包括年轻治疗师被感知的角色,与某些特殊性和挑战有关,比如关于性的话题。对于年轻的心理治疗师来说,意识到潜在的角色逆转可能会导致老年患者试图支持他们是有价值的。
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