University of Twente Student Theses


Een exploratieve, kwalitatieve studie naar hoe identiteitsconstructie van cliënt en counselor bijdraagt aan baat van een zelfhulpcursus met e-mailbegeleiding

Böwer, S. (2013) Een exploratieve, kwalitatieve studie naar hoe identiteitsconstructie van cliënt en counselor bijdraagt aan baat van een zelfhulpcursus met e-mailbegeleiding.

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Abstract:Background. Reminiscence, life review and online selfhelpcourses are effective methods of prevention to get a depressive disorder, but there is little known about the processes that lead to effectiveness. In this study the interaction between counselor and participant during the selfhelpcourse with e-mail counseling “Op verhaal komen” is analyzed, regarding processes that have influence on the reduction of depressive symptoms and on the enhancement of positive psychological health. The aim of this study is to identify, describe, weight and get to know the relationship of these processes, in doing so the role of the counselor is not only theoretically as in the literature, but empirically and practically investigated . Method. For this study 2 participants out of the 58 who participated in the course “Op verhaal komen” were picked purposefully by the counselor of this study. During the analysis it was not known for which participant the course was effective and for which not: it was a blind study. The analysis was carried out by making a holistic contentanalysis and an identityanalysis of both interactions. In the holistic contentanalyse there was given a structured impression of the participant In the identityanalysis the identity construction was analyzed by dividing the e-mails into fragments based on different identities and coding them by the identities. Afterwards the interactions were compared and there was observed which processes that predict effectiveness, could be described. Results. Indicators predicting effectiveness that were observed are: spelling type, change in autobiographical identities and in terms of innovative moments, the therapeutic relationship, the active role of the counselor, the overall emotional valence of the stories, the stage of processing, the expectations of the course and the motivation to take part, adherence, finding an alternative explanation, the personality of the participant and the adoption of an expert role. Conclusion. Conclusions that can be drawn from the study are that: a strong therapeutic relationship is important for an decrease in depressive symptoms, but cannot compensate totally for other negative processes; that a deep emotional processing and the development to a more positive colored story are related and that they together have a positive influence on decrease of depressive symptoms; that finding an alternative storyline possibly has positive influence on positive psychological health and that taking the role of the professionalized client has a negative influence on the effectiveness
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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