Een kwalitatief onderzoek naar de processen die een rol spelen in het al dan niet baat hebben bij een zelfhulpcursus onder e-mail begeleiding.

Dalfsen, B.A. van (2013) Een kwalitatief onderzoek naar de processen die een rol spelen in het al dan niet baat hebben bij een zelfhulpcursus onder e-mail begeleiding.

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Abstract:This study concerns a qualitative analysis to therapy processes. It concerns the online self-help course ‘Op verhaal komen’. An effect-study compiled in 2011 has proven the impact of this course. It remained, however, unclear what factors and processes contributed to the program's success. Therefore, this study attempts to discover what elements made the course effective. The analysis is carried out using the e-mail communications between a client and counselor in order to find processes that may have contributed to the possible success of a self-help course with the counseling undertaken by e-mail correspondence. In this course, life-review plays a central role; adult clients of 40 years and older who suffer from mild to moderate depression write systematically in a timeframe of 10 weeks, about their entire life course. They then receive feedback from counselors who query them actively about memories that strengthen the positive identity and the solving skills of participants. 58 people participated in this course, with the e-mails of two clients being analyzed for this research. It is key to note that whether they had benefited or not, was not a prior consideration. The analysis consisted of a holistic content analysis that drew a complete image of the client’s story. This analysis also contained the experiences of the client, related to the course. Subsequently, an identity analysis has been done by dividing the e-mails into fragments; supplying each fragment with identity codes. It has been analyzed whether there is a link between relevant identity constructions and predictors of benefit. On the basis of these analyses, an estimate of profit has been made, and this in turn has been compared with goals achieved by the client. Finally, the analyses of both participants were compared. The various analyses showed different predictors of profit. It appears that the personal goals of a client are a determining factor for the therapy processes and the identity development. The predictive values of the different ‘selves’, depend on the goals set: the autobiographical self will speak more when one intends to process the past, whereas the growing self will be given more expression when one aims to grow in the future. Many predictors have been found for client characteristics such as motivation, being actively engaged with the course and setting realistic goals. For a good interaction it is important that the client respects, and has faith in (the abilities of) the therapist. Among other qualities, the therapist must especially be flexible and able to adapt. The results show that many predictors of profit were in line with characteristics proven relevant by previous research, to constitute an effective therapy. This research offers holistic insight into predictors of profit. Only two cases were studied in order to introduce such a broad and deep study within a limited time frame. For validation, reliability and the possibility of generalization, further research is essential.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/64017
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