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De werkzame factoren van klinische schematherapie : een exploratief onderzoek naar de perspectieven van cliënten en therapeuten

Wonnink, V.A. (2019) De werkzame factoren van klinische schematherapie : een exploratief onderzoek naar de perspectieven van cliënten en therapeuten.

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Abstract:Background: The goal of this research is to gain more insight into clinical, schema-focused group therapy. The existing research on the effects of this treatment is promising, but still in its infancy. Thus far, no research is published about the inner workings of the treatment nor about the perspectives from clients or therapists on it. Therefore, nothing is known about the concurrence between clients and therapists either, while this concurrence is related to the effectiveness of the therapy. In this research, the perspectives of the clients and therapists on the working factors of the aforementioned treatment are analysed and compared. This analysis provides an insight into the perceived value of the working factors, and into the degree of concurrence between clients and therapists about it. Method: The research was conducted in a clinical, schema-focused group therapy for personality disorders. In total, 38 clients and 17 therapists participated. To analyse and compare the perspectives of the participants, the Q-method was adopted Accordingly, the participants were asked to rank 54 aspects of the treatment from ‘most important to the treatment’ to ‘least important to the treatment’. The results were examined through factor analysis. Consequently, two fitting models were found to interpret the data: the one-factor and the three-factor analysis. Subsequently, to justify the differences in opinions, the groups of the three-factor analysis were compared to one another. Results. A representative Q-sort was found in the one-factor analysis on which 52 of the 55 participants matched significantly. They considered becoming aware of and expressing one’s emotions, thoughts and behaviour most important to the treatment. The practicalities of the treatment, not directly concerning or facilitating the emotional element, were considered least important. In the three-factor analysis, three groups, having different opinions on the importance of the treatment aspects, were found. One group (A) considered the emotional aspect of the treatment most valuable, and they emphasized on the development of the individual. Another group (B) deemed the connection between clients and the lessons they could learn from one another as most valuable. The last group (C) considered the autonomy of the client and experiencing fun as most valuable for the treatment. These three groups also perceived the practicalities of the treatment as least important. Several differences between the groups were found; i.e. the participants in group C were all clients, significantly younger than the participants in the other groups, and a significantly shorter time had passed between the end of their treatment and participation. Conclusion. The results show a high level of concurrence between the perspectives of the clients and therapists on the working factors of the treatment. This concurrence is favourable for the treatment. Nevertheless, it also appeared that clients deemed particular aspects of the treatment important, of which the therapists might not sufficiently recognize the value yet. Hence, for the support of therapies and to gain an insight into their inner workings, it remains relevant to ask clients and therapists about their perspectives on the treatment.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:70 social sciences in general, 77 psychology
Programme:Psychology MSc (66604)
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