LEARNING FROM OUR CLIENTS
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DESCRIPTIONEija-Liisa Rautiainen, Katharina Auberjonois and Monica Hartzell EFTA congress, Paris, 30.10.2010. LEARNING FROM OUR CLIENTS. Eija-Liisa Rautiainen psychologist and family therapist Kuopio University Hospital, Finland. Co-research interviews after couple therapy for depression. - PowerPoint PPT Presentation
LEARNING FROM OUR CLIENTSEija-Liisa Rautiainen, Katharina Auberjonois and Monica Hartzell
EFTA congress, Paris, 30.10.2010
Co-research interviews after couple therapy for depressionEija-Liisa Rautiainenpsychologist and family therapistKuopio University Hospital, Finland
THE CONTEXT OF THE STUDYCouple therapy was offered in psychiatric outpatient clinics for persons diagnozed as depressed and their spousesAim: To develop couple therapy for depression in this context, to include the therapists into research in a new wayDialogical and reflective approach to couple therapy, no manual for the therapies
Depressed people are often helped without attention paid to their familiesDepression is a huge problem, ways of helping depressed persons need to be developed furtherCollaborative approach to researchBringing psychotherapy research near to the everyday clinical work, listening to the users of the health care services
Co-research interview method developed by Tom Andersen25 interviews, where the therapists and the couples were interviewed in the same room, each of them listening when the others were interviewed25 couples, 28 different therapists in three centersGrounded Theory-analysis
QUESTIONS FOR THERAPISTSWhat did you have in mind when you asked these clients to come today?What of your contributions to the therapy-meetings do you think the clients appreciated the most?Might there be something they would have liked to talk about but what was never discussed?Where there times when you yourself had thoughts in your mind that you never disclosed, but in hindsight think that might have been useful to talk about?If it had been possible to talk about that, how might you have done it with them?
Where there moments that you remember as difficult for yourself as a therapist?How did you overcome these difficulties?Was this therapy similar to therapies you have had with other clients, or was it different?What have you learned from these clints?What have you learned from each other as therapists?
QUESTIONS FOR CLIENTSWould you like to comment on what you heard during the conversation between the therapists and myself?They talked about this and this, what are your comments on that?In addition to what the therapists talked, is there something you would like to talk about?Is there something particular you remember from the therapeutic meetings?
Where there times you wanted to talk about something you never got to talk about?Where there times you tried to say something they didnt hear?What was most helpful for you?How was it helpful?
RESULTSMost of the couples found that couple therapy for depression had been helpfulTherapists' willingness to help, their ability to ask good questions and make it possible for the spouses to talk in a new way had been helpfulSpouse's participation to the therapy had been valuableFor some, getting help with relationship problems was centralFor others, having the spouse's support and recoveirng together was importantThe couples and the therapists appreciated similar things in therapy (the collaborative interviews)
RESULTSCouple therapy had not always worked wellBoth couples and the therapists spoke about problems in the collaborationSometimes couple therapy had not helped with relationship problems, in other occasions the depressed person's situation had not become better Problems in therapeutic relationship, therapy got stuckConfusion concerning couple therapy
RESULTSTaking part to the study remained the therapists of the importance of working with the families of the people diagnozed as depressedTherapists learned e.g. about the importance of the beginning of the therapy: talking about the goals, listening to clients' hopes and obstacles for working
EXPERIENCES OF THE INTERVIEWSBoth the therapists and the clients found the interviews interestingIt was also possible to talk about difficult thingsThe interviews were many times quite intensive experiencesThe interviews sometimes reinforce familiar things for the participants, sometimes bring surprisesGood method for research, developing therapists' work and for therapists' training
Co-research interviews are a good opportunity for the therapists to learn from their clients.Open and collaborative situationResearch comes close to everyday workReflective positions, separating listening and talkingWillingness to let the clients evaluate one's own work and evaluate it in the precense of the clients is needed from the therapistsIn the interviews the therapists learn to talk about their own work in an open and respecting way
PhD thesisCoconstruction and collaboration in couple therapy for depression, http://julkaisut.jyu.fi/?id=978-951-39-4034-8 Rautiainen E-L & Aaltonen, J. (2010) Depression: The differing narratives of couples in couple therapy. The Qualitative Report, 15, 156-175.Rautiainen, E-L., & Seikkula, J. (2009) Clients as Co-researchers: How Do Couples Evaluate Couple Therapy for Depression? Journal of Systemic Therapies, 28, 41-60.Rautiainen, E-L., & Seikkula, J. (2010) Focusing on therapists in co-research interviews: How do therapists see couple therapy? Journal of Systemic Therapies, 29, 23-44.