Roman Hytych

How do trainees choose their first psychotherapy training? The case of training in psychotherapy integration

ABSTRACT Future trainees go through difficult decision-making processes when starting their first psychotherapy training. The choice of training in psychotherapy integration is a specific type of this process. In this study, qualitative data were obtained from the motivational letters, in-depth semi-structured interviews and e-mail questionnaires of 26 future trainees to answer the research question, ‘How do trainees choose their first psychotherapy training?’ We primarily employed the grounded theory approach as well as consensual qualitative research to shed light on the central category of Gaining Certainty to enter the training. This category was elaborated into a four-phase model, specifically comprised of the: (1) Critical Comparison, (2) Identification, (3) Self-Confirmation and (4) Waiting phases. The model was then discussed in connection with relevant concepts, such as the degree of complexity and flexibility within the epistemological development of trainees [Vasco, A. B., & Dryden, W. (1994). The development of psychotherapists’ theoretical orientation and clinical practice. British Journal of Guidance & Counselling, 22(3), 327–341].

LAS ENTREVISTAS RETROSPECTIVAS A LOS PACIENTES PUEDEN INFORMAR ACERCA DE LA PRÁCTICA DE LOS CLÍNICOS Y COMPLEMENTAR EL MONITOREO DE RUTINA DE LOS RESULTADOS

espanolObjetivo: Si bien el monitoreo de rutina de resultados (routine outcome monitoring, ROM siglas en ingles) es beneficioso, introduce un reduccionismo considerable en la medicion del cambio terapeutico. El objetivo de este estudio es ilustrar como la entrevista retrospectiva con el cliente puede captar la amplitud y el significado personal del cambio de un cliente. Metodo: Se presentan cuatro vinetas clinicas. Se utilizaron la Entrevista de cambio del cliente y de Cambio despues de la psicoterapia, para evaluar el cambio junto con las medidas de resultado estandarizadas. Resultados: Se presentan multiples ejemplos de como se pueden implementar las entrevistas retrospectivas para comprender y contextualizar mejor los cambios de los clientes e informar el proceso de psicoterapia. Conclusiones: Las entrevistas retrospectivas pueden complementar el ROM al explicar el exito o el fracaso de la psicoterapia y proporcionar informacion longitudinal y multinivel sobre la naturaleza de los cambios de los clientes. Se exploran las implicaciones para la investigacion orientada a la practica. EnglishObjective: While demonstrably beneficial, routine outcome monitoring (ROM) introduces a considerable reductionism in the measurement of psychotherapy change. The goal of this study is to illustrate how retrospective client interviewing can capture the breadth and personal meaningfulness of a client’s change. Method: Four clinical vignettes are presented. The Client Change Interview and Change After Psychotherapy methods were used to assess change alongside standardized outcome measures. Results: Multiple examples of how retrospective interviewing can be used to better understand and contextualize clients’ change and inform the psychotherapy process are presented. Conclusions: Retrospective interviewing can complement ROM by explaining psychotherapy success or failure and by providing longitudinal and multi-level insight into the nature of clients’ changes. Implications for practice-oriented research are explored.