"Nothing is just smooth or perfect": What can students learn from intensively reviewing psychotherapy conducted by experienced therapists whilst being focused on emotional processes?

Objective: The aim of this pilot study was to explore what students of psychotherapy learn from intensively reviewing the work of experienced therapists whilst being focused on process measures developed to capture clients' emotional expressions. Methods: We interviewed 12 students who participated...

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Published in:Counselling & Psychotherapy Research Vol. 19; no. 4; pp. 366 - 377
Main Authors: Schanche, Elisabeth, Hjeltnes, Aslak, Nielsen, Geir Høstmark, Stige, Signe Hjelen, Stiegler, Jan Reidar
Format: questionnaire/scale research tables/charts Journal Article
Published: Wiley-Blackwell Dec2019
Online Access:View this record in EBSCOhost
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      dt: Dec2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12211
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        atl: "Nothing is just smooth or perfect": What can students learn from intensively reviewing psychotherapy conducted by experienced therapists whilst being focused on emotional processes?
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        au:
          Schanche, Elisabeth
          Hjeltnes, Aslak
          Nielsen, Geir Høstmark
          Stige, Signe Hjelen
          Stiegler, Jan Reidar
        affil: Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen Norway
      sug:
        subj:
          Psychotherapy Education
          Students
          Self-Efficacy
          Learning
          Intraprofessional Relations
          Emotions
          Human
          Pilot Studies
          Interview Guides
          Thematic Analysis
          Interviews
          Professional Development
      ab: Objective: The aim of this pilot study was to explore what students of psychotherapy learn from intensively reviewing the work of experienced therapists whilst being focused on process measures developed to capture clients' emotional expressions. Methods: We interviewed 12 students who participated in the training and coding of emotional processes in psychotherapy to explore their learning experiences. The interviews were analysed using a thematic analysis methodology. In addition, we explored the change in clinical self‐efficacy among 26 students who participated in the training, and coding compared to scores from a sample of 26 fellow students who did not participate. Results: Three main themes in the participating students' descriptions of what they learned were identified: (1) You notice emotions better. An increase in emotional awareness and ability to identify emotional patterns both in the role as therapist and in one's own life (2) It feels a bit like model learning. Recognising the importance of interpersonal skills such as listening, being empathic and present as a therapist. (3) Even experienced therapists fumble. Developing more realistic and moderate expectations of the role as therapist, and feeling less anxious of entering the therapist role. Conclusions: Teaching students to code emotional processes and then giving them the opportunity to observe and code psychotherapy as it naturally unfolds over time may represent a promising approach to foster relevant therapeutic skills, reducing performance anxiety and thus preparing students for the role as a therapist. Implications for training are discussed.
      pubtype: Academic Journal
      doctype:
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        research
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      ougenre: Article
    language: English
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