Todd-Kvam Mari, Lømo Bente, Tjersland Odd Arne
Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.
Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Front Psychol. 2019 Jul 17;10:1693. doi: 10.3389/fpsyg.2019.01693. eCollection 2019.
This study examines client utterances that can be understood as ambivalent in violence-focused therapy. The purpose is to enrich our scientific understanding of client contributions to therapy when they appear ambivalent to the therapeutic project and develop clinically relevant perspectives that enable us to help this and other client groups. Using constructivist grounded theory analysis of five completed therapies, we describe three categories of client ambivalence present throughout all five therapies: I am bad, but I am not that bad; I have tried and tried in vain; and I know it is wrong, but I have to, I have no choice. The categories are described and understood from a clinical perspective. They are developed on the basis of an interpretation of what seems to be at stake for the client in the here-and-now of therapy. Clinical implications are discussed.
本研究考察了在以暴力为重点的治疗中可被理解为矛盾心理的来访者话语。目的是丰富我们对来访者在对治疗方案表现出矛盾心理时对治疗所做贡献的科学理解，并形成具有临床相关性的观点，使我们能够帮助这一及其他来访者群体。通过对五种已完成治疗进行建构主义扎根理论分析，我们描述了在所有五种治疗中都存在的三类来访者矛盾心理：我是坏的，但我没那么坏；我反复尝试却徒劳无功；我知道这是错的，但我不得不这样，我别无选择。从临床角度对这些类别进行了描述和理解。它们是基于对来访者在治疗当下似乎利害攸关之事的解读而形成的。还讨论了其临床意义。
