Tadayon Chaharsughi Batul, Izadi Razieh, Naghavi Azam
Faculty of Humanities, Khomeinishar Branch, Islamic Azad University, Khomeinishar, Isfahan, Iran.
Department of Psychology, Safahan Institute of Higher Education, Isfahan, Iran.
Patient Educ Couns. 2023 Oct;115:107928. doi: 10.1016/j.pec.2023.107928. Epub 2023 Aug 1.
The aim of this study was to explore how client's agency appears in the narratives of patients with obsessive compulsive disorder.
A qualitative descriptive design was used as a study design and a thematic analysis was employed to collect and analyse the data. Semi-structured interviews were conducted with 37 participants (26 patients with obsessive compulsive disorder and 11 counselors). All patients had received tele-counseling.
Three main themes were extracted from the data including agency prior to the therapy, agency via awareness, and enhancers of client's agency.
Findings demonstrated that when the participants became aware of having OCD and underwent therapy with self-involvement, they achieved a higher level of agency in the therapy process and achieve better treatment results. Culture may also influence on how the disorder is experienced, and the level of agency in starting and following the required treatments.
The results could be used by counsellors to enhance their clients' agency.
本研究旨在探讨强迫症患者叙述中客户能动性是如何呈现的。
采用定性描述性设计作为研究设计，并运用主题分析法收集和分析数据。对37名参与者（26名强迫症患者和11名咨询师）进行了半结构化访谈。所有患者均接受了远程咨询。
从数据中提取了三个主要主题，包括治疗前的能动性、通过意识产生的能动性以及客户能动性的增强因素。
研究结果表明，当参与者意识到自己患有强迫症并在自我参与的情况下接受治疗时，他们在治疗过程中获得了更高水平的能动性，并取得了更好的治疗效果。文化也可能影响对该疾病的体验方式，以及开始和遵循所需治疗的能动性水平。
咨询师可利用这些结果来增强客户的能动性。
