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综合心理治疗师的职业倦怠与应对策略:定性访谈结果

Burnout and Coping Strategies in Integrative Psychotherapists: Findings from Qualitative Interviews.

作者信息

Tragantzopoulou Panagiota, Giannouli Vaitsa, Filippou Anna, Demirtzidou Margarita

机构信息

School of Social Sciences, University of Westminster, London W1B 2HW, UK.

School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

Healthcare (Basel). 2024 Sep 11;12(18):1820. doi: 10.3390/healthcare12181820.

Abstract

Burnout among psychotherapists is a pervasive challenge affecting both professional well-being and client care. This study aims to explore the experience of burnout among integrative psychotherapists and examine the strategies they employ to cope with this phenomenon. Interviews were conducted with 17 integrative psychotherapists, and the data were analyzed using Braun and Clarke's six-step thematic analysis. Through this analysis, two themes were identified: (1) work-related pressures and burnout manifestations and (2) strategies for maintaining optimal functioning. Fatigue, headaches, challenges in decision-making or session planning, numbness in the form of paralysis, and disconnection from clients emerged as primary symptoms, impacting therapeutic efficacy. Participants' intense sense of responsibility toward clients and their self-worth validation through client progress intensified burnout risks, particularly among novices. Personal therapy and clinical supervision emerged as pivotal in mitigating burnout, offering support, and enhancing therapist resilience. Additionally, peer support and organizational interventions were deemed crucial during crises, emphasizing the need for structured support systems within professional bodies. These findings contribute to a deeper understanding of burnout in psychotherapy and highlight the need for targeted interventions to enhance professionals' resilience and sustain effective client outcomes.

摘要

心理治疗师的职业倦怠是一个普遍存在的挑战,影响着职业幸福感和客户护理。本研究旨在探索综合心理治疗师的职业倦怠经历,并研究他们应对这一现象所采用的策略。对17名综合心理治疗师进行了访谈,并使用布劳恩和克拉克的六步主题分析法对数据进行了分析。通过该分析,确定了两个主题:(1)与工作相关的压力和职业倦怠表现,以及(2)保持最佳功能的策略。疲劳、头痛、决策或疗程规划方面的挑战、麻木(表现为麻痹)以及与客户脱节成为主要症状,影响治疗效果。参与者对客户强烈的责任感以及通过客户的进展来确认自我价值,加剧了职业倦怠风险,尤其是在新手当中。个人治疗和临床督导在缓解职业倦怠、提供支持以及增强治疗师的恢复力方面发挥了关键作用。此外,同伴支持和组织干预在危机期间被认为至关重要,强调了专业机构内建立结构化支持系统的必要性。这些发现有助于更深入地理解心理治疗中的职业倦怠,并突出了进行有针对性干预以增强专业人员恢复力并维持有效客户治疗效果的必要性。

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