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"Ett jobb som vi gör tillsammans": Psykologers beskrivningar av alliansarbete med ungdomar och unga vuxna
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2013 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Psykisk ohälsa är vanligt bland ungdomar och unga vuxna, och mycket forskning stöder alliansens betydelse för utfallet av terapi (Shirk et al. 2011). Dock saknas en del kunskap om hur allians skapas i terapi med gruppen ungdomar och unga vuxna (Karver et al. 2008). Syftet med denna kvalitativa studie var därför att undersöka hur psykologer beskriver att de går tillväga för att skapa och återskapa allians i psykoterapi med ungdomar och unga vuxna. Sju semistrukturerade intervjuer genomfördes och analyserades med hjälp av tematisk analys. Studien baserades på en tidigare studie av Binder et al. (2008a; 2008b) där terapeuter intervjuats om alliansarbete med tonåringar. Resultatet indelades i fem huvudteman utifrån resultatet i Binder et al.: Förstå problemet, trygg och förstådd, auktoritet och förtroende, motivation samt ambivalens. Att metakommunicera beskrevs som centralt både för att ungdomen ska känna sig trygg och förstådd och för att reparera alliansbrott. Psykologerna beskrev även hur de arbetar med motivation på flera sätt än vad de själva benämner som motivationsarbete. Dessutom beskrivs personkemi som betydelsefullt för att skapa allians. Svårigheten att konkretisera alliansarbete diskuteras, liksom hur resultaten kan förstås utifrån utvecklingspsykologiska teorier.

Abstract [en]

Mental health problems is common among adolescents and young adults. A lot of research supports the alliance's importance for outcome (Shirk et al. 2011) but there is a lack of knowledge about how alliance in therapy is created with adolescents and young adults (Karver et al. 2008). The purpose of this qualitative study was to investigate psychologists’ descriptions of how they create and re-establish alliance in psychotherapy with adolescents and young adults. Seven semi-structured interviews were executed and analyzed using thematic analysis. The study was based on a previous study by Binder et al. (2008a; 2008b) where therapists were interviewed about working with alliance in therapy with adolescents. The result was divided into five main themes based on the result from Binder et al.: Understanding the problem, secure and understood, authority and trust, motivation and ambivalence. It was described that 'meta-communication' was central for youths to feel both secure and understood, and to re-establish alliance. The psychologists described how they worked with motivation in several ways that they themselves wouldn’t define as motivational work. Furthermore personal chemistry is mentioned as important for creating alliance. The difficulty to find concrete descriptions of alliance work is discussed, as well as how the results can be understood from the perspective of developmental psychology theories.

Place, publisher, year, edition, pages
2013.
Keyword [en]
alliance, adolescents, young adults, psychotherapy
Keyword [sv]
allians, ungdomar, unga vuxna, psykoterapi
National Category
Psychology Social Sciences
Identifiers
URN: urn:nbn:se:umu:diva-71656OAI: oai:DiVA.org:umu-71656DiVA: diva2:625257
Subject / course
Examensarbete i psykologi
Educational program
Study Programme for University Diploma in Psychology
Available from: 2013-12-18 Created: 2013-06-04 Last updated: 2015-04-13Bibliographically approved

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"Ett jobb som vi gör tillsammans": Psykologers beskrivningar av alliansarbete med ungdomar och unga vuxna(753 kB)296 downloads
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CiteExportLink to record
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Citation style
  • apa
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Output format
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