Experiences of carrying out talking therapy in general practice: A qualitative interview study
Experiences of carrying out talking therapy in general practice: A qualitative interview study
复制标题
DOI：
10.1016/j.pec.2008.03.020
复制
发表时间：
2008-08-01
影响因子：
3.5
通讯作者：
Davidsen, Annette
中科院分区：
文献类型：
--
作者：
Davidsen, Annette
目的：探讨全科医生进行“谈话治疗”的经验。方法：采用半结构化访谈的方式对有目的的丹麦全科医生进行定性研究。该材料通过解释现象学分析进行分析。结果：参与者表示难以解释他们如何进行谈话治疗。然而，从他们对个体疗法的描述中，可以获得他们对方法论重要方面的看法：（1）他们自己的开放接受性，例如专心聆听，不受时间限制； (2) 关系因素，包括随着时间的推移而形成的信任和同理心，或更积极地利用这种关系进行治疗； (3) 患者的生活故事的知识，无论是讲述的还是书面的，用来形成患者的问题、想法和感受的模型。如果全科医生缺乏时间，则不会提供课程。结论：参与者大多是自学的，尽管已经学会了特定方法，但并未系统地使用它们。全科医生事先了解患者；谈话疗法是从其他疗法发展而来的，方法论必须适应这一点。具体方法可能与一般实践无关。实践意义：根据全科医生的观点和经验制定谈话治疗理论并纳入非特定因素可以使该领域专业化。 (c) 2008 Elsevier Ireland Ltd. 保留所有权利。
Objective: To explore GPs' experience of carrying out 'talking therapy'.Methods: Qualitative study using semi-structured interviews with II Danish GPs sampled purposively. The material was analysed by Interpretative Phenomenological Analysis.Results: The participants expressed difficulty in explaining how they carried out talking therapy. However, from their description of individual therapies their perception of important aspects of methodology could be obtained: (1) their own open receptiveness, e.g. attentive listening, not limited by time; (2) relational factors including trust and empathy developed over time, or more active therapeutic use of the relationship; (3) knowledge of the patient's life story, told or written, used to form a model of the patient's problems, thoughts and feelings. The sessions were not offered if the GPs lacked time.Conclusion: Participants were mostly self-taught and did not use specific methods systematically despite having learnt them. GPs knew the patients beforehand; talking therapy developed from other treatment, and methodology had to fit into this. Specific methods are possibly not relevant in general practice.Practice implications: Formulation of a theory of talking therapy based on the views and experience of GPs and including non-specific factors could professionalize the field. (c) 2008 Elsevier Ireland Ltd. All rights reserved.