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[{"key": "dc.contributor.advisor", "value": "Seikkula, Jaakko", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Ohtonen, Ray", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sauna-aho, Sigri", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-09-28T11:54:45Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-09-28T11:54:45Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2017", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1725367", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/55480", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli tutkia Relationaalinen mieli monitoimijaisten terapiadialogien muutoshetkiss\u00e4 -projektin pariterapioiden tuloksellisuutta sek\u00e4 pariterapian tuloksellisuuteen vaikuttavia tekij\u00f6it\u00e4 hyv\u00e4n ja huonon hoitotuloksen pariterapiatapauksissa. Tuloksellisuustutkimuksen perusteella valitsimme yhden hyv\u00e4n ja yhden huonon hoitotuloksen pariterapiatapaukset. Tutkimuksen aineistona olivat projektiin osallistuneiden pariterapia-asiakkaiden t\u00e4ytt\u00e4m\u00e4t Outcome Ratings Scale (ORS)- lomakkeet, Jyv\u00e4skyl\u00e4n yliopiston tutkimus- ja opetusklinikalla videoidut nelj\u00e4 pariterapiaistuntoa ja terapiaistuntojen ajalta asiakkaiden ihon s\u00e4hk\u00f6njohtavuuden mittaukset. Projektiin osallistuneiden pariskuntien terapian tuloksellisuutta arvioitiin laskemalla ORS-lomakkeiden ensimm\u00e4isen ja viimeisen istunnon arvojen erotus, ja arvioimalla muutosta Reliable Change Index (RCI) avulla. Yhden hyv\u00e4n ja yhden huonon hoitotuloksen pariterapioista tarkasteltiin nelj\u00e4\u00e4 terapiaistuntoa, joista valittiin kahdeksan hetke\u00e4 joissa asiakkaiden autonominen hermosto oli poikkeuksellisen korkeasti viritt\u00e4ytynyt. Jokaisesta terapiaistunnosta m\u00e4\u00e4riteltiin yksi korkean vireystason hetki asiakasta kohden. Korkean vireystason hetki\u00e4 tarkasteltiin Dialogical Investigations of Happenings of Change- menetelm\u00e4n, terapiaistuntojen videotallenteiden sek\u00e4 niist\u00e4 tehtyjen litterointien laadullisen havainnoinnin menetelmin. Tuloksellisuustutkimuksen mukaan 16,7%:lla asiakkaista tapahtui tilastollisesti merkitsev\u00e4\u00e4 my\u00f6nteist\u00e4 kehityst\u00e4 ja kliinisesti merkitsev\u00e4\u00e4 muutosta tapahtui 8,1%:lla asiakkaista. 58%:lla asiakkaista ei tapahtunut mitattavissa olevaa muutosta ja tilastollisesti merkitsev\u00e4\u00e4 kielteist\u00e4 kehityst\u00e4 tapahtui 16,7%:lla asiakkaista. Hyv\u00e4n ja huonon hoitotuloksen pariterapiaprosessien korkean vireystason hetkiss\u00e4 oli havaittavissa sek\u00e4 yht\u00e4l\u00e4isyyksi\u00e4 ett\u00e4 eroja. Korkeiden vireystasojen hetkiss\u00e4 molempien pariskuntien pariterapiadialogeissa k\u00e4siteltiin vaikeita aiheita kuten luottamusta, luottamuksen menett\u00e4mist\u00e4, pett\u00e4mist\u00e4 sek\u00e4 yhteiseen arkeen liittyvi\u00e4 erimielisyyksi\u00e4. Korkean vireystilan hetkiss\u00e4 hyv\u00e4n hoitotuloksen pariskunnalla dialogi muodostui asiakkaiden v\u00e4lille ja huonon hoitotuloksen pariterapiassa se muodostui enimm\u00e4kseen yhden asiakkaan ja yhden terapeutin v\u00e4lille. Huonon hoitotuloksen pariterapiaistunnoissa toinen asiakas vet\u00e4ytyi dialogista korkean vireystilan hetkiss\u00e4, mutta terapiaprosessissa ilmeni my\u00f6s muita tekij\u00f6it\u00e4 jotka saattoivat vaikuttaa huonoon hoitotulokseen. T\u00e4m\u00e4n tutkimuksen perusteella autonomisen hermoston mittausten avulla voidaan mahdollisesti paikantaa hetki\u00e4, jolloin terapiaistunnossa k\u00e4sitell\u00e4\u00e4n asiakkaalle merkityksellisi\u00e4 tai vaikeita aiheita. Tulevaisuudessa autonomisen hermoston aktiivisuutta voitaisiinkin tutkia useammissa terapiaprosesseissa ja useampien menetelmien kuten syd\u00e4mensykev\u00e4livaihtelun avulla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Moments of high arousal in two couples therapy cases representing good and poor therapy outcomes. \r\nThe purpose of the study was to investigate the therapeutic outcome of couples' therapies conducted in the Relational Mind project, which looks at events of change in multi-actor therapeutic dialogues. Our aim was to examine psycho-physiological and dialogical factors affecting the therapy outcomes in two couples therapy processes with good and poor outcomes. The data consisted of Outcome Rating Scale (ORS) questionnaires filled by clients (n=24), video recordings of four couples therapy sessions that were recorded in the Psychotherapy Training and Research Centre, and measurements of two couples\u2019 electrodermal activity during the therapy sessions. The outcome of the couples\u2019 therapies was counted by subtracting the initial ORS-ratings from the clients\u2019 final ratings and assessed with Reliable Change Index (RCI). Eight moments of high level arousal were selected from two couples therapy processes. Moments of high level arousal were defined so that each client had one significant moment of high arousal per session. The high levels of arousal were examined by the Dialogical Investigations of Happenings of Change procedure, and by making observations of the video recordings and transcriptions written from the therapy sessions. According to our results 16.7% of clients were found to gain significant benefit and 8.1% improved clinically from the couples\u2019 therapy. 58% of the clients showed no changes, and negative change was found in 16.7% of the clients. Similarities and differences were found in the moments of high level arousal. Both couples had discussions of controversial issues, such as trust, losing trust, adultery and conflict concerning everyday life. Dialogue was found to take place between clients at moments of high level arousal in the case of good therapy outcome. In the case of the poor therapy outcome dialogue was found to take place between client and therapist only, while the other client retreated from the conversation in moments of high level arousal. Furthermore, other factors were found in the therapy process that might have contributed to the poor outcome. According to this research, measurements of the autonomic nervous system could offer insight into locating moments and topics that are meaningful for the client. Hence, we suggest that the activity of the autonomic nervous system should be researched further in psychotherapy settings. Furthermore, other psycho-physiological measurements, such as heart rate variability, could bring insight into the effects of the autonomic nervous system in psychotherapy settings.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Ray Ohtonen (raheohto) on 2017-09-28 11:54:44.633330. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija.group@korppi.jyu.fi) on 2017-09-28T11:54:45Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201709283868.pdf: 1185478 bytes, checksum: 3bd2076b675d1e1d0de4b1b1a94a7885 (MD5)\r\nlicense.html: 5150 bytes, checksum: 222195d17c9889c52dab0c1f3b1cc99f (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-09-28T11:54:45Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201709283868.pdf: 1185478 bytes, checksum: 3bd2076b675d1e1d0de4b1b1a94a7885 (MD5)\r\nlicense.html: 5150 bytes, checksum: 222195d17c9889c52dab0c1f3b1cc99f (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (50 sivua)", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "couples therapy", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "couples therapy outcome", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "dialogism", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "electrodermal activity", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Korkean vireystason hetket hyv\u00e4n ja huonon hoitotuloksen pariterapiaprosesseissa", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201709283868", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Kasvatustieteiden ja psykologian tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Education and Psychology", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Psykologian laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Psychology", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": 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null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "s\u00e4hk\u00f6njohtavuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hoitotulokset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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