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[{"key": "dc.contributor.advisor", "value": "Wahlstr\u00f6m, Jarl", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Seikkula, Jaakko", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Laitila, Aarno", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hujanen, Erja", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-06-20T07:42:29Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-06-20T07:42:29Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/58642", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tavoitteena oli tarkastella ruumiillisin kokemuksin oirehtivan yksilo\u0308psykoterapia-asiakkaan terapeuttista muutosprosessia seka\u0308 terapeutin keinoja muutoksen mahdollistamiseksi. Tarkastelun kohteena oli etenkin muutos asiakkaan tunteiden ruumiillisesta ilmenemisesta\u0308 va\u0308hitta\u0308iseen kielelliseen rikastumiseen. Tutkimus oli laadullinen tapaustutkimus, ja sen aineistona oli Jyva\u0308skyla\u0308n yliopiston psykoterapian tutkimus- ja opetusklinikalla videotaltioitu noin vuoden kesta\u0308nyt terapiaprosessi ja istunnosta litteroidut tekstikatkelmat. Terapia-asiakkaan problematiikassa alkoi terapian aikana kuvautua tunnekokemuksen tavoittamisen vaikeudet ja ha\u0308neen tunteensa saattoivatkin na\u0308ytta\u0308ytya\u0308 a\u0308killisina\u0308 ja selitta\u0308ma\u0308tto\u0308mina\u0308 ruumiillisina tuntemuksina, somaattisina oireina ja somatisointina. Tunteet ja ruumiilliset reaktiot na\u0308ytta\u0308ytyiva\u0308t asiakkaalle usein hallitsemattomina. Terapeuttista muutosta tarkasteltiin ka\u0308ytta\u0308en menetelma\u0308na\u0308 assimilaatioanalyysin a\u0308a\u0308nimallia. Mallin avulla pyrittiin kuvaamaan asiakkaan ongelmallisen kokemuksen ka\u0308sittelya\u0308 ja assimiloitumista osaksi asiakkaan kokemusmaailmaa, eli a\u0308a\u0308nimallin mukaista monia\u0308a\u0308nista\u0308 minuutta. Asiakkaan ongelmallisen kokemuksen, tunnekokemusten tavoittamisen, ka\u0308sittely na\u0308ytta\u0308ytyi eteneva\u0308n terapiassa kolmen vaiheen kautta, edeten pitkittyneesta\u0308 alkuvaiheesta \u201dtunteiden vieta\u0308vissa\u0308\u201d olemisen kautta tyo\u0308sta\u0308misvaiheeseen ja lopulta uudenlaisen suhtautumistavan muodostumiseen. Terapeutin keinoina a\u0308a\u0308nten assimilaation tukemisessa na\u0308ytta\u0308ytyiva\u0308t etenkin a\u0308a\u0308nten kokemusten sanallistaminen, validointi ja konfrontointi, asiakkaan itsehavainnoinnin rohkaiseminen ja tukeminen seka\u0308 uudenlaisen na\u0308ko\u0308kulman hakeminen. Muutoksen mahdollistamisessa olennaiseksi muodostui asiakkaan ja terapeutin yhteistoiminta ja terapeutin toimien sopiva kohdistaminen asiakkaan psyykkiset edellytykset, valmiudet ja sietokyky huomioiden. Asiakkaan terapiaa voidaan pita\u0308a\u0308 assimilaatiomallin na\u0308ko\u0308kulmasta onnistuneena. Assimilaatioprosessin eteneminen ei ollut asiakkaan kohdalla suoraviivaista. Terapeutin interventioiden ajoittamisen lisa\u0308ksi era\u0308a\u0308na\u0308 asiakkaan muutosprosessiin vaikuttavana tekija\u0308na\u0308 esiin nousi mahdollisesti asiakkaan ruumiilliseen kokemisen tapaan liittyva\u0308t erityispiirteet. Ta\u0308llaisena na\u0308ytta\u0308ytyi etenkin asiakkaan tunneilmaisukyvyn rajoittuneisuuden vaikutus terapian alkuvaiheen pitkittymiseen. A\u0308killisin, selitta\u0308ma\u0308tto\u0308min ruumiillisin tuntemuksin reagoivien henkilo\u0308iden hoito terapeuttisin menetelmin saa tutkimuksesta tukea. Hoidossa olisi ta\u0308rkea\u0308a\u0308 ottaa huomioon kyseiseen oirehdintaan mahdollisesti spesifisti liittyva\u0308t tekija\u0308t, kuten alkutyo\u0308skentelyvaiheen pitkittyminen mahdollisesti asiakkaan kielellisen itse- ja tunneilmaisun rajoitteisiin liittyen. Psykosomaattisesti oirehtivien asiakkaiden terapeuttisen hoidon tutkimus erityisesti prosessitutkimusna\u0308ko\u0308kulmasta voisi antaa arvokasta lisa\u0308tietoa ilmio\u0308o\u0308n liittyvista\u0308 terapeuttisista muutostekijo\u0308ista\u0308.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2018-06-20T07:42:29Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-06-20T07:42:29Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "38", "language": "", "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": "psykoterapeuttinen muutos", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psykosomaattinen oirehdinta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "assimilaatiomalli", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "la\u0308hikehityksen vyo\u0308hyke", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terapeutin toiminta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ruumiillisesta ja hallitsemattomasta puhutuksi ja psykoterapeuttisen ty\u00f6skentelyn kohteeksi : tapaustutkimus psykosomaattisesti oirehtivan psykoterapia-asiakkaan assimilaatioprosessista", "language": "", "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-201806203276", "language": "", "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": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psykologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psychology", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "202", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psykoterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psykosomatiikka", "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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