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[{"key": "dc.contributor.author", "value": "Aarnio, Suvi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-03-23T08:52:16Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-03-23T08:52:16Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/68274", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkielmassa verrattiin laadullisella sis\u00e4ll\u00f6nanalyysill\u00e4 kolmen pitk\u00e4n psykodynaamisen psykoterapian keskeytt\u00e4neen potilaan kokemuksia terapeuttisesta yhteisty\u00f6suhteesta kolmen sovitusti terapian loppuun asti jatkaneen potilaan kokemuksiin. Aineistona olivat Helsingin Psykoterapiatutkimuksen masennuspotilaiden videohaastattelut, joissa potilaita oli haastateltu ennen psykoterapian aloittamista sek\u00e4 7, 12, 24 ja 36 kuukauden kuluttua terapian aloittamisesta. Potilaat oli satunnaistettu tiettyyn terapiamuotoon. Kahdesta kolmeen kertaan viikossa toteutuva pitk\u00e4 psykodynaaminen psykoterapia oli m\u00e4\u00e4ritelty toteutettavaksi keskim\u00e4\u00e4rin kolmivuotisena.\n\nTerapian keskeytt\u00e4neet potilaat kuvailivat terapiavuorovaikutusta keskim\u00e4\u00e4rin kielteisemmin kuin loppuun k\u00e4yneet. Toisaalta my\u00f6s yksi terapian loppuun jatkaneista potilaista oli terapeuttiinsa tyytym\u00e4t\u00f6n. Terapiaan tyytyv\u00e4iset ja siit\u00e4 hy\u00f6ty\u00e4 kokeneet loppuun jatkaneet potilaat kuvailivat terapeutin tuoneen heid\u00e4n puheestaan esiin aktiivisesti mutta hienovaraisesti t\u00e4rkeit\u00e4 asioita ja saaneensa t\u00e4ten oivallusta ongelmiinsa. Terapian keskeytt\u00e4neet potilaat puolestaan kuvailivat terapeuttiaan vuorovaikutuksessa liian pid\u00e4ttyv\u00e4iseksi ja olisivat kaivanneet enemm\u00e4n j\u00e4sentely\u00e4 siit\u00e4, mist\u00e4 puhutaan. Terapian keskeytt\u00e4misen syit\u00e4 olivat terapiasuhteen ongelmien tai kokemuksen terapian v\u00e4h\u00e4isest\u00e4 hy\u00f6dyst\u00e4 lis\u00e4ksi my\u00f6s terapian aikaavievyys ja muut k\u00e4yt\u00e4nn\u00f6n hankaluudet.\n\nPotilaiden ty\u00f6skentely\u00e4 terapiassa suuntasivat terapiaa edelt\u00e4v\u00e4t mielikuvat ja mieltymykset. Terapian loppuun k\u00e4yneet toivoivat p\u00e4\u00e4sev\u00e4ns\u00e4 pitk\u00e4\u00e4n tiiviiseen terapiaan, kun taas terapian keskeytt\u00e4neist\u00e4 yksi olisi halunnut mieluummin lyhemp\u00e4\u00e4n terapiaan. Kaikki potilaat toivoivat aktiivisesti keskusteluun osallistuvaa terapeuttia.\n\nTerapian keskeytt\u00e4neist\u00e4 potilaista kaksi kolmesta mainitsi kokeneensa terapian k\u00e4ynnist\u00e4neen ajatteluprosessia, jonka avulla ty\u00f6st\u00e4\u00e4 kokemuksiaan terapiasta pois j\u00e4tt\u00e4ydytty\u00e4\u00e4nkin. Kukaan potilaista ei my\u00f6sk\u00e4\u00e4n kertonut terapian p\u00e4\u00e4ttymisen ajankohtana tai p\u00e4\u00e4ttymist\u00e4 seuraavassa haastattelussa voivansa huonommin kuin ennen terapiaa. Yksinomaan keskeytt\u00e4misen perusteella terapiaa ei siis t\u00e4ll\u00e4 perusteella voida m\u00e4\u00e4ritell\u00e4 ep\u00e4onnistuneeksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2020-03-23T08:52:16Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-03-23T08:52:16Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "60", "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": "psykodynaaminen psykoterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terapeuttinen yhteisty\u00f6suhde", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Pitk\u00e4n psykodynaamisen psykoterapian keskeytt\u00e4minen potilaan kokemana : terapeuttisen yhteisty\u00f6suhteen n\u00e4k\u00f6kulma", "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-202003232502", "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.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "student", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": "keskeytt\u00e4minen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psykoterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "potilaat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hoitosuhde", "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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