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[{"key": "dc.contributor.advisor", "value": "Laitila, Aarno", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Takko, Emmi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Haarala, Julia", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-05-21T04:19:11Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-05-21T04:19:11Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/75820", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4ss\u00e4 tutkimuksessa tarkastelemme perheterapiaan osallistuneiden perheiden puheessa esiintyv\u00e4\u00e4 \nhoitoon tyytyv\u00e4isyytt\u00e4 hoitoprosessia heikent\u00e4vien ja edist\u00e4vien tekij\u00f6iden n\u00e4k\u00f6kulmasta. T\u00e4m\u00e4n \nlis\u00e4ksi tarkastelemme perheterapian my\u00f6t\u00e4 tapahtuneita muutoksia sek\u00e4 n\u00e4iden yhteytt\u00e4 hoitoon \ntyytyv\u00e4isyyteen. Aihetta on t\u00e4rke\u00e4 tutkia, jotta pystyt\u00e4\u00e4n tarjoamaan tehokasta ja tarpeenmukaista \nperheterapiaa sek\u00e4 tukemaan muutosta edist\u00e4vi\u00e4 tekij\u00f6it\u00e4. Asiakkaiden kokemusten tutkiminen on \nolennaista, koska perheen asiantuntijuudella heid\u00e4n omassa el\u00e4m\u00e4ss\u00e4\u00e4n on ratkaiseva merkitys ja \nperheterapian tavoitteena on perheen hyvinvoinnin lis\u00e4\u00e4minen. Aineistomme rakentui Kuopion \nyliopistollisen sairaalan lastenpsykiatrian poliklinikalla perheterapian seurantana toteutetuista \nyhteistutkimushaastatteluiden videotallenteista, jotka on ker\u00e4tty yhteisty\u00f6ss\u00e4 Jyv\u00e4skyl\u00e4n yliopiston \nPsykologian opetus- ja tutkimusklinikan kanssa. T\u00e4ss\u00e4 tutkimuksessa tutkimme kolmea uhmakkuus ja k\u00e4yt\u00f6sh\u00e4iri\u00f6diagnoosin saaneen lapsen sek\u00e4 h\u00e4nen perheenj\u00e4senten tuottamaa puhetta laadullisesti \nk\u00e4ytt\u00e4en diskurssianalyysi\u00e4. \nTutkimuksessamme havaitsimme, ett\u00e4 kahdessa perheess\u00e4 hoitoon tyytyv\u00e4isyys ja terapiassa \ntapahtunut muutos n\u00e4yttiv\u00e4t olevan yhteydess\u00e4. Yhden perheen kohdalla runsaista muutoksista \nhuolimatta perhe ilmensi tyytym\u00e4tt\u00f6myytt\u00e4. T\u00e4m\u00e4n perusteella huomasimme, ett\u00e4 hoitoon \ntyytyv\u00e4isyyden ja perheterapian my\u00f6t\u00e4 tapahtuvien muutosten v\u00e4lill\u00e4 ei aina automaattisesti ole\nyhteytt\u00e4. Perheen kokemuksissa terapiaprosessia edist\u00e4vin\u00e4 ja heikent\u00e4vin\u00e4 tekij\u00f6in\u00e4 nousivat esiin \nhoidon tarpeenmukaisuus, kokemus hoidon vaikuttavuudesta, luottamus hoitohenkil\u00f6kuntaan, \nodotukset ja motivaatio terapiaprosessia kohtaan sek\u00e4 ymp\u00e4rist\u00f6n tuki. N\u00e4m\u00e4 tekij\u00e4t n\u00e4ytt\u00e4ytyiv\u00e4t \ndimensionaalisesti joko heikent\u00e4vin\u00e4 tai edist\u00e4vin\u00e4 tekij\u00f6in\u00e4. Muutosten havainnoinnin kannalta \nmerkitt\u00e4v\u00e4ss\u00e4 roolissa oli perheenj\u00e4senten diskursseihin liittyv\u00e4t tunnelataukset, jotka mahdollisesti \nvaikuttivat terapiaprosessin reflektiiviseen havainnointiin. Perheiss\u00e4 nousi esiin 1. asteen, \nvuorovaikutuksen, valtasuhteiden sek\u00e4 positioiden muutosta perheterapian seurauksena. \nTuloksemme tarjoavat uudenlaista n\u00e4k\u00f6kulmaa siit\u00e4, miten hoitoon tyytyv\u00e4isyys muodostuu perheen \nvuorovaikutuksessa keh\u00e4m\u00e4isesti sek\u00e4 mitk\u00e4 tekij\u00e4t mahdollisesti est\u00e4v\u00e4t tai edist\u00e4v\u00e4t muutosta \nperheterapiassa. Tuloksemme tuovat lis\u00e4ksi t\u00e4rke\u00e4\u00e4 tietoa n\u00e4iden prosessien yhteyksist\u00e4 toisiinsa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "In this research we are investigating treatment satisfaction and therapeutic change in family therapy \nfollow-up with discourse analytic ways. We are defining treatment satisfaction through weakening \nand promoting factors of family therapy that families brought up in their speech. We are also \ninvestigating if treatment satisfaction and therapeutic change in family therapy are connected. This \ntopic is significant to explore because family therapy should be effective and meet the individual\nneeds of families. It is also necessary to be aware and support the promoting factors of therapeutic \nchange. To investigate client experience is essential because they are experts in their own lives and \nthe goal of family therapy is to increase the wellbeing of family. Our data has been gathered by \nKuopio University hospital Child Psychiatry Clinic together with Psychotherapy training and research \ncentre University of Jyv\u00e4skyl\u00e4. We are using the collaborative post-therapy research interviews as \nour data and we are investigating three children with oppositional defiant disorder and conduct \ndisorder and their families using discourse analysis.\nIn our research we found out that in two families treatment satisfaction and therapeutic change \nseemed to be connected. Nevertheless, in one family there had been a lot of dissatisfaction regardless \nof therapeutic change. Based on this, we can assume that there is no automatic connection between \ntreatment satisfaction and therapeutic change. As promoting and weakening factors in the speech of \nfamilies emerged to be therapy that respond to client needs, experiences about effectiveness of \ntreatment, trust in healthcare, expectations and motivation for the therapy process and environmental \nsupport. These factors appeared to be dimensional either weakening or promoting therapeutic \nprocesses. Emotional charge in family members speech was crucial in terms of detecting changes in \ntherapy. Strong emotional charge might prevent reflective observation. As therapeutic change in the \nspeech of families, we discovered first order change, change in interaction, in power relationships \nand in positions. Our results provide new perspectives about how treatment satisfaction consists \ncircularly in family interaction and which factors might possibly promote or prevent therapeutic \nchange. Our results also provide significant information about the connections between these \nprocesses.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-05-21T04:19:11Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-05-21T04:19:11Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "51", "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.title", "value": "Hoitoon tyytyv\u00e4isyys ja terapeuttinen muutos perheterapiassa : diskurssianalyyttinen tutkimus uhmakkuus- ja k\u00e4yt\u00f6sh\u00e4iri\u00f6diagnoosin saaneiden lasten perheiden kokemuksista perheterapian yhteistutkimushaastattelussa", "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-202105213081", "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": "yvv.contractresearch.initiative", "value": "university", "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": "k\u00e4ytt\u00e4ytymish\u00e4iri\u00f6t", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "uhmakkuush\u00e4iri\u00f6", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "perheet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "perheterapia", "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": "vuorovaikutus", "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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