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"I didn't have to look her in the eyes"-participants' experiences of the therapeutic relationship in internet-based psychodynamic therapy for adolescent depression

Objective: To explore young people's perceptions of the relationship with the therapist in internet-based psychodynamic treatment for adolescent depression. Method: As a part of a randomized controlled trial, 18 adolescents aged 15-19 were interviewed after participating in treatment. Interview...

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Bibliographic Details
Published in:Psychotherapy research 2024-07, Vol.34 (5), p.648-662
Main Authors: Lindqvist, Karin, Mechler, Jakob, Midgley, Nick, Carlbring, Per, Carstorp, Katarina, Neikter, Hanna Källebo, Strid, Fredrik, Von Below, Camilla, Philips, Björn
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Language:English
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Summary:Objective: To explore young people's perceptions of the relationship with the therapist in internet-based psychodynamic treatment for adolescent depression. Method: As a part of a randomized controlled trial, 18 adolescents aged 15-19 were interviewed after participating in treatment. Interviews followed a semi-structured interview schedule and were analyzed using thematic analysis. Results: The findings are reported around four main themes: "a meaningful and significant relationship with someone who cared", "a helping relationship with someone who guided and motivated me through therapy"; "a relationship made safer and more open by the fact that we didn't have to meet" and "a nonsignificant relationship with someone I didn't really know and who didn't know me". Conclusion: Even when contact is entirely text-based, it is possible to form a close and significant relationship with a therapist in internet-based psychodynamic treatment. Clinicians need to monitor the relationship and seek to repair ruptures when they emerge. Trial registration: ISRCTN.org identifier: ISRCTN16206254. .
ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2022.2150583