Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms

Treatment specificity and adherence to treatment manuals represent essential components of the medical model in psychotherapy. The model assumes that psychotherapists who work with the same type of clients and who identify with the same theoretical approach work very similarly. This study illustrate...

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Main Authors: Jan Roubal, Roman Hytych, Michal Čevelíček, Tomáš Řiháček
Format: Article
Language:English
Published: PAGEPress Publications 2021-12-01
Series:Research in Psychotherapy
Subjects:
Online Access:https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/535
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author Jan Roubal
Roman Hytych
Michal Čevelíček
Tomáš Řiháček
author_facet Jan Roubal
Roman Hytych
Michal Čevelíček
Tomáš Řiháček
author_sort Jan Roubal
collection DOAJ
description Treatment specificity and adherence to treatment manuals represent essential components of the medical model in psychotherapy. The model assumes that psychotherapists who work with the same type of clients and who identify with the same theoretical approach work very similarly. This study illustrates the shortcomings of that assumption and explores how therapists’ individuality forms and shapes their unique approaches that resonate with their own personalities, inclinations, and worldviews. Semi-structured interviews with eight Gestalt therapists working with clients who experienced medically unexplained physical symptoms were analysed using the grounded theory method. Considerable differences were found among the therapists within four domains of the personal therapeutic approach, namely Case Conceptualization, Therapeutic Task, Therapist’s Position, and Alternative Strategy. However, regardless of the differences, all the therapists endeavoured, either implicitly or explicitly, to convey to the clients what they considered to be healthy functioning. There is considerable diversity in the way therapists work even when they subscribe to the same psychotherapeutic approach and work with the same type of clients. The exploration of psychotherapists’ usual strategies, as well as the alternative strategies they use when their usual strategies do not work, appears helpful for capturing their personal therapeutic approaches.
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spelling doaj.art-e8303bc5a0274703a44e40efa9e9763b2022-12-21T20:12:37ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312021-12-0124310.4081/ripppo.2021.535Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptomsJan Roubal0Roman Hytych1Michal Čevelíček2Tomáš Řiháček3Department of Psychology, Masaryk University, BrnoDepartment of Psychology, Masaryk University, BrnoDepartment of Psychology, Masaryk University, BrnoDepartment of Psychology, Masaryk University, BrnoTreatment specificity and adherence to treatment manuals represent essential components of the medical model in psychotherapy. The model assumes that psychotherapists who work with the same type of clients and who identify with the same theoretical approach work very similarly. This study illustrates the shortcomings of that assumption and explores how therapists’ individuality forms and shapes their unique approaches that resonate with their own personalities, inclinations, and worldviews. Semi-structured interviews with eight Gestalt therapists working with clients who experienced medically unexplained physical symptoms were analysed using the grounded theory method. Considerable differences were found among the therapists within four domains of the personal therapeutic approach, namely Case Conceptualization, Therapeutic Task, Therapist’s Position, and Alternative Strategy. However, regardless of the differences, all the therapists endeavoured, either implicitly or explicitly, to convey to the clients what they considered to be healthy functioning. There is considerable diversity in the way therapists work even when they subscribe to the same psychotherapeutic approach and work with the same type of clients. The exploration of psychotherapists’ usual strategies, as well as the alternative strategies they use when their usual strategies do not work, appears helpful for capturing their personal therapeutic approaches.https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/535Personal therapeutic approach; medically unexplained physical symptoms; Gestalt therapy; grounded theory method; therapeutic strategy
spellingShingle Jan Roubal
Roman Hytych
Michal Čevelíček
Tomáš Řiháček
Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
Research in Psychotherapy
Personal therapeutic approach; medically unexplained physical symptoms; Gestalt therapy; grounded theory method; therapeutic strategy
title Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
title_full Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
title_fullStr Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
title_full_unstemmed Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
title_short Personal therapeutic approach in Gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
title_sort personal therapeutic approach in gestalt therapists working with clients suffering from medically unexplained psychosomatic symptoms
topic Personal therapeutic approach; medically unexplained physical symptoms; Gestalt therapy; grounded theory method; therapeutic strategy
url https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/535
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