Browsing by Subject "qualitative research methods"

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  • Koivisto, Maaria; Melartin, Tarja; Lindeman, Sari (2021)
    Objective: This study explored how psychological change was experienced and what treatment-related factors or events were perceived as supporting or hindering their process by individuals with borderline personality disorder. Methods: Eight BPD sufferers attended a 40-session psychoeducational group intervention at a community mental health care center. At intervention end, personal experience of meaningful change was explored in an in-depth interview and data were content-analyzed. Change in BPD symptoms was assessed by the Borderline Personality Disorder Severity Index IV interview. Results: The qualitative content analysis on subjectively perceived meaningful change yielded three core categories: (1) improved ability to observe and understand mental events, (2) decreased disconnection from emotions, emergence of new or adaptive emotional reactions and decrease in maladaptive ones, and (3) a new, more adaptive experience of self and agency. Accordingly, (1) learning and (2) normalizing emerged as the main categories of helpful treatment factors. In turn, treatment-related factors perceived as obstacles were: (1) aggression in the group, and (2) inflexibility. With respect to symptom change, four participants were considered clinically as remitted, and two showed a reliable change. Conclusions: Long-term psychoeducational group therapy seems to enhance mentalization / metacognitive functioning and promote self (or personality) integration in BPD patients.
  • Weiste, Elina; Peräkylä, Anssi (2014)
    Objective: To investigate the prosodic aspects of therapists’ empathic communication. Method: 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis were analysed using conversation analysis. Results: Two interactional trajectories where the therapists either validated the clients’ emotions or challenged them were identified. The difference between these trajectories was not evident in the lexical composition of the therapists’ formulations that initiated the trajectory. However, the prosodic features of the formulation already anticipated the direction of the trajectory. The formulations leading up to the validating trajectory were characterized by prosodic continuity and formulations leading up to the challenging trajectory by prosodic disjuncture. The choice between continuous and disjunctive prosody was a key resource for therapists in the construction of formulations as either validating or challenging. Conclusions: The present article emphasizes the relational aspects of psychotherapy communication by considering the prosodic features of the therapist’s talk in relation to the prosody of the client.
  • Särkelä, Elina; Suoranta, Juha (2020)
    In this article we describe a qualitative research method, the “Method of Empathy-Based Stories” (MEBS) and ponder its value in classroom teaching. Our research question is as follows: What is MEBS and what are its possible uses in research and teaching? We gathered empathy-based stories written by students (N = 15) and analysed them with thematic analysis. The dominating themes in writings were the threat of climate change and various coping strategies. MEBS allowed students to describe their ways of thinking and acting, and to take part in the discussion. In general, the use of MEBS can generate hypotheses and interpretive horizons and stir questions yet to be asked. The main purpose of using MEBS in qualitative research and in teaching is to inspire qualitative researchers’ and research participants’ interpretive imagination.
  • Voutilainen, Liisa; Peräkylä, Anssi; Ruusuvuori, Johanna Elisabeth (2011)
    A process of change within a single case of cognitive-constructivist therapy is analyzed by means of conversation analysis (CA). The focus is on a process of change in the sequences of interaction, which consist of the therapist’s conclusion and the patient’s response to it. In the conclusions, the therapist investigates and challenges the patient’s tendency to transform her feelings of disappointment and anger into self-blame. Over the course of the therapy, the patient’s responses to these conclusions are recast: from the patient first rejecting the conclusion, to then being ambivalent, and finally to agreeing with the therapist. On the basis of this case study, we suggest that an analysis that focuses on sequences of talk that are interactionally similar offers a sensitive method to investigate the manifestation of therapeutic change. It is suggested that this line of research can complement assimilation analysis and other methods of analyzing changes in a client’s talk.