Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study

Group psychotherapy is a useful clinical practice for adolescents with mental health issues. Groups typically consist of young people of similar ages but with different personalities, and this results in a complex communication network. The goal of group psychoanalytic psychotherapy is to improve pa...

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Detalles Bibliográficos
Autores: Arias Pujol, Eulàlia, Anguera, M. Teresa
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Ramon Llull (URL)
Repositorio:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dau.url.edu:20.500.14342/2280
Acceso en línea:http://hdl.handle.net/20.500.14342/2280
https://doi.org/10.3389/fpsyg.2017.01188
Access Level:acceso abierto
Palabra clave:Teràpia de grup
Adolescents--Psicologia
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spelling Observation of Interactions in Adolescent Group Therapy: A Mixed Methods StudyArias Pujol, EulàliaAnguera, M. TeresaTeràpia de grupAdolescents--PsicologiaGroup psychotherapy is a useful clinical practice for adolescents with mental health issues. Groups typically consist of young people of similar ages but with different personalities, and this results in a complex communication network. The goal of group psychoanalytic psychotherapy is to improve participants' mentalization abilities, facilitating interactions between peers and their therapist in a safe, containing environment. The main aim of this study was to analyze conversation turn-taking between a lead therapist, a co-therapist, and six adolescents over the course of 24 treatment sessions divided into four blocks over 8 months. We employed a mixed-methods design based on systematic observation, which we consider to be a mixed method itself, as the qualitative data collected in the initial observation phase is transformed into quantitative data and subsequently interpreted qualitatively with the aid of clinical vignettes. The observational methodology design was nomothetic, follow-up, and multidimensional. The choice of methodology is justified as we used an ad-hoc observation instrument combining a field format and a category system. Interobserver agreement was analyzed quantitatively by Cohen's kappa using the free QSEQ5 software program. Once we had confirmed the reliability of the data, these were analyzed by polar coordinate analysis, which is a powerful data reduction technique that provides a vector representation of relationships between categories. The results show significant relationships between the therapist and (1) the activation of turn-taking by the participants and the co-therapist and silence and (2) conversation-facilitating interventions and interventions designed to improve mentalization abilities. Detailed analysis of questions demonstrating interest in others showed how the communication changed from radial interactions stemming from the therapist at the beginning of therapy to circular interactions half way through. Repetition was found to be a powerful conversation facilitator. The results also illustrate the role of the therapist, who (1) did not facilitate interventions by all participants equally, (2) encouraged turn-taking from more inhibited members of the group, (3) stimulated conversation from the early stages of therapy, and (4) favored mentalization toward the end. Despite its complexity, polar coordinate analysis produces easy-to-interpret results in the form of vector maps.Frontiers Media S.AUniversitat Ramon Llull. Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna20182023201820232017info:eu-repo/semantics/article13 p.application/pdfhttp://hdl.handle.net/20.500.14342/2280https://doi.org/10.3389/fpsyg.2017.01188RECERCAT (Dipòsit de la Recerca de Catalunya)reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésFrontiers in psychology, 2017, Vol. 8, Article 1188Attribution 4.0 International© Arias-Pujol and Anguerahttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dau.url.edu:20.500.14342/22802026-06-21T06:40:37Z
dc.title.none.fl_str_mv Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
title Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
spellingShingle Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
Arias Pujol, Eulàlia
Teràpia de grup
Adolescents--Psicologia
title_short Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
title_full Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
title_fullStr Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
title_full_unstemmed Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
title_sort Observation of Interactions in Adolescent Group Therapy: A Mixed Methods Study
dc.creator.none.fl_str_mv Arias Pujol, Eulàlia
Anguera, M. Teresa
author Arias Pujol, Eulàlia
author_facet Arias Pujol, Eulàlia
Anguera, M. Teresa
author_role author
author2 Anguera, M. Teresa
author2_role author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna
dc.subject.none.fl_str_mv Teràpia de grup
Adolescents--Psicologia
topic Teràpia de grup
Adolescents--Psicologia
description Group psychotherapy is a useful clinical practice for adolescents with mental health issues. Groups typically consist of young people of similar ages but with different personalities, and this results in a complex communication network. The goal of group psychoanalytic psychotherapy is to improve participants' mentalization abilities, facilitating interactions between peers and their therapist in a safe, containing environment. The main aim of this study was to analyze conversation turn-taking between a lead therapist, a co-therapist, and six adolescents over the course of 24 treatment sessions divided into four blocks over 8 months. We employed a mixed-methods design based on systematic observation, which we consider to be a mixed method itself, as the qualitative data collected in the initial observation phase is transformed into quantitative data and subsequently interpreted qualitatively with the aid of clinical vignettes. The observational methodology design was nomothetic, follow-up, and multidimensional. The choice of methodology is justified as we used an ad-hoc observation instrument combining a field format and a category system. Interobserver agreement was analyzed quantitatively by Cohen's kappa using the free QSEQ5 software program. Once we had confirmed the reliability of the data, these were analyzed by polar coordinate analysis, which is a powerful data reduction technique that provides a vector representation of relationships between categories. The results show significant relationships between the therapist and (1) the activation of turn-taking by the participants and the co-therapist and silence and (2) conversation-facilitating interventions and interventions designed to improve mentalization abilities. Detailed analysis of questions demonstrating interest in others showed how the communication changed from radial interactions stemming from the therapist at the beginning of therapy to circular interactions half way through. Repetition was found to be a powerful conversation facilitator. The results also illustrate the role of the therapist, who (1) did not facilitate interventions by all participants equally, (2) encouraged turn-taking from more inhibited members of the group, (3) stimulated conversation from the early stages of therapy, and (4) favored mentalization toward the end. Despite its complexity, polar coordinate analysis produces easy-to-interpret results in the form of vector maps.
publishDate 2017
dc.date.none.fl_str_mv 2017
2018
2018
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/2280
https://doi.org/10.3389/fpsyg.2017.01188
url http://hdl.handle.net/20.500.14342/2280
https://doi.org/10.3389/fpsyg.2017.01188
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Frontiers in psychology, 2017, Vol. 8, Article 1188
dc.rights.none.fl_str_mv Attribution 4.0 International
© Arias-Pujol and Anguera
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
© Arias-Pujol and Anguera
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media S.A
publisher.none.fl_str_mv Frontiers Media S.A
dc.source.none.fl_str_mv RECERCAT (Dipòsit de la Recerca de Catalunya)
reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
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