Multi-Layered Approach of Patient Agency
Patient agency explores the belief in one's ability to influence their life. This study delves into the evolution of agency in a patient's narrative during therapy, using a multi-layered approach. Postmodern storytelling structures and research questions about agency are also examined in this comprehensive analysis.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
A MULTI A MULTI- -LAYERED APPROACH OF LAYERED APPROACH OF PATIENT AGENCY: PATIENT AGENCY: APPLYING THE LISTENING GUIDE TO A PATIENT S APPLYING THE LISTENING GUIDE TO A PATIENT S NARRATIVES NARRATIVES
Patient agency? Patient agency? The conviction that what one does matters, that one can intervene effectively in one s life (Hauser et al., 2006, p. 39). Psychological well-being Contributing to change in psychotherapy Central thematic element in narratives Bamberg: continuum between undergoing me and agentic I Safran: dialectic between agency and surrender Dynamic construct BACKGROUND BACKGROUND
Postmodern story structure Postmodern story structure Regards traditional story (coherent, linear, temporally, and spatially structured plot) as a social construct Multiplicity of ways to enter and construct a story Protagonist is multi-voiced and shifting BACKGROUND BACKGROUND
RESEARCH QUESTION RESEARCH QUESTION How does a multi-layered account of agency appear in a patient s narrative? How does the multi-layered account of agency in a patient s narrative evolve over the course of therapy?
Data gathering Data gathering Data analysis Data analysis Interpretation Interpretation Pre-, peri- and post-interviews Listening guide method Distinction ego - subject Method Method Listening for: The plot I poems Contrapuntal voices Meganck, R., Desmet, M., Bockting, C., Inslegers, R., Truijens, F., De Smet, M., De Geest, R., Van Nieuwenhove, K., Hennissen, V., Hermans, G., Loeys, T., Norman, U. A., Baeken C. and Vanheule, S. (2017). The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioural interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial. Trials, 18(126).
PRE PERI POST I always have everything Do I have time? I become aware I prepare the bags Do I feel like it? I do everything on autopilot I have the tickets I ask myself Caregiver s voice I have the keys I feel like I can let go more Do I have to do it? I arrange everything I simply forgot the tickets Will I do it? I am less careful I have the feeling I have to tell him I am still careful I have kept silent What made me feel Silent dictator Results Results Do I keep him upright? I haven t said I was exhausted No, but I am careful How I feel I have to tell him That I don t knock him I haven t said down again How hard I found that I started therapy The loss of my brother-in-law I can t explain it I was at an all-time low I was working from home I haven t The Inexplicable I saw my sister I don t think I haven t explained much I can sink lower I say: those things linger on in me My brother-in-law passed away I didn t expect it I thought Encouragement and doubt / fright and relief I thought Then I will feel relieved I would slide back immediately I didn t feel relieved I deal more calmly with several things I didn t feel myself like before I let myself get less carried away
