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When and for whom do psychodynamic therapists use guided imagery? Explicating practitioners' tacit knowledge
Journal article   Open access   Peer reviewed

When and for whom do psychodynamic therapists use guided imagery? Explicating practitioners' tacit knowledge

Jule Bauckhage and Christian Sell
Research in psychotherapy (Milano), v 24(3)
01 Jan 2021
PMID: 35047430
url
https://www.researchinpsychotherapy.org/index.php/rpsy/article/download/577/519View
Published, Version of Record (VoR) Open
url
https://doi.org/10.4081/ripppo.2021.577View
Published, Version of Record (VoR) Open

Abstract

Psychology Psychology, Clinical Social Sciences
Guided imagery psychotherapy (GIP) is an established therapeutic method using creative mental imagery within a psychodynamic frame of reference. Although there is evidence for the method's general effectiveness, it is yet unclear under which conditions and for which patients it should be used. The aim of this study was therefore to empirically identify indication criteria for the use of guided affective imagery (GAI) as part of psychodynamic therapies. We conducted semi-structured interviews with N=15 psychodynamic therapists also qualified as GAI training therapists. We asked them to recollect cases in which they had decided either for or against the use of imagery. The therapists described a complex interplay of different factors. Using grounded theory coding supplemented by elements of Consensual Qualitative Research we reconstructed from their accounts a sequential model of their indicative decisions. First, there is a consideration of clear contraindications related to reality testing and destructiveness. Second, there are aspects requiring a modified application of GAI such as emotional instability and post-traumatic stress disorder symptoms. In a final step, there are a number of characteristics of the patient, the therapist, the therapeutic relationship, the patients' initial imagery and different therapeutic goals and foci which are weighed relatively to each other in order for therapists to reach an indication decision. We end by discussing ways in which the indicative decision model may be used to improve GAI training as well as the method's differential efficacy and effectiveness.

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Web of Science research areas
Psychology, Clinical
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