Open Door Review III

/2($0*(6w10%701($)*!23)B(!(0%9$*2($)*!$*!1647#)2*2<4($7!(%02(90*(6?! =!UB2<$(2($Y0!%0602%7#!6(B&4!

N<$Y0%2_!i>_!F%2B*_!@>_!SW90C!/0*0&)_!i>!@>_!G!5)B66)6_!=>![+,-P^>!=!UB2<$(2($Y0!$*Y06($D2($)*!):!:)%90%!7<$0*(6Ä! 10%701($)*!):!7#2*D0_!%026)*6!:)%!7)*6B<(2($)*_!(#0%210B($7!%0<2($)*6#$1_!2*&!(0%9$*2($)*>! '(A?-",-%#@:AO& JH []^_!.,.h.-g>! "X2.(1/.! From a sample of 50 former psychotherapy patients from Buenos Aires, Argentina; 16 participants identified the psychotherapy process as psychoanalysis. Those16 cases have been analyzed, in terms of how they experienced the termination process using a grounded theory approach. Results show that most therapies came to an end when the patient´s decided it, and half of the participants reported that their therapist didn´t agree with termination. Those patients whose termination has been agreed referred more satisfaction with the therapeutic process than those who didn´t. (lo taché porque aparentemente no se require abstract) "*02!1#'!(1.*$#15&!$,!.4&!2.-'3! The aim of this study is to describe how private-practice patients in Buenos Aires, Argentina, have experienced the termination of psychoanalytic psychotherapy. Psychoanalytic authors agree that termination is a critical phase of treatment (Shane, 2009; Zilberstein, 2008). Premature termination is one of the most salient problems psychotherapy portrays (Nuetzel & Larsen, 2012; Swift & Callahan, 2011) and patient-initiated premature termination poses many problems both for patients and therapists (Ogrodniczuk, Joyce, & Piper, 2005). It is necessary to continue analyzing how termination takes place in real psychoanalytic treatments and how psychoanalysts may facilitate the positive resolution of therapy. Although there are studies about patient´s perspective of termination in other countries (eg: Hynan, 1990; Knox et al., 2011; Roe, Dekel, Harel, Fennig, & Fennig, 2006), the experience of therapy in different cultures may vary. In a cross-cultural study Jock et al. (2013) found “great many and noteworthy” differences between former patients experience of therapy in Argentina and the United States (Jock et al., 2013). =&.4$'2! Subjects were 16 former psychoanalytic psychotherapy private practice patients. Semistructured qualitative face-to-face interviews were conducted. A first open ended question: “Tell me about your therapeutic experience” allowed participants to talk freely, afterwards specific questions about termination and other significant psychotherapeutic variables were asked in order to assess the most relevant aspects of the study. Also, patients were asked to rate their therapeutic process (in a scale from 1 to 10, ten being totally satisfied). To analyze the interviews, researchers conducted a qualitative approach, based on CQR (Hill et al., 2005) and described in a former article (Olivera, Braun, Gómez Penedo, & Roussos, 2013). ;&2-5.2!

The majority of terminations were proposed by patients (14; 87.5%); while only two therapists initiated the termination process. Only three patients (18.75%) reported having set goals with their

PKT

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