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Therapists' experience of client sudden death: A qualitative study.

机译:治疗师对服务对象猝死的经验:定性研究。

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This phenomenological study, using a descriptive exploratory methodology, focused on nine therapists who had experienced the sudden death of a client. The study was aimed at gaining an in-depth, detailed understanding of therapists' experience of client sudden death.; Data was collected by conducting in-depth, semi-structured interviews with therapists who volunteered to participate in the study. Interviews were carried out utilizing an interview guide that incorporated a series of open-ended questions addressing the grand tour research question and subquestions. The interview guide was loosely based on the theories of Sanders (1989) and Doka (1989).; Research findings are presented through profiles of individual participants and by presenting a thematic analysis that includes excerpts from the interview data that fell within five overarching meta-themes: (1) Attachment in the Therapeutic Relationship; (2) Therapists' Bereavement; (3) The Therapist is Left Holding the Bag; (4) Coping with Client Sudden Death; and (5) Lessons Learned. The study revealed that: (1) the sudden death of a client is a unique death experience that exhibits features that are both similar to and different from other types of death that an individual will encounter; (2) therapists go through a process when a client dies that is both similar to and different from bereavement phase models presented in the literature; (3) a number of factors influence how a particular therapist might experience the death of a client, including the therapists' view of their professional role; (4) therapists found certain activities to be helpful when dealing with their experience of client sudden death; and (5) some therapists felt that the grief that they experienced was disenfranchised. Other dimensions of client sudden death are also addressed, including issues surrounding the therapists' decision whether or not to attend the client's funeral, some therapists' desire to finish their client's unfinished business, and the therapists' contact with the deceased client's family.; The findings suggest a need to develop a body of literature that addresses therapists' experiences of client death. Implications for practice, training, and future research are also discussed.
机译:这项现象学研究采用描述性探索性方法,重点研究了九名经历过服务对象突然死亡的治疗师。该研究旨在获得对治疗师对服务对象猝死经历的深入,详细的了解。通过与自愿参加研究的治疗师进行深入的半结构化访谈来收集数据。采访是利用采访指南进行的,该指南包含了一系列针对大型旅游研究问题和子问题的开放式问题。访谈指南大致基于桑德斯(1989)和多卡(1989)的理论。通过单个参与者的概况和主题分析来呈现研究结果,其中包括来自采访数据的摘录,这些摘录属于五个总体元主题:(1)治疗关系的附加; (2)治疗师的丧亲; (3)治疗师留着袋子; (4)应对客户猝死; (5)经验教训。该研究表明:(1)服务对象的突然死亡是一种独特的死亡经历,其表现出与个人将遇到的其他类型的死亡既相似又不同的特征; (2)当客户去世时,治疗师会经历一个与文献中介绍的丧亲阶段模型既相似又不同的过程; (3)许多因素会影响特定治疗师如何经历服务对象的死亡,包括治疗师对其职业角色的看法; (4)治疗师发现某些活动对应对客户突然死亡的经历有帮助; (5)一些治疗师认为他们所经历的悲伤是被剥夺的。服务对象突然死亡的其他方面也得到解决,包括与治疗师决定是否参加服务对象的葬礼有关的问题,一些治疗师对完成其服务对象未完成业务的渴望以及治疗师与已故服务对象的家人的联系。这些发现表明,有必要建立一套针对治疗师死者死亡经验的文献资料。还讨论了对实践,培训和未来研究的影响。

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