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Emotion-focused perspective on breast cancer patients’ experiences of comorbid anxiety and depression: a qualitative case analysis of three clients’ in-session presentations
Person-Centered & Experiential Psychotherapies Pub Date : 2020-02-13 , DOI: 10.1080/14779757.2020.1717988
Joana Hissa 1 , Allison Connolly 1, 2 , Ladislav Timulak 1 , Natalie Hession 2
Affiliation  

ABSTRACT The current study is a qualitative, descriptive-interpretative study that utilizes an emotion-focused therapy (EFT) theoretical framework as the basis of interpretation of clients’ experiences of co-morbid anxiety and depression among three women with breast cancer. The study consists of analysis into the clients’ in-session presentation of their difficulties. The study uses a multiple case study observational qualitative design. In total, 18 video-recorded therapy sessions from 3 clients were used for analysis. Sessions were analyzed utilizing an EFT case conceptualization framework. Findings illustrate common themes across cases, organized within EFT conceptualization domains; these include triggers of emotional pain, such as hurtful relationships with close ones and cancer diagnosis/treatment; problematic self-treatment like self-blame and/or excessive worrying; global distress evidenced in the form of anxiety and depression symptoms; emotional and behavioral avoidance strategies such as interruption of emotions, self-distraction and avoidance of activities potentially triggering of painful emotions. The underlying core pain takes the form of sadness/loneliness, shame and fear, and points to corresponding unmet needs (e.g. to be loved, to be recognized, to be protected). The discussion focuses on presenting the findings in the context of psycho-oncology and EFT theory.

中文翻译:

以情绪为中心的视角看待乳腺癌患者的共病焦虑和抑郁体验:对三个客户的会期演示的定性案例分析

摘要 目前的研究是一项定性的、描述性的解释性研究,它利用情绪聚焦疗法 (EFT) 理论框架作为解释客户在三名乳腺癌女性中的共病焦虑和抑郁体验的基础。该研究包括分析客户在会期中对他们的困难的陈述。该研究使用多案例研究观察定性设计。总共使用了来自 3 位客户的 18 次视频录制的治疗课程进行分析。使用 EFT 案例概念化框架分析会话。调查结果说明了在 EFT 概念化领域内组织的案例中的共同主题;这些包括情绪痛苦的触发因素,例如与亲人的伤害关系和癌症诊断/治疗;有问题的自我治疗,如自责和/或过度担心;以焦虑和抑郁症状的形式证明的全球性痛苦;情绪和行为回避策略,例如情绪中断、自我分心和避免可能引发痛苦情绪的活动。潜在的核心痛苦表现为悲伤/孤独、羞耻和恐惧,并指向相应的未满足需求(例如被爱、被认可、被保护)。讨论的重点是在心理肿瘤学和 EFT 理论的背景下展示研究结果。潜在的核心痛苦表现为悲伤/孤独、羞耻和恐惧,并指向相应的未满足需求(例如被爱、被认可、被保护)。讨论的重点是在心理肿瘤学和 EFT 理论的背景下展示研究结果。潜在的核心痛苦表现为悲伤/孤独、羞耻和恐惧,并指向相应的未满足需求(例如被爱、被认可、被保护)。讨论的重点是在心理肿瘤学和 EFT 理论的背景下展示研究结果。
更新日期:2020-02-13
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