Introduction of Psychotherapya
In general, psychotherapy is a
process created for bringing about changes of behaviour, attitudes, cognitions,
and feelings which have proven to be problematic to the individual seeking help
from a psychotherapist. Meanwhile, a wider view of this therapy involves the
concept of assisting an individual in becoming his ideal self. Normally, this
process is involved in most treatments for disorders related to stress and
stress management programmes. Psychotherapy often involves two people as one
person is capable of influencing the way in which another person behaves,
thinks, and feels. In most cultures, it is a fundamental assumption.
Psychotherapy is a refines of this interpersonal process based on language.
Usually, it includes a verbal exchange but it might include dramatic
performance or writing as well. In this study, the concept of psychotherapy
will be analysed and its results will also be explored (Smith, 2010).
Findings of Psychotherapya
The objective of psychotherapy is to modify the existing behaviour,
attitudes, cognitions, and feelings. It seems to avoid the issue of whether
they are acquired or inherited, and it considers that they exist and they can
certainly be changed. Still, there is a significant recognition that there
exists a process which has created this phenomena, without and with the
awareness of the person. It would not be wrong to say that disturbances of
behaviour, thoughts, and feelings are quite common. Meanwhile, psychotherapy
aims to deal with all those people who experience difficulties by their experiences
of these feelings. It is possible that they might experience and feel it
directly, for instance, a person in the depressed mood.
People can experience it indirectly
as well, for instance, when depression leads to a person not being able to stay
active. Usually, stressed people are troubled by the issues and disturbances
that they experience in their daily functions and tasks. The relationship
between physical and mental states is quite clear. Having clinical depression
at some specific age doubles and increases the risk of being diagnosed with and
developing a major disorder like stroke or even diabetes. Once these diseases
and disorders develop, the mortality rate is doubled by depression. It also
increases healthcare costs and morbidity. What serves to differentiate
psychotherapy from any other interpersonal influence is that it is generally
provided within some formal parameters. The trained expert or professional
comes from various backgrounds such as education, nursing, social work,
psychology, and even medicine.
In recent years, the question of
which therapy is best for which patient is being resolved. Different
relationship factors such as human wisdom, acceptance, warmth, and trust are
important, even in technical therapies which serve to ignore them. In this
study, an attempt has been made for evaluating the psychotherapy of patients
and determine whether it was effective for them (Lambert, 2013).
The psychiatry residents were asked
to fill up an evaluation form for each patient they had been seeing and
observing during a period of twelve months. It implied that some patients had
completed their therapy during this period while some patients were attending
the clinic actively. Still, the form was to be filled out since the objective
was concerned with surveying the psychotherapy performed in the clinic during
this period and whether patients experienced positive results or not. The first
portion dealt with basic data like the age, sex, race, and name of the patient.
Meanwhile, the second section dealt with the evaluation of initial prognosis,
goals in treatment, clinical diagnosis, and the illness of patient. The next
section was aimed at determining the changes which occurred during the therapy.
305 forms were submitted and 34 percent of the forms were completed by the
first-year residents. 36 percent of the forms were completed by the second-year
residents and 36 percent were completed by the third-year residents.
Table: Patient Grouping of Psychotherapya
Appreciable improvement was
experienced by approximately 70% of patients. Considering the fact that about
two thirds of patients were active in their specific therapies, the
interpretation of this part is limited. Evaluation of the patient after
psychotherapy and while the patient is undergoing treatment, offers a
significant opportunity for the appraisal of manner in which the patient copes
with different life situations. Although a follow-up after the patient has
stopped seeing his therapist has various benefits, the possibilities for
identifying how he handled a specific situation are reduced. Therefore,
optimally, the patient must be analysed and evaluated after he enters therapy,
and when the therapy is terminated.
In this research, it has been
determined that patients who were undergoing psychotherapy for the treatment of
stress and similar issues experienced a significantly positive result. One of
the major reasons why they experienced positive results was because of
counselling involved in the treatment. Considering the fact that psychotherapy
has the objective of dealing with everything that troubles the person,
counselling is often provided to the patient. In this case as well, a large
number of patients were provided counselling. Upon asking the patients and
analysing the evaluation forms, it was determined that psychotherapy relies
significantly on the exchange of feelings and ideas (Norcross & Lambert,
2011).
140 patients who determined that
they had improved had undergone some form of counselling. Upon further
analysis, it was determined that one of the major strengths of psychoanalysis
is that it involves the exchange of ideas and conversation between two people. After
asking the patients, it was determined that once pent up feelings and ideas of
patients are revealed and they take them out, they immediately feel better than
before.
Another important point that was
revealed by responses of patients was that therapists often suggest different
alternatives and solutions to patients. For instance, one patient was disturbed
by his work life and he faced significant difficulties in managing his social
life. He admitted that before the therapy, he had gotten stressed and he was
angry at everything for no reason. He also exclaimed that one day, he had
shouted at a person just because he had bumped into him. However, after
receiving psychotherapy, he had learned how to control his anger. In addition
to just learning this, he had also understood what he needed to do if he was
stressed again because of his work, he knew what he needed to do.
His therapist had told him that he
needed to manage his time in an efficient manner and better than before. One
way he could do this was by waking up early in the morning and setting up a
plan for the day. In addition to it, he told that his therapist had guided him
and suggested him to identify all the reasons why he was experiencing stress in
the first place. Once those triggers had been identified, he could simply learn
to manage them effectively. He believed that psychotherapy had been beneficial
for him because it had allowed him to manage his stress and cope up with it.
One important thing which was
identified by results was that the effectiveness of psychotherapy is enhanced
significantly when there are group treatments. For instance, if there are
patients who are experiencing the same issues and are undergoing the same
therapy, treating them together allows them to be comfortable around each
other. It also allows them to take assurance from each other. For instance, if
there are two patients who are experiencing the same issues, they can reveal
how they are experiencing stress and anxiety. It allows them to become
comfortable and take their therapy seriously. In fact, it allows therapists to
treat patients in an effective manner.
The thirteen patients who believed
that their treatments had not improved their conditions were the ones who were
not serious about psychotherapy. Upon consulting their therapists and asking
for the reasons why they believed that their therapy had not improved them, it
was revealed that seriousness of the patient towards his own improvement
matters significantly. In fact, if patients are not serious about being treated
and do not want to recover, they are unable to recover. Therefore, it would not
be wrong to say that the willingness of patients to be treated and make sure
that their life gets back to normal is very important. Without it, it is not
possible for the therapist to treat the patient properly and ensure that the therapy
is effective. In fact, although it has not been proven, it can be supposed that
without the willingness of patient, any type of therapy which does not involve
medications cannot be effective (Anthony, 2018).
Conclusion and
Recommendations
Overall, it can be said
psychotherapy is quite effective for patients who are experiencing stress and
any other disturbing feeling. It is, however, important to note that without
the willingness of patients, it is not possible for the psychotherapist to
treat the patient in an effective manner. Following are some recommendations
which can be considered for performing psychotherapy effectively:
·
Psychotherapy should be
performed in combination with consultation to the patient.
·
People experiencing disturbing
feelings should undergo psychotherapy to recover and manage their life in an
effective manner.
·
Patients should be serious
about their treatment for psychotherapy to be effective.
References of Psychotherapya
Anthony, E. J. (2018). Group
psychotherapy: The psychoanalytic approach. Routledge.
Lambert, M. J.
(2013). Of Psychotherapy. Bergin and Garfield's handbook of psychotherapy
and behavior change.
Norcross, J. C.,
& Lambert, M. J. (2011). Psychotherapy relationships that work II. Educational
Publishing Foundation, 48(1).
Smith, G. C.
(2010). Psychotherapy. Encyclopedia of Stress, 302-307.