Background: Just as different forms of dynamic psychotherapy can be considered as an effective tool for the treatment of mental disorders, it can also have negative effects. However, despite various studies, there have been few qualitative studies on the negative effects of dynamic psychotherapies.Aims: The purpose of this qualitative research was to present a conceptual model of the negative effects of dynamic psychotherapies based on the characteristics of the therapist, the client, and the theraputice approach. Methods: This research was conducted with a qualitative approach and Grounded Theory method. The study population of the research included all dynamic psychotherapists in Tehran and those clients 2023 and 2024 who had used dynamic psychotherapy. The research sample consisted of 18 dynamic psychotherapists and 8 clients who were selected by purposeful sampling method. The data collection tool in this research was semi-structured interviews. The data from the interviews were analyzed using the Strauss & Corbin method.Results: 17 axial codes including, primitive defense mechanisms of the client, quality of the parent-child relationship, client's personality traits, resistance to therapy, family structure disturbances, therapist's personality traits, therapist's professional errors, boundary violations, lack of professional competence, therapist's current life problems, non-objectivity of evaluation criteria in dynamic approaches, unstructured nature of dynamic therapies, exacerbation of symptoms, exacerbation of psychosomatic problems, intensification of self-destructive tendencies, and impairment of functioning, were identified as the components of the negative effects of dynamic psychotherapies, and finally, "interactive context of the therapist and client" was chosen as the central theme.Conclusion: it is suggested to evaluate the personality characteristics of therapists. It is also suggested that studies be conducted in order to investigate the interactive role of non-psychological treatments and dynamic therapies on the negative effects caused by psychotherapy
Type of Study:
Research |
Subject:
Special Received: 2024/10/2 | Accepted: 2025/05/22 | Published: 2025/02/25