Dissertations and Theses

Date of Award

2024

Document Type

Dissertation

Department

Psychology

First Advisor

Sasha Rudenstine

Second Advisor

Paul Wachtel

Third Advisor

Diana Puñales

Keywords

Termination, termination training, student therapists, psychodynamic, forced

Abstract

Termination is arguably one of the most important aspects of psychotherapy, however, the research into training for termination is sparse. Further, student therapists report that their training for termination provided little guidance, instruction, or acknowledgment of clinical realities around treatment endings. Using a semi-structured interview with a sample of 11 student therapists at a psychodynamic training clinic, this study explored experiences of termination and the preparation for those endings. Qualitative thematic analysis indicated that this group of student therapists did not experience shared and structured termination training but did not feel they were unprepared for the endings with their patients. Further, findings illustrate the ways student therapists were trained–via theory, supervision and experience–as well as what they were preparing for: therapist-initiated terminations of psychodynamic, long-term, open-ended treatment. Implications of this analysis are incorporated into recommendations for the future training of student therapists in termination.

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