A1 Refereed original research article in a scientific journal

Patient-Made Videos as a Tool of Self-Observation Enhancing Self-Reflection in Psychotherapy: Description of the Method and a Clinical Case




AuthorsKoffert Tarja, Luutonen Sinikka, Niemi Päivi M, Tiuraniemi Juhani, Nordström Elisa, Keinänen Matti, Hietala Jarmo

PublisherSpringer New York LLC

Publication year2019

JournalJournal of Contemporary Psychotherapy

Journal name in sourceJournal of Contemporary Psychotherapy

Volume49

Issue3

First page 187

Last page195

Number of pages9

ISSN0022-0116

eISSN1573-3564

DOIhttps://doi.org/10.1007/s10879-019-09425-8(external)

Web address https://link.springer.com/article/10.1007/s10879-019-09425-8(external)

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/40339840(external)


Abstract

Photographs have been used in psychotherapy from the late 1970s, but patient-made videos have not been used directly as an integral part in individual psychotherapeutic treatment. We now propose a new approach, VideoTalk, using visual material as an aid in the psychotherapy process with a schema therapy framework as an example. VideoTalk builds on life-review method, providing information about the patient’s social relations, coping skills, affect/emotion regulation and schemas. This information is used as a platform for focused patient-made videos, i.e. self-talk at home in a typical problematic situation for the patient. The VideoTalk method enables documentation of the expression of mind states and dysfunctional schemas in a natural environment and related to an everyday emotional context. Subsequently, this video material is watched step by step together with the therapist. In this report, we describe the flow and functionality of the VideoTalk method through the case of a 24-year-old female patient suffering from depression and social phobia. The self-mirroring from the video facilitates self-observations of the patient’s own facial expressions, voice and body posture. We hypothesize that this new information gradually changes emotional processing, leads to better self-awareness and strengthens more functional schemas.


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