Kognitiv beteendeterapi (KBT) har mest evidens vid social fobi, och på senare år har även guidad självhjälp baserad på KBT visat goda resultat. Acceptance and commitment therapy (ACT) är en del av den tredje vågens KBT och har visat lovande resultat vid ångestsyndrom. Företrädare för ACT har varnat för riskerna med tekniker för att utmana negativa automatiska tankar. Studien syftar till att med en single case experimentell design med multipel baslinje (N=9) studera effekterna av kognitiv omstrukturering (KO) och kognitiv defusion (KD) i form av guidad självhjälp på social ångest, socialt undvikande, psykologisk flexibilitet, defusion, samt frekvens av och trovärdighet hos negativa automatiska tankar. Resultaten visade att KO och KD inte enbart påverkade de processer som teorierna predicerar utan även den andra behandlingens processer..

I Sociologiskt perspektiv på Hästunderstödd terapi studeras hur deltagares upplevelser och effekter av Hästunderstödd terapi med någon form av psykosocial inriktning kan förstås ur ett sociologiskt perspektiv. Fyra artiklar som behandlar Hästundersstödd terapi analyseras med ett konstruktivistiskt förhållningssätt och en induktiv ansats har antagits. Resultatet av analysen ställs i relation till tidigare sociologisk forskning och sociologiska teorier som behandlar interaktion, kommunikation och relation mellan människa och djur. Resultatet mynnade i tre kategorier som står i relation till varandra. Kategorierna är: Sociala relationer, emotionell utveckling och identitetsskapande.

This study is an evaluation of the school Liljanskolan, which is a ?therapy-school? for children between the ages of seven and twelve with psychosocial problems. These problems can concern difficulties interacting with adults as well as children, acting out, difficulty concentrating and anxiety. Liljanskolan has a high number of professionals, both teachers and treaters, and few children. The aim of the study was to increase the understanding of how children that have attended Liljanskolan have progressed during their time at the school with focus on their behaviour in school, ability to interact with adults and children, anger management and self-confidence.

Deliberate self harm as defined pathologically as well as socially is becoming an increasing phenomenon within forensic psychiatry. Nurses working with patients who have self harm behaviour and are confined to forensic psychiatry face different challenges which affect their feelings and attitudes in different ways, in their nursing practice.Purpose: To explore nurses? experiences of caring for patients who suffer from deliberate self harm behaviour and are confined to forensic psychiatry.Method: Qualitative semi- structured interview s from eight nurses working within the forensic psychiatric clinic. Interviews were analysed by using a qualitative content analysis.Results: They worked strategically and emphasized the importance of teamwork, good communication and urged for the need to get necessary education, staff focused tutoring and patient focused therapy.Conclusion: Need for necessary education, patient focused therapy and staff focused tutor is needed to empower staff working with patients who are confined within forensic psychiatry and suffer from deliberate self harm behaviour..

Purpose: From an activity-perspective examine the meaning of housing accessibility and older persons´ perception of participation. Method: Systematic literature review of articles searched in the databases, Medline, Pubmed, Ahmed, Cinahl, Scopus and Google Scholar. Search on individual keywords, and in various combinations of the words home environment, home modification, occupational therapy, aging, accessibility and participation. Nine scientific articles were examined. Results: The articles were published between 2005 and 2009.

Under graviditeten uppstår vanligen viss oro från lättare funderingar till uttalad rädsla inför förlossningen. Föreliggande studie är en randomiserad, kontrollerad pilotstudie i syfte att undersöka om en förberedelsemodell i gruppformat baserad på ACT (Acceptance and Commitment Therapy) kan påverka upplevelsen före förlossningen hos gravida kvinnor med viss förlossningsoro jämfört med en kontrollgrupp. Behandlingsgruppen bestod av 12 gravida kvinnor vilka uppdelade i tre grupper deltog i fyra gruppsamtal. Kontrollgruppen bestod av tio gravida kvinnor som vid ett tillfälle erhöll information och psykoedukation. För utvärdering av behandlingen mättes graden av självskattad oro och rädsla inför förlossningen, graden av självskattad ångest och depression, tendensen att undvika obehagliga upplevelser samt upplevelse av hälsa och livskvalitet.

    Abstract The aim of this paper is to highlight experiences gained by psychotherapists in their work with young adults.  Aspects looked at include: recurring themes, the process of diagnosing young adults, the therapeutic alliance, and the therapeutic techniques.  Six experienced psychodynamic therapists were interviewed, and a semi-structured interview method was used. The results show a high level of agreement between the therapists as to their experiences and conclusions of psychotherapy with young adults.Results presented in this paper suggest that there is a difference between psychodynamic therapy used with young adults, and the more traditional psychodynamic therapy.  The most important difference turned out to be the approach of the therapist toward the patient, where a more active and distinct approach by the therapist to the here-and-now situation was to be preferred. All six therapists came out strongly against the use of the DSM manual when diagnosing young adults. The importance of understanding young adults and their difficulties from a psychological development point of view was stressed, as well as the importance of taking the approach that the years of young adulthood bring their own issues and concerns. It is clear from these interviews that there is a strong need for the establishment of institutions or centres specifically tailored to meet the needs of young adults for psychotherapeutic treatment at an early stage and in an adequate way, in order to avoid unnecessary ?pathologising? of their specific problems.  .

Abstract in English:This essay constitutes a case study based upon in-depth interviews held with people who have, or have had, Exhaustion Disorder (ED), concerning their understanding and use of music and sound, encompassing experiences which are both positive and negative. The intention is to document how the illness influences the subjects' music use. The study shows that the respondents intuitively and consciously are using music by regulating, getting in touch with and manifesting their emotions. Music is an important tool in performing self therapy and to achieve a good existential health. Music can also provoke negative physical and mental reactions and affect the general health status for those diagnosed with ED.

This study examined constructions of horses and means staff working with horses parallel to therapy in institutional care ascribes to horses. A narrative method was used and the theoretical framework was social constructionism. A question was asked to the narratives: How can practice in institutional care be understood through these stories? The result showed different pictures of institutional care. Horses seem to provide a multi-faceted therapeutic tool.

The aim of the study was to look at a particular work group of housing supporters, whomhave implemented two special working methods in their work. The methods have been implemented by two of the housing supporters that also have special education in the methodsSOC (Sense of Coherence) and solution focused brief therapy. The study is based on anethnographic observation and analysis of documents that are used in the implementation. To analyse the information that was given at the observation and in the document I´ve used a theory which illustrates the significance of developing professions so their knowledge become legitimate. I´ve also used a theory that illustrates the importance of implementation and how it´s done at its best.

Syftet med denna studie var att beskriva arbetsterapeuters erfarenheter av vårdhundar/terapihundar i svensk rehabilitering. Interventionerna med vård/terapihundarna benämndes hundassisterad intervention men den arbetsterapeutiska rehabiliteringsprocessen inkluderar ännu fler faktorer, exempelvis utredning. Nio arbetsterapeuter deltog i studien och semistrukturerade intervjuer användes för att samla in data. Data analyserades med hjälp av kvalitativ innehållsanalys. Analysen resulterade i ett tema, Vårdhunden skapar delaktighet i och efter rehabiliteringen, bildades med tre tillhörande underkategorier.

Arbetsterapi ämnar möjliggöra utförande av meningsfulla aktiviteter för klienter. Djur ger positiva effekter på människans fysiska, mentala och sociala funktioner som kan öka dennes aktivitetsförmåga, vilket är en förutsättning för aktivitetsutförande. Syftet var att kartlägga forskning kring djur i relation till arbetsterapi samt betydelsen djuren har på individens aktivitetsliv. Metoden var en systematisk litteratursökning som gjordes med 14 valda sökord i sju databaser som slutligen gav 15 artiklar för analys. I resultatet identifierades forskningsområdena djurägarskap och djurterapi.

Choir singing is one of the most popular national movements in Sweden but the knowledge of the meaning of this activity for health and well being from the choir singers? own experiences is limited. The purpose of this study was therefore to develop useful knowledge about the meaning of choir singing for participating persons from a health perspective. The data was collected through qualitative interviews with six different choir singers and went after that through a comprehensive analysis which resulted in four main categories: an oasis in the existence; possibilities of meetings and solidarity; goals and musical development; and physical and emotional well-being. The results showed that the choir activity represents a place where the singers can escape the demands and the stress factors of everyday life and where they get the opportunity of meaningful relations with other people.

The object with the study of this literature was to describe differente programs of care and patients and relatives experience and opinion about the caring for patients with Anorexia Nervosa. The method the author used was a descriptive literature study based on imperial studies. The studies were based on 15 scientific articles within the chosen field. The results shows that these patients hade special needs to be seen and heard as individuals, involved in their own treatment, and have good contact with the caring staff. The study also shows which methods were mostly appreciated involving nurses, patients and relatives.

Constraint-Induced Aphasia Therapy (CIAT) är en gruppbehandling för personer med afasi. Tidigare forskning kring CIAT har ansetts otillräcklig gällande dess långsiktiga effekt, dess effekt vid lindrig afasi och dess effekt på kommunikativ delaktighet. Föreliggande studie är en multipel fallstudie som syftar till att undersöka CIAT:s kort- och långsiktiga effekt på språk och kommunikation vid lindrig afasi. Fyra personer med kronisk afasi deltog i CIAT under två veckor. Språkfunktioner och funktionell kommunikation bedömdes före behandling (T1), efter behandling (T2) och vid uppföljning efter 3 månader (T3). Bedömningarna kompletterades av intervjuer med deltagarna och deras närstående. Vid T2 visade samtliga behandlingsdeltagare övervägande förbättrade språkliga funktioner. Vidare skattade 4/4 deltagare och samtliga närstående en förbättring av funktionell kommunikation. Vid T3 var förbättringen övervägande stabil.