Multiple Mutuality. Positions and Storylines in Adolescent Psychodynamic Psychotherapy

ABSTRACT

In the psychodynamic psychotherapy of adolescents, a mutual relationship is a central and often reoccurring theme. However, what this mutuality consists of and how adolescents experience this seems to have been the subject of scant investigation or conceptualization. Thus, the aim of the present study was to obtain a more comprehensive insight into mutuality by innovatively applying interdisciplinary positioning theory to the analysis of adolescents’ experiences of psychotherapy. Qualitative, post-treatment interviews with nine female adolescents receiving psychodynamic psychotherapy for depression in the Norwegian First Experimental Study of Transference Work – In Teenagers were conducted. Drawing on positioning theory, unique characteristics of mutuality with a focus on storylines and positions were identified within the patients’ descriptions of their therapy. Adolescents in psychodynamic psychotherapy experience multifarious forms of mutuality and partake in the co-creation of shifting positions. They also constantly evaluate and negotiate what to say and disclose in therapy. These negotiations offer both desired and unattractive positions, dependent on each individual adolescent’s norms and moral perceptions. From the study, it was found that adolescents pass through different forms of mutuality. These are discussed, illuminating how the power of positions and storylines may be used by therapists to promote therapeutic, mutual relationships.

Acknowledgments

We would like to thank the therapists, evaluators, and coordinators who made the present study possible. Special thanks is also due to the participants who shared their experiences for this qualitative study.

Disclosure statement

The authors report no conflict of interest.

Additional information

Funding

The FEST-IT trial was supported by in-kind funding from Vestfold Hospital Trust, University of Oslo, Oslo University Hospital, the MRK Foundation, and Josef and Haldis Andresens Legat.