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Experience of self-discovery and change in a psychodynamic internet delivered programme for university students experiencing low mood

Mortimer, Rose; Iluczyk, Dominika; Mechler, Jakob; Lindqvist, Karin; Midgley, Nick; Andersson, Gerhard; Clements, Henry; (2025) Experience of self-discovery and change in a psychodynamic internet delivered programme for university students experiencing low mood. Psychotherapy Research pp. 1-16. 10.1080/10503307.2025.2538552. (In press). Green open access

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Abstract

OBJECTIVE: Psychodynamic "talking" therapies have been adapted to be delivered over the internet, with remote guidance from a therapist. The aim of this study is to explore participants' experiences of change during an internet-delivered psychodynamic psychotherapy (iPDT), with findings discussed in the light of psychodynamic theory. METHOD: Interviews were conducted with fifteen university students who had taken part in a 10-week therapist-supported iPDT programme for low mood. Data was analysed using Reflexive Thematic Analysis. RESULTS: Participants described several experiences which fit closely with the hypothesized change mechanisms for iPDT, including: increased capacity for self-observation, learning to directly feel and accept difficult emotions, coming to recognize and change maladaptive defences, making sense of how early experiences had contributed to the development of these defences, and experimenting with new ways of relating to others and self. CONCLUSION: Overall, participants' experiences of change and self-discovery align with psychodynamic theory. This journey was described by many as an empowering yet challenging process.Trial registration: ClinicalTrials.gov identifier: NCT06133582.

Type: Article
Title: Experience of self-discovery and change in a psychodynamic internet delivered programme for university students experiencing low mood
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/10503307.2025.2538552
Publisher version: https://doi.org/10.1080/10503307.2025.2538552
Language: English
Additional information: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Keywords: anxiety, depression, internet intervention, mechanisms of change, psychodynamic
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10212672
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