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Dealing with insecurity

A thematic analysis of self-reflection of prospective psychotherapists

Bibliographic Data

ID15697386
AuthorsEsther Knichel (0009-0003-5775-5906, Klinikum Magdeburg, corresponding author), Carolyn Nelles (0009-0003-6524-484X, Salus Klinik), Laura Galbusera (0000-0002-0459-2803, Medizinische Hochschule Brandenburg Theodor Fontane), Johannes Lindenmeyer (0000-0002-6482-7037, Salus Klinik)
Year2025
Volume13
Issue1
Pages1326-1326
Publication date2025-12-01
Open AccessYes
TypeARTICLE
VenueBMC Psychology (JOURNAL)
Journal identifiersISSN: 2050-7283 • E-ISSN: 2050-7283
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s40359-025-03694-w
PMID41327444
OpenAlexW4416859696
LanguageEN
References cited37

Self-reflection, the ability to emotionally and cognitively reflect one’s experiences with the intention to gain new insights, constitutes a core competency of psychotherapists. However, research on content and quality of self-reflection is scarce and standardized instruments for respective assessments are still missing. The current study qualitatively explores semantics (core contents), modalities (qualitative differences) and foci (direction of reflection-focus) of self-reflection with the aim to operationalize and better understand its key characteristics. Forty self-reflection essays, written by 10 psychology students, were analyzed by employing a combined inductive and deductive thematic analysis. In our findings, we differentiate typical modalities, foci and semantics of self-reflection while underlining the connections between these aspects. At the semantic level, the feeling of insecurity emerged as the most prominent impetus for self-reflection. Previous experience, patient-interaction, and external factors like time pressure, were observed to potentially influence insecurity. While assertiveness seemed to be an ineffective strategy in dealing with this feeling, tolerating it could be identified as being helpful in reducing insecurity. Additionally, we find five different modalities of self-reflection as well as inward- and outward-related reflection foci. Our findings offer a first operationalization of the self-reflection competency of (prospective) psychotherapists and constitute a basis for constructing an assessment rating scale. Particularly, reflecting on dealing with insecurity has emerged as a promising key for therapeutic-skill development

Feeling · Modalities · Operationalization · Psychological research · Quality (philosophy · Semantics (computer science · Thematic analysis · Counseling Practices and Supervision · Psychotherapy Techniques and Applications · Reflective Practices in Education

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