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Volume 18
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10.3390/ijerph18126466
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Article

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

by
Arne Kristian Henriksen
1,*,
Randi Ulberg
2,3,4,
Bjørn Peter Urban Tallberg
1,2,
André Løvgren
5 and
Hanne-Sofie Johnsen Dahl
3,6
1
Department of Mental Health and Addiction, Child and Adolescent Psychiatry, Østfold Hospital Trust, P.O. Box 300, 1714 Grålum, Norway
2
Institute of Clinical Medicine, University of Oslo, P.O. Box 1039, Blindern, 0315 Oslo, Norway
3
Research Unit, Division of Mental Health and Addiction, Vestfold Hospital Trust, P.O. Box 2169, 3125 Tønsberg, Norway
4
Department of Psychiatry, Diakonhjemmet Hospital, P.O. Box 85, Vinderen, 0319 Oslo, Norway
5
Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, Nydalen, 0424 Oslo, Norway
6
Department of Psychology, Faculty of Social Sciences, University of Oslo, P.O. Box 1094, Blindern, 0317 Oslo, Norway
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(12), 6466; https://doi.org/10.3390/ijerph18126466
Received: 3 June 2021 / Accepted: 8 June 2021 / Published: 15 June 2021
(This article belongs to the Special Issue Individualized Bio- Psycho- Social Interventions for Youth with Mental Disorders)
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Abstract

The incidence of depression in teenagers has increased for many years and is one of the most common diagnosis in adolescent psychiatry. Effective and accessible psychotherapy methods need sustained attention since psychopharmaceutic treatment might be less effective in younger people than in adults. The First Experimental Study of Transference–In Teenagers (FEST-IT) is a Randomized Controlled Study (RCT) with a dismantling design. The main intention in this study was to illustrate a way to address parts of a case formulation by focusing a psychodynamic feature in two different therapies with a good outcome suffering from depression. We present two representative patients from the FEST-IT with case formulations revealing conflicted anger. The patients were different in many aspects, as were the therapeutic methods. Therapies with and without transference interpretations may help to understand what is helpful in therapy in general. It may also show how a more individualized approach can guide the therapy beyond diagnosis and to make it more effective for the specific patient. Looking into individual cases with good outcomes can help us address dynamic features in therapy and give some ideas about what works for whom. The use of nested qualitative double case studies may together add more knowledge about working aspects in successful therapies. View Full-Text
Keywords: teenagers; psychodynamic features; qualitative research; case studies; transference teenagers; psychodynamic features; qualitative research; case studies; transference
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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MDPI and ACS Style

Henriksen, A.K.; Ulberg, R.; Tallberg, B.P.U.; Løvgren, A.; Johnsen Dahl, H.-S. Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study. Int. J. Environ. Res. Public Health 2021, 18, 6466. https://doi.org/10.3390/ijerph18126466

AMA Style

Henriksen AK, Ulberg R, Tallberg BPU, Løvgren A, Johnsen Dahl H-S. Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study. International Journal of Environmental Research and Public Health. 2021; 18(12):6466. https://doi.org/10.3390/ijerph18126466

Chicago/Turabian Style

Henriksen, Arne Kristian, Randi Ulberg, Bjørn Peter Urban Tallberg, André Løvgren, and Hanne-Sofie Johnsen Dahl. 2021. "Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study" International Journal of Environmental Research and Public Health 18, no. 12: 6466. https://doi.org/10.3390/ijerph18126466

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