Profiles

Jonas Ramnerö, porträtt. Foto: Hans Bergman.

Jonas Ramnerö

Universitetslektor

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Arbetar vid Psykologiska institutionen
Telefon 08-16 39 44
E-post jramn@psychology.su.se
Besöksadress Frescati hagväg 8
Rum B 408
Postadress Psykologiska institutionen 106 91 Stockholm

Om mig

Universitetslektor

Docent, leg. psykolog, leg. psykoterapeut, handledare

 

Jag har min yrkesbakgrund inom olika psykiatriska verksamhetsområden. Min huvudsakliga undervisning ligger inom den kliniska psykologins områden och psykologisk behandling. Vidare undervisar jag ofta kring inlärning och har även ett starkt intresse av grundläggande epistemologiska och kunskapsteoretiska frågor inom psykologin.
 

Forskning

Jag disputerade 2005 med avhandlingen Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change vid Psykologiska institutionen, Stockholms universitet.

Mina intressen ligger främst inom grundläggande inlärningspsykologi och dess tillämpbarhet inom en rad olika områden. Kliniskt gäller det behandlingsapplikationer inom områden som ångest och depression. Inte minst är jag intresserad av exponeringsparadigmets vittgående implikationer för behandling. Jag är även intresserad av den terapeutiska relationen och faktorer som styr det terapeutiska samarbetet, inte minst har det ömsesidiga formulerandet av målsättningar inom ramen för en terapi, kommit att bli ett sådant område.

Publikationer

I urval från Stockholms universitets publikationsdatabas
  • 2016. Jonas Ramnerö, Fredrik Folke, Jonathan W. Kanter. Scandinavian Journal of Psychology 57 (1), 73-82

    Learning theory provides a foundation for understanding and deriving treatment principles for impacting a spectrum of functional processes relevant to the construct of depression. While behavioral interventions have been commonplace in the cognitive behavioral tradition, most often conceptualized within a cognitive theoretical framework, recent years have seen renewed interest in more purely behavioral models. These modern learning theory accounts of depression focus on the interchange between behavior and the environment, mainly in terms of lack of reinforcement, extinction of instrumental behavior, and excesses of aversive control, and include a conceptualization of relevant cognitive and emotional variables. These positions, drawn from extensive basic and applied research, cohere with biological theories on reduced reward learning and reward responsiveness and views of depression as a heterogeneous, complex set of disorders. Treatment techniques based on learning theory, often labeled Behavioral Activation (BA) focus on activating the individual in directions that increase contact with potential reinforcers, as defined ideographically with the client. BA is considered an empirically well-established treatment that generalizes well across diverse contexts and populations. The learning theory account is discussed in terms of being a parsimonious model and ground for treatments highly suitable for large scale dissemination.

  • 2016. Jonas Ramnerö, Billy Jansson. Nordic Psychology 68 (1), 30-39

    Formulating treatment goals has been shown to be an area of vital concern for both outcome and treatment processes. However, it is not as yet an area of structured routine assessment, either in clinical practice or in research. One possible explanation for this is the lack of validated and readily available goal assessment procedures. The present study investigated the test–retest stability of a Swedish translation of the checklist version of the Bern Inventory of Treatment Goals (BIT-C) among 30 patients in primary care. We calculated the consistency of the endorsement of the different therapeutic goal categories over a 2-week period prior to treatment. There were no changes in symptoms or quality-of-life-related measures between the two assessment points. Overall, the goal category items in BIT-C were found to demonstrate moderate to substantial reliability. In conclusion, even though our study was small, it provided initial psychometric support for the Swedish version of BIT-C as a clinically useful tool for the assessment of treatment goals.

  • 2016. Jonas Ramnerö, Billy Jansson. The Cognitive Behaviour Therapist 9

    Treatment goals are considered a vital part of therapeutic work, and their role is often emphasized in cognitive behavioural therapy (CBT). However, the attainment of goals is rarely accounted for in terms of treatment outcome. In this study, we set out to investigate a structured format for goal assessment and goal attainment in CBT delivered as routine care. We were especially interested in the sensitivity to change in perceived goal attainment. Patients completed a self-administered version of the Bern Inventory of Treatment Goals (BIT-C) and rated their perceived attainment on a maximum of five prioritized goals before and after 12 weeks of treatment, along with measures on anxiety, depression and health-related quality of life. The results indicated that the prioritized goals only partially correspond to disorder-specific concerns, and that perceived proximity to treatment goals is clearly associated with improvements following treatment. The results are discussed in terms of the BIT-C being a promising tool for use in clinical settings in assessing treatment goals as well as in evaluating the attainment of these goals.

  • 2015. Billy Jansson, Kåre Tham, Jonas Ramnerö. International Journal of Psychology & Psychological Therapy / Revista Internacional de Psicologia y Terapia Psicologica 15 (2), 181-190

    Therapeutic goals are considered a vital component in psychological treatments, but to date relatively little attention has been paid to the assessment and evaluation of these goals. In order to validate of a self-rating version of the Bern Inventory of Therapeutic goals checklist (BIT-C), the present study investigated if goals, measured this way, can differentiate between patients (n= 147) and healthy controls (n= 106). Results suggested that BIT-C was successful in discriminating between client and non-clients. Most importantly, clients had a higher tendency to endorse goal categories related to depressive symptoms, substance abuse, coping with somatic problems and current relationships, but a lower tendency to endorse goal categories relating to eating behaviors compared to non-patients. Further, patients perceived attainment of prioritized goals as more distant than non-patients did. The results were discussed in terms of BIT-C being a measure that can be readily applied to identify key targets in psychological treatments.

  • 2015. Johanna Linde (et al.). Behavior Therapy 46 (4), 423-431

    Body dysmorphic disorder (BDD) is an often severe, chronic, and disabling disorder, and although some controlled trials of cognitive behavior therapy (CBT) have shown efficacy, the body of evidence is still limited. The condition is generally considered difficult to treat, and further research to determine the effectiveness of psychological treatments for BDD is needed. The present study is the first to evaluate an acceptance-based therapy for BDD. In total, 21 patients received a 12-week group treatment consisting of weekly sessions of psychoeducation, acceptance and defusion practice, and exposure exercises to foster acceptance of internal discomfort and to strengthen the patients’ committed purposeful actions. The primary outcome was BDD symptomatology (measured on the BDD-YBOCS) assessed by a psychiatrist before and after treatment and at 6 months follow-up. The secondary outcomes were self-rated BDD symptoms, psychological flexibility, depressive symptoms, quality of life, and disability. Reductions in BDD symptomatology from pre- to posttreatment were significant and showed a large effect size, d = 1.93 (95% CI 0.82–3.04). At posttreatment, 68% of the participants showed clinically significant improvement in the primary outcome variable. Treatment gains were maintained at 6 months follow-up. The treatment also resulted in significant improvements in all secondary outcomes. The dropout rate was low; 90.5% of the participants completed treatment. This study suggests that acceptance-based exposure therapy may be an efficacious and acceptable treatment for BDD that warrants further investigation in larger controlled trials.

  • 2015. Viktor Kaldo, Jonas Ramnerö, Susanna Jernelöv. Journal of Consulting and Clinical Psychology 83 (6), 1136-1141

    Objective: The authors investigate a model on how clients’ differential involvement in therapeutic methods mediates the effect of therapist support in psychological treatment—in this case, a cognitive behaviorally based bibliotherapy for insomnia, administered with or without supportive telephone calls. Method: Eighty-nine participants, who fulfilled diagnostic criteria for insomnia, had a mean age of 49.1 years (range, 18–73 years) and were predominantly female (77%), fairly well educated, and mainly Caucasian. Participants were randomized between a bibliotherapeutic self-help treatment and the same treatment with the addition of therapist support. Primary outcome measure was the Insomnia Severity Index. Data on involvement in different methods and aspects of the treatment were estimated by clients at posttreatment and validated against therapist ratings of client involvement during treatment. Structural equation modeling was used to test if the effect of therapeutic support on outcome was mediated by involvement in treatment. Results: Carrying out the treatment with therapist support significantly boosted the therapeutic effects. A mediational analysis with involvement in the three key treatment methods (sleep restriction, sleep compression, and stimulus control) as the mediator fully mediated the differential effect between the two conditions (Sobel test; r = .31; z = 2.173; p < .05) and explained 68.4% of the total effect. Conclusions: Therapeutic support improved outcome via higher patient involvement rather than having a direct effect on outcome. Thus, relationship and methods could be regarded as interactional, and patient involvement should be considered. These factors could be further studied in treatments where specific ingredients within the therapeutic contact can be experimentally manipulated.

  • 2015. Jonas Ramnerö, Niklas Torneke. Psychological Records 65 (1), 89-99

    The present article discusses the concepts of having a goal and of goal-directed behavior from a behavior-analytic perspective. In clinical psychology as well as in the study of human behavior at large, goals delineate an important area of investigation when it comes to health, well-being, and behavioral change. While concepts like goals and goal-directed behavior may be more frequently used outside the theoretical boundaries of behavior analysis, we argue that by incorporating recent behavior analytic research on verbal behavior, new and fruitful ways open up for approaching the phenomenon of having a goal. A behavior-analytic approach thereby may increase both precision in understanding and the potential for influencing essential aspects of human behavior. This analysis starts with the concept of rule-governed behavior and develops that analysis by using the concept of derived relational responding.

  • 2017. Jonas Ramnerö, Thomas Gustavsson, Tobias Lundgren.

    När vi ställs inför ångest, depression, självskadebeteende och psykos uppfattar vi det ofta som svårbegripligt och främmande. Med Må dåligt vill författarna öka förståelsen för psykisk ohälsa.  De visar både hur olika tillstånd yttrar sig i vardagslivet och hur allmänmänskliga psykologiska processer bidrar till dem.

    Bokens utgångspunkt är att psykisk ohälsa utvecklas i samspel mellan den omgivande miljön och vad vi lär oss av våra erfarenheter under livet. Ett huvudbudskap är att psykisk hälsa inte är detsamma som ett liv fritt från det som kan vara plågsamt, utan det avgörande är ett liv som är värt att leva.

    Må dåligt riktar sig till studerande och yrkesverksamma inom människovårdande områden, samt till alla som vill lära sig mer om psykisk ohälsa.

Visa alla publikationer av Jonas Ramnerö vid Stockholms universitet

Senast uppdaterad: 22 maj 2018

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