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An Introductory Guide to Skillful Therapist Positioning 熟练治疗师定位入门指南
Pub Date : 2023-03-01 DOI: 10.1521/jsyt.2023.42.1.18
Glen Wand, Tom Pepe
This article describes the concept of therapist positioning in a therapeutic relationship. It suggests that therapists retain flexibility of their positioning and have the capacity to skillfully choose positioning that optimizes responsiveness, with the aim of enhancing collaboration in the relationship with the client. While there are different therapeutic models with characteristic ways for therapists to communicate, the concept of therapist positioning is relevant across all of them. There is no “one size fits all” approach that is consistently responsive for individual clients and no one therapy approach that can guarantee a relationship in a spirit of collaboration with every client. We, the authors, suggest that the concepts and skills of therapist positioning set out a way of understanding that can improve therapists' practice. The aim of this article is to describe how this can be accomplished.
这篇文章描述了治疗关系中治疗师定位的概念。这表明治疗师保持其体位的灵活性,并有能力巧妙地选择最佳反应的体位,目的是加强与客户关系中的协作。虽然有不同的治疗模式和治疗师特有的沟通方式,但治疗师定位的概念是相关的。没有一种“放之四海而皆准”的方法能始终如一地对个别客户做出反应,也没有一种治疗方法能保证与每个客户都有合作精神的关系。我们,作者,建议治疗师定位的概念和技能设定了一种理解的方式,可以提高治疗师的实践。本文的目的是描述如何实现这一点。
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引用次数: 0
Supporting Physicians During the COVID-19 Pandemic: A Cumulative Feminist Autoethnography 在COVID-19大流行期间支持医生:累积的女权主义自我人种志
Pub Date : 2023-03-01 DOI: 10.1521/jsyt.2023.42.1.56
B. Hernandez, Jessica L ChenFeng, Naomi J. Schwenke
Three marriage and family therapists discuss their experience providing therapy and support interventions for physicians during the COVID-19 pandemic. They present three feminist autoethnographic accounts about the unique intersectionality of their lives as they served physicians on the frontlines of the pandemic whilst also negotiating the pandemic themselves. Three themes from the narratives are presented and explored and implications are given for other therapists whose clinical services for medical care professionals also carried a personal and emotional cost.
三位婚姻和家庭治疗师讨论了他们在COVID-19大流行期间为医生提供治疗和支持干预的经验。她们展示了三个女权主义者的自我民族志,讲述了她们生活中独特的交叉性,她们在大流行的前线为医生服务,同时自己也在与大流行进行谈判。从叙述中提出并探讨了三个主题,并为其他治疗师提供了启示,这些治疗师为医疗保健专业人员提供的临床服务也带来了个人和情感成本。
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引用次数: 0
Racism and Friends: The Relevance of Racial Literacy in Clinical Spaces 种族主义和朋友:临床空间中种族素养的相关性
Pub Date : 2023-03-01 DOI: 10.1521/jsyt.2023.42.1.1
Tracy L. Robinson-Wood, Ruth Hewett, Sade Prithwie, Viena Murillo Paredes
Racial literacy is presented as a framework for bolstering clinical skills among mental health providers, particularly when racism and/or other sources of oppression need to be addressed within clinical spaces. Traditional multicultural psychology training is intended to build upon students’ diversity awareness. There are, however, gaps that contribute to the predominantly White population of counseling trainees exiting their training with limited capacity to address racism and other sources of oppression. This manuscript maintains that racial literacy is a tool that can be used intersectionally to address the problem of racism and racism's friends (e.g., patriarchy and heteronormativity). A case study approach is used to center the discussion of the three domains of racial literacy. The first domain is recognition and refers to detecting, noticing, and observing sensory experiences and environmental stimuli (verbal and nonverbal). Reading is the second domain of racial literacy and describes an accurate naming of the sensory experience detected. The third domain is resolving which describes taking action, problem solving, and intervening.
种族扫盲是作为加强精神卫生提供者临床技能的框架提出的,特别是当需要在临床空间内解决种族主义和/或其他压迫来源时。传统的多元文化心理学训练旨在培养学生的多样性意识。然而,也存在一些差距,导致以白人为主的咨询学员在结束培训后,解决种族主义和其他压迫来源的能力有限。本文认为,种族素养是一种工具,可以交叉使用,以解决种族主义和种族主义的朋友(例如,父权制和异性恋规范)的问题。本文采用个案研究的方法,集中讨论种族素养的三个领域。第一个领域是识别,指的是检测、注意和观察感官体验和环境刺激(语言和非语言)。阅读是种族文化的第二个领域,描述了对所检测到的感官体验的准确命名。第三个领域是解决,它描述了采取行动、解决问题和干预。
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引用次数: 0
Using Micro-analyzing Tools to Investigate Therapist Skills in Emotionally Focused Couples Therapy With Couples in a High-Conflict Relationship 运用微观分析工具研究高冲突夫妻情感聚焦治疗中的治疗师技能
Pub Date : 2023-03-01 DOI: 10.1521/jsyt.2023.42.1.74
G. Karakurt, Pranaya Katta, Sarah Apte, Jason Choi, Chi Doan, Sarin Gole, S. Jordan
The study focuses on the initial phase of emotionally focused therapy (EFT) and explores techniques and skills therapists employ to break and de-escalate conflictual cycles in relationships. Using micro-analysis, the researchers examined a 50-minute therapy session with a couple in a high-conflict relationship that was conducted by Dr. Susan Johnson. The research team identified and classified the therapist's skills with moment-by-moment interactional processes. A tiering system was developed to examine skills. A total of 404 therapist skills were analyzed. We observed reflecting 90 times, reframing 84 times, cycle work 56 times, validating 50 times, asking evocative questions 48 times, accessing underlying emotions 32 times, heightening emotions 28 times, and enactmentlike skills 16 times. Results showed that the therapist combined active listening methods with EFT-specific strategies such as accessing underlying emotions, highlighting emotions, tracking interactional cycles, and facilitating communication via enactments. Findings are discussed along with implications for clinical training.
该研究聚焦于情感聚焦疗法(EFT)的初始阶段,并探索了治疗师用来打破和降低关系中冲突循环的技术和技能。通过微观分析,研究人员对苏珊·约翰逊(Susan Johnson)博士指导的一对高冲突夫妻进行了50分钟的治疗。研究小组通过时时刻刻的互动过程来识别和分类治疗师的技能。人们开发了一种分级系统来检查技能。共分析了404项治疗师技能。我们观察到反思90次,重构84次,循环工作56次,验证50次,提出唤起性问题48次,获取潜在情绪32次,提升情绪28次,以及表演类技能16次。结果表明,治疗师将积极倾听方法与eft特定策略相结合,例如获取潜在情绪,突出情绪,跟踪互动周期以及通过制定促进沟通。研究结果与临床培训的含义一起讨论。
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引用次数: 0
Introduction: An Ethical Stance for Justice-Doing in Community Work and Therapy 导论:正义在社区工作和治疗中的伦理立场
Pub Date : 2023-03-01 DOI: 10.1521/jsyt.2023.42.1.38
M. polanco
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引用次数: 0
The Helping Dolls: Utilizing Single-Session Therapy With Latinx Clients 帮助娃娃:利用拉丁裔客户的单次治疗
Pub Date : 2022-12-01 DOI: 10.1521/jsyt.2022.41.4.17
Leo Scaletta, Aimee Fuentez, S. Silva
The purpose of this article is to discuss the value of the single-session mindset within the Latinx community. We explore the single-session mindset with a composite case of a middle-aged Latinx woman. The given case was a psychotherapy session at Our Lady of the Lake's community clinic where therapists-in-training are supervised by licensed professionals throughout their masters and doctoral programs. The case illustrates working within a single-session framework guided by solution-focused therapy. Additionally, it demonstrates working with a Latina client and what has been traditionally labeled as “posttraumatic stress disorder” (PTSD). The authors further highlight how peoples’ strengths and resources may be utilized to help the client within a single session. A discussion is presented of how such changes were made possible through the use of cultural humility and the establishment of a strong therapeutic alliance, despite the therapists’ initial concerns that language might pose a barrier.
本文的目的是讨论拉丁社区中单次会话思维的价值。我们以一位中年拉丁妇女的复合病例来探讨单次治疗的心态。这个案例发生在圣母湖社区诊所的一次心理治疗会议上,在那里,培训中的治疗师在他们的硕士和博士课程中都受到有执照的专业人士的监督。该案例说明了在以解决方案为重点的治疗指导下的单次会议框架内的工作。此外,它还展示了与一位拉丁裔客户的合作,以及传统上被称为“创伤后应激障碍”(PTSD)的患者。作者进一步强调了如何利用人们的优势和资源在一次会话中帮助客户。尽管治疗师最初担心语言可能构成障碍,但本文讨论了如何通过使用文化谦逊和建立强大的治疗联盟来实现这些变化。
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引用次数: 0
Undercover Anti-bullying Team: An Alternative Approach to Bullying in Japan 卧底反欺凌小组:日本欺凌的另一种方法
Pub Date : 2022-12-01 DOI: 10.1521/jsyt.2022.41.4.1
Hatsuho Ayashiro
This study examined the processes adopted by Japan's first undercover anti-bullying team (UABT). Based on narrative therapy, the anti-bullying project was conducted at a public elementary school for 36 days to eliminate bullying, motivated by a bullying incident involving an 11-year-old female student. Her classmates, including two bullies who were selected as UABT members, accomplished their mission by creating and conducting plans against bullying, holding frequent meetings to adjust the plans, and attempting to amend conflicted classroom relationships that could encourage bullying. The mission effectively eliminated the occurrence of bullying after six days, indicating that the UABT could effectively eliminate bullying through playful learning. Accordingly, it encouraged the children to resolve such serious problems, empowered agencies in students that may have been previously subordinated, and deconstructed dominant discourses related to bullying. Its limitations include its secrecy aspects and the potential risk to call out other classmates.
本研究考察了日本第一个卧底反欺凌小组(UABT)所采用的流程。以叙事疗法为基础,在一所公立小学进行了为期36天的反欺凌项目,以消除欺凌行为,其动机是一名11岁的女学生的欺凌事件。她的同学,包括两名被选为UABT成员的恶霸,通过制定和实施反欺凌计划,频繁召开会议调整计划,并试图修正可能鼓励欺凌的冲突课堂关系,完成了他们的使命。六天后,该任务有效地消除了欺凌的发生,表明UABT可以通过有趣的学习有效地消除欺凌。因此,它鼓励孩子们解决这些严重的问题,赋予学生们以前可能是从属的机构权力,并解构与欺凌有关的主导话语。它的局限性包括它的保密性和潜在的风险,叫其他同学。
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引用次数: 0
“I Have Been Carrying This Letter Around With Me Like a Talisman”: A Case Story of Narrative Therapy With a Transgender Client “我一直把这封信像护身符一样随身携带”:一个跨性别客户叙事治疗的案例故事
Pub Date : 2022-09-01 DOI: 10.1521/jsyt.2022.41.3.20
Jose Zarate, Nikole Babcock
This article demonstrates the practice of narrative therapy and the use of therapeutic letters with a transgender individual. Despite the growth of this practice, limited attention has been devoted to how beneficial therapeutic letters can be for transgender individuals who are in the process of coming out and transitioning. This case story aims to addresses the gaps in literature surrounding the use of therapeutic letters with transgender individuals in counseling practice. In this case story we discuss the therapeutic process of using narrative therapy. We communicate our findings through counselor-written therapeutic letters and Martha's response to the therapeutic letters. The use of therapeutic letters in counseling supported Martha's gender transition and agency to continue their gender transition.
这篇文章展示了叙事治疗的实践和使用治疗信与一个跨性别个体。尽管这种做法越来越多,但很少有人关注治疗信对那些正在出柜和变性过程中的变性人有多大的好处。这个案例故事旨在解决在咨询实践中使用跨性别个体治疗信的文献差距。在这个案例故事中,我们讨论使用叙事疗法的治疗过程。我们通过咨询师写的治疗信和玛莎对治疗信的回应来交流我们的发现。在咨询中使用治疗信件支持玛莎的性别转换和机构继续他们的性别转换。
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引用次数: 0
Utilizing Yoga Principles and Techniques in Experiential Family Therapy 在体验式家庭治疗中运用瑜伽原理和技巧
Pub Date : 2022-09-01 DOI: 10.1521/jsyt.2022.41.3.1
Kayleigh Sabo, M. Reiter
The effects of yoga on mental health and general wellbeing are not a new research endeavor, as there are many studies that explore this topic. However, there is little literature on the integration of yoga within a therapeutic context. We seek to fill that gap and demonstrate the connections we see between the philosophies and practices of yoga and experiential family therapy specifically. First, we give a background of the origins of yoga and its use in psychotherapy thus far in addition to the essentials of Satir's experiential family therapy. We then connect these fields by discussing how they overlap both in beliefs and practices and by providing a case example that utilized techniques from both disciplines. We end with sharing our reflections surrounding implications to consider and our hopes for where this discourse could lead us in the future.
瑜伽对心理健康和整体幸福感的影响并不是一项新的研究,因为有很多研究都在探索这个话题。然而,很少有关于瑜伽在治疗背景下的整合的文献。我们试图填补这一空白,并展示我们所看到的瑜伽哲学和实践与体验式家庭治疗之间的联系。首先,我们给出了瑜伽起源的背景,以及迄今为止它在心理治疗中的应用,以及萨提亚的体验式家庭治疗的要点。然后,我们通过讨论它们如何在信念和实践中重叠,并通过提供一个使用这两个学科的技术的案例来连接这些领域。最后,我们将分享我们对需要考虑的影响的思考,以及我们对这一论述未来可能引导我们的希望。
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引用次数: 0
Revisiting a Dialogue: Collaborative and Dialogical Practices in Motion 重访对话:运动中的合作与对话实践
Pub Date : 2022-09-01 DOI: 10.1521/jsyt.2022.41.3.68
Alicia Ayora-Talavera, Dora A. Ayora-Talavera, Jaime Goyri-Ceballos, T. C. Campo-Marín
The authors and eight other colleagues from Yucatan in Mexico, with an average of ten years of training and professional experience with collaborative and dialogic practices (CDP), carried out an investigation on how the practitioners of these practices develop a critical view of their professional activity. Our research is framed in discursive psychology, since we identify ourselves with the critical reflections about practicing. We reflect on how to adopt the discourse of the CDP, how it can be associated with the discomfort that one has with positivist discourses, as ways of challenging what is established, and even as a form of freedom. In addition, we review the CDP as a stance and a form of analysis, as well as offer our reflections on its possible colonizing and political effects. We offer some practical implications as a form of updating to face the new dilemmas that life throws at us.
作者和来自墨西哥尤卡坦半岛的其他八名同事,平均有十年的培训和合作与对话实践(CDP)的专业经验,对这些实践的实践者如何发展对其专业活动的批判性观点进行了调查。我们的研究是以话语心理学为框架的,因为我们认同对实践的批判性反思。我们思考如何采纳CDP的话语,它如何与人们对实证主义话语的不适联系起来,作为挑战既定事物的方式,甚至作为一种自由形式。此外,我们将CDP作为一种立场和分析形式进行回顾,并对其可能的殖民和政治影响提出我们的思考。我们提供了一些实际的启示,作为一种更新的形式,以面对生活抛给我们的新困境。
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引用次数: 0
期刊
Journal of Systemic Therapies
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