Pub Date : 2020-12-01DOI: 10.1521/jsyt.2020.39.4.89
{"title":"Journal of Systemic Therapies: Index Volume 39, 2020","authors":"","doi":"10.1521/jsyt.2020.39.4.89","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.4.89","url":null,"abstract":"","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121728506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1521/JSYT.2020.39.4.13
James P. Rottnek
Given the growing number of young people presenting to therapy for gender-related concerns, and the growing social awareness of non-binary understandings of gender, it is incumbent upon therapists to improve their own understandings of gender, to gain familiarity with research on gender identity, and to learn to work with clients who present for gender-related concerns. One model of working with transgender, gender nonconforming, and gender questioning adolescents and children, is affirming solutions therapy. This article reviews previously suggested models of therapy for working with gender minorities and discusses the appropriateness of solution-focused brief therapy (SFBT) with affirmative therapy.
{"title":"Affirming Solutions: Using Solution-Focused Brief Therapy With Transgender, Gender Nonconforming, and Gender Questioning Youth","authors":"James P. Rottnek","doi":"10.1521/JSYT.2020.39.4.13","DOIUrl":"https://doi.org/10.1521/JSYT.2020.39.4.13","url":null,"abstract":"Given the growing number of young people presenting to therapy for gender-related concerns, and the growing social awareness of non-binary understandings of gender, it is incumbent upon therapists to improve their own understandings of gender, to gain familiarity with research on gender identity, and to learn to work with clients who present for gender-related concerns. One model of working with transgender, gender nonconforming, and gender questioning adolescents and children, is affirming solutions therapy. This article reviews previously suggested models of therapy for working with gender minorities and discusses the appropriateness of solution-focused brief therapy (SFBT) with affirmative therapy.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132785481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1521/JSYT.2020.39.4.72
Pei-Fen Li, L. Chou, Imogen Yang, Wei-Ning Chang, Ji-Hyun Kim
East Asian international supervisees possess a cluster of cultural values that are unique to their ethnic traditions, social structure, and Eastern philosophies. They commonly encounter cross-cultural clashes in Western therapy and supervision settings with their clients, colleagues, and supervisors. To address the supervisees' unique acculturation experiences, a supervisor must provide culturally responsive supervision where the supervisees can critically examine the influence of cultural experiences on self-of-the-therapist. The authors used autoethnography as the methodology to present their supervision stories, which include challenging clinical examples and collective reflections, to highlight unique issues they encountered in the United States. Clinical implications are provided to develop effective and culturally responsive supervision.
{"title":"Supervision With East Asian International Supervisees: Unfolding Unspoken Complexities","authors":"Pei-Fen Li, L. Chou, Imogen Yang, Wei-Ning Chang, Ji-Hyun Kim","doi":"10.1521/JSYT.2020.39.4.72","DOIUrl":"https://doi.org/10.1521/JSYT.2020.39.4.72","url":null,"abstract":"East Asian international supervisees possess a cluster of cultural values that are unique to their ethnic traditions, social structure, and Eastern philosophies. They commonly encounter cross-cultural clashes in Western therapy and supervision settings with their clients, colleagues, and supervisors. To address the supervisees' unique acculturation experiences, a supervisor must provide culturally responsive supervision where the supervisees can critically examine the influence of cultural experiences on self-of-the-therapist. The authors used autoethnography as the methodology to present their supervision stories, which include challenging clinical examples and collective reflections, to highlight unique issues they encountered in the United States. Clinical implications are provided to develop effective and culturally responsive supervision.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128185502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1521/JSYT.2020.39.4.40
Heather Katafiasz, Rikki Patton, David Tefteller, Momoko Takeda
Ethical decision-making within marriage and family therapy is complex and often convoluted due to the relational-systemic nature of the clinical services provided. The aim of this article is to provide an overview for a new model for ethical decision-making in marriage and family therapy. This new model, entitled the Butterfly Model, will then be applied to a case vignette for illustration. It is hoped that the Butterfly Model can provide marriage and family therapists with a guide for ethical decision-making that is tailored more for the relational-systemic work they engage in.
{"title":"Ethical Decision-Making in Marriage and Family Therapy: An Introduction of a New Model","authors":"Heather Katafiasz, Rikki Patton, David Tefteller, Momoko Takeda","doi":"10.1521/JSYT.2020.39.4.40","DOIUrl":"https://doi.org/10.1521/JSYT.2020.39.4.40","url":null,"abstract":"Ethical decision-making within marriage and family therapy is complex and often convoluted due to the relational-systemic nature of the clinical services provided. The aim of this article is to provide an overview for a new model for ethical decision-making in marriage and family therapy. This new model, entitled the Butterfly Model, will then be applied to a case vignette for illustration. It is hoped that the Butterfly Model can provide marriage and family therapists with a guide for ethical decision-making that is tailored more for the relational-systemic work they engage in.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129943830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1521/JSYT.2020.39.4.29
Heather Katafiasz, Rikki Patton, David Tefteller, Momoko Takeda
It is common knowledge that marriage and family therapists are ethically obligated to provide competent care to their clients and that they need to engage in systematic decision-making processes to ensure they are providing the best care. Yet, a comprehensive guide for ethical decision-making specifically accounting for the unique nuances of working with relational-systemic clients from a relational-systemic conceptual lens is lacking. Thus, the aim of this article is to outline the current understandings of the unique ethical issues experienced when working with relational-systemic clients and to review currently utilized ethical decision making models in the hopes of providing guidance regarding the development of a specific relational-systemic ethical decision-making model.
{"title":"Ethical Decision-Making in Marriage and Family Therapy: A Review of the Literature","authors":"Heather Katafiasz, Rikki Patton, David Tefteller, Momoko Takeda","doi":"10.1521/JSYT.2020.39.4.29","DOIUrl":"https://doi.org/10.1521/JSYT.2020.39.4.29","url":null,"abstract":"It is common knowledge that marriage and family therapists are ethically obligated to provide competent care to their clients and that they need to engage in systematic decision-making processes to ensure they are providing the best care. Yet, a comprehensive guide for ethical decision-making specifically accounting for the unique nuances of working with relational-systemic clients from a relational-systemic conceptual lens is lacking. Thus, the aim of this article is to outline the current understandings of the unique ethical issues experienced when working with relational-systemic clients and to review currently utilized ethical decision making models in the hopes of providing guidance regarding the development of a specific relational-systemic ethical decision-making model.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124357890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.1521/jsyt.2020.39.3.1
E. Corbin, Aaron Norton
This article proposes a comprehensive counseling approach by integrating techniques from solution-focused brief therapy and interpersonal neurobiology. This approach allows counselors to intentionally utilize both hemispheres of the brain during the therapeutic process—anchoring the techniques of solution-focused brief therapy in the left-brain hemisphere while connecting to the client through the right-brain hemisphere. This combined method incorporates five key principles: the therapeutic relationship, co-construction of reality, use of questions, a focus on solutions, and emphasis on positive emotions.
{"title":"Bridging the Gap Between Solution-Focused Brief Therapy and Interpersonal Neurobiology: A Combined Approach for Counseling Families","authors":"E. Corbin, Aaron Norton","doi":"10.1521/jsyt.2020.39.3.1","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.3.1","url":null,"abstract":"This article proposes a comprehensive counseling approach by integrating techniques from solution-focused brief therapy and interpersonal neurobiology. This approach allows counselors to intentionally utilize both hemispheres of the brain during the therapeutic process—anchoring the techniques of solution-focused brief therapy in the left-brain hemisphere while connecting to the client through the right-brain hemisphere. This combined method incorporates five key principles: the therapeutic relationship, co-construction of reality, use of questions, a focus on solutions, and emphasis on positive emotions.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126857197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.1521/jsyt.2020.39.3.46
Maureen Kachor, Joanne Brothwell
This article describes the implementation and evaluation of a single-session therapy (SST) pilot project in a youth community-based mental health clinic. The intent was to improve access to therapy services in order to reduce wait times, support youth's and their caregivers’ functioning, relieve immediate distress and connect youth to resources while waiting for ongoing therapy. Wait times were reduced by 90 days when SST was implemented following intake. Caregivers reported clinically significant improvement in adolescent well-being at one-month follow-up using the Outcome Rating Scale. Clinicians embraced the implementation of SST as a complementary service to multisession therapy in the clinic setting.
{"title":"Improving Youth Mental Health Services Access Using a Single-Session Therapy Approach","authors":"Maureen Kachor, Joanne Brothwell","doi":"10.1521/jsyt.2020.39.3.46","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.3.46","url":null,"abstract":"This article describes the implementation and evaluation of a single-session therapy (SST) pilot project in a youth community-based mental health clinic. The intent was to improve access to therapy services in order to reduce wait times, support youth's and their caregivers’ functioning, relieve immediate distress and connect youth to resources while waiting for ongoing therapy. Wait times were reduced by 90 days when SST was implemented following intake. Caregivers reported clinically significant improvement in adolescent well-being at one-month follow-up using the Outcome Rating Scale. Clinicians embraced the implementation of SST as a complementary service to multisession therapy in the clinic setting.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130481625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.1521/jsyt.2020.39.3.34
Karen Young
This article begins with a short story of the unique service delivery environment in Ontario, which includes an unprecedented number of walk-in therapy clinics, and how this came to be. Some of the pivotal events along this journey are described, which included a policy-ready paper that helped to shape change in services, a multi-agency evaluation project of several walk-in therapy clinics, and a successful appeal resulting in the recognition of single-session therapy as psychotherapy. The history of connection between walk-in therapy and narrative therapy is introduced with a focus on what it is about narrative practices that are such a useful fit with these single sessions. A particularly important aspect of narrative therapy that the author calls multi-story listening is explored in detail with a clinical example.
{"title":"Multi-Story Listening: Using Narrative Practices at Walk-in Clinics","authors":"Karen Young","doi":"10.1521/jsyt.2020.39.3.34","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.3.34","url":null,"abstract":"This article begins with a short story of the unique service delivery environment in Ontario, which includes an unprecedented number of walk-in therapy clinics, and how this came to be. Some of the pivotal events along this journey are described, which included a policy-ready paper that helped to shape change in services, a multi-agency evaluation project of several walk-in therapy clinics, and a successful appeal resulting in the recognition of single-session therapy as psychotherapy. The history of connection between walk-in therapy and narrative therapy is introduced with a focus on what it is about narrative practices that are such a useful fit with these single sessions. A particularly important aspect of narrative therapy that the author calls multi-story listening is explored in detail with a clinical example.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127262203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.1521/jsyt.2020.39.3.21
Peter A Cornish, A. Churchill, H. Hair
Single-session, or one-at-a-time, open-access care is central to the mental health care system transformation process now underway in several parts of Canada. Single-session principles align well with a mental health recovery strategy and the new Stepped Care 2.0 (SC2.0) model under consideration across Canada. SC2.0 provides a framework for integrating single-session open-access care within the broader mental health ecosystem. Through continuous co-design the model connects values and addresses inevitable tensions that arise when attempting system integration. Model development and scaling is still in the early stages. More work needs to be done, including both program evaluation and independent research. Continued critical attention is the only way to maximize impact at a population level. With open access to an array of resources, organized to meet people where they are in terms of readiness, functioning and capacity for engagement, population mental health is possible. This paper highlights the importance and effectiveness of open-access counseling in a stepped care framework.
{"title":"Open-Access Single-Session Therapy in the Context of Stepped Care 2.0","authors":"Peter A Cornish, A. Churchill, H. Hair","doi":"10.1521/jsyt.2020.39.3.21","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.3.21","url":null,"abstract":"Single-session, or one-at-a-time, open-access care is central to the mental health care system transformation process now underway in several parts of Canada. Single-session principles align well with a mental health recovery strategy and the new Stepped Care 2.0 (SC2.0) model under consideration across Canada. SC2.0 provides a framework for integrating single-session open-access care within the broader mental health ecosystem. Through continuous co-design the model connects values and addresses inevitable tensions that arise when attempting system integration. Model development and scaling is still in the early stages. More work needs to be done, including both program evaluation and independent research. Continued critical attention is the only way to maximize impact at a population level. With open access to an array of resources, organized to meet people where they are in terms of readiness, functioning and capacity for engagement, population mental health is possible. This paper highlights the importance and effectiveness of open-access counseling in a stepped care framework.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116827557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.1521/jsyt.2020.39.3.77
Chitat Chan, Hoyee Au-Yeung, William Chiu, Carina Tsang, H. Tsui
Narrative practice (NP) is a psychotherapy approach that helps people identify subordinated storylines and reimagine their lives. The concept of intervention fidelity (IF) refers to the extent to which an intervention is implemented as planned, and it is an essential component in rigorous intervention research. However, it is challenging to assess IF in NP, because NP cannot be simply seen as standardized procedures. This study used the idea of scaffolding suggested in White (2007) to analyze White's conversations and develop a method assessing whether his conversations adhered to his stated principles. Results revealed potential indicators, such as progression, synchrony, and proportion of conversation utterances. These indicators are far from comprehensive and they do not represent any absolute standards. Nonetheless, they open the discussion about how we can rationalize intervention fidelity in NP.
{"title":"Indicators for Assessing Intervention Fidelity in Narrative Practice: A Heuristic Review of the Concept of Scaffolding in White (2007)","authors":"Chitat Chan, Hoyee Au-Yeung, William Chiu, Carina Tsang, H. Tsui","doi":"10.1521/jsyt.2020.39.3.77","DOIUrl":"https://doi.org/10.1521/jsyt.2020.39.3.77","url":null,"abstract":"Narrative practice (NP) is a psychotherapy approach that helps people identify subordinated storylines and reimagine their lives. The concept of intervention fidelity (IF) refers to the extent to which an intervention is implemented as planned, and it is an essential component in rigorous intervention research. However, it is challenging to assess IF in NP, because NP cannot be simply seen as standardized procedures. This study used the idea of scaffolding suggested in White (2007) to analyze White's conversations and develop a method assessing whether his conversations adhered to his stated principles. Results revealed potential indicators, such as progression, synchrony, and proportion of conversation utterances. These indicators are far from comprehensive and they do not represent any absolute standards. Nonetheless, they open the discussion about how we can rationalize intervention fidelity in NP.","PeriodicalId":245719,"journal":{"name":"Journal of Systemic Therapies","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130241673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}