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Journal of Systemic Therapies: Index Volume 39, 2020 全身治疗杂志:索引卷39,2020
Pub Date : 2020-12-01 DOI: 10.1521/jsyt.2020.39.4.89
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引用次数: 0
Affirming Solutions: Using Solution-Focused Brief Therapy With Transgender, Gender Nonconforming, and Gender Questioning Youth 肯定解决方案:使用以解决方案为中心的简短治疗与跨性别,性别不符合和性别质疑青年
Pub Date : 2020-12-01 DOI: 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.
考虑到越来越多的年轻人因为性别相关的问题来接受治疗,以及社会对性别非二元理解的日益认识,治疗师有责任提高他们自己对性别的理解,熟悉性别认同的研究,并学会与因性别相关问题来治疗的客户合作。一种治疗跨性别、性别不符合和性别质疑的青少年和儿童的模式是肯定解决方案疗法。本文回顾了先前提出的治疗性别少数群体的模型,并讨论了以解决方案为中心的简短治疗(SFBT)与肯定治疗的适当性。
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引用次数: 1
Supervision With East Asian International Supervisees: Unfolding Unspoken Complexities 东亚国际监管机构的监管:揭示未说出口的复杂性
Pub Date : 2020-12-01 DOI: 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.
东亚的国际监管机构拥有一组独特的民族传统、社会结构和东方哲学的文化价值观。在西方治疗和监督环境中,他们通常会遇到与客户、同事和主管的跨文化冲突。为了解决被指导者独特的文化适应经历,指导者必须提供文化响应性指导,被指导者可以批判性地检查文化经验对自我治疗师的影响。作者使用自我民族志作为方法来呈现他们的监督故事,其中包括具有挑战性的临床案例和集体反思,以突出他们在美国遇到的独特问题。临床意义提供了发展有效的和文化响应监督。
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引用次数: 0
Ethical Decision-Making in Marriage and Family Therapy: An Introduction of a New Model 婚姻家庭治疗中的伦理决策:一个新模式的介绍
Pub Date : 2020-12-01 DOI: 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.
由于所提供的临床服务的关系-系统性质,婚姻和家庭治疗中的伦理决策是复杂的,往往令人费解。本文旨在概述婚姻家庭治疗中伦理决策的新模式。这个新的模型,题为蝴蝶模型,然后将应用到一个案例插图。人们希望蝴蝶模型能够为婚姻和家庭治疗师提供一种伦理决策指南,这种指南更适合他们从事的关系系统工作。
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引用次数: 0
Ethical Decision-Making in Marriage and Family Therapy: A Review of the Literature 婚姻家庭治疗中的伦理决策:文献综述
Pub Date : 2020-12-01 DOI: 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.
众所周知,婚姻和家庭治疗师在道德上有义务为他们的客户提供合格的护理,他们需要参与系统的决策过程,以确保他们提供最好的护理。然而,缺乏一个全面的道德决策指南,特别是从关系-系统概念的角度考虑与关系-系统客户合作的独特细微差别。因此,本文的目的是概述当前对与关系系统客户合作时所经历的独特伦理问题的理解,并回顾当前使用的伦理决策模型,以期为特定关系系统伦理决策模型的发展提供指导。
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引用次数: 0
Bridging the Gap Between Solution-Focused Brief Therapy and Interpersonal Neurobiology: A Combined Approach for Counseling Families 弥合以解决方案为中心的简短治疗和人际神经生物学之间的差距:咨询家庭的综合方法
Pub Date : 2020-09-01 DOI: 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.
本文提出了一种综合的咨询方法,结合了以解决方案为中心的简短治疗和人际神经生物学的技术。这种方法允许咨询师在治疗过程中有意地利用大脑的两个半球——在左脑半球锚定以解决方案为重点的简短治疗技术,同时通过右脑半球与来访者联系。这种综合方法包含五个关键原则:治疗关系,共同构建现实,使用问题,关注解决方案,强调积极情绪。
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引用次数: 0
Improving Youth Mental Health Services Access Using a Single-Session Therapy Approach 使用单次治疗方法改善青少年心理健康服务
Pub Date : 2020-09-01 DOI: 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.
本文描述了在青少年社区精神卫生诊所实施和评估单次治疗(SST)试点项目。其目的是改善获得治疗服务的机会,以减少等待时间,支持青少年及其照顾者的功能,缓解即时的痛苦,并在等待持续治疗期间将青少年与资源联系起来。在接收后实施SST,等待时间减少了90天。在一个月的随访中,护理人员使用结果评定量表报告了青少年幸福感的临床显著改善。临床医生将SST的实施作为临床多疗程治疗的补充服务。
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引用次数: 2
Multi-Story Listening: Using Narrative Practices at Walk-in Clinics 多层聆听:在无预约诊所使用叙事练习
Pub Date : 2020-09-01 DOI: 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.
本文以一个简短的故事开始,讲述安大略省独特的服务提供环境,其中包括前所未有的免预约治疗诊所,以及这是如何发生的。书中描述了这一过程中的一些关键事件,其中包括一份为政策准备的文件,该文件帮助塑造了服务领域的变革,一个由多机构组成的评估项目,对几个无预约治疗诊所进行了评估,以及一次成功的呼吁,使人们认识到单次治疗是心理治疗。介绍了走进式治疗和叙事治疗之间的联系历史,重点介绍了叙事实践是如何与这些单次治疗相适应的。叙述疗法的一个特别重要的方面,作者称之为多故事倾听,详细探讨了一个临床例子。
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引用次数: 1
Open-Access Single-Session Therapy in the Context of Stepped Care 2.0 阶梯式护理2.0背景下的开放获取单次治疗
Pub Date : 2020-09-01 DOI: 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.
单次会议或一次一次的开放护理是加拿大几个地区正在进行的精神卫生保健系统转型进程的核心。单次治疗原则与加拿大正在考虑的精神健康康复战略和新的阶梯护理2.0 (SC2.0)模式非常吻合。SC2.0为在更广泛的精神卫生生态系统中整合单期开放获取护理提供了一个框架。通过持续的协同设计,该模型连接了价值,并解决了在尝试系统集成时出现的不可避免的紧张关系。模型开发和扩展仍处于早期阶段。需要做的工作还有很多,包括项目评估和独立研究。持续的关键关注是在人口层面上发挥最大影响的唯一途径。通过开放获取一系列资源,并根据人们的准备程度、功能和参与能力,组织起来满足他们的需要,就有可能实现人口心理健康。本文强调了在阶梯式护理框架中开放获取咨询的重要性和有效性。
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引用次数: 1
Indicators for Assessing Intervention Fidelity in Narrative Practice: A Heuristic Review of the Concept of Scaffolding in White (2007) 叙事实践中干预保真度的评估指标:对白色脚手架概念的启发式回顾(2007)
Pub Date : 2020-09-01 DOI: 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.
叙事实践(NP)是一种心理治疗方法,帮助人们识别从属的故事情节,并重新想象他们的生活。干预保真度(IF)的概念是指干预措施按计划实施的程度,是严格干预研究的重要组成部分。然而,评估NP中的IF是具有挑战性的,因为NP不能简单地视为标准化程序。本研究使用了White(2007)提出的脚手架的想法来分析White的对话,并开发了一种方法来评估他的对话是否遵守了他所陈述的原则。结果揭示了潜在的指标,如进展、同步和对话话语的比例。这些指标远非全面,也不代表任何绝对标准。尽管如此,他们开启了关于我们如何合理化NP干预忠实度的讨论。
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引用次数: 4
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Journal of Systemic Therapies
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