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Medical Family Therapy with Diverse Populations Part I: interracial Couples Navigating Infertility, Racialized Pregnancy, and Pregnancy Loss 不同人群的医学家庭治疗第一部分:应对不孕不育、种族化妊娠和妊娠损失的跨种族夫妇
IF 0.5 Q3 Psychology Pub Date : 2022-10-02 DOI: 10.1080/2692398X.2022.2128623
Sarah K. Samman, Heather A. Frick, Rachael A. Dansby Olufowote
ABSTRACT Medical Family Therapy (MedFT) is a much-needed and growing specialization in the United States and internationally, bringing attention to the relationship between acute and chronic illness and their reciprocal impact on couple and family systems. Despite the growth of MedFT and the growing body of research affirming its effectiveness in general, there remains a need for greater research demonstrating its effectiveness with specific medical conditions, such as pregnancy-related issues, namely infertility, racialized pregnancy, and pregnancy loss. Much of the research related to these losses leaves out at least two important populations impacted by these events – interracial couples and men. In this paper, we discuss the experiences of interracial couples, generally, and men, specifically, to: (1) draw attention to unique struggles faced by interracial couples, with special attention to cisgender male (cis male) partners’ experiences, (2) describe how MedFTs utilizing a systemic, relational, BPSS focus, are well-positioned to effectively work with interracial couples experiencing infertility, racialized pregnancy, and pregnancy loss, and (3) include a case example to illustrate how a MedFT might approach working with an interracial couple experiencing these struggles. Finally, we conclude by providing clinical recommendations and practical future directions for research in the areas of infertility, racialized pregnancy, and pregnancy loss, and discuss future MedFT training needs. GRAPHICAL ABSTARCT
摘要医学家庭治疗(MedFT)是美国和国际上急需且不断发展的专业,它引起了人们对急性和慢性疾病之间关系及其对夫妻和家庭系统的相互影响的关注。尽管MedFT的发展和越来越多的研究肯定了其总体有效性,但仍需要更多的研究来证明其在特定医疗条件下的有效性,例如与妊娠相关的问题,即不孕不育、种族化妊娠和流产。许多与这些损失有关的研究忽略了至少两个受这些事件影响的重要群体——跨种族夫妇和男性。在本文中,我们讨论了跨种族夫妇的经历,特别是男性的经历,以:(1)引起人们对跨种族夫妇面临的独特斗争的关注,特别关注顺性别男性(顺性别男性)伴侣的经历,能够有效地与经历不孕不育、种族化怀孕和流产的跨种族夫妇合作,(3)包括一个案例,说明MedFT如何与经历这些挣扎的跨种族夫妻合作。最后,我们为不孕不育、种族化妊娠和流产等领域的研究提供了临床建议和实用的未来方向,并讨论了未来MedFT培训的需求。图形弃权
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引用次数: 0
Medical Family Therapy with Diverse Populations Part II: Understanding & Treating Interracial & International Couples with Chronic Illness Using Emotionally Focused MedFT 不同人群的医学家庭治疗——第二部分:用情感聚焦MedFT理解和治疗患有慢性疾病的跨种族和国际夫妇
IF 0.5 Q3 Psychology Pub Date : 2022-09-23 DOI: 10.1080/2692398X.2022.2125264
Rachael A. Dansby Olufowote, Sarah K. Samman, H. Frick
ABSTRACT Background: Globalization has resulted in the increase of interracial and interracial-international couple relationships around the world, some of whom also live with chronic illness. Despite growing positive attitudes toward interracial relationships, these couples experience multiple health disparities and disparate treatments compared to same-race couples. Aims: In this paper, we illuminate the general experience of interracial couples around the world to: (1) draw special attention to how sociocultural discourses influence them individually and as a couple; (2) highlight the disparities in equitable health care received by interracial couples; and (3) discuss how Emotionally Focused Therapy (EFT) is a useful framework for working with interracial couples with chronic illness and how it can be a larger training area in medical family therapy (MedFT) and its application to chronic health issues faced by couples. Method: We include a case example integrating EFT and the BPSS model to address the cross-cultural experiences and treatment needs of interracial couples struggling with a chronic illness experience. Discussion: Clinical recommendations include the necessity of multipartiality and self-of-the-therapist examinations alongside sociocultural assessment and culturally atuned treatment of interracial couples with chronic illness. Future directions include advocating for the expansion of EFT training in MedFT and chronic illness treatment. Graphical abstract
背景:全球化导致了世界范围内跨种族和跨种族-国际夫妻关系的增加,其中一些人也患有慢性疾病。尽管人们对跨种族婚姻的态度越来越积极,但与同种族的夫妇相比,这些夫妇经历了多重健康差异和不同的待遇。目的:在本文中,我们阐明了世界各地跨种族夫妇的一般经验:(1)特别关注社会文化话语如何影响他们个人和夫妻;(2)强调跨种族夫妇在公平医疗保健方面的差异;(3)讨论情感聚焦疗法(EFT)如何成为治疗患有慢性疾病的跨种族夫妇的有用框架,以及它如何成为医疗家庭疗法(MedFT)的一个更大的培训领域,并将其应用于夫妇面临的慢性健康问题。方法:结合EFT和BPSS模型,探讨跨种族夫妻在慢性疾病经历中的跨文化体验和治疗需求。讨论:临床建议包括对患有慢性疾病的跨种族夫妇进行多重偏见和自我治疗师检查以及社会文化评估和文化适应治疗的必要性。未来的发展方向包括倡导在MedFT和慢性病治疗中扩大EFT培训。图形抽象
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引用次数: 0
Celebrating 30 years of Medical Family Therapy: introduction to the Special Issue 庆祝医学家庭治疗30周年:特刊简介
IF 0.5 Q3 Psychology Pub Date : 2022-09-19 DOI: 10.1080/2692398X.2022.2126090
T. Edwards
Therapy: A Biopsychosocial Approach to it aberrations on the disordered somatic (biochemical neurophysiological) processes. Thus, the model embraces reductionism, philosophical that complex phenomena are ultimately derived from a single primary principle, and mind-body dualism, the doctrine
治疗:一种生物-心理-社会方法,对紊乱的躯体(生物化学-神经生理学)过程进行畸变。因此,该模型包含还原论、复杂现象最终源自单一基本原理的哲学,以及身心二元论
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引用次数: 0
Exploring substance use perceptions among Family Therapy and Counseling trainees upon entering an opioid use disorder treatment training program 探索家庭治疗和咨询受训人员在参加阿片类药物使用障碍治疗培训项目时对药物使用的看法
IF 0.5 Q3 Psychology Pub Date : 2022-09-18 DOI: 10.1080/2692398X.2022.2123692
Rikki Patton, Jessica L. Chou, Yuelei Dang, Asif Zaarur, Heather Katafiasz, Phyllis Swint
ABSTRACT Little is known about Couple/Marriage and Family Therapy (C/MFT) or Clinical Mental Health Counseling (CMHC) trainees with respect to their baseline perceptions about substance use and other systemically relevant therapeutic concepts integral to substance use disorder (SUD) treatment. Understanding trainee’s baseline perceptions upon entering a SUD-focused training program may allow for directed tailoring of the training to meet student’s educational needs in learning about how to work with families affected by SUD most effectively. To help address this gap, this study examined substance use perceptions of C/MFT and CMHC trainees upon initial enrollment in an opioid training program. Masters-level trainees completed a baseline survey assessing substance use/user perceptions, efficacy in working with substance-using clients, interprofessional collaboration, multicultural competency, and professional quality of life. Baseline data from n = 61 trainees were examined. Findings indicated substance use perceptions were related to trainee efficacy, multicultural competence, and professional quality of life. Further, there were group differences in drug perceptions based on previous substance use training and in trainee efficacy related to working with families affected by substance use, as well as and previous experience working with families affected by substance use. The current findings can inform development and refinement of substance use training within the behavioral health fields and develop the substance use workforce.
摘要:关于夫妻/婚姻家庭治疗(C/MFT)或临床心理健康咨询(CMHC)受训人员对药物使用的基线认知以及药物使用障碍(SUD)治疗中不可或缺的其他系统相关治疗概念,人们知之甚少。了解受训者在参加以SUD为重点的培训计划时的基线认知,可以有针对性地调整培训,以满足学生在学习如何最有效地与受SUD影响的家庭合作方面的教育需求。为了帮助解决这一差距,本研究调查了C/MFT和CMHC受训人员在首次参加阿片类药物培训计划时的药物使用感受。硕士级学员完成了一项基线调查,评估了药物使用/使用者的认知、与药物使用客户合作的效果、跨专业合作、多元文化能力和职业生活质量。研究了来自n=61名受训人员的基线数据。研究结果表明,药物使用认知与受训者的效能感、多元文化能力和职业生活质量有关。此外,基于先前的药物使用培训,在与受药物使用影响的家庭合作的受训者疗效方面,以及在与受物质使用影响的家人合作的先前经验方面,存在群体对药物的认知差异。目前的研究结果可以为行为健康领域内药物使用培训的发展和完善提供信息,并发展药物使用劳动力。
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引用次数: 0
Turkish Attributions to Marriage: the Role of Family of Origin Functioning and Perceived Parenting 土耳其人对婚姻的归因:原生家庭功能和感知父母的作用
IF 0.5 Q3 Psychology Pub Date : 2022-09-13 DOI: 10.1080/2692398X.2022.2121588
Serdar Körük, Ali Ammar Kurt, Alper Karababa
ABSTRACT Aim: The aim of this study is to determine the role of family of origin functioning and perceived parenting styles in explaining the meanings that individuals attribute to the concept of heterosexual marriage in a Turkish sample. Method: One hundred seventy-five Turkish individuals reached by online-sampling were included in the study. In the data analysis, multiple linear regression analysis was conducted.Fındıngs: Analysis results showed that while the predictivity of affective responsiveness, communication, behavioral control, and roles dimensions of the family of origin functioning were found significant, it was seen that emotionally depriving mother/father, normative mother/father, exploitative/abusive father, belittling/criticizing father, and conditional/achievement father perceptions shape the concept of marriage. Conclusıon: This study showed that the elements related to the family of origin system and perceived parenting styles play a role in the formation of meanings that individuals attribute to heterosexual marriage.
摘要目的:本研究的目的是确定原籍家庭功能和感知的养育方式在解释土耳其样本中个人对异性婚姻概念的意义方面的作用。方法:175名通过在线抽样获得的土耳其个体被纳入研究。在数据分析中,进行了多元线性回归分析。Fındıngs:分析结果表明,虽然情感反应、沟通、行为控制和角色维度对原籍家庭功能的预测性显著,但可以看出,情感剥夺的母亲/父亲、规范的母亲/爸爸、剥削/虐待的父亲、贬低/批评的父亲、,条件/成就父亲的观念塑造了婚姻的概念。结论:这项研究表明,与原籍家庭系统和感知的养育方式相关的因素在个人对异性婚姻的意义形成中发挥了作用。
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引用次数: 0
The Role of Medical Family Therapists in Reproductive Healthcare Settings Serving Gender Diverse Patients: a Reproductive Justice Approach 医疗家庭治疗师在生殖保健设置服务性别多样化的病人的作用:生殖正义的做法
IF 0.5 Q3 Psychology Pub Date : 2022-09-04 DOI: 10.1080/2692398X.2022.2120320
Gabrielle C. Gebel, Rachel M. Diamond
ABSTRACT Transgender and gender non-conforming individuals have historically experienced discrimination accessing reproductive rights. This transcends into the ways in which the current systems of healthcare are structured to continue perpetuating the marginalization of this population of gender diverse persons, specifically as it relates to reproductive care. Throughout this paper, we will utilize a reproductive justice framework to explore ways in which transgender patients experience discrimination in unique ways through micro- and macroaggressions within the healthcare system based on the intersection of the reproductive healthcare services in which they are seeking, paying special attention to pregnancy and postpartum care, and their unique social identity. This paper will conclude with specific recommendations for how medical family therapists can impact healthcare systems by integrating trauma-informed care aligned with a reproductive justice framework.
跨性别者和性别不符合者在获得生殖权利方面一直受到歧视。这超出了现行保健系统的结构方式,使性别多样化的人群,特别是与生殖保健有关的人群继续长期边缘化。在本文中,我们将利用生殖司法框架来探讨跨性别患者在医疗保健系统中通过微观和宏观侵犯以独特方式遭受歧视的方式,基于他们寻求的生殖保健服务的交叉点,特别关注怀孕和产后护理,以及他们独特的社会身份。本文将总结具体建议如何医疗家庭治疗师可以通过整合创伤知情护理与生殖司法框架一致影响医疗保健系统。
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引用次数: 0
Adaptive Processes Through Crisis: a Biopsychosocial-Spiritual Examination of Couples Facing Cancer 通过危机的适应过程:面对癌症的夫妇的生物心理社会精神检查
IF 0.5 Q3 Psychology Pub Date : 2022-07-28 DOI: 10.1080/2692398X.2022.2106744
A. Rajaei, Jakob F. Jensen, Andrew S. Brimhall, Adrian Knauss, A. Schwartz, Essie Torres, O. Kose
ABSTRACT It is crucial for scholars and clinicians to have a thorough understanding of the effect cancer has on family systems. Since romantic partners play an important role in the support and care of patients with cancer, they are particularly impacted by the cancer diagnosis and treatment. In the current study, we explored the association among the biological, psychosocial, spiritual, and interpersonal adaptive processes associated with romantic relationship quality and stability in couples with cancer (N = 160). Implications are provided for clinicians, and researchers.
学者和临床医生必须深入了解癌症对家庭系统的影响。由于浪漫伴侣在支持和照顾癌症患者方面发挥着重要作用,他们尤其受到癌症诊断和治疗的影响。在目前的研究中,我们探讨了癌症夫妇的生物学、心理社会、精神和人际适应过程与浪漫关系质量和稳定性之间的关系(N=160)。为临床医生和研究人员提供了启示。
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引用次数: 0
Thematic Analysis of Therapists’ Experiences Integrating EMDR and EFT in Couple Therapy: Conditions and Risks of Integration 治疗师在夫妻治疗中整合EMDR和EFT经验的主题分析:整合的条件和风险
IF 0.5 Q3 Psychology Pub Date : 2022-06-16 DOI: 10.1080/2692398X.2022.2090205
Jason N. Linder, Alba Niño, Sesen Negash, Sandra A. Espinoza
ABSTRACT In this paper, we present and discuss partial findings of a thematic analysis on the experiences of 13 licensed clinicians who integrate Emotionally Focused Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR) in couple therapy. We cover five of the seven themes that emerged from the data. These themes refer to practical factors of implementation, such as identifying and assessing the conditions necessary for effective integration, risks of integrating, and timing of integration in couple therapy. One additional theme refers to the institutional and training factors that might hinder model integration. After presenting the findings, we contrast them with available literature. We conclude by discussing clinical and research implications.
在本文中,我们提出并讨论了对13名持牌临床医生在夫妻治疗中整合情感聚焦疗法(EFT)和眼动脱敏和再处理(EMDR)的经验的主题分析的部分发现。我们涵盖了从数据中得出的七个主题中的五个。这些主题涉及实施的实际因素,例如识别和评估有效整合所需的条件,整合的风险,以及夫妻治疗中整合的时机。另一个主题涉及可能阻碍模型集成的制度和培训因素。在提出研究结果后,我们将其与现有文献进行对比。我们最后讨论临床和研究意义。
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引用次数: 0
The Mediating Role of Self-Leadership in the link between Racial Identity Attitudes, Mental Health Outcomes, and Race Related Stress 自我领导在种族认同态度、心理健康结果和种族相关压力之间的联系中的中介作用
IF 0.5 Q3 Psychology Pub Date : 2022-06-07 DOI: 10.1080/2692398X.2022.2084316
Timothy K. Phillips, Ashley L. Rose, M. L. Strickland
ABSTRACT Introduction: Internal Family Systems (IFS) Therapy has grown in popularity over the last several decades, demonstrating promising utility, especially in the treatment of mood disorders. However, IFS researchers have yet to explore its relevance specifically for Black populations in the United States. Objective: The present study investigated relationships between self-leadership, racial identity attitudes, race related stress, and mental health outcomes. Specifically, this study examined self-leadership as a potential mediator in the relationship between Black racial identity attitudes and the experience of race-related stress and mental health outcomes Methods: Participants (N = 79) were Black-identifying undergraduate students who completed self-report inventories. Mediation analyses were conducted using SPSS. Results: Self-leadership significantly predicted less severe negative mental health outcomes. Additionally, self-leadership fully mediated the relationship between the pre-encounter attitude of self-hatred and mental health outcomes, and self-leadership partially mediated the relationship between multiculturalist inclusive attitudes and stress due to institutional racism. Conclusion: Findings point to the potential utility of a major component of IFS, self-leadership, for future Black clinical populations.
摘要简介:在过去的几十年里,家庭内部系统(IFS)疗法越来越受欢迎,尤其是在治疗情绪障碍方面表现出了很好的实用性。然而,国际单项体育联合会的研究人员尚未专门探讨其与美国黑人人口的相关性。目的:本研究调查了自我领导、种族认同态度、种族相关压力和心理健康结果之间的关系。具体而言,这项研究考察了自我领导作为黑人种族认同态度与种族相关压力体验和心理健康结果之间关系的潜在中介。方法:参与者(N=79)是完成自我报告清单的黑人认同本科生。使用SPSS进行中介分析。结果:自我领导显著预测了不那么严重的负面心理健康结果。此外,自我领导完全介导了遭遇前的自我仇恨态度与心理健康结果之间的关系,而自我领导部分介导了多元文化包容态度与制度性种族主义压力之间的关系。结论:研究结果表明,IFS的一个主要组成部分,自我领导,对未来的黑人临床人群具有潜在的效用。
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引用次数: 1
Opportunities and Limitations in Global Mental Health Training: A Qualitative Study of Jordanian Primary Care Physicians 全球心理健康培训的机遇与局限:对约旦初级保健医生的定性研究
IF 0.5 Q3 Psychology Pub Date : 2022-03-24 DOI: 10.1080/2692398X.2022.2055430
J. Rosal, W. Al-Delaimy
ABSTRACT Cultural stigma combined with limited available qualified mental health professionals in the setting of political conflict and a refugee crisis represent great challenges toward providing mental health care to patients in the country of Jordan. We conducted focus groups with eight physicians to evaluate the Global Mental Health Certificate Program (GMHC) a novel program for primary care physicians intended at improving mental health diagnosis and treatment utilizing psychotherapy and pharmacotherapy. With the use of educational modules focused on mental health with major component on family therapy the program had positive impacts on information and attitude of mental health over and above other continuing education opportunities. However, it was also shown that stigma, time limitations, resources, and gaps in continuing education limit the application of these benefits. We provide recommendations for those teaching and designing mental health programs based on focus group recommendations and current literature.
摘要在政治冲突和难民危机的背景下,文化耻辱加上合格的心理健康专业人员有限,这对约旦为患者提供心理健康护理提出了巨大挑战。我们与八名医生进行了焦点小组讨论,以评估全球心理健康证书计划(GMHC),这是一项针对初级保健医生的新计划,旨在利用心理治疗和药物治疗改善心理健康诊断和治疗。通过使用以心理健康为重点的教育模块,并以家庭治疗为主要组成部分,该计划对心理健康的信息和态度产生了积极影响,超过了其他继续教育机会。然而,研究还表明,耻辱感、时间限制、资源和继续教育方面的差距限制了这些福利的应用。我们根据焦点小组的建议和当前的文献,为那些教学和设计心理健康项目的人提供建议。
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引用次数: 0
期刊
International Journal of Systemic Therapy
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