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Couple and Family Therapy Students’ Experience of Transitioning to Teletherapy and Telesupervision in the Wake of the COVID-19 Pandemic 新冠肺炎疫情后夫妻家庭治疗专业学生向远程治疗和远程监护过渡的体会
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-08 DOI: 10.1080/2692398X.2021.1936878
Megan Ferriby Ferber, K. Heiden-Rootes, Dixie Meyer, Max Zubatsky, Andrea K. Wittenborn
ABSTRACT The purpose of this study was to examine the experiences of students enrolled in COAMFTE-accredited Couple and Family Therapy programs who transitioned to telehealth and telesupervision during the COVID-19 pandemic. Using Likert scales and free response prompts, 77 graduate students provided insight into how their academic programs and external internships prepared them for the transition. Results indicated webinars, articles, and additional supervision were the most frequently used training methods. Many participants reported feeling supported by their academic program and external internship supervisors, particularly through well-being check-ins, candid and open discussion, and increased availability of supervisors. A smaller proportion of participants experienced a lack of communication from leadership, leading to feelings of disorganization and isolation. These results highlight specific ways supervisors and instructors can support students in times of transition and crisis. Recommendations regarding communication with students and engagement of interns for academic programs and external internship sites are provided.
摘要本研究的目的是研究在新冠肺炎大流行期间过渡到远程医疗和远程监督的COAMFTE认证的夫妻和家庭治疗项目的学生的经历。77名研究生使用Likert量表和免费回答提示,深入了解了他们的学术项目和外部实习如何为过渡做好准备。结果表明,网络研讨会、文章和额外监督是最常用的培训方法。许多参与者表示,他们感到受到了学术项目和外部实习导师的支持,特别是通过健康状况检查、坦诚和公开的讨论以及导师的增加。一小部分参与者经历了领导层缺乏沟通,导致混乱和孤立的感觉。这些结果突出了主管和讲师在过渡和危机时期支持学生的具体方式。提供了关于与学生沟通以及实习生参与学术项目和外部实习地点的建议。
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引用次数: 2
The Weaponized Web: How Internet Technologies Fuel Intimate Partner Violence 武器化的网络:互联网技术如何助长亲密伴侣暴力
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-20 DOI: 10.1080/2692398X.2021.1906619
K. Hertlein
ABSTRACT Technology has fundamentally shaped the way we communicate with acquaintances, family members, and romantic partners. Digital technologies permit us to be accessed (and access others) at any time, through a variety of electronic means irrespective of geography. The purpose of this article is link factors germane to technology to explain why they fuel intimate partner violence. This article outlines key characteristics of behaviors associated with intimate partner violence, outlines the specific functions of technology that exacerbate these symptoms, and introduces guidelines for training and treatment.
摘要技术从根本上塑造了我们与熟人、家人和浪漫伴侣的沟通方式。数字技术允许我们在任何时候通过各种电子手段访问(和访问他人),而不受地理位置的限制。这篇文章的目的是将与技术密切相关的因素联系起来,解释为什么它们会助长亲密伴侣的暴力。本文概述了与亲密伴侣暴力相关的行为的关键特征,概述了加剧这些症状的技术的具体功能,并介绍了培训和治疗指南。
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引用次数: 3
Bullying, family cohesion, and school connectedness: a moderated-mediation multigroup analysis of adolescents 欺凌、家庭凝聚力和学校连通性:青少年的有调节中介多组分析
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-03 DOI: 10.1080/2692398X.2021.1899738
Lindsey G. Hawkins, Cameron C. Brown, Chloe Goad, Abby Rhynehart, Taralyn Hemphill, Hailey Snyder
ABSTRACT Bullying experiences in adolescence has become a nationwide problem as 28% of the children report being bullied over the past school year. Adolescents who report being bullied have been found to have higher rates of anxiety and depression. Although several studies have examined family support and school connectedness as protective factors that buffer the link between being bullied and mental health, little is known about racial/ethnic differences in bullying victimization. Bronfenbrenner’s ecological systems theory proposes that a child’s environment (e.g., family cohesion, school connectedness) is a potential protective factor between bullying experiences and mental health. Adolescent data from the Fragile Families and Child Wellbeing Study were used to analyze a structural model, postulating frequency of being bullied on the adolescents reports of perceived health, directly and as mediated by anxiety symptoms, was assessed among adolescents who were Black/African American, Hispanic/Latino, White, Multiracial, and other races not specified in the assessment. Additionally, we examined whether reports of family cohesion and/or school connectedness moderate the link between frequency of being bullied and anxiety. Modest, yet significant results indicated that there were group differences for the model, and school connectedness was linked with lower rates of anxiety symptoms and better reports of perceived health for most groups. These findings provided insight into the importance of considering contextual factors such as race when examining bullying victimization as well as provides insight for school and helping professionals such as family therapists striving to stymie the effects of being bullied among adolescents.
摘要青少年时期的欺凌经历已成为一个全国性的问题,28%的儿童报告在过去一学年受到欺凌。报告被欺负的青少年被发现有更高的焦虑和抑郁率。尽管有几项研究将家庭支持和学校联系作为缓冲被欺凌与心理健康之间联系的保护因素,但人们对欺凌受害的种族/民族差异知之甚少。Bronfenbrenner的生态系统理论认为,儿童的环境(如家庭凝聚力、学校联系)是欺凌经历和心理健康之间的潜在保护因素。来自脆弱家庭和儿童福利研究的青少年数据用于分析一个结构模型,在黑人/非裔美国人、西班牙裔/拉丁裔、白人、多种族和评估中未指定的其他种族的青少年中,直接评估和通过焦虑症状介导的青少年感知健康报告中假设被欺负的频率。此外,我们还研究了家庭凝聚力和/或学校联系的报告是否调节了被欺负频率和焦虑之间的联系。适度但显著的结果表明,该模型存在群体差异,学校联系与大多数群体较低的焦虑症状发生率和更好的感知健康报告有关。这些发现深入了解了在检查欺凌受害情况时考虑种族等背景因素的重要性,也为学校和帮助家庭治疗师等专业人士努力消除青少年受欺凌的影响提供了见解。
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引用次数: 2
Removing the Mystery in Supervision: Engaging in Transparent Supervision 消除监督的神秘性:搞透明监督
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-01-02 DOI: 10.1080/08975353.2020.1804798
Paul R Springer, Brie A. Turns, D. Sibley, Brandon P. Eddy
ABSTRACT The supervisory relationship is one of the most important relationships in academic programs (Haug & Storm, 2014). Supervisors help provide direction, ethical guidance, and model adherence during supervision. Unfortunately, there are numerous challenges and issues that occur within supervision that cause tension and problems within the supervisory relationship (Todd & Storm, 2014). Not discussing diversity, models of therapy, or expectations in supervision can lead supervisees to enter a customer, complainer, or visitor relationship. This article introduces a new process for conducting supervision and enhancing the supervisory relationship. Transparent supervision aims to alleviate various challenges that arise in supervision by providing supervisors a framework for openly and transparently discussing topics in supervision.
监督关系是学术项目中最重要的关系之一(Haug & Storm, 2014)。在监督过程中,主管帮助提供方向、道德指导和模范遵守。不幸的是,在监督中出现了许多挑战和问题,导致监督关系中的紧张和问题(Todd & Storm, 2014)。在监督中不讨论多样性、治疗模式或期望会导致被监管者进入客户、抱怨者或访客的关系。本文介绍了一种进行监督和加强监督关系的新流程。透明监管旨在为监管人员提供一个公开透明地讨论监管议题的框架,以缓解监管过程中出现的各种挑战。
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引用次数: 0
Treatment of Couples Experiencing Pregnancy Loss: Reauthoring Loss from a Narrative Perspective 对经历流产的夫妇的治疗:从叙事角度重新创作流产
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-09 DOI: 10.1080/2692398X.2020.1855621
Justin Romney, Stephen T. Fife, Daniel Sanders, Sarah Behrens
ABSTRACT Pregnancy loss is a traumatic event that affects many families. 1 in 5 pregnancies end in miscarriage, and 1–2 out of every 100 births are stillbirths. Mothers report depression, shame, and guilt following a pregnancy loss. They also report a lack of social and emotional support, as Western culture tends to discourage mothers from grieving. Additionally, the impact on partners often goes unnoticed, as pregnancy loss is primarily framed as a birth parent’s issue. As couples struggle to deal with the emotions of pregnancy loss, many approach the process of grieving in ways that inhibit healing, which can negatively impact their relationship. Given the potential difficulties, many couples seek therapy to help them with the challenges that may follow pregnancy loss. However, there is a lack of literature that discusses how to systemically treat pregnancy loss. This article aims to address that gap by presenting a narrative approach to treating pregnancy loss. Narrative therapy is a natural fit when treating grieving couples as it allows them to coauthor their story of loss and coauthor a story of healing. Narrative therapy provides a space for couples to share their story, externalize problems related to the loss, find unique outcomes to support an alternative story, and solidify a new narrative related to their pregnancy loss.
摘要:流产是一个影响许多家庭的创伤性事件。五分之一的妊娠以流产告终,每100个分娩中就有1-2个是死产。母亲们报告说,流产后会出现抑郁、羞耻和内疚。他们还报告说,由于西方文化倾向于阻止母亲悲伤,因此缺乏社会和情感支持。此外,对伴侣的影响往往被忽视,因为流产主要被认为是亲生父母的问题。当夫妻们努力处理失去妊娠的情绪时,许多人在悲伤的过程中会抑制愈合,这可能会对他们的关系产生负面影响。考虑到潜在的困难,许多夫妇寻求治疗来帮助他们应对流产后可能出现的挑战。然而,缺乏文献讨论如何系统地治疗妊娠损失。本文旨在通过介绍一种治疗妊娠损失的叙述性方法来解决这一差距。叙事疗法在治疗悲伤的夫妇时很自然,因为它可以让他们共同撰写失去的故事,并共同撰写治愈的故事。叙事疗法为夫妻提供了一个空间,让他们分享自己的故事,将与流产相关的问题外化,找到独特的结果来支持另一个故事,并巩固与流产有关的新叙事。
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引用次数: 1
Case Study Illustrating Family Systems Interventions in a School Setting to Address Anxiety and School Avoidance 个案研究说明家庭系统干预在学校设置,以解决焦虑和学校回避
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-02 DOI: 10.1080/2692398x.2020.1849935
M. Carlson, S. Browning, L. Goodman, Kristine Carlson
ABSTRACT Collaborating with parents is an important skill set for school-based mental health professionals. While school districts expect school psychologists and school counselors to facilitate family-school collaboration, most receive little training in family counseling and systems theory in their graduate programs. School psychologists and school counselors could benefit from resources that demonstrate how to use a family systems approach in a school setting. This article uses a single case study to illustrate how school-based mental health professionals can use brief family counseling to address anxiety and school avoidance. The article describes a family systems approach and interventions such as reframing, subsystems work, consultation, and encouraging gradual progress.
与家长合作是学校心理健康专业人员的一项重要技能。虽然学区期望学校心理学家和学校辅导员促进家庭与学校的合作,但大多数学校在研究生课程中几乎没有接受过家庭咨询和系统理论方面的培训。学校心理学家和学校辅导员可以从展示如何在学校环境中使用家庭系统方法的资源中受益。这篇文章用一个单独的案例研究来说明基于学校的心理健康专家如何使用简短的家庭咨询来解决焦虑和逃避学校。文章介绍了家庭系统的方法和干预措施,如重构、子系统工作、协商、鼓励逐步推进等。
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引用次数: 1
SFBCT for Couples Raising a Child with Autism: A Grounded Theory Study 夫妻抚养自闭症儿童的SFBCT:一个有根据的理论研究
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-10-11 DOI: 10.1080/2692398X.2020.1830015
Valerie A. Handley, Brie A. Turns, M. Chavez, S. Jordan
ABSTRACT Raising a child with an Autism Spectrum Disorder (ASD) can have negative effects on the parents’ emotional wellbeing, along with their marital relationship. Although there is some information on the treatment of parents, there is a lack of research investigating how the process of change occurs during couples therapy. The current study interviewed five couples, raising a child with ASD, who received Solution-Focused Brief Couples Therapy (SFBCT). A grounded theory approach was used to understand the process of change for couples receiving six sessions of SFBCT. Through the use of constructivist-grounded theory methodology (GTM), a theory was constructed on the experience of change perceived by participants. The results indicate the importance of both the therapists’ and clients’ process of change during therapy.
摘要抚养患有自闭症谱系障碍(ASD)的孩子会对父母的情绪健康以及婚姻关系产生负面影响。尽管有一些关于父母治疗的信息,但缺乏调查夫妻治疗过程中变化过程的研究。目前的研究采访了五对夫妇,他们养育了一个患有自闭症谱系障碍的孩子,并接受了以解决方案为重点的简短夫妻治疗(SFBCT)。采用扎根理论的方法来理解接受六次SFBCT治疗的夫妇的变化过程。通过使用建构主义基础理论方法论(GTM),基于参与者感知的变化体验构建了一个理论。研究结果表明,治疗师和客户在治疗过程中的变化过程都很重要。
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引用次数: 0
Training the Self of the Therapist through Marriage and Family Therapy Role-Plays 通过婚姻家庭治疗角色扮演训练治疗师的自我
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-10-04 DOI: 10.1080/2692398x.2020.1825909
Michael E. Sude, Timothy Baima
ABSTRACT The self of the therapist is an important component of marriage and family therapy training and treatment outcomes. There are several training exercises that focus on developing the self of the therapist, but limited literature on role-plays that center on self of the therapist training. This article provides recommendations for trainers that wish to focus marriage and family therapy role-plays on the self of the therapist. It also includes several examples that illustrate supporting the development of self-awareness and effective use of self through self-reflection and attention to the cultural context of both therapists and clients.
治疗师的自我是婚姻家庭治疗培训和治疗结果的重要组成部分。有一些训练练习侧重于培养治疗师的自我,但关于角色扮演的文献有限,主要集中在治疗师的自我训练上。这篇文章为希望将婚姻和家庭治疗角色扮演的重点放在治疗师自身上的培训师提供了建议。它还包括几个例子,说明通过自我反思和对治疗师和客户文化背景的关注来支持自我意识的发展和对自我的有效利用。
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引用次数: 1
“I Think It Just Helped Me See:” Incorporating Attachment into Reflecting Teams “我认为这只是帮助我看到:”将依恋融入反思团队
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-09-18 DOI: 10.1080/08975353.2020.1818499
M. Edwards, R. Allan
ABSTRACT Historically, hope has been studied from a cognitive, not experiential, lens and rarely from an attachment perspective. The aims of this research were to explore how couples experience hope when using a reflecting team (RT) as part of their counseling process as well as if their experience of hope differed based depending on their attachment style. To examine these questions, couples (n = 13) completed attachment measures as well as participated in interviews assessing their experience of hope in relation to the reflecting team. The research was methodologically directed by interpretative phenomenological analysis (IPA), which draws on the participants’ meaning-making of the reflecting team process. Participants’ attachment strategies impacted which interventions used by the reflecting teams were most relevant and powerful in inducing hope.
摘要从历史上看,人们一直从认知而非经验的角度研究希望,很少从依恋的角度研究。这项研究的目的是探索夫妻在咨询过程中使用反思团队(RT)时如何体验希望,以及他们的希望体验是否因依恋风格而异。为了研究这些问题,夫妻(n=13)完成了依恋测量,并参加了访谈,评估他们与反思团队的希望体验。本研究以解释性现象学分析(IPA)为方法论指导,该分析借鉴了参与者对反映团队过程的意义形成。参与者的依恋策略影响了反思团队使用的哪些干预措施在引发希望方面最相关、最有力。
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引用次数: 1
Hierarchical Privilege and Power in Structural Supervision 结构监督中的等级特权与权力
IF 0.5 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-08-18 DOI: 10.1080/08975353.2020.1809917
Eman Tadros
ABSTRACT This paper discusses supervision through a structural family therapy (SFT) lens. SFT aims to alter dysfunctional patterns in exchange for healthy interactions by creating clear hierarchies and boundaries. Families are organized by hierarchies; within this structure, it is common for parents and older adults to be at the top. This mirrors supervision as traditionally the more experienced and higher licensed clinicians are at the top. This paper conveys how clinical supervisors can train, educate, and support while establishing a hierarchical position allowing for isomorphic and bidirectional growth. Additionally, this paper introduces an intervention utilizing hierarchies to address privilege and power.
摘要本文从结构家庭治疗(SFT)的角度讨论监督。SFT旨在通过创建清晰的层次结构和边界来改变功能失调的模式,以换取健康的互动。族是按层次结构组织的;在这种结构中,父母和老年人处于顶端是很常见的。这反映了监管,因为传统上经验更丰富、执照更高的临床医生处于顶层。本文传达了临床主管如何在建立允许同构和双向增长的层级地位的同时进行培训、教育和支持。此外,本文还介绍了一种利用层次结构来解决特权和权力问题的干预措施。
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引用次数: 3
期刊
International Journal of Systemic Therapy
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