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Collaborative Writing and Psychotherapy: Flattening the Hierarchy Between Therapist and Client (2024) by Trish Thompson and Dan X. Harris. Routledge. ISBN: 9781032213880 合作写作与心理治疗:Flattening the Hierarchy Between Therapist and Client (2024) by Trish Thompson and Dan X. Harris.Routledge.ISBN: 9781032213880
Pub Date : 2024-05-14 DOI: 10.59158/001c.116955
Kieran O'Loughlin
In this book Trish Thompson and Dan X. Harris (2024) explore how collaborative writing between therapists and clients can both deepen their relationship and enhance the success of psychotherapy. In so doing, it highlights the potential of therapist and client to become “fellow travellers” in therapy as opposed to the more traditional “top down” relationship of “expert” and “client”. It also demonstrates how both client and therapist can change through this flattening of the hierarchy between them.
特里什-汤普森(Trish Thompson)和丹-哈里斯(Dan X. Harris)(2024 年)在本书中探讨了治疗师与客户之间的合作写作如何既能加深他们之间的关系,又能提高心理治疗的成功率。在此过程中,本书强调了治疗师和客户在治疗中成为 "同行者 "的潜力,而不是传统的 "专家 "和 "客户 "的 "自上而下 "的关系。它还展示了客户和治疗师如何通过这种扁平化的等级关系而发生改变。
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引用次数: 0
Levels of Therapeutic Relationship When Working With Male Clients 与男性客户合作时的治疗关系水平
Pub Date : 2024-05-02 DOI: 10.59158/001c.116699
Michael W. Ellwood
At a time when men are seeking therapeutic support at increased levels, identifying and responding to the type of engagement sought by male clients increases the possibility for stronger engagement and retention of men in therapy. This highlights the importance of the perceived challenges of engaging and working with male clients, particularly in attempting to overcome the temptation to label such clients as “resistant”. In 1988, Steve de Shazer and the Brief Family Therapy Centre proposed that clients present seeking different levels of therapeutic engagement (visitor, complainant, and customer relationships). A more recent solution-focused model originating in Bruges has suggested similar levels of engagement between client and practitioner (uncommitted, searching, consultant, and expert relationships; Isebaert, 2016). This paper compares and discusses the two models of therapeutic engagement levels and considers the clinical implications of these for working therapeutically with male clients.
当男性寻求治疗支持的人数越来越多时,识别并回应男性客户所寻求的参与类型,就能增加男性参与治疗并留住他们的可能性。这凸显了与男性求助者接触和合作所面临的挑战的重要性,尤其是在试图克服将这类求助者贴上 "抗拒 "标签的诱惑时。1988 年,史蒂夫-德-沙泽(Steve de Shazer)和简短家庭治疗中心(Brief Family Therapy Centre)提出,求助者寻求不同层次的治疗参与(来访者、投诉者和客户关系)。最近,起源于布鲁日的一个以解决方案为中心的模型提出了客户与实践者之间类似的参与程度(非承诺关系、探索关系、顾问关系和专家关系;Isebaert,2016 年)。本文比较并讨论了这两种治疗参与度模型,并探讨了这些模型对男性客户治疗工作的临床意义。
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引用次数: 0
The Movements of Grief 悲伤的运动
Pub Date : 2024-03-28 DOI: 10.59158/001c.115410
Mandy Cox, Sonia Fenwick
The concept of movement and flow reaches into the core of human existence, since nature teaches us its necessity as the seasons move and flow from one to the next. So too, the notion of movement is pivotal to the function of grieving, from the moment loss occurs through to that which is unfolding and becoming. This paper posits three fundamental elements of movement in grief: transience, transition, and transformation. These movements propel nuanced, active, and action-based micro and macro movements to induce healthy bereavement outcomes. Drawing upon the grief literature, clinical observation, and therapeutic reflection, this paper seeks to expand and deepen the therapist’s understanding of the grief movements and the interception of each with the client’s experience. Viewed from this perspective, it will enable the therapist to listen for, observe, hold, and honour the function of each grief movement in a way that enables the client to navigate the deconstructive landscape of loss through to a more integrated and whole experience of life and living.
运动和流动的概念深入人类生存的核心,因为大自然告诉我们,随着四季的更替和流动,运动和流动是必要的。同样,运动的概念对于悲伤的功能也是至关重要的,从失去的那一刻到正在展开和成为的那一刻。本文提出了悲伤运动的三个基本要素:短暂、过渡和转变。这些运动推动着细微的、积极的、以行动为基础的微观和宏观运动,从而产生健康的丧亲结果。本文以哀伤文献、临床观察和治疗反思为基础,旨在拓展和加深治疗师对哀伤运动以及每种运动与客户体验之间相互关系的理解。从这个角度来看,它将使治疗师能够倾听、观察、保持和尊重每一个悲伤动作的功能,从而使当事人能够在失落的解构景观中航行,获得更加综合和完整的生命和生活体验。
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引用次数: 0
The Role of Mindfulness and Embodiment in Group-Based Trauma Treatment 正念和体现在集体创伤治疗中的作用
Pub Date : 2024-03-27 DOI: 10.59158/001c.94979
Julien Tempone-Wiltshire
Embodiment and mindfulness interventions provide a range of benefits for individuals living with trauma yet a lack of clarity surrounds their integration in group work practice. This article provides a framework for the integration of embodiment and mindfulness interventions in group settings for trauma. While such interventions can be utilised in primary trauma processing and open process group psychotherapy, this article provides particular guidance for the more general integration of these tools in structured format resourcing groups. Attention is given to the value and features of a phasic, staged integration of these interventions for specialised trauma-oriented group work. This article details how mindfulness and embodiment interventions support participants to cultivate the capacity to counter experiential avoidance and reorient attention towards the present moment, consequently increasing bodily and affective self-awareness. This serves to reduce patterns of reactivity, thereby supporting symptom stabilisation, improved reflective and mentalising ability, and cultivation of the self- and co-regulatory capacities necessary for trauma-processing group work. These interventions also possess supportive implications for the facilitator’s wellbeing, the formation and cohesiveness of the group, and, crucially, the norming process, both implicit and explicit. Attention is given also to safety considerations, including contraindications of mindfulness practices with certain trauma presentations, and the necessary screening requirements and exclusion criteria in the formation of a trauma-oriented group.
体现和正念干预为生活在创伤中的人提供了一系列益处,但在小组工作实践中如何将它们结合起来却缺乏明确性。本文提供了一个在创伤小组环境中整合体现和正念干预的框架。虽然这些干预措施可用于初级创伤处理和开放过程团体心理治疗,但本文为将这些工具更普遍地融入结构化形式的资源小组提供了特别指导。文章还关注了阶段性、分阶段地将这些干预措施整合到以创伤为导向的专门小组工作中的价值和特点。本文详细介绍了正念和具身干预如何帮助参与者培养抵御经验回避的能力,并将注意力重新导向当下,从而提高身体和情感方面的自我意识。这有助于减少反应模式,从而支持症状稳定、提高反思和思维能力,以及培养创伤处理小组工作所需的自我和共同调节能力。这些干预措施还对促进者的健康、小组的形成和凝聚力,以及至关重要的规范化过程(包括隐性和显性)具有支持性影响。此外,还关注了安全方面的考虑,包括正念练习对某些创伤表现的禁忌,以及在组建创伤导向小组时必要的筛选要求和排除标准。
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引用次数: 0
Editorial: Valuing Indigenous Voices Despite the “No” Vote 社论:尽管投了 "反对 "票,仍要重视原住民的声音
Pub Date : 2023-12-20 DOI: 10.59158/001c.90709
Jane Marsden
Despite only 39.9% of “yes” votes in the October 2023 voice to parliament referendum, almost nine in 10 Australians (87%) believe that First Nations peoples should have a voice in matters influencing them, according to a comprehensive post-referendum survey (Biddle et al., 2023). Over three-quarters of “no” voters (76%) support this view. Reflecting the survey findings, two articles (Carmody, 2023; Latham et al., 2023) in the December 2023 issue of the Psychotherapy and Counselling Journal of Australia advocate for valuing the cultural skills, experiences, and knowledge of Aboriginal and Torres Strait Islander peoples in therapy and therapist education. Another article (O’Hara, 2023a) explores how the counselling and psychotherapy profession defines itself, an important concept given the forthcoming two-year review of national standards by the Federal Government. An attachment-based model for supervision (Soliman, 2023), a literature review on dog-assisted therapy for children with anxiety (Wu & Wei, 2023), a conversation analysis of silence in psychotherapy (Berger & Rae, 2023), and the Power Threat Meaning Framework and self-discrepancy theory (O’Hara, 2023b) are also featured. This issue is the first to showcase new sections called Practice Reflections and Viewpoints.
尽管在 2023 年 10 月的议会公投中只有 39.9% 的人投了 "赞成 "票,但根据公投后的一项综合调查(比德尔等人,2023 年),几乎十分之九(87%)的澳大利亚人认为原住民应该在影响他们的事务中拥有发言权。超过四分之三的 "反对 "投票者(76%)支持这一观点。澳大利亚心理治疗与咨询期刊》(Psychotherapy and Counselling Journal of Australia)2023 年 12 月刊上的两篇文章(Carmody,2023 年;Latham 等人,2023 年)反映了这一调查结果,主张在治疗和治疗师教育中重视土著居民和托雷斯海峡岛民的文化技能、经验和知识。另一篇文章(O'Hara,2023a)探讨了咨询和心理治疗行业如何自我定义,鉴于联邦政府即将对国家标准进行为期两年的审查,这是一个重要的概念。此外,还介绍了基于依恋的督导模式(Soliman, 2023)、狗辅助治疗焦虑儿童的文献综述(Wu & Wei, 2023)、心理治疗中沉默的对话分析(Berger & Rae, 2023)以及权力威胁意义框架和自我差异理论(O'Hara, 2023b)。本期是首次展示名为 "实践反思 "和 "观点 "的新栏目。
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引用次数: 0
How Silence Contributes to the Performance of Sincerity in Psychotherapy 沉默如何促进心理治疗中的真诚表现
Pub Date : 2023-12-18 DOI: 10.59158/001c.90873
I. Berger, John P. Rae
Most literature concerning silence in psychotherapy has focused on the meaning of silences, particularly from psychoanalytic perspectives, and is based on clinical experience rather than empirical studies. These authors tend to interpret silence as pathology or resistance in the client and/or advise clinicians to be especially tolerant of silence and to avoid filling silences. Although some studies have found that moderate silence is correlated with better outcomes, these studies ignore psychosocial aspects of the interaction. No research has looked at silence in psychotherapy as a linguistic device to manage the local sequential environment. Silence following an initiating action is characteristic of dispreferred responses such as refusals and negatively valenced answers in general conversation. In this study, we used conversation analysis to explore preference and the role of silence in nine spiritually oriented humanistic psychotherapy sessions. We found that in contrast to everyday conversation, in these interactions, there is a preference for gaps and pauses while immediate responses are dispreferred.
大多数有关心理治疗中沉默的文献都集中在沉默的意义上,尤其是从精神分析的角度出发,并且是基于临床经验而非实证研究。这些作者倾向于将沉默解释为求助者的病态或抵触情绪,并且/或者建议临床医生要特别容忍沉默,避免填补沉默。尽管有些研究发现,适度的沉默与更好的治疗效果相关,但这些研究忽略了互动的社会心理方面。目前还没有研究将心理治疗中的沉默作为一种语言手段来管理当地的顺序环境。发起行动后的沉默是一般对话中拒绝和消极回答等不受欢迎的反应的特征。在本研究中,我们使用会话分析法探讨了九次以精神为导向的人本主义心理治疗中沉默的偏好和作用。我们发现,与日常对话不同,在这些互动中,人们更喜欢空隙和停顿,而不喜欢立即回应。
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引用次数: 0
Attachment in Supervision: Using a Relational Lens to Understand Supervisory Dynamics 监督中的依恋:用关系透镜理解督导动态
Pub Date : 2023-12-14 DOI: 10.59158/001c.90756
Salam Soliman
This article aims to introduce a relational model of supervision based on attachment theory using the Circle of Security as a model for understanding supervisory dynamics. The article briefly reviews attachment theory and the historical context of clinical supervision and provides a brief discussion regarding the importance of ongoing supervision as a way to support frontline staff and mitigate the impact of secondary traumatic stress and burnout. Applying concepts from reflective supervision and attachment theory, the article introduces the Supervisor’s Circle of Security and presents a matrix model of supervisor—supervisee relationships, lending 16 possible attachment combinations for the dyad. Potential presentations of each of the dyadic compositions is discussed followed by clinical vignettes.
本文旨在介绍一种基于依恋理论的督导关系模式,以安全圈作为理解督导动态的模型。文章简要回顾了依恋理论和临床督导的历史背景,并简要讨论了持续督导作为支持一线员工、减轻二次创伤压力和职业倦怠影响的一种方式的重要性。文章运用反思性督导和依恋理论的概念,介绍了督导的安全圈,并提出了督导-被督导关系的矩阵模型,为二人组提供了 16 种可能的依恋组合。文章讨论了每种二元组合的潜在表现形式,并随后提供了一些临床案例。
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引用次数: 1
Reflections on a “Black and White” Model of Teaching Family Therapy to First Nations Students 对向原住民学生传授家庭疗法的 "黑白 "模式的思考
Pub Date : 2023-12-14 DOI: 10.59158/001c.90588
Robyne Latham, Banu Moloney, Stephen Andrew
In this transcribed interview, facilitated by the paper’s third author, Stephen Andrew, Robyne (Robbie) Latham and Banu Moloney discuss La Trobe University’s Graduate Certificate in Family Therapy: First Nations, the development of its pedagogy, its importance to Indigenous and non-Indigenous therapists, the complex relationships between teaching, learning, and listening, and the deep, cross-cultural significance and power of words such as “family” and “therapy”.
在本文第三作者斯蒂芬-安德鲁(Stephen Andrew)的协助下,罗宾-莱瑟姆(Robyne (Robbie) Latham)和巴努-莫洛尼(Banu Moloney)在这段转录的访谈中讨论了拉筹伯大学家庭治疗研究生证书课程:原住民 "教学法的发展、其对土著和非土著治疗师的重要性、教学、学习和倾听之间的复杂关系,以及 "家庭 "和 "治疗 "等词汇深层的跨文化意义和力量。
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引用次数: 1
The Benefits of Dog-Assisted Therapy for Children With Anxiety 狗辅助治疗焦虑儿童的益处
Pub Date : 2023-08-17 DOI: 10.59158/001c.84856
Andrea Wu, Ruth Wei
Anxiety disorders are one of the most common mental health disorders experienced by children, and they have a negative effect on social, academic, and health functioning. While traditional psychotherapy has focused on methods such as cognitive behavioural therapy and parental anxiety management to treat these children, interest is growing in animal-assisted therapy (AAT) as a therapeutic modality, and recent research suggests the benefits of AAT within the realms of psychotherapy for children with anxiety. This review aimed to perform a critical appraisal of the available literature relating to dog-assisted psychotherapy for children with anxiety and investigate the effectiveness of this therapy method in reducing anxiety. This structured literature review was guided by the 12 steps recommended by Kable et al. (2012). The search was conducted in August and September 2021 through the databases ScienceDirect, PsycInfo, and PubMed to locate published peer-reviewed literature on the therapeutic benefits of including a dog in psychotherapy sessions for children with anxiety. After critical appraisal, 10 articles were included in the review. General agreement exists that dog-assisted therapy can boost positive emotions and reduce anxiety levels in children, and that interacting with dogs and experiencing their unconditional acceptance help reduce children’s stress and physical pain levels as well as stress in families. The key themes that emerged from this review included the human–animal bond, children’s attachment styles, hospitalisation and environmental considerations, the AAT methods used, and the effects of AAT. This review revealed many benefits of the presence of a therapy dog during psychotherapy sessions, including reducing anxiety, increasing positive emotions, and enabling social interactions for children with anxiety. Counsellors and psychotherapists can feel confident to undertake the required training and implement the necessary systems to accommodate a therapy dog in their therapeutic setting in order to support children with anxiety. It is noteworthy that the positive effects of dog-assisted therapy were not consistent throughout the literature, and most research studies focused on children in hospital settings. Therefore, further research is required regarding the effectiveness and clinical implications of the nature, type of intervention, length, and duration of dog-assisted therapy.
焦虑症是儿童最常见的心理健康障碍之一,对社会、学业和健康功能都有负面影响。虽然传统的心理治疗主要集中在认知行为疗法和父母焦虑管理等方法上,但人们对动物辅助疗法(AAT)作为一种治疗方式的兴趣越来越大,最近的研究表明,AAT在心理治疗领域对患有焦虑的儿童有好处。本综述旨在对现有的有关狗辅助心理治疗儿童焦虑的文献进行批判性评估,并调查这种治疗方法在减少焦虑方面的有效性。本结构化文献综述以Kable et al.(2012)推荐的12个步骤为指导。这项研究是在2021年8月和9月通过ScienceDirect、PsycInfo和PubMed数据库进行的,目的是找到已发表的同行评议文献,这些文献是关于在焦虑儿童的心理治疗过程中加入狗的治疗效果。经过严格的评议,10篇文章被纳入综述。人们普遍认为,狗辅助疗法可以增强儿童的积极情绪,降低他们的焦虑水平,与狗互动,体验它们无条件的接受,有助于减少儿童的压力和身体疼痛水平,以及家庭的压力。从这篇综述中出现的关键主题包括人与动物的联系、儿童的依恋类型、住院和环境考虑、使用的AAT方法以及AAT的影响。这篇综述揭示了在心理治疗过程中治疗犬的存在的许多好处,包括减少焦虑,增加积极情绪,并使焦虑儿童能够进行社会互动。辅导员和心理治疗师可以自信地进行必要的培训,并实施必要的系统,以便在他们的治疗环境中容纳治疗犬,以支持患有焦虑症的儿童。值得注意的是,狗辅助治疗的积极作用在整个文献中并不一致,大多数研究都集中在医院环境中的儿童身上。因此,需要进一步研究狗辅助治疗的性质、干预类型、长度和持续时间的有效性和临床意义。
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引用次数: 0
Editorial: Setting Standards, Shifting Paradigms 社论:设定标准,转变范式
Pub Date : 2023-07-20 DOI: 10.59158/001c.84211
Jean I. Marsden
In arguably a watershed year for counselling, psychotherapy, and Indigenous healing practices in Australia, this issue of the Psychotherapy and Counselling Journal of Australia (PACJA) is the first since it moved to the Scholastica platform. The move is helping PACJA meet international standards for peer-reviewed journals, in terms of discoverability, design, device-friendly pages, and other features. It comes at a time when the Australian Government has announced funding for the development of national standards for psychotherapists and counsellors, and for two independent peak bodies representing people who live with mental ill health and their carers and kin. This editorial details the articles in Volume 11 (1) of PACJA which emphasise the paradigm shifts accompanying these announcements.
今年可以说是澳大利亚心理咨询、心理治疗和土著治疗实践的分水岭,这一期《澳大利亚心理治疗和咨询杂志》(PACJA)是它转移到Scholastica平台后的第一期。此举有助于PACJA在可发现性、设计、设备友好页面和其他功能方面达到同行评议期刊的国际标准。这是在澳大利亚政府宣布为心理治疗师和咨询师以及代表精神疾病患者及其照顾者和亲属的两个独立高峰机构制定国家标准提供资金之际提出的。这篇社论详细介绍了PACJA第11卷(1)中的文章,这些文章强调了伴随这些公告的范式转变。
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引用次数: 0
期刊
Psychotherapy and Counselling Journal of Australia
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