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The Lived Experiences of Adult Crystal Methamphetamine Users: A Qualitative Study 成人冰毒使用者的生活经验:一项质性研究
Pub Date : 2019-09-01 DOI: 10.59158/001c.71114
Girija Dadhe, Cathy Bettman
Crystal methamphetamine, also known as “ice” or “crystal meth,” is a potent psychostimulant drug that can cause irreversible physical and psychological damage to users (Halkitis, 2009). This qualitative research investigated the lived experiences of users, the background of their addiction, and the effects of using this drug. Six men between 31 and 39 years of age participated in the research. Three main themes emerged from the data: context, aftermath, and recovery. Respondents identified an inability to cope with dysfunctional family environments and negative social influences as the main causes of their crystal methamphetamine addiction, which resulted in significant adverse effects on their physical and mental health, relationships, occupation, and behaviour. They expressed a need for integrated and family focussed services, as well as a decriminalised approach towards crystal methamphetamine usage to help individuals and their families in the recovery journey.
水晶甲基苯丙胺,也被称为“冰”或“冰毒”,是一种强效精神兴奋剂药物,可对使用者造成不可逆转的身体和心理伤害(Halkitis, 2009)。这项定性研究调查了使用者的生活经历,他们的成瘾背景,以及使用这种药物的影响。6名年龄在31岁到39岁之间的男性参与了这项研究。数据显示了三个主要主题:背景、后果和恢复。答复者指出,无法应付不正常的家庭环境和消极的社会影响是其晶体甲基苯丙胺成瘾的主要原因,这对其身心健康、人际关系、职业和行为造成了严重的不利影响。他们表示有必要提供以家庭为重点的综合服务,并对水晶甲基苯丙胺的使用采取非刑事化的做法,以帮助个人及其家庭走出戒毒之路。
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引用次数: 3
Editorial Note 编辑注意
Pub Date : 2018-09-01 DOI: 10.59158/001c.71186
Kim Dunphy
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引用次数: 0
Counselling Psychology: Aesthetics as a Core Frame of Reference 辅导心理学:作为核心参照系的美学
Pub Date : 2018-09-01 DOI: 10.59158/001c.71191
G. Wills
This article is a response to an assumption in Cognitive Behaviour Therapy (CBT) theory that core beliefs are central to the existence of client distress and to the mitigation of it. The paper contains an analysis of the verbal content of a demonstration of CBT therapy in Module 1 of a course, “CBT Fundamentals” provided by the Australian Psychological Society, and a case is made supporting the proposition that the methods that privilege the search for, and manipulation of, core beliefs is too parsimonious a way of explaining both the processes and outcomes of otherwise high quality therapy. An alternative view is canvassed to the effect that the aesthetic qualities present in the work of Nick, the therapist who demonstrated CBT, are what better account for the successful work. Meta-analyses of research, supposed to give evidence of the superior effectiveness of CBT, are also reviewed and contextualised. The concept of the aesthetic is then placed within philosophical and humanist-existential frameworks claimed to be used by humanist/existential counselling psychologists. Finally, researchable questions are suggested as ways of exploring and validating the claims made in this paper. Public Health Significance: The paper provides a challenge to scientism embedded in the theory and practice of Cognitive Behaviour Therapy. The challenge is the author’s way of highlighting the distancing that arises from objectification of client problems. It is also intended as a challenge to the scientism that presently pervades psychology as a discipline.
本文是对认知行为疗法(CBT)理论中一个假设的回应,即核心信念是客户困扰存在和缓解困扰的核心。本文对澳大利亚心理学会(Australian Psychological Society)提供的“CBT Fundamentals”课程模块1中的CBT治疗演示的口头内容进行了分析,并提出了一个案例来支持这样一个命题,即对核心信念的搜索和操纵给予特权的方法,在解释高质量治疗的过程和结果时过于简约。另一种观点是,展示CBT的治疗师尼克的作品中呈现的美学品质是成功作品的更好解释。研究的荟萃分析,本应提供证据的卓越有效性的认知行为治疗,也审查和背景。美学概念随后被置于哲学和人文主义-存在主义框架中,这些框架被人文主义/存在主义咨询心理学家所使用。最后,提出了可研究的问题,作为探索和验证本文所述主张的方法。公共卫生意义:本文对认知行为疗法的理论和实践中的科学主义提出了挑战。挑战在于作者强调客户问题客观化产生的距离感的方式。它也意在挑战目前作为一门学科普遍存在的心理学的科学主义。
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引用次数: 0
Mitigating Developmental Crises for Migrants From South Africa: The Role and Significance of “A Sense of Belonging” 缓解南非移民的发展危机:“归属感”的作用和意义
Pub Date : 2018-09-01 DOI: 10.59158/001c.71189
Annemarie Klingenberg, Johannes M. Luetz, Ann Crawford
Globalisation has increased human migration, spawning issues of identity, integration and wellbeing (Wampole, 2016; Hsu, 2011; Elliot, 2011; Bauman, 1996). Reaching beyond the traditional perspective that conceives of persons primarily as individuals, this research offers insights into impacts on migrants’ relational and social identities by specifically focusing on “sense of belonging” as a key area of interest. It also extends traditional acculturation models by applying transnationalism to migrants’ lived experience of “dual belonging”. Based on qualitative approaches, this research uses grounded theory set in social constructionism, and involved participants who were South African migrants residing in Adelaide, Australia. Response analysis revealed core themes of belonging in South Africa and Australia, factors affecting belonging, and loss or weakened belonging over time. Findings highlight “a sense of belonging” as a key success factor for the nurture of social identity, and practical strategies for migrants and mental health professionals are suggested that have the potential to help mitigate the loss of a sense of belonging, strengthen migrant resilience, underpin their agency and resourcefulness, and provide hope.
全球化增加了人类迁移,产生了身份、融合和福祉的问题(Wampole, 2016;许,2011;艾略特,2011;鲍曼,1996)。超越了将人主要视为个体的传统观点,本研究通过特别关注“归属感”作为一个关键的感兴趣领域,提供了对移民关系和社会身份影响的见解。它还通过将跨国主义应用于移民“双重归属”的生活经验,扩展了传统的文化适应模式。本研究以社会建构主义理论为基础,以居住在澳洲阿德莱德的南非移民为研究对象。响应分析揭示了南非和澳大利亚归属感的核心主题,影响归属感的因素,以及随着时间的推移归属感的丧失或减弱。调查结果强调,"归属感"是培育社会认同的一个关键成功因素,并为移徙者和心理健康专业人员提出了切实可行的战略,这些战略有可能有助于减轻归属感的丧失,增强移徙者的复原力,巩固他们的能动性和足智多谋,并提供希望。
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引用次数: 0
Rhythms of Relating in Children’s Therapies: Connecting Creatively With Vulnerable Children. Stuart Daniel and Colwyn Trevarthen (Eds). London, Philadelphia PA: Jessica Kingsley Publishers, 2017. 374 pp. Illustrated
Pub Date : 2018-09-01 DOI: 10.59158/001c.71193
S. Denning
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引用次数: 0
Responding to Intergenerational Psychological Trauma: A Literature Review Paper on the Place of Family Constellation Therapy 对代际心理创伤的回应:家庭星座治疗的文献综述
Pub Date : 2018-09-01 DOI: 10.59158/001c.71192
J. Hurley, M. Koenning, Angeline Bray
The intergenerational impact of psychological trauma and the repercussions that trauma can have upon an entire family system suggests individual therapy alone may be insufficient. The aim of this paper is to critically examine the Family Constellation Therapy approach as a potential therapy option for responding to intergenerational trauma. This paper initially discusses the challenges of responding to trauma and then describes Family Constellation Therapy within a practice context. The underpinning philosophy of the therapy is also forwarded. To establish the potential worth of the approach, this paper then reports on the findings from a narrative review of the international peer reviewed literature on Family Constellation Therapy, following with a discussion on its application to intergenerational trauma. The limited evidence available suggests there is worth in integrating Family Constellation Therapy into other therapeutic approaches. There is also a clear need for creating a wider and deeper evidence base for Family Constellation Therapy.
心理创伤的代际影响和创伤对整个家庭系统的影响表明,单独的个人治疗可能是不够的。本文的目的是严格检查家庭星座治疗方法作为应对代际创伤的潜在治疗选择。本文首先讨论了应对创伤的挑战,然后在实践背景下描述了家庭星座疗法。该疗法的基础哲学也被提出。为了确定该方法的潜在价值,本文随后报告了对国际同行评审的家庭星座疗法文献的叙述性回顾的发现,随后讨论了其在代际创伤中的应用。现有的有限证据表明,将家庭星座疗法整合到其他治疗方法中是值得的。显然,还需要为家庭星座疗法建立更广泛、更深入的证据基础。
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引用次数: 5
Regenerating Images in Memory (RIM): An Introduction for Therapists 记忆中的图像再生(RIM):治疗师导论
Pub Date : 2018-09-01 DOI: 10.59158/001c.71188
K. Cole
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引用次数: 0
Supervision Across the Career: Perceptions and Experiences of Highly Regarded Trainees and Practicing Therapists 整个职业生涯的监督:高度重视的受训人员和执业治疗师的感知和经验
Pub Date : 2018-09-01 DOI: 10.59158/001c.71040
S. Stewart, J. Simmonds
Perceptions and experiences of supervision were investigated across 23 psychotherapists’ careers from training, through mid-career to senior using a cross-sectional design within an exploratory, qualitative paradigm. Promising beginners and highly regarded mid-career and senior therapists were recruited according to literature-derived criteria for therapeutic expertise. Six beginners, six mid-career, and eleven senior therapists were interviewed about their reasons for becoming and remaining a therapist, their past and current practice, and perceived developmental influences. Supervision was identified as the most valued developmental influence. Interview transcript excerpts coded as pertaining to supervision were subject to inductive content analysis, followed by thematic analysis. Participants reported being highly interconnected and influenced by supervisory relationships, with some relationships spanning decades. This research provides a career-span perspective and contributes to the literature about post-training supervision. Findings offer practice implications for both practitioners and supervisors wishing to optimise the supervision experience.
采用探索性、定性范式的横断面设计,对23名心理治疗师从培训到职业中期到高级的职业生涯中的监督感知和经验进行了调查。有前途的初学者和高度重视的职业中期和高级治疗师被招募根据文献衍生的标准治疗专业知识。6名新手、6名职业中期和11名高级治疗师接受了采访,询问了他们成为和继续成为治疗师的原因、他们过去和现在的做法,以及感知到的发展影响。监督被认为是最重要的发展影响。访谈笔录摘录编码为监管相关内容,进行归纳内容分析,然后进行主题分析。参与者报告说,他们之间的联系非常紧密,并受到监督关系的影响,有些关系长达数十年。本研究提供了职业生涯跨度的视角,并对培训后监督的文献有所贡献。研究结果为希望优化监督经验的实践者和监督者提供了实践意义。
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引用次数: 0
Application of Kohut in Public Mental Health: Understanding Fatima Kohut在公共心理健康中的应用:对Fatima的理解
Pub Date : 2017-08-01 DOI: 10.59158/001c.71180
Julia Jamaludin
In the current Australian public mental health system, in which scarce resources result in a ‘revolving door’ system, pharmacological intervention conveniently takes precedence over its psychological counterpart. Although there is limited capacity for psychodynamic psychotherapy intervention in the public mental health system, I believe many patients could be understood and better managed through psychotherapy, even if it is adapted as an adjunct to biological psychiatry. This case report illustrates the applicability of Kohut’s self psychology principles in approaching psychopathology in the public setting. It is based on the experience of a psychiatry registrar in a public acute inpatient mental health unit which cares for more severe psychiatric patients. It aims to demonstrate the importance of empathic understanding and exchanges within therapeutic relationships, as argued by Kohut, especially in those forced and compromised by involuntary treatment orders, as with most patients encountered in the public setting, exemplified by the case of Fatima.
在目前的澳大利亚公共精神卫生系统中,稀缺的资源导致了一个“旋转门”系统,药物干预很容易优先于心理干预。虽然在公共精神卫生系统中,心理动力学心理治疗干预的能力有限,但我相信通过心理治疗可以更好地理解和管理许多患者,即使它被改编为生物精神病学的辅助手段。这个病例报告说明了Kohut的自我心理学原理在公共环境中处理精神病理学的适用性。它是根据一个公共急性住院精神卫生单位的精神病学登记员的经验编写的,该单位负责照顾较严重的精神病人。正如Kohut所指出的那样,它旨在证明在治疗关系中移情理解和交流的重要性,特别是在那些被迫接受非自愿治疗命令的患者中,就像在公共环境中遇到的大多数患者一样,法蒂玛的案例就是一个例子。
{"title":"Application of Kohut in Public Mental Health: Understanding Fatima","authors":"Julia Jamaludin","doi":"10.59158/001c.71180","DOIUrl":"https://doi.org/10.59158/001c.71180","url":null,"abstract":"In the current Australian public mental health system, in which scarce resources result in a ‘revolving door’ system, pharmacological intervention conveniently takes precedence over its psychological counterpart. Although there is limited capacity for psychodynamic psychotherapy intervention in the public mental health system, I believe many patients could be understood and better managed through psychotherapy, even if it is adapted as an adjunct to biological psychiatry. This case report illustrates the applicability of Kohut’s self psychology principles in approaching psychopathology in the public setting. It is based on the experience of a psychiatry registrar in a public acute inpatient mental health unit which cares for more severe psychiatric patients. It aims to demonstrate the importance of empathic understanding and exchanges within therapeutic relationships, as argued by Kohut, especially in those forced and compromised by involuntary treatment orders, as with most patients encountered in the public setting, exemplified by the case of Fatima.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124089958","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}
引用次数: 0
Intimate Relationships and Chronic Illness: A Literature Review for Counsellors and Couple Therapists 亲密关系与慢性疾病:心理咨询师与夫妻治疗师的文献综述
Pub Date : 2017-08-01 DOI: 10.59158/001c.71182
R. Gray, T. Newton-John, Jamie Lee, Claire Ralfs
Emerging evidence suggests a bi-directional dynamic between chronic illness and intimate relationships. Moreover, the quality of this relationship affects the capacity of the affected person to manage their illness. Literature directed towards health professionals encourages them to incorporate interventions which account for such factors, so that support service users can better manage their illness and treatment program. There are, however, scarce reports to inform counsellors and couple therapists working with this presentation. In this paper, we outline findings from a scoping literature review which explored published reports on the interplay between chronic illness and relationships; how best to develop and evaluate programs which focus on this intersection; and the potential role of counsellors and couple therapists in supporting clients affected by chronic illness. Author Note: This project received a Health Access Grant from Medtronic Philanthropy. We gratefully acknowledge this support
新出现的证据表明,慢性病和亲密关系之间存在着一种双向动态关系。此外,这种关系的质量影响到患者控制疾病的能力。针对保健专业人员的文献鼓励他们纳入考虑这些因素的干预措施,以便支助服务使用者能够更好地管理他们的疾病和治疗方案。然而,很少有报告告知咨询师和夫妻治疗师与此演示工作。在本文中,我们概述了一项范围文献综述的发现,该综述探讨了关于慢性疾病与人际关系之间相互作用的已发表报告;如何最好地开发和评估专注于这个交叉点的项目;以及咨询师和夫妻治疗师在支持受慢性病影响的客户方面的潜在作用。作者注:本项目获得了美敦力慈善机构的健康准入资助。我们感谢这种支持
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引用次数: 2
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Psychotherapy and Counselling Journal of Australia
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