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Practice Based Evidence (PBE) and therapies: personal recommendations from the 30 years of the CORE system (Evidencia basada en la práctica (EBP) y psicoterapias: recomendaciones personales basadas en los 30 años del sistema CORE) 基于实践的证据(PBE)和治疗:来自核心系统30年的个人建议
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-09-02 DOI: 10.1080/02109395.2022.2127235
C. Evans
Abstract Over the last 30 years we have seen two models of empirical evidence dominate funding for psychotherapies and for researching the psychotherapies. The first, still the dominant model, ‘Evidence-Based Practice (EBP)’ is based on Randomized Controlled Trial (RCT) evidence. More recently, Embedded Change Management (ECM) is the rising pre-paradigm, offering an alternative to EBP. I argue that neither model understands how evidence it is best shared between therapists as both are based on fundamentally flawed epistemologies and ideas of what constitutes pertinent evidence about the psychotherapies. Twenty-eight years ago, I was a co-creator of the CORE (Clinical Outcomes in Routine Exploration) system designed to support Practice-Based Evidence (PBE). I suggest that re-thinking the rather neglected PBE model at the heart of the original CORE system design might help change this situation. However, I recognize that the political models beneath both EBP and ECM create such vested interests within the ‘global North’ that real change will probably have to come from elsewhere.
在过去的30年里,我们看到两种经验证据模型主导了心理治疗的资助和心理治疗的研究。第一种,也是目前占主导地位的模式,“循证实践(EBP)”是基于随机对照试验(RCT)的证据。最近,嵌入式变更管理(ECM)是正在兴起的前范式,提供了EBP的替代方案。我认为,这两种模式都不理解如何在治疗师之间最好地分享证据,因为它们都是基于根本上有缺陷的认识论和构成心理治疗相关证据的想法。28年前,我是CORE(常规探索临床结果)系统的共同创建者,该系统旨在支持基于实践的证据(PBE)。我建议在原始CORE系统设计的核心重新考虑相当被忽视的PBE模型可能有助于改变这种情况。然而,我认识到EBP和ECM下的政治模式在“全球北方”中创造了这样的既得利益,真正的变化可能必须来自其他地方。
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引用次数: 1
Personal experience of Latin American therapists on their clinical practice during the COVID-19 pandemic (Experiencia personal de terapeutas latinoamericanos sobre su práctica clínica durante la pandemia por COVID-19) COVID-19大流行期间拉丁美洲治疗师临床实践的个人经验(Experiencia Personal de terapeutas latinoamericos sobre su práctica clínica durante la pandemia por COVID-19)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-09-02 DOI: 10.1080/02109395.2022.2133456
Olga Fernández, H. Espinosa, Mariane Krause, Carolina Altimir, Carla Mantilla, C. Paz, Arturo G. Lozano, Doris Argumedo, Cecilia de la Cerda, Santiago Juan, Sofia Fernández, M. P. Lancho, Javier Fernández-Álvarez
ABSTRACT The health conditions generated by the COVID-19 pandemic severely restricted in-person therapy, and as a result online therapy was put into practice. The objective of this study was to describe and analyse, from the perspective of the therapist, how the pandemic has influenced their experience and clinical practice. Qualitative interviews were conducted with 24 Latin American therapists who had performed online therapy during the pandemic. The information was analysed following the coding procedures of the Grounded Theory. Three core categories were constructed from the analysis: (a) impact on the therapist: spiral of uncertainty, oppression and adaptive astonishment; (b) incorporation of technologies into clinical practice: ‘I never thought they could help’; and (c) transformation of the practice of psychotherapy: ‘water always finds its way’. The model incorporates and relates therapists’ perceptions of their professional work, patients’ attitudes towards this new psychotherapy method, perception of the therapeutic relationship and process, and the facilitators and obstacles experienced in online therapy.
COVID-19大流行带来的健康状况严重制约了面对面治疗,因此在线治疗得以实施。本研究的目的是从治疗师的角度描述和分析大流行如何影响他们的经验和临床实践。对24名在大流行期间进行在线治疗的拉丁美洲治疗师进行了定性访谈。根据扎根理论的编码程序对信息进行分析。从分析中构建了三个核心类别:(a)对治疗师的影响:不确定性,压迫和适应性惊讶的螺旋;(b)将技术纳入临床实践:“我从未想过它们会有帮助”;(三)心理治疗实践的转变:“水总能找到自己的路”。该模型结合并关联了治疗师对其专业工作的看法、患者对这种新的心理治疗方法的态度、对治疗关系和治疗过程的看法,以及在线治疗中遇到的促进因素和障碍。
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引用次数: 2
Practice oriented research: the case of psychotherapy supervision (Investigación orientada por la práctica: el caso de la supervisión en psicoterapia) 以实践为导向的研究:心理治疗监督的案例
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-09-02 DOI: 10.1080/02109395.2022.2135228
Héctor Fernández-Álvarez
ABSTRACT This article is a critical reflection on the current state of research into psychotherapy supervision. It examines both the widespread and continuing implementation of supervision in clinical practice, as well as its weaknesses and difficulties (including adverse effects). Developments in psychotherapy supervision research and the place of supervision guidelines are presented. The reviews carried out into the effects of clinical supervision report that so far there is no solid empirical evidence allowing us to fully understand the impacts that supervision has on supervised treatments (acid test). Based on the above, I emphasize the importance of fostering research into psychotherapy supervision, to which the practitioners, i.e., supervisors and supervisees, can be associated in a significant way, thus promoting an avenue for practice-oriented research.
本文是对心理治疗监督研究现状的批判性反思。它审查了临床实践中监督的广泛和持续实施,以及其弱点和困难(包括不利影响)。介绍了心理治疗监督研究的进展和监督指南的地位。对临床监督效果进行的审查报告显示,到目前为止,没有确凿的经验证据使我们能够充分理解监督对监督治疗(酸试验)的影响。基于以上,我强调了促进心理治疗监督研究的重要性,这可以使实践者,即管理者和被管理者有重要的联系,从而促进以实践为导向的研究途径。
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引用次数: 1
Development of a practice research network in Spain (Desarrollo de una red de investigación orientada por la práctica en España) 西班牙实践研究网络的发展(西班牙实践驱动研究网络的发展)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-09-02 DOI: 10.1080/02109395.2022.2133454
M. Areas, G. Molinari, J. GÓMEZ-PENEDO, Javier Fernández-Álvarez, Javier Prado-Abril
ABSTRACT The purpose of practice research networks is to foster clinically relevant research and scientifically informed clinical practice. This article describes the development of a collaborative network between clinicians and researchers in Spain and Argentina. This network is made up of psychologists specialized in clinical psychology, intern resident psychologists who are members of the Spanish Society of Clinical Psychology and researchers working at different universities. The main aim of the network is to foster the development of practice research programmes in a collaborative manner. We present its first project that analyses the sociodemographic data, professional characteristics, personal style of therapists and their attitudes towards research of 409 Spanish clinical psychologists. This approach meant understanding clinicians’ interests, and the beginning of a collaborative interaction to create useful resources for clinical practice based on applied research.
实践研究网络的目的是促进临床相关研究和科学知情的临床实践。本文描述了西班牙和阿根廷临床医生和研究人员之间的合作网络的发展。该网络由专门从事临床心理学的心理学家、西班牙临床心理学学会成员的实习住院心理学家和在不同大学工作的研究人员组成。该网络的主要目的是以合作的方式促进实践研究项目的发展。我们提出了它的第一个项目,分析了409名西班牙临床心理学家的社会人口数据、专业特征、治疗师的个人风格和他们对研究的态度。这种方法意味着理解临床医生的兴趣,并开始协作互动,为基于应用研究的临床实践创造有用的资源。
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引用次数: 1
Rupture repair as change process and therapist challenge (Reparación de rupturas como proceso de cambio y desafío para el terapeuta) 破裂修复作为改变的过程和治疗师的挑战(破裂修复作为改变的过程和治疗师的挑战)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-09-02 DOI: 10.1080/02109395.2022.2127234
J. Muran, Lauren M. Lipner, Samuel Podell, Mahaira Reinel
ABSTRACT Our practice-based research programme has devoted itself to the study of how psychotherapy works for over 30 years. It has focused on how to negotiate the therapeutic alliance: more specifically, on rupture resolution as a critical change process in psychotherapy. Rupture refers to moments in which the patient and therapist experience a disagreement in the tasks and goals of treatment, a deterioration in their emotional bond or a breakdown in the intersubjective negotiation of their needs. Resolution (or repair) refers to the dyadic process that patient and therapist engage in to restore the alliance and to effect a new or corrective emotional experience. Our research has not only sought to provide further definition to this process but has striven to define and evaluate training for psychotherapists to be better able to identify ruptures and resolve them. We will provide some review of the evidence-based change process literature and the cognitive, emotion and social sciences that have informed our programme, concluding with a brief introduction to our research on clinical practice.
我们基于实践的研究项目致力于心理治疗如何工作的研究超过30年。它侧重于如何协商治疗联盟:更具体地说,破裂解决作为心理治疗的关键变化过程。破裂是指患者和治疗师在治疗任务和目标上出现分歧、情感纽带恶化或主体间需求谈判破裂的时刻。解决(或修复)是指患者和治疗师为恢复联盟并产生新的或纠正性的情感体验而进行的双重过程。我们的研究不仅试图为这一过程提供进一步的定义,而且努力定义和评估心理治疗师的培训,以便更好地识别破裂并解决它们。我们将提供一些基于证据的变化过程文献和认知、情感和社会科学的回顾,这些文献已经为我们的课程提供了信息,最后简要介绍了我们在临床实践方面的研究。
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引用次数: 1
Exploring subjective well-being trough gender and emotional intelligence. A mediational model (Explorando el bienestar subjetivo a través del género y la inteligencia emocional. Un modelo mediacional) 他的父亲是一名律师,母亲是一名律师。一个中介模型(通过性别和情商探索主观幸福感)。中介模式)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-05-04 DOI: 10.1080/02109395.2022.2056801
M. Martínez-Marín, C. Martínez
ABSTRACT The objective of this study was to examine the mediating effect of emotional intelligence between gender-typed attributes and subjective well-being. The participants were 711 Spaniards (mean age 24). The instruments used were PN-SRI-SP20 for gender-typed attributes, TMMS-24 for emotional intelligence, PANAS for positive and negative affect, and SWLS for satisfaction with life. The findings yielded the direct and indirect effects of the different subscales of emotional intelligence. Emotional clarity and repair were positively associated with subjective well-being, whereas emotional attention was negatively associated with subjective well-being. Positive dimensions of gender-typed attributes improved subjective well-being through emotional intelligence and were more important than the negative dimension. Men scored more than women in satisfaction with life, and women did in emotional intelligence (attention and repair). Programmes for increasing subjective well-being should pay attention to the gender typing and consider the relevance of the dimensions of emotional intelligence on subjective well-being.
摘要本研究旨在探讨情绪智力在性别属性与主观幸福感之间的中介作用。参与者是711名西班牙人(平均年龄24岁)。使用的量表为性别属性量表PN-SRI-SP20,情绪智力量表tms -24,积极和消极情绪量表PANAS,生活满意度量表SWLS。研究结果揭示了不同情商分量表的直接和间接影响。情绪清晰度和修复与主观幸福感呈正相关,而情绪注意与主观幸福感呈负相关。性别属性的积极维度通过情绪智力提高主观幸福感,并且比消极维度更重要。在生活满意度方面,男性得分高于女性,而在情商(注意力和修复能力)方面,女性得分高于男性。提高主观幸福感的方案应注意性别类型,并考虑情绪智力维度对主观幸福感的相关性。
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引用次数: 1
Drift-diffusion cognitive models: description, applications and perspectives (Modelos cognitivos de deriva-difusión: descripción, aplicaciones y perspectivas) 漂移-扩散认知模型:描述、应用和视角(Modelos cognitivos de deriva-difusión: descripción, applications by perspectivas)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-05-04 DOI: 10.1080/02109395.2022.2056802
J. Pérez-Parra, Daniel Rojas-Líbano
ABSTRACT Drift-diffusion models (DDM) have been proposed as a way to study unobservable cognitive processes underlying decision-making. DDM have been widely used and developed in psychology and cognitive neuroscience, but there are no general references in Spanish on the subject. The purpose of this review is to develop reference materials for Spanish-speaking researchers, professionals and scholars in the area of cognitive sciences who are interested in the experimental study of decision-making in the psychology and neuroscience fields. It will also explore the standard description of DDM, its parameters, mathematical expression and applications in cognitive tasks. Recent publications in the fields of cognitive psychology and neuroscience that use DDM are reviewed, and their prospects for new and future applications are discussed, in light of current discussions of cognitive processes.
漂移-扩散模型(DDM)是研究决策过程中不可观察认知过程的一种方法。DDM在心理学和认知神经科学中得到了广泛的应用和发展,但在西班牙语中没有关于该主题的一般参考资料。本综述的目的是为在认知科学领域对心理学和神经科学领域的决策实验研究感兴趣的西班牙语研究人员、专业人士和学者提供参考资料。本文还将探讨DDM的标准描述、参数、数学表达式及其在认知任务中的应用。本文回顾了认知心理学和神经科学领域中使用DDM的最新出版物,并根据当前对认知过程的讨论,讨论了它们在新的和未来的应用前景。
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引用次数: 0
The underestimated extent of post-concussion syndrome (Espectro subestimado del síndrome postconmocional) 脑震荡后综合症被低估的程度(Espectro subestimado del síndrome postconmocional)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-02 DOI: 10.1080/02109395.2021.2006946
Ilse C. Serrano-Navarro, R. Ramos-Zúñiga, J. González-Rios
ABSTRACT Traumatic brain injury (TBI) can result in impairments that are not perceivable on a clinical neurological level, causing a diagnostic limbo that underestimates this condition, as certain imaging techniques are unable to identify structural alterations. In order to identify dysfunctions that require a specific rehabilitation plan, it is particularly important that we consider post-concussion syndrome (PCS) an entity that requires diagnostic recognition through sensitive methods. New functional imaging strategies, specific neuropsychological tests, neurophysiological studies and, more recently, peripheral biological markers can contribute to its specific diagnosis. The objective of this study is to carry out a review of the literature and shed light on the concept and the different methods of diagnosing PCS, including an analysis of the potential utility of biological markers and the relevance of its clinical diagnosis to generate a comprehensive rehabilitation model.
外伤性脑损伤(TBI)可导致临床神经学水平上无法察觉的损伤,由于某些成像技术无法识别结构改变,因此导致低估这种情况的诊断不确定性。为了确定需要特定康复计划的功能障碍,我们认为脑震荡后综合征(PCS)是一个需要通过敏感方法进行诊断识别的实体,这一点尤为重要。新的功能成像策略、特定的神经心理学测试、神经生理学研究以及最近的外周生物标志物都有助于其特异性诊断。本研究的目的是对文献进行回顾,阐明诊断PCS的概念和不同方法,包括分析生物标志物的潜在用途及其临床诊断与综合康复模型的相关性。
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引用次数: 1
Rehabilitation of communication in people with traumatic brain injury: a systematic review of types of intervention and therapeutic ingredients (Rehabilitación de la comunicación en personas con traumatismo encefalocraneal: una revisión sistemática de tipos de intervención e ingredientes terapéutico 创伤性脑损伤患者的沟通康复:干预类型和治疗成分的系统综述(西班牙语)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-02 DOI: 10.1080/02109395.2021.2009292
R. Tobar-Fredes, C. Salas
ABSTRACT Background: the treatment of cognitive-communication disorder (CCD) has proven an adequate approach to the social well-being of people with traumatic brain injury (TBI). Objective: describe the types of treatment and therapeutic ingredients — and their effectiveness — available for the direct treatment of CCD in people with TBI. Method: a systematic review following PRISMA guidelines was carried out. The effectiveness of each type of treatment and the therapeutic ingredients available were assessed. Results: 22 articles met inclusion criteria. Three interventions (rehabilitation of emotional perception-regulation and social cognitive skills, pragmatic skills and conversation/interaction) achieved recommendation A. All therapeutic ingredients (education, functional goals, progressive approach, modelling, skills practice, feedback, simulation, practice with peers, emotional adjustment) had sufficient evidence for recommendation level A. Conclusions: direct communication treatment is an effective approach for people with brain injury and should be included as a practice standard. The need to develop a generic model to treat CCD that combines therapeutic ingredients from diverse interventions is discussed.
背景:认知沟通障碍(CCD)的治疗已被证明是创伤性脑损伤(TBI)患者社会福祉的适当途径。目的:描述可用于直接治疗TBI患者CCD的治疗类型和治疗成分及其有效性。方法:按照PRISMA指南进行系统评价。评估了每种治疗方法的有效性和可用的治疗成分。结果:22篇文章符合纳入标准。三项干预措施(情绪感知调节和社会认知技能康复、语用技能和会话/互动)均达到推荐a级。所有治疗成分(教育、功能目标、渐进式方法、建模、技能练习、反馈、模拟、同伴练习、情绪调节)均有足够证据支持推荐a级。直接沟通治疗是脑损伤患者的有效治疗方法,应纳入实践标准。讨论了开发一种综合多种干预措施治疗成分的治疗CCD的通用模型的必要性。
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引用次数: 1
Open pathways to neuropsychological rehabilitation: an interview with Barbara Wilson (Abriendo camino en la rehabilitación neuropsicológica: una entrevista con Barbara Wilson)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-02 DOI: 10.1080/02109395.2021.2008748
Isabel Martín-Monzón, Barbara Wilson
ABSTRACT Barbara Wilson is one of the international leaders in neuropsychological rehabilitation. She is a psychologist and researcher in neuropsychology rehabilitation from the United Kingdom who has worked in brain injury rehabilitation for over 43 years. This interview is a combination of personal and professional accounts of how she became a brilliant clinical neuropsychologist focused on the rehabilitation of brain-injured patients. Through this interview she will highlight her steps to achieving excellence in this area of science and, finally, she will share her opinion about the role of women in neuroscience.
芭芭拉·威尔逊是神经心理康复领域的国际领军人物之一。她是来自英国的心理学家和神经心理学康复研究员,从事脑损伤康复工作超过43年。这次采访结合了个人和专业的叙述,讲述了她如何成为一名杰出的临床神经心理学家,专注于脑损伤患者的康复。通过这次采访,她将重点介绍她在这一科学领域取得卓越成就的步骤,最后,她将分享她对女性在神经科学中的作用的看法。
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引用次数: 1
期刊
Studies in Psychology-Psikoloji Calismalari Dergisi
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