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Using therapeutic contracts in person-centered counseling and psychotherapy: the perspectives of experienced Greek person-centered therapists 在以人为中心的咨询和心理治疗中使用治疗合同:经验丰富的希腊以人为中心的治疗师的观点
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-02-10 DOI: 10.1080/14779757.2020.1717984
Vasiliki C. Baourda, Agathi Lakioti
ABSTRACT The therapeutic contract is an important aspect of the counseling process. However, it has received limited research interest, especially in the person-centered community. The objective of this qualitative study was to examine the perceptions and use of therapeutic contracts of seven experienced, person-centered therapists in Greece. A grounded theory design was chosen to guide the analysis of the data that were collected through semi-structured interviews. The emergent theoretical model was conceptualized as a system organized around the core category of ‘Forming a Safe – Attuned Framework’, which included the key-categories ‘Coordination game’, ‘Boundary setting’, and ‘Equal relationship’. Data analysis also revealed the contextual input of the ‘Therapist’s characteristics’ and the contextual output of the ‘Client consequences’. The emergent theory suggests that experienced person-centered therapists utilize therapeutic contracts in the first session with a new client in order to create a safe environment in which they can work cooperatively and develop their relationship. This process is guided by specific characteristics of the therapists (e.g. their sense of professional identity), and leads to various positive consequences for clients (e.g. facilitating their personal freedom). The study has important implications for practicing professionals, as well as for the training of new person-centered therapists.
治疗合同是心理咨询过程中的一个重要方面。然而,它的研究兴趣有限,特别是在以人为中心的社区。这个定性研究的目的是检查的看法和使用治疗合同的七个经验丰富的,以人为本的治疗师在希腊。选择了一个接地理论设计来指导分析通过半结构化访谈收集的数据。新兴理论模型被概念化为围绕“形成一个安全协调框架”这一核心类别组织的系统,其中包括“协调博弈”、“边界设置”和“平等关系”这三个关键类别。数据分析还揭示了“治疗师特征”的语境输入和“来访者后果”的语境输出。涌现理论表明,经验丰富的以人为本的治疗师在与新来访者的第一次会面中利用治疗合同,以创造一个安全的环境,使他们能够合作并发展他们的关系。这个过程是由治疗师的特定特征(例如他们的职业认同感)引导的,并为来访者带来各种积极的后果(例如促进他们的个人自由)。该研究对专业执业人员以及培训新的以人为本的治疗师具有重要意义。
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引用次数: 0
‘Being able to take that mask off’: adolescent clients’ experiences of power in person-centered therapy relationships “能够摘下面具”:青少年来访者在以人为本的治疗关系中的权力体验
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-02-07 DOI: 10.1080/14779757.2020.1717982
David H. Cook, Laura Monk
ABSTRACT Person-centered therapy aims to help clients actualize their own power. When working with adolescents, the developmental needs of the client and the power difference between client and therapist may present additional barriers to this. This study sought to understand the power dynamics of the therapy relationship from the adolescent client’s perspective. Seven adolescent clients in person-centered therapy took part in semi-structured interviews. Interpretative phenomenological analysis was used to explore the meaning they made of their experiences. Participants’ experiences centered around five themes: 1) feeling my vulnerability entering a relationship with a powerful figure; 2) being invited to express myself; 3) evaluating if I can trust my counselor; 4) feeling I’m in control in a relationship with boundaries; and 5) exercising my power in the relationship. Participants described a process whereby, helped by their counselor, they negotiated an unequal power dynamic and were able to exercise power in the relationship. Implications for person-centered therapists working with adolescents are considered.
以人为本的治疗旨在帮助来访者实现自我力量。当与青少年一起工作时,来访者的发展需求和来访者与治疗师之间的权力差异可能会带来额外的障碍。本研究试图从青少年来访者的角度来理解治疗关系的权力动力学。以人为本治疗的7名青少年来访者参加了半结构化访谈。解释性现象学分析被用来探索他们的经验的意义。参与者的经历围绕着五个主题:1)与一个强大的人物建立关系时感受到自己的脆弱性;2)被邀请表达自己;3)评估我是否可以信任我的咨询师;4)感觉自己在一段有界限的关系中处于控制地位;5)在这段关系中行使我的权力。参与者描述了一个过程,在他们的顾问的帮助下,他们谈判了一个不平等的权力动态,并能够在关系中行使权力。对以人为中心的治疗师与青少年工作的影响被认为。
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引用次数: 3
Learning emotion-focused therapy: certified emotion-focused therapists’ perspectives 学习以情绪为中心的治疗:经认证的以情绪为中心的治疗师的观点
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-02-03 DOI: 10.1080/14779757.2020.1717989
Suyi Qiu, Barbara Hannigan, Daragh Keogh, L. Timulak
ABSTRACT Emotion-focused therapy (EFT) is an increasingly popular form of humanistic therapy that is spreading internationally through standard training curricula. The empirical investigations of training in EFT have, however, received little attention. This study investigated certified EFT therapists’ experience of learning EFT, including their experience of didactic training, experiential exercises, supervision, and self-study. Semi-structured interviews were conducted with 10 certified EFT therapists, respectively. All the interviews were recorded and transcribed, and data were analyzed using a descriptive and interpretive approach. Results showed that therapists had both positive and challenging experiences during their learning process: the therapy proved complex to learn, experiential exercises (chair work) were challenging but important for learning, self-study played an important role, experiencing different trainers was valuable, and the role of structured supervision to scaffold learning was emphasized. In conclusion, learning EFT is a rewarding yet challenging process for therapists to go through.
情感聚焦疗法(EFT)是一种日益流行的人文治疗形式,通过标准培训课程在国际上传播。然而,对EFT培训的实证调查却很少受到重视。本研究调查了经认证的EFT治疗师学习EFT的经验,包括他们的教学训练、体验练习、监督和自学的经验。半结构化访谈分别与10位经认证的EFT治疗师进行。所有的访谈都被记录和转录,并使用描述性和解释性的方法对数据进行分析。结果表明,治疗师在学习过程中既有积极的体验,也有挑战性的体验:治疗方法学习起来很复杂,体验练习(椅子练习)具有挑战性但对学习很重要,自学发挥了重要作用,体验不同的培训师是有价值的,强调了结构化监督对学习的指导作用。总之,学习EFT对治疗师来说是一个有益但具有挑战性的过程。
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引用次数: 3
Processing emotional pain using the expanded Emotion Focused Therapy task of Focusing: A single-session case study 使用扩展的情绪聚焦治疗任务来处理情绪疼痛:一个单阶段的案例研究
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-02 DOI: 10.1080/14779757.2019.1618372
M. Harte, Barry Strmelj, S. Theiler
ABSTRACT In Emotion Focused Therapy (EFT), the Focusing task normally involves processing an unclear felt sense. In earlier research, Harte (2012) proposed an expanded version of the Focusing task designed to reprocess emotional pain relating to unresolved painful/traumatic events. More recently, Harte used the discovery phase of task analysis to refine the proposed model and develop a method for bringing previously suppressed or incomplete memories of painful/traumatic events back into awareness so they can be successfully processed and integrated. In that study, 12 single therapy sessions were video recorded, transcribed, observed and analyzed by two investigators using the task analysis method. A successful outcome session was identified as a good demonstration of the task that led to a resolution, and had high scores on the Experiencing Scale, the Emotional Arousal Scale-III, and an amended Client Emotional Productivity Scale-Dimensional. In successful outcome sessions, clients described a felt shift. A sequential three-stage empirical model emerged from the analysis. This paper presents an in-depth qualitative account of the successful use of the expanded focusing model in a single session with a 53-year-old woman with a history of ‘small t’ trauma.
在情绪聚焦疗法(EFT)中,聚焦任务通常涉及处理一种不清晰的感觉。在早期的研究中,Harte(2012)提出了一个扩展版本的聚焦任务,旨在重新处理与未解决的痛苦/创伤事件相关的情绪痛苦。最近,Harte使用任务分析的发现阶段来完善提出的模型,并开发了一种方法,将先前被压抑或不完整的痛苦/创伤事件记忆带回意识中,以便成功地处理和整合它们。在该研究中,两名研究者使用任务分析法对12个单次治疗过程进行了录像、转录、观察和分析。成功的结果会话被认为是导致解决方案的任务的良好演示,并且在体验量表,情绪唤醒量表- iii和修订的客户情绪生产力量表维度上获得高分。在成功的结果会议中,客户描述了一种感觉的转变。从分析中得出了一个连续的三阶段实证模型。本文介绍了一个深入的定性帐户,成功地使用扩展聚焦模型在一个53岁的妇女与历史的“小t”创伤。
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引用次数: 0
The existential impact of high-conflict divorce on children 高冲突离婚对孩子生存的影响
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-02 DOI: 10.1080/14779757.2020.1717985
D. Shumaker, C. Kelsey
ABSTRACT While it has become clear that high-conflict divorce/separation can have both short- and long-term negative effects upon children, traditional measures of health and adjustment are limited in their ability to fully capture the depth and scope of this trauma. The impact of parental conflict and divorce can arguably be more deeply grasped by clinicians attuned to existential considerations. The authors argue in select cases certain theoretical underpinnings of Existential-Integrative Psychotherapy (EI) may reflect the lived experience of a young client. By extension, aspects of EI may benefit certain youth being treated from a Person-Centered Therapy (PCT) framework. The theoretical implications and potential applications of an integrated approach are explored.
虽然已经很清楚,高冲突离婚/分居会对儿童产生短期和长期的负面影响,但传统的健康和调整措施在充分捕捉这种创伤的深度和范围方面的能力有限。对于父母冲突和离婚的影响,有争议的是,那些适应生存考量的临床医生可以更深刻地理解。作者认为,在某些特定的案例中,存在-整合心理治疗(EI)的某些理论基础可能反映了年轻客户的生活经历。推而广之,在以人为中心的治疗(PCT)框架下,某些青少年可能会受益于EI的各个方面。探讨了综合方法的理论意义和潜在应用。
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引用次数: 5
The positive psychology of relational depth and its association with unconditional positive self-regard and authenticity 关系深度的积极心理学及其与无条件积极自我关注和真实性的关系
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-02 DOI: 10.1080/14779757.2020.1717983
Jiyea Kim, S. Joseph, S. Price
ABSTRACT Relational depth (RD) refers to moments in a therapeutic relationship in which a person has feelings of aliveness, satisfaction and immersion. However, no research has yet tested for the association between RD and concepts closely aligned with Carl Rogers’ hypothesis of how people change in a growth-promoting relationship. In this study, 55 therapy clients completed the relational depth inventory (RDI), the unconditional positive self-regard scale (UPSR) and the authenticity scale (AS). It was found that higher scores on the RDI were associated with higher scores on the UPSR and the AS. These results provide initial evidence for the growth-promoting effects of RD. Further prospective research is now warranted.
关系深度(RD)是指在治疗关系中,一个人有活力、满足感和沉浸感的时刻。然而,目前还没有研究证实研发与卡尔·罗杰斯关于人们如何在促进成长的关系中发生变化的假设密切相关。在本研究中,55名治疗对象完成了关系深度量表(RDI)、无条件积极自我关注量表(UPSR)和真实性量表(AS)。研究发现,RDI得分越高,UPSR和AS得分越高。这些结果为RD促进生长的作用提供了初步证据。现在需要进一步的前瞻性研究。
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引用次数: 10
Overcoming shame and aloneness: Emotion-focused group therapy for self-criticism 克服羞耻和孤独:以情绪为中心的自我批评团体疗法
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-02 DOI: 10.1080/14779757.2019.1618370
Sarah Thompson, Laura Girz
ABSTRACT Emotion-focused group therapy is a relatively new therapy format that utilizes individual emotion-focused therapy (EFT) work in a group setting to evoke and transform painful emotions, both directly and vicariously. Currently, EFT groups are being run at sites in Canada, Australia, Spain, Norway and the United States, and interest appears to be growing in offering these groups. Existing literature shows reductions in disordered eating and depression symptoms among EFT group participants with eating disorders; however, there is a dearth of data on participants with mood disorders. Participants in the current study were university students presenting to counseling with symptoms of depression or anxiety who identified significant self-critical processes, and who were referred to a weekly EFT therapy group. Over the course of group, participants reported statistically and clinically significant decreases in depression and anxiety symptoms, as well as significant improvements in emotion regulation. These results contribute to the emerging literature on group-based EFT, and implications of these results on group provision are discussed. Overall, this study suggests that emotion-focused group therapy is a promising treatment for symptoms of anxiety and depression, and is worthy of further study. Experiential therapies, which work to transform painful emotions underlying symptoms, are typically individual treatments, and group therapy can provide increased access to this type of care.
以情绪为中心的群体治疗是一种相对较新的治疗形式,它利用个体情绪为中心的治疗(EFT)在群体环境中直接或间接地唤起和转化痛苦情绪。目前,EFT小组正在加拿大、澳大利亚、西班牙、挪威和美国的地点进行,提供这些小组的兴趣似乎越来越大。现有文献显示,EFT组饮食失调的参与者饮食失调和抑郁症状有所减少;然而,缺乏关于情绪障碍参与者的数据。目前研究的参与者是有抑郁或焦虑症状的大学生,他们发现了明显的自我批评过程,并被转介到每周一次的EFT治疗组。在整个治疗过程中,参与者报告了抑郁和焦虑症状的统计学和临床显著减少,以及情绪调节的显著改善。这些结果促进了基于群体的EFT的新兴文献,并讨论了这些结果对群体供应的影响。综上所述,本研究提示以情绪为中心的团体治疗是一种治疗焦虑和抑郁症状的有希望的方法,值得进一步研究。体验疗法是一种典型的个体治疗方法,它可以改变痛苦的情绪和潜在的症状,而团体治疗可以提供更多的这种治疗方法。
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引用次数: 5
Expanding the emotion-focused therapy task of focusing to process emotional injury 扩展以情绪为中心的治疗任务,聚焦于处理情绪伤害
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-02 DOI: 10.1080/14779757.2019.1618373
M. Harte, Barry Strmelj, S. Theiler
ABSTRACT This research investigated the processing and integration of past painful/traumatic events using an expanded model of the Emotion Focused Therapy (EFT) task of Focusing. In previous research Harte proposed that processing emotional injuries by bringing previously incomplete memories back into awareness through activating felt sense, followed a particular sequence. The discovery phase of task analysis, a theory building research methodology, was used to develop a detailed model that revealed the steps of client change. Two sets of client participants were recruited. (1) Clients who reported they had experienced an emotional injury that resulted in emotional pain and had been engaged in therapy for some time and (2) trainee therapists in the role of client (bringing their own experiences) working with another trainee. A total of nine EFT trained therapists (26–57 years, mean = 44.25 years, five females and four males) worked with 11 clients (26–53 years, mean = 38.50 years, eight females and three males). Twelve single sessions were visually recorded, transcribed, and rigorously analyzed. A sequential three stage empirical model emerged from the discovery phase of the task analysis. The resultant empirical model describes a newly identified EFT task for processing emotional injuries in response to a felt sense of emotional pain (the marker).
摘要本研究利用情绪聚焦治疗(EFT)聚焦任务的扩展模型研究了过去痛苦/创伤事件的加工和整合。在之前的研究中,哈特提出,通过激活感觉,将之前不完整的记忆带回意识,从而处理情感伤害,这遵循一个特定的顺序。任务分析的发现阶段是一种理论构建研究方法,用于开发揭示客户变化步骤的详细模型。招募了两组客户参与者。(1)报告自己经历过情感伤害导致情感痛苦并已接受治疗一段时间的来访者;(2)作为来访者(带着自己的经验)与另一名来访者一起工作的实习治疗师。共有9名EFT训练治疗师(26-57岁,平均44.25岁,5女4男)与11名客户(26-53岁,平均38.50岁,8女3男)一起工作。12个单独的会话被视觉记录,转录,并严格分析。任务分析的发现阶段形成了一个连续的三阶段实证模型。由此产生的经验模型描述了一个新发现的处理情绪伤害的EFT任务,该任务是对感觉的情绪痛苦(标记)做出反应。
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引用次数: 1
Being human: how does the personal experience of participating in encounter groups support the development and practice of the encounter facilitator? 作为人:参加会议小组的个人经验如何支持会议促进者的发展和实践?
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-10-02 DOI: 10.1080/14779757.2019.1680423
M. Rock
ABSTRACT The aim of this paper is to offer a definition of encounter and encounter groups based on the author’s understanding and experience as a participant and facilitator. Through reflection on experience as a participant, consideration is given to how the self-awareness and insights gained from this can shape the understanding of the role of facilitator, and how it enables what can be offered to groups as a facilitator. Theoretical contributions to understanding the role of the facilitator are considered. A strong relationship is proposed between experiences and gains as a participant and becoming an aware and helpful facilitator, arguing that experiences as a participant have the potential to contribute to the ability to trust both oneself and the facilitative potential of the group, tolerate uncertainty, hear others accurately and take risks.
本文的目的是根据作者作为参与者和促进者的理解和经验,提供一个相遇和相遇组的定义。通过反思作为参与者的经验,考虑到从中获得的自我意识和见解如何塑造对促进者角色的理解,以及它如何使作为促进者的群体能够提供什么。对理解促进者角色的理论贡献被考虑。作为参与者的经验和收获与成为一个有意识的和有帮助的促进者之间存在很强的关系,认为作为参与者的经验有可能有助于信任自己和团队的促进潜力,容忍不确定性,准确倾听他人并承担风险。
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引用次数: 1
Why should person-centered facilitating be gender-sensitive? 为什么以人为本的便利必须对性别问题敏感?
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-10-02 DOI: 10.1080/14779757.2019.1650810
Karin Macke, Gabriele Hasler
ABSTRACT Human beings do not have a fixed sex/gender but everyone is constantly (re)creating the concepts of femininity and masculinity. But gender still functions as a basis for discrimination in the existing social order. The authors point out the importance of knowing about and reflecting gender prejudices as well as gender stereotypes, forms and mechanisms of discrimination being at work in order to not reproduce gender inequalities in facilitated groups. This article summarizes principles and present insights into gender-sensitiveness that might be important for person-centred encounter-groups.
人类没有固定的性别/性别,但每个人都在不断(重新)创造女性和男性的概念。但是,在现有的社会秩序中,性别仍然是歧视的基础。作者指出了了解和反映性别偏见以及性别刻板印象、歧视的形式和机制的重要性,以避免在便利群体中再现性别不平等。本文总结了原则,并提出了对性别敏感的见解,这可能对以人为中心的遭遇群体很重要。
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引用次数: 5
期刊
Person-Centered and Experiential Psychotherapies
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