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Engaging with the client’s existential concerns: the impact on therapists and counselors 参与来访者的存在问题:对治疗师和咨询师的影响
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-10-17 DOI: 10.1080/14779757.2022.2133000
Gianina Frediani, Leen Krieckemans, Alexandra Seijnaeve, Siebrecht Vanhooren
ABSTRACT This study examined which themes therapists identify as existential and explored what happens when therapists engage with their clients’ existential concerns. Over two simultaneous studies, 19 participants were interviewed about working with existential themes. The first study consisted of experienced person-centered and existential psychotherapists and the second study of counselors or therapists working in a setting that would evoke existential themes. The data were first analyzed separately for both groups using Consensual Qualitative Research. Subsequently, a general cross analysis was conducted to achieve a meta-synthesis. Four existential themes were identified: Death and boundaries of life; Freedom, choice and responsibility; Connection and isolation; and Meaning and meaninglessness. In addition to providing a descriptive model of these themes, this study suggests that existential training might help therapists notice more implicit existential dynamics in the therapeutic process. Furthermore, engaging with clients’ existential concerns might make therapists more aware of their own existential reality which would help them to relate to existential themes differently. Experienced therapists can identify existential themes in their clients’ stories. However, specific existential training and personal reflection can deepen therapists’ openness towards existential issues and expand insight in existential processes.
本研究考察了治疗师认为存在主义的主题,并探讨了当治疗师参与来访者的存在主义关注时会发生什么。在两项同时进行的研究中,19名参与者接受了关于处理存在主义主题的采访。第一项研究由经验丰富的以人为本的存在主义心理治疗师组成,第二项研究由在一个能唤起存在主义主题的环境中工作的咨询师或治疗师组成。首先使用共识定性研究对两组数据分别进行分析。随后,进行一般交叉分析以实现综合。确定了四个存在主义主题:死亡和生命的界限;自由、选择和责任;连接和隔离;意义和无意义。除了提供这些主题的描述性模型外,本研究还表明,存在主义训练可能有助于治疗师在治疗过程中注意到更多的内隐存在主义动态。此外,参与来访者的存在主义关注可能会使治疗师更加了解他们自己的存在主义现实,这将有助于他们以不同的方式与存在主义主题联系起来。经验丰富的治疗师可以在客户的故事中识别存在主义主题。然而,具体的存在训练和个人反思可以加深治疗师对存在问题的开放性,扩大对存在过程的洞察力。
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引用次数: 3
Experiences of the step-out technique in emotion-focused therapy for clients with autistic process 逐步退出技术在自闭过程患者情绪集中治疗中的应用体会
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-05 DOI: 10.1080/14779757.2022.2115941
A. Robinson, Juan Pablo Kalawski
ABSTRACT Lower levels of experiential processing are associated with poorer therapeutic outcomes. Clients with autistic process are reported to experience sensory-body awareness processing problems which is recognized as an interoception marker. The Step-Out is a simple bodily technique, used within the Alba Method, to achieve an emotionally neutral, relaxed, and alert state. The aim of this study was to explore the experiences of clients with autistic process with the Step-Out. Eleven clients learned and spoke about the technique. A thematic analysis of clients’ responses produced an overall theme ‘In sensing me to connecting to you’. This contained three broad themes: In-and-out of interoceptive contact, letting go of tension and beyond self-experience. Clients were able to verbally describe their internal sensations and perceptions following the task. Responses ranged across an experiential continuum from emotional overwhelm, to no felt change to experiences of relational connection. Preliminary findings provide promising support for the utility of the Step-Out as a mini experiential task to help clients with autistic process shift their attention from an externalized to an internalized process, and to recognize, express, and regulate their internal states. Findings are tentative due to the exploratory nature, limited participants, and lack of assessment measures.
较低水平的经验加工与较差的治疗结果相关。据报道,患有自闭症过程的来访者会经历感觉-身体意识加工问题,这被认为是内感受的标志。Step-Out是一种简单的身体技巧,在阿尔巴方法中使用,以达到情绪中立,放松和警觉的状态。本研究的目的在于探讨自闭个案在跨出治疗过程中的体验。11位客户学习并谈论了这项技术。对客户反应的主题分析产生了一个总体主题“感知我与你的联系”。这包含了三个广泛的主题:内感受接触的进出,释放紧张和超越自我体验。客户能够口头描述他们在任务后的内在感觉和感知。反应的范围跨越了经历的连续体,从情绪压倒,到感觉不到变化,再到关系联系的经历。初步研究结果为“跨出”作为一种小型体验任务的实用性提供了有希望的支持,它可以帮助自闭症过程患者将注意力从外化过程转移到内化过程,并识别、表达和调节他们的内部状态。由于探索性,有限的参与者和缺乏评估措施,研究结果是初步的。
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引用次数: 5
’Why Mutilate Me Before I Die’: An Emotion-Focused Conceptualization of Breast Cancer Clients’ Experiences of Anxiety and Depression “为什么在我死之前肢解我”:一个以情绪为中心的乳腺癌患者焦虑和抑郁经历的概念化
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-29 DOI: 10.1080/14779757.2022.2104750
S. Pillai, Allison Connolly, Natalie Hession, L. Timulak
ABSTRACT The study set out to study the experienced distress of clients with breast cancer who also meet criteria for comorbid anxiety and depression (CAD) from the perspective of emotion-focused case conceptualization. A theoretically informed qualitative case analysis of 15 recorded psychotherapy sessions across three women was conducted using an emotion-focused case conceptualization as domains of inquiry and an interpretative framework. Experiences of mastectomy-related shame appeared to be maintained by cancer side effects, whereas social identities relating to gender and class triggered self-blame for cancer and shame at not functioning as well as expected. Existential fear, worry, and hypervigilance were indicative of cancer as an ongoing trauma. Unmet needs for safety were related to unclear communication with the medical team during treatment, while triggers relating to childhood adversity and insecure attachments perpetuated present-day distress. The findings suggest that emotion-focused treatments in psycho-oncology include a trauma-informed lens that allows for greater processing and integration of past trauma. Future research should explore breast cancer distress in women across different social identities for a broader and more inclusive understanding of distress presentations.
摘要:本研究旨在从以情绪为中心的病例概念化的角度,研究符合共病焦虑和抑郁(CAD)标准的乳腺癌患者的痛苦经历。对三名女性的15次心理治疗记录进行了理论上知情的定性案例分析,使用以情感为中心的案例概念化作为调查领域和解释框架。与乳房切除术相关的羞耻感似乎被癌症的副作用所维持,而与性别和阶级相关的社会身份则引发了对癌症的自责和对没有像预期的那样发挥作用的羞耻感。存在的恐惧、担忧和过度警惕表明癌症是一种持续的创伤。未满足的安全需求与治疗期间与医疗团队沟通不清有关,而与童年逆境和不安全依恋有关的触发因素使当今的痛苦持续存在。研究结果表明,在心理肿瘤学中,以情绪为中心的治疗包括一个创伤知情透镜,它允许对过去的创伤进行更大的处理和整合。未来的研究应该探索不同社会身份女性的乳腺癌困扰,以更广泛、更包容地理解困扰的表现。
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引用次数: 0
Focusing with images 用图像对焦
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-24 DOI: 10.1080/14779757.2022.2110147
Stephanie Aspin, Judy Moore
ABSTRACT The practise of Focusing with images was the key element of six workshops held for postgraduate research students at the University of East Anglia, UK. Participants were invited both to respond to extant images (including those from the university’s art galleries) as well as to create their own images through working with paint and other art materials. Changes in this highly anxious group’s ability to access and manage inner experiencing as a result of their participation in these workshops was recorded and assessed both qualitatively and quantitatively. Participants completed the Focusing Manner Scale (FMS) at the beginning and at the end of their participation in the workshops and improvement (p = 0.063) was seen in 6 out of 7 participants, indicating a shift in their ability to find ways of processing difficult experiencing. The FMS findings are supplemented by reconstructions of Focusing sessions based on field notes taken during the workshops. Images not only offer external representations of inner experiencing but also provide material for experience to be carried forward.
在英国东安格利亚大学为研究生举办的六个研讨会中,聚焦图像的实践是关键要素。参与者既被邀请对现存的图像(包括来自大学艺术画廊的图像)做出回应,也被邀请通过使用油漆和其他艺术材料创作自己的图像。这一高度焦虑的群体在参与这些研讨会后,其获得和管理内心体验的能力发生了变化,这些变化被定性和定量地记录和评估。参与者在参加研讨会的开始和结束时完成了聚焦方式量表(FMS), 7名参与者中有6人有所改善(p = 0.063),表明他们找到处理困难经历的方法的能力发生了转变。FMS的研究结果还补充了根据讲习班期间的实地记录重建的重点会议。图像不仅提供了内在体验的外在表征,也为经验的传承提供了材料。
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引用次数: 0
Family-centered therapy: Implications of Pacific spirituality for person-centered theory and practice 以家庭为中心的治疗:太平洋灵性对以人为中心的理论与实践的启示
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-15 DOI: 10.1080/14779757.2022.2100812
Julia Ioane, Keith Tudor
ABSTRACT Based on the authors’ different backgrounds and experiences of working in Pacific communities and with Pacific people as clients, supervisees, trainees, and colleagues, and taking a critical perspective informed by Talanoa research methodology, mainly Samoan and by Southern theory, this article examines person-centered theory and practice. The article firstly reviews Rogers’ theory of therapy, personality, and interpersonal relationships; and second deconstructs Rogers’ original ‘general structure’, offering a reconstruction of the theory that accounts for placing the family and spirituality at the center of psychological practice and theory. The article concludes with identifying three epistemological shifts necessary to make person-centered psychology more relevant to the Pacific context.
基于作者在太平洋社区工作的不同背景和经验,以及与太平洋人作为客户、主管、学员和同事的不同经历,并采用Talanoa研究方法(主要是萨摩亚和南方理论)提供的批判性视角,本文考察了以人为本的理论和实践。文章首先回顾了罗杰斯的治疗理论、人格理论和人际关系理论;第二,解构罗杰斯最初的“一般结构”,对将家庭和精神置于心理学实践和理论中心的理论进行重构。文章最后确定了三个认识论上的转变,使以人为中心的心理学更符合太平洋的背景。
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引用次数: 0
An analysis of the initial non-directive phase of person-centered therapy from the perspective of Emmanuel Levinas’s philosophy 从列维纳斯的哲学角度分析以人为本的治疗初期的非指导阶段
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-05 DOI: 10.1080/14779757.2022.2104749
E. M. Vieira, F. Pinheiro, Jacqueline de Oliveira Moreira, Iago Cavalcante Araújo
ABSTRACT The person-centered approach has been divided into five phases: non-directive, reflexive, experiential, collective or interhuman, and post-Rogerian, according to technical and epistemological criteria. We understand that each of these phases refers to a way to deal with alterity, or difference. This study aimed to analyze how difference may be explained in the non-directive phase of the person-centered approach. For a definition of alterity, we based our thinking on the work of Emmanuel Levinas. We found that denial of alterity was present in the objective search for regularities in the therapeutic relationship, emphasis on the technical, attempts at the social adaptation of clients, and the appreciation given to insight. We turned to the notion of ‘figures of alterity’: how a certain thought leads to a larger or smaller openness to experiencing a potential difference. We found that approaches to difference appeared through four figures of alterity: the Other of ignorance, the Other of the narrative, the Other of affect, and the Other of refraction.
根据技术和认识论标准,以人为中心的方法被分为五个阶段:非指导性、反身性、经验性、集体或人与人之间以及后罗杰斯时代。我们知道,每一个阶段都是指一种处理差异性或差异性的方式。本研究旨在分析如何解释以人为本方法的非指导阶段的差异。对于另类的定义,我们基于伊曼纽尔·列维纳斯的作品来思考。我们发现,在治疗关系中客观地寻找规律,强调技术,尝试客户的社会适应,以及对洞察力的欣赏中,存在着对另类的否认。我们转向了“另类形象”的概念:某种思想如何导致或大或小的开放性,以体验潜在的差异。我们发现,差异的途径是通过四种不同的形象出现的:无知的他者,叙事的他者,情感的他者,折射的他者。
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引用次数: 0
On becoming a person-centered therapist: the effect of the process of “becoming” on the person’s self-concept 论成为以人为本的治疗师:“成为”过程对人的自我概念的影响
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-03 DOI: 10.1080/14779757.2022.2104753
Alexandra Rizeakou, Maria Kefalopoulou
ABSTRACT The aim of this study was to explore how someone perceives the process of becoming a person-centered therapist, and if (and in what way) the person-centered approach changes their self-concept during this process. Six person-centered therapists were interviewed about the way they experienced their process of ‘becoming’, the way they perceive their self-concept with regard to this process, and how this perception changed during their training and practice. These semi-structured interviews were analyzed using Interpretative-Phenomenological Analysis. Four main themes were identified: perceiving themselves through the process of becoming a person-centered therapist, experiencing themselves as clients, relating to significant others, and comparing and differentiating person-centered therapy and other approaches.
本研究的目的是探讨人们如何感知成为以人为本的治疗师的过程,以及在这个过程中以人为本的方法是否(以及以何种方式)改变了他们的自我概念。六位以人为本的治疗师接受了采访,内容包括他们经历“成为”过程的方式,他们在这个过程中感知自我概念的方式,以及这种感知在他们的培训和实践中是如何变化的。这些半结构化访谈采用解释现象学分析进行分析。确定了四个主要主题:通过成为以人为中心的治疗师的过程来感知自己,体验自己作为客户,与重要他人的关系,比较和区分以人为中心的治疗和其他方法。
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引用次数: 0
Emotion-focused therapy for grief and bereavement 以情绪为中心的治疗悲伤和丧亲之痛
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-01 DOI: 10.1080/14779757.2022.2100813
J. M. Sharbanee, L. Greenberg
ABSTRACT We present an Emotion Focused Therapy perspective on working with grief and bereavement. This perspective considers emotions as a fundamentally adaptive signaling system that provides people with important information about their needs and goals. Thus the focus in working with grief and bereavement in EFT is to access and symbolize people’s adaptive grief around their loss. When this grief is blocked by other emotional states, such as lingering resentments, guilt, or fear of emotional pain, it is important for these other emotions to also be accessed and differentiated from the grief. This emotional processing can be facilitated through an empathic relational stance and experiential interventions which are guided by emotion theory and process diagnosis.
摘要:我们提出了一种情绪聚焦疗法的观点,用于处理悲伤和丧亲之痛。这种观点认为情绪是一种基本的适应性信号系统,它向人们提供有关他们的需求和目标的重要信息。因此,在EFT中处理悲伤和丧亲的重点是获取和象征人们对失去的适应性悲伤。当这种悲伤被其他情绪状态所阻挡时,比如挥之不去的怨恨、内疚或对情感痛苦的恐惧,重要的是,这些其他情绪也要被接触到,并与悲伤区分开来。这种情绪加工可以通过情感理论和过程诊断指导下的共情关系立场和经验干预来促进。
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引用次数: 0
Impacts of an intensive child-centered play therapy training workshop for school counselors 以儿童为中心的强化游戏治疗培训工作坊对学校辅导员的影响
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-01 DOI: 10.1080/14779757.2022.2104752
R. P. Maddox, Kara Carnes-Holt, Courtney McKim
ABSTRACT This mixed methods study examined the impacts of an intensive play therapy workshop that included a micro-practicum for 18 practicing school counselors. This study also explored school counselors’ experiences regarding their training for addressing mental health issues in schools and their experiences following the intensive play therapy workshop. Participants ranged in age from 28 years to 66 years. Fifteen (n = 15) participants identified as female while three (n = 3) identified male. Varying levels of clinical play therapy experience were represented in this study with 44.4% (n = 8) participants reporting having no prior clinical experience in play therapy, 33.3% (n = 6) reporting having under 1 year of clinical experience in play therapy, 5.6% (n = 1) reporting having 2 years of clinical play therapy experience, 5.6% (n = 1) reporting having 3 years of clinical play therapy experience, and 11.1% (n = 2) reporting having more than 3 years of clinical experience in play therapy. Results indicated that an intensive play therapy workshop with micro-practicum positively affects school counselors’ scores on the Play Therapy Attitude Knowledge and Skills Survey and School Counselor Self-efficacy scales.
摘要:本研究采用混合方法,对18名实习学校辅导员进行了包括微实习在内的强化游戏治疗讲习班的影响进行了研究。本研究还探讨了学校辅导员在处理学校心理健康问题方面的培训经验,以及他们在强化游戏治疗工作坊后的经验。参与者的年龄从28岁到66岁不等。15名(n = 15)参与者被认为是女性,3名(n = 3)参与者被认为是男性。在本研究中,44.4% (n = 8)的参与者报告没有游戏治疗的临床经验,33.3% (n = 6)的参与者报告有不到1年的游戏治疗临床经验,5.6% (n = 1)的参与者报告有2年的临床游戏治疗经验,5.6% (n = 1)的参与者报告有3年的临床游戏治疗经验,11.1% (n = 2)报告有超过3年的游戏治疗临床经验。结果发现,强化游戏治疗工作坊对学校辅导员在游戏治疗态度、知识与技能调查和学校辅导员自我效能感量表上的得分有正向影响。
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引用次数: 0
Therapists’ perspectives on positive regard 治疗师对积极关注的看法
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-01 DOI: 10.1080/14779757.2022.2104751
Daisy Ort, C. Moore, B. Farber
ABSTRACT This study investigated multiple aspects of therapists’ provision of positive regard (PR), including their assessment of the importance of PR in their practice, their sense of which specific aspects of PR are most affirming, and their perception of which aspects they provide most frequently to their clients. A total of 269 psychotherapists, primarily female, White, residing in the United States, and representing a range of theoretical orientations, completed a web-based survey with three Likert-type measures that reflected an understanding of PR as a wider-ranging concept than unconditional positive regard (UPR). Results suggest that therapists acknowledge PR as central to treatment process and outcome, that there is significant thematic breadth to the ways they choose to convey PR, and that the behaviors and statements they perceive as most affirming are also those that they are most likely to express in therapy. These findings, in conjunction with the significant convergence between therapists’ and clients’ perceptions of the nature and importance of PR, suggest that PR is a far more widely adopted attitude across multiple theoretical orientations than has generally been assumed.
本研究调查了治疗师提供积极关注(PR)的多个方面,包括他们对PR在其实践中的重要性的评估,他们对PR的哪些特定方面最肯定的感觉,以及他们对他们最常向客户提供哪些方面的感知。共有269名心理治疗师,主要是女性,白人,居住在美国,代表了一系列的理论取向,完成了一项基于网络的调查,其中包括三个李克特式的测量方法,这些测量方法反映了对PR的理解,这是一个比无条件积极关注(UPR)更广泛的概念。结果表明,治疗师承认公共关系是治疗过程和结果的核心,他们选择传达公共关系的方式有显著的主题广度,他们认为最肯定的行为和陈述也是他们最有可能在治疗中表达的。这些发现,再加上治疗师和来访者对公关本质和重要性的认知显著趋同,表明公关是一种比通常假设的更广泛采用的态度,跨越多种理论取向。
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引用次数: 1
期刊
Person-Centered and Experiential Psychotherapies
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