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Siblings Under the Shadow: A Qualitative Study of Young Adults’ Parentification Experiences with Siblings with Special Needs 阴影下的兄弟姐妹:青少年特殊需要兄弟姐妹养育经历的定性研究
IF 1.3 Q3 Psychology Pub Date : 2023-11-23 DOI: 10.1080/2692398x.2023.2282954
Lale Hanöz, Serkan Özgün, Senem Zeytinoğlu Saydam, Celia Naivar Şen, Emine Ayyıldız
Using systemic theory as the framework, this qualitative study focused on the parentification experiences of young adults with typical development who have siblings with special needs. The sample c...
本定性研究以系统理论为框架,聚焦于有特殊需要的兄弟姐妹的典型发育青年的父母教养经验。样品c…
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引用次数: 0
Leveraging the Clinical Importance of the Therapist as a Person in Family Therapy 利用治疗师作为个人在家庭治疗中的临床重要性
IF 1.3 Q3 Psychology Pub Date : 2023-11-19 DOI: 10.1080/2692398x.2023.2282205
Jerry C. Middleton, Shanna Williams, Jessica Ruglis
Many pioneering family therapists exuded exemplary personal characteristics that at many instances were incorporated into their clinical work and theoretical approaches to psychotherapy. While such...
许多开创性的家庭治疗师散发出模范的个人特征,在许多情况下,这些特征被纳入他们的临床工作和心理治疗的理论方法中。尽管这样……
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引用次数: 0
The IPscope: Applications to Couple and Family Therapy Supervision IPscope:在夫妻和家庭治疗监督中的应用
IF 1.3 Q3 Psychology Pub Date : 2020-10-01 DOI: 10.1080/08975353.2020.1809916
Jeff Chang, Monica Sesma Vazquez, K. M. Cheang, Shannon McIntosh, K. Tomm
ABSTRACT The IPscope (IP signifying Interpersonal Patterns), developed at the Calgary Family Therapy Center by Karl Tomm and colleagues, provides a way of understanding behavior in context. Building on our work using the IPscope to conceptualize the functioning of families, we have also used the IPscope to bring a relational ethos to CFT supervision. After describing the development of the IPscope and its use at the CFTC, we describe specific applications of the IPscope to several key foci of clinical supervision: cross-cultural issues; the supervisory working alliance, with specific reference to supervisee nondisclosure and informal supervision; supporting supervisees to develop case conceptualization skills with the IPscopic reflectogram; dealing with impasses in therapy or supervision, usually labeled intrapsychically as countertransference, and a practical approach to isomorphism. Finally, we address limitations and critique of the IPscope.
摘要由Karl Tomm及其同事在卡尔加里家庭治疗中心开发的IPscope(表示人际模式的IP)提供了一种在上下文中理解行为的方法。在我们使用IPscope概念化家庭功能的工作的基础上,我们还使用了IPscope为CFT监管带来了一种关系精神。在描述了IPscope的发展及其在CFTC的使用后,我们描述了IPscope在临床监督的几个关键焦点上的具体应用:跨文化问题;监督工作联盟,具体涉及被监督人的保密和非正式监督;支持被监管人利用IP反射图发展案例概念化技能;处理治疗或监督中的障碍,通常在心理上被标记为反移情,以及同构的实用方法。最后,我们讨论了IP范围的局限性和批判。
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引用次数: 0
A Supervisory Approach to Implementing A Pandemic-Induced, Practice-Based Change to Telehealth 实施流行病引发的、基于实践的远程医疗变革的监督方法
IF 1.3 Q3 Psychology Pub Date : 2020-10-01 DOI: 10.1080/2692398X.2020.1865768
S. Simms, P. Mehta, C. W. Jones, P. Johnston
ABSTRACT The 2020 COVID-19 pandemic and resulting stay at home orders halted face-to-face in-home therapy for youth at risk of out-of-home placement in Pennsylvania and Delaware. Three family therapy training centers collaborated with state officials managed care organizations, and supervisors to create a two-step process for orchestrating an abrupt, unwanted shift to technology-assisted intensive in-home family therapy. The first step encouraged supervisors to set the stage for this change through an ethics-based lens. The central tenet was to tenaciously advance the wellbeing of the child and their family. The second step encouraged supervisors to remain grounded in the basic principles of treatment and supervision that they followed before telehealth, but with a few adaptations. Three principles are emphasized. Principle one focused on securing clinician commitment to a adapting a family therapy model to a telehealth format. Principle two focused on an unremitting adherence to a preferred family therapy model by using a checklist adapted for technology-based challenges. Finally, principle three focused on fostering professional competence through attending to case conceptualization, supervision-based practice, person-of-the-self challenges, and family-clinician-supervisor isomorphic patterns. Two case examples illustrate the beginning and ending phases of technology-assisted intensive in-home family therapy. Based on feedback from in-home agencies, implementation of these two-steps helped supervisors effectively lead pandemic-induced, practice-based change to a telehealth format with intentionality, conviction, and self-efficacy.
在宾夕法尼亚州和特拉华州,2020年COVID-19大流行以及由此导致的居家令暂停了对有可能被安置在家庭外的青少年的面对面家庭治疗。三家家庭治疗培训中心与州政府官员管理的护理组织和主管合作,创建了一个两步流程,以协调一个突然的、不必要的转变,以技术辅助的密集家庭治疗。第一步是鼓励管理者通过基于道德的视角为这一变革奠定基础。中心原则是坚持不懈地促进儿童及其家庭的福祉。第二步鼓励监督人员继续坚持他们在远程保健之前遵循的治疗和监督的基本原则,但做了一些调整。强调了三个原则。原则一侧重于确保临床医生承诺使家庭治疗模式适应远程保健形式。原则二侧重于通过使用适应基于技术的挑战的清单来坚持不懈地坚持首选家庭治疗模式。最后,原则三侧重于通过关注案例概念化、基于监督的实践、自我挑战和家庭临床医生-监督同构模式来培养专业能力。两个案例说明了技术辅助的密集家庭治疗的开始和结束阶段。根据国内机构的反馈,这两个步骤的实施有助于监督人员有效地领导由大流行引起的基于实践的变革,使之具有目的性、信念和自我效能感。
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引用次数: 5
Editorial to the Special Issue of the Journal for Family Psychotherapy: International Approaches to Innovative Supervisory Practice 《家庭心理治疗杂志》特刊社论:创新监督实践的国际途径
IF 1.3 Q3 Psychology Pub Date : 2020-09-27 DOI: 10.1080/08975353.2020.1823144
W. F. Northey, M. Rivett
This special issue of the Journal of Family Psychotherapy was initially conceived at the 2019 World Family Therapy Congress sponsored by the International Family Therapy Association (IFTA) in Aberd...
这期《家庭心理治疗杂志》特刊最初是在2019年世界家庭治疗大会上构思的,该大会由国际家庭治疗协会(IFTA)在澳大利亚阿伯德主办。
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引用次数: 2
Online Telesupervision: Competence Forged in a Pandemic 在线电视监督:在大流行病中锻造的能力
IF 1.3 Q3 Psychology Pub Date : 2020-09-18 DOI: 10.1080/08975353.2020.1818500
Y. Watters, W. F. Northey
ABSTRACT Online telesupervision (OTS) is synchronous (real-time) audio and video interactions between a supervisor and a clinician who are not in the same physical location. The COVID-19 pandemic created an abrupt pivot to OTS, requiring systemic supervisors and clinicians to adopt and utilize technologies which were unfamiliar to many. To facilitate the effective adoption and implementation of OTS we draw attention to three distinct competencies critical to the effective use of OTS: technological, contextual, and relational. These competencies are in no way exhaustive but lay the ground work for systemic supervisors to engage and connect with supervisees using video conferencing technology. In addition to the competencies, specific techniques and strategies are suggested to assist supervisors hone their skills in OTS and subsequently improve the quality and effectiveness of supervision in a virtual environment.
在线远程监护(OTS)是指不在同一物理位置的主管和临床医生之间的同步(实时)音频和视频交互。2019冠状病毒病大流行突然转向OTS,要求系统监督者和临床医生采用和利用许多人不熟悉的技术。为了促进OTS的有效采用和实施,我们提请注意对OTS的有效使用至关重要的三种不同的能力:技术、环境和关系。这些能力绝不是详尽无遗的,但为系统监督者使用视频会议技术与被监督者接触和联系奠定了基础。除了能力之外,本文还建议了具体的技术和策略,以帮助监督者磨练他们在虚拟环境中监督的技能,从而提高监督的质量和有效性。
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引用次数: 12
Creative Action Techniques in Supervision 监理中的创新行动技巧
IF 1.3 Q3 Psychology Pub Date : 2020-08-12 DOI: 10.1080/08975353.2020.1802175
Hannah Sherbersky, M. Gill
ABSTRACT This paper provides a description of an integrative model of systemic and psychodramatic supervision practice; conceptualizing and illustrating the clinical use of time, space, and action within supervision. By introducing specific supervisory skills and key principles, the authors propose that in addition to language, action within supervision can support clinicians to become creative and responsive whilst remaining clear and rigorous in their practice. Rather than seeing the integration of disciplines as novel, the authors remind us that the schools of psychodrama and systemic therapy have shared roots and through the use of a supervisory exercise, demonstrate that these ideas have the potential to further cross-fertilize and enhance techniques for supervision and therapy practice.
本文描述了系统性和心理戏剧性监督实践的一体化模式;概念化并说明在监督范围内对时间、空间和行动的临床使用。通过介绍具体的监督技能和关键原则,作者提出,除了语言之外,监督范围内的行动还可以支持临床医生在实践中保持清晰和严格的同时变得富有创造力和反应能力。作者提醒我们,心理剧和系统治疗的流派有着共同的根源,通过使用监督练习,证明了这些思想有可能进一步交叉融合和增强监督和治疗实践的技术,而不是将学科的整合视为新颖的。
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引用次数: 4
Helping Supervisees Use Their Self in Their Clinical Work: The Person-of-The-Therapist Training Model (POTT) in Supervision 帮助被监管者在临床工作中使用自我:监督中的治疗师培训模式(POTT)
IF 1.3 Q3 Psychology Pub Date : 2020-08-04 DOI: 10.1080/08975353.2020.1804799
Alba Niño, Senem Zeytinoğlu-Saydam
ABSTRACT Despite evidence of the importance of self-of-the-therapist factors for positive clinical outcomes, supervisors interested in helping their supervisees enhance their therapeutic effectiveness by honing their use of self may not have the framework to guide this process. In this article, we present the Person-of-the-Therapist Training (POTT) as a model that offers a clear philosophical perspective and specific tools to incorporate self of the therapist work in supervision. We start with a general introduction to POTT, its philosophical underpinnings, and its main concepts. Then, we describe the POTT supervision goals and specific emphasis. Subsequently, we present two POTT instruments (signature theme and case presentations and papers). With a vignette, we illustrate the use of the two instruments and show how this work on the person of the supervisee translates into the supervisee’s clinical work with their clients. Specific recommendations about the implementation of POTT supervision are also included.
尽管有证据表明治疗师自我因素对积极临床结果的重要性,但有兴趣帮助其被监管者通过磨练自我使用来提高其治疗效果的监管者可能没有指导这一过程的框架。在这篇文章中,我们提出了治疗师个人培训(POTT)作为一个模型,它提供了一个清晰的哲学视角和具体的工具来整合治疗师的自我监督工作。我们首先介绍POTT,它的哲学基础和主要概念。然后,阐述了POTT的监管目标和具体重点。随后,我们将介绍两种POTT工具(签名主题和案例报告和论文)。通过一个小插图,我们说明了这两种仪器的使用,并展示了被监管人的工作如何转化为被监管人与他们的客户的临床工作。关于实施POTT监管的具体建议也包括在内。
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引用次数: 2
A Scoping Review of the Practice Recommendations of Secrets in Couple’s Therapy 夫妻治疗中秘密的实践建议的范围审查
IF 1.3 Q3 Psychology Pub Date : 2020-04-02 DOI: 10.1080/08975353.2020.1759019
K. Mark, Donna L. Schuman
ABSTRACT In couple’s therapy, secrets between the couple often arise, and couple’s therapists must navigate a balance between their ethical and therapeutic responsibilities. This paper provides a scoping review of the literature on how couple’s therapists handle secrets in the context of couple’s therapy and discusses the ethical and clinical considerations in the context of the ethical standards of the AAMFT. Online databases were used to systematically identify peer-reviewed academic, English-language articles that focused on recommendations for therapists in handling secrets between couples in therapy. Seven articles met the search criteria. The empirical evidence supports a model of professional judgment, whereby the therapist can use their discretion about whether or not to disclose a secret on behalf of a client. To operate within the confines of ethical practice, we recommend therapists pair professional judgment with a clearly informed and signed written client policy.
摘要在夫妻治疗中,夫妻之间的秘密经常出现,夫妻治疗师必须在道德责任和治疗责任之间找到平衡。本文对夫妻治疗师如何在夫妻治疗中处理秘密的文献进行了范围审查,并讨论了AAMFT伦理标准中的伦理和临床考虑。在线数据库被用来系统地识别同行评审的学术英语文章,这些文章侧重于治疗师在治疗中处理夫妻之间秘密的建议。七篇文章符合搜索条件。经验证据支持一种专业判断模式,治疗师可以根据该模式自行决定是否代表客户披露秘密。为了在道德实践的范围内运作,我们建议治疗师将专业判断与明确知情并签署的书面客户政策相结合。
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引用次数: 1
Multifaith Perspectives on Family Therapy Models 家庭治疗模式的多信仰视角
IF 1.3 Q3 Psychology Pub Date : 2020-04-02 DOI: 10.1080/08975353.2019.1695092
C. Eppler, Rebecca A. Cobb, E. Wilson
ABSTRACT Researchers used thematic analysis to identify participant perceptions of the alignment between their faith traditions and family systems theory, structural family therapy, Bowen’s multigenerational theory, and narrative family therapy. Thirty-seven participants from six faith orientations, including 20 denominations or sects, responded to a survey. Patterns across responses indicate that family systems theory concepts are compatible across diverse faith traditions. Structural family therapy’s emphasis on restructuring boundaries and hierarchy is compatible across faith traditions as long as cultural and religious norms are carefully considered. Bowen’s concepts of detriangulation and differentiation are compatible across faith traditions, but particular beliefs may contradict the transmission of family patterns. Core concepts of narrative family therapy are compatible across faith traditions as long as therapists honor intuitive processes, include stories from clients’ faith traditions, and do not instill stories of false hope. Regardless of model, some clients may resist definitions of psychological dysfunction and understand illness and change as supernatural.
研究人员使用主题分析来确定参与者对其信仰传统与家庭系统理论、结构家庭治疗、Bowen的多代理论和叙事家庭治疗之间一致性的看法。来自6种信仰取向的37名参与者参与了一项调查,其中包括20个教派或教派。不同的反应模式表明,家庭系统理论概念在不同的信仰传统中是兼容的。只要仔细考虑文化和宗教规范,结构家庭治疗强调重建边界和等级制度,这在不同的信仰传统中是兼容的。Bowen的去三角化和分化的概念在信仰传统中是兼容的,但特定的信仰可能与家庭模式的传播相矛盾。叙述性家庭治疗的核心概念在不同的信仰传统中是兼容的,只要治疗师尊重直觉过程,包括来自客户信仰传统的故事,并且不灌输虚假希望的故事。不管是哪种模式,一些来访者可能会抵制心理功能障碍的定义,并将疾病和变化理解为超自然现象。
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引用次数: 2
期刊
Journal of Family Psychotherapy
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