Pub Date : 2020-04-02DOI: 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.
{"title":"Multifaith Perspectives on Family Therapy Models","authors":"C. Eppler, Rebecca A. Cobb, E. Wilson","doi":"10.1080/08975353.2019.1695092","DOIUrl":"https://doi.org/10.1080/08975353.2019.1695092","url":null,"abstract":"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.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"1 - 35"},"PeriodicalIF":1.3,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1695092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43598978","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}
Pub Date : 2020-04-02DOI: 10.1080/08975353.2020.1759018
Desiree M. Seponski, D. Lewis, J. Bermudez, Joan Marianne Sotelo
ABSTRACT Therapy models developed for Western nations are being imported into Cambodia, yet there is limited research on the effectiveness or native experiences of these therapeutic practices. We present a responsive evaluation of Cambodian therapists’ perspectives regarding the use of Western-based therapy models. Utilizing responsive evaluation methodology, qualitative data were triangulated across multiple stakeholders (N = 95) and multiple methods. Results indicated that, regardless of preferred model, using Western-based therapy presents challenges at individual, family, agency, community, and cultural levels. Participants emphasized that for imported therapeutic models to be culturally responsive and have acceptance and impact in Cambodia, the challenges within Cambodia’s mental health field must first be considered.
{"title":"Cambodian Therapists’ Perspectives of Western-based Psychotherapy Models: Addressing the Challenges for Service Providers","authors":"Desiree M. Seponski, D. Lewis, J. Bermudez, Joan Marianne Sotelo","doi":"10.1080/08975353.2020.1759018","DOIUrl":"https://doi.org/10.1080/08975353.2020.1759018","url":null,"abstract":"ABSTRACT Therapy models developed for Western nations are being imported into Cambodia, yet there is limited research on the effectiveness or native experiences of these therapeutic practices. We present a responsive evaluation of Cambodian therapists’ perspectives regarding the use of Western-based therapy models. Utilizing responsive evaluation methodology, qualitative data were triangulated across multiple stakeholders (N = 95) and multiple methods. Results indicated that, regardless of preferred model, using Western-based therapy presents challenges at individual, family, agency, community, and cultural levels. Participants emphasized that for imported therapeutic models to be culturally responsive and have acceptance and impact in Cambodia, the challenges within Cambodia’s mental health field must first be considered.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"36 - 55"},"PeriodicalIF":1.3,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1759018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48855279","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}
Pub Date : 2019-10-02DOI: 10.1080/08975353.2019.1679607
Ashley A. Walsdorf, Yolanda Machado Escudero, J. Bermudez
ABSTRACT Millions of mixed-status Latinx immigrant families in the United States are facing extreme stress and fear of family separation stemming from harsh immigration enforcement practices. In this paper, we suggest that true systemic practice involves knowledge and critical engagement with the broader contexts of families’ lives. To this end, we review the history of immigration policy that created today’s sociopolitical climate and help therapists situate themselves within this larger context. We then offer additional practice considerations for family therapy with mixed-status families, ranging from pre-intake concerns to community and advocacy work. Our hope is that therapists will use the areas of this paper that best fit their own practices and contexts, with the shared goal of providing ethical and just services to undocumented and mixed-status Latinx immigrant families.
{"title":"Undocumented and Mixed-Status Latinx Families: Sociopolitical Considerations for Systemic Practice","authors":"Ashley A. Walsdorf, Yolanda Machado Escudero, J. Bermudez","doi":"10.1080/08975353.2019.1679607","DOIUrl":"https://doi.org/10.1080/08975353.2019.1679607","url":null,"abstract":"ABSTRACT Millions of mixed-status Latinx immigrant families in the United States are facing extreme stress and fear of family separation stemming from harsh immigration enforcement practices. In this paper, we suggest that true systemic practice involves knowledge and critical engagement with the broader contexts of families’ lives. To this end, we review the history of immigration policy that created today’s sociopolitical climate and help therapists situate themselves within this larger context. We then offer additional practice considerations for family therapy with mixed-status families, ranging from pre-intake concerns to community and advocacy work. Our hope is that therapists will use the areas of this paper that best fit their own practices and contexts, with the shared goal of providing ethical and just services to undocumented and mixed-status Latinx immigrant families.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"245 - 271"},"PeriodicalIF":1.3,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1679607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47031852","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}
Pub Date : 2019-10-02DOI: 10.1080/08975353.2019.1679608
L. Brubacher, S. Wiebe
ABSTRACT Predictors of success and process of change research studies on Emotionally Focused Couples Therapy (EFT) have identified three active ingredients that are central to the success of EFT: Task alliance, experiential depth, and affiliative interactions. The goal of this paper is to provide concrete meaning to what the subtle details of the EFT process research findings look like in practice, in order to provide a process roadmap for implementing these key ingredients of change. Typically, process research describes processes that are important for the successful implementation of a therapeutic approach without delineating the specific meaning of these processes in concrete clinical terms. We elaborate on how the ingredients of change are defined and measured in process research studies. Exploring the specific elements of these active ingredients further illuminates their concrete meaning in everyday practice through specific interventions. We conclude with a clinical case example to illustrate following the process roadmap.
{"title":"Process-research to Practice in Emotionally Focused Couple Therapy: A Map for Reflective Practice","authors":"L. Brubacher, S. Wiebe","doi":"10.1080/08975353.2019.1679608","DOIUrl":"https://doi.org/10.1080/08975353.2019.1679608","url":null,"abstract":"ABSTRACT Predictors of success and process of change research studies on Emotionally Focused Couples Therapy (EFT) have identified three active ingredients that are central to the success of EFT: Task alliance, experiential depth, and affiliative interactions. The goal of this paper is to provide concrete meaning to what the subtle details of the EFT process research findings look like in practice, in order to provide a process roadmap for implementing these key ingredients of change. Typically, process research describes processes that are important for the successful implementation of a therapeutic approach without delineating the specific meaning of these processes in concrete clinical terms. We elaborate on how the ingredients of change are defined and measured in process research studies. Exploring the specific elements of these active ingredients further illuminates their concrete meaning in everyday practice through specific interventions. We conclude with a clinical case example to illustrate following the process roadmap.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"292 - 313"},"PeriodicalIF":1.3,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1679608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46245628","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}
Pub Date : 2019-10-02DOI: 10.1080/08975353.2019.1678092
R. Ueno, H. Osada, T. Solantaus, Akiko Murakoshi, Takeshi Inoue
ABSTRACT In Japan, there is no evidence-based intervention for parents with mental illness that is designed to support the patient in parenting and to prevent disorders in their children. The aim of this study was to evaluate the safety, feasibility and perceived benefits of using the Let’s Talk About Children program from Finland for parents with mood disorders in Japan before carrying out a more formal clinical trial. Nine parents with mood disorders whose children were aged 8–16 years old without a history of mental illness participated in the program. The Let’s Talk About Children program was carried out between a researcher/practitioner and participants during a preliminary discussion and two discussions. The program was conducted with a 1-week to 1-month interval between discussion one and discussion two. All participants completed the intervention, and interventions were conducted with fidelity. In terms of intervention safety, no one reported a harmful experience, and the participants reported considerable benefits from the intervention. Most parents reported that their well-being and self-acceptance changed positively. Parents reported more confidence in parenting and fewer worries about their children. All participants reported that their treatment motivation was positively changed and that they had experienced the intervention as very helpful or useful. The results are consistent with those in a corresponding Finnish study. The results suggest that the Let’s Talk About Children program is feasible for use with Japanese parents with mood disorders, and a clinical trial can be recommended.
摘要在日本，没有针对患有精神疾病的父母的循证干预措施来支持患者的育儿和预防其子女的疾病。这项研究的目的是在进行更正式的临床试验之前，评估使用芬兰的Let's Talk About Children计划治疗日本情绪障碍父母的安全性、可行性和可感知的益处。9名患有情绪障碍的父母参加了该项目，他们的孩子年龄在8-16岁之间，没有精神病史。研究人员/从业者和参与者在初步讨论和两次讨论中开展了“让我们谈谈孩子”计划。该项目在第一次讨论和第二次讨论之间间隔1周至1个月进行。所有参与者都完成了干预，并且干预是忠实地进行的。就干预安全性而言，没有人报告有过有害的经历，参与者报告说干预带来了相当大的好处。大多数父母报告说，他们的幸福感和自我接纳度发生了积极变化。家长们报告说，他们对养育子女更有信心，对孩子的担忧更少。所有参与者都报告说，他们的治疗动机发生了积极变化，他们认为干预非常有帮助或有用。这一结果与芬兰相应研究的结果一致。研究结果表明，“让我们谈谈孩子”计划对于患有情绪障碍的日本父母来说是可行的，并且可以推荐进行临床试验。
{"title":"Safety, Feasibility, Fidelity, and Perceived Benefits of an Intervention for Parents with Mood Disorders and Their Children — “Let’s Talk About Children” in Japan","authors":"R. Ueno, H. Osada, T. Solantaus, Akiko Murakoshi, Takeshi Inoue","doi":"10.1080/08975353.2019.1678092","DOIUrl":"https://doi.org/10.1080/08975353.2019.1678092","url":null,"abstract":"ABSTRACT In Japan, there is no evidence-based intervention for parents with mental illness that is designed to support the patient in parenting and to prevent disorders in their children. The aim of this study was to evaluate the safety, feasibility and perceived benefits of using the Let’s Talk About Children program from Finland for parents with mood disorders in Japan before carrying out a more formal clinical trial. Nine parents with mood disorders whose children were aged 8–16 years old without a history of mental illness participated in the program. The Let’s Talk About Children program was carried out between a researcher/practitioner and participants during a preliminary discussion and two discussions. The program was conducted with a 1-week to 1-month interval between discussion one and discussion two. All participants completed the intervention, and interventions were conducted with fidelity. In terms of intervention safety, no one reported a harmful experience, and the participants reported considerable benefits from the intervention. Most parents reported that their well-being and self-acceptance changed positively. Parents reported more confidence in parenting and fewer worries about their children. All participants reported that their treatment motivation was positively changed and that they had experienced the intervention as very helpful or useful. The results are consistent with those in a corresponding Finnish study. The results suggest that the Let’s Talk About Children program is feasible for use with Japanese parents with mood disorders, and a clinical trial can be recommended.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"272 - 291"},"PeriodicalIF":1.3,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1678092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49448582","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}
Pub Date : 2019-07-03DOI: 10.1080/08975353.2019.1666497
Marjorie Nightingale, C. I. Awosan, Katherine Stavrianopoulos
ABSTRACT This article discusses unique considerations for a culturally sensitive emotionally focused therapy (EFT) for African American couples. EFT is an empirically supported treatment that significantly reduces relationship distress, yet efficacy with diverse populations remains unknown. African Americans’ chronic exposure to racism and discrimination creates a cumulative racial stress that negatively impacts their couple relationships. We propose a racially sensitive intervention for African American couples that addresses five considerations most salient for successful EFT treatment: the impact of racial stress, client trust of the therapist, gender-role expectations, and racial–gender views of emotionality and vulnerability. A case study illustrates this approach.
{"title":"Emotionally Focused Therapy: A Culturally Sensitive Approach for African American Heterosexual Couples","authors":"Marjorie Nightingale, C. I. Awosan, Katherine Stavrianopoulos","doi":"10.1080/08975353.2019.1666497","DOIUrl":"https://doi.org/10.1080/08975353.2019.1666497","url":null,"abstract":"ABSTRACT This article discusses unique considerations for a culturally sensitive emotionally focused therapy (EFT) for African American couples. EFT is an empirically supported treatment that significantly reduces relationship distress, yet efficacy with diverse populations remains unknown. African Americans’ chronic exposure to racism and discrimination creates a cumulative racial stress that negatively impacts their couple relationships. We propose a racially sensitive intervention for African American couples that addresses five considerations most salient for successful EFT treatment: the impact of racial stress, client trust of the therapist, gender-role expectations, and racial–gender views of emotionality and vulnerability. A case study illustrates this approach.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"221 - 244"},"PeriodicalIF":1.3,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1666497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47515183","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}
Pub Date : 2019-07-03DOI: 10.1080/08975353.2019.1655698
Ruoxi Chen, J. Austin, Jana P. Sutton, Cierra Fussell, Trey Twiford
ABSTRACT Burnout is a significant challenge for helping professionals, and several unique factors make MFTs in agency settings particularly vulnerable to experiencing burnout. We identified key factors from the existing literature related to MFTs’ experiences of burnout in agency settings. To provide an updated snapshot of this phenomenon, we also surveyed 140 MFTs using the Counselor Burnout Inventory. Based on the accumulated evidence and our supplementary findings, we propose three categories of strategies for MFTs in agency settings to prevent and cope with burnout. Given that identifying burnout and finding effective remedies require not an either/or but rather a both/and solution, we also discuss how supervisors, training programs, and agencies can help clinicians manage and confront this issue.
{"title":"MFTs’ Burnout Prevention and Coping: What Can Clinicians, Supervisors, Training Programs, and Agencies Do?","authors":"Ruoxi Chen, J. Austin, Jana P. Sutton, Cierra Fussell, Trey Twiford","doi":"10.1080/08975353.2019.1655698","DOIUrl":"https://doi.org/10.1080/08975353.2019.1655698","url":null,"abstract":"ABSTRACT Burnout is a significant challenge for helping professionals, and several unique factors make MFTs in agency settings particularly vulnerable to experiencing burnout. We identified key factors from the existing literature related to MFTs’ experiences of burnout in agency settings. To provide an updated snapshot of this phenomenon, we also surveyed 140 MFTs using the Counselor Burnout Inventory. Based on the accumulated evidence and our supplementary findings, we propose three categories of strategies for MFTs in agency settings to prevent and cope with burnout. Given that identifying burnout and finding effective remedies require not an either/or but rather a both/and solution, we also discuss how supervisors, training programs, and agencies can help clinicians manage and confront this issue.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"204 - 220"},"PeriodicalIF":1.3,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1655698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44395533","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}
Pub Date : 2019-06-17DOI: 10.1080/08975353.2019.1631027
Liv T. Walseth, G. Launes, Tor Sunde, Ingrid Klovning, J. Himle, V. Ø. Haaland, Å. T. Håland
ABSTRACT This focus group study explores the experiences of five partners of patients suffering from obsessive-compulsive disorder concerning how this disorder might influence couples’ relationships in the long-term. We find that the disorder might give rise to power struggles concerning “normality”, deprive couples of opportunities for rewarding fellowship during household chores and leisure time, and persistent analytic processes concerning predicaments of what to do. They also express a need for more help from the health services. The results might be of value to therapists in their daily work, and might have implications for future research on couple’s therapy involving this group.
{"title":"Present in Daily Life: Obsessive Compulsive Disorder and Its Impact on Family Life from the Partner’s Perspective. A Focus Group Study","authors":"Liv T. Walseth, G. Launes, Tor Sunde, Ingrid Klovning, J. Himle, V. Ø. Haaland, Å. T. Håland","doi":"10.1080/08975353.2019.1631027","DOIUrl":"https://doi.org/10.1080/08975353.2019.1631027","url":null,"abstract":"ABSTRACT This focus group study explores the experiences of five partners of patients suffering from obsessive-compulsive disorder concerning how this disorder might influence couples’ relationships in the long-term. We find that the disorder might give rise to power struggles concerning “normality”, deprive couples of opportunities for rewarding fellowship during household chores and leisure time, and persistent analytic processes concerning predicaments of what to do. They also express a need for more help from the health services. The results might be of value to therapists in their daily work, and might have implications for future research on couple’s therapy involving this group.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"185 - 203"},"PeriodicalIF":1.3,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1631027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47626828","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}
Pub Date : 2019-04-03DOI: 10.1080/08975353.2019.1613610
John K. Miller, J. Platt, Hema Nhong
ABSTRACT During the Khmer Rouge reign in Cambodia from 1975 to1979, approximately one-quarter of the country’s population lost their lives by starvation, disease, or execution. Most intellectual and academic institutions, including mental health services, were destroyed during this period by the Khmer Rouge regime who saw them as a threat. About 15 years ago mental health services began to be reinitiated in the country, usually in collaboration with Western academics and mental health experts. The call for these services was often in response to the high prevalence of post-traumatic stress disorders and other psychosocial problems. Today mental health issues still receive insufficient attention in Cambodia, mainly stemming from a lack of resources, knowledge about the general topic of mental health, and stigma. This article presents the results of a survey delivered to the first generation of psychology students since the end of the Khmer Rouge regime regarding their impressions of the current mental health needs in Cambodia. Respondents answered questions about the types of problems people bring to Cambodian counselors and therapist, the clinical populations in their work settings, their views of preferred treatment approaches in Cambodia, barriers to service delivery, and types of training needed to address the concerns of the people of Cambodia. The leading requests for the future development of mental health training included the need for training in marriage and family therapy, assessments, and play therapy. Domestic violence, depression, and anxiety/stress were also placed at the top of the mental health issues reported.
{"title":"Psychological Needs in Post-Genocide Cambodia: The Call for Family Therapy Services and the Implications for the “Majority World” Populations","authors":"John K. Miller, J. Platt, Hema Nhong","doi":"10.1080/08975353.2019.1613610","DOIUrl":"https://doi.org/10.1080/08975353.2019.1613610","url":null,"abstract":"ABSTRACT During the Khmer Rouge reign in Cambodia from 1975 to1979, approximately one-quarter of the country’s population lost their lives by starvation, disease, or execution. Most intellectual and academic institutions, including mental health services, were destroyed during this period by the Khmer Rouge regime who saw them as a threat. About 15 years ago mental health services began to be reinitiated in the country, usually in collaboration with Western academics and mental health experts. The call for these services was often in response to the high prevalence of post-traumatic stress disorders and other psychosocial problems. Today mental health issues still receive insufficient attention in Cambodia, mainly stemming from a lack of resources, knowledge about the general topic of mental health, and stigma. This article presents the results of a survey delivered to the first generation of psychology students since the end of the Khmer Rouge regime regarding their impressions of the current mental health needs in Cambodia. Respondents answered questions about the types of problems people bring to Cambodian counselors and therapist, the clinical populations in their work settings, their views of preferred treatment approaches in Cambodia, barriers to service delivery, and types of training needed to address the concerns of the people of Cambodia. The leading requests for the future development of mental health training included the need for training in marriage and family therapy, assessments, and play therapy. Domestic violence, depression, and anxiety/stress were also placed at the top of the mental health issues reported.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"153 - 167"},"PeriodicalIF":1.3,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1613610","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992431","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}
Pub Date : 2019-04-03DOI: 10.1080/08975353.2019.1608413
H. Luis Vargas
ABSTRACT Conventional psychotherapy approaches are currently contending with a prospective client market that is increasingly receptive to intuitive healers, tarot card readers, and extrasensory perception or ESP practitioners. More notable, however, than the alternative sources for personal insight and growth, is the societal shift to valuing, embracing and integrating a broader range of knowledge. In this evolving context, an ever-inclusive relationship to information may demand that conventionally-ground psychotherapists consider creative means for advancing clinical practice. Creative advancement in this regard requires courage and sustained focus. Two process-level strategies for enhancing therapist courage and clinical acuity are introduced in this article.
{"title":"Enhancing Therapist Courage and Clinical Acuity for Advancing Clinical Practice","authors":"H. Luis Vargas","doi":"10.1080/08975353.2019.1608413","DOIUrl":"https://doi.org/10.1080/08975353.2019.1608413","url":null,"abstract":"ABSTRACT Conventional psychotherapy approaches are currently contending with a prospective client market that is increasingly receptive to intuitive healers, tarot card readers, and extrasensory perception or ESP practitioners. More notable, however, than the alternative sources for personal insight and growth, is the societal shift to valuing, embracing and integrating a broader range of knowledge. In this evolving context, an ever-inclusive relationship to information may demand that conventionally-ground psychotherapists consider creative means for advancing clinical practice. Creative advancement in this regard requires courage and sustained focus. Two process-level strategies for enhancing therapist courage and clinical acuity are introduced in this article.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"30 1","pages":"141 - 152"},"PeriodicalIF":1.3,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2019.1608413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46896123","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}
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