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Cambodian Therapists’ Perspectives of Western-based Psychotherapy Models: Addressing the Challenges for Service Providers 柬埔寨治疗师对西方心理治疗模式的看法:解决服务提供者面临的挑战
IF 1.3 Q3 Psychology Pub Date : 2020-04-02 DOI: 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.
摘要:为西方国家开发的治疗模式正在被引入柬埔寨,但对这些治疗实践的有效性或本土经验的研究有限。我们对柬埔寨治疗师使用西方治疗模式的观点进行了回应性评估。利用响应式评估方法,对多个利益相关者(N=95)和多种方法的定性数据进行了三角测量。研究结果表明,无论首选何种模式,使用西方疗法都会在个人、家庭、机构、社区和文化层面带来挑战。与会者强调,进口的治疗模式要想在文化上具有响应性,并在柬埔寨得到接受和产生影响,就必须首先考虑柬埔寨心理健康领域的挑战。
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引用次数: 4
Undocumented and Mixed-Status Latinx Families: Sociopolitical Considerations for Systemic Practice 无证和混合身份的拉丁裔家庭:系统实践的社会批判思考
IF 1.3 Q3 Psychology Pub Date : 2019-10-02 DOI: 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.
摘要美国数以百万计的混合身份拉丁裔移民家庭正面临着极端的压力,他们担心由于严厉的移民执法措施而导致家庭分离。在这篇论文中,我们认为真正的系统实践涉及知识和对家庭生活更广泛背景的批判性参与。为此,我们回顾了创造当今社会政治气候的移民政策的历史,并帮助治疗师将自己置于这一更大的背景下。然后,我们为混合身份家庭的家庭治疗提供了额外的实践考虑,从入院前的关注到社区和宣传工作。我们希望治疗师能够使用本文中最适合他们自己实践和背景的领域,共同目标是为无证和混合身份的拉丁裔移民家庭提供道德和公正的服务。
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引用次数: 8
Process-research to Practice in Emotionally Focused Couple Therapy: A Map for Reflective Practice 以情感为中心的夫妻治疗实践的过程研究:反思实践的地图
IF 1.3 Q3 Psychology Pub Date : 2019-10-02 DOI: 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.
情感聚焦夫妻治疗(EFT)成功的预测因素和变化过程的研究已经确定了三个对EFT成功至关重要的有效因素:任务联盟、经验深度和附属互动。本文的目的是为EFT过程研究结果在实践中的细微细节提供具体的含义,以便为实现这些关键的变化成分提供一个过程路线图。通常,过程研究描述了对成功实施治疗方法很重要的过程,而没有用具体的临床术语描述这些过程的具体含义。我们详细阐述了如何在过程研究中定义和测量变化的成分。探索这些活性成分的具体元素,通过具体的干预,进一步阐明它们在日常实践中的具体意义。最后,我们以一个临床案例示例来说明遵循流程路线图。
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引用次数: 4
Safety, Feasibility, Fidelity, and Perceived Benefits of an Intervention for Parents with Mood Disorders and Their Children — “Let’s Talk About Children” in Japan 情绪障碍父母及其子女干预的安全性、可行性、保真度和感知效益——日本的“让我们谈谈孩子”
IF 1.3 Q3 Psychology Pub Date : 2019-10-02 DOI: 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。
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引用次数: 9
Emotionally Focused Therapy: A Culturally Sensitive Approach for African American Heterosexual Couples 情感聚焦疗法:非裔美国异性恋夫妇的文化敏感方法
IF 1.3 Q3 Psychology Pub Date : 2019-07-03 DOI: 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.
本文讨论了非裔美国夫妇文化敏感的情感聚焦治疗(EFT)的独特考虑。EFT是一种经验支持的治疗方法,可以显著减少人际关系的困扰,但对不同人群的疗效尚不清楚。非裔美国人长期受到种族主义和歧视的影响,造成了累积的种族压力,对他们的夫妻关系产生了负面影响。我们为非裔美国夫妇提出了一种种族敏感的干预方法,解决了EFT治疗成功的五个最突出的因素:种族压力的影响、来访者对治疗师的信任、性别角色期望以及种族-性别对情感和脆弱性的看法。一个案例研究说明了这种方法。
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引用次数: 10
MFTs’ Burnout Prevention and Coping: What Can Clinicians, Supervisors, Training Programs, and Agencies Do? MFTs的职业倦怠预防与应对:临床医生、主管、培训项目和机构能做些什么?
IF 1.3 Q3 Psychology Pub Date : 2019-07-03 DOI: 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.
职业倦怠是帮助专业人员面临的重大挑战,有几个独特的因素使机构环境中的mft特别容易经历职业倦怠。我们从现有文献中找出了与mft在代理环境下的倦怠体验相关的关键因素。为了提供这一现象的最新快照,我们还使用辅导员倦怠量表调查了140名mft。基于已积累的证据和我们的补充发现,我们提出了三种类型的策略,以预防和应对机构背景下的MFTs职业倦怠。考虑到识别职业倦怠和找到有效的补救方法不是非此即彼,而是双管齐下的解决方案,我们还讨论了主管、培训项目和机构如何帮助临床医生管理和面对这个问题。
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引用次数: 3
Present in Daily Life: Obsessive Compulsive Disorder and Its Impact on Family Life from the Partner’s Perspective. A Focus Group Study 日常生活中的存在:从伴侣的角度看强迫症及其对家庭生活的影响。焦点小组研究
IF 1.3 Q3 Psychology Pub Date : 2019-06-17 DOI: 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.
摘要:本焦点小组研究探讨了强迫症患者的五位伴侣的经历,探讨这种疾病如何影响夫妻的长期关系。我们发现,这种障碍可能会引起关于“正常”的权力斗争,剥夺夫妻在家务和闲暇时间奖励友谊的机会,以及关于该做什么的困境的持续分析过程。他们还表示需要卫生服务部门提供更多帮助。研究结果可能对治疗师的日常工作有价值,并可能对未来涉及这一群体的夫妻治疗研究产生影响。
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引用次数: 0
Psychological Needs in Post-Genocide Cambodia: The Call for Family Therapy Services and the Implications for the “Majority World” Populations 种族灭绝后柬埔寨的心理需求:对家庭治疗服务的呼吁及其对“世界多数”人口的影响
IF 1.3 Q3 Psychology Pub Date : 2019-04-03 DOI: 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.
摘要1975年至1979年红色高棉统治柬埔寨期间,该国约四分之一的人口因饥饿、疾病或处决而丧生。在此期间,包括心理健康服务在内的大多数知识和学术机构都被红色高棉政权摧毁,红色高棉政权将其视为一种威胁。大约15年前,该国开始重新启动心理健康服务,通常是与西方学者和心理健康专家合作。对这些服务的呼吁往往是为了应对创伤后应激障碍和其他心理社会问题的高发病率。如今,心理健康问题在柬埔寨仍然没有得到足够的重视,主要是由于缺乏资源、对心理健康这一一般主题的了解以及污名化。本文介绍了自红色高棉政权结束以来对第一代心理学学生进行的一项调查结果,调查内容涉及他们对柬埔寨当前心理健康需求的印象。受访者回答了有关人们给柬埔寨顾问和治疗师带来的问题类型、工作环境中的临床人群、他们对柬埔寨首选治疗方法的看法、提供服务的障碍以及解决柬埔寨人民担忧所需的培训类型的问题。对未来发展心理健康培训的主要要求包括婚姻和家庭治疗、评估和游戏治疗方面的培训需求。家庭暴力、抑郁和焦虑/压力也被置于报告的心理健康问题的首位。
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引用次数: 4
Enhancing Therapist Courage and Clinical Acuity for Advancing Clinical Practice 提高治疗师的勇气和临床敏锐度,促进临床实践
IF 1.3 Q3 Psychology Pub Date : 2019-04-03 DOI: 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.
摘要传统的心理治疗方法目前正在与一个潜在的客户市场竞争,这个市场越来越容易接受直觉治疗师、塔罗牌阅读者和超感官感知或ESP从业者。然而,比个人洞察力和成长的其他来源更值得注意的是,社会向重视、拥抱和整合更广泛的知识转变。在这种不断发展的背景下,与信息的包容性关系可能要求传统的心理治疗师考虑推进临床实践的创造性手段。这方面的创造性进展需要勇气和持续关注。本文介绍了两种提高治疗师勇气和临床敏锐度的过程级策略。
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引用次数: 1
On the Education of Systemic and Social Constructionist Marital and Family Therapists 论系统社会建构主义婚姻家庭治疗师的教育
IF 1.3 Q3 Psychology Pub Date : 2019-04-03 DOI: 10.1080/08975353.2019.1600103
Raphael J. Becvar, D. Becvar
ABSTRACT Noted first is a growing tendency of marriage and family therapists (MFTs) to create and describe approaches that, although labeled as systemic, are built on the language and concepts of classical psychodynamic therapy. Next a brief description of the history and evolution of a systems theoretical perspective is followed by an enumeration of many of the basic beliefs and behaviors we suggest MFT students in training need to understand and be able to utilize with clients. Given the complexity involved with teaching systems theory, particularly at the level of second-order cybernetics, several strategies to facilitate student learning also are provided.
首先要注意的是,婚姻和家庭治疗师(MFTs)越来越倾向于创造和描述一些方法,尽管这些方法被贴上了系统的标签,但它们是建立在经典心理动力学治疗的语言和概念之上的。接下来是对系统理论视角的历史和演变的简要描述,然后是我们建议培训中的MFT学生需要理解并能够与客户一起使用的许多基本信念和行为的列举。考虑到教学系统理论的复杂性,特别是在二阶控制论层面,本文还提供了一些促进学生学习的策略。
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引用次数: 2
期刊
Journal of Family Psychotherapy
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