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In-session therapist actions for improving client retention in family therapy: Translating empirical research into clinical practice 在家庭治疗中提高客户保留率的会话治疗师行动:将实证研究转化为临床实践
IF 1.3 Q3 Psychology Pub Date : 2018-04-03 DOI: 10.1080/08975353.2017.1368814
C. McAdams, Victoria A. Foster, Victor E. Tuazon, Brian A. Kooyman, Edith Gonzalez, Colleen M. L. Grunhaus, Rebecca L. Sheffield, Nathaniel J. Wagner
ABSTRACT Up to half of clients in psychotherapy do not return after their initial session, and clients in family therapy are more likely than those in individual therapy to terminate after the first session. Recent research has identified six therapist-related conditions in the family therapy session that have influenced client decisions to continue after the first session. This article reports the findings of a review of the professional literature aimed at operationalizing the six therapist-related conditions by identifying specific family therapist actions that can be deliberately applied during initial family therapy sessions to increase the chances that client families will return.
多达一半的心理治疗患者在第一次治疗后没有返回,家庭治疗的患者比个人治疗的患者更有可能在第一次治疗后终止治疗。最近的研究已经确定了六种与治疗师相关的情况,这些情况在家庭治疗过程中影响了客户在第一次治疗后继续治疗的决定。本文报告了一篇专业文献综述的研究结果,旨在通过确定具体的家庭治疗师行为,使六种与治疗师相关的情况具体化,这些行为可以在最初的家庭治疗过程中有意地应用,以增加客户家庭回归的机会。
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引用次数: 4
Counseling students’ perceived challenges for self and families with members living with HIV/AIDS 辅导学生对自己和有艾滋病毒/艾滋病成员的家庭所面临的挑战
IF 1.3 Q3 Psychology Pub Date : 2018-04-03 DOI: 10.1080/08975353.2017.1395255
J. Richelle Joe, N. Heard, Katey Yurcisin
ABSTRACT Research has indicated that families affected by Human Immunodeficieny Virus/Acquired Immune Deficiency Syndrome benefit from family counseling services; however, little is known about the perceptions that future counselors have about Human Immunodeficieny Virus/Acquired Immune Deficiency Syndrome and its effect on counselors and the families they serve. A descriptive content analysis of responses by 111 master’s level counseling students revealed challenges perceived to confront families living with Human Immunodeficieny Virus/Acquired Immune Deficiency Syndrome: psychological health, interpersonal and systemic changes, healthcare cost, and stigma. Additionally, participants’ indicated that they believed counselors would face challenges associated with knowledge and beliefs, Human Immunodeficieny Virus stigma, grief, empathy, and resources and support. Implications for family counseling and counselor preparation are also discussed.
研究表明,受人类免疫缺陷病毒/获得性免疫缺陷综合征影响的家庭受益于家庭咨询服务;然而,关于未来的辅导员对人体免疫缺陷病毒/获得性免疫缺陷综合症的看法及其对辅导员及其所服务的家庭的影响,人们知之甚少。对111名硕士水平咨询学生的反馈进行了描述性内容分析,揭示了患有人类免疫缺陷病毒/获得性免疫缺陷综合征的家庭所面临的挑战:心理健康、人际和系统变化、医疗费用和耻辱感。此外,参与者表示,他们认为咨询师将面临与知识和信念、人类免疫缺陷病毒耻辱、悲伤、同情、资源和支持相关的挑战。对家庭咨询和辅导员准备的影响也进行了讨论。
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引用次数: 4
Online financial therapy 在线金融治疗
IF 1.3 Q3 Psychology Pub Date : 2018-04-03 DOI: 10.1080/08975353.2017.1368812
Thomas E. Smith, Jaclyn M. Williams, Kristin V. Richards, L. S. Panisch
ABSTRACT This article discusses a case study implementing a manualized financial therapy intervention in an online setting. The benefits of financial therapy are discussed, and the pros and cons of online therapy are contrasted. A description the intervention is provided. At the conclusion of the intervention, the client and other family members reported satisfaction with this form of therapy. Using financial therapy in an online format may help reduce the service barriers that are often encountered by requiring therapy sessions to be conducted in-person, thus providing wider access to low-income clients who are most in need of these types of interventions.
摘要本文讨论了一个在网络环境中实施手动金融治疗干预的案例研究。讨论了财务治疗的好处,并对比了在线治疗的优缺点。提供了干预措施的说明。在干预结束时,客户和其他家庭成员报告对这种形式的治疗感到满意。以在线形式使用金融治疗可能有助于减少要求亲自进行治疗时经常遇到的服务障碍,从而为最需要此类干预的低收入客户提供更广泛的机会。
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引用次数: 3
Challenges of facilitating forgiveness in psychotherapy 在心理治疗中促进宽恕的挑战
IF 1.3 Q3 Psychology Pub Date : 2018-04-03 DOI: 10.1080/08975353.2017.1368811
K. Hertlein, K. Brown
ABSTRACT The popularity of forgiveness in clinical contexts may lead some to believe it is a panacea for all interpersonal problems across a multitude of contexts. Yet some research has found that forgiveness may not, in every circumstance, influence adjustment in a favorable manner. This article highlights problems when forgiveness is conceptualized as a requirement in clinical practice. It addresses the implications for requiring forgiveness in certain circumstances and encourages the therapist and client to more fully consider circumstances in which forgiveness may be contraindicated. We make the case for properly using the concept of forgiveness in therapy and describe a new set of conditions that must be met within the individual psyche for forgiveness to be in place. Two case examples are presented.
摘要宽恕在临床环境中的流行可能会让一些人相信它是解决多种环境中所有人际问题的灵丹妙药。然而,一些研究发现,宽恕可能不会在任何情况下都以有利的方式影响调整。这篇文章强调了当宽恕被概念化为临床实践中的一项要求时的问题。它解决了在某些情况下要求宽恕的含义,并鼓励治疗师和客户更充分地考虑可能禁止宽恕的情况。我们提出了在治疗中正确使用宽恕概念的理由,并描述了一组必须在个人心理中满足的新条件,宽恕才能到位。给出了两个实例。
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引用次数: 4
Practical considerations for conducting client-centered process research 进行以客户为中心的流程研究的实际考虑
IF 1.3 Q3 Psychology Pub Date : 2018-03-28 DOI: 10.1080/08975353.2018.1456282
C. D’Aniello, Markie L. C. Twist, E. Sullivan, Christa Clayton
ABSTRACT Process research is important in the marriage and family therapy field, specifically process research with client participants. Process research is typically conducted in treatment-as-usual conditions. Clinically applicable research has been identified to narrow the gap between research and practice. In the present conceptual paper, we provide specific recommendations to beginning process researchers for collaborating with community agencies to sample therapy clients. We present practical strategies for reducing participant and researcher burden and fostering collaboration among clinicians and researchers that are specific to conducting process research in community agency settings with client participants. Finally, we discuss implications for narrowing the research practice gap.
过程研究在婚姻和家庭治疗领域非常重要,尤其是与客户参与者的过程研究。过程研究通常是在正常条件下进行处理。临床应用研究已被确定为缩小研究与实践之间的差距。在目前的概念论文中,我们为开始过程研究人员提供了具体的建议,以便与社区机构合作,对治疗客户进行抽样。我们提出了减少参与者和研究人员负担的实用策略,并促进临床医生和研究人员之间的合作,这些策略专门用于在社区机构环境中与客户参与者进行过程研究。最后,我们讨论了缩小研究实践差距的意义。
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引用次数: 0
Qualitative perspectives on a family group intervention program for improving physical wellness 一个改善身体健康的家庭团体干预计划的定性观点
IF 1.3 Q3 Psychology Pub Date : 2018-02-23 DOI: 10.1080/08975353.2018.1440098
Deanna Linville, Valerie Savercool, S. Barrera, Brianna Mintz, S. Shune
ABSTRACT Healthy Balance is an obesity-prevention group intervention program that promotes physical wellness for family systems by motivating them to make healthy lifestyle changes to their eating and activity levels together as a unit. The researchers conducted 19 qualitative interviews with caregiver intervention participants and healthcare providers to explore perspectives on the program, health, and lifestyle change processes. Themes emerged around improving physical wellness for young families, health change processes, and experiences with the family-based group intervention. Caregivers reported that they believed interventions focusing on improving the health literacy and behavioral change for the whole family to be more beneficial. Family systems theoretical concepts were supported through participants’ perspectives that detailed how intervening with the whole family can not only lead to physical health behavior changes, but also enhance family connection and quality time.
摘要健康平衡是一项肥胖预防团体干预计划,旨在通过激励家庭系统共同改变健康的生活方式来提高饮食和活动水平,从而促进家庭系统的身体健康。研究人员对护理干预参与者和医疗保健提供者进行了19次定性访谈,以探讨对该计划、健康和生活方式改变过程的看法。主题围绕着改善年轻家庭的身体健康、健康变化过程以及基于家庭的团体干预体验而出现。护理人员报告说,他们认为专注于提高整个家庭的健康素养和行为改变的干预措施更有益。参与者的观点支持了家庭系统理论概念,详细说明了与整个家庭一起干预不仅可以导致身体健康行为的改变,还可以增强家庭联系和优质时间。
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引用次数: 1
Promoting parental acceptance of bisexuality: A case study of attachment-based family therapy 促进父母对双性恋的接受:以依恋为基础的家庭治疗个案研究
IF 1.3 Q3 Psychology Pub Date : 2018-01-24 DOI: 10.1080/08975353.2018.1427401
Maliha Ibrahim, J. Russon, S. Levy, G. Diamond
ABSTRACT Attachment-based family therapy is an empirically supported, manualized treatment spanning over 15 years of research and clinical practice. Increasingly, research and clinical evidence emphasize the modification of family therapy models to meet the needs of diverse clients. Best practices require culturally-sensitive therapists to attend to issues of race, gender identity, sexual orientation, ethnicity, class, and ability. The ABFT model has been evolving to address the health disparities associated with marginalization and attend to the specialized needs of diverse families. This clinical case study demonstrates how ABFT clinicians must adopt an intersectional approach to be successful in building and sustaining relational repair. Transcripts from a case with a religious, African-American family and their bisexual daughter outline the structure and sequence of ABFT. An analysis of this case illustrates the impact of intersectionality on clinical processes and mechanisms of change.
摘要:基于依恋的家庭治疗是一种经过15年研究和临床实践的经验支持的手动治疗。研究和临床证据越来越强调修改家庭治疗模式,以满足不同客户的需求。最佳实践要求对文化敏感的治疗师关注种族、性别认同、性取向、民族、阶级和能力等问题。ABFT模式一直在发展,以解决与边缘化相关的健康差距,并满足不同家庭的特殊需求。这项临床案例研究展示了ABFT临床医生必须采取交叉方法才能成功建立和维持关系修复。来自一个宗教非裔美国人家庭及其双性恋女儿的病例记录概述了ABFT的结构和序列。对这一案例的分析说明了交叉性对临床过程和变化机制的影响。
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引用次数: 4
Doing it right: Branding the Person of the Therapist Training model in Drexel University’s Master of Family Therapy program 正确的做法:在德雷塞尔大学家庭治疗硕士项目中塑造治疗师培训模式
IF 1.3 Q3 Psychology Pub Date : 2018-01-02 DOI: 10.1080/08975353.2018.1416179
M. F. Watson
ABSTRACT The Person of the Therapist Training (POTT) model developed by Harry J. Aponte was introduced first in the academic setting of Drexel University’s Master of Family Therapy Program in 2002. Prior to Drexel, the model had been applied only in the private sector with postgraduates. This article describes the vision of the then Department Chair Marlene F. Watson and the process of branding the POTT model.
2002年,哈里·j·阿庞特(Harry J. Aponte)在德雷塞尔大学(Drexel University)家庭治疗硕士项目的学术环境中首次引入了治疗师培训(POTT)模型。在Drexel之前,这种模式只适用于拥有研究生的私营部门。这篇文章描述了当时的系主任Marlene F. Watson的愿景和POTT模式的品牌化过程。
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引用次数: 0
Beyond duality: The relationship between the personal and the professional selves of the therapist in the Person of the Therapist Training 超越二元性:治疗师培训中治疗师的个人自我和职业自我之间的关系
IF 1.3 Q3 Psychology Pub Date : 2018-01-02 DOI: 10.1080/08975353.2018.1416244
Karni Kissil, Renata Carneiro, H. Aponte
ABSTRACT The Person-of-the-Therapist Training (POTT) model has been developing and evolving since the late seventies. The current study explored the relationship between the personal self-of-the-therapist and the professional self-of-the-therapist within the POTT. A directed content analysis of the 18 trainees’ final reflection papers at the end of a 9-month POTT was conducted. Findings suggest that even though the training’s goal is improving trainees’ ability to use their selves in therapy, changes in the therapist’s self appear to expand to other areas in the therapist’s life. Thus, the road to becoming a more effective therapist goes through personal changes, specifically self-awareness and the acceptance of one’s own struggles and imperfections. Implications for training and future research are discussed.
治疗师培训(POTT)模式自70年代末以来一直在发展和演变。本研究探讨了POTT中治疗师的个人自我和治疗师的职业自我之间的关系。在为期9个月的POTT结束时,对18名学员的最终反思文件进行了直接内容分析。研究结果表明,尽管培训的目标是提高受训者在治疗中使用自我的能力,但治疗师自我的变化似乎扩展到了治疗师生活的其他领域。因此,成为一名更有效的治疗师的道路需要经历个人的改变,特别是自我意识和接受自己的挣扎和不完美。讨论了对培训和未来研究的影响。
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引用次数: 12
Person of the Therapist supervision: Reflections of a therapist and supervisor on empathic-identification and differentiation 治疗师监督的人:治疗师和主管对共情认同和区分的反思
IF 1.3 Q3 Psychology Pub Date : 2018-01-02 DOI: 10.1080/08975353.2018.1416233
H. Aponte, Marilyn E. Ingram
ABSTRACT In this paper, we will present a case vignette intimately detailing the work of a supervisor and therapist within the framework of the Person of the Therapist Training Model (POTT). The conceptual lenses we emphasize will be the empathic-identification and differentiation aspects of the relationship between therapist and client. In that context, the POTT calls for monitoring and describing the interplay between the personal and professional of the therapist in relation to both her supervisor and her client.
在本文中,我们将展示一个案例,详细介绍在治疗师培训模式(POTT)的框架内,主管和治疗师的工作。我们强调的概念镜头将是治疗师和来访者之间关系的共情-识别和区分方面。在这种情况下,POTT要求监测和描述治疗师与她的主管和客户之间的个人和专业之间的相互作用。
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引用次数: 9
期刊
Journal of Family Psychotherapy
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