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Logotherapy for Depressive Symptoms: A Meta-Analysis of Passive and Active Control Studies 抑郁症状的意义疗法:被动和主动对照研究的荟萃分析
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2025-03-21 DOI: 10.1002/johc.12237
Jeffrey H. D. Cornelius-White, Samuel M. Watson, Yasuko Kanamori, Avery J. Cornelius-White

To evaluate the efficacy of logotherapy for depressive symptoms, this investigation meta-analyzed 35 studies (N = 1656). Results showed that logotherapy had a significant, very large effect compared to passive controls (e.g., waitlists) at postintervention (n = 23, d = 1.885, 95% CI [1.383, 2.388], p < 0.001, I2 = 0.89) and follow-up (n = 5, d = 1.961, 95% CI [0.641, 3.282], p = 0.004, I2 = 0.93). In comparison to active controls (e.g., other interventions), results showed that logotherapy had a significant, large effect at postintervention (n = 12, d = 0.797, 95% CI [0.280, 1.314], p = 0.003, I2 = 0.90) and a medium to large effect at follow-up (n = 5, d = 0.705, 95% CI [0.089, 1.321], p = 0.025, I2 = 0.83). All mean effect sizes showed significant heterogeneity, explained in part by moderators of study location, measures used, and type of active control. Overall, logotherapy appears to be effective in reducing depressive symptoms compared to no treatment and other treatments. Given heterogeneity, more research is needed, particularly outside of Asia and in comparison with bona fide psychotherapeutic approaches.

为了评估意义疗法对抑郁症状的疗效,本研究荟萃分析了35项研究(N = 1656)。结果显示,在干预后,与被动对照(如等候名单)相比,意义治疗具有显著的、非常大的效果(n = 23, d = 1.885, 95% CI [1.383, 2.388], p <;0.001, I2 = 0.89)和后续(n = 5, d = 1.961, 95% CI [0.641, 3.282], p = 0.004, I2 = 0.93)。与主动对照(如其他干预)相比,结果显示,意义疗法在干预后具有显著的大效果(n = 12, d = 0.797, 95% CI [0.280, 1.314], p = 0.003, I2 = 0.90),在随访时具有中到大效果(n = 5, d = 0.705, 95% CI [0.089, 1.321], p = 0.025, I2 = 0.83)。所有的平均效应量都显示出显著的异质性,部分原因是研究地点、使用的测量方法和主动控制类型的调节因子。总的来说,与不治疗和其他治疗相比,意义治疗似乎在减轻抑郁症状方面有效。考虑到异质性,需要更多的研究,特别是在亚洲以外的地区,并与真正的心理治疗方法进行比较。
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引用次数: 0
Constructed Awareness: Integrating the Theory of Constructed Emotion Into Counseling Practice 建构意识:建构情绪理论与心理咨询实践的整合
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2025-03-19 DOI: 10.1002/johc.12238
Tyler Orr

This conceptual article explores the theory of constructed emotion (TCE) and its intersection with Constructed Awareness (CA), an emerging humanistic approach to trauma counseling. The aim is to address the gap in counseling literature regarding TCE and introduce TCE as a paradigm shift within the counseling field. Additionally, the article outlines the three principles of CA, examines how CA employs TCE to establish a framework for client awareness, and illustrates the application of CA through a case example spanning 11 counseling sessions with a client diagnosed with posttraumatic stress disorder (PTSD) and somatic symptom disorder (SSD). Finally, the clinical implications of integrating CA's understanding of emotion construction are discussed, along with suggestions for future research on CA and TCE.

这篇概念性的文章探讨了建构情绪(TCE)理论及其与建构意识(CA)的交叉,建构意识是一种新兴的创伤咨询人文主义方法。目的是解决咨询文献中关于TCE的差距,并介绍TCE作为咨询领域的范式转变。此外,本文概述了CA的三个原则,研究了CA如何使用TCE来建立客户意识框架,并通过一个案例来说明CA的应用,该案例跨越了11个咨询会议,其中一个客户被诊断为创伤后应激障碍(PTSD)和躯体症状障碍(SSD)。最后,本文讨论了整合CA对情绪建构理解的临床意义,并对未来CA和TCE的研究提出了建议。
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引用次数: 0
Counselor Empathic Response via Telephonic Counseling During the COVID-19 Pandemic: A Deductive Content Analysis COVID-19大流行期间咨询师通过电话咨询的共情反应:演绎内容分析
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2025-02-27 DOI: 10.1002/johc.12236
Michael Sickels

This qualitative study examined the empathic response styles of mental health counselors in telephonic sessions during the COVID-19 pandemic. A priori categories for the deductive content analysis were drawn from Clark's integral model of empathy to codify data across 11 interviews. Participant responses aligned with categories and subcategories of the integral model. Results highlight the importance of empathic practices in telephonic counseling such as verbal check-ins and self-disclosure, as well as the value of client access to treatment through this medium. Strategies for counselor training and preparedness regarding the use of the telephonic counseling are discussed.

本定性研究调查了COVID-19大流行期间电话会议中心理健康咨询师的共情反应方式。从克拉克的共情整体模型中提取了演绎内容分析的先验类别,对11个访谈的数据进行了整理。参与者的反应与整体模型的类别和子类别一致。结果强调共情实践在电话咨询中的重要性,如口头检查和自我披露,以及客户通过这种媒介获得治疗的价值。讨论了关于使用电话咨询的咨询师培训和准备策略。
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引用次数: 0
Dynamic aesthetic emancipation: Transforming trauma care through creative modalities 动态审美解放:通过创造性方式改造创伤护理
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-11-24 DOI: 10.1002/johc.12235
Janne Brammer Damsgaard, Bolette Daniels Beck, Svend Brinkmann

This paper introduces the innovative practice of Dynamic Aesthetic Emancipation. It aims to enhance trauma care by emphasizing how the transformative potential of integrated arts and nature-based modalities leads to emancipatory changes for individuals that surpass conventional care and counseling methods. The practice utilizes the aesthetic and experiential aspects of creative and natural modalities to bridge the gap between personal healing and social dynamics. We highlight the necessity of approaches that empower clients to actively engage with art and nature, thereby challenging conventional therapeutic roles.

本文介绍了动态审美解放的创新实践。它旨在通过强调综合艺术和基于自然的模式的变革潜力如何为个人带来超越传统护理和咨询方法的解放性变化,从而加强创伤护理。该实践利用创造性和自然模式的美学和经验方面来弥合个人治疗和社会动态之间的差距。我们强调了使客户积极参与艺术和自然的方法的必要性,从而挑战了传统的治疗角色。
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引用次数: 0
In this lifetime: A narrative inquiry examining older, Black, same-gender-loving male couples’ relationship resiliency and longevity 在这一生中:一个关于年长、黑人、同性男性伴侣的关系弹性和长寿的叙事调查
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-10-08 DOI: 10.1002/johc.12234
Alfonso L. Ferguson, Marlon Johnson, Breon Rose, DaeQuawn Landrum

This narrative inquiry examines the humanistic experiences of three Black, same-gender-loving (SGL) male couples to understand what contributes to their resiliency and longevity. Through quare theory as an analytical frame for thematic analysis, findings highlighted storytellers’ eras of assimilation, respect, and wisdom as tools for fostering relationship resiliency and longevity. Counseling practitioners, educators, and researchers are encouraged to broach and avoid reductionist viewpoints when cultivating belongingness and improving and maintaining connections with this population.

本叙事调查研究了三对黑人同性爱(SGL)男性夫妇的人文经历,以了解是什么促成了他们的复原力和长寿。通过将夸父理论作为主题分析的分析框架,研究结果强调了故事讲述者的同化、尊重和智慧时代是促进关系复原力和长寿的工具。我们鼓励咨询从业人员、教育工作者和研究人员在培养归属感、改善和保持与这一人群的联系时,要探讨和避免还原论观点。
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引用次数: 0
Toc Toc
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-10-01 DOI: 10.1002/johc.12192
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引用次数: 0
Exploring the relationships between interoceptive awareness and Gestalt resistance processes among counselors-in-training 探索受训辅导员的感知间意识与格式塔抵抗过程之间的关系
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-09-05 DOI: 10.1002/johc.12233
Monique N. Rodríguez, H. Ray Wooten

Gestalt therapy is a humanistic approach that emphasizes awareness of one's inner experiences and recognition of resistance processes. However, research exploring the relationship between interoceptive awareness—awareness of internal bodily sensations—and Gestalt resistance processes remains limited. Addressing this gap, our study used a cross-sectional design to examine how interoceptive awareness correlates with resistance processes among 112 counseling students. Our analysis revealed that higher interoceptive awareness is associated with lower resistance processes such as confluence, introjection, projection, retroflection, deflection, and egotism, with no significant association found with desensitization. The results suggest that improved body awareness could potentially impact resistance levels. This highlights the need to include interoceptive training in counseling programs to enhance therapeutic presence and self-regulation among trainees. This study offers evidence supporting the influence of interoceptive awareness on resistance processes and suggests that future research should explore ways to integrate these findings into training programs and broader Gestalt therapy practices.

格式塔疗法是一种人本主义治疗方法,强调对个人内心体验的觉察和对抵抗过程的认识。然而,探索内感知意识--对身体内部感觉的意识--与格式塔抵抗过程之间关系的研究仍然有限。为了填补这一空白,我们的研究采用横断面设计,考察了 112 名心理咨询学生的内感知意识与抗拒过程之间的相关性。我们的分析表明,较高的内感知意识与较低的抵抗过程(如汇合、内投、投射、回溯、偏转和利己主义)相关,而与脱敏则无明显关联。研究结果表明,身体感知能力的提高可能会影响阻力水平。这突出表明,有必要在心理咨询项目中加入互感训练,以提高受训者的治疗临场感和自我调节能力。本研究提供的证据支持了内感知意识对抗拒过程的影响,并建议未来的研究应探索如何将这些发现融入培训计划和更广泛的格式塔疗法实践中。
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引用次数: 0
Toc Toc
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-07-07 DOI: 10.1002/johc.12190
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引用次数: 0
Attachment and meaning-making of Arabic mothers during the coronavirus pandemic 冠状病毒大流行期间阿拉伯母亲的依恋和意义建构
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-06-26 DOI: 10.1002/johc.12231
Michelle R. Ghoston, Salma O. Alwahibah, Asma Tawfik Alkusayer, Lolwa Fetyani, Fai Alnashmi, Thomas A. Field

The global impact of COVID-19 heightened existential awareness particularly among parents. This period provided a unique opportunity to implement the circle of security program, equipping parents to address parental stress, anxiety, and depression. Conducted with mothers in Saudi Arabia ranging in age from 19 to 30 years, this quasi-experimental intervention study demonstrated a notable reduction in negative emotions, coupled with enhanced parent–child relationships and a strengthened sense of purpose in parenting. A total of 70 (55%) mothers attended at least 6 of 8 sessions, the criteria for completer status. After the intervention, there was a significant improvement in mental health, as the majority of participants fell within the normal ranges for anxiety (91.4%), depression (95.7%), and stress (95.7%). Furthermore, statistical evaluations provided strong evidence of the intervention's success, demonstrating a significant reduction in mean anxiety scores from 4.44 ± 3.88 to 2.8 ± 2.01 (= 0.08), depression scores from 6.2 ± 5.0 to 3.54 ± 2.5 (< 0.001), and stress scores from 9.29 ± 4.45 to 4.9 ± 4.5 (< 0.001). These findings underscore the importance of interventions supporting parents during challenging times, such as a global pandemic.

COVID-19 的全球影响尤其提高了父母的生存意识。这一时期为实施 "安全圈 "计划提供了一个难得的机会,使父母们有能力应对父母的压力、焦虑和抑郁。这项准实验性干预研究的对象是沙特阿拉伯年龄在 19 岁至 30 岁之间的母亲,研究结果表明,她们的负面情绪明显减少,亲子关系得到了改善,为人父母的使命感也得到了加强。共有 70 名(55%)母亲参加了 8 次课程中的至少 6 次,达到了完成者的标准。干预后,心理健康有了显著改善,大多数参与者的焦虑(91.4%)、抑郁(95.7%)和压力(95.7%)均在正常范围内。此外,统计评估提供了干预成功的有力证据,表明平均焦虑分数从 4.44 ± 3.88 显著降低到 2.8 ± 2.01(p = 0.08),抑郁分数从 6.2 ± 5.0 显著降低到 3.54 ± 2.5(p < 0.001),压力分数从 9.29 ± 4.45 显著降低到 4.9 ± 4.5(p < 0.001)。这些发现强调了在全球大流行病等具有挑战性的时期为家长提供支持的干预措施的重要性。
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引用次数: 0
Existential themes of the 2020s syndemic polycrisis 2020 年代多危机综合症的存在论主题
IF 0.8 Q4 PSYCHOLOGY, APPLIED Pub Date : 2024-06-17 DOI: 10.1002/johc.12232
Thomas A. Field, Michelle R. Ghoston

The coronavirus and anti-Black racial violence dual pandemics of the early 2020s brought multiple existential concerns that aligned with the four existential givens of human experience, namely, life and death anxiety, community and isolation, meaning-making and absurdity, freedom of choice and responsibility compared to determinism, and existential guilt and shattering. These themes are examined through an analysis and summary of the seven articles included in this special issue. These seven articles substantiate a need for further research and widely implemented interventions that emphasize culturally affirming and sustaining humanistic and existential counseling practices paired with advocacy for systemic change that enhances community solidarity alongside meaning-making and identity preservation. This approach aims to support people from marginalized communities in navigating compounded challenges during dual crises such as the early 2020s syndemic polycrisis.

2020 年代初的冠状病毒和反黑人种族暴力双重流行病带来了多重存在主义关切,这些关切与人类经验的四个存在主义给定相一致,即生死焦虑、社群与孤立、意义生成与荒谬性、选择自由和责任与决定论的比较,以及存在主义的内疚与破碎。本特刊通过对七篇文章的分析和总结来探讨这些主题。这七篇文章证实了进一步研究和广泛实施干预措施的必要性,这些干预措施强调在文化上肯定和维持人本主义和存在主义咨询实践,同时倡导系统性变革,在创造意义和维护身份的同时加强社区团结。这种方法旨在支持边缘化社区的人们在双重危机(如 2020 年代初的综合多重危机)期间应对复杂的挑战。
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引用次数: 0
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Journal of Humanistic Counseling
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