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An Exploration of Yoga’s Potential to Incite Feelings of Aliveness and Authenticity in Women Recovering from Anorexia Nervosa 探索瑜伽在从神经性厌食症中恢复的女性中激发活力和真实性的潜力
IF 1 Q2 SOCIAL WORK Pub Date : 2021-09-28 DOI: 10.1080/00377317.2021.1976698
Heather C. Pizzanello
Women with eating disorders (EDs) and more specifically Anorexia Nervosa (AN) have been found to struggle with a lack of Interoceptive Awareness (IA) and a diminished capacity to both experience and recognize emotions (Amianto, Northoff, Daga, Fassino, & Tasca, 2016; Bruch, 1961, 1962, 1974; Granieri, 2018; Winston, 2009, 2018; Wooldridge, 2018). Much like the “synthetic doll” in the poem, “Self in 1958,” it is this barren state of IA and emotionality that can leave a woman with AN to no longer feel “real” and “alive” prompting her to question, “What is reality?” (Bruch, 1961, 1962, 1974; Granieri, 2018; Sexton, 1958, 1977; Winnicott, 1965, 1971; Winston, 2009, 2018; Wooldridge, 2018). Drawing from D.W. Winnicott’s theory of object relations, psychodynamic authors contend that this absence of IA and lack of felt, recognized and regulated emotions that women with AN struggle with is the result of impaired
研究发现,患有饮食失调症(EDs),特别是神经性厌食症(AN)的女性缺乏内感受意识(IA),体验和识别情绪的能力下降(Amianto, Northoff, Daga, Fassino, & Tasca, 2016;布鲁赫,1961年,1962年,1974年;Granieri, 2018;温斯顿,2009,2018;里奇,2018)。就像诗《1958年的自我》中的“合成娃娃”一样,正是这种IA和情感的贫瘠状态,让一个患有AN的女人不再感到“真实”和“活着”,促使她质疑:“什么是现实?”(布鲁赫,1961年、1962年、1974年;Granieri, 2018;塞克斯顿,1958,1977;Winnicott, 1965,1971;温斯顿,2009,2018;里奇,2018)。根据D.W.温尼科特(D.W. Winnicott)的客体关系理论,心理动力学作者认为,患有AN的女性缺乏IA,缺乏感觉、认知和调节的情绪,是受到损害的结果
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引用次数: 0
Locus of Control and Purpose in Life as Protective Factors against the Risk for Suicide in Older Adults 生活的控制点和目的对老年人自杀风险的保护作用
IF 1 Q2 SOCIAL WORK Pub Date : 2021-09-05 DOI: 10.1080/00377317.2021.1968323
Yael Aviad, Keren Cohen-Louck
ABSTRACT The purpose of this study is to identify factors that can be used as protective factors against the risk for suicide in older adults, based on locus of control (LC), the belief whether life events are the result of one’s own actions or of external factors, and purpose in life or a sense that one’s life is worth living. Purpose in life (PIL) was defined as a mediating variable between locus of control and the risk for suicide. This cross-sectional study involved 195 older adults people, aged 65–100. They were reached through convenience sampling. Statistical analyses involved bivariate analyses (correlations, t-tests), and multiple hierarchical regressions to assess the contribution of purpose in life and locus of control to against the risk for suicide. Mediation was examined with the process procedure, using bootstrapping and 95% CI. There was a negative correlation between purpose in life, internal locus of control, and risk for suicide; purpose in life mediated the relationship between internal locus of control and risk for suicide. The combination of purpose of life and internal locus of control can serve as protective factors against the risk or the potential for suicide in older adults.
摘要本研究的目的是根据控制点(LC)、生活事件是自己行为还是外部因素的结果、生活目标或生命值得活下去的感觉,确定可以作为老年人自杀风险保护因素的因素。生活目的(PIL)被定义为控制点和自杀风险之间的中介变量。这项横断面研究涉及195名年龄在65-100岁之间的老年人。他们是通过方便的抽样得到的。统计分析包括双变量分析(相关性、t检验)和多层次回归,以评估生活目标和控制点对自杀风险的贡献。调解采用过程程序,使用自举和95%置信区间进行检验。生活目的、内部控制点和自杀风险之间存在负相关;生活目的介导了内部控制源与自杀风险之间的关系。生活目的和内部控制点的结合可以作为预防老年人自杀风险或潜在自杀的保护因素。
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引用次数: 1
Investigation of COVID-19 Risk Perception and Psychological Well-being in Syrian Refugees 叙利亚难民新冠肺炎风险认知与心理健康状况调查
IF 1 Q2 SOCIAL WORK Pub Date : 2021-08-29 DOI: 10.1080/00377317.2021.1969312
Fatih Budak, Ö. Özer, Okan Özkan
ABSTRACT This study aims to examine the effect of perceived COVID-19 risk of Syrian refugees on psychological well-being and reveal whether refugees’ scores from the emotional and cognitive sub-dimensions of COVID-19 risk and psychological well-being scale vary according to various socio-demographic characteristics. The Syrian refugees living in the Elbeyli Temporary Accommodation Center (TAC) in Kilis and within the province of Kilis in Turkey constitute the universe of the study. A total of 1576 individuals participated in the study where the convenience sampling method was used. Our study findings showed that the sub-dimensions (emotional and cognitive) of COVID-19 risk perception explain 21% of the total variance on psychological well-being. In addition, in the study it was determined that the participants’ scores from the cognitive and emotional sub-dimensions and the psychological well-being scale showed statistically significant differences with the variables of marital status, educational level, and monthly income level. It is recommended to provide more effective psychological and social support services in health institutions and to increase the awareness of refugees about these services.
本研究旨在考察叙利亚难民感知新冠肺炎风险对心理健康的影响,并揭示难民在新冠肺炎风险和心理健康量表的情感和认知子维度上的得分是否会因各种社会人口统计学特征而变化。居住在基利斯Elbeyli临时住宿中心(TAC)和土耳其基利斯省的叙利亚难民构成了研究的范围。本研究采用方便抽样法,共1576人参与。我们的研究结果表明,COVID-19风险感知的子维度(情绪和认知)解释了心理健康总方差的21%。此外,在研究中发现,参与者的认知和情感子维度以及心理健康量表的得分与婚姻状况、受教育程度和月收入水平变量的差异具有统计学意义。建议在保健机构提供更有效的心理和社会支助服务,并提高难民对这些服务的认识。
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引用次数: 0
Early Social Workers’ Experiences during the COVID-19 Pandemic: A Qualitative Study COVID-19大流行期间早期社会工作者的经验:一项定性研究
IF 1 Q2 SOCIAL WORK Pub Date : 2021-08-21 DOI: 10.1080/00377317.2021.1967835
Evan Senreich, Amanda Sisselman-Borgia, J. Kahn
ABSTRACT This study reports the findings of a qualitative focus group study of 16 recently graduated MSW social workers in the New York City area regarding their experiences working during the devastating initial wave of the COVID-19 pandemic from March to June 2020. Each respondent participated in one of two 90-minute focus groups in October of that year. Themes delineated were: Varying levels of agency responsiveness and support; Rapid changes in job functions; Great decrease in availability of client services and resources; Social workers’ difficult emotional reactions; Balancing family circumstances with work responsibilities; Fear of contracting COVID-19; and Professional pride and growth. The findings indicate the need for more holistic supervisory support for beginning social workers, more effective and transparent communication in agency settings, and better preparedness for crisis situations. The results are also a tribute to the dedication of new social workers who worked tenaciously during a global crisis despite their own difficult emotional reactions and family situations.
摘要本研究报告了一项定性焦点小组研究的结果,该研究对纽约市地区16名最近毕业的城市生活垃圾社会工作者进行了研究,了解他们在2020年3月至6月新冠肺炎大流行的毁灭性初波期间的工作经历。每位受访者在当年10月参加了两个90分钟焦点小组中的一个。所阐述的主题是:各机构的反应能力和支持程度各不相同;工作职能的快速变化;客户服务和资源的可用性大幅下降;社会工作者的困难情绪反应;平衡家庭环境与工作责任;对感染新冠肺炎的恐惧;以及职业自豪感和成长。调查结果表明,需要对初级社会工作者提供更全面的监督支持,在机构环境中进行更有效和透明的沟通,并更好地应对危机情况。这一结果也向新的社会工作者致敬,他们在全球危机中顽强工作,尽管自己的情绪反应和家庭状况很困难。
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引用次数: 11
Telemental Health during a Pandemic: Third Space Conversations 流行病期间的远程心理健康:第三空间对话
IF 1 Q2 SOCIAL WORK Pub Date : 2021-06-03 DOI: 10.1080/00377317.2021.1927935
J. Lesser
ABSTRACT This article presents Intersubjectivity and Intersectionality, theoretical frameworks used to guide telemental health during a pandemic that has underscored issues of power and privilege. Intersubjectivity is a meta-theory of psychoanalytic psychotherapy that examines the interplay between subjectivities in the clinician/client relationship. Intersectionality addresses the importance of an intersectional understanding of the identity categories that inform intersubjectivity. This includes examining internalized societal relations, unconscious accommodations to oppressive social structures, and inequalities that may be implicitly enacted in therapeutic practices. The freedom to address these challenges is discussed in “third space” conversations, the interactional therapeutic field where the clinician’s and the client’s social identities and subjective attitudes are present and influential. The sudden move to telemental health provides the opportunity to examine the impact of this transition, clinically significant in addressing issues of privilege related to work from home, exposure to illness, flexibility in scheduling, access to telemental health, mental health challenges, and resilience during a pandemic that is both personal and collective.
摘要本文介绍了在疫情期间用于指导远程心理健康的理论框架——主体间性和交叉性,强调了权力和特权问题。主体间性是精神分析心理治疗的元理论,研究临床医生/客户关系中主体性之间的相互作用。交叉性解决了对主体间性的身份类别的交叉理解的重要性。这包括检查内化的社会关系、对压迫性社会结构的无意识适应,以及在治疗实践中可能隐含的不平等。应对这些挑战的自由在“第三空间”对话中进行了讨论,这是一个互动治疗领域,临床医生和客户的社会身份和主观态度都存在并具有影响力。突然转向远程心理健康提供了一个机会来研究这一转变的影响,在解决与在家工作、接触疾病、日程安排灵活性、获得远程心理健康、心理健康挑战以及在个人和集体疫情期间的复原力相关的特权问题方面具有临床意义。
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引用次数: 2
Managing Countertransference in Therapeutic Interactions with Traumatized Youth: Creating a Pathway to Making Discomfort Comfortable 管理反移情治疗互动与创伤青年:创造途径,使不适舒适
IF 1 Q2 SOCIAL WORK Pub Date : 2021-05-31 DOI: 10.1080/00377317.2021.1928585
B. Alger, Melinda K. Gushwa
ABSTRACT Practitioners can find themselves experiencing counter transference without having the tools to adequately respond. As the need for the facility in working with trauma grows, the importance of acknowledging countertransference cannot be underscored enough. Via an overview of a single-case study in which an MSW student evaluated her practice utilizing aspects of a model for operationalizing countertransference, this article presents a model for managing and decreasing countertransference, and enhancing reflective skills. Implications for clinical education and supervision regarding transparency and authenticity in the discussions of countertransference when working with traumatized youth are presented.
从业者可能会发现自己在没有适当应对工具的情况下经历反移情。随着对创伤治疗设施需求的增长,承认反移情的重要性再怎么强调也不为过。通过对一个个案研究的概述,本文提出了一个管理和减少反移情以及增强反思技能的模型。在该研究中,一名城市生活垃圾学生利用反移情运作模型的各个方面来评估她的实践。在与受创伤的青少年一起讨论反移情时,关于透明度和真实性的临床教育和监督的意义被提出。
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引用次数: 0
Coaching MSW Students on Interpersonal Psychotherapy (IPT) Using Simulation-Based Learning (SBL): Developing Competencies in Clinical Social Work Practice
IF 1 Q2 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/00377317.2021.1905135
Eunjung Lee, K. Bowles, Toula Kourgiantakis
ABSTRACT In training clinical social workers, it is critical for students to practice implementing their skills and knowledge about treatment approaches while being closely coached by instructors. This paper illustrates how this type of learning was accomplished in an MSW course through simulation-based learning in a flipped classroom. Using Interpersonal Psychotherapy (IPT), one of the core modalities of clinical social work practice, we illustrate how we created the course for students to practice core IPT skills – Intervention Inventory and Communication Analysis.
在临床社会工作者的培训中,学生在导师的密切指导下实践他们的治疗方法的技能和知识是至关重要的。本文阐述了在翻转课堂中如何通过基于模拟的学习在城市生活垃圾课程中完成这种类型的学习。运用人际心理治疗(IPT),临床社会工作实践的核心模式之一,我们说明我们如何创建课程,让学生练习核心IPT技能-干预清单和沟通分析。
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引用次数: 0
After Five Years: Adverse Childhood Experiences and Response to Surviving Illness Contribute to Shorter Life Expectancy 五岁后:不良的童年经历和对生存疾病的反应导致预期寿命缩短
IF 1 Q2 SOCIAL WORK Pub Date : 2021-03-17 DOI: 10.1080/00377317.2021.1894305
L. Johnston
ABSTRACT Initial research in 2012 described the psychological responses of 32 older adult survivors of critical illness. At the five year follow up in 2017, 15 participants were deceased. Only 2 of these 15 participants achieved their expected life span. Quantitative and qualitative analysis comparing deceased vs. surviving participants yielded significant results. The deceased participants who died 10 to 14 years before their life expectancy were more likely to have experienced severe trauma in childhood, followed by reoccurring illnesses as adults. Deceased participants’ survival was also impacted by their approach to coping with their recovery after illness. Significant correlations were found between Adverse Childhood Experiences (ACE), illness approach, reoccurring illness and death before life expectancy. A key conclusion is that the impact of childhood trauma should be studied across the entire life course. Social workers for older adults must consider the personal complexity of each client’s experience, by exploring unique personal and historical traumas that are not listed on the ACE Scale. Psycho-education can be utilized to teach older adults coping strategies and increase psychological agency.
2012年的初步研究描述了32名老年危重疾病幸存者的心理反应。在2017年的五年随访中,有15名参与者去世。这15名参与者中只有2人达到了预期寿命。定量和定性分析比较了死亡和幸存的参与者,得出了显著的结果。在预期寿命之前10到14年死亡的参与者更有可能在童年经历过严重的创伤,然后在成年后再次发病。已故参与者的生存也受到他们应对疾病后康复的方法的影响。儿童期不良经历(ACE)、患病方式、疾病复发与预期寿命前死亡之间存在显著相关性。一个关键的结论是,童年创伤的影响应该在整个生命过程中进行研究。为老年人服务的社会工作者必须通过探索ACE量表中未列出的独特的个人和历史创伤,来考虑每个来访者个人经历的复杂性。心理教育可以用来教授老年人应对策略,增加心理能动性。
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引用次数: 1
Afghan unaccompanied refugee minors’ understandings of integration. An interpretative phenomenological analysis 阿富汗无人陪伴的未成年难民对融合的理解。解释性现象学分析
IF 1 Q2 SOCIAL WORK Pub Date : 2021-03-03 DOI: 10.1080/00377317.2021.1889445
M. Hosseini, E. Punzi
ABSTRACT There is a lack of knowledge concerning how unaccompanied refugee minors (UMs) perceive integration. This study concerns how Afghan UMs in Sweden understand integration. Seven young men, age 18–23, who came to Sweden as UMs, participated in semi-structured interviews, analyzed using interpretative phenomenological analysis. The results showed that integration was understood as a process in which relationships, connectedness, and concrete support are fundamental. Education, employment, and leisure activities were important for integration. Integration also improved by contributing to the new country, for example, through paying taxes or voluntary work. We discuss how integration could be supported, for example, through making UMs co-creators of interventions and through acknowledging the importance of meaningful activities, relationships, and concrete support.
摘要关于无人陪伴的未成年难民如何看待融入社会的问题,目前还缺乏相关知识。这项研究关注瑞典的阿富汗UMs如何理解一体化。七名年龄在18-23岁之间的年轻人作为UMs来到瑞典,他们参加了半结构化访谈,并使用解释性现象学分析进行了分析。研究结果表明,整合被理解为一个关系、连通性和具体支持是基础的过程。教育、就业和休闲活动对融合很重要。通过为新国家做出贡献,例如通过纳税或志愿工作,一体化也得到了改善。我们讨论了如何支持融合,例如,通过让UMs成为干预措施的共同创造者,以及通过承认有意义的活动、关系和具体支持的重要性。
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引用次数: 4
Sense of Belonging, Racial Microaggressions, and Depressive Symptoms among Students of Asian Descent in the United States 美国亚裔学生的归属感、种族微侵犯和抑郁症状
IF 1 Q2 SOCIAL WORK Pub Date : 2021-03-01 DOI: 10.1080/00377317.2021.1882922
Shinwoo Choi, Suzie S. Weng, Hyejoon Park, Jioni A. Lewis, S. Harwood, R. Mendenhall, Margaret Browne Huntt
ABSTRACT This study explored the moderating role of sense of belonging on the relations between racial microaggressions and depressive symptoms. Using survey data from students of Asian descent in the United States (N = 553) at a predominantly White university, we found that racial microaggressions and sense of belonging significantly predicted depressive symptoms. In addition, sense of belonging moderated the relations between racial microaggressions and depressive symptoms. Specifically, having a higher level of sense of belonging had a counter effect against the detrimental impact of racial microaggressions on the depressive symptoms. Implications for research and practice in higher education are discussed.
摘要本研究探讨归属感在种族微侵犯与抑郁症状关系中的调节作用。通过对美国一所以白人为主的大学的亚裔学生(N = 553)的调查数据,我们发现种族微侵犯和归属感显著预测抑郁症状。此外,归属感调节了种族微侵犯与抑郁症状的关系。具体而言,较高的归属感对种族微侵犯对抑郁症状的有害影响具有反作用。讨论了对高等教育研究和实践的启示。
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引用次数: 10
期刊
SMITH COLLEGE STUDIES IN SOCIAL WORK
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