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Transference and Countertransference from an Attachment Perspective: A Guide for Professional Caregivers 依恋视角下的移情与反移情:专业照顾者指南
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-06-30 DOI: 10.1080/00207284.2022.2089886
A. Eig
D espite its popularity in the British Isles, Heard et al.’s (2009/2012) Attachment Therapy with Adolescents and Adults: Theory and Practice Post Bowlby is little known in North America. Working from the same theoretical base, Transference and Countertransference from an Attachment Perspective: A Guide for Professional Caregivers emphasizes the role of biologically based self-systems in emotional regulation. Although not the main focus of this book, this paradigm is readily applicable to group contexts. The group therapist can work with these self-systems in group to deepen transference work and to help clients find effective methods for self-soothing. Some systems of selfregulation seem to require interpersonal connection with an empathic other while others do not. The seven systems used to restore a sense of emotional grounding in the individual are: a care-giving /care-seeking self-system, an affectionate sexual self-system, selfdefense (psychological defense mechanisms) self-system, sharing interests with peers self-system, a self that seeks to build an external environment (a supportive or unsupportive physical home base), and a system within the self, known as the internal environment (the individual’s internalized object world which also can be supportive or unsupportive). Although based in Bowlby’s work, McClusky and O’Toole use a complex metapsychology to guide the therapist in restoring the adult to robust functioning. In this most recent volume, McClusky and O’Toole posit an overarching “keystone” self-system. The keystone system is the central system out of the seven that the developing individual relies upon to feel secure. If overwhelmed, the six other basic self-systems may International Journal of Group Psychotherapy, 72: 397–399, 2022 © 2022 The American Group Psychotherapy Association, Inc. ISSN: 0020-7284 print/1943-2836 online DOI: https://doi.org/10.1080/00207284.2022.2089886
D尽管在不列颠群岛很受欢迎,Heard等人(2009/2012)的《青少年和成年人的依恋治疗:理论与实践》(Post Bowlby)在北美鲜为人知。基于相同的理论基础,《依恋视角下的移情与反移情:专业照顾者指南》强调了基于生物学的自我系统在情绪调节中的作用。虽然不是本书的主要焦点,但这种范式很容易适用于群体环境。团体治疗师可以在小组中使用这些自我系统来深化移情工作,并帮助来访者找到有效的自我抚慰方法。一些自我调节系统似乎需要与有同理心的人建立人际关系,而另一些则不需要。用于恢复个人情感基础感的七个系统是:关爱/寻求关爱的自我系统、充满爱意的性自我系统、自我防御(心理防御机制)的自我系统、与同伴分享兴趣的自我系统、寻求建立外部环境的自我(支持性或不支持性的物理家庭基础)和自我内部的系统,称为内部环境(个体的内化客体世界,也可以是支持性或不支持性的)。尽管以鲍尔比的研究为基础,麦克拉斯基和奥图尔使用了一种复杂的元心理学来指导治疗师恢复成年人的健全功能。在这本最新的书中,麦克拉斯基和奥图尔假设了一个包罗万象的“基石”自我系统。关键系统是七个系统中的中心系统,发展中的个体依靠它来感到安全。如果不堪重负,其他六种基本自我系统可能会出现。《国际团体心理治疗杂志》,72:397-399,2022©2022美国团体心理治疗协会。ISSN: 0020-7284 print/1943-2836 online DOI: https://doi.org/10.1080/00207284.2022.2089886
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引用次数: 0
Hall of Mirrors on Stage: An Introduction to Psychotherapeutic Playback Theater 舞台上的镜厅:心理治疗回放剧场介绍
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-21 DOI: 10.1080/00207284.2022.2047550
A. Berman
O nce a week, the members of a Playback Theater group meet for their group therapy session. Each week, one of the members shares a personal story – an old memory, a dream, even a wish or a feeling. The group members perform this story, and each of their personal emotional resonances and perspectives blend together in the emerging play. Each week, a different member gets to see pieces of their life played out on stage by their fellow group members, as feelings and meanings they had never contemplated expand and deepen their inner world and its impact on their life. Week by week, the matrix of the inner world of the members and their relationships – with their similarities and their differences – gradually unfolds. The co-created Playback Theater group is the therapy. Each of the members, in turn, gets to be in each of the roles during the session. In the role of patient, they get to contribute the plot and reflect on their experience of the resulting performance. In the role of actor, they play out and direct the plots of other members. The group’s conductor gathers these different contributions together and the shared experience that moves through the conductor and their self-reflection enriches the therapeutic value of the encounter. The discourse between the different roles allows each member to alternate between giving and receiving. The book, An Introduction to Psychotherapeutic Playback Theater: Hall of Mirrors on Stage, aptly brings together the distinct contributions of Playback Theater, group analysis, and relational approaches to therapy. By integrating the world of psychodrama and the world of group psychotherapy, it offers a novel International Journal of Group Psychotherapy, 72: 301–303, 2022 © 2022 The American Group Psychotherapy Association, Inc. ISSN: 0020-7284 print/1943-2836 online DOI: https://doi.org/10.1080/00207284.2022.2047550
每周一次,“回放剧院”小组的成员会开会进行小组治疗。每周,其中一位成员都会分享一个个人故事——一段旧记忆、一个梦想,甚至一个愿望或一种感觉。小组成员表演了这个故事,他们每个人的情感共鸣和观点在这部新兴的戏剧中融合在一起。每周,不同的成员都会看到他们的团队成员在舞台上表演的生活片段,因为他们从未想过的感受和意义会扩大和加深他们的内心世界及其对他们生活的影响。一周又一周,成员的内心世界和他们的关系矩阵——有相似之处也有不同之处——逐渐展开。联合创建的Playback Theater小组就是治疗。反过来,每个成员都可以在会话中扮演每个角色。在病人的角色中,他们可以贡献情节,并反思他们对由此产生的表演的体验。在演员的角色中,他们扮演并指导其他成员的情节。乐队指挥将这些不同的贡献汇集在一起,通过指挥和他们的自我反思获得的共同经验丰富了这次遭遇的治疗价值。不同角色之间的话语允许每个成员在给予和接受之间交替。《心理治疗回放剧场导论:舞台上的镜子大厅》一书恰当地汇集了回放剧场、群体分析和关系治疗方法的独特贡献。通过整合心理戏剧世界和团体心理治疗世界,它提供了一本新颖的《国际团体心理治疗杂志》,72:301–3032022©2022美国团体心理治疗协会,股份有限公司ISSN:0020-7284打印/1943-2836在线DOI:https://doi.org/10.1080/00207284.2022.2047550
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引用次数: 0
Beneath the White Coat: Doctors, Their Minds and Mental Health 白大褂下:医生,他们的思想和心理健康
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-18 DOI: 10.1080/00207284.2022.2047553
Dale C. Godby, Tina Ali Mohammad
W hether you have worn the white coat, worked with the white coats, or done your best to avoid them, there is something valuable here for you. Focused on medical professionals and their unique training, this book has a broad reach to all those who work in the mental health field. Psychiatrists currently make up 7% of AGPA’s membership (personal communication, November 16, 2021, AGPA Office). Most groups are run by nonphysicians, but it is hard to find a therapy group without at least one patient on medication, which means that all group therapists are likely sharing at least some of their patients with physicians. Induction into the tribe of medicine poses challenges that this book summarizes well, and learning about this process serves both nonphysicians and physicians. We wanted to illustrate this by writing this book review together – as a psychologist (Dr Dale Godby) and physician psychiatrist (Dr Tina Ali Mohammad). Medical and psychological education contrasts in several ways. For example, in medical school, Dr Ali Mohammad heard that receiving a psychiatric diagnosis could complicate the licensure process for oneself and it was not uncommon to hear the phrase, “physician heal thyself” as a way to promote self-sufficiency over seeking psychological help. In contrast, during Dr Godby’s training as a psychologist, he was encouraged to be in psychotherapy, and those students who did not seek therapy for themselves were thought to be avoiding an important part of their training. He recalls a teacher saying, “to be a good therapist we need to go down deeper, stay down longer, and come up dirtier.” International Journal of Group Psychotherapy, 72: 293–300, 2022 © 2022 The American Group Psychotherapy Association, Inc. ISSN: 0020-7284 print/1943-2836 online DOI: https://doi.org/10.1080/00207284.2022.2047553
无论你是否穿过白大褂,与白大褂一起工作,还是尽你所能避免白大褂,这里都有一些对你有价值的东西。专注于医疗专业人员和他们独特的训练,这本书有一个广泛的影响,所有那些谁在心理健康领域的工作。精神科医生目前占AGPA会员的7%(个人通讯,2021年11月16日,AGPA办公室)。大多数小组都是由非医生管理的,但很难找到一个没有至少一个病人在服药的治疗小组,这意味着所有的小组治疗师都可能至少与医生分享一些病人。这本书很好地总结了进入医学部落的挑战,学习这个过程对非医生和医生都有好处。作为心理学家(Dale Godby博士)和内科精神病学家(Tina Ali Mohammad博士),我们想通过共同撰写这篇书评来说明这一点。医学和心理教育在几个方面有不同之处。例如,在医学院,阿里·穆罕默德医生听说接受精神病诊断可能会使自己的执照申请过程复杂化,而且经常听到“医生自愈”这句话,这是一种促进自给自足而不是寻求心理帮助的方式。相反,在Godby博士作为心理学家接受培训期间,他被鼓励从事心理治疗,而那些不为自己寻求治疗的学生被认为是在逃避他们培训的一个重要部分。他回忆起一位老师说过的话:“要成为一名优秀的治疗师,我们需要更深入地探索,在水下停留更长时间,然后浮出水面。”国际团体心理治疗杂志,72:293-300,2022©2022美国团体心理治疗协会,Inc.。ISSN: 0020-7284 print/1943-2836 online DOI: https://doi.org/10.1080/00207284.2022.2047553
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引用次数: 7
Addressing Challenging Moments in Psychotherapy: Clinical Wisdom for Working with Individuals, Groups and Couples 应对心理治疗中的挑战时刻:与个人、团体和夫妇合作的临床智慧
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-03 DOI: 10.1080/00207284.2022.2047542
Dale C. Godby
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引用次数: 0
Mindfulness-based Cognitive Group Therapy: Adaptation and Practical Recommendations for Virtual Delivery. 基于正念的认知团体疗法:虚拟分娩的适应和实践建议
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-01 Epub Date: 2022-04-07 DOI: 10.1080/00207284.2022.2036157
Victoria Nieborowska, Julie Gorenko, Erin Shumlich, Michael Enman

The novel SARS-CoV-2 (COVID-19) pandemic has hastened the adoption of virtual services, including telepsychology, to maintain services for clients with mental health concerns. While mindfulness-based cognitive therapy (MBCT) for relapse prevention for many psychiatric disorders has been effectively adapted into an internet-delivered platform, there is little guidance provided in the literature on effective implementation of virtual group MBCT. This brief report provides guidelines for adapting group MBCT to synchronous virtual delivery via videoconference. Practical recommendations to overcome challenges associated with virtual delivery of group therapy for future clinicians and practitioners are also described. Such recommendations are based on the delivery of two synchronous online MBCT groups in an outpatient mental health clinic at a metropolitan Western Canadian public health center.

摘要新型SARS-CoV-2(新冠肺炎)大流行加速了包括远程心理学在内的虚拟服务的采用,以维持对心理健康问题客户的服务。虽然用于预防许多精神疾病复发的基于正念的认知疗法(MBCT)已被有效地应用于互联网平台,但文献中几乎没有提供关于有效实施虚拟团体MBCT的指导。本简要报告提供了使MBCT小组适应通过视频会议同步虚拟交付的指导方针。还描述了为未来临床医生和从业者克服与虚拟团体治疗相关的挑战的实用建议。这些建议是基于在加拿大西部大都市公共卫生中心的门诊心理健康诊所提供两个同步在线MBCT小组。
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引用次数: 0
Psychological Mindedness, Personality Structure, and Outcomes in Short-Term Group Analytic Psychotherapy. 短期群体分析心理治疗中的心理心态、人格结构和结果
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-01 Epub Date: 2022-04-25 DOI: 10.1080/00207284.2022.2062364
Ole K Østergård, Catharina R Frandsen, Kristian Valbak

The present study investigated the treatment effects of focused short-term group analytic psychotherapy and examined whether outcomes were predicted by the client's psychological mindedness and personality structure as measured by the Operationalized Psychodynamic Diagnosis (OPD). Treatment foci were formulated according to the OPD for 66 student counseling clients across nine groups. Two observers independently rated client psychological mindedness and personality structure. The pre-post Cohen's d effect sizes were large on the Global Severity Index (GSI) and the Inventory of Interpersonal Problems (IIP-64) and moderate on the Social Adjustment Scale Self Report, including all 66 clients starting treatment. Psychological mindedness significantly predicted two outcomes (GSI, IIP), and personality structure predicted one outcome (GSI). These measures could be helpful when selecting clients for short-term group analytic psychotherapy. We discuss study limitations and implications for future research and practice.

摘要本研究探讨了集中短期团体分析心理治疗的治疗效果,并考察了来访者的心理意识和操作性心理动力学诊断(OPD)测量的人格结构是否能预测结果。根据OPD为9组66名学生咨询客户制定了治疗重点。两名观察员独立评估来访者的心理意识和人格结构。在开始治疗的66名患者中,总体严重程度指数(GSI)和人际问题量表(IIP-64)的前-后Cohen效应量较大,社会适应量表自我报告的前-后Cohen效应量适中。心理倾向显著预测两种结果(GSI、IIP),人格结构显著预测一种结果(GSI)。这些措施可能有助于选择短期群体分析心理治疗的客户。我们讨论了研究的局限性和对未来研究和实践的启示。
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引用次数: 0
Change in Defensive Functioning Following Group Psychodynamic-Interpersonal Psychotherapy in Women With Binge-Eating Disorder. 集体心理动力人际心理治疗对暴饮性饮食障碍妇女防御功能的影响
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-01 Epub Date: 2022-04-27 DOI: 10.1080/00207284.2022.2061980
Samantha Carlucci, Livia Chyurlia, Michelle Presniak, Nancy Mcquaid, Stephanie Wiebe, Robert Hill, James C Wiley, Camille Garceau, Danielle Baldwin, Chloe Slowikowski, Iryna Ivanova, Renee Grenon, Louise Balfour, Giorgio A Tasca

We examined change in defensive functioning following group psychodynamic-interpersonal psychotherapy (GPIP) for binge-eating disorder (BED) compared to a waitlist control. We hypothesized that defensive functioning will improve to a greater extent at posttreatment for those in GPIP compared with those in a waitlist control condition. Participants were women with BED assigned to GPIP (n = 131) or a waitlist control (n = 44) condition in a quasi-experimental design. Those who received GPIP had significantly greater improvements in defensive functioning from pretreatment to six months posttreatment compared to the control group. GPIP may be effective for improving defensive functioning in individuals with BED. A randomized controlled trial is needed to confirm that GPIP is efficacious for addressing defensive functioning among women with BED.

摘要:我们研究了与等待名单对照组相比,群体心理动力人际心理治疗(GPIP)治疗暴饮症(BED)后防御功能的变化。我们假设,与等待名单对照组相比,GPIP患者的防御功能在治疗后会得到更大程度的改善。参与者是在准实验设计中被分配到GPIP(n=131)或等待名单对照(n=44)条件下患有BED的女性。与对照组相比,接受GPIP治疗的患者从治疗前到治疗后六个月的防御功能改善明显更大。GPIP可能对改善BED患者的防御功能有效。需要一项随机对照试验来证实GPIP对解决患有BED的女性的防御功能是有效的。
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引用次数: 0
An Exploration of Turkish Counselor Trainees' Development in Experiential Training Groups: An Uncontrolled Case Study. 土耳其辅导员学员在体验式培训小组中的发展探索——一个非受控的案例研究
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-01-01 Epub Date: 2022-01-31 DOI: 10.1080/00207284.2021.2015602
Burcu Pamukçu

The purpose of this case study was to (1) examine the effect of experiential training groups on empathy and professional disposition levels of counselor trainees and (2) to understand their experiences and perceptions regarding experiential groups. Participants were 62 Turkish undergraduate counselor trainees enrolled in a group counseling course. Trainees participated in both a didactic group counseling course and an experiential group. The quantitative results of the study indicated that trainees experienced an increase in empathy and professional disposition levels pre-post. The qualitative analysis yielded three major categories: (a) member roles, (b) emotional experiences, and (c) contributions. The findings of this study highlight the importance of experiential training groups in counselor education.

摘要本案例研究的目的是:(1)检验体验式培训小组对辅导员受训者同理心和职业倾向水平的影响;(2)了解他们对体验式小组的体验和看法。参与者是62名参加团体咨询课程的土耳其本科生辅导员学员。学员参加了一个教学小组咨询课程和一个体验小组。研究的定量结果表明,受训人员在上岗前的同理心和职业倾向水平有所提高。定性分析产生了三个主要类别:(a)成员角色,(b)情感体验和(c)贡献。这项研究的结果强调了体验式培训小组在辅导员教育中的重要性。
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引用次数: 0
An Integrative Systems-Oriented Interpersonal/Relational Group Approach to Understanding and Treating Mass Trauma, Dissociation and Enactments During the COVID-19 Pandemic. 以综合系统为导向的人际/关系群体方法来理解和治疗COVID-19大流行期间的大规模创伤、分离和行为
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-01-01 Epub Date: 2021-12-03 DOI: 10.1080/00207284.2021.1991234
Leonardo M Leiderman, Robert H Klein

The coronavirus pandemic (COVID-19) is a new ongoing, long-term mass trauma event occurring simultaneously with overwhelming sociopolitical stressors. We propose an integrative, psychodynamic, systems-oriented, interpersonal/relational trauma group model to address the multiple losses, heightened anxieties, and complicated grief that have resulted from the pandemic, as well as various forms of interpersonal abuse associated with racist and oppressive systems. These manifest as dissociation and unconscious enactments in small and large psychotherapy groups. We examine the role and responsibilities of the group leader in working therapeutically with these phenomena. Case examples for large and small psychotherapy groups are provided.

冠状病毒大流行(COVID-19)是一种新的、持续的、长期的大规模创伤事件,与压倒性的社会政治压力同时发生。我们提出了一个综合的、心理动力学的、系统导向的、人际/关系创伤群体模型,以解决大流行导致的多重损失、高度焦虑和复杂的悲伤,以及与种族主义和压迫制度相关的各种形式的人际虐待。这些表现为在小型和大型心理治疗小组中分离和无意识行为。我们检查的作用和责任的小组领导在工作治疗这些现象。提供了大型和小型心理治疗团体的案例。
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引用次数: 0
Treating Self-stigma in Severely Mentally Ill (SMI) Populations: Group based Narrative Enhancement and Cognitive Therapy (NECT). 重度精神疾病(SMI)人群自我耻辱感的治疗:基于群体的叙事增强和认知疗法(NECT)
IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-01-01 Epub Date: 2021-09-27 DOI: 10.1080/00207284.2021.1969236
Alee Rands, Gary M Burlingame
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引用次数: 0
期刊
International Journal of Group Psychotherapy
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