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Dialectical behaviour therapy for men and boys: A systematic review 针对男性和男孩的辩证行为疗法:系统回顾
IF 2.4 Q2 Psychology Pub Date : 2023-10-21 DOI: 10.1002/capr.12702
Samuel Holah, Nick Maguire, Alison Bennetts

Background

Dialectical behaviour therapy (DBT) is a popular treatment that targets emotional dysregulation, a key feature associated with borderline personality disorder (BPD). The majority of available literature exploring the effectiveness of DBT is based on research concerning female samples. Therefore, the application and efficacy of DBT as a treatment intervention for men and boys remains unclear.

Methods

Multiple research databases were searched using a systematic review process for articles that reported on the use of DBT with male samples across any outcome measure and included pre- and post-treatment symptom scores.

Results

Nineteen studies met the inclusion criteria. Studies indicated that the application of DBT to male samples varies. Vast differences were found in treatment length, use of DBT modes and population settings. Most studies identified some benefits of DBT; however, the sample sizes were small and there was large heterogeneity across the studies.

Conclusions

There is preliminary evidence supporting the use of DBT for males, specifically targeting anger and violence as well as emotional dysregulation and suicidality. Despite this, the limitations and heterogeneity from the current studies preclude the current review from drawing any definitive conclusions about the overall efficacy of the treatment in this population.

背景 辩证行为疗法(DBT)是一种针对情绪失调的流行疗法,情绪失调是边缘型人格障碍(BPD)的一个主要特征。大多数探讨 DBT 疗效的现有文献都是基于对女性样本的研究。因此,DBT 作为一种治疗干预措施对男性和男孩的应用和疗效仍不清楚。 方法 我们使用系统性审查流程检索了多个研究数据库,以查找那些报道了在男性样本中使用 DBT 的文章,这些文章涉及任何结果测量,并包括治疗前后的症状评分。 结果 19 项研究符合纳入标准。研究表明,DBT 在男性样本中的应用各不相同。在治疗时间长短、DBT 模式的使用和人群设置方面存在巨大差异。大多数研究发现了 DBT 的一些益处;但是,这些研究的样本量较小,而且存在很大的异质性。 结论 有初步证据支持对男性使用 DBT,特别是针对愤怒和暴力以及情绪失调和自杀。尽管如此,由于目前研究的局限性和异质性,目前的综述无法就该疗法在该人群中的总体疗效得出任何明确的结论。
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引用次数: 0
Interoceptive awareness and therapist characteristics 互感意识和治疗师的特点
IF 2.4 Q2 Psychology Pub Date : 2023-10-21 DOI: 10.1002/capr.12701
Agustina Ovalle, Candice Fischer, Paula Dagnino, Stephanie Vaccarezza

Background

The differences between therapists can have a huge impact on treatment outcome. This makes it crucial for us to understand who therapists are and how they relate to their patients.

Aim

This study evaluated different variables relating to the therapist, particularly therapeutic style, which is understood as the degree of variability in therapists' thinking and application of interventions in their clinical work. Furthermore, this study examined how therapists interpret and connect with their own bodies, as this connection plays a crucial role in shaping their emotional experiences, which are closely intertwined with the bodily sensations experienced during therapy. The aim of the study was to examine the relationship between interoceptive awareness and therapeutic style.

Method

The study was nonexperimental, and the methodology was quantitative with a correlational scope. Participants were therapists who answered a battery of questionnaires on the person of the therapist.

Results

Based on the analyses carried out, results showed that awareness of the internal state of the body is linked to the therapist's style. It was observed that those therapists who reported greater warmth towards and involvement with their patients had an increased awareness of the state of their body.

Discussion

Given these results, we can conclude that it is crucial to study the awareness of the state of therapists' bodies, as this contributes to the understanding of the therapist as a person and, therefore, of the therapeutic process.

背景 治疗师之间的差异会对治疗效果产生巨大影响。因此,了解治疗师的身份以及他们与患者的关系至关重要。 研究目的 本研究评估了与治疗师有关的不同变量,尤其是治疗风格,治疗风格被理解为治疗师在临床工作中思考和应用干预措施的不同程度。此外,本研究还探讨了治疗师如何解释自己的身体并与之建立联系,因为这种联系在形成治疗师的情感体验方面起着至关重要的作用,而情感体验与治疗过程中的身体感觉密切相关。本研究的目的是探讨感知间意识与治疗风格之间的关系。 研究方法 本研究为非实验性研究,采用定量相关研究方法。参与者为治疗师,他们回答了一系列关于治疗师本人的问卷。 结果 根据分析结果显示,对身体内部状态的认识与治疗师的风格有关。据观察,那些对病人更热情、更投入的治疗师,对病人身体状态的意识也更强。 讨论 鉴于这些结果,我们可以得出结论,研究治疗师对身体状态的认识至关重要,因为这有助于了解治疗师这个人,从而了解治疗过程。
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引用次数: 0
Inside the consulting room of a highly effective therapist: An analysis of first sessions 走进高效治疗师的咨询室:首次治疗分析
IF 2.4 Q2 Psychology Pub Date : 2023-10-16 DOI: 10.1002/capr.12705
Sílvia Caçador, Daniel Sousa, Mick Cooper

Aim

The aim of this study was to capture the most salient aspects of first-session activities by a therapist who consistently had good clinical outcomes.

Method

Constructivist grounded theory was used to analyse the first three audio-recorded psychotherapy sessions with two clients.

Results

The analysis generated 12 categories organised into three major domains: (a) promoting clients' sense of agency and the collaborative nature of the therapeutic process; (b) supporting clients' exploration of meaningful contents, balancing responsively between following clients and introducing new dimensions; and (c) creating a climate of emotional security based on empathic presence, authenticity and positive regard.

Conclusions

The results show key aspects of the therapist's performance, such as distinguished clinical skills, responsiveness and strong relational abilities. The results support the literature on highly effective therapists. They also contribute to practice and psychotherapist training. Domains and categories from this study may be the basis for a checklist of some essential features to be included in psychotherapists' deliberated practice programmes.

研究目的 本研究旨在捕捉一位一直取得良好临床疗效的治疗师在首次治疗活动中最突出的方面。 方法 采用建构主义基础理论,对两名客户的前三次心理治疗录音进行分析。 结果 分析产生了 12 个类别,分为三大领域:(a) 促进客户的代入感和治疗过程的合作性;(b) 支持客户探索有意义的内容,在跟随客户和引入新内容之间保持平衡;(c) 在共情存在、真实性和积极关注的基础上营造情感安全氛围。 结论 结果显示了治疗师的主要表现,如杰出的临床技能、反应能力和强大的关系能力。这些结果为有关高效治疗师的文献提供了支持。这些结果也有助于实践和心理治疗师的培训。本研究中的领域和类别可作为心理治疗师实践计划的基本特征清单的基础。
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引用次数: 0
Addressing social trauma with existential‐integrative psychology in adults with autism spectrum disorder 孤独症谱系障碍成人存在-整合心理治疗社会创伤
Q2 Psychology Pub Date : 2023-10-10 DOI: 10.1002/capr.12695
Elektra Mercutio
Abstract In this theoretical review and analysis, I examine the existing literature regarding social trauma in autism spectrum disorder (ASD) after proposing existential‐integrative adaptations of trauma‐specific interventions that account for many of the novel characteristics and features that manifest in ASD. Practitioners interested in reimagining how they enter trauma work with this population will find multiple descriptions by providing an overview of core challenges and how those challenges influence susceptibility to the experience of social trauma and general trauma in ASD.
在这篇理论综述和分析中,我研究了现有的关于自闭症谱系障碍(ASD)社会创伤的文献,提出了存在-整合适应的创伤特异性干预措施,这些干预措施解释了ASD中出现的许多新特征和特征。有兴趣重新构想如何与这一人群进行创伤工作的从业人员将通过概述核心挑战以及这些挑战如何影响ASD患者对社会创伤和一般创伤经历的易感性来找到多种描述。
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引用次数: 0
Object elicitation: A compassionate and culturally informed method for psychotherapy research 对象激发:用于心理治疗研究的富有同情心和文化信息的方法
IF 2.4 Q2 Psychology Pub Date : 2023-10-10 DOI: 10.1002/capr.12703
Charlotte O'Brien, Divine Charura

This study provides an innovative, compassionate and culturally informed method for psychotherapy research, using object elicitation with 13 participants from vulnerable groups. It examines the positive impact it has on building the research alliance, enhanced depth of sharing within qualitative research interviews and emic ways of knowing through the engagement with a culturally relevant, tangible, internalised or transitional object brought by vulnerable participants from diverse cultural contexts of origin. Results showcase how a creative and compassionate research method can promote a culturally informed research alliance with vulnerable participants, helping to build trust, rapport and relational depth; encourage elicitation of experiences; and empower emic and subjugated voices. The implications of this study make the case for the inclusion of object elicitation as a creative and compassionate method in qualitative research with traumatised and vulnerable individuals, which should be used as part of a culturally informed approach to psychotherapy research.

本研究为心理治疗研究提供了一种创新的、富有同情心和文化信息的方法,使用对象激发法对 13 名来自弱势群体的参与者进行研究。研究探讨了该方法对建立研究联盟、提高定性研究访谈中的分享深度以及通过接触来自不同文化背景的弱势群体参与者带来的具有文化相关性的、有形的、内化的或过渡性的客体来了解事物的方式所产生的积极影响。研究结果展示了一种富有创造性和同情心的研究方法是如何促进与弱势参与者建立有文化背景的研究联盟,从而帮助建立信任、融洽关系和关系深度;鼓励激发经验;以及增强情感和被征服的声音。本研究的意义在于,将客体激发作为一种创造性的、富有同情心的方法,应用于对遭受创伤的弱势个体进行的定性研究中,并将其作为心理治疗研究中文化信息方法的一部分。
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引用次数: 0
Bibliometric study: Trends in multicultural counselling competence research in Indonesia, 2013–2022, and its implications 文献计量学研究:2013-2022 年印度尼西亚多元文化咨询能力研究趋势及其影响
IF 2.4 Q2 Psychology Pub Date : 2023-10-10 DOI: 10.1002/capr.12706
Masbahur Roziqi

Objective

This study aims to uncover the data on research trends in multicultural counselling competence in Indonesia from 2013 to 2022 and its implications for the future development of research in multicultural counselling competence.

Method

The method used in this study is bibliometric analysis, with data collection conducted through the Google Scholar database, which is a reputable search engine among Indonesian researchers.

Result

The results of this study identified a total of 13 articles published in seven journals and six proceedings. The journal “Komunika: Jurnal Dakwah dan Komunikasi” had the highest impact (H-index) with a score of 24, while the author Riza Zahriyal Falah had the highest number of citations with a total of 42 citations. The dominant keywords in the research trends of multicultural counselling competence included multiculturalism, multicultural, guidance and counselling, and counselling. Each of these keywords appeared twice compared with 32 other keywords that only appeared once.

Conclusion

The findings in the coword mapping can still be further developed for research advancement by exploring multicultural counselling competence through the exploration of various cultures in Indonesia. Additionally, the findings regarding co-authorship can be developed for cross-institutional collaborations within the country and international research collaborations.

目的 本研究旨在揭示2013年至2022年印尼多元文化咨询能力研究趋势的数据及其对多元文化咨询能力研究未来发展的影响。 方法 本研究采用文献计量分析法,通过在印尼研究人员中享有盛誉的谷歌学术(Google Scholar)数据库收集数据。 结果 本研究共发现了 13 篇文章,分别发表在 7 种期刊和 6 种论文集上。Komunika:Komunika: Jurnal Dakwah dan Komunikasi》的影响力(H 指数)最高,为 24 分,而作者 Riza Zahriyal Falah 的文章被引用次数最多,共 42 次。多元文化咨询能力研究趋势中的主要关键词包括多元文化、多元文化、指导与咨询以及咨询。每个关键词都出现了两次,而其他 32 个关键词只出现了一次。 结论 通过对印尼各种文化的探索,对多元文化咨询能力的研究仍可进一步发展牛津地图的发现。此外,有关共同作者的研究结果还可用于国内跨机构合作和国际研究合作。
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引用次数: 0
When the algorithm ‘matches’ us: The experiences of early-career psychologists on online platform services for psychotherapy and counselling in Italy 当算法 "匹配 "我们时:意大利心理治疗和咨询在线平台服务的早期职业心理学家的经验
IF 2.4 Q2 Psychology Pub Date : 2023-10-10 DOI: 10.1002/capr.12704
Giorgia Margherita, Alessia Caffieri, Nadia De Maio

Introduction

The spread of online platform services offering psychological psychotherapy and counselling has been observed globally. In Italy, these services were aimed at young people and offered job opportunities to early-career clinical psychologists.

Aim

The current study aimed to explore the professional experiences of early-career psychologists (age range: 29–35 years) in working on online platform services that deliver psychotherapy and counselling in Italy.

Method

A total of 13 psychologists practising psychological interventions on online platform services were interviewed. Participants had a mean of 3 years' clinical experience. A thematic analysis, following the qualitative approach of interpretative phenomenological analysis (IPA), was performed.

Results

From the analysis, four superordinate themes emerged: (1) a smart intervention; (2) professional identity; (3) a different and wide contact; and (4) grateful to the platform, loyal to the ‘company’.

Discussion

The online platforms represented a ‘medium’ with a ‘third’ function on a double level. At one level, they mediated between the request of the client and the psychologist, using the suggestions of AI algorithms. At another level, they offered employability and a guide to online interventions to early-career psychologists. Some critical issues related to ethics emerged considering the difficulty in maintaining the psychologists' autonomy before the affiliation to the business model promoted by the company, which may not match the client's interests.

Conclusion

The study highlights that online platforms promote a new culture of psychological health services, changing the representations and meanings attributed to the online intervention, the clinical profession and the psychologist–client relationship.

导言:提供心理治疗和咨询的在线平台服务在全球范围内得到推广。在意大利,这些服务主要面向年轻人,为初入职场的临床心理学家提供了工作机会。 研究目的 本研究旨在探讨意大利早期职业心理学家(年龄范围:29-35 岁)在提供心理治疗和咨询的在线平台服务中的职业经历。 研究方法 对在在线平台服务机构从事心理干预工作的 13 名心理学家进行了访谈。参与者的平均临床经验为 3 年。采用解释现象学分析(IPA)的定性方法进行了主题分析。 结果 通过分析,得出了四个上位主题:(1) 聪明的干预;(2) 专业身份;(3) 不同的广泛接触;(4) 感谢平台,忠于 "公司"。 讨论 网络平台是一种 "媒介",在两个层面上具有 "第三 "功能。一方面,它们利用人工智能算法的建议,在客户的要求和心理学家之间进行调解。在另一个层面上,它们为初入职场的心理学家提供了就业能力和在线干预指南。考虑到在隶属于公司所倡导的商业模式之前,心理学家很难保持自主权,这可能与客户的利益不符,因此出现了一些与道德相关的关键问题。 结论 本研究强调,在线平台促进了心理健康服务的新文化,改变了在线干预、临床专业和心理学家与客户关系的表述和含义。
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引用次数: 0
“Bridging the Gap”: A reflexive thematic analysis of the experiences of therapy trainees transitioning from psychodynamic counselling to cognitive behavioural therapy "弥合差距":对从心理动力学咨询过渡到认知行为疗法的受训者经历的反思性专题分析
IF 2.4 Q2 Psychology Pub Date : 2023-09-29 DOI: 10.1002/capr.12700
Claire Ball, Sarah Corrie

There is limited empirical research and insight into the experiences of therapy trainees who are being taught more than one psychotherapeutic approach during their training. Further understanding is warranted to ensure that a dual modality approach to training (that is, where therapists are trained in two paradigmatically distinct modalities) is experienced as worthwhile and acceptable to trainees and to better understand any challenges faced when transitioning between approaches. The aim of this study was to investigate trainees' experiences of transitioning from psychodynamic counselling to cognitive behavioural therapy (CBT) on a two-year master's degree that offers a dual modality approach to training. Data were collected from a sample of 8 trainees using an online semistructured questionnaire. These data were analysed using Braun and Clarke's (2020) reflexive thematic analysis. Four main themes were identified: (1) perceived competence; (2) preparedness; (3) professional advantages; and (4) external challenges. The findings suggested considerable individual variation in the ease with which participants navigated the transition between therapeutic modalities. Those who found the transition easier used the structure of CBT to provide a framework and point of difference that allowed them to temporarily suspend their psychodynamic learning in order to embrace a new therapeutic approach. Others experienced the move to CBT as posing a threat to their developing identities as counsellors. Recommendations are made on how to prepare trainees for the transition including exploring the psychological impact of transitions, increasing opportunities for reflective practice and facilitating exploration of what it means to be a therapist trained in two distinct therapeutic modalities.

对于在培训期间接受一种以上心理治疗方法培训的受训者的经历,目前的实证研究和见解都很有限。为了确保双模式培训方法(即治疗师接受两种不同模式的培训)对受训者来说是有价值的、可接受的,并更好地了解在不同方法之间过渡时所面临的挑战,我们有必要对其进行进一步的了解。本研究的目的是调查在一个提供双模式培训的两年制硕士学位课程中,学员从心理动力学咨询过渡到认知行为疗法(CBT)的经历。研究采用在线半结构式问卷调查的方式收集了 8 位学员的数据。这些数据采用 Braun 和 Clarke(2020 年)的反思性主题分析法进行了分析。确定了四个主要专题:(1) 感知能力;(2) 准备情况;(3) 专业优势;(4) 外部挑战。研究结果表明,参与者在治疗模式之间的过渡难易程度上存在很大的个体差异。那些认为过渡比较容易的人利用 CBT 的结构提供了一个框架和差异点,使他们能够暂时中止心理动力学的学习,以接受一种新的治疗方法。另一些人则认为,向 CBT 过渡对他们正在形成的咨询师身份构成了威胁。本文就如何让受训者为过渡做好准备提出了建议,包括探讨过渡的心理影响、增加反思性实践的机会以及促进探索作为一名接受过两种不同治疗模式培训的治疗师意味着什么。
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引用次数: 0
A qualitative content analysis of ChatGPT's client simulation role-play for practising counselling skills 对 ChatGPT 用于练习辅导技巧的客户模拟角色扮演的定性内容分析
IF 2.4 Q2 Psychology Pub Date : 2023-09-27 DOI: 10.1002/capr.12699
Rakesh K. Maurya

Role-play is often used as a pedagogical technique by counsellor educators to help counsellors-in-training (CITs) learn and practise counselling skills. This study used qualitative content analysis to assess the effectiveness of Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) chatbot, in simulating client role-play to facilitate practising counselling skills. The author used 10 case vignettes to conduct a simulated role-play where ChatGPT was asked to simulate the client and author as counsellor. The results indicated that ChatGPT demonstrated authenticity, consistency, appropriate emotional expression, cultural sensitivity, empathy and self-awareness while portraying the client. However, at times, ChatGPT's responses to the counsellor's questions appeared overly idealised, lacking the authenticity typically observed in real clients. Furthermore, ChatGPT, as a simulated client, lacked non-verbal cues, limiting the overall experience of counselling skill practice. Recommendations for CITs and future research are discussed.

角色扮演经常被辅导员教育工作者用作一种教学技术,帮助受训辅导员(CITs)学习和练习辅导技能。本研究使用定性内容分析来评估人工智能聊天机器人 Chat Generative Pre-Trained Transformer(ChatGPT)在模拟客户角色扮演以促进辅导技能练习方面的有效性。作者使用 10 个案例进行了模拟角色扮演,要求 ChatGPT 模拟客户,并由作者担任辅导员。结果表明,ChatGPT 在扮演求助者时表现出了真实性、一致性、适当的情感表达、文化敏感性、同理心和自我意识。然而,有时 ChatGPT 对咨询师问题的回答显得过于理想化,缺乏在真实客户身上通常观察到的真实性。此外,作为模拟客户,ChatGPT 缺乏非语言线索,限制了咨询技能练习的整体体验。本文讨论了对 CIT 和未来研究的建议。
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引用次数: 0
Identifying points for therapeutic intervention from the lived experiences of people seeking help for retroactive jealousy 从追溯性嫉妒求助者的生活经历中确定治疗干预的要点
IF 2.4 Q2 Psychology Pub Date : 2023-09-26 DOI: 10.1002/capr.12697
Robert Blayney, Mark Burgess

Background and Aims

Retroactive jealousy is an unhealthy interest in a partner's romantic/sexual history that has a detrimental effect on sufferers and relationships. Significant numbers of people seek therapeutic help for retroactive jealousy each year, but no research has used their lived experiences to identify potential therapeutic interventions. That was the aim of this research.

Methods

Seven adults (21–43 years) who had sought help for retroactive jealousy were interviewed about their experiences. Participants' accounts were analysed with reflexive thematic analysis, and findings were used to identify potential therapeutic interventions.

Findings

Three main themes represented participants' experiences. Fears threaten hope and security involved negative self-comparisons with past rivals, a sense of one's partner and the relationship losing value and of feeling wronged. Feeling compelled to know about the past involved one's mind as a creative generator of distress and feeling compelled to seek reassurance but making things worse. Feeling split and out of control involved feeling like a devil was on one's shoulder and having retroactive jealousy as a constant background to relational life.

Implications

Therapeutic guidance for change and growth can be directed at participants' desires to forge a special romantic relationship, to achieve a more stable sense of self, and to act consistently with their underlying values and not in response to their visceral fears. We offer suggestions for psychoeducation regarding characteristics of healthy relationships, for working to move from insecure to secure responses, and for integrating cognitive defusion and implementation intentions to enhance agency.

背景和目的 追溯性嫉妒是一种对伴侣的恋爱/性史产生不健康兴趣的行为,会对患者和伴侣之间的关系产生有害影响。每年都有大量的人因追溯性嫉妒而寻求治疗帮助,但还没有研究利用他们的生活经历来确定潜在的治疗干预措施。这正是本研究的目的所在。 研究方法 对七名曾因追溯性嫉妒寻求帮助的成年人(21-43 岁)进行了访谈,了解他们的经历。采用反思性主题分析法对参与者的叙述进行分析,并根据分析结果确定潜在的治疗干预措施。 研究结果 三大主题代表了参与者的经历。希望和安全受到威胁的恐惧涉及到与过去的对手进行消极的自我比较,感觉自己的伴侣和关系失去了价值,以及感觉受到了委屈。被迫了解过去的感觉涉及到一个人的思想是产生痛苦的创造性因素,以及被迫寻求安抚却使事情变得更糟的感觉。分裂感和失控感使人感觉自己的肩膀上有一个魔鬼,追溯性嫉妒是关系生活的一个持续背景。 影响 可以针对参与者建立特殊恋爱关系的愿望、获得更稳定的自我感觉以及与他们的基本价值观保持一致的行为,而不是回应他们内心的恐惧,为他们的改变和成长提供治疗指导。我们建议就健康人际关系的特点开展心理教育,努力从不安全感转向安全感,并将认知化解和实施意图结合起来,以增强能动性。
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引用次数: 0
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Counselling & Psychotherapy Research
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