Counselling & Psychotherapy Research最新文献_第6页

A duoethnographic exploration of relational psychotraumatology: Research, training and practice considerations 关系心理创伤学的双人人种学探索：研究、培训和实践方面的考虑

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-03-05 DOI: 10.1002/capr.12749

Divine Charura, Penn Smith

Introduction

Using a duoethnological approach, supported by relational trauma theories, this paper synthesises idiosyncratic formulations and perspectives of working with relational trauma.

Aim

Initially, focus is centred on reflecting on the authors' research with different and diverse groups. These include in-reach rehabilitation and recovery services for people with profound and enduring mental health needs, as well as experiences of trauma, loss, grief and post-traumatic growth of sanctuary seekers.

Method

Duoethnography, which is a collaborative research methodology that promotes introspection and critical reflexivity in researchers, was followed for over a year, and this provided rich data, which were analysed.

Results

Duoethnological dialogue offered rich data, which was conceptualised into four themes, which are presented and elaborated on: (i) the importance of the therapists acknowledging and witnessing meaning-making with those who present with relational trauma and engaging with the evolving process of remembering, repeating and working through their trauma; (ii) the importance of therapists clarifying the aim or function of therapy from their modality; (iii) the importance of the idiosyncratic experiencing and processing of relational trauma; and (iv) the importance of the dynamic process and diversity of possible stages in working through relational trauma.

Discussion

These themes support an argument for a praxis of relational trauma and exploration of different approaches that may be helpful in therapeutic practice, training and psychotraumatology research.

Conclusions

The paper concludes with reflections on how a human rights trauma-informed approach entails facilitating hope in trauma work and offers recommendations for psychotraumatology therapeutic practice and trauma-informed training.

本文采用双民族学方法，在关系创伤理论的支持下，综合了与关系创伤相关的特异性表述和观点。首先，重点是反思作者对不同和多样化群体的研究。这些群体包括为有深刻和持久心理健康需求的人提供的康复和恢复服务，以及寻求庇护者的创伤、损失、悲伤和创伤后成长经历。"双重民族志 "是一种合作研究方法，可促进研究人员的自省和批判性反思，作者对 "双重民族志 "进行了一年多的跟踪研究，并提供了丰富的数据，对这些数据进行了分析。双人学对话提供了丰富的数据，这些数据被概念化为四个主题，现予以介绍和阐述：(i)治疗师必须承认和见证那些出现关系创伤的人的意义建构，并参与他们回忆、重复和克服创伤的不断发展的过程；(ii)治疗师必须从他们的治疗模式中明确治疗的目的或功能；(iii)关系创伤的特异性体验和处理的重要性；(iv)克服关系创伤的动态过程和可能阶段的多样性的重要性。这些主题支持对关系创伤实践的论证，以及对可能有助于治疗实践、培训和心理创伤学研究的不同方法的探索。本文最后反思了人权创伤知情方法如何在创伤工作中促进希望，并为心理创伤学治疗实践和创伤知情培训提出了建议。

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引用次数: 0

Exploring women's experiences of healing from sexual trauma through engagement in mind–body practices: A systematic review 探索女性通过身心实践治愈性创伤的经验：系统回顾

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-02-28 DOI: 10.1002/capr.12747

Molly Ann Nixon

Objective

This systematic review is the first to consolidate qualitative findings exploring women's healing experiences from sexual trauma through engagement in mind–body practices. This review aimed to expand our knowledge regarding the healing processes for sexual trauma and to help move towards further integration of holistic practices in trauma therapies.

Method

A methodical literature search was conducted using four databases: PsycINFO, Medline, CINAHL Plus and Scopus. After the initial search, 2392 records were assessed for eligibility. After screening, 11 articles remained and were analysed using thematic synthesis.

Findings

Data synthesis led to the conceptualisation of five main themes and three subthemes: (1) Integrating Mind and Body—(a) Reconnecting to the Body and (b) Processing Emotions; (2) Self-compassion; (3) Trauma-Sensitive Approach; (4) Connection—(a) Relationships Within the Group, (b) Safety in Relationships and (c) Spiritual Connection; and (5) Fun and Spontaneity.

Conclusions

The findings highlight the potential healing processes of body-based practices for women subjected to sexual violence. The review provides evidence for body-based practices focussing on holistic growth to be used in adjunction to therapy for sexual trauma. Limitations and future research are discussed.

本系统性综述首次整合了定性研究结果，探讨了女性通过参与身心疗法治愈性创伤的经验。该综述旨在扩展我们对性创伤愈合过程的了解，并帮助我们进一步将整体疗法融入创伤疗法中：我们使用以下四个数据库进行了有条不紊的文献检索：PsycINFO、Medline、CINAHL Plus 和 Scopus。经过初步检索，共有 2392 条记录通过了资格评估。经过筛选后，保留了 11 篇文章，并采用主题综合法对其进行了分析。数据综合后，形成了五个主要主题和三个次主题的概念：(1) 整合身心--(a) 与身体重新连接和 (b) 处理情绪；(2) 自我同情；(3) 创伤敏感方法；(4) 连接--(a) 小组内的关系，(b) 关系中的安全和 (c) 精神连接；以及 (5) 乐趣和自发性。研究结果强调了以身体为基础的实践对性暴力受害妇女的潜在治疗过程。该综述为以身体为基础、注重整体成长的实践提供了证据，可用于辅助性创伤治疗。还讨论了局限性和未来研究。

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引用次数: 0

‘Don't just magically assume you're going to get better as a therapist as time goes on’: An exploration of the use of deliberate practice 不要神奇地认为，随着时间的推移，你会成为一名更好的治疗师"：使用刻意练习的探索

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-02-28 DOI: 10.1002/capr.12746

Daryl Mahon

Purpose

Deliberate practice (DP) is an emerging concept in counselling and psychotherapy research that can be used to effectively help practitioners develop a host of therapy skills and processes. However, to date, no studies have examined its use in naturalistic settings with professionally qualified practitioners.

Methods

A qualitative descriptive approach using content analysis was employed with a purposive sample of international practitioners who were using DP in naturalistic settings. The sample consisted of therapists (N = 6) from five different countries, identifying as male (N = 5) and female (N = 1).

Results

Six categories were developed from qualitative interviews: (1) motivation for engaging in DP; (2) the impact of definition and operationalisation; (3) what to practice; (4) how to practice DP; (5) use of supports to develop DP; and (6) the emotional impact of DP. Deliberate practice is still in its infancy, and its definition may not translate into psychotherapy without modification. Participants described using DP to develop a host of psychotherapy skills and processes, and found support structures such as supervision and peers as helpful in the DP process. However, DP was also described as challenging to practice and it can cause those engaging in it to feel vulnerable and distressed. Implications are discussed for practice and future research.

Conclusion

Deliberate practice is an emerging method used by practitioners to improve their skill acquisition. However, a lack of consensus on its key features may limit the extent of its dissemination and utility to practitioners in naturalistic settings. Further research should seek to provide a definition of DP more consistent with the practice of psychotherapy, and how to operationalise DP using methods that are inclusive for all practitioners whilst acknowledging the potential impact it can have on their sense of self.

慎思实践（DP）是咨询和心理治疗研究中的一个新兴概念，可用于有效帮助从业人员发展一系列治疗技能和过程。本研究采用内容分析的定性描述方法，对在自然环境中使用 "刻意练习 "的国际从业人员进行了有目的的抽样调查。样本包括来自五个不同国家的治疗师（N = 6），分别为男性（N = 5）和女性（N = 1）。定性访谈共分为六个类别：（1）参与 "蓄意练习 "的动机；（2）定义和操作化的影响；（3）练习什么；（4）如何练习 "蓄意练习"；（5）使用支持发展 "蓄意练习"；以及（6）"蓄意练习 "的情感影响。刻意练习仍处于起步阶段，其定义可能无法不加修改地转化为心理疗法。参与者描述了使用 "刻意练习 "发展一系列心理治疗技能和过程的情况，并认为督导和同伴等支持结构对 "刻意练习 "过程很有帮助。然而，DP 也被描述为具有挑战性的实践，它可能会让参与其中的人感到脆弱和痛苦。讨论了对实践和未来研究的影响。然而，由于对其主要特征缺乏共识，可能会限制其在自然环境中的传播范围和对从业人员的实用性。进一步的研究应寻求提供更符合心理治疗实践的 "慎思实践 "定义，以及如何在承认 "慎思实践 "可能对从业者的自我意识产生潜在影响的同时，使用对所有从业者都具有包容性的方法来操作 "慎思实践"。

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引用次数: 0

Improved self- and relational regulation: The relationship with the client changes the therapist 改善自我调节和关系调节：与客户的关系改变治疗师

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-02-14 DOI: 10.1002/capr.12745

Olivia Rodrigues da Cunha, Luc Vandenberghe

Objectives

Several contemporary models of psychotherapy demand psychotherapists and counsellors to navigate an intensely personal involvement with clients. This study considers how this personal involvement impacts the clinician as a person.

Design

We interviewed practitioners about how working with clients in a one-on-one therapeutic setting changed them.

Methods

A grounded theory analysis of interviews with behavioural and cognitive therapists (N = 14; 9 women, 5 men) was carried out.

Results

Working with clients may improve practitioners' self-regulation by generating a clearer view of themselves, providing strategies for effective living and facilitating self-compassion. These changes are often either clinical work's unavoidable effects or gains from accidental exposure to clients' contents. Clinical work may also improve practitioners' relationships by demonstrating the value of and providing strategies for managing one's input in crucial relationships and non-judgemental acceptance. Improved relational regulation often occurs as unavoidable learning or results from intentional emulation. Both self-regulation and relational regulation may contribute to clinical competency. Professionals can also unintentionally reproduce client quirks and accidentally learn practical tips. Possible implications are discussed.

Conclusion

Clients' influence on counsellors and psychotherapists deserves attention in psychotherapy research, training and supervision.

当代的几种心理治疗模式都要求心理治疗师和咨询师与客户进行密切的个人接触。我们对从业人员进行了访谈，了解他们在一对一的治疗环境中与客户一起工作是如何改变自己的。我们对行为和认知治疗师（N = 14；9 名女性，5 名男性）的访谈进行了基础理论分析。与客户一起工作可能会提高从业人员的自我调节能力，让他们对自己有更清晰的认识，提供有效的生活策略，促进自我同情。这些变化往往是临床工作不可避免的影响，或者是偶然接触到客户内容后的收获。临床工作还可以通过展示关键关系中个人投入的价值和提供管理策略以及非评判性的接纳，改善从业者的人际关系。关系调节的改善往往是不可避免的学习，或者是有意模仿的结果。自我调节和关系调节都有助于提高临床能力。专业人员也可能无意中复制客户的怪癖，无意中学习到实用技巧。客户对咨询师和心理治疗师的影响值得心理治疗研究、培训和督导人员关注。

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引用次数: 0

Exploring experiences of online ‘pro-ana’ networks: An interpretative phenomenological analysis approach 探索在线 "亲安娜 "网络的经验：解释性现象分析方法

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-02-10 DOI: 10.1002/capr.12744

Jessica Sharman, Alison Rolfe, Tara Morrey

Objective

Online pro-ana communities encourage, rather than denounce, eating disorder (ED) behaviours. Most research analyses online pro-ana content. Fewer studies have interviewed bloggers directly. To the authors' knowledge, no previous studies have analysed both posts and interview data from pro-ana bloggers. This study aimed to explore bloggers' experiences of online pro-ana communities, analysing posts and interview data.

Method

Five pro-ana bloggers participated in semi-structured interviews over Skype or Telegram. Bloggers' posts and interview data were analysed using interpretative phenomenological analysis, a qualitative method of analysis that emphasises the detailed exploration of participants' individual experiences and how they make sense of these experiences.

Results

Five superordinate themes were identified: ambivalence towards pro-ana; social support; ‘Ana’ way of life; body/weight desperation; and hidden ED identity. Participants reported hiding their pro-ana blog, for fear of judgement from offline others. In contrast, participants experienced online pro-ana communities as a source of understanding, connection and solidarity that counteracted stigma experienced in the offline world. All participants idealised ‘Ana’ (anorexia), either as an admirable lifestyle or as the idealised, personification of anorexia, named ‘Ana’. Simultaneously, participants experienced pro-ana communities as deceptive and/or harmful, demonstrating ambivalence towards pro-ana.

Conclusions

Findings suggest that community and shared understanding are important to individuals accessing pro-ana content. Therapists may explore this further with clients, alongside any ambivalence towards pro-ana and/or alternative supportive environments, such as online support groups. This may reduce isolation, without idealising ED behaviours. Future research could explore bloggers' relationships with the personified ‘Ana’ and experiences of non-Western and male users.

网上支持厌食症的社区鼓励而非谴责饮食失调（ED）行为。大多数研究分析的是网上支持厌食症的内容。直接采访博主的研究较少。据作者所知，以前的研究还没有同时分析过亲厌食博主的帖子和访谈数据。本研究旨在通过分析博文和访谈数据，探讨博主在网络亲虚拟社区中的经历。五位亲虚拟社区博主通过 Skype 或 Telegram 参加了半结构化访谈。博主的帖子和访谈数据采用解释性现象学分析法进行分析，这种定性分析方法强调详细探讨参与者的个人经历以及他们如何理解这些经历。我们确定了五个首要主题：对亲ana 的矛盾心理；社会支持；"ana "的生活方式；对身体/体重的绝望；以及隐藏的 ED 身份。参与者报告说，他们隐藏了自己的亲安娜博客，因为他们害怕来自线下其他人的评判。与此相反，参与者认为网上的支持成人社区是理解、联系和团结的源泉，可以抵消线下世界的污名化。所有参与者都将 "Ana"（厌食症）理想化，要么将其视为一种令人钦佩的生活方式，要么将其视为厌食症的理想化和人格化，命名为 "Ana"。同时，参与者认为亲厌食症社区具有欺骗性和/或有害性，表现出了对亲厌食症的矛盾心理。研究结果表明，社区和共同理解对个人获取亲厌食症内容非常重要。治疗师可以与客户进一步探讨这一点，以及对亲虚拟社区和/或其他支持性环境（如在线支持小组）的矛盾心理。这样既可以减少孤独感，又不会将 ED 行为理想化。未来的研究可以探讨博主与人格化的 "安娜 "之间的关系，以及非西方和男性用户的体验。

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引用次数: 0

A multifamily group for adolescents with emotion regulation difficulties: Adolescent, parent and clinician experiences 针对有情绪调节困难的青少年的多家庭小组：青少年、家长和临床医生的经验

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-01-30 DOI: 10.1002/capr.12737

Ruth Cleary, Sharon Houghton, Claire O’Driscoll Lawrie, Clodagh Dowling, Kevin O'Hanrahan, Susan Devoy

Background

Dialectical behaviour therapy (DBT) has been successfully adapted for use with adolescents experiencing difficulties associated with the maladaptive undercontrol of emotion. However, clinical observation and research findings suggest that adolescents may exhibit traits of both undercontrol and overcontrol—where over-regulation of emotion predominates. In the adult population, distinct groups of individuals with under- and overcontrolled regulation styles can be identified, and treatments such as Group Radical Openness (GRO) have shown promise in treating difficulties associated with the latter. However, there are difficulties identifying distinct groups of under- and overcontrolled adolescents.

Aims

The present study therefore sought to qualitatively explore the experiences of participants (adolescents and parents) and facilitators of an intervention integrating DBT for adolescents’ skills training with GRO.

Method

Six adolescents, seven parents and six clinicians completed semi-structured interviews. Data were analysed using thematic analysis. Nine themes and six subthemes were generated.

Findings

Findings suggested that an intervention of this type may have particular utility for adolescents with emotion regulation difficulties in the context of both overcontrol and undercontrol. Participants described improvements in symptoms and relational functioning, which they attributed to the development of a shared language for communicating about emotion and the multifamily group context within which the intervention was delivered. Findings also emphasised the utility of rolling groups.

Discussion

Further research investigating the efficacy of this intervention is warranted. Strengths, limitations, future directions and implications for practice are discussed.

辩证行为疗法（DBT）已被成功地应用于遇到与适应不良的情绪控制不足有关的困难的青少年。然而，临床观察和研究结果表明，青少年可能同时表现出情绪控制不足和过度控制两种特征，其中情绪过度调节占主导地位。在成年人群中，可以识别出具有控制不足和控制过度两种调节方式的不同群体，而团体激进开放（GRO）等治疗方法在治疗与后者相关的困难方面已显示出前景。因此，本研究试图定性地探讨参与者（青少年和家长）的经验，以及将 DBT 青少年技能培训与 GRO 相结合的干预措施的促进者的经验。6 名青少年、7 名家长和 6 名临床医生完成了半结构化访谈。采用主题分析法对数据进行了分析。研究结果表明，在过度控制和控制不足的情况下，这种类型的干预可能对有情绪调节困难的青少年特别有用。参与者描述了症状和关系功能的改善情况，并将其归功于在情绪沟通方面形成的共同语言，以及实施干预的多家庭小组背景。研究结果还强调了滚动小组的效用。本文讨论了该干预措施的优点、局限性、未来发展方向和对实践的影响。

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引用次数: 0

Dissatisfied dropout from school-based humanistic counselling: A theory-building case series 不满学校人本主义辅导的辍学者：建立理论的案例系列

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-01-26 DOI: 10.1002/capr.12743

Emily Pattison, Mick Cooper

Introduction

Dissatisfied dropout costs services financially and impacts client well-being. Research is limited on reasons for dissatisfied dropout in adolescents. Preliminary research suggests it may be due to feeling uncomfortable with silences, not knowing what to talk about, or unresolved ruptures. This study aimed to understand and refine the theory about the reasons for adolescent dissatisfied dropout from school-based humanistic counselling (SBHC).

Method

A theory-building series of case studies was conducted with three dissatisfied dropout adolescent cases who received SBHC during a randomised controlled trial. Gaps in the theory were established by exploring the themes in one case. Testing and developing the theory with additional cases involved comparing themes and theory statements to case data. The final theory integrated data across the three cases.

Results

Therapeutic relationship difficulties and client factors were the principal, overlapping reasons for dissatisfied dropout. Relationship difficulties included a poor therapeutic alliance, the counsellor persisting with their own agenda, repetitive client/counsellor interactions with silences, the client not feeling able to trust the counsellor with a risk issue and a lack of knowledge about humanistic counselling. Client factors included the client's hesitancy and ambivalence to talk about their feelings in the counselling.

Conclusion

The results fitted with, but elaborated on and extended, the theory that a poor alliance, silences and misconceptions about counselling may lead to dissatisfied dropout. Emerging findings suggest the client's negative perception about disclosing their feelings and a lack of metacommunication about any difficulties in the therapeutic relationship may lead to dissatisfied dropout from SBHC.

不满意辍学会造成服务的经济损失，并影响服务对象的福祉。有关青少年不满意辍学原因的研究十分有限。初步研究表明，这可能是由于对沉默感到不自在、不知道该谈论什么，或尚未解决的破裂问题。本研究旨在了解和完善有关青少年从校本人文咨询（SBHC）中不满而辍学的原因的理论。在随机对照试验期间，对接受校本人文咨询的三个不满而辍学的青少年案例进行了一系列案例研究，以建立理论。通过探讨一个案例的主题，确定了该理论的不足之处。用更多的案例来检验和发展理论，包括将主题和理论陈述与案例数据进行比较。最后的理论综合了三个案例的数据。治疗关系困难和客户因素是造成不满意辍学的主要原因，两者相互重叠。治疗关系困难包括治疗联盟不佳、咨询师坚持自己的议程、客户与咨询师重复互动并保持沉默、客户感觉无法在风险问题上信任咨询师以及对人本主义咨询缺乏了解。客户因素包括客户在咨询中对谈论自己的感受犹豫不决和矛盾心理。研究结果与以下理论相吻合，并对其进行了阐述和扩展：不良的联盟关系、沉默和对咨询的误解可能会导致客户不满意地退出咨询。新的研究结果表明，求助者对公开自己的感受的消极看法，以及对治疗关系中的任何困难缺乏相互沟通，都可能导致他们不满意地退出 SBHC。

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引用次数: 0

Investigating the academic attainment and progress of children in receipt of individual counselling: A matched comparison study of primary school age children in England 调查接受个别辅导的儿童的学业成绩和进步情况：对英格兰小学学龄儿童的匹配比较研究

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-01-12 DOI: 10.1002/capr.12741

Katalin Toth, Sarah Golden, Pam Sammons

Introduction

In 2016, the UK government identified the need for counselling services in schools to be evidence-based (Department for Education, 2016). While there is more empirical evidence on counselling and improvement in mental health (Daniunaite et al., Counselling and Psychotherapy Research, 2015, 15, 251; Finning et al., European Child & Adolescent Psychiatry, 2022, 31, 1591), less is known about the associations of counselling with children's academic attainment and progress.

Method

The aim of the paper was to provide more pieces of evidence on the possible associations between school-based individual counselling and the academic attainment and progress of primary school–aged children. The academic outcomes of children receiving one-to-one counselling were compared with those of children who did not receive counselling, but who had similar background characteristics. Coarsened exact matching method was used to match similar children for these comparisons based on national data sets available in England. Data were analysed with inferential statistics and multilinear regression.

Findings

Before matching the samples, analyses revealed children attending Place2Be's counselling services were significantly more likely to be boys (56.6% vs. 51.1%), of ethnic minority origin (46.4% vs. 21.5%), eligible for free school meals (FSM; 52.7% vs. 16.9%) and have special educational needs and disabilities (SEND) status (43.1% vs. 21.1%) than the comparison group. They also had lower academic attainment than children who were not in counselling. However, after a coarsened exact matching on relevant background characteristics, the Place2Be sample was found to have similar levels of academic progress to the matched national sample, suggesting they did not fall behind similar children.

Conclusions

Findings indicate that individual school-based counselling may be helpful as a potential intervention for supporting vulnerable children's (defined as those identified by schools or parents as in need of individual counselling) academic progress in primary schools, as well as socio-emotional outcomes; however, further research is needed.

2016 年，英国政府确定学校的咨询服务需要以证据为基础（教育部，2016 年）。虽然有更多的实证证据表明，心理咨询有助于改善心理健康（Daniunaite等人，《咨询与心理治疗研究》，2015年，15期，251页；Finning等人，《欧洲儿童与青少年精神病学》，2022年，31期，1591页），但人们对心理咨询与儿童学业成绩和进步之间的关联了解较少。本文比较了接受一对一辅导的儿童与未接受辅导但背景特征相似的儿童的学业成绩。根据英格兰现有的国家数据集，采用精确匹配法对相似儿童进行匹配，以进行比较。在对样本进行匹配之前，分析结果显示，与对比组相比，接受 Place2Be 辅导服务的儿童更有可能是男孩（56.6% 对 51.1%）、少数族裔儿童（46.4% 对 21.5%）、有资格享受免费学校膳食（FSM；52.7% 对 16.9%）以及有特殊教育需求和残疾（SEND）（43.1% 对 21.1%）。他们的学业成绩也低于未接受辅导的儿童。研究结果表明，以学校为基础的个别辅导可能有助于支持弱势儿童（被学校或家长认定为需要个别辅导的儿童）在小学的学业进步和社会情感成果，但仍需进一步研究。

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引用次数: 0

Practitioner psychologists' perspectives on working with clients with psychosis in a South-East Asian city-state: A qualitative investigation 东南亚一个城市国家的从业心理学家对精神病患者工作的看法：定性调查

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-01-02 DOI: 10.1002/capr.12739

Siying Wen, Pawel D. Mankiewicz

Objective

Previous qualitative studies have investigated the experiences of undergoing an evidence-based psychotherapy for psychosis among individuals affected by such condition. However, the literature investigating the perspectives, experiences and needs of psychological practitioners providing the treatment remains considerably underrepresented. In the context of Asian cultures, where pervasive stigma towards psychosis and mental health services exists and interferes with proactive help-seeking, such research appears even more pertinent. To address the gap in the existing literature, this study utilised qualitative methodology to investigate the experiences of practitioner psychologists working with clients with psychosis in a South-East Asian city-state.

Method

Six fully qualified participants were recruited from the local mental health services via convenience sampling. Semi-structured qualitative interviews were conducted. Transcribed verbatim data were then subjected to inductive thematic analysis.

Results

Four superordinate themes emerged, as follows: therapeutic alliance, cognitive behavioural therapy for psychosis (CBTp) as primary approach, cultural influences and needs of practitioners.

Conclusions

Results indicated that both practitioner psychologists and their clients contributed collaboratively to the establishment of therapeutic alliance. Although CBTp was utilised as a principal psychotherapeutic approach, acceptance and commitment therapy (ACT) was also valued. Necessary adaptations in the treatment were reflected on to address the specificity of local cultures, including the use of language and addressing pervasive public stigma. The necessity of multidisciplinary collaboration, localised training and supervision was also expressed.

以往的定性研究调查了精神病患者接受循证心理治疗的经历。然而，对提供治疗的心理从业者的观点、经验和需求进行调查的文献仍然严重不足。在亚洲文化背景下，人们对精神病和心理健康服务普遍抱有成见，这妨碍了他们积极主动地寻求帮助。为了填补现有文献中的空白，本研究采用定性方法，调查了东南亚某城邦的心理医生在为精神病患者服务时的经验。研究人员通过方便抽样的方式从当地心理健康服务机构招募了六名完全合格的参与者，并进行了半结构化定性访谈。结果表明，从业心理学家和他们的客户共同为建立治疗联盟做出了贡献。尽管 CBTp 被用作主要的心理治疗方法，但接受与承诺疗法（ACT）也受到重视。针对当地文化的特殊性，对治疗方法进行了必要的调整，包括语言的使用和解决普遍存在的公众污名化问题。多学科合作、本地化培训和监督的必要性也得到了体现。

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引用次数: 0

Hindering events in psychotherapy with adolescents: A retrospective investigation of patients' recollection 青少年心理治疗中的阻碍事件：对患者回忆的回顾性调查

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-01-02 DOI: 10.1002/capr.12740

Alessia Calabrò, Luisa Cassera, Filippo Aschieri

Background

Adolescents often drop out of psychotherapy, with research indicating that almost half of adolescents abandon therapy prematurely. Authors have recommended that, in order to increase engagement and prevent dropout, it is important for clinicians to manage and maintain the therapeutic setting and the relationship.

Objective

This study was designed to investigate the impact of events that hinder the therapeutic alliance in psychotherapy with adolescents, with attention to the adolescents' experiences of these events, how such events were managed within the therapeutic relationship and consequences for the course of treatment.

Methods

Semi-structured interviews were conducted with adolescents and young adults who experienced negative events during their treatment.

Results

Following a structured thematic analysis, four main domains of hindering events were identified: (a) the nature of problems; (b) subjective experience; (c) response to the events; and (d) consequences of these events.

Conclusion

While there were some similarities between hindering events in adult psychotherapy and that undertaken with adolescents, findings indicate that working with adolescents presents specific challenges associated with limited independence that is typical of this stage of life, and this has implications for clinical practice.

青少年经常会放弃心理治疗，研究表明，近一半的青少年过早地放弃了治疗。本研究旨在调查阻碍青少年心理治疗中治疗联盟的事件的影响，关注青少年对这些事件的体验、如何在治疗关系中处理这些事件以及对治疗过程的影响：(虽然成人心理治疗中的阻碍事件与青少年心理治疗中的阻碍事件有一些相似之处，但研究结果表明，与青少年合作会面临一些特殊的挑战，这些挑战与这一人生阶段典型的有限独立性有关，这对临床实践有一定的影响。

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引用次数: 0