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Emotion-Focused Therapy for Resolving Emotional Injuries in Older Adults: A Hermeneutic Single-Case Efficacy Design Study 以情绪为中心的治疗解决老年人的情绪伤害:一项解释性的单例疗效设计研究
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-09 DOI: 10.1002/capr.70014
Bernardo Almeida, Sara Silva, Carla Cunha

Background

Recent years have seen significant growth in the psychological study of forgiveness in aging, with evidence indicating that forgiveness has the potential to facilitate a more positive aging process. Emotion-Focused Therapy (EFT) has emerged as a therapeutic approach with positive outcomes in treating various psychological issues, such as the resolution of emotional injuries. Yet, up until now, there are no preestablished EFT intervention protocols specifically designed to address the resolution of emotional injuries in older adults (above 65 years old).

Aims and Method

This study seeks to evaluate the effectiveness of an EFT protocol for resolving emotional injuries reported by an older adult. To conduct this evaluation, we employed the interpretive approach of the Hermeneutic Single-Case Efficacy Design. Both quantitative and qualitative data were collected at different times during the therapy and at two follow-up points.

Results

From the beginning of therapy to the second follow-up, the client's level of forgiveness and letting go improved. The quality of life score improved, and the depression score decreased.

Conclusions

The results corroborated significant changes regarding the resolution of client's emotional injuries throughout the psychotherapy sessions. This pioneering case study on EFT, aging, and forgiveness is discussed concerning its potential contributions for future research.

近年来,宽恕与衰老的心理学研究有了显著的增长,有证据表明宽恕有可能促进更积极的衰老过程。情绪聚焦疗法(EFT)作为一种治疗方法,在治疗各种心理问题,如情绪伤害的解决方面取得了积极的成果。然而,到目前为止,还没有预先建立的EFT干预方案,专门设计用于解决老年人(65岁以上)的情绪伤害。目的和方法本研究旨在评估EFT方案解决老年人报告的情绪伤害的有效性。为了进行评估,我们采用了解释性单例疗效设计的解释方法。在治疗期间的不同时间和两个随访点收集定量和定性数据。结果从治疗开始到第二次随访,患者的宽恕和放手水平有所提高。生活质量评分提高,抑郁评分降低。结论在心理治疗过程中,来访者情绪伤害的解决发生了显著的变化。这一开创性的EFT、衰老和宽恕的案例研究讨论了其对未来研究的潜在贡献。
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引用次数: 0
Predicting the Altruism of Counsellor Candidates in Terms of Cultural Sensitivity, Social Desirability and Emotional İntelligence 从文化敏感性、社会可取性和情感角度预测辅导员候选人的利他主义İntelligence
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-07 DOI: 10.1002/capr.70017
Gözde Şakar, Şerife Gonca Zeren

Introduction

Altruism, which is the subject of this research, generally means helping someone else without expecting anything in return. Counsellors assist other people as part of their jobs. This study examined the altruism of counsellor candidates in the context of cultural sensitivity, social desirability and emotional intelligence.

Method

The research included a total of 542 undergraduate students, 416 women and 126 men, studying in the Guidance and Psychological Counselling Department at foundation and state universities in Istanbul. The data for the study were collected with the Altruism Scale, Intercultural Sensitivity Scale, Good Impression Scale and Emotional Intelligence Trait Scale-Short Form. Multiple linear regression analysis, hierarchical regression analysis and structural equation modelling mediation analysis were used to analyse the data.

Results

The research concluded that the variables of cultural sensitivity, social desirability and emotional intelligence predicted the altruism of counsellor candidates. It was understood that the variance in altruism was explained most by cultural sensitivity, followed by social desirability and least by emotional intelligence. Psychological and social factors, particularly cultural sensitivity and social desirability, were found to be more effective than demographic variables in explaining altruism. Additionally, the SEM analysis indicated that cultural sensitivity mediated the relationship between emotional intelligence and altruism, while social desirability had a strong direct effect on altruism.

Conclusion

In line with the results of research, it is recommended to increase the number and amount of content of courses in which students will have more comprehensive knowledge about cultural infrastructure related to their awareness, empathy levels, realistic perspectives and interactions with different individuals. It is suggested that social responsibility projects, club activities and Erasmus opportunities that will support the aims mentioned, in addition to course achievements, are supported by both lecturers and the university administration.

利他主义是这项研究的主题,通常意味着帮助别人而不期望任何回报。辅导员帮助他人是他们工作的一部分。本研究考察了辅导员候选人在文化敏感性、社会可取性和情商背景下的利他主义行为。方法研究对象为伊斯坦布尔基础大学和州立大学指导与心理咨询系的542名本科生,其中女性416名,男性126名。本研究采用利他主义量表、跨文化敏感性量表、良好印象量表和情绪智力特质量表(短表)进行数据收集。采用多元线性回归分析、层次回归分析和结构方程模型中介分析对数据进行分析。结果研究发现,文化敏感性、社会期望度和情绪智力等变量可以预测咨询师候选人的利他行为。据了解,利他主义的差异主要是由文化敏感性解释的,其次是社会可取性,情商最低。研究发现,心理和社会因素,特别是文化敏感性和社会可取性,在解释利他主义方面比人口变量更有效。此外,扫描电镜分析表明,文化敏感性在情绪智力与利他主义之间起中介作用,而社会期望对利他主义有强烈的直接影响。根据研究结果,建议增加课程的数量和内容,让学生更全面地了解与他们的意识、同理心水平、现实观点和与不同个体的互动有关的文化基础设施。建议社会责任项目,俱乐部活动和伊拉斯谟机会将支持上述目标,除了课程成就,讲师和大学行政部门都支持。
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引用次数: 0
Insights From Roleplays With Standardised Patients and Live Supervision for Psychotherapy and Counselling Training—A Qualitative Study 从角色扮演与标准化患者和现场监督心理治疗和咨询培训的见解-定性研究
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-07 DOI: 10.1002/capr.70018
Jule Räuchle, Franziska Kühne, Antonia Zacharias, Greta Große, Florian Weck, Ulrike Maaß

Background

Live supervision (i.e., providing corrective feedback during therapeutic sessions) as well as roleplays are effective methods used to improve therapeutic skills in counselling and psychotherapy training. Importantly, substantial learning occurs beyond objective skill improvement. For this reason, the aim of the present study was to investigate subjective learning outcomes from roleplays with standardised patients with or without additional live supervision.

Methods

Using a content-structuring qualitative approach, semi-structured interviews with 36 psychology students (91.9% female, M = 26.7 years old, 81.0% bachelor's degree) who had previously participated in a randomised-controlled study comparing two training groups (roleplay, n = 18 vs. roleplay + live supervision, n = 18) were analysed.

Results

The students in the present study reported having learned basic communication and alliance skills, as well as conceptual knowledge. Training groups did not differ substantially in their main learning outcomes, yet the live supervision group uniquely reported learnings regarding summarising, ensuring the patient's understanding, and balancing spontaneity and structuring. The students endorsed live supervision for university teaching, and almost half of them felt that the feedback had a greater impact on their learning outcomes than the roleplays themselves.

Conclusion

Overall, the study highlights that students generated extensive knowledge about basic therapeutic skills from roleplays that were still salient up to 2 weeks later. However, only live supervision helped to put the subjectively acquired knowledge into observable skill improvement, as a comparison with the results of the randomised controlled study shows. Regarding the effectiveness of roleplays alone, it is important to offer students the opportunity for self-reflection between roleplay sessions.

现场监督(即在治疗过程中提供纠正反馈)和角色扮演是在咨询和心理治疗培训中提高治疗技能的有效方法。重要的是,实质性的学习超越了客观技能的提高。出于这个原因,本研究的目的是调查标准化患者角色扮演的主观学习结果,有或没有额外的现场监督。方法采用内容结构化定性方法,对36名曾参加过角色扮演训练组(n = 18)和角色扮演+现场监督训练组(n = 18)的心理学专业学生进行半结构化访谈分析,其中女性91.9%,M = 26.7,本科81.0%。结果本研究的学生掌握了基本的沟通和联盟技能,并掌握了基本的概念知识。训练组在主要的学习成果上并没有很大的不同,但是现场监督组在总结、确保患者理解、平衡自发性和结构化方面的学习情况是独一无二的。学生们支持大学教学的现场监督,几乎一半的人认为反馈对他们的学习成果的影响比角色扮演本身更大。总的来说,该研究强调学生从角色扮演中获得了关于基本治疗技能的广泛知识,这些知识在两周后仍然很突出。然而,与随机对照研究的结果相比,只有现场监督有助于将主观获得的知识转化为可观察到的技能提高。就角色扮演的有效性而言,在角色扮演课程之间为学生提供自我反思的机会是很重要的。
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引用次数: 0
Tolerance of Ambiguity, Perfectionism, and Counselling Self-Efficacy Among Trainee Counsellors in India 印度受训辅导员对模糊性、完美主义和辅导自我效能的容忍度
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-22 DOI: 10.1002/capr.70013
Pooja Raju, N. T. Sudhesh

Background

The presence of a wide gap between the need and availability of mental health counsellors has been a constant challenge in the Indian mental healthcare system. Considering the inherent complexity within the counselling profession and with literature evidence indicating that the fear stemming from the ambiguity of the counselling process, professional requirements, and internship experiences influences counsellors’ career decisions, it becomes crucial to focus on important factors at play.

Methods

This research aimed to investigate the relationships between tolerance of ambiguity, perfectionism, and counselling self-efficacy among trainee counsellors in India. A quantitative correlational cross-sectional design is employed. The participants constitute post-graduate students pursuing their final year of master's in counselling psychology, counselling specialization or applied psychology programmes. Participants were recruited using a purposive sampling technique (N = 435). The scales administered are as follows: (i) Multiple Stimulus Types Ambiguity Tolerance Scale-II (MSTAT-II), (ii) Multidimensional Perfectionism Scale (MPS) and (iii) Counsellor Activity Self-Efficacy Scale (CASES).

Findings

The findings indicate that intolerance of ambiguity significantly correlates negatively with counselling self-efficacy, as demonstrated by Pearson correlation analysis (r = −0.254, p < 0.001). Regression results showed that tolerance of ambiguity significantly predicted 6% of counselling self-efficacy. Furthermore, an independent samples t-test indicated gender differences, with female trainee counsellors (M = 37.6; SD = 6.84) having a higher tolerance of ambiguity than males (M = 34.9; SD = 6.85); and male trainee counsellors (M = 256.3; SD = 47.36) having higher counselling self-efficacy than females (M = 219.2; SD = 55.11), with a medium to large effect size.

Discussion

This study has implications for counsellor training and allows for a deeper understanding of counsellor self-efficacy, providing insight into the current status of counselling trainees in India. Efforts should be taken to reduce ambiguity in educational and training experiences and improve tolerance and self-efficacy among male and female trainees.

心理健康咨询师的需求和可用性之间存在巨大差距,这一直是印度精神卫生保健系统面临的挑战。考虑到咨询职业固有的复杂性,以及文献证据表明,咨询过程、专业要求和实习经历的模糊性所产生的恐惧会影响咨询师的职业决策,关注起作用的重要因素变得至关重要。方法本研究旨在调查印度实习咨询师歧义容忍度、完美主义与咨询自我效能的关系。采用定量相关截面设计。参与者包括攻读咨询心理学、咨询专业或应用心理学课程硕士学位最后一年的研究生。采用有目的的抽样技术招募参与者(N = 435)。使用的量表如下:(1)多重刺激类型模糊容忍量表(MSTAT-II),(2)多维完美主义量表(MPS)和(3)辅导员活动自我效能量表(CASES)。Pearson相关分析显示,不容忍模棱两可与咨询自我效能显著负相关(r = - 0.254, p < 0.001)。回归结果显示,歧义容忍度显著预测6%的咨询自我效能。此外,独立样本t检验显示性别差异,女性见习辅导员(M = 37.6;SD = 6.84)对歧义的容忍度高于男性(M = 34.9;sd = 6.85);男性见习辅导员(M = 256.3;SD = 47.36)的心理咨询自我效能感高于女性(M = 219.2;SD = 55.11),效应量中到大。本研究对咨询师培训具有启示意义,并允许更深入地了解咨询师自我效能感,为印度咨询学员的现状提供见解。应努力减少教育和培训经验的模糊性,提高男女受训者的容忍度和自我效能。
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引用次数: 0
Factors Associated With Marital Satisfaction of Lesbian, Gay, and Bisexual People During the COVID-19 Pandemic COVID-19 大流行期间女同性恋、男同性恋和双性恋者婚姻满意度的相关因素
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-20 DOI: 10.1002/capr.70010
Patrícia Oliveira Lima, Aline Nogueira de Lira, Ananda Reis Tavares, Normanda Araujo de Morais

Introduction

This study investigated the factors associated with the marital satisfaction of lesbian, gay, and bisexual (LGB) individuals during the COVID-19 pandemic.

Methods

Study participants were 268 people (M = 31.63 years of age; SD = 8.33), who self-reported as lesbian (n = 112; 41.8%), gay (n = 85; 31.7%) or bisexual (n = 71; 26.5%). Of these, 124 (46.3%) reported being cisgender men, and 144 (53.7%) were cisgender women. Participants completed the following online instruments: a sociodemographic questionnaire, the Internalised Homophobia Scale, the COVID-19 Family Environment Scale (CHES) the Distress Scale, and the Golombok Rust Inventory of Marital State.

Results

Results demonstrated that experiencing pre-pandemic contextual and individual vulnerabilities (internalised homophobia, psychological distress, being male, gay, or non-white), coupled with pandemic-related external stressors (working from home) and (un)adaptive processes during the pandemic (conflict and cohesion), negatively impacted the marital satisfaction of LGB individuals.

Conclusions and Policy Implications

This study provides a broader view of how LGB individuals experienced marital relationships during the pandemic, highlighting aspects that may either exacerbate or mitigate the potential adverse effects of the pandemic crisis on relationships.

本研究旨在调查2019冠状病毒病(COVID-19)大流行期间女同性恋、男同性恋和双性恋(LGB)个体婚姻满意度的相关因素。方法研究对象为268人(M = 31.63岁;SD = 8.33),自述为女同性恋者(n = 112;41.8%),同性恋(n = 85;31.7%)或双性恋(n = 71;26.5%)。其中124人(46.3%)为顺性男性,144人(53.7%)为顺性女性。参与者完成了以下在线工具:社会人口调查问卷、内化同性恋恐惧症量表、COVID-19家庭环境量表(CHES)、痛苦量表和Golombok Rust婚姻状态量表。结果表明,经历大流行前的环境和个人脆弱性(内化的同性恋恐惧症、心理困扰、身为男性、同性恋或非白人),再加上大流行期间与大流行相关的外部压力(在家工作)和(非)适应性过程(冲突和凝聚力),对LGB个体的婚姻满意度产生了负面影响。这项研究提供了一个更广泛的视角,了解LGB个人在大流行期间如何经历婚姻关系,突出了可能加剧或减轻大流行危机对婚姻关系的潜在不利影响的方面。
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引用次数: 0
Psychotherapists' Endorsement of Traditional Masculinity Ideologies and Their Assessment of Gender Differences in the Treatment of Depressive Disorders 心理治疗师对传统男性意识形态的认同及其对抑郁症治疗中性别差异的评估
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-20 DOI: 10.1002/capr.70008
Flora Logoz, Lukas Eggenberger, Michèle Schneeberger, Andreas Walther

Background

Psychotherapists differ in their treatment success depending on the patient's gender, with men being a challenging patient group for many psychotherapists. On the patient's side, traditional masculinity ideologies (TMI) have been linked to atypical symptom presentation in depression, reduced psychotherapy use, poorer therapy engagement and increased risk for psychotherapy dropout. However, the association between therapists' endorsement of TMI and their assessment of gender differences in the treatment of depressive disorders has never been investigated.

Methods

A total of 438 therapists (psychological psychotherapists or psychiatrists) from Switzerland, Germany and Austria completed an online questionnaire about their endorsement of TMI and their perceived differences in psychotherapy success in female and male depression patients.

Results

Most therapists reported no difference in their perceived treatment success for depression therapy between men and women (n = 283, 65%). However, the vast majority of the 155 (35%) psychotherapists who reported a difference in treatment success disfavoured men (n = 118, 27%) as compared to women (n = 37, 8%). Psychotherapists who disfavoured men also reported stronger endorsement of TMI as compared to psychotherapists who reported no perceived gender differences in psychotherapy success.

Conclusion

Our results reveal a group of psychotherapists (high in TMI) that perceive men with depression as harder to treat than female patients with depression. Previous findings on therapist effects suggest that this bias has a negative impact on psychotherapy outcomes in male patients. Therefore, it is important that clinicians recognise how their endorsement of TMI may bias their assessment, potentially disadvantaging male patients with depression.

背景 心理治疗师根据患者的性别不同,其治疗的成功率也不同,对于许多心理治疗师来说,男性患者是一个具有挑战性的患者群体。在患者方面,传统男性意识形态(TMI)与抑郁症的非典型症状表现、心理治疗使用率降低、治疗参与度降低以及心理治疗辍学风险增加有关。然而,治疗师对 TMI 的认可与他们对抑郁障碍治疗中性别差异的评估之间的关联却从未被研究过。 方法 共有来自瑞士、德国和奥地利的 438 名治疗师(心理治疗师或精神科医生)填写了一份在线问卷,内容涉及他们对 TMI 的认可度以及他们对女性和男性抑郁症患者心理治疗成功率差异的看法。 结果 大多数治疗师表示,他们认为男女抑郁症治疗的成功率没有差异(n = 283,65%)。然而,在 155 名(35%)报告治疗成功率存在差异的心理治疗师中,绝大多数不看好男性(n = 118,27%),而看好女性(n = 37,8%)。与认为心理治疗成功率没有性别差异的心理治疗师相比,不喜欢男性的心理治疗师也更认可 TMI。 结论 我们的研究结果表明,有一类心理治疗师(TMI 高)认为男性抑郁症患者比女性抑郁症患者更难治疗。之前关于治疗师效应的研究结果表明,这种偏见会对男性患者的心理治疗结果产生负面影响。因此,临床医生必须认识到他们对 TMI 的认可可能会使他们的评估出现偏差,从而可能对男性抑郁症患者造成不利影响。
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引用次数: 0
Global Approaches to Supporting Mental Health and Resettlement for Veterans With Embodied Trauma: A Comprehensive Scoping Review 支持退伍军人心理健康和安置的全球方法具有具体化的创伤:一个全面的范围审查
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-14 DOI: 10.1002/capr.70011
Charlotte O'Brien, Aisha Akeel, Grace McCormick, Scott Cole, Divine Charura

Objectives

Military veterans face significant holistic challenges when leaving military services and resettling back into the community. Recent research has shown that veterans experience higher rates of mental health difficulties than the general population and experience poorer treatment outcomes. The aim of this comprehensive scoping review was to map out the current therapeutic interventions used to support mental health care and resettlement for veterans across the globe, proposing key themes, noting any gaps and limitations.

Method

We followed a five-staged scoping review protocol to map the existing landscape of the veteran mental health research literature regarding therapeutic and resettlement interventions, identifying key themes by: (1) identifying the research question, (2) identifying the relevant literature, (3) selecting the studies, (4) charting the data and (5) collating, summarising, and reporting the results.

Results

Results show a decline in publications regarding veteran mental health and resettlement interventions since 2018, the Americentric, ‘WEIRD’ nature of the research base, and preference for individualised, technology-based psychological interventions, with a lack of culturally-informed, community-focused, relational research.

Conclusion

This work highlights an urgent need for further non-Westernised research into holistic psychological interventions which relationally support the culturally diverse needs of veterans resettling back into their communities across the globe. It also advocates for a holistic bio-psycho-social-sexual-spiritual-existential approach to the needs of each veteran, using a culturally-informed, relational and community-based assessment, formulation, and treatment plan for embodied trauma, moving beyond the pathologisation of dis-ease, and mobilising the traumatised self back into the body, relationship and community.

目标 退伍军人在离开军队并重返社区时,面临着巨大的整体挑战。最近的研究表明,退伍军人的心理健康困难率高于普通人群,治疗效果也较差。本次综合范围界定综述的目的是对当前用于支持全球退伍军人心理健康护理和重新安置的治疗干预措施进行梳理,提出关键主题,并指出存在的差距和局限性。 方法 我们遵循五阶段范围界定综述协议,绘制了退伍军人心理健康研究文献中有关治疗和安置干预措施的现有图景,并通过以下方式确定了关键主题:(1)确定研究问题;(2)确定相关文献;(3)选择研究;(4)绘制数据图表;(5)整理、总结并报告结果。 结果 结果显示,自 2018 年以来,有关退伍军人心理健康和安置干预措施的出版物有所减少,研究基础具有以美国为中心的 "WEIRD "性质,偏好个性化、基于技术的心理干预措施,缺乏以文化为基础、以社区为重点的关系研究。 结论 本研究强调,迫切需要进一步开展非西方化的整体心理干预研究,通过关系支持全球各地退伍军人重返社区的不同文化需求。它还提倡采用生物-心理-社会-性-精神-存在的整体方法来满足每个退伍军人的需求,使用以文化为基础、以关系和社区为依托的方法来评估、制定和治疗体现性创伤的计划,超越将疾病病理化的做法,动员受创伤的自我重返身体、关系和社区。
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引用次数: 0
Application and Analysis of the Effectiveness of the STEPPS Programme in Patients With BPD, Extended to Their Families Through the Family Connections Programme: Study Protocol of a Randomised Controlled Trial STEPPS计划在BPD患者中的应用和有效性分析,通过家庭联系计划扩展到他们的家庭:一项随机对照试验的研究方案
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-14 DOI: 10.1002/capr.12905
Christian López-Cruz, Heliodoro Marco, Jorge Grimaldos, Paz García, Verónica Guillén, Patricia Montejano, Soledad Quero

Background

This study investigates Borderline Personality Disorder (BPD), one of the main challenges in mental health care. The main objectives are to determine whether the combined use of established treatments for patients with BPD and their families leads to significant improvement in both groups. In addition, the acceptance and implementation of both programmes, as well as their feasibility, will be evaluated.

Methods

Participants will be randomly assigned to two treatment conditions: (1) STEPPS programme for patients and Family Connections programme (FC) for relatives; and (2) only STEPPS for patients. Qualified professionals from the University Hospital of La Ribera will perform the diagnosis of BPD, based on the DSM-5 criteria, using the SCID-II interview. The instruments used as primary outcome measures for participants will be: the Borderline Symptom List 23 (BSL-23), the Acquired Capability with Rehearsal for Suicide Scale (ACWRSS), and a critical incident registry. The main outcome measures for the family members will be: the Burden Assessment Scale (BAS), the Family Empowerment Scale (FES), and a critical incident registry. The protocol will include pre- and post-treatment evaluations and follow-up after 6 months.

Discussion

This approach responds to the need found in scientific literature to involve families in the treatment of BPD to improve the quality of the intervention and represent an advancement in the treatment of the disorder. This study will be the first randomised controlled trial (RCT) designed to intervene simultaneously in both populations, patients and relatives, and demonstrate the effectiveness and feasibility of the treatment in a real clinical setting.

背景本研究探讨边缘性人格障碍(BPD)是精神卫生保健的主要挑战之一。主要目的是确定对BPD患者及其家属联合使用现有治疗方法是否会导致两组患者的显著改善。此外,将评价这两个方案的接受和执行情况及其可行性。方法将参与者随机分配到两种治疗条件中:(1)患者steppps计划和亲属家庭联系计划(FC);(2)患者仅使用STEPPS。来自La Ribera大学医院的合格专业人员将根据DSM-5标准,使用SCID-II访谈对BPD进行诊断。作为参与者主要结果测量的工具将是:边缘性症状表23 (BSL-23)、自杀预演获得性能力量表(ACWRSS)和关键事件登记册。对家庭成员的主要结果测量将是:负担评估量表(BAS)、家庭赋权量表(FES)和重大事件登记册。该方案将包括治疗前和治疗后的评估以及6个月后的随访。这种方法回应了科学文献中发现的让家庭参与BPD治疗以提高干预质量的需求,并代表了该疾病治疗的一种进步。这项研究将是第一个设计在人群、患者和亲属中同时进行干预的随机对照试验(RCT),并在真实的临床环境中证明治疗的有效性和可行性。
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引用次数: 0
Exploring Black Women's Experiences in Psychotherapeutic Training and Practice in the UK 英国黑人女性心理治疗培训与实践经验探索
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-08 DOI: 10.1002/capr.70009
Melissa McCallum, Victoria Clarke

Background

Discussions around racial disparities and injustice have gained increasing prominence in psychotherapy and counselling research. However, research in this area has been criticised for its omission of Black women's experiences, including as counsellors and psychotherapeutic practitioners.

Aims

This study explored and centred the experiences of Black women within therapeutic training and practice and particularly their navigation of gendered racism within training and clinical roles.

Materials & Methods

Informed by the frameworks of critical race theory and Black feminist thought, this qualitative study used interviews, focus groups, and qualitative surveys to capture the experiences of 15 Black women (11 trainee and 4 qualified therapeutic practitioners).

Results

We found that there is subtle racism in psychotherapeutic training and practice that hinders Black women's sense of belonging and professional development. The women's accounts highlighted how marginalised perspectives can be used to critique psychotherapeutic training and services, but participants faced silencing through victimisation after self-advocating. The participants felt a sense of hypervisibility for their differences while also being excluded and overlooked for the same differences.

Discussion

The study provides insights for educational institutions and professional bodies to foster inclusive practice for Black women in the counselling and psychotherapy profession.

Conclusion

The data suggest that further research is needed that centres the experiences of Black women as therapeutic trainees and practitioners. Further research on white privilege in psychotherapeutic training and leadership, and examining resistance to changing current oppressive structures, is also needed.

关于种族差异和不公正的讨论在心理治疗和咨询研究中越来越突出。然而,这一领域的研究被批评为忽略了黑人女性的经历,包括作为咨询师和心理治疗从业者的经历。本研究探索并集中了黑人妇女在治疗培训和实践中的经历,特别是她们在培训和临床角色中对性别种族主义的导航。材料,方法在批判性种族理论和黑人女权主义思想的框架下,本定性研究采用访谈、焦点小组和定性调查的方法来捕捉15名黑人女性(11名培训生和4名合格的治疗从业者)的经历。结果心理治疗培训与实践中存在着微妙的种族歧视,阻碍了黑人女性的归属感和职业发展。这些女性的描述强调了边缘化的观点是如何被用来批评心理治疗培训和服务的,但参与者在自我宣传后却面临着受害者的沉默。参与者对自己的差异有一种高度可见的感觉,同时也因为同样的差异而被排斥和忽视。该研究为教育机构和专业团体提供了见解,以促进黑人妇女在咨询和心理治疗行业的包容性实践。结论这些数据表明,需要进一步研究黑人妇女作为治疗培训生和实践者的经验。还需要进一步研究心理治疗培训和领导中的白人特权,以及对改变当前压迫结构的抵制。
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引用次数: 0
Examining the Relationships Between Existential Fulfilment, Professional Quality of Life, and Self-Efficacy Among Counsellors, Physicians, and Nurses in Healthcare Settings 在医疗保健机构的咨询师、医生和护士中检验存在满足、职业生活质量和自我效能之间的关系
IF 1.2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-08 DOI: 10.1002/capr.70012
Othman A. Alfuqaha

Background

Existential fulfilment (EF), professional quality of life (ProQol) and self-efficacy (SE) have important roles in meaning in life, mental health status and enhancing decision-making among healthcare professionals (HCPs) in healthcare settings.

Aims

This study examined the relationships between EF, ProQol and SE among counsellors, physicians and nurses. Furthermore, it investigated their differences based on selected variables and examined the predictors of EF, ProQol and SE based on different demographic factors.

Materials and Methods

A cross-sectional correlational design was conducted with 481 participants (counsellors = 147, physicians = 162 and nurses = 172). This study used a convenience sample method to recruit participants from October to December 2023.

Results

Results found that counsellors had the highest levels of compassion satisfaction (CS) and SE, and lower levels of burnout (BO) and secondary traumatic stress (STS) compared to nurses and physicians. Physicians had the highest BO levels, while nurses had the highest STS levels. Physicians had the highest levels of all EF dimensions, followed by nurses. There were statistically significant differences (p < 0.05) among all HCPs based on ProQol and EF dimensions. Educational level, age and gender were found to be the main predictors of EF dimensions, ProQol dimensions and SE.

Conclusion

Urgent psychological interventions are warranted to tackle the problem of BO and STS among physicians and nurses, while EF levels among counsellors should be investigated in further studies to understand the reasons behind these findings.

背景 存在满足感(EF)、专业生活质量(ProQol)和自我效能感(SE)对医疗机构中医护专业人员(HCPs)的生活意义、心理健康状况和提高决策能力具有重要作用。 研究目的 本研究探讨了辅导员、医生和护士的 EF、ProQol 和 SE 之间的关系。此外,本研究还根据选定的变量调查了他们之间的差异,并根据不同的人口统计学因素研究了预测 EF、ProQol 和 SE 的因素。 材料与方法 对 481 名参与者(咨询师=147 人、医生=162 人、护士=172 人)进行了横断面相关设计。本研究采用方便抽样法,在 2023 年 10 月至 12 月期间招募参与者。 结果 结果发现,与护士和医生相比,辅导员的同情满意度(CS)和SE水平最高,职业倦怠(BO)和继发性创伤压力(STS)水平较低。医生的职业倦怠(BO)水平最高,而护士的继发性创伤压力(STS)水平最高。在所有 EF 维度上,医生的水平最高,其次是护士。根据 ProQol 和 EF 维度,所有 HCP 之间存在统计学意义上的显著差异(p < 0.05)。教育水平、年龄和性别是预测 EF 维度、ProQol 维度和 SE 的主要因素。 结论 需要采取紧急心理干预措施来解决医生和护士的 BO 和 STS 问题,同时应进一步研究辅导员的 EF 水平,以了解这些发现背后的原因。
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引用次数: 0
期刊
Counselling & Psychotherapy Research
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