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Infertility Among Counselor Education and Supervision Doctoral Students: Expectations, Experiences, and Knowledge 辅导教育和督导博士生的不孕症:期望、经验和知识
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-04-24 DOI: 10.1177/10664807231163241
Andrew Ansell, Eman Tadros
Females are disproportionately affected by infertility, and Counselor Education and Supervision (CES) doctoral students are predominantly female. Using phenomenological approach female CES doctoral students with infertility diagnoses were interviewed. Six themes emerged from the interviews: younger is better for conception; familial and societal messages; infertility knowledge; triggers; academics and infertility; something wrong with me, regret, and others don’t understand. Clinical implications and future directions are provided to promote social justice by bringing awareness and amplifying the voices of people suffering from a disability and a disease that is rarely recognized as either.
女性受不孕不育的影响尤为严重,咨询教育与监督(CES)博士生主要是女性。采用现象学方法对被诊断为不孕不育的女性CES博士生进行了访谈。采访中出现了六个主题:越年轻越有利于受孕;家庭和社会信息;不孕不育知识;触发器;学术与不孕不育;我出了问题,后悔了,别人不理解。提供了临床意义和未来方向,通过提高残疾和一种很少被承认的疾病患者的意识和扩大他们的声音来促进社会正义。
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引用次数: 0
Gender and Content Differences in Domain and Focus of Homework Used in Couple Therapy 夫妻治疗中家庭作业的领域和焦点的性别和内容差异
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-04-20 DOI: 10.1177/10664807231168857
K. Mennenga, R. Tambling, L. Johnson, Shayne R Anderson
The assignment of tasks, or therapeutic homework, by a mental health professional for clients to complete provides clients with an opportunity to practice targeted skills or apply lessons learned in therapy sessions to practical situations. While the assignment of homework by mental health professionals is commonplace, less is known about the content domain of homework, or how homework might be distributed in terms of focus or actor. We present the results of an examination of the gender, focus, and thematic content distributions for individuals of homework tasks in a sample of (n = 66) individuals in heterosexual couples engaged in couple therapy. Findings suggested that most of the between-session activities completed are specific and clear in nature and are focused on skill-building tasks. The outcome of the homework was nearly equally split between couples and individuals, suggesting that participants, while in couple therapy, were also engaged in some personal development. Women reported more self-improvement work compared to men, and men reported more behavioral targeted in-between session activities. Findings provided a preliminary indication that much of the work done by clients between sessions did not seem to have been explicitly assigned by a therapist. Implications for therapists and suggestions for homework provision are discussed.
心理健康专家给来访者布置的任务或治疗性家庭作业,为来访者提供了一个练习目标技能或将治疗过程中学到的经验应用于实际情况的机会。虽然心理健康专业人员布置家庭作业是司空见惯的,但对家庭作业的内容领域知之甚少,或者家庭作业如何在焦点或参与者方面进行分配。我们提出了一项对(n = 66)异性恋夫妇中从事夫妻治疗的个体的家庭作业任务的性别、焦点和主题内容分布的检查结果。调查结果表明,大多数在会议间隙完成的活动性质都是具体和明确的,重点是技能建设任务。家庭作业的结果在夫妻和个人之间几乎平分,这表明参与者在接受夫妻治疗的同时,也在进行一些个人发展。与男性相比,女性报告了更多的自我提升工作,而男性报告了更多的针对性行为活动。研究结果提供了一个初步的迹象,即来访者在治疗间隙所做的大部分工作似乎并没有得到治疗师的明确分配。对治疗师的启示和家庭作业的建议进行了讨论。
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引用次数: 0
The Secondary Impact of Mild Traumatic Brain Injury: An Interpretative Phenomenological Analysis of the Experiences of Family Members 轻度颅脑损伤的二次影响:家庭成员经历的解释性现象学分析
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-04-06 DOI: 10.1177/10664807231164421
James Gamgee, Jessica Runacres, A. Norman, P. Pradhan
Mild traumatic brain injury (mTBI), with symptoms beyond 3 months, may be more common than previously believed, but is poorly understood. This has resulted in contradictory and confused information for service users, which has had an impact on those with mTBI and their families. This qualitative study aimed to improve understanding of the lived experiences of families of people with mTBI, with symptoms beyond 3 months. It extends a previous study, which focussed on all degrees of traumatic brain injury (TBI) (mild, moderate, and severe). Four individuals participated in semi-structured, virtual interviews. Following an interpretative phenomenological analysis (IPA), three superordinate themes were identified: (1) Going round in circles, (2) The second secondary impact, and (3) Dialogue with myself. Findings indicate that families of people with mTBI, with symptoms beyond 3 months, may experience many of the same challenges as families of people with moderate or severe TBI, albeit at a lesser intensity. This includes difficulty making sense of TBI and challenges to their identity, both of which mirror the comparator TBI study findings. However, findings also indicated that this group may experience different challenges to families of people with moderate or severe TBI, aspects of which have not previously been reported. Feelings of ambiguous loss may be increased by incongruity between information provided and families’ experiences, and by the varied availability and content of information. Implications for service providers are that consistent, transparent, and realistic information and education may aid adjustment and assist families to support people with mTBI.
轻度创伤性脑损伤(mTBI)症状超过3个月,可能比以前认为的更常见,但人们对此知之甚少。这给服务用户带来了矛盾和混乱的信息,对mTBI患者及其家人产生了影响。这项定性研究旨在提高对症状超过3个月的mTBI患者家庭生活经历的理解。它扩展了之前的一项研究,该研究专注于所有程度的创伤性脑损伤(TBI)(轻度、中度和重度)。四个人参加了半结构化的虚拟访谈。根据解释性现象学分析(IPA),确定了三个上级主题:(1)兜圈子,(2)第二次次要影响,以及(3)与我自己的对话。研究结果表明,症状超过3个月的mTBI患者的家属可能会经历与中度或重度TBI患者家属相同的许多挑战,尽管强度较小。这包括理解TBI的困难和对其身份的挑战,这两者都反映了比较TBI研究的结果。然而,研究结果也表明,这一群体可能会对中度或重度TBI患者的家庭面临不同的挑战,这些方面以前尚未报道。所提供的信息与家庭经历之间的不一致,以及信息的可用性和内容的多样性,可能会增加模糊的失落感。对服务提供者的影响是,一致、透明和现实的信息和教育可能有助于调整,并帮助家庭支持mTBI患者。
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引用次数: 0
Helping Grieving Mothers Guide Their Children Through the Grief Process 帮助悲伤的母亲引导孩子度过悲伤的过程
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-04-03 DOI: 10.1177/10664807231166082
Laurel Shaler, Capri Brooks, S. Kuba, Sarah Kitchens
This article is written to help counselors as they work with grieving mothers in their efforts to guide their children through the grief process while grieving themselves. It begins with a self-evaluation for counselors followed by an overview of the variances in grief between children, adolescents, and adults. Particular attention is paid to a newer aspect of grief study, which is thanatechnology. Following this overview, the article narrows in on the experiences of grieving mothers, leading to a discussion on specific counseling interventions as well as examples. Finally, a brief case study is provided for application purposes.
这篇文章是为了帮助咨询师与悲伤的母亲一起努力引导孩子在悲伤的同时度过悲伤的过程。它首先对辅导员进行自我评估,然后概述儿童、青少年和成年人之间悲伤的差异。人们特别关注悲伤研究的一个新方面,那就是技术。在这篇综述之后,文章缩小了悲伤母亲的经历范围,并讨论了具体的咨询干预措施和例子。最后,提供了一个简单的案例研究,以供应用。
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引用次数: 0
Treating Adolescents With Opioid Use Disorder: A Medication-Assisted Treatment Approach 治疗青少年阿片类药物使用障碍:一种药物辅助治疗方法
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-28 DOI: 10.1177/10664807231164419
B. Russ, Jessica D. Gorham
With drug-related overdose death involving opioids hitting record numbers in 2021, clinical mental health counselors (CMHCs) need to be prepared to address the needs of adolescent clients with opioid use disorder (OUD). Adolescent populations with OUD have significant risk factors and poor outcomes and are at elevated risk for an opioid-related overdose due to surges in high-potency opioids. Medication-assisted treatment (MAT) has been an evidenced-based treatment option for adolescents that combines pharmacotherapy and behavioral therapies to treat OUD. This article reviews the adolescent MAT literature and provides clinical implications for CMHCs working with adolescent populations diagnosed with OUD. The medications and behavioral therapies utilized in MAT are highlighted in this article, and a case study provides additional context.
随着2021年涉及阿片类药物的药物相关过量死亡人数达到创纪录水平,临床心理健康咨询师(CMHCs)需要做好准备,以满足患有阿片类药物使用障碍(OUD)的青少年客户的需求。患有OUD的青少年人群具有显著的风险因素和不良结果,并且由于强效阿片类药物的激增,阿片类药物过量的风险增加。药物辅助治疗(MAT)是一种基于证据的治疗选择,结合药物治疗和行为治疗来治疗青少年OUD。本文回顾了青少年MAT文献,并提供了CMHCs在诊断为OUD的青少年人群中的临床意义。本文强调了MAT中使用的药物和行为疗法,并通过案例研究提供了额外的背景。
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引用次数: 0
The Ultimate Trauma: A Murdered Child Counseling Considerations 终极创伤:一个被谋杀儿童的心理咨询
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-22 DOI: 10.1177/10664807231164420
J. Atwood, Kristin Schaefer-Schiumo, Ashlyn Russo
Nothing is more devastating to a family than the death of their child. A sudden death due to a violent crime such as murder including school shootings can be life-shattering. According to socially prescribed and predictable scripts, children are supposed to outlive their parents. When a child dies before the parent, the blueprint for one's life journey is backwards, leaving no prescribed plan to guide the family through life. When the death occurs as a result of murder, it is even more devastating. This article explores this backward script of a child dying before his or her parents because of murder and the resulting journey the family faces. It first examines the incidences of murdered children and then explores some possible barriers to the healing process. Next, the concept of scripts is explored, exploring different death scripts. The effect of a murdered child on the marital role, the parental role, and siblings is also presented. Psychological reactions are discussed and counseling considerations are presented. Counseling implications are considered throughout. This journey is demonstrated through the experiences of Cameron's family, Cameron was a 16-year-old adolescent who was murdered. This case history is fictitious and was developed to illustrate points in the paper. It is in no way related to any individual or family.
对一个家庭来说,没有什么比孩子的死亡更具有毁灭性的了。因校园枪击案等暴力犯罪而突然死亡的人,一生都会崩溃。根据社会规定和可预测的脚本,孩子应该比父母更长寿。当一个孩子先于父母去世时,一个人的人生蓝图就会倒退,没有规定的计划来指导家庭的生活。如果死亡是由谋杀造成的,那就更具毁灭性了。这篇文章探讨了这个倒退的剧本,一个孩子死在他或她的父母之前,因为谋杀和由此产生的旅程的家庭面临。它首先调查了被谋杀儿童的发生率,然后探讨了治疗过程中可能存在的一些障碍。其次,探讨了剧本的概念,探讨了不同的死亡剧本。被谋杀的孩子对婚姻角色、父母角色和兄弟姐妹的影响也被提出。心理反应进行了讨论,并提出了咨询考虑。咨询的影响是考虑贯穿始终。这段旅程是通过卡梅伦的家庭经历来展示的,卡梅伦是一个16岁的青少年,他被谋杀了。这个案例历史是虚构的,是为了说明本文的观点而开发的。它与任何个人或家庭都没有任何关系。
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引用次数: 0
Military Spouse Mental Health Outcomes After Receiving Short-Term Counseling Services 军人配偶接受短期咨询服务后的心理健康结果
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-21 DOI: 10.1177/10664807231163259
Elizabeth A. Prosek, Elizabeth E. Burgin, K. L. Pierce, Warren N. Ponder
Research related to military spouses accessing community-based mental health care is limited. Evaluations identifying outcomes of anxiety, depressive symptoms, and resilience are scant. In this study, 71 military partners and spouses (age M = 39.79, SD = 11.32; 97.2% women) receiving counseling services at a nonprofit agency completed self-report measures of anxiety, depressive symptoms, and resilience pre–post a 6-week intervention. Less depressive symptoms predicted higher resilience at intake of services, with medium statistical significance. In pre–post analysis, no statistically significant changes were noted to anxiety, depressive symptoms, or resilience, with small to medium effect sizes and unimproved conditions with no clinical significance. This study represents an evaluation of services from a single site utilizing individual counseling services.
关于军人配偶获得社区精神卫生保健的研究有限。确定焦虑、抑郁症状和恢复力结果的评估很少。在这项研究中,71名军事伙伴和配偶(年龄M = 39.79,标准差 = 11.32;97.2%的女性)在6周的干预前后完成了焦虑、抑郁症状和恢复力的自我报告测量。较少的抑郁症状预示着接受服务的弹性更高,具有中等统计学意义。在前后分析中,焦虑、抑郁症状或恢复力没有统计学上的显著变化,影响范围为中小型,条件未改善,无临床意义。这项研究代表了对利用个人咨询服务的单个站点的服务的评估。
{"title":"Military Spouse Mental Health Outcomes After Receiving Short-Term Counseling Services","authors":"Elizabeth A. Prosek, Elizabeth E. Burgin, K. L. Pierce, Warren N. Ponder","doi":"10.1177/10664807231163259","DOIUrl":"https://doi.org/10.1177/10664807231163259","url":null,"abstract":"Research related to military spouses accessing community-based mental health care is limited. Evaluations identifying outcomes of anxiety, depressive symptoms, and resilience are scant. In this study, 71 military partners and spouses (age M = 39.79, SD = 11.32; 97.2% women) receiving counseling services at a nonprofit agency completed self-report measures of anxiety, depressive symptoms, and resilience pre–post a 6-week intervention. Less depressive symptoms predicted higher resilience at intake of services, with medium statistical significance. In pre–post analysis, no statistically significant changes were noted to anxiety, depressive symptoms, or resilience, with small to medium effect sizes and unimproved conditions with no clinical significance. This study represents an evaluation of services from a single site utilizing individual counseling services.","PeriodicalId":47151,"journal":{"name":"Family Journal","volume":"31 1","pages":"580 - 586"},"PeriodicalIF":1.3,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45956414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Fear of Intimacy as Mediator between Self-Differentiation and Marital Relationship Satisfaction: A Dyadic Model 亲密恐惧在自我分化与婚姻关系满意度之间的中介作用:一个二元模型
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-15 DOI: 10.1177/10664807231163254
R. Finzi-Dottan
From the lens of Bowen's systemic family theory, this study employed the actor–partner interdependence model (APIM) to investigate the mediating effect fear of intimacy has on the association between self-differentiating and both partners’ relationship satisfaction. One hundred and forty-four non-clinical married couples (N = 288) in enduring relationships were recruited. Results for actor effects revealed two mediating paths whereby, among both partners, self-differentiation was associated with their relationship satisfaction via fear of intimacy. Partner effect revealed that wives’ higher self-differentiation was associated with their lower fear of intimacy, which was linked, in turn, to husbands’ higher relationship satisfaction; unlike husbands’ fear of intimacy, which had no effect. Our results support Bowen's theoretical assumptions positing that self-differentiation indicates the ability for intimacy, which affects couple relationship satisfaction. Interestingly, the results highlight the role of the wives’ capability to establish intimate relationships on the husbands’ relationship satisfaction.
本研究从鲍恩系统家庭理论的视角,采用行动者-伴侣相互依存模型(APIM),研究亲密恐惧对自我分化与伴侣关系满意度之间关系的中介作用。一百四十四对非临床已婚夫妇(N = 288)被招募。演员效应的结果揭示了两条中介路径,在这两条路径中,伴侣之间的自我分化通过对亲密关系的恐惧与关系满意度相关。伴侣效应表明,妻子的自我分化程度越高,对亲密关系的恐惧程度越低,这反过来又与丈夫的关系满意度越高有关;不同于丈夫对亲密关系的恐惧,后者没有任何影响。我们的研究结果支持了Bowen的理论假设,即自我分化表明了亲密关系的能力,而亲密关系会影响夫妻关系的满意度。有趣的是,研究结果强调了妻子建立亲密关系的能力对丈夫关系满意度的影响。
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引用次数: 0
A Cognitive Behavioral Family Therapy Approach: The Impact of Divorce on a Hispanic Adolescent with an Eating Disorder 认知行为家庭治疗方法:离婚对一名患有饮食障碍的西班牙裔青少年的影响
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-14 DOI: 10.1177/10664807231163244
E. Gomez, Eman Tadros
Each year, millions of marriages end up in divorce which can cause teenagers to experience multiple physiological and psychological issues. Cognitive Behavioral Family Therapy (CBFT) has become increasingly popular among family therapists in recent decades, who utilize it either as a stand-alone technique within a system perspective or integrated into other approaches with couples and family therapy. There is a gap in the literature regarding the utilization of CBFT to a divorced family of Hispanic/Latinx descent with an adolescent who developed an eating disorder. The overall aim of this article is to provide insight for marriage and family therapists (MFTs), other mental health professionals, professors/teachers, researchers, and virtually everyone. The researchers hope to provide the ability to conceptualize eating disorders in a way that promotes empathy, compassion, and awareness. Barriers unique to Hispanic/Latinx families, clinical implications, and future directions will be discussed.
每年,数以百万计的婚姻以离婚告终,这可能会导致青少年经历多种生理和心理问题。近几十年来,认知行为家庭治疗(CBFT)在家庭治疗师中越来越受欢迎,他们要么将其作为一种系统视角下的独立技术,要么将其整合到其他夫妻和家庭治疗方法中。关于对一个西班牙裔/拉丁裔离婚家庭使用CBFT的文献存在空白,该家庭的青少年患有饮食障碍。本文的总体目的是为婚姻和家庭治疗师、其他心理健康专业人士、教授/教师、研究人员以及几乎所有人提供见解。研究人员希望能够以一种促进同理心、同情心和意识的方式,将饮食失调概念化。将讨论西班牙裔/拉丁裔家庭特有的障碍、临床意义和未来方向。
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引用次数: 0
Understanding Parents’ Self-Awareness of Their Parenting Style(s) and Its Influences on Their Parenting Choices - A Grounded Theory Study 了解父母对其教养方式的自我意识及其对其教养选择的影响——一项有根据的理论研究
IF 1.3 Q3 FAMILY STUDIES Pub Date : 2023-03-14 DOI: 10.1177/10664807231163268
Bridget E. Rutigliano, Amber L. Randolph, C. N. Park
Parenting is a process made up of approaches, styles, and daily choices. Parents are often unaware of how much their parenting style can impact the choices they make each day related to parenting their children. This grounded theory study explored how parents’ self-awareness of their parenting styles influences parenting choices in a sample of parents with children ages birth-11. Seven main themes emerged from this study: (a) the role of comparison and impact of social media, (b) parents do the best they can based on what they have learned and experienced, (c) promoting mental health and wellbeing in what is typically an autopilot experience, (d) parenting is hard, and it can be lonely, (e) navigating the impact of childhood experiences, (f) pressure to be perfect; not enough time to get it all right, and (g) intentionality through self-awareness and reflection. Upon further reflection on the themes, the following theory emerged: Parenting is hard, and it can be a lonely journey. Parents do the best they can based on their experiences and comparing to others. However, when invited to reflect on their parenting choices, parents are more intentional through self-awareness and promoting their mental health and wellbeing. This study's findings offer implications for counselor education as they underscore the need for CACREP (2016) to implement a formal standard to guide counselor training programs to offer instruction relating to parenting styles.
为人父母是一个由方法、风格和日常选择组成的过程。父母通常没有意识到他们的养育方式对他们每天养育孩子的选择有多大的影响。这项扎根理论研究探讨了父母对其养育方式的自我意识如何影响父母在孩子出生至11岁时的养育选择。这项研究产生了七个主题:(a)比较的作用和社交媒体的影响;(b)父母根据他们所学到的和经历尽他们所能;(c)在通常是自动驾驶的经历中促进心理健康和幸福;(d)养育子女很难,而且可能是孤独的;(e)应对童年经历的影响;(f)追求完美的压力;没有足够的时间把它做好,(g)通过自我意识和反思的意向性。在进一步思考这些主题后,出现了以下理论:为人父母很难,而且可能是一段孤独的旅程。父母根据自己的经验和与他人的比较,尽他们所能。然而,当被邀请反思他们的育儿选择时,父母们更有意识地通过自我意识和促进他们的心理健康和幸福。这项研究的发现为咨询师教育提供了启示,因为它们强调了CACREP(2016)实施正式标准的必要性,以指导咨询师培训项目,提供与育儿方式相关的指导。
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引用次数: 0
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Family Journal
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