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Microaggression Detection in Psychotherapy: Expanding Affirming Care for Transgender and Nonbinary Clients 心理治疗中的微侵害检测:扩大对变性和非二元客户的肯定关怀
Pub Date : 2024-05-22 DOI: 10.1177/00110000241255137
Madeline J. Hunsicker, Shannon L. Stuart-Maver, Christopher Anders, D. Martin Kivlighan, Duhita Mahatmya, Jay Bettergarcia, Jesse Owen
Transgender and nonbinary (TGNB) people report experiencing discrimination from therapists. A step to reducing these microaggressions is for therapists to be able to identify them. Psychological trainees and psychologists ( n = 105) were randomly assigned to watch a video vignette therapy session: a session with (a) blatant therapist microaggressions (nonaffirming), (b) therapist-led transition focus (transition affirming), and (c) gender exploration focus (nonbinary affirming). There was no difference in microaggression detection between the two affirming conditions. The microaggression condition of participants had a negative effect on ratings of therapist multicultural orientation (MCO). Additionally, attitudes towards transgender people moderated the relationship between microaggression conditions and ratings of therapist’s cultural humility for the affirming conditions; participants in the nonbinary affirming condition rated the therapist more culturally humble as their positive attitudes towards TGNB people increased, and participants rated the therapist as less culturally humble as TGNB attitudes increased in the transition affirming condition.
变性人和非二元性(TGNB)人士报告说,他们受到了治疗师的歧视。要减少这些微小的歧视,治疗师必须能够识别它们。心理受训者和心理学家(n = 105)被随机分配观看视频短片治疗课程:(a)治疗师明目张胆的微侵犯(非肯定),(b)治疗师引导的过渡焦点(过渡肯定),(c)性别探索焦点(非二元肯定)。两种肯定条件下的微侵犯检测结果没有差异。参与者的微侵犯状况对治疗师多元文化取向(MCO)的评分有负面影响。此外,对跨性别者的态度调节了微侵犯条件与治疗师文化谦逊度评分之间的关系;在非二元肯定条件下,随着参与者对跨性别者的积极态度的增加,他们对治疗师的文化谦逊度评分也会增加;而在过渡肯定条件下,随着对跨性别者的态度的增加,参与者对治疗师的文化谦逊度评分也会降低。
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引用次数: 0
Perceptions and Experiences of Psychotherapy Among Forced Migrants With Limited English Proficiency 英语水平有限的被迫移民对心理治疗的看法和体验
Pub Date : 2024-03-27 DOI: 10.1177/00110000241240165
Christine S. Lay, Heather Z. Lyons, Vanessa Cuppari, Christina Kennedy-Dunn, L. Wadia, Adanna J. Johnson, Matthew Kirkhart
This qualitative study focused on the perspectives of forced migrants’ and their pursuit of mental health services, specifically as they relate to language use in therapy. Semistructured interviews were held during two face-to-face focus groups consisting of 16 adult participants identifying as forced migrants. Analysis of translated and transcribed interviews was conducted by a research team utilizing a constructivist approach to grounded theory. A substantive theoretical model on engagement in therapy emerged, with the core category of culture, which influences forced migrants’ level of trust and mistrust in psychotherapy. Multiple factors, including perceptions of therapy and English language facility, impacted forced migrants’ willingness to engage in psychotherapy. Findings supported language as a barrier to psychotherapy, even when an interpreter was utilized. Consistencies and inconsistencies of findings between the present study and existing literature were offered. Clinical, training, advocacy, and research implications of this study were explored.
这项定性研究的重点是被迫移民的观点及其对心理健康服务的追求,特别是与治疗中的语言使用有关的方面。在两个面对面的焦点小组中进行了半结构化访谈,小组成员包括 16 名被迫移民的成年参与者。研究小组采用建构主义的基础理论方法对翻译和转录的访谈进行了分析。研究得出了一个关于参与治疗的实质性理论模型,其核心范畴是文化,文化影响着被迫移民对心理治疗的信任和不信任程度。包括对治疗的看法和英语语言能力在内的多种因素影响着被迫移民参与心理治疗的意愿。研究结果表明,语言是心理治疗的障碍,即使在使用翻译的情况下也是如此。本研究与现有文献的研究结果存在一致性和不一致性。探讨了本研究在临床、培训、宣传和研究方面的意义。
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引用次数: 0
Structural Competencies: Re-Grounding Counseling Psychology in Antiracist and Decolonial Praxis 结构性能力:在反种族主义和非殖民化实践中重新定位咨询心理学
Pub Date : 2024-02-14 DOI: 10.1177/00110000241231029
Melanie M. Wilcox, Andrés E. Pérez-Rojas, L. R. Marks, Amy L. Reynolds, H. Suh, Lisa Y. Flores, Laurie D. McCubbin, Kerrie G. Wilkins-Yel, Matthew J. Miller
For counseling psychology to realize its commitments to uprooting anti-Black racism and white supremacy, we must shift from an individual to a structural frame of reference. We expand on prior calls to build upon the structural competencies approach that has been detailed in the medical literature and integrated into medical education. Whereas our existing “cultural” approaches orient us toward individual differences and characteristics, the structural competencies approach compels us to deeply understand, and ground our interventions in, how individual and community-level outcomes result from structural determinants of health, including and especially anti-Black racism and white supremacy. We further argue that we must take a structural competencies approach to all the work of counseling psychologists, not just psychotherapy. Using a hypothetical vignette, we briefly describe what such an approach might look like in practice. We provide recommendations for next steps in counseling psychology education and training.
为了实现咨询心理学根除反黑人种族主义和白人至上主义的承诺,我们必须从个体参照系转向结构参照系。我们在之前的呼吁基础上,进一步扩展了结构能力方法,该方法已在医学文献中详细阐述,并已纳入医学教育。我们现有的 "文化 "方法面向个体差异和特征,而结构性能力方法则迫使我们深入了解个人和社区层面的结果是如何由健康的结构性决定因素(包括尤其是反黑人种族主义和白人至上主义)造成的,并以此为基础采取干预措施。我们进一步认为,我们必须在心理咨询师的所有工作中采用结构性能力方法,而不仅仅是心理治疗。通过一个假设的小故事,我们简要介绍了这种方法在实践中的应用。我们对心理咨询教育和培训的下一步工作提出了建议。
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引用次数: 1
Structural Competencies: Re-Grounding Counseling Psychology in Antiracist and Decolonial Praxis 结构性能力:在反种族主义和非殖民化实践中重新定位咨询心理学
Pub Date : 2024-02-14 DOI: 10.1177/00110000241231029
Melanie M. Wilcox, Andrés E. Pérez-Rojas, L. R. Marks, Amy L. Reynolds, H. Suh, Lisa Y. Flores, Laurie D. McCubbin, Kerrie G. Wilkins-Yel, Matthew J. Miller
For counseling psychology to realize its commitments to uprooting anti-Black racism and white supremacy, we must shift from an individual to a structural frame of reference. We expand on prior calls to build upon the structural competencies approach that has been detailed in the medical literature and integrated into medical education. Whereas our existing “cultural” approaches orient us toward individual differences and characteristics, the structural competencies approach compels us to deeply understand, and ground our interventions in, how individual and community-level outcomes result from structural determinants of health, including and especially anti-Black racism and white supremacy. We further argue that we must take a structural competencies approach to all the work of counseling psychologists, not just psychotherapy. Using a hypothetical vignette, we briefly describe what such an approach might look like in practice. We provide recommendations for next steps in counseling psychology education and training.
为了实现咨询心理学根除反黑人种族主义和白人至上主义的承诺,我们必须从个体参照系转向结构参照系。我们在之前的呼吁基础上,进一步扩展了结构能力方法,该方法已在医学文献中详细阐述,并已纳入医学教育。我们现有的 "文化 "方法面向个体差异和特征,而结构性能力方法则迫使我们深入了解个人和社区层面的结果是如何由健康的结构性决定因素(包括尤其是反黑人种族主义和白人至上主义)造成的,并以此为基础采取干预措施。我们进一步认为,我们必须在心理咨询师的所有工作中采用结构性能力方法,而不仅仅是心理治疗。通过一个假设的小故事,我们简要介绍了这种方法在实践中的应用。我们对心理咨询教育和培训的下一步工作提出了建议。
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引用次数: 1
“I’m Going to be Visible Because… That’s What’s Gonna Help Other People Like Me”: Young Black Trans and Gender Diverse People’s Experiences in Activism Work "我要让别人看到我,因为......这样才能帮助其他和我一样的人":变性和性别多元化黑人青年在激进主义工作中的经历
Pub Date : 2024-02-14 DOI: 10.1177/00110000241229232
Jules P. Sostre, Roberto L. Abreu, Gabriel M. Lockett, Destiny Vincent, Della V. Mosley
Anti-Black racism and cissexism have been strong motivators for Black trans and gender diverse (TGD) communities to engage in activism. Furthermore, Black TGD people have often been at the forefront of activist movements, yet they rarely receive recognition for their role in disrupting systems of oppression and contributing to liberation movements. Although researchers have documented that young Black and TGD people have played a crucial role in activist movements, they have yet to document the intersectional experiences of young Black TGD people within activism. This study used semistructured interviews to explore the experiences of 15 young Black TGD people within activism movements, including different forms of activism and factors related to involvement and impact. Reflexive thematic analysis resulted in five main themes and 13 subthemes as key aspects of activism: (a) community, (b) education, (c) identity, (d) intersectionality, and (e) prioritizing one’s well-being, plus 13 subthemes. We discuss implications for practice, training, and advocacy.
反黑人种族主义和性别歧视一直是促使黑人变性和性别多元化(TGD)群体参与激进主义的强大动力。此外,黑人变性者和性别多元化者经常站在激进运动的前沿,但他们在破坏压迫制度和促进解放运动方面的作用却很少得到认可。虽然研究人员已经记录了黑人和 TGD 青年在激进运动中发挥的关键作用,但他们尚未记录黑人 TGD 青年在激进运动中的交叉经验。本研究采用半结构式访谈,探讨了 15 名黑人青年同性恋、双性恋和变性者在激进主义运动中的经历,包括不同形式的激进主义以及与参与和影响相关的因素。通过反思性主题分析,得出了作为激进主义关键方面的五个主要主题和 13 个次主题:(a) 社区、(b) 教育、(c) 身份、(d) 交叉性和 (e) 优先考虑个人福祉,以及 13 个次主题。我们讨论了这对实践、培训和宣传的影响。
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引用次数: 0
“I’m Going to be Visible Because… That’s What’s Gonna Help Other People Like Me”: Young Black Trans and Gender Diverse People’s Experiences in Activism Work "我要让别人看到我,因为......这样才能帮助其他和我一样的人":变性和性别多元化黑人青年在激进主义工作中的经历
Pub Date : 2024-02-14 DOI: 10.1177/00110000241229232
Jules P. Sostre, Roberto L. Abreu, Gabriel M. Lockett, Destiny Vincent, Della V. Mosley
Anti-Black racism and cissexism have been strong motivators for Black trans and gender diverse (TGD) communities to engage in activism. Furthermore, Black TGD people have often been at the forefront of activist movements, yet they rarely receive recognition for their role in disrupting systems of oppression and contributing to liberation movements. Although researchers have documented that young Black and TGD people have played a crucial role in activist movements, they have yet to document the intersectional experiences of young Black TGD people within activism. This study used semistructured interviews to explore the experiences of 15 young Black TGD people within activism movements, including different forms of activism and factors related to involvement and impact. Reflexive thematic analysis resulted in five main themes and 13 subthemes as key aspects of activism: (a) community, (b) education, (c) identity, (d) intersectionality, and (e) prioritizing one’s well-being, plus 13 subthemes. We discuss implications for practice, training, and advocacy.
反黑人种族主义和性别歧视一直是促使黑人变性和性别多元化(TGD)群体参与激进主义的强大动力。此外,黑人变性者和性别多元化者经常站在激进运动的前沿,但他们在破坏压迫制度和促进解放运动方面的作用却很少得到认可。虽然研究人员已经记录了黑人和 TGD 青年在激进运动中发挥的关键作用,但他们尚未记录黑人 TGD 青年在激进运动中的交叉经验。本研究采用半结构式访谈,探讨了 15 名黑人青年同性恋、双性恋和变性者在激进主义运动中的经历,包括不同形式的激进主义以及与参与和影响相关的因素。通过反思性主题分析,得出了作为激进主义关键方面的五个主要主题和 13 个次主题:(a) 社区、(b) 教育、(c) 身份、(d) 交叉性和 (e) 优先考虑个人福祉,以及 13 个次主题。我们讨论了这对实践、培训和宣传的影响。
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引用次数: 0
Earn Continuing Education Credit for Reading Articles in The Counseling Psychologist! 阅读《心理咨询师》上的文章可获得继续教育学分!
Pub Date : 2024-01-29 DOI: 10.1177/00110000231219872
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引用次数: 0
Fostering Asian American Emerging Adults’ Advocacy Against Anti-Black Racism Through Digital Storytelling 通过讲数字故事促进美国亚裔青少年反对反黑人种族主义的宣传活动
Pub Date : 2024-01-23 DOI: 10.1177/00110000241227994
B. Keum, Mary Minh Giao Nguyen, Lydia HaRim Ahn, Michelle J. Wong, Lianne J. Wong, Matthew J. Miller
We tested whether a digital storytelling video on anti-Black racism could improve empathic reactions to anti-Black racism and decrease fear of Black individuals (FBI) among Asian American emerging adults, and whether these changes were associated with greater anti-racism advocacy intentions. Asian American emerging adults ( Mage = 19.92; N = 205) were randomly assigned to view either storytelling or informational online videos. Data was collected before and after viewing the videos. The changes in empathic reactions and fear were analyzed using polynomial regression with response surface analysis. Those who viewed the storytelling video significantly increased their empathy and this change was significantly associated with greater individual anti-racism advocacy (IndAdv) and institutional anti-racism advocacy (IntAdv). Reductions in fear were not associated with greater advocacy. The informational video did not improve empathy but did decrease fear, which was associated with greater IndAdv. Therefore, digital storytelling videos may be a useful tool to promote advocacy against anti-Black racism.
我们测试了关于反黑人种族主义的数字故事视频能否改善亚裔美国新兴成年人对反黑人种族主义的移情反应,减少他们对黑人(FBI)的恐惧,以及这些变化是否与更大的反种族主义宣传意图相关。亚裔美国新兴成年人(Mage = 19.92;N = 205)被随机分配观看讲故事或提供信息的在线视频。在观看视频前后收集数据。共情反应和恐惧的变化采用多项式回归和响应面分析法进行分析。观看了讲故事视频的人的移情反应明显增强,这种变化与个人反种族主义宣传(IndAdv)和机构反种族主义宣传(IntAdv)的增强有显著关联。恐惧感的降低与宣传力度的增加没有关系。因此,数字故事视频可能是促进反黑人种族主义宣传的有用工具。
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引用次数: 0
Racial Socialization Experiences Among 1.5 and 2nd Generation Indian Americans 美国第一代半和第二代印第安人的种族社会化经历
Pub Date : 2024-01-22 DOI: 10.1177/00110000241226643
Pratyusha Tummala-Narra, A. Inman, Anju Kaduvettoor Davidson, Christine J. Yeh
Few studies have focused on the racial socialization of Indian Americans, particularly those raised in the United States. The present study explored 1.5 and 2nd generation Indian Americans’ experiences of racial socialization in multiple contexts. Forty-four adult Indian Americans from diverse regions of the United States participated in semi-structured focus group interviews via video teleconference. Sixteen participants were 1.5 generation and 28 were 2nd generation. Data was analyzed using grounded theory. The results indicated three interrelated domains including: (a) Discussion of Race and Racism; (b) Awareness of Self in the Context of Racial and Cultural Differences; and (c) Role of Intra- and Inter-group Biases. The findings underscore how the minimization of racism within and outside of Indian American contexts, a colonial mentality transmitted intergenerationally, and negative impacts of casteism, sexism, and racism may influence one’s racial consciousness and racial socialization. Implications for culturally informed research, practice, advocacy, and training are detailed.
很少有研究关注美籍印第安人的种族社会化问题,尤其是那些在美国长大的印第安人。本研究探讨了第一代半和第二代美籍印第安人在多种背景下的种族社会化经历。来自美国不同地区的 44 名成年美籍印第安人通过视频电话会议参加了半结构化焦点小组访谈。其中 16 人是第一代半,28 人是第二代。采用基础理论对数据进行了分析。结果显示了三个相互关联的领域,包括:(a)对种族和种族主义的讨论;(b)在种族和文化差异背景下对自我的认识;以及(c)群体内和群体间偏见的作用。研究结果强调了美国印第安人内部和外部的种族主义最小化、代代相传的殖民心态以及种姓主义、性别主义和种族主义的负面影响如何影响一个人的种族意识和种族社会化。报告还详细阐述了对有文化背景的研究、实践、宣传和培训的影响。
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引用次数: 0
Cultural Stressors and Cultural Identity Styles Among Hispanic College Students 西班牙裔大学生的文化压力和文化认同风格
Pub Date : 2024-01-20 DOI: 10.1177/00110000231225473
Beyhan Ertanir, Colleen Ward, Sofía Puente-Durán, Cory L. Cobb, A. Meca, María Fernanda García, Ágnes Szabó, Jaimee Stuart, Christopher P. Salas-Wright, Miguel Ángel Cano, Jennifer B. Unger, Aigerim Alpysbekova, Seth J. Schwartz
Research shows that cultural identity styles (CIS; i.e., hybrid identity style [HIS] vs. alternating identity style [AIS]) and cultural stressors (i.e., discrimination, negative context of reception, and bicultural stressors) are associated, but the directionality of this association remains unclear. Using a 2-wave, self-report dataset and a cross-lagged design, we examined the directionality of the associations between cultural stressors and CIS among 824 first- and second-generation U.S. Hispanic college students over a 12-day period. Across two waves, results of our path analysis indicated that in particular CIS temporally predict cultural stressors rather than vice versa. Whereas AIS predicted higher levels of perceived cultural stressors, HIS predicted lower levels of perceived cultural stressors. Moreover, contrary to our expectations, we also found a small negative effect of perceived discrimination on AIS. These findings suggest that HIS may play a more favorable role than AIS for bicultural identity formation and for decreasing cultural stressors.
研究表明,文化认同风格(CIS;即混合认同风格[HIS]与交替认同风格[AIS])与文化压力源(即歧视、消极的接受环境和双文化压力源)存在关联,但这种关联的方向性仍不明确。我们使用两波自我报告数据集和交叉滞后设计,对 824 名第一代和第二代美国西语裔大学生在 12 天内的文化压力源和 CIS 之间的相关性进行了研究。我们的路径分析结果表明,在两个波次中,CIS 对文化压力源的时间预测作用尤其明显,反之亦然。AIS 预测了较高的文化压力感知水平,而 HIS 预测了较低的文化压力感知水平。此外,与我们的预期相反,我们还发现感知到的歧视对 AIS 有微小的负面影响。这些研究结果表明,与 AIS 相比,HIS 对双文化认同的形成和文化压力的降低可能起到更有利的作用。
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引用次数: 0
期刊
The Counseling Psychologist
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