Pub Date : 2023-01-04DOI: 10.1080/09515070.2023.2164845
K. Liao, Meifen Wei, Pei‐Chun Tsai, Jisu Kim, Hsiu-Lan Cheng
ABSTRACT Although perceived language discrimination (PLD) is associated with negative psychological outcomes among international students with Chinese heritage, existing research on PLD is scarce. This study aims to address this gap. Given that many Chinese cultures are characterized as shame-based, we examined whether PLD would be associated with interpersonal shame (i.e. mediator) which in turn would predict depressive symptoms. We also investigated whether collective self-esteem, a culturally relevant variable, would buffer against the negative effects of PLD on interpersonal shame and attenuate the mediation effect from PLD through interpersonal shame to depressive symptoms (i.e. moderated mediation). This cross-sectional study utilized self-report surveys and collected data from 222 international students with Chinese heritage from different regions of the U.S. The results showed that interpersonal shame mediated the association between PLD and depressive symptoms. In addition, membership collective self-esteem moderated the association between PLD and interpersonal shame. The results also indicated that the mediation effects from PLD to depression through interpersonal shame were significant at low and moderate levels but not significant at high levels of membership collective self-esteem. Findings highlight the protective role of membership collective self-esteem for those who have experienced PLD and are struggling with interpersonal shame and depressive symptoms.
{"title":"Language discrimination, interpersonal shame, and depressive symptoms among international students with Chinese heritage: collective self-esteem as a buffer","authors":"K. Liao, Meifen Wei, Pei‐Chun Tsai, Jisu Kim, Hsiu-Lan Cheng","doi":"10.1080/09515070.2023.2164845","DOIUrl":"https://doi.org/10.1080/09515070.2023.2164845","url":null,"abstract":"ABSTRACT Although perceived language discrimination (PLD) is associated with negative psychological outcomes among international students with Chinese heritage, existing research on PLD is scarce. This study aims to address this gap. Given that many Chinese cultures are characterized as shame-based, we examined whether PLD would be associated with interpersonal shame (i.e. mediator) which in turn would predict depressive symptoms. We also investigated whether collective self-esteem, a culturally relevant variable, would buffer against the negative effects of PLD on interpersonal shame and attenuate the mediation effect from PLD through interpersonal shame to depressive symptoms (i.e. moderated mediation). This cross-sectional study utilized self-report surveys and collected data from 222 international students with Chinese heritage from different regions of the U.S. The results showed that interpersonal shame mediated the association between PLD and depressive symptoms. In addition, membership collective self-esteem moderated the association between PLD and interpersonal shame. The results also indicated that the mediation effects from PLD to depression through interpersonal shame were significant at low and moderate levels but not significant at high levels of membership collective self-esteem. Findings highlight the protective role of membership collective self-esteem for those who have experienced PLD and are struggling with interpersonal shame and depressive symptoms.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46377600","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}
Pub Date : 2023-01-04DOI: 10.1080/09515070.2022.2163984
Mandy Newman, B. Farber
ABSTRACT To examine whether and how therapy orientation is associated with psychotherapists’ perceived reasons for, feelings about, and regrets around their own dishonesty in therapy. A sample of 255 psychodynamic (n= 81), cognitive-behavior (n= 92), integrative (n= 64), and humanistic (n= 18) therapists who reported having been “less than completely honest” to a client provided open-text responses regarding this occurrence. A bricoleur approach was used to identify themes among responses, and Fisher’s exact test analyses were used to compare responses across theoretical orientations. The most frequent reason offered for instances of less than complete honesty was “treatment strategy” (i.e. it was deemed necessary for treatment). The most common feeling reported was discomfort, including anxiety. Most respondents reported that, in retrospect, they would not have handled the situation differently. Therapist orientation was not significantly associated to any pattern of responses to these questions. While therapist dishonesty is perceived as occurring primarily in the service of the client and tends to evoke similar reactions among therapists across theoretical orientations, most therapists report experiencing negative feelings after acting somewhat dishonestly. Training programs should encourage greater discussion about the potential benefits and consequences of therapeutic dishonesty, including instances of therapeutic tact.
{"title":"Therapist dishonesty across theoretical orientations","authors":"Mandy Newman, B. Farber","doi":"10.1080/09515070.2022.2163984","DOIUrl":"https://doi.org/10.1080/09515070.2022.2163984","url":null,"abstract":"ABSTRACT To examine whether and how therapy orientation is associated with psychotherapists’ perceived reasons for, feelings about, and regrets around their own dishonesty in therapy. A sample of 255 psychodynamic (n= 81), cognitive-behavior (n= 92), integrative (n= 64), and humanistic (n= 18) therapists who reported having been “less than completely honest” to a client provided open-text responses regarding this occurrence. A bricoleur approach was used to identify themes among responses, and Fisher’s exact test analyses were used to compare responses across theoretical orientations. The most frequent reason offered for instances of less than complete honesty was “treatment strategy” (i.e. it was deemed necessary for treatment). The most common feeling reported was discomfort, including anxiety. Most respondents reported that, in retrospect, they would not have handled the situation differently. Therapist orientation was not significantly associated to any pattern of responses to these questions. While therapist dishonesty is perceived as occurring primarily in the service of the client and tends to evoke similar reactions among therapists across theoretical orientations, most therapists report experiencing negative feelings after acting somewhat dishonestly. Training programs should encourage greater discussion about the potential benefits and consequences of therapeutic dishonesty, including instances of therapeutic tact.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47974015","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}
Pub Date : 2022-12-25DOI: 10.1080/09515070.2022.2161481
M. McLean, William J. Whelton
ABSTRACT Assertiveness development in women can be hindered by gendered norms of agreeableness and passivity. Despite this, many women become assertive, although less is known about how they negotiate the process. This grounded theory examined women’s assertiveness development based on experiences of eleven, primarily post-secondary educated women from a large Western Canada university. Women currently struggling with assertiveness (n = 6) and those who once struggled but now considered themselves more assertive (n = 5) were recruited to compare the immediate experience of barriers to assertiveness and reflections on overcoming these barriers, respectively. Semi-structured interviews and an assertiveness measure were used to capture participants’ convergent and divergent experiences. Participants’ main concerns centered on a desire to be socially accepted, which precluded assertive behaviour and culminated in personal costs such as not getting needs met. Processes in resolving these concerns involved cognitive, behavioural, and social changes, and finding a purpose in life that required assertiveness. These processes form the base of Assertive Identity Negotiation theory, where women negotiate an assertive identity by continually reflecting on and committing to self-assertion while balancing interpersonal concerns.
{"title":"“This is who I am”: a grounded theory of women’s assertive identity negotiation","authors":"M. McLean, William J. Whelton","doi":"10.1080/09515070.2022.2161481","DOIUrl":"https://doi.org/10.1080/09515070.2022.2161481","url":null,"abstract":"ABSTRACT Assertiveness development in women can be hindered by gendered norms of agreeableness and passivity. Despite this, many women become assertive, although less is known about how they negotiate the process. This grounded theory examined women’s assertiveness development based on experiences of eleven, primarily post-secondary educated women from a large Western Canada university. Women currently struggling with assertiveness (n = 6) and those who once struggled but now considered themselves more assertive (n = 5) were recruited to compare the immediate experience of barriers to assertiveness and reflections on overcoming these barriers, respectively. Semi-structured interviews and an assertiveness measure were used to capture participants’ convergent and divergent experiences. Participants’ main concerns centered on a desire to be socially accepted, which precluded assertive behaviour and culminated in personal costs such as not getting needs met. Processes in resolving these concerns involved cognitive, behavioural, and social changes, and finding a purpose in life that required assertiveness. These processes form the base of Assertive Identity Negotiation theory, where women negotiate an assertive identity by continually reflecting on and committing to self-assertion while balancing interpersonal concerns.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41940412","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}
Pub Date : 2022-12-05DOI: 10.1080/09515070.2022.2151978
Lara Madden, L. Timulak
{"title":"It takes three to tango: clients’ experiences of couple therapy - A meta-analysis of qualitative research studies","authors":"Lara Madden, L. Timulak","doi":"10.1080/09515070.2022.2151978","DOIUrl":"https://doi.org/10.1080/09515070.2022.2151978","url":null,"abstract":"","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44339084","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}
Pub Date : 2022-12-04DOI: 10.1080/09515070.2022.2152779
H. Suh, Jeffrey S Ashby, K. Rice, L. Bruner
ABSTRACT The current study addresses the cultural validity of the 8-item Short Almost Perfect Scale (SAPS) by investigating its measurement invariance across the choice of language (i.e. Korean vs. English) with a group of 206 Korean Americans. Given a wide variation in English proficiency among the Korean community, instruments may need to be administered either in Korean or English based on respondents’ preferences, thus ensuring the invariance of the measurement across two languages is critical for clinical and research purposes. The results supported configural invariance and metric invariance for both Discrepancy and Standards subscales. All four Discrepancy intercepts for the Korean version group were higher than those in the English version group, suggesting a systematic tendency for the Korean version group to rate themselves higher on Discrepancy items. The emphasis on self-cultivation in Korean culture may account for higher endorsement of certain SAPS items among individuals who chose the Korean version of the instrument compared to those who chose the English version. Given the support for configural and metric invariance, the two language versions of the SAPS were presumed to assess the same underlying perfectionism constructs and thus could be used interchangeably among Korean Americans.
{"title":"Measurement invariance across Korean and English versions of the short almost perfect scale","authors":"H. Suh, Jeffrey S Ashby, K. Rice, L. Bruner","doi":"10.1080/09515070.2022.2152779","DOIUrl":"https://doi.org/10.1080/09515070.2022.2152779","url":null,"abstract":"ABSTRACT The current study addresses the cultural validity of the 8-item Short Almost Perfect Scale (SAPS) by investigating its measurement invariance across the choice of language (i.e. Korean vs. English) with a group of 206 Korean Americans. Given a wide variation in English proficiency among the Korean community, instruments may need to be administered either in Korean or English based on respondents’ preferences, thus ensuring the invariance of the measurement across two languages is critical for clinical and research purposes. The results supported configural invariance and metric invariance for both Discrepancy and Standards subscales. All four Discrepancy intercepts for the Korean version group were higher than those in the English version group, suggesting a systematic tendency for the Korean version group to rate themselves higher on Discrepancy items. The emphasis on self-cultivation in Korean culture may account for higher endorsement of certain SAPS items among individuals who chose the Korean version of the instrument compared to those who chose the English version. Given the support for configural and metric invariance, the two language versions of the SAPS were presumed to assess the same underlying perfectionism constructs and thus could be used interchangeably among Korean Americans.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43293585","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}
Pub Date : 2022-12-01DOI: 10.1080/09515070.2022.2150144
Ingrid Hogge, Jisu Kim, Eunha Kim
ABSTRACT Suicide is a critical concern for psychologists given the complexity of suicide risk and fatal consequences. Using self-determination theory (SDT) as a framework, we examined the relationships between self-concealment, basic psychological needs, collectivism, and suicidality in a sample of adults in the United States (n = 199). Self-concealment is an interpersonal pattern of hiding sensitive personal information from others and has been correlated with increased suicidality. We tested a model whereby unmet basic psychological needs (i.e. autonomy, competence, and relatedness) mediated the relationship between self-concealment and suicidality. We also included collectivist cultural orientation as a moderator. We found that greater self-concealment was associated with more dissatisfaction with all three basic needs. However, only dissatisfaction with the relatedness need was associated with more suicidality. The effect of relatedness need dissatisfaction on suicidality was moderated by collectivism such that the effect was stronger for participants who were higher in collectivism. We found support for SDT as a framework for theory driven exploration of self-concealment and suicidality. The significant moderating effect of collectivism also highlights the importance of including cultural variables in future research. We include a discussion of implications for research, intervention, and prevention.
{"title":"The Burden of Keeping Things to Yourself: Self-Concealment and Suicidality","authors":"Ingrid Hogge, Jisu Kim, Eunha Kim","doi":"10.1080/09515070.2022.2150144","DOIUrl":"https://doi.org/10.1080/09515070.2022.2150144","url":null,"abstract":"ABSTRACT Suicide is a critical concern for psychologists given the complexity of suicide risk and fatal consequences. Using self-determination theory (SDT) as a framework, we examined the relationships between self-concealment, basic psychological needs, collectivism, and suicidality in a sample of adults in the United States (n = 199). Self-concealment is an interpersonal pattern of hiding sensitive personal information from others and has been correlated with increased suicidality. We tested a model whereby unmet basic psychological needs (i.e. autonomy, competence, and relatedness) mediated the relationship between self-concealment and suicidality. We also included collectivist cultural orientation as a moderator. We found that greater self-concealment was associated with more dissatisfaction with all three basic needs. However, only dissatisfaction with the relatedness need was associated with more suicidality. The effect of relatedness need dissatisfaction on suicidality was moderated by collectivism such that the effect was stronger for participants who were higher in collectivism. We found support for SDT as a framework for theory driven exploration of self-concealment and suicidality. The significant moderating effect of collectivism also highlights the importance of including cultural variables in future research. We include a discussion of implications for research, intervention, and prevention.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48702996","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}
Pub Date : 2022-11-22DOI: 10.1080/09515070.2022.2146054
Laura Edwards-Bailey, T. Cartwright, N. Smyth, Jay-Marie Mackenzie
has involved alcohol . . . you know, you get to university and all this binge drinking is really encouraged . . . that had quite an impact on the severity and frequency of my SH personally.
{"title":"A qualitative exploration of student self-harm and experiences of support-seeking within a UK university setting","authors":"Laura Edwards-Bailey, T. Cartwright, N. Smyth, Jay-Marie Mackenzie","doi":"10.1080/09515070.2022.2146054","DOIUrl":"https://doi.org/10.1080/09515070.2022.2146054","url":null,"abstract":"has involved alcohol . . . you know, you get to university and all this binge drinking is really encouraged . . . that had quite an impact on the severity and frequency of my SH personally.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44002613","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}
Pub Date : 2022-11-13DOI: 10.1080/09515070.2022.2144807
Ariana C. Simone, Shutong Yu, Chloe A. Hamza
ABSTRACT Nonsuicidal self-injury (NSSI) is a frequently occurring mental health concern among emerging adults in university, but one that is often concealed. Given that the disclosure of NSSI can provide opportunities to receive support, promoting positive disclosure experiences for students is important. However, the experiences of disclosing for both disclosers and recipients are not well understood. In the present study, we examined experiences leading up to, during, and following disclosures from students with lived experience giving and/or receiving a peer disclosure of NSSI. Semi-structured interviews were conducted with 20 undergraduate students (M age = 19.95, 80% female), and reflexive thematic analysis was used. Four shared themes were identified : 1) The choice to disclose is a social cost-benefit analysis, in which context and past experiences matter, 2) Individuals seek emotional and practical support from their peers via disclosure, 3) Supportive responding constitutes care, empathy, and non-judgment, and 4) Disclosure can lead to awareness, change, and growth. One theme was unique to recipients: 5) Disclosure can be an overwhelming process, and many recipients feel ill-equipped to respond. Findings can be used to inform mental health literacy efforts for students on university campuses.
{"title":"Understanding experiences of disclosing and receiving disclosures of nonsuicidal self-injury amongst peers in university: A qualitative investigation","authors":"Ariana C. Simone, Shutong Yu, Chloe A. Hamza","doi":"10.1080/09515070.2022.2144807","DOIUrl":"https://doi.org/10.1080/09515070.2022.2144807","url":null,"abstract":"ABSTRACT Nonsuicidal self-injury (NSSI) is a frequently occurring mental health concern among emerging adults in university, but one that is often concealed. Given that the disclosure of NSSI can provide opportunities to receive support, promoting positive disclosure experiences for students is important. However, the experiences of disclosing for both disclosers and recipients are not well understood. In the present study, we examined experiences leading up to, during, and following disclosures from students with lived experience giving and/or receiving a peer disclosure of NSSI. Semi-structured interviews were conducted with 20 undergraduate students (M age = 19.95, 80% female), and reflexive thematic analysis was used. Four shared themes were identified : 1) The choice to disclose is a social cost-benefit analysis, in which context and past experiences matter, 2) Individuals seek emotional and practical support from their peers via disclosure, 3) Supportive responding constitutes care, empathy, and non-judgment, and 4) Disclosure can lead to awareness, change, and growth. One theme was unique to recipients: 5) Disclosure can be an overwhelming process, and many recipients feel ill-equipped to respond. Findings can be used to inform mental health literacy efforts for students on university campuses.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48480437","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}
Pub Date : 2022-11-03DOI: 10.1080/09515070.2022.2142200
Lucia Polakovská, Michal Čevelíček, J. Roubal, T. Řiháček
ABSTRACT Psychological treatments for patients with medically unexplained physical symptoms (MUPS) reduce somatic symptom severity only moderately. However, patients may profit from changes other than that of symptom reduction. The aim of the present study was to capture the changes that patients with MUPS experience after a multicomponent group-based treatment. Semistructured interviews with 30 patients with MUPS were undertaken after the treatment. Thematic analysis was used to identify the changes the patients reported. The changes included developing a different view of their somatic symptoms, learning how to fulfill their needs, modifying their lifestyle, and becoming open to painful experiences. The patients also noted changes in their somatic symptoms and their quality of life. Multicomponent treatment helps patients with MUPS achieve a variety of changes that reach beyond physical symptoms reduction. Patients’ symptoms often worsen after a return to normal life, which calls for continual care.
{"title":"Changes after multicomponent group-based treatment in patients with medically unexplained physical symptoms","authors":"Lucia Polakovská, Michal Čevelíček, J. Roubal, T. Řiháček","doi":"10.1080/09515070.2022.2142200","DOIUrl":"https://doi.org/10.1080/09515070.2022.2142200","url":null,"abstract":"ABSTRACT Psychological treatments for patients with medically unexplained physical symptoms (MUPS) reduce somatic symptom severity only moderately. However, patients may profit from changes other than that of symptom reduction. The aim of the present study was to capture the changes that patients with MUPS experience after a multicomponent group-based treatment. Semistructured interviews with 30 patients with MUPS were undertaken after the treatment. Thematic analysis was used to identify the changes the patients reported. The changes included developing a different view of their somatic symptoms, learning how to fulfill their needs, modifying their lifestyle, and becoming open to painful experiences. The patients also noted changes in their somatic symptoms and their quality of life. Multicomponent treatment helps patients with MUPS achieve a variety of changes that reach beyond physical symptoms reduction. Patients’ symptoms often worsen after a return to normal life, which calls for continual care.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48941620","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}
Pub Date : 2022-11-03DOI: 10.1080/09515070.2022.2142201
L. Lindley, Lex Pulice-Farrow, Stephanie L. Budge
ABSTRACT Despite recent trans-affirming research centering experiences of gender dysphoria and its relation to psychological outcomes, there is a dearth of research studying the components of experiences of gender dysphoria. This has limited the ability of clinicians to intervene and reduce the distress caused by gender dysphoria. The current study utilized an online qualitative approach based on cognitive-behavioral therapy thought trackers to ask 108 transgender and nonbinary participants four prompts: a) antecedents of gender dysphoria, b) associated thoughts, c) emotions, and e) ways of coping. Analyses of these prompts revealed that gender dysphoria is frequently triggered by body, social, and intrapersonal experiences and is associated with a range of thoughts (e.g. body, gender presentation, medical transition, and self-harm focused) and emotions (e.g. anger, sadness, fear, and suppression) related to experiences of gender dysphoria. Participants noted engaging in both facilitative coping strategies (e.g. mindfulness, gender affirmation, medical transition, social interactions, and cognitive reframes) as well as avoidant strategies (e.g. distraction; suppression; avoid viewing body/self, social interactions, and voice; and identity concealment) to deal with gender dysphoria. Considering the lack of published therapeutic interventions targeting gender dysphoria, the discussion focuses on the ways the current findings can inform clinical practice with TNB individuals.
{"title":"The antecedents of gender dysphoria and the associated thoughts, emotions, and ways of coping: a qualitative analysis and clinical implications","authors":"L. Lindley, Lex Pulice-Farrow, Stephanie L. Budge","doi":"10.1080/09515070.2022.2142201","DOIUrl":"https://doi.org/10.1080/09515070.2022.2142201","url":null,"abstract":"ABSTRACT Despite recent trans-affirming research centering experiences of gender dysphoria and its relation to psychological outcomes, there is a dearth of research studying the components of experiences of gender dysphoria. This has limited the ability of clinicians to intervene and reduce the distress caused by gender dysphoria. The current study utilized an online qualitative approach based on cognitive-behavioral therapy thought trackers to ask 108 transgender and nonbinary participants four prompts: a) antecedents of gender dysphoria, b) associated thoughts, c) emotions, and e) ways of coping. Analyses of these prompts revealed that gender dysphoria is frequently triggered by body, social, and intrapersonal experiences and is associated with a range of thoughts (e.g. body, gender presentation, medical transition, and self-harm focused) and emotions (e.g. anger, sadness, fear, and suppression) related to experiences of gender dysphoria. Participants noted engaging in both facilitative coping strategies (e.g. mindfulness, gender affirmation, medical transition, social interactions, and cognitive reframes) as well as avoidant strategies (e.g. distraction; suppression; avoid viewing body/self, social interactions, and voice; and identity concealment) to deal with gender dysphoria. Considering the lack of published therapeutic interventions targeting gender dysphoria, the discussion focuses on the ways the current findings can inform clinical practice with TNB individuals.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44382888","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}
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