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Patients’ attachment avoidance and their perceived quality of the real relationship predict patients’ attitudes towards telepsychotherapy 患者的依恋回避和对真实关系的感知质量可以预测患者对远程心理治疗的态度
IF 3 Q1 Psychology Pub Date : 2022-07-03 DOI: 10.1080/09515070.2022.2075324
V. Békés, K. Aafjes-van Doorn
ABSTRACT During the early months of the COVID-19 pandemic, patients in individual psychotherapy needed to suddenly transition to telepsychotherapy (TPT), and for many patients it was their first experience of remote treatment. Since TPT appears to be here to stay after the pandemic ends, it is crucial to understand which factors determine whether TPT is a good fit for patients. We aimed to examine patients’ relational predictors, both trait- (attachment avoidance and attachment anxiety) and state-like (working alliance, real relationship) of patients’ attitudes towards TPT, and the potential mediating role of state-like relational variables between trait-like variables and attitudes. We used a longitudinal design, where patients (N = 719) who were in individual TPT participated in an online survey at the beginning of the pandemic and at follow-up three months later. Patients completed measures of symptom severity, Covid-related distress, attachment anxiety and avoidance, perceived quality of the therapeutic relationship (working alliance and real relationship), and attitude towards TPT. Results suggested that higher levels of attachment avoidance predicted more negative attitudes towards TPT, and that patient-reported quality of the real relationship in their TPT sessions mediated this negative relationship between attachment avoidance and attitudes towards TPT. Patient’s attachment avoidance and the real relationship are important predictors of patients’ attitudes towards TPT, and could indicate suitability of the TPT format, as well as inform clinicians’ efforts in building a real and genuine connection with their patients online.
摘要在新冠肺炎大流行的最初几个月,个体心理治疗患者需要突然过渡到远程心理治疗(TPT),对许多患者来说,这是他们第一次体验远程治疗。由于TPT似乎会在疫情结束后继续存在,因此了解哪些因素决定TPT是否适合患者至关重要。我们旨在检验患者对TPT态度的关系预测因素,包括特质(依恋回避和依恋焦虑)和状态样(工作联盟,真实关系),以及状态样关系变量在特质样变量和态度之间的潜在中介作用。我们使用了一项纵向设计,在大流行开始时和三个月后的随访中,接受个体TPT的患者(N=719)参加了一项在线调查。患者完成了症状严重程度、新冠肺炎相关痛苦、依恋焦虑和回避、治疗关系(工作联盟和真实关系)的感知质量以及对TPT的态度的测量。结果表明,越高水平的依恋回避预示着对TPT的负面态度越多,而患者报告的TPT会话中真实关系的质量介导了依恋回避和对TPT态度之间的这种负面关系。患者的依恋回避和真实关系是患者对TPT态度的重要预测因素,可以表明TPT格式的适用性,并为临床医生在网上与患者建立真实联系提供信息。
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引用次数: 3
Psychotherapists’ experience of the transition to telepsychotherapy amidst COVID-19 in India 印度新冠肺炎期间心理治疗师向远程心理治疗过渡的经验
IF 3 Q1 Psychology Pub Date : 2022-06-28 DOI: 10.1080/09515070.2022.2093164
A. Emran, Jonathan A. Smith, Naved Iqbal
ABSTRACT Since the onset of COVID-19, the provision of psychotherapy services has shifted online. Thus, telepsychotherapy has been the focus of much research to document therapists’ experiences; however, it has been mainly quantitative. In the Indian context, no known empirical research has focused on the implications of this transition on psychotherapists. Therefore, the present paper presents an in-depth idiographic study exploring psychotherapists’ experiences in India, who had to transition to telepsychotherapy rapidly. Ten novice psychotherapists providing clinical services virtually were individually interviewed. The transcripts were analysed using interpretative phenomenological analysis. The main themes that emerged from the analysis were: negative impact on therapeutic process, detrimental effect on personal and professional self, positive impact of telepsychotherapy for therapist and, strategies for helping the adjustment to telepsychotherapy practice. The idiographic and psychological focus enabled a detailed exploration of the profound impact the sudden transition had on novice psychotherapists’ work with clients and their self-efficacy. Despite contextual constraints faced by the psychotherapy profession in India, the participants demonstrated creative ways of working around the challenges encountered during telepsychotherapy. Nonetheless, their experiences highlight the need to initiate training programs in telepsychotherapy.
自2019冠状病毒病爆发以来,心理治疗服务的提供已转向在线。因此,远程心理治疗一直是许多研究的焦点,以记录治疗师的经验;然而,这主要是量化的。在印度的背景下,没有已知的实证研究关注这种转变对心理治疗师的影响。因此,本文提出了一个深入的具体研究,探讨心理治疗师的经验,在印度,谁不得不迅速过渡到远程心理治疗。对10名提供临床服务的新手心理治疗师进行了单独访谈。使用解释性现象学分析分析转录本。从分析中出现的主要主题是:对治疗过程的负面影响,对个人和职业自我的不利影响,远程心理治疗对治疗师的积极影响,以及帮助远程心理治疗实践调整的策略。具体的和心理的焦点使我们能够详细地探索突然转变对新手心理治疗师与客户的工作和他们的自我效能的深刻影响。尽管印度心理治疗行业面临着环境限制,但参与者展示了创造性的方法来应对远程心理治疗过程中遇到的挑战。尽管如此,他们的经历强调了启动远程心理治疗培训项目的必要性。
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引用次数: 0
List of Reviewers 审稿人名单
IF 3 Q1 Psychology Pub Date : 2022-06-28 DOI: 10.1080/09515070.2022.2085968
Published in Counselling Psychology Quarterly (Vol. 35, No. 2, 2022)
发表于《咨询心理学季刊》(第35卷第2期,2022年)
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引用次数: 0
Narrative themes of Chinese Canadian intergenerational trauma: offspring perspectives of trauma transmission 华裔加拿大人代际创伤的叙事主题:创伤传播的后代视角
IF 3 Q1 Psychology Pub Date : 2022-06-25 DOI: 10.1080/09515070.2022.2093165
F. Chou, M. Buchanan, M. Mcdonald, M. Westwood, C. Huang
ABSTRACT In a series of two papers, the narrative themes of Intergenerational Trauma (IGT) from both the perspectives of the parent and offspring generation in the Chinese diaspora in Canada are examined. IGT involves parental traumatization, the intergenerational transmission of trauma, and the impact of trauma on subsequent generations. This study focuses on the narratives of the offspring generation and their construction of how their parents’ traumas shaped their lives. Narratives of IGT were constructed using a collaborative narrative method. The offspring narratives were centred on their experiences growing up in Canada and how those experiences were influenced by the transmission of their parents’ traumas. Narratives were analyzed using Braun and Clarke’s (2006) reflexive thematic analysis. The themes developed from the narratives were as follows: (a) silence and disconnection; (b) saving face and conflicting values; (c) discipline and internalization of insecurities; (d) education as necessity; and (e) preservation and reclamation of heritage. The study illustrates how collective and IGT are understood through the mediated narrative lens of subsequent generations. The role of silence and its construction in these narratives is discussed from a cultural standpoint in relation to dominant trauma discourse. The study has implications for understanding Chinese diasporic IGT through narrative and cultural frameworks and invites trauma and IGT discourses as clinical and research considerations for this population.
摘要在两篇系列论文中,从父母和后代两个角度考察了旅居加拿大华人的代际创伤叙事主题。IGT涉及父母的创伤、创伤的代际传递以及创伤对后代的影响。这项研究的重点是后代的叙述,以及他们对父母的创伤如何塑造他们生活的构建。IGT的叙述采用合作叙述的方法构建。后代的叙述集中在他们在加拿大长大的经历,以及这些经历如何受到父母创伤传播的影响。使用Braun和Clarke(2006)的反身主题分析对叙述进行了分析。从叙述中发展出来的主题如下:(a)沉默和脱节;(b) 面子和价值冲突;(c) 纪律和不安全感的内化;(d) 教育是必要的;以及(e)遗产的保护和开垦。该研究说明了如何通过后代的中介叙事视角来理解集体和IGT。沉默及其建构在这些叙事中的作用是从文化的角度与占主导地位的创伤话语进行讨论的。本研究通过叙事和文化框架对理解中国流散性IGT具有启示意义,并邀请创伤和IGT话语作为该人群的临床和研究考虑因素。
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引用次数: 1
What works in the treatment of medically unexplained physical symptoms? The psychotherapist perspective 什么能有效治疗医学上无法解释的身体症状?心理治疗师的观点
IF 3 Q1 Psychology Pub Date : 2022-06-01 DOI: 10.1080/09515070.2022.2123785
Michal Čevelíček, J. Roubal, Roman Hytych, T. Řiháček
ABSTRACT People with medically unexplained physical symptoms (MUPS) are often referred to psychotherapy, which has been shown to be modestly effective in reducing symptom severity. An investigation of clinical strategies used by experienced psychotherapists in the treatment of clients with MUPS may offer important insights into the treatment process with this challenging group of clients and help further improve the effectiveness of psychotherapy. Individual interviews with 31 psychotherapists experienced in the treatment of adult clients with MUPS were collected. The grounded theory method was used to identify clinical strategies. Clinical strategies were organized into three treatment phases. In the first phase, the psychotherapists’ intention was to draw clients who may resist the psychological view of somatic symptoms into psychotherapy. In the second phase, the psychotherapists aimed to influence the impact of the symptoms on clients’ lives. In the third phase, the psychotherapists focused on reinforcing the clients’ gains from treatment, and they remained open to treatment continuation. The clinical strategies shared by psychotherapists with diverse theoretical orientations point to common mechanisms of change in the treatment of clients with MUPS. Psychotherapists’ responsiveness to client preparedness for psychotherapy appears to be important for specifically challenging clients.
患有医学上无法解释的身体症状(MUPS)的人通常会接受心理治疗,这已被证明在减轻症状严重程度方面有一定的效果。对经验丰富的心理治疗师在治疗MUPS患者时使用的临床策略进行调查,可能会为这一具有挑战性的客户群体的治疗过程提供重要的见解,并有助于进一步提高心理治疗的有效性。对31位有治疗成年MUPS经验的心理治疗师进行了个人访谈。采用扎根理论方法确定临床策略。临床策略分为三个治疗阶段。在第一阶段,心理治疗师的意图是吸引那些可能抗拒身体症状的心理学观点的来访者进入心理治疗。在第二阶段,心理治疗师的目标是影响症状对来访者生活的影响。在第三阶段,心理治疗师专注于强化来访者从治疗中获得的收益,他们对治疗的继续持开放态度。不同理论取向的心理治疗师分享的临床策略指出了治疗MUPS患者的共同变化机制。心理治疗师对客户心理治疗准备的反应似乎对特别具有挑战性的客户很重要。
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引用次数: 1
Facilitating goal-directed transition projects for young adult newcomers to Canada: a qualitative study of a brief supportive counseling intervention 促进目标导向的过渡项目为年轻的成年新移民加拿大:一个简短的支持性咨询干预的定性研究
IF 3 Q1 Psychology Pub Date : 2022-05-31 DOI: 10.1080/09515070.2022.2080643
R. Young, José F. Domene, Kesha Pradhan, L. A. Botia, E. Chi, M. Chiang, Mathew R Gendron, Margaret Noel, Shalet Rosario
ABSTRACT Transition to life in a new country represents complex and challenging tasks for young adults. This transition can be conceptualized as goal-directed action. To date, the literature has not described how these transitions intersect in the goal-directed life projects in which young newcomers engage. Similarly, the literature has not reported attempts to facilitate these processes through brief, goal-oriented supportive counseling interventions. In this study, 12 newcomers to Canada, aged 20–34 years, participated in an individual counseling support intervention intended to assist them to identify and engage in their transition-oriented projects. Qualitative data were collected using the action-project method over approximately a six-month period. Findings indicated that participants engaged in a range of transition projects, thematically grouped as relationship, career, and identity. The findings also revealed information about participants’ engagement with the intervention as part of their transition projects. Implications for research and practice are drawn.
摘要:对于年轻人来说,在一个新的国家过渡到生活是一项复杂而富有挑战性的任务。这种转变可以被概念化为目标导向的行动。到目前为止,文献还没有描述这些转变在年轻新人参与的目标导向的生活项目中是如何交叉的。同样,文献中也没有报道过通过简短的、以目标为导向的支持性咨询干预来促进这些过程的尝试。在这项研究中,12名年龄在20-30岁之间的加拿大新移民参与了一项个人咨询支持干预,旨在帮助他们确定并参与他们的过渡导向项目。使用行动项目方法收集了大约六个月的定性数据。调查结果表明,参与者参与了一系列过渡项目,主题分为关系、职业和身份。研究结果还揭示了参与者参与干预的信息,这是他们过渡项目的一部分。得出了对研究和实践的启示。
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引用次数: 1
An examination of college student helping intentions: depression, suicidal, and homicidal presentations 大学生助人意向的调查:抑郁、自杀和杀人倾向
IF 3 Q1 Psychology Pub Date : 2022-05-12 DOI: 10.1080/09515070.2022.2073331
Nicholas C. Borgogna, Ryon C Mcdermott, Kyle M. Brasil, April T. Berry, Tracey Smith
ABSTRACT Depression is common in college students. Little research has examined peer helping intentions when a student is posed with a peer disclosing depression. Moreover, little research has examined how helping intentions may change with presentation severity (e.g. if suicidal or homicidal ideation is present). We addressed these questions by collecting data from a large sample of college students. Participants were randomly assigned through an online survey into one-of-three experimental vignette conditions to a hypothetical peer with depression (n =198), depression with suicidal ideation (Depression-SI; n = 194), and depression with homicidal ideation (Depression-HI; n = 175). Participants then responded to a measure of helping intentions. Respondents across conditions indicated they generally intended to help their peer. Referrals to a mental health professional and family members were the most frequently chosen, with referrals to a hotline or website being the least frequently chosen. Participants in the Depression-HI condition reported the greatest helping intentions, followed by participants in the Depression-SI condition. Participants in the Depression condition reported the lowest helping intentions. College students likely intend to help their peers with mental health concerns, particularly if the peer is presenting with risk factors that may indicate a threat of violence.
摘要抑郁症在大学生中很常见。很少有研究调查当一名学生与同伴合影时,同伴的帮助意图。此外,很少有研究考察帮助意图如何随着表现的严重程度而变化(例如,如果存在自杀或杀人意念)。我们通过收集大量大学生样本的数据来解决这些问题。通过一项在线调查,参与者被随机分配到三种实验情景中的一种,一个假设的同伴患有抑郁症(n=198)、抑郁症伴自杀意念(抑郁症SI;n=194)和抑郁症伴杀人意念(抑郁症HI;n=175)。然后,参与者对一定程度的帮助意图做出回应。不同情况下的受访者表示,他们通常有意帮助同龄人。转介至心理健康专业人员和家庭成员的频率最高,转介至热线或网站的频率最低。抑郁HI状态的参与者报告了最大的帮助意图,其次是抑郁SI状态的参与者。抑郁症患者的帮助意愿最低。大学生可能打算帮助他们的同龄人解决心理健康问题,特别是当同龄人面临可能表明暴力威胁的风险因素时。
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引用次数: 0
Adapting the Counseling Center Assessment of Psychological Symptoms into Turkish 心理症状咨询中心评估的土耳其语改编
IF 3 Q1 Psychology Pub Date : 2022-04-24 DOI: 10.1080/09515070.2022.2068505
B. Börkan, Büşra Ünverdi
ABSTRACT This article describes the adaptation and validation of a Turkish version of the Counseling Center Assessment of Psychological Symptoms (CCAPS). The original CCAPS was developed for use in pre- and post-treatment assessments and designed in a way to allow monitoring of ongoing treatments. So far it has met the clinical, research, and administrative needs of college counseling centers. Our adaptation study involved translating the scale, establishing construct equivalence between the target and the source language, and estimating the reliability of the scores. The findings supported an eight-factor model and provided substantial validity evidences of the CCAPS-Turkish based on construct and criterion. The reliability of the eight subscales’ score is similar to that of the original version. A Rasch analysis provided further evidence on the constructs. The results of the study are discussed in relation to the mental health issues and the cultural context of university students in Turkey.
本文描述了土耳其版心理症状咨询中心评估(CCAPS)的改编和验证。最初的CCAPS是为治疗前和治疗后评估而开发的,其设计目的是为了监测正在进行的治疗。到目前为止,它已经满足了大学心理咨询中心的临床、研究和管理需求。我们的适应性研究包括翻译量表,建立目的语和源语之间的结构等价性,以及估计分数的信度。研究结果支持八因素模型,并提供了基于结构和标准的CCAPS-Turkish的大量有效性证据。八个分量表得分的信度与原始版本相似。Rasch的分析为这些结构提供了进一步的证据。研究结果与土耳其大学生的心理健康问题和文化背景有关。
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引用次数: 1
“Talk to me like I’m a human” An interpretative phenomenological analysis of the psychotherapy experiences of young people in foster care in Ireland “像人一样和我说话”——爱尔兰寄养青少年心理治疗经历的解释性现象学分析
IF 3 Q1 Psychology Pub Date : 2022-04-23 DOI: 10.1080/09515070.2022.2062702
Daire Gilmartin, Rosaleen McElvaney, M. Corbally
ABSTRACT Many young people in foster care experience significant mental health difficulties, leading to attendance at services where engaging them in psychotherapy that adequately meets their diverse needs is an ongoing challenge. There is a dearth of research exploring the experiences of young people in foster care, and even less on their experiences of therapeutic engagement. Using Interpretative Phenomenological Analysis (IPA), individual interviews were conducted with seven young people in foster care about their experiences of psychotherapy. Four superordinate themes were identified: being powerless; risking relationship; opening up; and finding connection. Young people revealed complex intrapersonal and interpersonal processes where they felt disempowered, drew on their courage to gradually build trust in therapists, were able to share their innermost thoughts and feelings and established deeper connections with themselves and others. This lived experience, illustrating a journey of relational connection, aligns with recognition theory, highlighting young people’s need for authentic recognition as individuals in their totality, for psychotherapy that offered emotional connection and opportunities for systemic relational growth. The study illuminates the inherent challenges of working with this population, while informing practice about how to engage with young people in foster care in a meaningful and helpful way.
摘要许多被寄养的年轻人都经历了严重的心理健康问题,导致他们在服务中接受心理治疗,以充分满足他们的不同需求是一项持续的挑战。关于年轻人在寄养中的经历,缺乏研究,关于他们参与治疗的经历的研究更少。使用解释现象学分析(IPA),对七名寄养青少年进行了个体访谈,了解他们的心理治疗经历。确定了四个上级主题:无能为力;风险关系;对外开放;以及寻找联系。年轻人揭示了复杂的个人和人际过程,在这些过程中,他们感到被剥夺了权力,他们鼓起勇气逐渐建立对治疗师的信任,能够分享自己内心的想法和感受,并与自己和他人建立了更深的联系。这种生活经历说明了一段关系联系的旅程,与认知理论相一致,强调了年轻人作为个体整体需要真正的认知,需要心理治疗来提供情感联系和系统关系成长的机会。这项研究阐明了与这一群体合作的内在挑战,同时为实践提供了如何以有意义和有益的方式与寄养中的年轻人接触的信息。
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引用次数: 2
Counseling psychology doctoral students’ experiences of authenticity: a collaborative autoethnography 咨询心理学博士生的真实性体验:一个合作的自我民族志
IF 3 Q1 Psychology Pub Date : 2022-04-18 DOI: 10.1080/09515070.2022.2063260
NaYeon Yang, Greta Jankauskaite, Judith A. Gerstenblith, Justin W Hillman, Ruogu J. Wang, Thomas P. Le, C. Hill
ABSTRACT Given the importance of authenticity in counseling psychology, we used a collaborative autoethnography approach to explore our experiences of authenticity as counseling psychology doctoral students. Six (3 women, 2 men, 1 gender flexible man; 3 European American, 2 Asian American, 1 Asian; 5 3rd-year students, 1 2nd-year student) students in one counseling psychology doctoral program in the Mid-Atlantic United States reflected on the factors that facilitated and hindered our ability to be authentic by writing four one-to-five page journal entries, reading the journals in four three-hour group meetings, receiving non-judgmental feedback, and editing the journal entries. In the journals, we explored our understanding of authenticity, the development of our authentic selves, our experience of authenticity in graduate school, the role of authenticity in our relationships, the way in which our authenticity has been shaped by external forces, and our process of balancing the costs and benefits when deciding whether or not to be authentic in a given situation. Themes that emerged from the data revealed that we had received mixed messages about authenticity in our graduate program and that our ability to be authentic varied depending on whether we were in the role of therapist, teacher, researcher, or student. Further, family and peer relationships, hierarchical structures, and privileged and marginalized social identities enhanced or inhibited our experiences of authenticity in graduate school. Implications for graduate students and recommendations for future research are discussed.
摘要:鉴于真实性在咨询心理学中的重要性,我们采用协作性的自我民族志方法来探索我们作为咨询心理学博士生的真实性体验。6人(女性3人,男性2人,性别灵活的男性1人;3名欧美人,2名亚裔美国人,1名亚洲人;在美国大西洋中部的一个咨询心理学博士项目中,5名三年级学生和12名二年级学生通过写四到五页的日记、在四次三小时的小组会议中阅读日记、接受非评判性的反馈和编辑日记,反思了促进和阻碍我们真实能力的因素。在这些期刊中,我们探讨了我们对真实性的理解,我们真实自我的发展,我们在研究生院对真实性的体验,真实性在我们的人际关系中的作用,我们的真实性是如何被外部力量塑造的,以及我们在决定是否在特定情况下保持真实性时平衡成本和收益的过程。从数据中出现的主题显示,我们在研究生课程中收到了关于真实性的复杂信息,我们的真实性能力取决于我们是治疗师、教师、研究人员还是学生。此外,家庭和同伴关系、等级结构、特权和边缘化的社会身份增强或抑制了我们在研究生院的真实性体验。讨论了对研究生的启示和对未来研究的建议。
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引用次数: 0
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Counselling Psychology Quarterly
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