Psychology and Psychotherapy-Theory Research and Practice最新文献_第5页

Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample 对不确定性、偏执和前驱症状的不耐受：精神分裂症谱系障碍、焦虑障碍和非临床样本的比较

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-06-02 DOI: 10.1111/papt.12599

Jayne Morriss, Lyn Ellett

Background

Greater Intolerance of Uncertainty (IU: the tendency to find uncertainty negative) is associated with greater paranoia (mistrust of others) in clinical samples with schizophrenia spectrum disorders (SSDs). Questions remain on whether the relationship between IU and paranoia/prodromal symptoms is: (1) specific over other related negative affective traits and cognitive biases, and (2) specific to SSDs or is transdiagnostic.

Methods

To examine these research questions, we conducted a survey in those with SSDs (n = 103), anxiety disorders (n = 102) a non-clinical sample (n = 102). Questionnaires included: IU, paranoia, prodromal symptoms of schizophrenia, neuroticism and jumping to conclusions bias.

Results

IU, neuroticism and jumping to conclusions bias were elevated in those with SSDs and anxiety disorders, compared to the non-clinical group. Both paranoia and prodromal symptoms were highest in those with SSDs, then anxiety disorders and lowest in the non-clinical group. Greater IU was associated with greater paranoia and prodromal symptoms across SSDs, anxiety disorders and a non-clinical sample. The majority of the relationships between IU and paranoia/prodromal symptoms remained significant when controlling for neuroticism and the jumping to conclusions bias. However, the relationship between IU and paranoia in the SSD group was not specific over the jumping to conclusions bias.

Discussion

These findings highlight the potentially transdiagnostic role of IU in paranoia/prodromal symptoms across SSDs and anxiety disorders, which has implications for the development of transdiagnostic treatment interventions for SSDs and anxiety disorders.

背景：在精神分裂症谱系障碍（ssd）的临床样本中，对不确定性的更大耐受（IU：倾向于将不确定性视为负面的）与更大的偏执（对他人的不信任）相关。关于IU和偏执/前驱症状之间的关系是否：(1)特定于其他相关的负面情感特征和认知偏见，以及(2)特定于ssd或跨诊断的问题仍然存在。方法：为了检验这些研究问题，我们对ssd患者（n = 103）、焦虑症患者（n = 102）和非临床样本（n = 102）进行了调查。调查问卷包括：IU、偏执、精神分裂症前驱症状、神经质和过早下结论偏见。结果：与非临床组相比，患有ssd和焦虑症的患者IU、神经质和过早下结论偏倚升高。患有ssd的患者的偏执和前驱症状最高，其次是焦虑症，非临床组最低。在ssd、焦虑症和非临床样本中，较高的IU与较高的偏执和前驱症状相关。在控制神经质和直接得出结论偏差的情况下，IU与偏执/前驱症状之间的大部分关系仍然显著。然而，在SSD组中，IU和偏执之间的关系并没有具体到直接得出结论的偏见。讨论：这些发现强调了IU在ssd和焦虑症的偏执/前驱症状中的潜在诊断作用，这对ssd和焦虑症的诊断治疗干预措施的发展具有重要意义。

{"title":"Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample","authors":"Jayne Morriss, Lyn Ellett","doi":"10.1111/papt.12599","DOIUrl":"10.1111/papt.12599","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Greater Intolerance of Uncertainty (IU: the tendency to find uncertainty negative) is associated with greater paranoia (mistrust of others) in clinical samples with schizophrenia spectrum disorders (SSDs). Questions remain on whether the relationship between IU and paranoia/prodromal symptoms is: (1) specific over other related negative affective traits and cognitive biases, and (2) specific to SSDs or is transdiagnostic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To examine these research questions, we conducted a survey in those with SSDs (<i>n</i> = 103), anxiety disorders (<i>n</i> = 102) a non-clinical sample (<i>n</i> = 102). Questionnaires included: IU, paranoia, prodromal symptoms of schizophrenia, neuroticism and jumping to conclusions bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>IU, neuroticism and jumping to conclusions bias were elevated in those with SSDs and anxiety disorders, compared to the non-clinical group. Both paranoia and prodromal symptoms were highest in those with SSDs, then anxiety disorders and lowest in the non-clinical group. Greater IU was associated with greater paranoia and prodromal symptoms across SSDs, anxiety disorders and a non-clinical sample. The majority of the relationships between IU and paranoia/prodromal symptoms remained significant when controlling for neuroticism and the jumping to conclusions bias. However, the relationship between IU and paranoia in the SSD group was not specific over the jumping to conclusions bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight the potentially transdiagnostic role of IU in paranoia/prodromal symptoms across SSDs and anxiety disorders, which has implications for the development of transdiagnostic treatment interventions for SSDs and anxiety disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"960-973"},"PeriodicalIF":2.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals 跨性别及性别差异个体的顺规范性与核心情感需求受挫。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-22 DOI: 10.1111/papt.12596

George Radford, Jamie E. M. Byrne, Petra K. Staiger, Gery C. Karantzas

Introduction

Cisnormativity is a sociocultural narrative that contributes to the marginalisation of transgender and gender diverse (TGD) people. The schema therapy model theorises that humans have five core emotional needs that must be met to support psychological well-being. Experiences of marginalisation may result in TGD people feeling as if their core emotional needs are not being met. Integrating the schema therapy model with an ecological systems perspective, this study aimed to examine how manifestations of cisnormativity across different levels of the social ecology impact the extent to which TGD people feel their core emotional needs are met.

Methods

An online qualitative survey was completed by 101 TGD adults, and the data were analysed using reflexive thematic analysis.

Results

Cisnormativity greatly impacted TGD people in ways that reflected the denial of numerous core emotional needs under the schema therapy model. The frustration of these needs was represented in four themes: disconnection and rejection; representation and reputation; suppressing and performing gender; and autonomy. The sources for these unmet needs were present across multiple levels of people's ecological systems.

Conclusion

Integrating an ecological systems perspective with the schema model demonstrated how the sociocultural context can directly and indirectly interfere with the meeting of core emotional needs. Some of the needs constructs demonstrated conceptual overlap, necessitating further investigation of the schema therapy model. This study documented the wide-ranging impacts of cisnormativity on TGD people, highlighting novel considerations that should be incorporated into the schema therapy model and models of TGD mental health and well-being.

顺规范是一种社会文化叙事，导致变性人和性别多样性（TGD）人被边缘化。图式治疗模型认为，人类有五种核心情感需求，必须得到满足才能维持心理健康。被边缘化的经历可能会导致TGD患者感觉他们的核心情感需求没有得到满足。结合图式治疗模型和生态系统视角，本研究旨在探讨顺规范性在不同社会生态层面的表现如何影响TGD人感觉其核心情感需求得到满足的程度。方法：对101名TGD成人进行在线定性调查，采用自反性主题分析方法对数据进行分析。结果：顺规范性对TGD患者的影响很大，反映了图式治疗模式下对许多核心情感需求的否认。这些需求的挫折表现在四个主题中：断开连接和拒绝；代表和声誉；压制和执行性别；和自主权。这些未满足需求的来源存在于人类生态系统的多个层面。结论：将生态系统视角与图式模型相结合，揭示了社会文化背景如何直接或间接地影响核心情感需求的满足。一些需求结构表现出概念上的重叠，需要对图式治疗模型进行进一步的研究。本研究记录了顺规范性对TGD患者的广泛影响，强调了应该纳入图式治疗模型和TGD心理健康和福祉模型的新考虑。

{"title":"Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals","authors":"George Radford, Jamie E. M. Byrne, Petra K. Staiger, Gery C. Karantzas","doi":"10.1111/papt.12596","DOIUrl":"10.1111/papt.12596","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cisnormativity is a sociocultural narrative that contributes to the marginalisation of transgender and gender diverse (TGD) people. The schema therapy model theorises that humans have five core emotional needs that must be met to support psychological well-being. Experiences of marginalisation may result in TGD people feeling as if their core emotional needs are not being met. Integrating the schema therapy model with an ecological systems perspective, this study aimed to examine how manifestations of cisnormativity across different levels of the social ecology impact the extent to which TGD people feel their core emotional needs are met.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online qualitative survey was completed by 101 TGD adults, and the data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cisnormativity greatly impacted TGD people in ways that reflected the denial of numerous core emotional needs under the schema therapy model. The frustration of these needs was represented in four themes: disconnection and rejection; representation and reputation; suppressing and performing gender; and autonomy. The sources for these unmet needs were present across multiple levels of people's ecological systems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Integrating an ecological systems perspective with the schema model demonstrated how the sociocultural context can directly and indirectly interfere with the meeting of core emotional needs. Some of the needs constructs demonstrated conceptual overlap, necessitating further investigation of the schema therapy model. This study documented the wide-ranging impacts of cisnormativity on TGD people, highlighting novel considerations that should be incorporated into the schema therapy model and models of TGD mental health and well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"934-959"},"PeriodicalIF":2.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12596","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study 应激、愉悦和情绪对语音听力的影响：一项生态瞬时评价研究。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-19 DOI: 10.1111/papt.12598

Kelly Cusworth, Sharla Cartner, Georgie Paulik, Neil Thomas, Guillermo Campitelli, Danielle C. Mathersul

Background

Negative emotions and stress are theorised to play a role in the onset and maintenance of voice-hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs.

Aim

Using ecological momentary assessment, this study examined the moment-to-moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice-hearing onset.

Materials & Methods

Forty voice-hearers completed seven days of smartphone-based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice-hearing.

Results

Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice-hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice-hearing, nor did they moderate the relationship between voice-hearing onset and stressful or pleasurable events, respectively.

Discussion

These findings suggest that factors which differentiate perception of stressful events from self-reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors.

Conclusion

Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms.

背景：理论认为负面情绪和压力在声音听觉体验的发生和维持中起作用。然而，以往的研究并没有使用差异化的心理构念来探索这些日常生活中的时间关系。目的：本研究采用生态瞬时评价方法，考察了消极和积极情绪效价和强度、应激和愉悦事件与语音听力发生之间的瞬时关系。材料与方法：40名语音听者完成了为期7天的基于智能手机的调查，评估他们的情绪和强度，感知到的生活事件的压力和快乐，以及语音听力的存在。结果：多层次模型显示，压力事件，而不是愉快事件，在同时发生和下一个时间点都能显著预测语音听力。消极和积极的情绪强度既不能预测声音听力，也不能调节声音听力发作与压力或愉快事件之间的关系。讨论：这些发现表明，区分压力事件感知与自我报告的负面情绪的因素可能是有用的干预目标，例如减轻长期外部压力源，降低对外部压力源的敏感性，以及针对负面感知或对这些压力源的抵抗。结论：临床上，我们的研究结果强调了压力与外部导向事件的负面感知的相关性，需要进一步的研究来探索针对这些机制的有效干预措施。

{"title":"The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study","authors":"Kelly Cusworth, Sharla Cartner, Georgie Paulik, Neil Thomas, Guillermo Campitelli, Danielle C. Mathersul","doi":"10.1111/papt.12598","DOIUrl":"10.1111/papt.12598","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Negative emotions and stress are theorised to play a role in the onset and maintenance of voice-hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Using ecological momentary assessment, this study examined the moment-to-moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice-hearing onset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials & Methods</h3>\u0000 \u0000 <p>Forty voice-hearers completed seven days of smartphone-based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice-hearing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice-hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice-hearing, nor did they moderate the relationship between voice-hearing onset and stressful or pleasurable events, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings suggest that factors which differentiate perception of stressful events from self-reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"918-933"},"PeriodicalIF":2.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative study exploring the role of perfectionism in trichotillomania 一项探讨完美主义在拔毛癖中的作用的定性研究。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-16 DOI: 10.1111/papt.12597

Amy L. Zarandi, Josie F. A. Millar, Erin Waites, Judith L. Stevenson

Objective

Trichotillomania (TTM) is a condition in which individuals repeatedly pull out their hair despite adverse consequences. Several models have suggested underlying processes, with a central feature of hairpulling being an external means to regulate internal states. The frustrated action model suggests that certain affective states arise from perfectionistic beliefs and an overactive, overprepared style of planning, triggering episodes of hairpulling. To date, there is limited research investigating perfectionism in people with TTM. The current study investigated the experiences of hairpulling behaviour in people with TTM, with specific attention given to perfectionism.

Design

A qualitative methodology was employed.

Method

Twenty participants completed online screening questionnaires and were interviewed via an online communication platform. Data were analysed using reflexive thematic analysis.

Results

The findings identified the role and development of maladaptive perfectionism in hairpulling. Furthermore, a maintenance cycle is proposed, in which hairpulling is maintained via the positive function it plays in preventing confirmation of self-critical cognitions.

Conclusions

The results indicate that interventions targeting perfectionism specifically in individuals with TTM could be beneficial. Furthermore, clinicians should be sensitive to the positive functions that hairpulling can serve for people with TTM.

目的：拔毛癖（TTM）是一种不顾不良后果反复拔毛的症状。有几个模型提出了潜在的过程，其中一个中心特征是拉毛是调节内部状态的外部手段。沮丧行为模型表明，某些情感状态源于完美主义信念和过度活跃、准备过度的计划风格，从而引发拉扯头发的事件。迄今为止，关于TTM患者的完美主义的研究有限。目前的研究调查了TTM患者的拔毛行为，特别关注完美主义。设计：采用定性方法。方法：20名参与者完成在线筛选问卷，并通过在线交流平台进行访谈。数据分析采用反身性主题分析。结果：研究结果确定了不适应完美主义在拔毛中的作用和发展。此外，我们还提出了一个维持周期，在这个维持周期中，拔毛是通过它在防止自我批判认知的确认中发挥的积极作用来维持的。结论：结果表明，针对完美主义的干预措施对TTM患者是有益的。此外，临床医生应该对拔毛对TTM患者的积极作用敏感。

{"title":"A qualitative study exploring the role of perfectionism in trichotillomania","authors":"Amy L. Zarandi, Josie F. A. Millar, Erin Waites, Judith L. Stevenson","doi":"10.1111/papt.12597","DOIUrl":"10.1111/papt.12597","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Trichotillomania (TTM) is a condition in which individuals repeatedly pull out their hair despite adverse consequences. Several models have suggested underlying processes, with a central feature of hairpulling being an external means to regulate internal states. The frustrated action model suggests that certain affective states arise from perfectionistic beliefs and an overactive, overprepared style of planning, triggering episodes of hairpulling. To date, there is limited research investigating perfectionism in people with TTM. The current study investigated the experiences of hairpulling behaviour in people with TTM, with specific attention given to perfectionism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative methodology was employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Twenty participants completed online screening questionnaires and were interviewed via an online communication platform. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings identified the role and development of maladaptive perfectionism in hairpulling. Furthermore, a maintenance cycle is proposed, in which hairpulling is maintained via the positive function it plays in preventing confirmation of self-critical cognitions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results indicate that interventions targeting perfectionism specifically in individuals with TTM could be beneficial. Furthermore, clinicians should be sensitive to the positive functions that hairpulling can serve for people with TTM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"901-917"},"PeriodicalIF":2.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

‘I think that we can effect change’: Psychologist use of social media for social justice advocacy “我认为我们可以影响改变”：心理学家利用社交媒体倡导社会正义。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-11 DOI: 10.1111/papt.12601

Ella White, Terry Hanley

Introduction

Psychologists can bring social justice into their professional presence on social media, with the public perceiving health care professionals as a reputable source of information online. This study aimed to explore practitioner psychologists' use of social media for social justice advocacy as a mental health influencer.

Methods

Twelve UK-based practitioner psychologists were interviewed who had an Instagram account that they used as a mental health influencer. The semi-structured interview transcripts were analysed using reflexive thematic analysis.

Results

Systemic issues have motivated many psychologists to begin work as a mental health influencer. There are challenges between the use of social media for social justice advocacy and for business purposes to promote private practice. Psychologists can use social media to share psychoeducation to increase mental health literacy and encourage access to therapy. The accessibility of this content is particularly valuable for people from marginalised communities and for people on long waiting lists to access mental health support. Psychologists can use social media to raise critical consciousness of social inequalities and reduce an individual's sense of self-blame.

Conclusion

Irrespective of working in the public sector or private practice, there are opportunities for psychologists to use social media as a resource for social justice advocacy.

导读：心理学家可以在社交媒体上将社会正义带入他们的专业存在，公众将医疗保健专业人员视为在线信息的可靠来源。本研究旨在探讨执业心理学家使用社交媒体作为心理健康影响者的社会正义倡导。方法：对12名英国执业心理学家进行了采访，他们都有一个Instagram账户，并将其用作心理健康影响者。采用反身性主题分析对半结构化访谈记录进行分析。结果：系统问题促使许多心理学家开始作为心理健康影响者工作。在使用社交媒体倡导社会正义和为商业目的促进私人执业之间存在挑战。心理学家可以利用社交媒体分享心理教育，以提高心理健康素养，并鼓励接受治疗。这些内容的可及性对于边缘化社区的人以及等待获得心理健康支持的人来说尤其重要。心理学家可以利用社交媒体提高对社会不平等的批判意识，减少个人的自责感。结论：无论在公共部门还是私人诊所工作，心理学家都有机会利用社交媒体作为倡导社会正义的资源。

{"title":"‘I think that we can effect change’: Psychologist use of social media for social justice advocacy","authors":"Ella White, Terry Hanley","doi":"10.1111/papt.12601","DOIUrl":"10.1111/papt.12601","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychologists can bring social justice into their professional presence on social media, with the public perceiving health care professionals as a reputable source of information online. This study aimed to explore practitioner psychologists' use of social media for social justice advocacy as a mental health influencer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve UK-based practitioner psychologists were interviewed who had an Instagram account that they used as a mental health influencer. The semi-structured interview transcripts were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Systemic issues have motivated many psychologists to begin work as a mental health influencer. There are challenges between the use of social media for social justice advocacy and for business purposes to promote private practice. Psychologists can use social media to share psychoeducation to increase mental health literacy and encourage access to therapy. The accessibility of this content is particularly valuable for people from marginalised communities and for people on long waiting lists to access mental health support. Psychologists can use social media to raise critical consciousness of social inequalities and reduce an individual's sense of self-blame.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Irrespective of working in the public sector or private practice, there are opportunities for psychologists to use social media as a resource for social justice advocacy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"884-900"},"PeriodicalIF":2.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Compassion-focused chairwork for voice-hearing relationships, body triggers and motivational states. 以同情为中心的椅子，用于语音听觉关系、身体触发和动机状态。

IF 2.6 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-11 DOI: 10.1111/papt.12600

Charles Heriot-Maitland, Tobyn Bell

Purpose: This paper aims to build on a recent theoretical and empirical review of CFT for psychosis by outlining a more detailed account of how voice-hearing perceptions may be generated and triggered, and the implications for clinical practice. It also aims to provide a detailed and practical illustration of how CFT for voice-hearing is applied in therapy.

Method: This paper summarises the evolution-informed rationale for CFT for voice-hearing and integrates into this framework some major developments in cognitive neuroscience-namely predictive processing models of perception-to develop a richer account of the mechanisms and targets of CFT for voice-hearing. The clinical application of this model is demonstrated using a description of compassion-focused chairwork for voice-hearing.

Results: The enriched perceptual modelling of CFT for voice-hearing is complementary to the (evolution-informed) accounts in the existing CFT literature, while adding precision and utility when it comes to describing compassion-focused chairwork for voice-hearing and discussing some of the key clinical considerations for therapists wishing to use this method.

Conclusions: CFT for voice-hearing is an integrated biopsychosocial approach that indicates therapy targets linked to both sides of the voice-to-voice hearer relationship, to corresponding embodied and motivational states, and to the past traumas and conflicts that may drive these patterns. CFT chairwork is particularly well suited to addressing some of the perceptual, embodied and motivational drivers of voice-hearing experiences. We recommend the development of detailed intervention protocols for therapist guidance on specific techniques such as CFT chairwork, which can be used in future evaluation research.

目的：本文旨在通过概述更详细的语音听觉感知如何产生和触发，以及对临床实践的影响，来建立最近对精神病CFT的理论和实证综述。它还旨在提供一个详细和实用的例子，如何在治疗中应用声听力的CFT。方法：本文总结了基于进化的CFT用于语音听力的基本原理，并将认知神经科学的一些主要发展-即感知的预测处理模型-整合到该框架中，以对CFT用于语音听力的机制和目标进行更丰富的解释。该模型的临床应用是通过描述以同情为中心的听觉椅子来演示的。结果：丰富的声音听力CFT感知模型是对现有CFT文献中（进化知情的）描述的补充，同时在描述以同情为中心的声音听力椅子工作时增加了准确性和实用性，并讨论了希望使用这种方法的治疗师的一些关键临床考虑因素。结论：语音听力的CFT是一种综合的生物心理社会方法，表明治疗目标与语音与语音听者关系的双方，相应的体现和动机状态，以及可能驱动这些模式的过去创伤和冲突有关。CFT椅子工作特别适合解决语音听觉体验的一些感知、具体化和动机驱动因素。我们建议制定详细的干预方案，以指导治疗师具体的技术，如CFT椅子工作，这可以用于未来的评估研究。

{"title":"Compassion-focused chairwork for voice-hearing relationships, body triggers and motivational states.","authors":"Charles Heriot-Maitland, Tobyn Bell","doi":"10.1111/papt.12600","DOIUrl":"https://doi.org/10.1111/papt.12600","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aims to build on a recent theoretical and empirical review of CFT for psychosis by outlining a more detailed account of how voice-hearing perceptions may be generated and triggered, and the implications for clinical practice. It also aims to provide a detailed and practical illustration of how CFT for voice-hearing is applied in therapy.</p><p><strong>Method: </strong>This paper summarises the evolution-informed rationale for CFT for voice-hearing and integrates into this framework some major developments in cognitive neuroscience-namely predictive processing models of perception-to develop a richer account of the mechanisms and targets of CFT for voice-hearing. The clinical application of this model is demonstrated using a description of compassion-focused chairwork for voice-hearing.</p><p><strong>Results: </strong>The enriched perceptual modelling of CFT for voice-hearing is complementary to the (evolution-informed) accounts in the existing CFT literature, while adding precision and utility when it comes to describing compassion-focused chairwork for voice-hearing and discussing some of the key clinical considerations for therapists wishing to use this method.</p><p><strong>Conclusions: </strong>CFT for voice-hearing is an integrated biopsychosocial approach that indicates therapy targets linked to both sides of the voice-to-voice hearer relationship, to corresponding embodied and motivational states, and to the past traumas and conflicts that may drive these patterns. CFT chairwork is particularly well suited to addressing some of the perceptual, embodied and motivational drivers of voice-hearing experiences. We recommend the development of detailed intervention protocols for therapist guidance on specific techniques such as CFT chairwork, which can be used in future evaluation research.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial acknowledgement 社论承认

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-10 DOI: 10.1111/papt.12561

引用次数: 0

Relating Therapy for distressing voices: A treatment protocol. 痛苦声音的相关治疗：一种治疗方案。

IF 2.6 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-05-06 DOI: 10.1111/papt.12595

Mark Hayward, Matthias Pilny, Tania Lincoln

Purpose: To present a treatment protocol for Relating Therapy-a novel psychological intervention which supports adults to respond assertively to their distressing voice hearing experiences.

Method: This paper reports the background to the development of Relating Therapy. Thereafter, the four phases of the therapy are described: (1) exploring the hearer's relational landscape and identification of patterns of relating; (2) selection of a difficult relationship and a specific conversation, and re-scripting of the conversation; (3) introduction to and engagement with roleplays and (4) reflection, consolidation and preparing for the continuation of learning. Implementation issues are discussed, and the evidence base is reviewed.

Results: The findings from preliminary evaluations of Relating Therapy suggest that a definitive randomised controlled trial is feasible. Current evidence suggests that Relating Therapy is an acceptable and safe intervention that has the potential to generate benefits for hearers.

Conclusion: Learning to respond assertively may be beneficial to some adults who are distressed by hearing voices. A definitive randomised controlled trial is warranted to evaluate the clinical and cost-effectiveness of Relating Therapy and to explore the mechanisms through which any benefits might be generated.

目的：提出一种新的心理干预方法——关联疗法，以支持成年人对其痛苦的声音听力体验做出自信的反应。方法：介绍相关疗法的发展背景。在此基础上，介绍了治疗的四个阶段：(1)探索听者的关系景观和识别关系模式；(2)选择困难的关系和特定的对话，并重新编写对话脚本；(3)角色扮演的介绍和参与；(4)反思、巩固和准备继续学习。讨论了实施问题，并审查了证据基础。结果：相关疗法的初步评估结果表明，一项明确的随机对照试验是可行的。目前的证据表明，关联疗法是一种可接受的、安全的干预措施，有可能为听者带来好处。结论：学会果断地回应可能对一些因幻听而痛苦的成年人有益。有必要进行一项明确的随机对照试验，以评估相关疗法的临床和成本效益，并探索可能产生任何益处的机制。

{"title":"Relating Therapy for distressing voices: A treatment protocol.","authors":"Mark Hayward, Matthias Pilny, Tania Lincoln","doi":"10.1111/papt.12595","DOIUrl":"https://doi.org/10.1111/papt.12595","url":null,"abstract":"<p><strong>Purpose: </strong>To present a treatment protocol for Relating Therapy-a novel psychological intervention which supports adults to respond assertively to their distressing voice hearing experiences.</p><p><strong>Method: </strong>This paper reports the background to the development of Relating Therapy. Thereafter, the four phases of the therapy are described: (1) exploring the hearer's relational landscape and identification of patterns of relating; (2) selection of a difficult relationship and a specific conversation, and re-scripting of the conversation; (3) introduction to and engagement with roleplays and (4) reflection, consolidation and preparing for the continuation of learning. Implementation issues are discussed, and the evidence base is reviewed.</p><p><strong>Results: </strong>The findings from preliminary evaluations of Relating Therapy suggest that a definitive randomised controlled trial is feasible. Current evidence suggests that Relating Therapy is an acceptable and safe intervention that has the potential to generate benefits for hearers.</p><p><strong>Conclusion: </strong>Learning to respond assertively may be beneficial to some adults who are distressed by hearing voices. A definitive randomised controlled trial is warranted to evaluate the clinical and cost-effectiveness of Relating Therapy and to explore the mechanisms through which any benefits might be generated.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disclosing racial trauma in psychological therapy: Exploring the experiences of racially minoritised people in the UK 揭露心理治疗中的种族创伤：探索英国少数民族的经历。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-04-18 DOI: 10.1111/papt.12592

Nicole K. S. Samuel, Laura M. Simonds

Objectives

Exposure to racism is repeatedly experienced by individuals from racially minoritised backgrounds, and has a range of negative emotional, physical and social consequences; however, its traumatising effects are under-recognised. Further, psychological therapists often lack sufficient knowledge, training and confidence to sensitively manage conversations about racism. As this has important implications for the standards of care this population receives, this study explored how racially minoritised clients experience disclosing, or attempting to disclose racial trauma in psychological therapy.

Design

The study utilised an online qualitative survey design.

Methods

Participants were 28 adults who identified as belonging to minoritised racial groups and had engaged in psychological therapy in the UK. Therapy spanned a range of modalities, and providers included the NHS, private therapists/organisations, charities and university services. Data were analysed using thematic analysis.

Results

Three superordinate themes were constructed: The Dangers of Disclosure; Holding the Burden; and Feeling Heard and Held. These demonstrated both the range of potential harms and burdens associated with disclosures of racial trauma in therapy, and examples of meaningful, validating therapist responses to disclosure.

Conclusions

Therapists, regardless of racial heritage, have the potential to both perpetuate harm and provide meaningful support in response to disclosures of racial trauma. Racial reflexivity and education on racism and racial trauma are essential to ethical and antiracist therapeutic practice, and crucial to safeguarding racially minoritised clients from racial harm in therapy. These must be embedded in training, practice and policy for meaningful improvements in racially minoritised clients' experiences of therapy to occur.

目标：来自少数种族背景的个人会反复经历种族主义，并产生一系列负面的情绪、身体和社会后果；然而，它的创伤效应没有得到充分认识。此外，心理治疗师往往缺乏足够的知识、训练和信心，无法敏感地处理有关种族主义的对话。由于这对该人群接受的护理标准具有重要意义，本研究探讨了种族少数客户在心理治疗中如何经历披露或试图披露种族创伤。设计：本研究采用在线定性调查设计。方法：参与者是28名成年人，他们被认为属于少数民族，并在英国从事心理治疗。治疗跨越了一系列形式，提供者包括NHS，私人治疗师/组织，慈善机构和大学服务。采用专题分析对数据进行分析。结果：构建了三个上级主题：披露的危险性；承担责任；感受被倾听和被拥抱。这些研究展示了在治疗中披露种族创伤的潜在危害和负担，以及有意义的、有效的治疗师对披露的反应的例子。结论：无论种族背景如何，治疗师都有可能使伤害持续存在，并在回应种族创伤的披露时提供有意义的支持。种族反身性和关于种族主义和种族创伤的教育对于道德和反种族主义的治疗实践至关重要，对于保护少数族裔客户在治疗中免受种族伤害至关重要。这些必须嵌入到培训、实践和政策中，以有意义地改善少数族裔客户的治疗体验。

{"title":"Disclosing racial trauma in psychological therapy: Exploring the experiences of racially minoritised people in the UK","authors":"Nicole K. S. Samuel, Laura M. Simonds","doi":"10.1111/papt.12592","DOIUrl":"10.1111/papt.12592","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Exposure to racism is repeatedly experienced by individuals from racially minoritised backgrounds, and has a range of negative emotional, physical and social consequences; however, its traumatising effects are under-recognised. Further, psychological therapists often lack sufficient knowledge, training and confidence to sensitively manage conversations about racism. As this has important implications for the standards of care this population receives, this study explored how racially minoritised clients experience disclosing, or attempting to disclose racial trauma in psychological therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The study utilised an online qualitative survey design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 28 adults who identified as belonging to minoritised racial groups and had engaged in psychological therapy in the UK. Therapy spanned a range of modalities, and providers included the NHS, private therapists/organisations, charities and university services. Data were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three superordinate themes were constructed: <i>The Dangers of Disclosure</i><i>;</i> <i>Holding the Burden</i>; and <i>Feeling Heard and Held</i>. These demonstrated both the range of potential harms and burdens associated with disclosures of racial trauma in therapy, and examples of meaningful, validating therapist responses to disclosure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Therapists, regardless of racial heritage, have the potential to both perpetuate harm and provide meaningful support in response to disclosures of racial trauma. Racial reflexivity and education on racism and racial trauma are essential to ethical and antiracist therapeutic practice, and crucial to safeguarding racially minoritised clients from racial harm in therapy. These must be embedded in training, practice and policy for meaningful improvements in racially minoritised clients' experiences of therapy to occur.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 4","pages":"859-883"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychological therapies for bipolar disorder in later life: Current evidence, practice and future directions 老年双相情感障碍的心理治疗：目前的证据、实践和未来的方向。

IF 2.7 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice

Pub Date : 2025-04-04 DOI: 10.1111/papt.12593

Elizabeth Tyler, Aaron Warner

Purpose

Bipolar disorder (BD) is a severe and enduring mental health condition that persists into older adulthood. The number of people living with BD into later life is set to increase as our population ages and awareness of the condition increases. BD in later life may present with additional challenges, such as increased physical health comorbidities and poorer cognitive function. Despite these additional challenges, there has been a paucity of research focused specifically on the treatment needs of older people with BD, highlighted by several review papers. In comparison, the last 30 years have witnessed a rapid development of psychological treatments for younger people with BD.

Methods

The authors completed a literature review of peer-reviewed journal articles reporting on psychological therapies developed specifically for older adults with BD. The authors also considered adaptations to psychological therapies that may benefit this population.

Results

This review highlighted that there is limited available research investigating the efficacy of psychological treatments for older adults with BD, despite their unique care needs. The available evidence demonstrated the importance of adapting psychological interventions to meet this client group's needs and outlined potentially beneficial adaptations, such as increasing the flexibility of treatment, taking into account health-related and symptom changes, and developing treatments in consultation with older adults with BD.

Conclusions

Improved attention and awareness of the challenges faced by older adults with BD is warranted. The development of tailored psychological treatments for this group may help reduce the significant inequalities they currenty face.

目的：双相情感障碍（BD）是一种严重和持久的精神健康状况，持续到老年。随着人口老龄化和对双相障碍认识的提高，老年双相障碍患者的数量将会增加。老年双相障碍可能会带来额外的挑战，如身体健康合并症的增加和认知功能的下降。尽管存在这些额外的挑战，但专门关注老年双相障碍患者治疗需求的研究一直很缺乏，几篇综述论文强调了这一点。相比之下，在过去的30年里，年轻双相障碍患者的心理治疗得到了快速发展。方法：作者完成了一篇同行评议的期刊文章，报道了专门针对老年双相障碍患者的心理治疗。作者还考虑了心理治疗的适应性，可能使这一人群受益。结果：本综述强调，尽管老年双相障碍患者有独特的护理需求，但调查心理治疗效果的现有研究有限。现有证据表明，调整心理干预措施以满足该客户群需求的重要性，并概述了潜在的有益调整，例如增加治疗的灵活性，考虑健康相关和症状变化，以及与老年双相障碍患者协商制定治疗方案。结论：有必要提高对老年双相障碍患者所面临挑战的关注和认识。针对这一群体量身定制的心理治疗可能有助于减少他们目前面临的严重不平等。

{"title":"Psychological therapies for bipolar disorder in later life: Current evidence, practice and future directions","authors":"Elizabeth Tyler, Aaron Warner","doi":"10.1111/papt.12593","DOIUrl":"10.1111/papt.12593","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Bipolar disorder (BD) is a severe and enduring mental health condition that persists into older adulthood. The number of people living with BD into later life is set to increase as our population ages and awareness of the condition increases. BD in later life may present with additional challenges, such as increased physical health comorbidities and poorer cognitive function. Despite these additional challenges, there has been a paucity of research focused specifically on the treatment needs of older people with BD, highlighted by several review papers. In comparison, the last 30 years have witnessed a rapid development of psychological treatments for younger people with BD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The authors completed a literature review of peer-reviewed journal articles reporting on psychological therapies developed specifically for older adults with BD. The authors also considered adaptations to psychological therapies that may benefit this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review highlighted that there is limited available research investigating the efficacy of psychological treatments for older adults with BD, despite their unique care needs. The available evidence demonstrated the importance of adapting psychological interventions to meet this client group's needs and outlined potentially beneficial adaptations, such as increasing the flexibility of treatment, taking into account health-related and symptom changes, and developing treatments in consultation with older adults with BD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Improved attention and awareness of the challenges faced by older adults with BD is warranted. The development of tailored psychological treatments for this group may help reduce the significant inequalities they currenty face.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 3","pages":"821-831"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0