Reducing risk: navigating emotional triangles in clinical work with youth suicidality and self-harm

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Jo Wright, Robyn Milligan, Michelle Varcoe
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引用次数: 0

Abstract

In clinical work with families in which a young person is at real and significant risk of self-harm or even death by suicide, predictable emotional triangles both within the family and within the treating system intensify. As understandable fear and worry in parents and clinicians rises in response to potential risk, these emotionally driven relational processes become even more rigid. This typically results in a reduction in cognitive and behavioural flexibility, which can potentially and unwittingly increase the risk of self-harm by suicide. This article outlines some basic principles pertaining to the notion of emotional triangles, a central concept in Bowen family systems theory; its relevance for clinicians working with suicidal youth and their families; and its application to the context of a community child and youth mental health service. Practical application of theory to clinical work is demonstrated through clinical vignettes that describe the work of two clinicians and their clinical supervisor. The authors reflect on their understanding of the development of emotional triangles in the vignettes presented alongside their efforts to navigate these triangles through the regulation of their own anxiety and more objective thinking.

降低风险:在青少年自杀和自残临床工作中驾驭情感三角关系
在临床工作中,如果青少年的家庭确实面临着自我伤害甚至自杀死亡的重大风险,那么家庭内部和治疗系统内部可预见的情感三角关系就会加剧。由于家长和临床医生对潜在风险的恐惧和担忧可以理解,这些情绪驱动的关系过程就会变得更加僵化。这通常会导致认知和行为灵活性的降低,从而可能在不知不觉中增加自杀自残的风险。本文概述了与情感三角概念有关的一些基本原则,情感三角是鲍温家庭系统理论的核心概念;情感三角与为有自杀倾向的青少年及其家庭提供服务的临床医生的相关性;以及情感三角在社区儿童和青少年心理健康服务中的应用。通过描述两位临床医生及其临床督导工作的临床小故事,展示了理论在临床工作中的实际应用。作者在小故事中反思了他们对情感三角关系发展的理解,以及他们通过调节自身焦虑和更客观的思考来驾驭这些三角关系的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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