Young adult vulnerability and parental responsiveness in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-05-14 DOI:10.1080/10503307.2025.2501239

Shira Katz, Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M Diamond

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Abstract

Objective: Young adult vulnerability is thought to elicit parental responsiveness, and parental responsiveness is thought to facilitate young adult vulnerability. These moment-by-moment in-session processes are purported core change mechanisms in attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents (ABFT-SGM). This study examined whether young adult vulnerability predicted immediately subsequent parental responsiveness, and parental responsiveness predicted immediately subsequent young adult vulnerability, and whether the frequency of such sequences predicted treatment outcome.

Method: Analyses were conducted on all conjoint attachment sessions (N = 146) from 26 cases treated in an open trial of ABFT-SGM. Over 16,000 young adult speech-turns were coded for vulnerability and over 27,000 parental speech-turns were coded for responsiveness.

Results: Hierarchical linear modeling revealed that young adult vulnerability predicted immediately subsequent parental responsiveness, and that parental responsiveness predicted immediately subsequent young adult vulnerability. Frequency of vulnerability-responsiveness sequences, for the most part, did not predict changes in young adults' perceived parental acceptance or rejection.

Conclusions: Results support the bidirectional moment-by-moment effects of young adult vulnerability and parental responsiveness during conjoint ABFT-SGM sessions. The link between the simple frequency of vulnerability-responsiveness sequences and treatment outcome is tenuous.

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LGBTQ+年轻人及其不接受父母的依恋家庭治疗中的年轻人脆弱性和父母反应。

目的：青少年的脆弱被认为诱发了父母的反应，而父母的反应被认为促进了青少年的脆弱。这些时时刻刻的会话过程被认为是基于依恋的家庭治疗中针对性和性别少数年轻人及其不接受父母（ABFT-SGM）的核心改变机制。本研究考察了年轻人的脆弱性是否能预测随后的父母反应性，父母反应性是否能预测随后的年轻人脆弱性，以及这些序列的频率是否能预测治疗结果。方法：对26例ABFT-SGM患者（N = 146）的所有关节连接过程进行分析。超过16000个年轻人的语言转换被编码为脆弱，超过27000个父母的语言转换被编码为回应。结果：层次线性模型揭示了青年脆弱性对后续父母反应性的预测，父母反应性对后续青年脆弱性的预测。在大多数情况下，脆弱-反应序列的频率并不能预测年轻人对父母接受或拒绝的感知变化。结论：研究结果支持ABFT-SGM联合训练中年轻人脆弱性和父母反应性的双向瞬时效应。脆弱性-反应性序列的简单频率与治疗结果之间的联系是微弱的。

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

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.