Psychotherapy最新文献

{"title":"Cultural opportunities involving spiritual, existential, religious, or theological (SERT) themes: Three practical approaches.","authors":"Yejin Lee, Evelyn Hunter, Aaron T McLaughlin, Jamian Coleman, Cirleen DeBlaere, Jesse Owen, Kyndel Tarziers, Don E Davis","doi":"10.1037/pst0000599","DOIUrl":"10.1037/pst0000599","url":null,"abstract":"<p><p>This article applies the multicultural orientation framework (D. E. Davis et al., 2018) to enhance religious/spiritual competencies. The skills gap in multicultural training is especially pronounced in the area of spiritual, existential, religious, and theological competencies; many clinicians report minimal and insufficient training (Vieten & Lukoff, 2022). We frame orienting to clients' values and visions as a cultural opportunity. To integrate multicultural orientation skills into routine clinical training throughout the career, we propose three approaches: (a) course curriculum, (b) peer consultation, and (c) continuing education. First, we provide instruction on incorporating video case studies into any course to engage students in discussions that promote perspective-taking, dialectical thinking, and wisdom. Second, we outline an eight-step model of peer consultation that focuses on cultural humility to promote trust and cultural comfort and increase sensitivity in clinical judgment. Third, given the American Psychological Association's forthcoming revisions to their ethics code emphasizing social justice (Campbell et al., 2024), we propose integrating the previous two approaches with routine ethics training for continuing education. With an eye toward future innovations in training, we also discuss how these structures align with projects that employ artificial intelligence to identify markers in therapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a trainee-driven approach to achieving religious and spiritual competencies in psychotherapy.","authors":"Christiana Lall-Alvarez, Nathaniel G Wade, Joshua N Hook, Don E Davis","doi":"10.1037/pst0000596","DOIUrl":"10.1037/pst0000596","url":null,"abstract":"<p><p>In this study, we sought to develop and test a trainee-driven educational intervention to increase competency in working with religion and spirituality (R/S) in psychotherapy. Trainees currently in mental health graduate training programs (<i>N</i> = 363) were randomly assigned to one of three conditions: (a) peer group plus self-study (PG), (b) immediate self-study (ISS), and (c) delayed self-study (DSS). All participants completed six weekly online training modules that included both didactic materials and deliberate practice. Using complete case analysis, we determined that compared to those in DSS, participants in PG reported a significantly greater increase from pre- to postintervention in religious/spiritual (R/S) cultural humility, R/S skills, comfort with R/S, positive R/S attitudes, and R/S self-efficacy. Compared to those in ISS, participants in PG reported significantly greater change in R/S self-efficacy in psychotherapy. We also compared these results with results using imputed data and only the comparison between DSS and PG remained significant for R/S skills and R/S self-efficacy. In addition, although participants in the peer-group plus self-study condition were less likely to complete both pre- and postintervention questionnaires, they completed almost twice as many training modules. The findings of this study support the possible benefit of trainee-driven educational interventions to help mental health graduate students increase their cultural humility, skills, comfort, positive attitudes, and self-efficacy for working with R/S in psychotherapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Religious, Spiritual, and Secular Life Story Interview: Promoting attitude-based religious and spiritual competence in clinicians in training.","authors":"Gina M Magyar-Russell, Paul J Deal","doi":"10.1037/pst0000593","DOIUrl":"10.1037/pst0000593","url":null,"abstract":"<p><p>One of the critical gaps in promoting religious and spiritual (R/S) competencies among clinicians in training revolves around student clinician hesitancy to engage in R/S conversations in session. This reluctance, in part, may be due to attitudinal biases based on one's own R/S experiences, which do not readily improve with knowledge and skills training. There is a need to understand how clinicians in training experience the actual process of addressing R/S content in clinical practice and academic training environments. This study describes findings based on the administration of a training tool-the Religious, Spiritual, and Secular Life Story Interview (adapted version of the Life Story Interview; McAdams, 2007)-designed to help trainees explore the nature and dynamics of clinician resistance to engage with R/S in psychotherapy. Participants included a religiously and spiritually diverse sample of 23 student clinicians from master's and doctoral-level programs across counseling, psychology, and social work disciplines, all of whom reported moderate to high levels of hesitancy about broaching R/S in the training process (i.e., in the classroom and/or psychotherapy sessions). Three themes emerged from the evaluative findings-<i>person-centered skills, contextual factors,</i> and <i>growth through reflective storytelling</i>-that offer clues about factors supporting the process of opening and engaging with religiousness, spirituality, and secularity. The discussion will address the potential of the <i>Religious, Spiritual, and Secular Life Story Interview</i> as a training tool to facilitate the acquisition of attitude-based R/S competencies that may lay the foundation for cultivating skills-based competencies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying relational spirituality to develop spiritual and religious competencies in psychedelic-assisted psychotherapy training.","authors":"Roman Palitsky, Laura E Captari, Jessica L Maples-Keller, Caroline Peacock, David Rupert, Deanna M Kaplan, George Stavros, George H Grant, Steven J Sandage","doi":"10.1037/pst0000594","DOIUrl":"10.1037/pst0000594","url":null,"abstract":"<p><p>Psychedelic-assisted therapies (PAT) can provoke personally meaningful spiritual or existential experiences in patients; these experiences have been associated with improved outcomes across several treatment targets and populations. The need for spiritual and religious competence, though present across the spectrum of psychotherapeutic practice, is especially strong in psychedelic-assisted psychotherapies. The relational spirituality model (RSM), a systematically developed and empirically tested framework for spiritual and religious competency in psychotherapy, offers a theoretical and practical framework for spiritual competency training in psychedelic therapies (Sandage et al., 2020). The model's inclusive spiritual, existential, religious, and theological (SERT) framework provides a broad and pluralistic approach that can meaningfully engage a wide range of SERT experiences and traditions in psychedelic-assisted psychotherapy. Further, the RSM can readily be integrated with other models of clinical care (e.g., palliative care), with a range of psychotherapeutic modalities, and within existing psychedelic training frameworks. To illustrate the application of the RSM to the development of religious and spiritual competence in PAT training, this article first describes the RSM. It then introduces methods for pragmatic training based on the RSM, which can be integrated with standard licensure-focused mental health training programs that might someday include applications for psychedelics or with specialized psychedelic-assisted therapy facilitation training programs. These include deliberate practice and experiential training components, \"SERT groups,\" content and clinical theory, and training in assessment and case conceptualization. Finally, we discuss how the RSM can inform future directions in PAT training and support interdisciplinary approaches to PAT including collaborations across disciplines and healing communities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is employment status associated with baseline symptoms, engagement, and outcomes in naturalistic psychotherapy? Evaluation in a large community mental health agency.","authors":"Zishan Jiwani, Qiang Xie, John J Curtin, Kevin M Riordan, Robbie Babins-Wagner, Derek Caperton, Mindi N Thompson, Simon B Goldberg","doi":"10.1037/pst0000597","DOIUrl":"10.1037/pst0000597","url":null,"abstract":"<p><p>Employment status, an essential socioeconomic factor, may be an important driver of disparities in mental health and access to treatment. However, prior research has been inconclusive and utilized broad employment categories. The present study investigated the associations between various types of employment status and baseline symptomology, psychotherapy engagement, and psychotherapy outcomes. We examined 27,258 patients (<i>M</i>age = 32.54; 62.9% female; 75.8% White) who attended 115,936 psychotherapy sessions at a Canadian mental health agency between January 2014 and July 2022. Employment status was categorized into nine distinct groups (e.g., full-time, part-time, unemployed and looking for work, unemployed not looking for work, and retirement). Multilevel models examined the association between employment status and baseline symptoms, psychotherapy engagement (e.g., total sessions, early termination), and outcomes (e.g., symptom change). Patients who were unemployed (both looking for and not looking for work) reported higher baseline symptoms and increased odds of suicide concern compared to patients with full-time employment. Contrary to our preregistered hypotheses, patients who were unemployed attended more sessions and showed no significant differences in symptom change or trajectory of change compared to those employed full-time. Retirement was linked to lower baseline symptomology, and both retirement and full-time student status were associated with slower trajectories of change relative to full-time employment. Findings suggest that unemployment is associated with worse baseline mental health but does not hinder psychotherapy engagement and effectiveness. Ensuring accessibility of psychotherapy for unemployed individuals is crucial, given their heightened risk of psychological distress. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapist personality factors as predictors of between-therapist effectiveness differences.","authors":"Michael J Constantino, Averi N Gaines, Alice E Coyne, Henricus L Van, Anuj H P Mehta, Jaap Peen, Frank J Don, Jack J M Dekker, Ellen Driessen","doi":"10.1037/pst0000591","DOIUrl":"10.1037/pst0000591","url":null,"abstract":"<p><p>Abundant research across various treatments indicates that therapists can differ in their general, caseload-level effectiveness. However, relatively little is known about therapist factors that predict such \"performance\" variability. Moreover, most of the limited existing work on this topic has relied on demographic and professional convenience variables, which have demonstrated low predictive power. Thus, it is possible that therapist effectiveness differences would be better explained by personality characteristics that are inescapably present in a clinician's work. Addressing this question, the present preregistered study preliminarily explored whether more versus less effective therapists possess more adaptive personality traits among the \"big five,\" defense style maturity, and psychological mindedness. Data were derived from a randomized clinical trial comparing the efficacy of 16 sessions of cognitive behavioral therapy and psychodynamic therapy for depression (Driessen et al., 2013). Effective sample participants were 142 adult outpatients treated by 32 therapists nested within the treatment condition. Therapists completed multiple personality measures, and patients' depression and global distress symptoms were assessed (via self-report or observer ratings) at baseline and posttreatment. Despite there being significant between-therapist effectiveness differences (on their average patient's posttreatment outcome), multilevel models revealed no significant associations between personality characteristics and such differences on any outcome. It may be that therapists' overall effectiveness has more to do with their transferable actions <i>in the room</i> versus traits they bring into their work. Alternatively, certain traits may predict between-therapist effects but only in specific treatment, patient, and/or cultural contexts that differ from the ones herein. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating religious and spiritual competencies in students of every faith and no faith in a university doctoral psychology program.","authors":"Theresa Clement Tisdale","doi":"10.1037/pst0000590","DOIUrl":"10.1037/pst0000590","url":null,"abstract":"<p><p>This article is a practical contribution to the literature focused on developing competencies in addressing religion and spirituality in clinical practice, particularly with students in education and training programs. Details of a course in an American Psychological Association accredited doctoral program in clinical psychology are provided, illustrating the ways and means through which students are engaged in exploring, identifying, and articulating a conceptual and theoretical framework as well as developing methods and competencies that will be ethical and efficacious in the conduct of their clinical work. The course described is the third in a four-course required sequence that is focused on acquiring knowledge, skills, and attitudes that are consistent with competencies identified in the American Psychological Association Accreditation Standards as well as in the program's defined areas of special emphasis, one of which is addressing religion and spirituality in clinical practice. Key aspects of pedagogy related to readings, assignments, and classroom engagement are presented. Methods used to assess competencies are included as well as quantitative and qualitative data from student ratings of course effectiveness. Suggestions for future teaching, training, and research are offered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotherapy trainees' perspectives on the impact, usability, and feasibility of an online program to increase multicultural orientation toward religious and spiritual clients.","authors":"Stephanie Winkeljohn Black, Sanskriti Shrivastava, Dana Awlia, Marcus Crede","doi":"10.1037/pst0000589","DOIUrl":"10.1037/pst0000589","url":null,"abstract":"<p><p>Given that spiritual and religious (S/R) topics can elicit discomfort and countertransference among psychotherapists, training frameworks that promote introspection and opportunities for repeated practice, or exposure, may be ideal starting points to develop S/R competencies. The current deliberate practice informed training program targeted cultural comfort and associated multicultural orientation constructs, aligning with prescribed attitude/awareness and broaching S/R competencies. This quasi-experimental, mixed method investigation analyzed whether a new S/R training program informed by deliberate practice principles was associated with changes in participants' (graduate students in graduate clinical/counseling psychology programs in the United States; <i>N</i> = 126) cultural comfort, self-perceived clinical performance, and self-perceived difficulty when engaging S/R video vignettes using specification curve analyses and a content analysis of follow-up interviews. Analyses indicated that all specifications had positive effects for the treatment (training condition, <i>n</i> = 65) for comfort (<i>B</i>_median = .46, range: .36-.58; 24 of 36 specifications were significant) and self-perceived performance (<i>B</i>_median = .48, range: .45-.55; all specifications significant). Analyses indicated that all specifications for treatment had an inverse association with self-rated difficulty, but all specifications were nonsignificant, suggesting no difference between training and control (<i>n</i> = 61) participants. Training condition participants indicated in a survey that the training was high quality, useful, and had no technology issues; the follow-up interviews with a smaller number of training condition participants provided insights into the training's strengths and weaknesses. The data in full create a roadmap for further study and training program modifications. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obtaining religious and spiritual competencies for relationship therapy: Outcomes of Competency Addressing Religion and Spirituality (CARS) training.","authors":"Jennifer S Ripley, James N Sells, Logan Battaglini, Sarah Haught, Zhuo Job Chen, Vanessa Kent, Reema Smith, Caitlin Overfelt, Joyce Tan, Jared Tan, Francisco Villate, Joyelle Saunders, Daniel Waldheim, Rebekah Rose, Kaitlin Wray","doi":"10.1037/pst0000595","DOIUrl":"10.1037/pst0000595","url":null,"abstract":"<p><p>Family Competency addressing religion and spirituality in relationships is based on principles of systems theory applied to diversity training in religion and spirituality. Relational spirituality and family systems theory are the theoretical bases for training clinicians to address religion and spirituality (R/S) competently. Relational issues of R/S include religious differences and conflicts in close relationships, spiritual impairment due to relationship distress, and the use of spiritual resources for coping in a family or community. Principles of cultural humility and comfort, clinical assessment of R/S, nonanxious presence, multidirected partiality, and differentiation were used to train clinicians. Participants (<i>N</i> = 174) were graduate students and professionals in mental health care who engaged in a 5-hr online training with switching replication measurement at three points before and after the training at 2-week intervals. Measurement included a newly validated six-item global measure of couple and family spiritual and religious competency (J. S. Ripley et al., 2024) and the Religious/Spiritually Integrated Practice Assessment Scale (Oxhandler, 2019). Mixed-effects models with two-way cross-level interactions of Treatment Condition (Immediate Treatment, Delayed Treatment) × Time (T1, T2, T3) supported change based on the intervention, especially for measures of self-efficacy, attitude, increased frequency of R/S integrated practice, and global relational R/S competency. Qualitative analysis of interviews with some participants (<i>n</i> = 10) identified several experiential themes. The models showed significant change after the training and maintenance of gains for the immediate treatment group. In conclusion, this demonstrated the efficacy of the relationally based training model in improving R/S competency in training graduate students and professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144708577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying a theory of change approach to evaluating evidence for circle of security interventions: A systematic review.","authors":"Erinn Hawkins, Brittnee Byron, Anna Huber, Nicole Perry, Catherine McMahon, Neil W Boris","doi":"10.1037/pst0000592","DOIUrl":"https://doi.org/10.1037/pst0000592","url":null,"abstract":"<p><p>Circle of Security (COS) interventions aim to improve parent-child relationships. Preliminary evidence of the effectiveness of COS interventions has been positive, but recent studies suggest mixed results that may be due to a lack of differentiation between different versions of COS interventions. This systematic review used a theory of change/program logic approach to summarize the evidence for COS interventions and to explore the conditions under which each protocol was most effective. A comprehensive systematic literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies administering a verified COS intervention protocol with parents/caregivers of children aged 0-8 years. Studies were coded for study design, protocol type, sample characteristics, treatment fidelity, dose, risk of bias, and type of outcome. Nineteen eligible studies were included; seven were randomized controlled trials. Studies of the higher dose protocols (i.e., COS-Intensive, COS-Intensive-Revised Hybrid, COS-Perinatal Protocol) showed promising results across primary and secondary parent outcomes, longer term relationship and child outcomes, and clinical samples. Results showed mixed evidence for the efficacy of the more scalable COS-Parenting. Reviewing studies according to the theory of change/program logic suggested three sources of variability in COS-Parenting studies compared to the higher dose COS interventions that could impact outcome: treatment dose/strategies, sample type, and treatment fidelity. Differential effectiveness of COS interventions tested in seven randomized controlled trials, two nonrandomized controlled trials, and 10 single-arm trials suggests that different COS variants may be better suited to different target populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}