Psychotherapy最新文献

{"title":"Thank you: A dedication to the life and work of Charles Gelso.","authors":"Cheri L Marmarosh","doi":"10.1037/pst0000630","DOIUrl":"10.1037/pst0000630","url":null,"abstract":"<p><p>This article is a personal dedication to the life and work of Charles Gelso (Charlie), whose scholarship profoundly shaped contemporary understandings of the psychotherapy relationship. Rather than providing a conventional academic summary of his contributions, this reflection integrates personal narrative with theory to illuminate the lived meaning of his most enduring construct, the \"real relationship.\" Charlie's work emphasized genuineness and realism within the therapeutic relationship, alongside transference and the working alliance, as central to psychotherapy process and change. Drawing on more than 2 decades of encounters, collaboration, and mentorship, the author reflects on Charlie's influence on her professional identity as both clinician and researcher. These experiences illustrate how his mentorship extended beyond intellectual guidance to include emotional attunement, professional support, and the creation of a secure base. His invitation into research collaboration fostered integration across clinical and empirical worlds that are often viewed as divided within the field. The article also highlights how disagreement, emotional depth, and relational complexity were central to both the collaborative process and the construct of the real relationship itself. Across mentorship, scholarship, and friendship, Charlie's authenticity and willingness to engage fully in relational experience are shown to have been not only theorized but enacted. Ultimately, this dedication argues that Charlie's legacy lives not only in his scholarly contributions but in the enduring human connections he created through real relationships. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437880","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":"Real and unreal elements within the psychotherapy relationship.","authors":"Jeffrey A Hayes, Jairo Fuertes","doi":"10.1037/pst0000627","DOIUrl":"10.1037/pst0000627","url":null,"abstract":"<p><p>This article honors Charles Gelso by examining the ways in which he embodied intellectual curiosity, clarity, and precision in theoretical writings and scientifically rigorous research with regard to two central aspects of the psychotherapy relationship: countertransference and the real relationship. We offer a behind-the-scenes perspective of what it was like to work closely with Charlie, with the associated demands and joys. Finally, we offer some future directions for scholarship on countertransference and the real relationship. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346160","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) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"199-209"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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":"Spiritual and religious competence in psychotherapy training.","authors":"Jesse Fox, Joseph M Currier","doi":"10.1037/pst0000620","DOIUrl":"10.1037/pst0000620","url":null,"abstract":"<p><p>Responsiveness to clients' spirituality and/or religion (S/R) is a core dimension of multicultural and clinical competence. S/R might support or hinder clients' well-being and recovery from mental health conditions that might lead them to seek psychotherapy. Further, clients from across the spectrum of S/R diversity often want therapists to attend to their spiritual and/or religious identities in the treatment process. However, many counselors, marriage and family therapists, psychologists, social workers, and other psychotherapy practitioners do not receive training in foundational knowledge, attitudes/dispositions, and skills related to S/R in graduate school or later in their professional careers to adhere to these pillars of evidence-based practice. Of the many solutions to overcoming these training gaps, therapists might need resources and tools to cultivate the necessary expertise to treat spiritually and religiously diverse clientele (including atheist, agnostic, or secular). Further, as such work proceeds, researchers will ideally clarify the most acceptable, feasible, and effective strategies for promoting S/R competence in different training settings. With this background in mind, this introduction to the <i>Psychotherapy</i> special section, titled \"Spiritual and Religious Competence in Psychotherapy Training,\" describes the inspiration, rationale, and purposes of a collection of articles that present novel training methods, evaluation strategies, and pedagogical tools to develop spiritual and religious competence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"63 2","pages":"115-120"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147942935","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":"Navigating spiritual and religious identities in psychotherapy: Lessons from a multicultural clinical psychology masters training program in Israel.","authors":"Nehama HaCohen","doi":"10.1037/pst0000604","DOIUrl":"10.1037/pst0000604","url":null,"abstract":"<p><p>The longstanding tension between psychology and religion/spirituality poses significant challenges for therapists who are themselves religious or spiritual, especially when integrating these dimensions into their professional practice. This study explored how trainees from diverse religious, spiritual, and cultural backgrounds navigate the intersection of their professional and religious identities within a culturally sensitive clinical psychology training program in Israel. Using qualitative thematic analysis of semistructured interviews with 30 of the program graduates-including Ultra-Orthodox Jews, Arab Muslims, Ethiopian Jews, immigrants from the former Soviet Union, and secular Jews-we identified four central tensions: the historical and contemporary attitudes of psychology toward religiosity and spirituality; religious society's view of the profession of psychology; questions related to spiritual and religious identity; and challenges with professional identity formation. The training program addresses these tensions by fostering \"familiarity\" through inclusion of spirituality and religion in the curriculum and a diverse faculty/student body. On this secure basis, the program encourages \"productive discomfort\" by having students sit with the tensions between their religious/spiritual identities and psychological perspectives. The findings offer valuable insights into how culturally sensitive training programs can support therapists in navigating these complexities, thereby enhancing spiritual and religious competence in psychotherapy. This study contributed to understanding the specific needs of therapists undergoing such training and underscores the importance of embracing spiritual and religious dimensions within mental health services and training. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"132-144"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459635","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"216-221"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"173-185"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"121-131"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"222-229"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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":"Improving psychotherapists' spiritual and religious competencies: Evaluation of a live videoconferencing training program.","authors":"P Scott Richards, Russell S Jones, Peter W Sanders","doi":"10.1037/pst0000584","DOIUrl":"10.1037/pst0000584","url":null,"abstract":"<p><p>This study evaluated the effectiveness of a live videoconferencing training program in spiritually integrated psychotherapy offered by ACPE: The Standard for Spiritual Care and Education (ACPE). We used a quasi-experimental one-group pretest-posttest group design to investigate whether participants' religious/spiritual competencies (self-efficacy, attitudes, and skills) improved and whether their use of spiritual interventions increased after completing the training program. We also assessed whether their perceptions of the barriers to practicing spiritually integrated treatment in their practice setting changed after training. The research participants were 84 adult men and women from diverse spiritual backgrounds, mental health specialties, and geographic locations who completed the measures before and after the training program. A repeated measures multivariate analysis of variance and follow-up t-tests revealed that the participants' spiritual competency and usage of spiritual interventions during treatment sessions significantly increased after the training program. Most Cohen's <i>d</i> effect sizes were large or moderately large, indicating that the improvements were educationally and clinically meaningful. The study provides preliminary evidence that ACPE's live, videoconferencing spiritually integrated psychotherapy training program enhanced the spiritual competencies of the participating mental health and pastoral professionals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"186-198"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199919","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}