Psychotherapy最新文献_第3页

Let's get real: Identity concealment, burnout, and therapeutic relationship quality among psychology trainees with concealable stigmatized identities. 实话实说：身份隐藏、职业倦怠和具有可隐藏污名身份的心理学学员的治疗关系质量。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-06-01 Epub Date: 2024-03-21 DOI: 10.1037/pst0000522

Benjamin F Shepherd, Paula M Brochu

{"title":"Let's get real: Identity concealment, burnout, and therapeutic relationship quality among psychology trainees with concealable stigmatized identities.","authors":"Benjamin F Shepherd, Paula M Brochu","doi":"10.1037/pst0000522","DOIUrl":"10.1037/pst0000522","url":null,"abstract":"Identity concealment thwarts psychological needs of authenticity and belonging, both of which are important for mental health and relationship building. Through the lens of minority stress theory and relational-cultural theory, the present study examined whether identity concealment in the workplace by psychology trainees is indirectly associated with greater burnout and poorer therapeutic relationship quality. To test this hypothesis, a parallel mediation analysis was conducted on data from 335 clinical and counseling psychology doctoral trainees with concealable stigmatized identities using Hayes's (2018) PROCESS macro. As expected, identity concealment at a practicum or internship site was negatively associated with authenticity and belonging, both of which were negatively associated with burnout and positively associated with therapeutic relationship quality. Furthermore, identity concealment was associated with lower therapeutic relationship quality and greater burnout indirectly through lower authenticity and lower belonging. Findings suggest trainees who engage in more identity concealment at their clinical training sites may be at increased risk for burnout and poorer relationships with clients due to limited opportunities for authenticity and belonging. Future research is encouraged to longitudinally examine the impact of identity concealment on professional burnout and relationships, as well as potential protective factors. Such knowledge can support the development of interventions and policies that foster safer, more welcoming work environments for trainees with concealable stigmatized identities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176147","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}

引用次数: 0

A tripartite model of the psychotherapy relationship: Interrelations among its components and their unfolding across sessions. 心理治疗关系的三方模式：各组成部分之间的相互关系及其在不同疗程中的展开。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI: 10.1037/pst0000521

Erin M Hill, Mira An, Dennis M Kivlighan, Charles J Gelso

{"title":"A tripartite model of the psychotherapy relationship: Interrelations among its components and their unfolding across sessions.","authors":"Erin M Hill, Mira An, Dennis M Kivlighan, Charles J Gelso","doi":"10.1037/pst0000521","DOIUrl":"10.1037/pst0000521","url":null,"abstract":"The tripartite model of the therapy relationship, which includes the working alliance, real relationship, and transference-countertransference configuration, has been a useful way to conceptualize the complexity of the connection between a therapist and a client. However, little research has focused on the interrelationships between these three components over time. This study sought to replicate the findings of Bhatia and Gelso (2018) by examining the between-person relationships among each of the three elements averaged across all sessions. Additionally, we extended earlier work by examining the within-person relationship between the working alliance, the real relationship, and transference-countertransference with themselves as well as with each of the other elements across sessions. Using 5,931 sessions across 142 clients and 36 therapists, we examined time-ordered associations among the cocreated working alliance, cocreated real relationship, and the therapist-rated transference-countertransference configuration using latent variable dynamic structural equation modeling. Results replicated the findings of Bhatia and Gelso (2018), demonstrating that in one session, the working alliance and the real relationship were positively related, and both the working alliance and the real relationship were negatively related to the transference-countertransference configuration. Regarding the interrelations over time, the findings revealed that the working alliance in the previous session had a significant and positive relationship with real relationship in the current session, and the real relationship in the previous session was related to reduced transference-countertransference in the current session. These findings provide support for complex interrelations among the components over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143972","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}

引用次数: 0

Beyond the dyad: Broadening the APA supervision guidelines to include group supervision. 超越二人世界：拓宽美国心理学会（APA）督导指南，将小组督导纳入其中。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-06-01 Epub Date: 2024-03-28 DOI: 10.1037/pst0000525

Maria T Riva, Randyl D Smith

{"title":"Beyond the dyad: Broadening the APA supervision guidelines to include group supervision.","authors":"Maria T Riva, Randyl D Smith","doi":"10.1037/pst0000525","DOIUrl":"10.1037/pst0000525","url":null,"abstract":"Group supervision is an extensively used format across many training agencies, yet it has been largely disregarded in theory and research within the supervision literature. In fact, the Guidelines for Clinical Supervision in Health Service Psychology (American Psychological Association, 2015a) mentions group supervision only one time, despite the fact that supervision within a group context includes competencies and considerations that are both unique and essential to the effective and ethical practice of group supervision. Because supervision conducted with multiple supervisees is multilayered and-as a result-more complex, group supervisors need to develop special skills that go beyond the supervision dyad. This article looks to the literature on supervision-both individual and group modalities-and on group psychotherapy to highlight the practices and processes that set group supervision apart. Building upon the seven supervision competencies outlined by the American Psychological Association (Supervisor Competence; Diversity; Supervisory Relationship; Professionalism; Assessment/Evaluation/Feedback; Professional Competence Problems; and Ethical, Legal and Regulatory Considerations), which currently concentrate exclusively on individual supervision, we extend each area to include distinct features of group supervision. We include recommendations for supervisor training and for the application of effective group supervision practices, as well as ideas on how best to approach the formal adoption of group supervision guidelines for psychotherapists. Our hope is that, either in a revision of the Guidelines for Clinical Supervision in Health Service Psychology or in a freestanding supplement to the Guidelines, guidance for group supervision will be more explicitly included. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306704","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}

引用次数: 0

Supplemental Material for The Relationship Between Interpersonal Problems and Therapeutic Alliance in Psychotherapy: A Three-Level Mixed-Effects Meta-Analysis 心理治疗中人际关系问题与治疗联盟之间的关系》补充材料：三层混合效应 Meta 分析

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-05-16 DOI: 10.1037/pst0000534.supp

引用次数: 0

Supplemental Material for Native American College Students in Counseling: Results From a Large-Scale, Multisite Effectiveness Study 美国本土大学生咨询补充材料：大规模、多地点有效性研究的结果

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-05-13 DOI: 10.1037/pst0000526.supp

引用次数: 0

Supplemental Material for Pathological Narcissism’s Impact on Psychodynamic Group Therapy for Perfectionism 病态自恋对完美主义心理动力学团体疗法的影响》补充材料

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-05-09 DOI: 10.1037/pst0000528.supp

引用次数: 0

Supplemental Material for Psychotherapist Factors That Patients Perceive Are Associated With Treatment Failure 患者认为与治疗失败有关的心理治疗师因素》补充材料

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-05-06 DOI: 10.1037/pst0000527.supp

引用次数: 0

The evolution of feedback: Toward a multicultural orientation. 反馈的演变：多元文化导向

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-04-18 DOI: 10.1037/pst0000524

Barry L Duncan, Robert J Reese

{"title":"The evolution of feedback: Toward a multicultural orientation.","authors":"Barry L Duncan, Robert J Reese","doi":"10.1037/pst0000524","DOIUrl":"https://doi.org/10.1037/pst0000524","url":null,"abstract":"There have been great strides in psychology regarding diversity, equity, inclusion, and multicultural competence, but a need remains to translate these values into actionable practices in psychotherapy. While the case has been made that measurement-based care is an evidence-based intervention that improves outcomes and reduces dropouts (de Jong et al., 2021) and recently that it provides a transparent collaborative process to engage clients in treatment (Boswell et al., 2023), it has not been widely considered as a methodology for multicultural competence. We trace the evolution of what was once called \"patient-focused research\" (Lambert, 2001) and identify a significant change in recent writings to include important clinical and collaborative processes, a transition from a strictly normative or nomothetic understanding of the value of feedback to an appreciation of its communicative or idiographic processes. We propose that systematic client feedback promotes a \"multicultural orientation\" (Owen, 2013) at the individual therapist-client level and that client responses to outcome and process measures can foster cultural humility and create cultural opportunities (Hook et al., 2017) to address marginalization and other sociocultural factors relevant to treatment. Using one system to illustrate what is possible for all feedback approaches, we present client examples that demonstrate an integration of a multicultural orientation. We suggest that systematic client feedback can provide a structure to address diversity, marginalization, and privilege in psychotherapy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689801","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}

引用次数: 0

Development and validation of the Gender Identity and Expression Microaggressions in Therapy Scale (GIEMTS). 治疗中的性别认同与表达微冒犯量表（GIEMTS）的开发与验证。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-04-18 DOI: 10.1037/pst0000523

Brandon L Velez, Jillian R Scheer, Christian N Adames, Elizabeth Cavic, A. Breslow

{"title":"Development and validation of the Gender Identity and Expression Microaggressions in Therapy Scale (GIEMTS).","authors":"Brandon L Velez, Jillian R Scheer, Christian N Adames, Elizabeth Cavic, A. Breslow","doi":"10.1037/pst0000523","DOIUrl":"https://doi.org/10.1037/pst0000523","url":null,"abstract":"Developing affirming interventions for transgender and nonbinary (TNB) therapy clients requires understanding their experiences with microaggressions in psychotherapy, yet no self-report measure of anti-TNB microaggressions in this context exists. Moreover, few studies have tested the associations between anti-TNB microaggressions and therapy processes. To better address the burden of unmet mental health care needs among TNB people, this three-study investigation designed and tested the psychometric properties of the Gender Identity and Expression Microaggressions in Therapy Scale (GIEMTS), a measure of TNB individuals' encounters with microaggressions in psychotherapy. Study 1 (N = 225) identified a four-factor model, comprising the themes of Educational Burdening, Lack of Affirmation, Inflation, and Invalidation. These subscales exhibited strong internal consistency reliabilities and demonstrated convergent and discriminant validity. The results of Study 2 (N = 435) replicated the four-factor structure through confirmatory factor analysis. However, bifactor analysis revealed that the Educational Burdening, Inflation, and Invalidation subscale scores were mostly accounted by a General Anti-TNB Microaggressions scale score-though Lack of Affirmation showed evidence of its independence. Also in Study 2, both scales were uniquely negatively associated with the working alliance. Study 3 (N = 151) found evidence for the test-retest reliability of GIEMTS scores over a 2-3-week period. Overall, the GIEMTS emerged as a robust and psychometrically sound instrument that captures the experiences of TNB individuals in therapy settings. The study concludes with valuable recommendations for training and clinical practice to bolster TNB mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687822","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}

引用次数: 0

Supplemental Material for Development and Validation of the Gender Identity and Expression Microaggressions in Therapy Scale (GIEMTS) 性别认同与表达微冒犯治疗量表（GIEMTS）的开发与验证补充材料

IF 2.5 2区心理学

Psychotherapy Pub Date : 2024-04-08 DOI: 10.1037/pst0000523.supp

引用次数: 0