Psychotherapy最新文献_第4页

Examining two pedagogical methods on attitudes toward religiousness within mental health and social justice in an undergraduate course. 在本科课程中对宗教态度的两种教学方法的研究。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-01-19 DOI: 10.1037/pst0000613

Craig A Warlick, Calista A Spears

{"title":"Examining two pedagogical methods on attitudes toward religiousness within mental health and social justice in an undergraduate course.","authors":"Craig A Warlick, Calista A Spears","doi":"10.1037/pst0000613","DOIUrl":"10.1037/pst0000613","url":null,"abstract":"Integrating spirituality and religiousness (S/R) into mental health (MH) treatment aligns with our ethics codes and professional guidelines, and it can promote therapeutic outcomes. There is emerging evidence among samples of professional clinicians and graduate students that the Spirituality Competency Training in MH curriculum (SCT-MH; Pearce et al., 2019) may address the dearth of training in this intersection. However, SCT-MH needs to be assessed among undergraduates to support vocational development and those who pursue graduate school or bachelor-level mental health work. In this exploratory pedagogical study, we used a series of repeated measures analyses of variance to assess undergraduate students' (N = 39) attitudes toward a revised version of the Attitudes subscale of the S/R integration into MH Scale (Oxhandler & Parrish, 2016), the Social Justice Scale (SJS; Torres-Harding et al., 2012), and single-item scales focused on pursuing MH-focused work postdegree across teaching-as-usual and SCT-MH curricula. During teaching-as-usual, there were no significant increases in attitude scores regarding S/R integration (p = .25) or SJS (p = .4). However, there were significant increases in attitudes toward S/R integration (p < .001) and SJS during the SCT-MH curriculum (p < .001). In neither arm did interest single-item scores on pursuing MH graduate school (p = .68) or vocationally (p = .05) increase. While not causal, these increases during SCT-MH regarding attitudes toward S/R MH integration and social justice attitudes and behaviors are noteworthy. Further extension using vocational assessment, longitudinal and experimental designs, and diverse multisite samples are needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"145-151"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012132","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

Training clinicians to deliver spiritual psychotherapy for inpatient, residential, and intensive treatment (SPIRIT). 培训临床医生为住院病人、住院病人和强化治疗（SPIRIT）提供精神治疗。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2025-05-05 DOI: 10.1037/pst0000577

David H Rosmarin, Caroline C Kaufman

{"title":"Training clinicians to deliver spiritual psychotherapy for inpatient, residential, and intensive treatment (SPIRIT).","authors":"David H Rosmarin, Caroline C Kaufman","doi":"10.1037/pst0000577","DOIUrl":"10.1037/pst0000577","url":null,"abstract":"We designed and implemented a multimodal training program for clinicians in how to deliver spiritual psychotherapy for inpatient, residential, and inpatient treatment (SPIRIT), a group-based, spiritually integrated psychotherapy for acute psychiatric settings. The overall goals for this project were to facilitate competency in spiritually integrated psychotherapy among clinicians and meeting established needs for spiritual psychotherapy among patients presenting for acute psychiatric treatment. Our training program in SPIRIT includes the following elements: (a) a training manual, (b) 80-min training video, (c) brief competency exam, and (d) practice component involving the provision of SPIRIT to at least 12 groups of patients. This article provides an overview of the training program and describes its initial dissemination with a multidisciplinary cohort of 17 clinicians within the Massachusetts General Brigham health system, who collectively provided treatment to over 700 diagnostically, demographically, and religiously diverse patients. We also provide preliminary feedback from select clinicians about their experience in the training program, areas for future development, and implications for training clinicians in evidence-based spiritual psychotherapy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"210-215"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042564","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

Cultivating religious and spiritual competencies in students of every faith and no faith in a university doctoral psychology program. 在大学心理学博士课程中培养各种信仰和无信仰的学生的宗教和精神能力。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2025-07-31 DOI: 10.1037/pst0000590

Theresa Clement Tisdale

{"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":"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) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"230-235"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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}

引用次数: 0

Psychotherapy trainees' perspectives on the impact, usability, and feasibility of an online program to increase multicultural orientation toward religious and spiritual clients. 心理治疗学员对在线项目的影响、可用性和可行性的看法，以增加对宗教和精神客户的多元文化取向。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2025-07-28 DOI: 10.1037/pst0000589

Stephanie Winkeljohn Black, Sanskriti Shrivastava, Dana Awlia, Marcus Crede

{"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":"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; N = 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, n = 65) for comfort (Bmedian = .46, range: .36-.58; 24 of 36 specifications were significant) and self-perceived performance (Bmedian = .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 (n = 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) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"152-162"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","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}

引用次数: 0

Therapist presence and client session and symptom outcomes: A longitudinal examination of their reciprocal relationships. 治疗师在场，来访者会话和症状结果：他们相互关系的纵向检查。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-03-30 DOI: 10.1037/pst0000618

Xu Li, Yejin Hong, Chaihua Lin

{"title":"Therapist presence and client session and symptom outcomes: A longitudinal examination of their reciprocal relationships.","authors":"Xu Li, Yejin Hong, Chaihua Lin","doi":"10.1037/pst0000618","DOIUrl":"10.1037/pst0000618","url":null,"abstract":"The aim of this study was to explore how therapeutic presence predicted psychotherapy session quality (SQ) and client symptom (CS) reduction at both between-person and within-person between-session levels. The sample included 14,316 sessions involving 1,916 clients and their 173 trainee therapists in a master's level mental health counseling training program in China. Before each session, the client rated their symptom level. After every session, the therapist reported their level of therapeutic presence in the session, while the client rated their perception of the quality of the session. Analyses using latent curve model with structured residuals showed that, at the between-person level, higher therapist rating of first-session therapeutic presence predicted better initial SQ rated by the client. Further, sustained increasing presence over time was associated with continued CS relief during treatment. At the within-person between-session level, therapeutic presence led to better SQ for the session and lower CSs before the next session. Significant fluctuations (i.e., the lack of an autoregressive effect) for therapeutic presence at the session level were also found. We discussed implications for research and training, especially in the Chinese cultural context. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"236-248"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575214","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 treatment manual: Examining factors influencing Black client engagement in psychotherapy. 超越治疗手册：检查影响黑人来访者参与心理治疗的因素。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-02-26 DOI: 10.1037/pst0000617

Miracle R Potter, Fatou Gaye, Tyler B Rice, Anika Sigel, Victoria K Swaine, Brandon King, Thomas E Joiner, Ericka M Lewis

{"title":"Beyond the treatment manual: Examining factors influencing Black client engagement in psychotherapy.","authors":"Miracle R Potter, Fatou Gaye, Tyler B Rice, Anika Sigel, Victoria K Swaine, Brandon King, Thomas E Joiner, Ericka M Lewis","doi":"10.1037/pst0000617","DOIUrl":"10.1037/pst0000617","url":null,"abstract":"Despite the benefits of psychotherapy to improve mental health outcomes, therapy remains significantly underutilized among Black Americans. Yet, once therapy is initiated, Black clients experience mental health outcomes comparable to those in the general population, underscoring potential barriers to engagement. To address this gap, our qualitative study explored factors that contribute to client engagement throughout the therapeutic process, including core therapeutic skills related to therapist qualities, provider-client alliances, and nontherapeutic factors that shape the client experience. Using a qualitative hermeneutic phenomenological approach, semistructured qualitative interviews were conducted with past and current Black clients at a university-based training clinic about their experiences engaging in therapy. Data were analyzed through thematic analysis, and a codebook was developed to adequately capture patterns in perspectives across the interviews. Major themes, including therapist acknowledgment of cultural identity and perceived therapeutic collaboration, were emphasized as being integral in promoting engagement. Additionally, participants discussed factors that contributed to positive treatment experiences, including flexible procedures and accommodating clinic staff. These findings suggest that cultural acknowledgment, therapeutic collaboration, and a supportive clinic environment are essential to increasing Black clients' utilization of therapeutic services. Understanding the factors that increase accessibility and engagement for Black clients can lead to improved treatment outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"249-259"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290791","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}

引用次数: 0

Development of the Brief Spirituality/Religiosity Functional Competency Scale. 简易灵性/宗教功能能力量表的编制。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2025-09-29 DOI: 10.1037/pst0000602

A Andrew Dimmick, Jennifer L Callahan

{"title":"Development of the Brief Spirituality/Religiosity Functional Competency Scale.","authors":"A Andrew Dimmick, Jennifer L Callahan","doi":"10.1037/pst0000602","DOIUrl":"10.1037/pst0000602","url":null,"abstract":"Spiritual and religious competence in psychotherapy is increasingly recognized as essential for supporting patients facing religious and spiritual struggles, though there is a lack of reliable objective measures to evaluate clinician competence in this area. This study aimed to develop and provide preliminary validation for the Brief Spirituality/Religiosity Functional Competency Scale, an observational tool designed to assess functional spiritual/religious competencies, and to examine the relationship between these competencies and therapeutic alliance. Participants were 105 doctoral trainees enrolled in clinical or counseling psychology programs across the United States. Using data from objective-structured clinical examinations, we assessed the scale's internal consistency, interrater reliability, convergent and discriminant validity. The observational design evaluated participants' functional competencies during brief simulated clinical encounters. The scale demonstrated acceptable reliability and validity. While the overall competency score did not significantly predict therapeutic alliance or cultural humility, individual item analysis revealed that the \"Help Explore Strengths\" spiritual/religious competency and general advocacy skills significantly predicted stronger therapeutic alliance (R² = .10). Only advocacy skills significantly predicted cultural humility (R² = .10). Religious commitment was modestly correlated with both self- and expert-rated spiritual/religious competence but was not associated with simulated patient-rated therapeutic alliance or cultural humility. These results underscore the importance of assessing discrete demonstrated spiritual/religious competencies-rather than relying on global ratings or self-perceived religious commitment-to understand their unique contributions to therapeutic alliance. The scale shows promise for use in formative and summative assessments of clinician competence in spiritual and religious domains. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"163-172"},"PeriodicalIF":3.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192687","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

The best route to resolving complicated grief: Emotional sequences amplified by arousal. 解决复杂悲伤的最佳途径：被唤醒放大的情绪序列。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-04-06 DOI: 10.1037/pst0000619

Alejandro DelaTraba, Rafael Jódar, Jose Gamoneda, Carla Cunha

{"title":"The best route to resolving complicated grief: Emotional sequences amplified by arousal.","authors":"Alejandro DelaTraba, Rafael Jódar, Jose Gamoneda, Carla Cunha","doi":"10.1037/pst0000619","DOIUrl":"10.1037/pst0000619","url":null,"abstract":"This study investigated emotional processes associated with change in brief emotion-focused therapy for complicated grief delivered via videoconference. We focused on emotional arousal, depth of experiencing, and the frequency with which clients first accessed primary maladaptive emotions and subsequently processed grief, a process known as the emotional transformation sequence. We also examined whether depth of experiencing and arousal during the central and final session segments moderated the effects of these sequences on therapeutic outcomes. Twenty-six clients meeting criteria for complicated grief received three emotion-focused therapy sessions. The second session, which included empty-chair work for unfinished business, was coded using the Classification of Affective Meaning States, the Client Experiencing Scale, and the Client Emotional Arousal Scale-III. Outcomes were assessed pretreatment, posttreatment, and at 2-month follow-up, including complicated grief, emotional well-being, and depressive symptoms. Depth of experiencing predicted reductions in depressive symptoms at follow-up. Emotional transformation sequences predicted improvements in well-being and depressive symptoms at follow-up. The importance of emotional transformation sequences as a mechanism of change is further supported by the finding that good-outcome cases showed more sequences than poor-outcome cases, despite similar levels of depth of experiencing and arousal. Emotional arousal further amplified the effect of transformation sequences on depressive symptoms, emotional well-being, and complicated grief, explaining an additional 30% of variance in grief outcomes at follow-up. These findings indicate that emotional transformation sequences during empty-chair work, particularly when accompanied by sufficient arousal, constitute a key mechanism of therapeutic change in brief emotion-focused therapy for complicated grief. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"260-271"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623498","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

Finding the hidden foundation of change: The legacy of Dr. Charles Gelso. 寻找变化的隐藏基础：查尔斯·盖尔索博士的遗产。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-05-11 DOI: 10.1037/pst0000624

Rayna D Markin

引用次数: 0

Guiding connections: The role of therapist interventions in facilitating couples' vulnerability and responsiveness in enactments. 引导连接：治疗师干预在促进夫妻的脆弱性和反应性的作用。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.1037/pst0000615

Ofra Kula, Reut Machluf Ruttner, Ben Shahar, David A Sbarra, Eran Bar-Kalifa

{"title":"Guiding connections: The role of therapist interventions in facilitating couples' vulnerability and responsiveness in enactments.","authors":"Ofra Kula, Reut Machluf Ruttner, Ben Shahar, David A Sbarra, Eran Bar-Kalifa","doi":"10.1037/pst0000615","DOIUrl":"10.1037/pst0000615","url":null,"abstract":"The primary proposed change process in emotion-focused therapy models for couples involves partners accessing and revealing vulnerable emotions and responding to such disclosures with empathy and compassion. Therapists often use enactments (guiding partners to communicate with each other directly) to facilitate this process. However, many therapists report lacking confidence and clarity in how best to facilitate enactments, and it remains understudied which therapist interventions within enactment episodes contribute to vulnerability sharing and responsiveness expression. This preregistered study examined the role of three interventions used during enactments-systemic meaning-making (narrating), emotional engagement (experiencing), and interaction guiding (choreographing) in promoting these processes. One hundred forty enactment events from 21 treatment couples were coded and analyzed. Trained raters coded therapists' interventions and partners' behaviors. In contrast to our hypothesis, systemic meaning-making and interaction guiding were not associated, and emotional engagement was only marginally associated with greater vulnerability expression. Interaction guiding was positively associated with responsiveness. However, systemic meaning-making was negatively associated with responsiveness, and emotional engagement was not associated with responsiveness. Vulnerability expression did not predict partner responsiveness. These findings highlight the importance of tailoring therapist interventions in enactments according to their distinct contributions to facilitating vulnerability and responsiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"62-69"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053497","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