Counselling Psychology Quarterly最新文献

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“Talk to me like I’m a human” An interpretative phenomenological analysis of the psychotherapy experiences of young people in foster care in Ireland “像人一样和我说话”——爱尔兰寄养青少年心理治疗经历的解释性现象学分析
IF 3
Counselling Psychology Quarterly Pub Date : 2022-04-23 DOI: 10.1080/09515070.2022.2062702
Daire Gilmartin, Rosaleen McElvaney, M. Corbally
{"title":"“Talk to me like I’m a human” An interpretative phenomenological analysis of the psychotherapy experiences of young people in foster care in Ireland","authors":"Daire Gilmartin, Rosaleen McElvaney, M. Corbally","doi":"10.1080/09515070.2022.2062702","DOIUrl":"https://doi.org/10.1080/09515070.2022.2062702","url":null,"abstract":"ABSTRACT Many young people in foster care experience significant mental health difficulties, leading to attendance at services where engaging them in psychotherapy that adequately meets their diverse needs is an ongoing challenge. There is a dearth of research exploring the experiences of young people in foster care, and even less on their experiences of therapeutic engagement. Using Interpretative Phenomenological Analysis (IPA), individual interviews were conducted with seven young people in foster care about their experiences of psychotherapy. Four superordinate themes were identified: being powerless; risking relationship; opening up; and finding connection. Young people revealed complex intrapersonal and interpersonal processes where they felt disempowered, drew on their courage to gradually build trust in therapists, were able to share their innermost thoughts and feelings and established deeper connections with themselves and others. This lived experience, illustrating a journey of relational connection, aligns with recognition theory, highlighting young people’s need for authentic recognition as individuals in their totality, for psychotherapy that offered emotional connection and opportunities for systemic relational growth. The study illuminates the inherent challenges of working with this population, while informing practice about how to engage with young people in foster care in a meaningful and helpful way.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"66 - 88"},"PeriodicalIF":3.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49212370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Counseling psychology doctoral students’ experiences of authenticity: a collaborative autoethnography 咨询心理学博士生的真实性体验:一个合作的自我民族志
IF 3
Counselling Psychology Quarterly Pub Date : 2022-04-18 DOI: 10.1080/09515070.2022.2063260
NaYeon Yang, Greta Jankauskaite, Judith A. Gerstenblith, Justin W Hillman, Ruogu J. Wang, Thomas P. Le, C. Hill
{"title":"Counseling psychology doctoral students’ experiences of authenticity: a collaborative autoethnography","authors":"NaYeon Yang, Greta Jankauskaite, Judith A. Gerstenblith, Justin W Hillman, Ruogu J. Wang, Thomas P. Le, C. Hill","doi":"10.1080/09515070.2022.2063260","DOIUrl":"https://doi.org/10.1080/09515070.2022.2063260","url":null,"abstract":"ABSTRACT Given the importance of authenticity in counseling psychology, we used a collaborative autoethnography approach to explore our experiences of authenticity as counseling psychology doctoral students. Six (3 women, 2 men, 1 gender flexible man; 3 European American, 2 Asian American, 1 Asian; 5 3rd-year students, 1 2nd-year student) students in one counseling psychology doctoral program in the Mid-Atlantic United States reflected on the factors that facilitated and hindered our ability to be authentic by writing four one-to-five page journal entries, reading the journals in four three-hour group meetings, receiving non-judgmental feedback, and editing the journal entries. In the journals, we explored our understanding of authenticity, the development of our authentic selves, our experience of authenticity in graduate school, the role of authenticity in our relationships, the way in which our authenticity has been shaped by external forces, and our process of balancing the costs and benefits when deciding whether or not to be authentic in a given situation. Themes that emerged from the data revealed that we had received mixed messages about authenticity in our graduate program and that our ability to be authentic varied depending on whether we were in the role of therapist, teacher, researcher, or student. Further, family and peer relationships, hierarchical structures, and privileged and marginalized social identities enhanced or inhibited our experiences of authenticity in graduate school. Implications for graduate students and recommendations for future research are discussed.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"89 - 111"},"PeriodicalIF":3.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43490962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Body shame among Asian American college women: the roles of sexual objectification, internalized racism, and ethnic identity strength 亚裔美国女大学生的身体羞耻感:性物化、内化种族主义和种族认同力量的作用
IF 3
Counselling Psychology Quarterly Pub Date : 2022-04-16 DOI: 10.1080/09515070.2022.2065664
Hsiu-Lan Cheng
{"title":"Body shame among Asian American college women: the roles of sexual objectification, internalized racism, and ethnic identity strength","authors":"Hsiu-Lan Cheng","doi":"10.1080/09515070.2022.2065664","DOIUrl":"https://doi.org/10.1080/09515070.2022.2065664","url":null,"abstract":"ABSTRACT Informed by objectification theory’s tenet that sexual objectification and racism are powerful sociocultural forces that perniciously impact women of color’s mental health, the present study examined the longitudinal links of sexual objectification and three forms of internalized racism (i.e. self-negativity, weakness stereotype, appearance bias) with body shame among Asian American college women (N = 146). Ethnic identity strength, a theorized protective factor in body image literature, was examined as a moderator for the hypothesized longitudinal links. Results indicated that sexual objectification and self-negativity measured at Time 1 had significant and positive bivariate associations with body shame measured at Time 2. However, these variables no longer predicted body shame when body mass index (BMI) was included as a covariate. A significant interaction between appearance bias and ethnic identity strength emerged in predicting body shame. Specifically, high ethnic identity strength exacerbated the detrimental effect of appearance bias on Asian American women’s body shame, whereas low ethnic identity strength buffered this effect. This finding contradicts theoretical views of ethnic identity strength as a protective factor in women of color’s body image development. Practice implications and future research directions are discussed.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"112 - 133"},"PeriodicalIF":3.0,"publicationDate":"2022-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48452221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Novel contact-kinin inhibitor sylvestin targets thromboinflammation and ameliorates ischemic stroke. 新型接触激肽抑制剂西维素能抑制血栓素炎症并改善缺血性中风。
IF 8
Counselling Psychology Quarterly Pub Date : 2022-04-13 DOI: 10.1007/s00018-022-04257-7
Zhiye Zhang, Chuanbin Shen, Mingqian Fang, Yajun Han, Chengbo Long, Weihui Liu, Min Yang, Ming Liu, Dengdeng Zhang, Qiqi Cao, Xue Chen, Yaqun Fang, Qiumin Lu, Zongliu Hou, Yaxiong Li, Zhenze Liu, Xi Lei, Heyu Ni, Ren Lai
{"title":"Novel contact-kinin inhibitor sylvestin targets thromboinflammation and ameliorates ischemic stroke.","authors":"Zhiye Zhang, Chuanbin Shen, Mingqian Fang, Yajun Han, Chengbo Long, Weihui Liu, Min Yang, Ming Liu, Dengdeng Zhang, Qiqi Cao, Xue Chen, Yaqun Fang, Qiumin Lu, Zongliu Hou, Yaxiong Li, Zhenze Liu, Xi Lei, Heyu Ni, Ren Lai","doi":"10.1007/s00018-022-04257-7","DOIUrl":"10.1007/s00018-022-04257-7","url":null,"abstract":"<p><p>Ischemic stroke is a leading cause of death and disability worldwide. Increasing evidence indicates that ischemic stroke is a thromboinflammatory disease in which the contact-kinin pathway has a central role by activating pro-coagulant and pro-inflammatory processes. The blocking of distinct members of the contact-kinin pathway is a promising strategy to control ischemic stroke. Here, a plasma kallikrein and active FXII (FXIIa) inhibitor (sylvestin, contained 43 amino acids, with a molecular weight of 4790.4 Da) was first identified from forest leeches (Haemadipsa sylvestris). Testing revealed that sylvestin prolonged activated partial thromboplastin time without affecting prothrombin time. Thromboelastography and clot retraction assays further showed that it extended clotting time in whole blood and inhibited clot retraction in platelet-rich plasma. In addition, sylvestin prevented thrombosis in vivo in FeCl<sub>3</sub>-induced arterial and carrageenan-induced tail thrombosis models. The potential role of sylvestin in ischemic stroke was evaluated by transient and permanent middle cerebral artery occlusion models. Sylvestin administration profoundly protected mice from ischemic stroke by counteracting intracerebral thrombosis and inflammation. Importantly, sylvestin showed no signs of bleeding tendency. The present study identifies sylvestin is a promising contact-kinin pathway inhibitor that can proffer profound protection from ischemic stroke without increased risk of bleeding.</p>","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"34 1","pages":"240"},"PeriodicalIF":8.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11071929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75141427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Change in emotional processing in daily life: relationship with in-session self-esteem 日常生活中情绪处理的变化:与会期自尊的关系
IF 3
Counselling Psychology Quarterly Pub Date : 2022-03-18 DOI: 10.1080/09515070.2022.2029349
U. Kramer, Hélène Beuchat, Loris Grandjean, J. Despland, A. Pascual-Leone
{"title":"Change in emotional processing in daily life: relationship with in-session self-esteem","authors":"U. Kramer, Hélène Beuchat, Loris Grandjean, J. Despland, A. Pascual-Leone","doi":"10.1080/09515070.2022.2029349","DOIUrl":"https://doi.org/10.1080/09515070.2022.2029349","url":null,"abstract":"ABSTRACT In-session emotional processing is a central component of psychotherapy, but little is known about the types and the quality of emotional processing individuals engage in daily life. An ecological momentary assessment (EMA) schedule has been validated to assess distinct emotional experiences as they emerge in daily life. It remains an open question whether changes observed in distinct emotional experiences over a week of assessment are related to in-session self-esteem. In total, N = 42 university students participated in a one-week assessment of emotions using ecological momentary assessment, as well as in a one-session experiential task of resolving self-criticism (using a two-chair dialogue from emotion-focused therapy). The emotions in daily life were self-reported by the participants on a regular basis, and self-esteem was assessed three times during the two-chair dialogue. Two-level hierarchical linear models reveal emotional changes in daily life, and in-session self-esteem is introduced as predictor at level 2. In-session self-esteem was correlated with symptom levels. The results showed that changes in primary maladaptive emotions in the one-week assessment were predicted by state and trait components of in-session self-esteem, which took place at the outset of the EMA. Trait-components of self-esteem were linked with the level of symptoms, whereas state-components of self-esteem were not. The present study underscores the importance of extending research from within-session observations of emotional processing towards daily life. .","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"235 - 250"},"PeriodicalIF":3.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45604850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression 临床监督中的自我批评患者:抑郁症短期心理动力治疗中治疗师联盟斗争与情绪反应的定性研究
IF 3
Counselling Psychology Quarterly Pub Date : 2022-03-13 DOI: 10.1080/09515070.2022.2050676
Vicky Hennissen, K. Van Nieuwenhove, R. Meganck, Dries Dulsster, Juri Krivzov, M. Desmet
{"title":"The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression","authors":"Vicky Hennissen, K. Van Nieuwenhove, R. Meganck, Dries Dulsster, Juri Krivzov, M. Desmet","doi":"10.1080/09515070.2022.2050676","DOIUrl":"https://doi.org/10.1080/09515070.2022.2050676","url":null,"abstract":"ABSTRACT Self-critical perfectionism has been linked to alliance impairments due to patients’ distancing attitudes. However, systematic research on therapists’ emotional experiencing when working with self-critical patients is scarce. This qualitative study explores how therapists perceive, emotionally experience, and react to self-critical patients’ interpersonal dynamics. We studied narrative data from clinical supervisions where psychodynamic psychotherapists discussed self-critical patients (N = 7) within the context of an RCT on Major Depressive Disorder. Consensual Qualitative Research was applied to identify recurrent patterns in the data. As a global impediment to treatment, therapists observed a pattern of non-engagement. Patients’ superficial and avoidant way of communicating, hostility or aggressiveness in the alliance, and low or inaccurate treatment expectations emerged as main obstacles to the therapeutic process, evoking negative affect in therapists. More vulnerable aspects of the patient and case formulation emerged as having a mitigating effect on unfavorable therapist reactions. Our findings confirm longstanding clinical and theoretical accounts associating therapeutic work with self-critical patients with negative affect in therapists. Our study suggests that negative responses may be enacted in therapy which can reinforce poor alliance. We discuss the role of supervision in helping therapists to become aware of and manage negative responses, engage in case conceptualization, and advance clinical work.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"41 - 65"},"PeriodicalIF":3.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44611835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Facilitative interpersonal relationship training enhances novices’ therapeutic skills 促进人际关系培训可提高新手的治疗技能
IF 3
Counselling Psychology Quarterly Pub Date : 2022-03-13 DOI: 10.1080/09515070.2022.2049703
M. Perlman, T. Anderson, J. Finkelstein, Victoria K Foley, Scott Mimnaugh, Caroline V Gooch, Kevin C David, Shelby J. Martin, J. Safran
{"title":"Facilitative interpersonal relationship training enhances novices’ therapeutic skills","authors":"M. Perlman, T. Anderson, J. Finkelstein, Victoria K Foley, Scott Mimnaugh, Caroline V Gooch, Kevin C David, Shelby J. Martin, J. Safran","doi":"10.1080/09515070.2022.2049703","DOIUrl":"https://doi.org/10.1080/09515070.2022.2049703","url":null,"abstract":"ABSTRACT Relatively little research focuses on the impact of therapeutic, relational skills training for untrained helpers. The current study is a randomized control trial, which tested a novel, research-informed training protocol that integrated elements of alliance-focused training (AFT) and facilitative interpersonal skills (FIS) in a sample of college undergraduates interested in social helping careers. The AFT/FIS training was compared to a time-matched video demonstration of cognitive therapy (CT video). All participants were assessed on their Facilitative Interpersonal Skills (FIS) and emotional reactions to FIS stimuli pre- and post-training. After controlling for baseline effects, participants in the AFT/FIS training saw a significant increase in post-training FIS, especially in the areas of empathy, alliance bond capacity, and alliance rupture repair responsiveness. AFT/FIS participants also saw increases in positive and affiliative emotional reactions to FIS clips compared to participants in the CT video training. Implications for future empirical investigations and training initiatives are discussed.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"25 - 40"},"PeriodicalIF":3.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45070987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Failure in psychotherapy: a qualitative comparative study from the perspective of patients diagnosed with depression 心理治疗失败:抑郁症患者视角的定性比较研究
IF 3
Counselling Psychology Quarterly Pub Date : 2022-03-08 DOI: 10.1080/09515070.2022.2047614
Nicolás Suárez-Delucchi, Alex Keith-Paz, Mahaira Reinel, Sofía Fernandez, Mariane Krause
{"title":"Failure in psychotherapy: a qualitative comparative study from the perspective of patients diagnosed with depression","authors":"Nicolás Suárez-Delucchi, Alex Keith-Paz, Mahaira Reinel, Sofía Fernandez, Mariane Krause","doi":"10.1080/09515070.2022.2047614","DOIUrl":"https://doi.org/10.1080/09515070.2022.2047614","url":null,"abstract":"ABSTRACT This qualitative study’s objective was to understand how failure in psychotherapy develops from depressed patients’ perspective. Forty-seven patients were interviewed after brief psychotherapy. Data analysis was conducted according to Grounded Theory. Patients evaluated their own psychotherapies’ outcome according to their subjective criteria. Then, negative, positive and mixed-results evaluations were compared in the main categories. Results showed that patients reporting negative evaluations considered null or adverse outcomes as failure. Distrust in their psychotherapists (both as persons and professionals) developed in early stages of the process and was apparently hard to revert. This early onset of distrust led patients to a lack of collaboration and an unreceptive attitude. They perceived their psychotherapist as not understanding, distant, and uninterested, losing focus on relevant problems and not providing new information. The relationship was experienced as uncomfortable and distant, and sometimes became harmful. Therefore, distrust led patients to regard their psychotherapies as an unhelpful experience, in contrast to what occurred in patients with positive or mixed results evaluations. Conclusions contribute to a clarification of how patients conceptualize failure and suggest reevaluating the relevance of their perspective, which seems not to be fully reflected in current outcome measures. Clinicians should consider building trust as a baseline and encourage patients to disclose even the earliest negative feelings about treatment and psychotherapist","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"35 1","pages":"842 - 866"},"PeriodicalIF":3.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41647867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Social perception of sexual harassment in informal relations. 非正式关系中性骚扰的社会认知
IF 1
Counselling Psychology Quarterly Pub Date : 2022-02-25 eCollection Date: 2022-01-01 DOI: 10.5114/cipp.2021.110026
Dariusz Drążkowski, Monika Ganclerz
{"title":"Social perception of sexual harassment in informal relations.","authors":"Dariusz Drążkowski, Monika Ganclerz","doi":"10.5114/cipp.2021.110026","DOIUrl":"10.5114/cipp.2021.110026","url":null,"abstract":"<p><strong>Background: </strong>Perception of sexual harassment in informal relations is a largely uninvestigated topic. This study aimed to bridge this gap by examining the effect of the type of relationship between the perpetrator and the victim on the perception of harassment. Furthermore, we considered potential factors moderating the tested relationships: acceptance of gender stereotypes and sex.</p><p><strong>Participants and procedure: </strong>In total, 369 participants were assigned to one of three conditions including a female victim and a male perpetrator who was either her neighbor, coworker, or supervisor.</p><p><strong>Results: </strong>The participants assessed the harasser to be responsible. The supervisor's behavior was considered more punishable than that of the colleague or neighbor. The male participants reported that the perpetrator was less deserving of punishment than female participants.</p><p><strong>Conclusions: </strong>The findings suggest that social norms regarding sexual harassment in formal and informal relationships are similar, excluding harassment by supervisors, which was rated as most punishable.</p>","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"2 1","pages":"227-233"},"PeriodicalIF":1.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10653555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81910800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Therapeutic activities after assimilation setbacks in the case of Alicia 艾丽西亚同化障碍后的治疗活动
IF 3
Counselling Psychology Quarterly Pub Date : 2022-01-11 DOI: 10.1080/09515070.2021.2023467
Isabel Caro Gabalda, W. Stiles
{"title":"Therapeutic activities after assimilation setbacks in the case of Alicia","authors":"Isabel Caro Gabalda, W. Stiles","doi":"10.1080/09515070.2021.2023467","DOIUrl":"https://doi.org/10.1080/09515070.2021.2023467","url":null,"abstract":"ABSTRACT This case study addressed what therapists do after assimilation setbacks. Previous research has shown that most setbacks reflect the client switching between strands of the problem and that most setbacks can be classified as balance strategy setbacks (BS) or setbacks due to the therapist exceeding the client’s zone of proximal development (TZPD). Alicia was a 26-year-old woman diagnosed as depressed and treated with a directive kind of therapy for 26 sessions. Sessions were transcribed and rated with the Assimilation of Problematic Experiences Scale (APES). Almost all setbacks could be classified as BS or TZPD. The therapist's succeeding interventions were coded with the List of Therapist’s Activities after a Setback and qualitatively described and summarized. Alicia showed improvement on the outcome measures, and the APES. Therapist activities following setbacks showed that exploratory activities and supportive and clarifying intentions seemed relatively more common after BS setbacks, whereas directive activities and intentions were relatively more common after TZPD setbacks. Results tended to support the conceptualization of setbacks as a switch of strands and suggested elaborations. In this directive therapy, the therapist tended to pursue the intended line of work after setbacks, using systematically different activities depending on which type of setback occurred.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":"36 1","pages":"211 - 234"},"PeriodicalIF":3.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46788888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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