Psychology and Psychotherapy-Theory Research and Practice最新文献

{"title":"Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals.","authors":"George Radford, Jamie E M Byrne, Petra K Staiger, Gery C Karantzas","doi":"10.1111/papt.12596","DOIUrl":"https://doi.org/10.1111/papt.12596","url":null,"abstract":"<p><strong>Introduction: </strong>Cisnormativity is a sociocultural narrative that contributes to the marginalisation of transgender and gender diverse (TGD) people. The schema therapy model theorises that humans have five core emotional needs that must be met to support psychological well-being. Experiences of marginalisation may result in TGD people feeling as if their core emotional needs are not being met. Integrating the schema therapy model with an ecological systems perspective, this study aimed to examine how manifestations of cisnormativity across different levels of the social ecology impact the extent to which TGD people feel their core emotional needs are met.</p><p><strong>Methods: </strong>An online qualitative survey was completed by 101 TGD adults, and the data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Cisnormativity greatly impacted TGD people in ways that reflected the denial of numerous core emotional needs under the schema therapy model. The frustration of these needs was represented in four themes: disconnection and rejection; representation and reputation; suppressing and performing gender; and autonomy. The sources for these unmet needs were present across multiple levels of people's ecological systems.</p><p><strong>Conclusion: </strong>Integrating an ecological systems perspective with the schema model demonstrated how the sociocultural context can directly and indirectly interfere with the meeting of core emotional needs. Some of the needs constructs demonstrated conceptual overlap, necessitating further investigation of the schema therapy model. This study documented the wide-ranging impacts of cisnormativity on TGD people, highlighting novel considerations that should be incorporated into the schema therapy model and models of TGD mental health and well-being.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study.","authors":"Kelly Cusworth, Sharla Cartner, Georgie Paulik, Neil Thomas, Guillermo Campitelli, Danielle C Mathersul","doi":"10.1111/papt.12598","DOIUrl":"https://doi.org/10.1111/papt.12598","url":null,"abstract":"<p><strong>Background: </strong>Negative emotions and stress are theorised to play a role in the onset and maintenance of voice-hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs.</p><p><strong>Aim: </strong>Using ecological momentary assessment, this study examined the moment-to-moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice-hearing onset.</p><p><strong>Materials & methods: </strong>Forty voice-hearers completed seven days of smartphone-based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice-hearing.</p><p><strong>Results: </strong>Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice-hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice-hearing, nor did they moderate the relationship between voice-hearing onset and stressful or pleasurable events, respectively.</p><p><strong>Discussion: </strong>These findings suggest that factors which differentiate perception of stressful events from self-reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors.</p><p><strong>Conclusion: </strong>Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study exploring the role of perfectionism in trichotillomania.","authors":"Amy L Zarandi, Josie F A Millar, Erin Waites, Judith L Stevenson","doi":"10.1111/papt.12597","DOIUrl":"https://doi.org/10.1111/papt.12597","url":null,"abstract":"<p><strong>Objective: </strong>Trichotillomania (TTM) is a condition in which individuals repeatedly pull out their hair despite adverse consequences. Several models have suggested underlying processes, with a central feature of hairpulling being an external means to regulate internal states. The frustrated action model suggests that certain affective states arise from perfectionistic beliefs and an overactive, overprepared style of planning, triggering episodes of hairpulling. To date, there is limited research investigating perfectionism in people with TTM. The current study investigated the experiences of hairpulling behaviour in people with TTM, with specific attention given to perfectionism.</p><p><strong>Design: </strong>A qualitative methodology was employed.</p><p><strong>Method: </strong>Twenty participants completed online screening questionnaires and were interviewed via an online communication platform. Data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>The findings identified the role and development of maladaptive perfectionism in hairpulling. Furthermore, a maintenance cycle is proposed, in which hairpulling is maintained via the positive function it plays in preventing confirmation of self-critical cognitions.</p><p><strong>Conclusions: </strong>The results indicate that interventions targeting perfectionism specifically in individuals with TTM could be beneficial. Furthermore, clinicians should be sensitive to the positive functions that hairpulling can serve for people with TTM.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'I think that we can effect change': Psychologist use of social media for social justice advocacy.","authors":"Ella White, Terry Hanley","doi":"10.1111/papt.12601","DOIUrl":"https://doi.org/10.1111/papt.12601","url":null,"abstract":"<p><strong>Introduction: </strong>Psychologists can bring social justice into their professional presence on social media, with the public perceiving health care professionals as a reputable source of information online. This study aimed to explore practitioner psychologists' use of social media for social justice advocacy as a mental health influencer.</p><p><strong>Methods: </strong>Twelve UK-based practitioner psychologists were interviewed who had an Instagram account that they used as a mental health influencer. The semi-structured interview transcripts were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Systemic issues have motivated many psychologists to begin work as a mental health influencer. There are challenges between the use of social media for social justice advocacy and for business purposes to promote private practice. Psychologists can use social media to share psychoeducation to increase mental health literacy and encourage access to therapy. The accessibility of this content is particularly valuable for people from marginalised communities and for people on long waiting lists to access mental health support. Psychologists can use social media to raise critical consciousness of social inequalities and reduce an individual's sense of self-blame.</p><p><strong>Conclusion: </strong>Irrespective of working in the public sector or private practice, there are opportunities for psychologists to use social media as a resource for social justice advocacy.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compassion-focused chairwork for voice-hearing relationships, body triggers and motivational states.","authors":"Charles Heriot-Maitland, Tobyn Bell","doi":"10.1111/papt.12600","DOIUrl":"https://doi.org/10.1111/papt.12600","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aims to build on a recent theoretical and empirical review of CFT for psychosis by outlining a more detailed account of how voice-hearing perceptions may be generated and triggered, and the implications for clinical practice. It also aims to provide a detailed and practical illustration of how CFT for voice-hearing is applied in therapy.</p><p><strong>Method: </strong>This paper summarises the evolution-informed rationale for CFT for voice-hearing and integrates into this framework some major developments in cognitive neuroscience-namely predictive processing models of perception-to develop a richer account of the mechanisms and targets of CFT for voice-hearing. The clinical application of this model is demonstrated using a description of compassion-focused chairwork for voice-hearing.</p><p><strong>Results: </strong>The enriched perceptual modelling of CFT for voice-hearing is complementary to the (evolution-informed) accounts in the existing CFT literature, while adding precision and utility when it comes to describing compassion-focused chairwork for voice-hearing and discussing some of the key clinical considerations for therapists wishing to use this method.</p><p><strong>Conclusions: </strong>CFT for voice-hearing is an integrated biopsychosocial approach that indicates therapy targets linked to both sides of the voice-to-voice hearer relationship, to corresponding embodied and motivational states, and to the past traumas and conflicts that may drive these patterns. CFT chairwork is particularly well suited to addressing some of the perceptual, embodied and motivational drivers of voice-hearing experiences. We recommend the development of detailed intervention protocols for therapist guidance on specific techniques such as CFT chairwork, which can be used in future evaluation research.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial acknowledgement","authors":"","doi":"10.1111/papt.12561","DOIUrl":"https://doi.org/10.1111/papt.12561","url":null,"abstract":"","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 2","pages":"549-552"},"PeriodicalIF":2.6,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relating Therapy for distressing voices: A treatment protocol.","authors":"Mark Hayward, Matthias Pilny, Tania Lincoln","doi":"10.1111/papt.12595","DOIUrl":"https://doi.org/10.1111/papt.12595","url":null,"abstract":"<p><strong>Purpose: </strong>To present a treatment protocol for Relating Therapy-a novel psychological intervention which supports adults to respond assertively to their distressing voice hearing experiences.</p><p><strong>Method: </strong>This paper reports the background to the development of Relating Therapy. Thereafter, the four phases of the therapy are described: (1) exploring the hearer's relational landscape and identification of patterns of relating; (2) selection of a difficult relationship and a specific conversation, and re-scripting of the conversation; (3) introduction to and engagement with roleplays and (4) reflection, consolidation and preparing for the continuation of learning. Implementation issues are discussed, and the evidence base is reviewed.</p><p><strong>Results: </strong>The findings from preliminary evaluations of Relating Therapy suggest that a definitive randomised controlled trial is feasible. Current evidence suggests that Relating Therapy is an acceptable and safe intervention that has the potential to generate benefits for hearers.</p><p><strong>Conclusion: </strong>Learning to respond assertively may be beneficial to some adults who are distressed by hearing voices. A definitive randomised controlled trial is warranted to evaluate the clinical and cost-effectiveness of Relating Therapy and to explore the mechanisms through which any benefits might be generated.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disclosing racial trauma in psychological therapy: Exploring the experiences of racially minoritised people in the UK.","authors":"Nicole K S Samuel, Laura M Simonds","doi":"10.1111/papt.12592","DOIUrl":"https://doi.org/10.1111/papt.12592","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to racism is repeatedly experienced by individuals from racially minoritised backgrounds, and has a range of negative emotional, physical and social consequences; however, its traumatising effects are under-recognised. Further, psychological therapists often lack sufficient knowledge, training and confidence to sensitively manage conversations about racism. As this has important implications for the standards of care this population receives, this study explored how racially minoritised clients experience disclosing, or attempting to disclose racial trauma in psychological therapy.</p><p><strong>Design: </strong>The study utilised an online qualitative survey design.</p><p><strong>Methods: </strong>Participants were 28 adults who identified as belonging to minoritised racial groups and had engaged in psychological therapy in the UK. Therapy spanned a range of modalities, and providers included the NHS, private therapists/organisations, charities and university services. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>Three superordinate themes were constructed: The Dangers of Disclosure; Holding the Burden; and Feeling Heard and Held. These demonstrated both the range of potential harms and burdens associated with disclosures of racial trauma in therapy, and examples of meaningful, validating therapist responses to disclosure.</p><p><strong>Conclusions: </strong>Therapists, regardless of racial heritage, have the potential to both perpetuate harm and provide meaningful support in response to disclosures of racial trauma. Racial reflexivity and education on racism and racial trauma are essential to ethical and antiracist therapeutic practice, and crucial to safeguarding racially minoritised clients from racial harm in therapy. These must be embedded in training, practice and policy for meaningful improvements in racially minoritised clients' experiences of therapy to occur.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological therapies for bipolar disorder in later life: Current evidence, practice and future directions.","authors":"Elizabeth Tyler, Aaron Warner","doi":"10.1111/papt.12593","DOIUrl":"https://doi.org/10.1111/papt.12593","url":null,"abstract":"<p><strong>Purpose: </strong>Bipolar disorder (BD) is a severe and enduring mental health condition that persists into older adulthood. The number of people living with BD into later life is set to increase as our population ages and awareness of the condition increases. BD in later life may present with additional challenges, such as increased physical health comorbidities and poorer cognitive function. Despite these additional challenges, there has been a paucity of research focused specifically on the treatment needs of older people with BD, highlighted by several review papers. In comparison, the last 30 years have witnessed a rapid development of psychological treatments for younger people with BD.</p><p><strong>Methods: </strong>The authors completed a literature review of peer-reviewed journal articles reporting on psychological therapies developed specifically for older adults with BD. The authors also considered adaptations to psychological therapies that may benefit this population.</p><p><strong>Results: </strong>This review highlighted that there is limited available research investigating the efficacy of psychological treatments for older adults with BD, despite their unique care needs. The available evidence demonstrated the importance of adapting psychological interventions to meet this client group's needs and outlined potentially beneficial adaptations, such as increasing the flexibility of treatment, taking into account health-related and symptom changes, and developing treatments in consultation with older adults with BD.</p><p><strong>Conclusions: </strong>Improved attention and awareness of the challenges faced by older adults with BD is warranted. The development of tailored psychological treatments for this group may help reduce the significant inequalities they currenty face.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A meta-analysis of self-compassion and attachment in adults.","authors":"Charlotte Hill, Vasilis S Vasiliou, Fuschia M Sirois, Olivia Hughes, Andrew R Thompson","doi":"10.1111/papt.12590","DOIUrl":"https://doi.org/10.1111/papt.12590","url":null,"abstract":"<p><strong>Objective: </strong>Attachment might shape the extent to which a person is self-compassionate. Despite the plethora of research examining attachment and self-compassion, no previous systematic review has quantified the magnitude of the associations between self-compassion and different attachment dimensions.</p><p><strong>Design: </strong>Random-effects meta-analyses examined the magnitude of the associations of self-compassion with anxious, avoidant, and secure attachment, using correlational effects (r-value). Moderator analyses tested whether the effects varied as a function of participant age, sex, population type (students vs. community sample) and attachment measure used within studies.</p><p><strong>Methods: </strong>A systematic search of the literature using SCOPUS, Web of Science, and CINAHL databases retrieved 37 eligible studies.</p><p><strong>Results: </strong>The meta-analyses revealed a medium effect size for the positive association between self-compassion with secure attachment, r_avg = .395, 95% CI [0.248, 0.524], and medium and small effect sizes for the negative associations with anxious attachment, r_avg = -.282, 95% CI [-0.329, -0.233], and avoidant attachment, r_avg = -.280, 95% CI [-0.320, -0.240]. Moderator analyses indicate that the magnitude of associations with avoidant attachment varied as a function of participant age and population type (students vs. community samples).</p><p><strong>Conclusions: </strong>The findings suggest differential associations between self-compassion and attachment dimensions. Self-compassion was positively associated with secure attachment, while the reverse was found for insecure attachment. Negative associations between self-compassion and avoidant attachment were larger for older individuals. Ageing populations may be vulnerable to lower self-compassion when already more prone to experiencing avoidant attachment. Compassion-focused therapy may be an effective therapeutic option when working with individuals reliant on anxious or avoidant attachment dimensions.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}