Psychology and Psychotherapy-Theory Research and Practice最新文献

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Sensitivity to betrayal and new intimate relationship building in survivors of intimate partner violence. 亲密伴侣暴力幸存者对背叛的敏感性和新亲密关系的建立。
IF 2.7 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-08-08 DOI: 10.1111/papt.70004
Alice Melin, Paul M Salkovskis
{"title":"Sensitivity to betrayal and new intimate relationship building in survivors of intimate partner violence.","authors":"Alice Melin, Paul M Salkovskis","doi":"10.1111/papt.70004","DOIUrl":"https://doi.org/10.1111/papt.70004","url":null,"abstract":"<p><strong>Objectives: </strong>There is evidence that prior experience of intimate partner violence (IPV) can lead to high levels of sensitivity to betrayal, shame and self-criticism and interfere with initiation, development and maintenance of future intimate relationships. We measured these variables in women survivors of IPV, evaluating whether they are associated with the quality of current relationships.</p><p><strong>Design: </strong>A cross-sectional, between-groups design was used, comparing women survivors of IPV divided into those satisfied with current intimate relationships, those dissatisfied and IPV survivors not in such a relationship. Women without a history of IPV were included as a benchmark group.</p><p><strong>Method: </strong>Four groups: IPV single (N = 34), IPV dissatisfied (N = 25), IPV satisfied (N = 32) and those who had not experienced IPV (N = 42) were compared for betrayal sensitivity, followed by a secondary comparison of shame and self-criticism. Online questionnaires were completed by participants recruited through social media and screened for IPV and relationship status.</p><p><strong>Results: </strong>All IPV groups had significantly higher scores for betrayal sensitivity than the non-clinical group, with IPV satisfied having significantly lower scores than other IPV groups in two subscales: betrayal causing life change and lack of trust due to betrayal.</p><p><strong>Conclusions: </strong>Betrayal sensitivity is prominent in survivors of IPV, with evidence of a specific link between survivors' relationship satisfaction/status and their lack of trust and ideas of being permanently changed. Those appraisals may make it more challenging to build and maintain satisfactory relationships, or positive relationships may help survivors change their appraisals about betrayal, leading to a lack of trust and life-altering changes.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800962","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}
引用次数: 0
Inpatient cognitive analytic therapy for functional neurological disorder: A mixed methods four-phase single-case experimental design. 功能性神经障碍的住院认知分析疗法:混合方法、四期单例实验设计。
IF 2.7 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-08-06 DOI: 10.1111/papt.70002
Stephen Kellett, Chris Gaskell, Isobel Dunning, Jordan Pope, Melanie Simmonds-Buckley, Ben Lorimer
{"title":"Inpatient cognitive analytic therapy for functional neurological disorder: A mixed methods four-phase single-case experimental design.","authors":"Stephen Kellett, Chris Gaskell, Isobel Dunning, Jordan Pope, Melanie Simmonds-Buckley, Ben Lorimer","doi":"10.1111/papt.70002","DOIUrl":"https://doi.org/10.1111/papt.70002","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effectiveness of inpatient cognitive analytic therapy (CAT) for functional neurological disorder and associated suicidality.</p><p><strong>Design: </strong>A single case experimental A-B-C plus follow-up design. Intervention phases (A-B-C) were conducted on a psychiatric ward, with the 1-month follow-up (FU) phase in the community.</p><p><strong>Methods: </strong>The intervention was eight-session CAT. The ABC phases of the SCED were synchronized with the reformulation, recognition and revision phases of the CAT. Idiographic anxiety, depression, burden, emotion regulation, distrust and frequency counts of epileptic and functional seizures were measured daily for N = 61 days across all the phases of the study. Recognition and revision of target problems (TPs) and target problem procedures (TPPs) were rated at each session. The PHQ-9 and GAD-7 were completed at assessment, end of therapy and follow-up. A change interview was conducted at the point of discharge from the ward and at follow-up.</p><p><strong>Results: </strong>The number of seizure-free days did not change markedly. Recognition and revision of TP and TPPs increased positively over time and according to the phase of CAT. Daily depression significantly improved, but there was less change in other idiographic measures. There was a reliable improvement in PHQ-9 and GAD-7 scores. Personal changes at end of therapy and at follow-up were described in the change interview as important, impactful and unlikely without therapy.</p><p><strong>Conclusions: </strong>The outcome picture was complex, with evidence of significant change on some indices and little change on others. This suggests a partially effective intervention. Inpatient CAT and also CAT as an FND intervention both seem to hold promise, but clearly more controlled research is needed.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790765","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}
引用次数: 0
Talking therapies for anxiety and depression in people affected by dementia: A scoping meta-review. 谈话疗法治疗痴呆患者的焦虑和抑郁:一项范围荟萃综述。
IF 2.7 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-07-31 DOI: 10.1111/papt.70003
Georgina Charlesworth, Cassie Eastham, Lydia Morris
{"title":"Talking therapies for anxiety and depression in people affected by dementia: A scoping meta-review.","authors":"Georgina Charlesworth, Cassie Eastham, Lydia Morris","doi":"10.1111/papt.70003","DOIUrl":"https://doi.org/10.1111/papt.70003","url":null,"abstract":"<p><strong>Background: </strong>Symptoms of anxiety and depression are common in people affected by dementia (people with dementia and family carers). There are many reviews of psychological interventions to reduce stress and distress in people with dementia and family carers, but little cross-fertilisation with the evidence base underpinning NHS Talking Therapies for anxiety and depression (TTad).</p><p><strong>Objectives: </strong>To review the psychological intervention literature for people with dementia and their family carers through the lens of TTad, thus providing a bridge between the two literatures.</p><p><strong>Methods: </strong>We undertook a rapid scoping review of meta-analyses of TTad-recommended therapies used with people with dementia and family carers, including cognitive-behavioural therapies (CBT), behavioural activation, problem-solving, counselling for depression and mindfulness-based cognitive therapy.</p><p><strong>Results: </strong>All meta-analytic reviews of cognitive and behavioural therapies (nine with family carers and a Cochrane review with people with dementia) demonstrated the effectiveness of behavioural activation and CBT-informed interventions in reducing symptoms of depression. Anxiety was less frequently studied, with no positive findings found for people with dementia. Psychoeducation was the most effective approach for anxiety reduction in carers. Evidence from meta-analyses of mindfulness-based interventions (MBIs) for carers showed reduced symptoms of both depression and anxiety.</p><p><strong>Conclusions: </strong>There are ontological and methodological differences in the literatures underpinning TTad and psychological interventions for people affected by dementia. To improve access to TTad for people with dementia and family carers, changes are required to research methodologies, TTad data collection and approaches to service delivery.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755137","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}
引用次数: 0
The temporal dance: How therapist presence and alliance evolve across early sessions of psychotherapy? 时间之舞:治疗师的存在和联盟如何在心理治疗的早期阶段演变?
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-07-18 DOI: 10.1111/papt.70001
I Volkan Gülüm, İlknur Dilekler-Aldemir, Gözde İkizer, A Nuray Karanci
{"title":"The temporal dance: How therapist presence and alliance evolve across early sessions of psychotherapy?","authors":"I Volkan Gülüm, İlknur Dilekler-Aldemir, Gözde İkizer, A Nuray Karanci","doi":"10.1111/papt.70001","DOIUrl":"https://doi.org/10.1111/papt.70001","url":null,"abstract":"<p><strong>Objective: </strong>Although there is notable evidence supporting the importance of the therapeutic alliance and therapist presence in psychotherapy practice, the question of how these factors interact dynamically over time remains to be answered. This study investigated how therapists adjust their presence in response to client distress and how this responsive pattern is moderated by therapeutic alliance during the beginning phase of psychotherapy.</p><p><strong>Method: </strong>Pre-session symptom measurements and post-session ratings of therapist presence and alliance were collected across the first five consecutive sessions from 46 clients and 22 novice therapists, allowing examination of temporal sequences in therapeutic processes.</p><p><strong>Results: </strong>Therapists' presence increased in response to higher pre-session symptom levels, with this responsive pattern evolving over time. This relationship was moderated by therapeutic alliance, with stronger alliance providing a context that attenuated the presence-symptom association. Notably, therapist ratings showed stronger predictive relationships with outcomes than client ratings, possibly reflecting the unique observational capacity of therapists in their earliest professional encounters.</p><p><strong>Conclusion: </strong>These findings demonstrated how therapist presence operates as a dynamic, responsive intervention rather than a static therapeutic factor, suggesting that alliance functions as a contextual moderator rather than merely a direct predictor of outcome.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669011","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}
引用次数: 0
Disentangling eye movement desensitization and reprocessing mechanisms of action: The impact of eye movements in the eye blink conditioning task. 解开眼动脱敏和再加工机制的作用:眼动在眨眼条件反射任务中的影响。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-07-03 DOI: 10.1111/papt.70000
Daniel Folch-Sanchez, Chrysanthi Blithikioti, Laura Nuño, Pablo Barrio, Roger Borràs, Laura Blanco, Flavia Piazza, Mercè Balcells-Oliveró, Laia Miquel
{"title":"Disentangling eye movement desensitization and reprocessing mechanisms of action: The impact of eye movements in the eye blink conditioning task.","authors":"Daniel Folch-Sanchez, Chrysanthi Blithikioti, Laura Nuño, Pablo Barrio, Roger Borràs, Laura Blanco, Flavia Piazza, Mercè Balcells-Oliveró, Laia Miquel","doi":"10.1111/papt.70000","DOIUrl":"https://doi.org/10.1111/papt.70000","url":null,"abstract":"<p><strong>Objectives: </strong>Eye movement desensitization and reprocessing (EMDR) is an effective evidence-based treatment for post-traumatic stress disorder. However, the therapeutic mechanisms underlying eye movements (EM) remain unclear. This study aimed to investigate the effect of horizontal EM on fear extinction learning in healthy individuals, using an Eye Blink Conditioning (EBC) task. This experimental paradigm has been widely used to explore associative fear learning and memory as a form of classical conditioning.</p><p><strong>Methods: </strong>Healthy participants were included to the study protocol and divided randomly into two groups. The EM group (n = 20) were asked to follow horizontally the experimenter's moving finger at the beginning of the extinction phase and the control group (n = 19) did not engage in any specific task. Sociodemographic and clinical information was collected. Percentage of conditioned response (CR) occurrence, time of onset and intensity between and within groups over longitudinal time were analysed using generalized multilevel mixed effects for repeated measures.</p><p><strong>Results: </strong>Results showed accelerated extinction learning in the EM group, with an 18.2% probability of CR occurrence in the first block of extinction, compared to the control group (40.9%) (p-value = .007).</p><p><strong>Conclusions: </strong>The findings indicate that horizontal EM accelerates the extinction process in the EBC task. Therefore, this paradigm, used for studying associative learning and memory, could serve as an objective measure to investigate the mechanisms of action involved in desensitizing traumatic experiences during EMDR treatment.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562039","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}
引用次数: 0
Age equality in mental health: Déjà vu all over again. 心理健康中的年龄平等:又来了一遍。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-11 DOI: 10.1111/papt.12594
Polly Kaiser, Kathryn Dykes, Natasha Lord
{"title":"Age equality in mental health: Déjà vu all over again.","authors":"Polly Kaiser, Kathryn Dykes, Natasha Lord","doi":"10.1111/papt.12594","DOIUrl":"https://doi.org/10.1111/papt.12594","url":null,"abstract":"<p><strong>Aims: </strong>Ageism is one of the last socially accepted prejudices. This paper aims to highlight key areas of age discrimination and inequality in mental health services.</p><p><strong>Discussion: </strong>It will discuss examples, drawn mainly from the UK, in terms of mental health inequalities to illustrate age inequality. It will define what is meant by 'older people' before discussing ageism and age equality. Examples will be given of the impact of ageism has on the mental health of older people themselves, the impact of institutional ageism on the unequal access older people have to age-appropriate services. Additionally, as older people present differently, their needs are not always recognised. This demonstrates the need for further training and education for health and social care professionals.</p><p><strong>Conclusion: </strong>It will conclude with hope and encouragement for action with possible ideas to take forward to continue to address this. It calls for allies to address 'Everyday Ageism' and will signpost readers to resources that may assist them in their endeavours to challenge this.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267892","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}
引用次数: 0
Empathy training for counselling novices: A randomized controlled trial using machine learning and natural language processing. 咨询新手共情训练:一项使用机器学习和自然语言处理的随机对照试验。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-04 DOI: 10.1111/papt.12604
Wenjun Luo, Rui Li, Zihan Guo, Siyao Jia, Qiwu Sun, Zhihong Ren
{"title":"Empathy training for counselling novices: A randomized controlled trial using machine learning and natural language processing.","authors":"Wenjun Luo, Rui Li, Zihan Guo, Siyao Jia, Qiwu Sun, Zhihong Ren","doi":"10.1111/papt.12604","DOIUrl":"https://doi.org/10.1111/papt.12604","url":null,"abstract":"<p><strong>Objective: </strong>Empathy is a critical skill for effective counselling, yet novice counsellors often struggle to develop it. Traditional training methods may not sufficiently address the complexities of empathic development. This study aims to develop and assess an empathy training programme using machine learning (ML) and natural language processing (NLP) to enhance empathy in novice counsellors.</p><p><strong>Methods: </strong>We developed the 'Empathy Feedback' WeChat mini-programme to provide real-time feedback through counselling exercises. In a randomized controlled trial (RCT), 143 participants were randomly assigned to one of four groups: control, feedback, practice or feedback-practice. Over 5 days, participants completed daily empathy exercises through the mini-programme. Empathy levels, as measured by the Helpful Responses Questionnaire (HRQ), and self-efficacy were assessed immediately post-intervention and at a 2-week follow-up.</p><p><strong>Results: </strong>Significant improvements in empathy and HRQ scores were observed in the experimental groups compared to the control group (p < .05), but no changes were found in self-efficacy scores.</p><p><strong>Conclusions: </strong>The AI-driven empathy training programme effectively enhanced empathic skills among novice counsellors, demonstrating the potential of integrating machine learning and NLP into counsellor education. The lack of change in self-efficacy suggests that additional strategies may be needed to boost counsellors' confidence in applying these skills in practice.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217607","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}
引用次数: 0
The effect of cumulative trauma and polarised thinking on severity of depressive disorder. 累积性创伤与两极化思维对抑郁症严重程度的影响。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-04 DOI: 10.1111/papt.12602
Marta Salla, Mari Aguilera, Clara Paz, Jorge Moya, Guillem Feixas
{"title":"The effect of cumulative trauma and polarised thinking on severity of depressive disorder.","authors":"Marta Salla, Mari Aguilera, Clara Paz, Jorge Moya, Guillem Feixas","doi":"10.1111/papt.12602","DOIUrl":"https://doi.org/10.1111/papt.12602","url":null,"abstract":"<p><p>Over recent decades, there has been more evidence of the connection between trauma and depression. More research is needed on the relationship between different types of trauma and their combination (cumulative trauma) with respect to the severity of depressive symptoms. The extent to which trauma and cognitive processes that manifest as polarised or 'black and white' thinking affect the severity of depression has yet to be explored.</p><p><strong>Objective: </strong>The objective of this research was to examine the impact of cumulative trauma and polarised thinking on the severity of depressive symptoms.</p><p><strong>Method: </strong>In total, 172 patients, mostly women, with a diagnosis of Major Depressive Disorder or Dysthymia (or both) were evaluated using the Cumulative Trauma Scale. The Repertory Grid Technique was used to measure polarised thinking, and the Beck Depression Inventory-II was used to assess the severity of depressive symptoms.</p><p><strong>Results: </strong>The severity of depressive symptoms was strongly associated with a high level of polarised thinking and a high frequency of perceived negative trauma.</p><p><strong>Conclusions: </strong>Our findings underscore the need to address polarised thinking and trauma (when present) as a target of interventions aimed at reducing depression symptoms.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217608","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}
引用次数: 0
Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample. 对不确定性、偏执和前驱症状的不耐受:精神分裂症谱系障碍、焦虑障碍和非临床样本的比较
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-02 DOI: 10.1111/papt.12599
Jayne Morriss, Lyn Ellett
{"title":"Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample.","authors":"Jayne Morriss, Lyn Ellett","doi":"10.1111/papt.12599","DOIUrl":"https://doi.org/10.1111/papt.12599","url":null,"abstract":"<p><strong>Background: </strong>Greater Intolerance of Uncertainty (IU: the tendency to find uncertainty negative) is associated with greater paranoia (mistrust of others) in clinical samples with schizophrenia spectrum disorders (SSDs). Questions remain on whether the relationship between IU and paranoia/prodromal symptoms is: (1) specific over other related negative affective traits and cognitive biases, and (2) specific to SSDs or is transdiagnostic.</p><p><strong>Methods: </strong>To examine these research questions, we conducted a survey in those with SSDs (n = 103), anxiety disorders (n = 102) a non-clinical sample (n = 102). Questionnaires included: IU, paranoia, prodromal symptoms of schizophrenia, neuroticism and jumping to conclusions bias.</p><p><strong>Results: </strong>IU, neuroticism and jumping to conclusions bias were elevated in those with SSDs and anxiety disorders, compared to the non-clinical group. Both paranoia and prodromal symptoms were highest in those with SSDs, then anxiety disorders and lowest in the non-clinical group. Greater IU was associated with greater paranoia and prodromal symptoms across SSDs, anxiety disorders and a non-clinical sample. The majority of the relationships between IU and paranoia/prodromal symptoms remained significant when controlling for neuroticism and the jumping to conclusions bias. However, the relationship between IU and paranoia in the SSD group was not specific over the jumping to conclusions bias.</p><p><strong>Discussion: </strong>These findings highlight the potentially transdiagnostic role of IU in paranoia/prodromal symptoms across SSDs and anxiety disorders, which has implications for the development of transdiagnostic treatment interventions for SSDs and anxiety disorders.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210251","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}
引用次数: 0
Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals. 跨性别及性别差异个体的顺规范性与核心情感需求受挫。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-22 DOI: 10.1111/papt.12596
George Radford, Jamie E M Byrne, Petra K Staiger, Gery C Karantzas
{"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}
引用次数: 0
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