打破体型和体型歧视:专业临床医生的意见。

IF 5.2 1区 心理学 Q1 PSYCHIATRY
Kelly M. King , Brittany Wyche , Lindsey Umstead
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引用次数: 0

摘要

越来越多的证据表明,在心理健康护理中与客户探讨身份和权力问题是一种有效的多元文化和社会公正咨询技巧。目前还没有研究过与求助者讨论体型问题(包括体型差异和体型歧视)时需要考虑的因素,因此临床医生缺乏促进这些对话的指导原则。在这一共识性定性研究中,我们根据对九名专门治疗饮食失调症和身体相关咨询问题的临床医生的访谈,提出了涉及身体话题的主题。这些主题涉及咨询师的发展、身体咨询的概念化、临床决策、实践以及在治疗过程中提及身体话题的影响。临床医生指出了他们所追求的专业和个人发展,并主张对未来的临床医生进行培训,以便更好地为客户服务。在介绍客户的交叉性和身体尺寸时,对其独特性和共同性进行了描述,具体描绘了量身定制介绍性对话的途径。有效和无效引导对话的具体实例,包括使用的语言和心理教育内容,为实践提供了建议,并与观察到的对客户、咨询师和咨询过程的影响相联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Broaching body size and sizeism: Input from specialized clinicians

Broaching issues of identity and power with clients in the context of their mental health care is affirmed as an effective multicultural and social justice counseling skill by a growing evidence base. Considerations for broaching body size, including size difference and sizeism, with clients has not yet been studied, thus clinicians lack guidelines for facilitating these conversations. In this consensual qualitative research study, we present themes involved in broaching body topics based on our interviews with nine clinicians specialized in treating clients with eating disorders and body-related counseling concerns. Themes addressed counselor development, conceptualization of broaching, clinical-decision-making, practice, and impact of broaching body topics in session. Clinicians identified professional and personal developments they pursued and would advocate for training future clinicians to better serve clients. Descriptions of unique and shared aspects of broaching clients’ intersectionality and body-size specifically depict avenues for tailoring broaching conversations. Specific examples of effective and ineffective broaching conversations, including language used and psychoeducational components, provide recommendations for practice and connect to observed impacts on the client, counselor, and counseling process.

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来源期刊
Body Image
Body Image Multiple-
CiteScore
8.70
自引率
28.80%
发文量
174
期刊介绍: Body Image is an international, peer-reviewed journal that publishes high-quality, scientific articles on body image and human physical appearance. Body Image is a multi-faceted concept that refers to persons perceptions and attitudes about their own body, particularly but not exclusively its appearance. The journal invites contributions from a broad range of disciplines-psychological science, other social and behavioral sciences, and medical and health sciences. The journal publishes original research articles, brief research reports, theoretical and review papers, and science-based practitioner reports of interest. Dissertation abstracts are also published online, and the journal gives an annual award for the best doctoral dissertation in this field.
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