"所有可怕的情绪都已过去,我依然存在,我很安全":女同性恋和男同性恋在完成完整的辩证行为疗法课程后的生活体验定性研究。

IF 2.6 3区 医学 Q2 PSYCHIATRY
Charlotte Harding, Daniel Pratt, James Lea
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引用次数: 0

摘要

研究目的与异性恋同龄人相比,女同性恋和男同性恋(LGP)在心理健康方面遇到困难的比例更高,包括自残、自杀行为以及医疗保健方面的不平等。辩证行为疗法(DBT)是一种以证据为基础的治疗自残和自杀行为的方法,但有关 LGP 对 DBT 的体验的研究却很少。本研究旨在探讨轻度自闭症患者在完成完整的 DBT 项目后的体验:设计:采用半结构化个人访谈的定性设计。方法:对六名成年女同性恋和两名成年男同性恋进行半结构式个人访谈,并采用解释性现象学分析法对访谈结果进行分析:六名女同性恋者和两名男同性恋者参加了访谈,他们都居住在英国,年龄在 22 岁至 47 岁之间。所有参与者都在访谈前两年内完成了一个完整的 DBT 项目:结果:数据中出现了四个首要主题:(1) DBT 之旅;(2) DBT 期间的联系和社区感;(3) DBT 中可见和不可见的性行为;(4) DBT 的性别、性取向和关系多元化(GSRD)平权未来:结论:为改善针对 LGP 的 DBT 提出了几项临床建议,例如考虑在 DBT 小组中加入其他 LGP,创建更能肯定 GSRD 的 DBT(改变 DBT 手册、DBT 治疗师、DBT 计划和 DBT 物理空间),调整 DBT 技术以管理与性有关的困难,以及采用以 GSRD 为中心的框架。总体而言,DBT 似乎对 LGP 有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

“All the horrible emotions have passed, I still remained, and I was safe”: A qualitative study of Lesbian and Gay people's lived experience of completing a full Dialectical Behaviour Therapy programme

“All the horrible emotions have passed, I still remained, and I was safe”: A qualitative study of Lesbian and Gay people's lived experience of completing a full Dialectical Behaviour Therapy programme

Objectives

Lesbian and Gay people (LGP) experience higher rates of mental health difficulties, including self-harm, suicidal behaviours, as well as inequalities in health care, than their heterosexual peers. Dialectical Behaviour Therapy (DBT) is an evidence-based treatment for self-harm and suicidal behaviours, though there is little research on LGP's experiences of DBT. This research aims to explore LGP's experiences of completing a full DBT programme.

Design

A qualitative design with semi-structured individual interviews was utilised. The results were analysed using Interpretative Phenomenological Analysis.

Methods

Six lesbian and two gay adults, aged between 22 and 47 years, living in the United Kingdom took part. All participants had completed a full programme of DBT within the 2 years prior to the interview.

Results

Four superordinate themes emerged from the data: (1) The DBT journey; (2) Connections and Sense of Community during DBT; (3) Sexuality both visible and invisible in DBT and (4) A Gender, Sexuality and Relationship Diverse (GSRD) affirmative future for DBT.

Conclusions

Several clinical implications are suggested to improve DBT for LGP, for example to consider having other LGP within DBT groups, to create a more GSRD-affirming DBT (changes to the DBT manual, DBT therapists, DBT programme and physical DBT space), to adapt DBT techniques to manage sexuality-related difficulties and to adopt a GSRD-centric framework. Overall, DBT appears to be beneficial for LGP.

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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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