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Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of counseling process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on counseling process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training.  相似文献   

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In training and in supervision, counselors learn to be cognizant of personal values (e.g., spirituality, religiosity), yet they are enjoined to except them from practice. This article examines the nature of therapist spiritual and religious values and the impact of these values on the practice of psychotherapy. A goal of effective treatment should be the integration of therapist spiritual and religious values with therapist epistemic values in order to accommodate the spiritual and religious needs of both client and counselor. Counselor spiritual and religious values can contribute to therapy, even when the therapist is engaged in a dialectic involving personal and epistemic values.  相似文献   

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Taking a cross-cultural perspective, we review recent advancement in theory and empirical research on the relationships between personal values and behavior. Although personal values have been examined in many studies, systematic, theory-based, cross-cultural comparisons of the relations of personal values and behavior are rare. In this review, we offer suggestions for research within an integrative perspective that links culture, personal values, and behavior. People from different cultures vary in the extent to which they use their internal attributes to guide their behavior. Thus, the strength of the relationships between values and behavior differs across cultural groups. Culture also moderates the relationships between values and behavior by determining the repertoire of normative behaviors. Culture determines the meaning of behavior, so that seemingly similar behaviors may have different meanings in different cultures. Finally, we discuss the possible effect of the increasing heterogeneity of society on the relationship of values and behavior.  相似文献   

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This article focuses on treating the underrepresented American Indian and Alaska Native population in therapy. The lack of literature on this topic may impede the ability of couple and family therapists (CFTs) to work effectively with members of this group. Issues such as the underutilization of therapy, dropout rates, culturally syntonic joining and assessment, religion, and spirituality are discussed. In addition, potential boundary issues of gift giving and community integration are explored. Finally, cultural strengths are addressed so they may be clinically integrated with this unique population.  相似文献   

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Productive emotional processing is considered a key change mechanism in attachment-based family therapy (ABFT). This study examined the impact of attachment-based family therapy therapist interventions aimed to promote productive emotional processing of primary adaptive emotions in a sample of 30 depressed and suicidal adolescents who had participated in a larger randomized clinical trial. Results of sequential analyses revealed that relational reframes and therapists’ focus on primary adaptive emotions were associated with the subsequent initiation of adolescents’ productive emotional processing of primary adaptive emotions. In contrast, interpretations, reassurances, and therapists’ focus on adolescents’ rejecting anger toward their parents were all followed by the discontinuation of adolescents’ emotional processing that had already begun. Finally, therapists’ general encouragement of affect and focus on adolescents’ unmet attachment/identity needs were associated with both the initiation of adolescents’ productive emotional processing, and with the discontinuation of such processing once it had already begun. Theoretical and clinical implications are discussed.  相似文献   

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Abstract

Medical family therapists (MedFTs) and pharmacists in the context of interdisciplinary collaboration will be discussed. In an effort to build and reflect on their own professional experiences, recognizing the need to address wellbeing from a multitude of perspectives, and with the goals of improving access to care by identifying potential partnership opportunities between the two professions, the authors synthesized findings from pertinent articles using Medline and PsycInfo. This paper will illuminate the precise roles of MedFTs and pharmacists, how they fit into the interdisciplinary healthcare team, and anticipated facilitators and barriers in this undertaking to enhance patient care.  相似文献   

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Wai-Yung Lee 《Family process》2020,59(3):1018-1023
In response to the COVID-19 crisis in Asia, a family therapist in Hong Kong shares her experiences and reflections, both personally and professionally from an Eastern lens. From a state of shock and immobilization to moments of contemplation, she highlights her struggle with being caught between her Eastern roots and Western training, which has become more salient in facing COVID-19. While the latter pulls her toward a more problem resolution stance, the former pulls her toward a more accepting position. As a result, her therapy is shaped in such a way that she tends to raise more questions instead of providing answers.  相似文献   

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This qualitative study explored themes that described families with obese children in Chinese society. Eight obese children and their families participated in the study. Six of the children were male and two were female, ranging in age from 7 to 13. The themes found were: over-involvement between allied parent and obese child, coalition, diffused boundary between extended family and nuclear family, lack of conflict resolution, and disengaged couple boundary. In this study, the significant role that may be played by the extended family in contributing to a child’s obesity, as well as female power dominance in the domestic sphere are considered. Implications for therapy are discussed.  相似文献   

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The author reflects upon the Heideggerian concepts of thrown-ness, death imagery, arrogance and brightness and their usefulness in existential family therapy. The article describes and illustrates with clinical material the process of helping a couple or family to move from an arrogance response to thrownness and death imagery to the response of brightness as attendants of Being. The responsibilities of the therapist in facilitating such a process are also described.Director of the Worthington Logotherapy Institute, co-director of Lantz and Lantz Counseling Associates, and a professor at The Ohio State University. College of Social Work  相似文献   

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“Life” is used here in the chronological sense of years spent as a family therapist and in the existential sense of experiencing “life” in terms of satisfaction, meaning, and vitality in one’s living. In the 1950s, there were few guidelines for professionals recognizing the need for working therapeutically with families. Becoming and being a family therapist are discussed, along with lifetime learning about family and tolerance for ambiguity in understanding family and marital relationships and dynamics; flexibility in implementing therapeutic interventions; functioning in ways that fit with one’s personality, beliefs, and principles; working where one functions best; and what works at what stage for the family therapist and relating these to establishing and maintaining “life” in one’s living.  相似文献   

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This article is an introduction to this special issue on values and ethical issues in family therapy. The author discusses the historical context for the rising interest in these issues in family therapy, describes the rationale for this special issue, and presents a framework for analyzing the core values of the prominent models of family therapy. The ethical debate over use of paradoxical techniques in family therapy is used as an illustration of a values clash between different models of family therapy.  相似文献   

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Despite recent advances in models and instruments to understand the role of a client's cultural background, clinical psychologists are not immune to implicit cultural biases that are potentially damaging to the therapeutic alliance. In this article, I present a Therapeutic Assessment with a young Sicilian woman conducted in a university-based student clinic in Italy. During the assessment, I assumed that because we were both Italians, my client shared my perspective (northern Italian) about family and individual values, which resulted in a therapeutic impasse when I responded on the basis of my individual and culturally shaped view of interpersonal and family relationships without appreciating important differences between my own and my client's microcultures. To overcome the impasse, I had to openly acknowledge such differences and reorient myself to my client's goals. I discuss the core processes involved in such a repair in the context of a cross-cultural psychological assessment.  相似文献   

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