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1.
    
This paper is designed to demonstrate some of the multi‐storied representational possibilities available to us as writers and practitioner‐researchers. It highlights some of the opportunities that are available to therapists and the people who consult them when they describe their conversational space as a site for co‐research. It illustrates the reciprocity present in conversations, including therapeutic conversations, by juxtaposing three stories that are interrelated retellings from different writing genres. In positioning poetic, storied and more academic/interpretative texts alongside each other, we hope to trouble the edges between academic and creative writing and also between practice and research. In placing these stories next to each other we seek to disrupt carefully contained ‘client’ and ‘therapist’ positions. We intend to question some current bereavement orthodoxies by demonstrating some less taken‐for‐granted ways in which people, living and dead, can and do continue to sustain each other's lives. We also hope to invite the readers and future writers of this journal to play alongside us in this conversation.  相似文献   

2.
    
The purpose of this collaborative research was to reflect on one client's experience of using writing therapy during brief workplace counselling. The client/co‐researcher used expressive and creative writing between counselling sessions, the benefits of which are reported. A brief review of the literature on writing therapy is provided. The focus of the study is on investigating the process of writing therapy from the client's point of view. The epistemological assumptions and research methods are influenced by narrative inquiry. Feminist values inform both the therapeutic practice and research.  相似文献   

3.
    
A narrative framework is put forward for using early recollections as a narrative aid in psychotherapy. According to this framework, early recollections are beginning episodes in the current version of an autobiography or self-narrative which is continuously updated to make sense of current concerns. Inclusion of these episodes in psychotherapy can provide therapists who share an interest in narrative and their clients with a quick way to recognize central themes that are restricting clients’ lives and detect openings to revise them. Revisions regard the form and content of early recollections. Three case examples propose ways of incorporating early recollections in empathic dialogs, including the process of detecting restricting themes and encouraging persons to tell stories in more compassionate voices. Group therapy is proposed as one of the contexts where early recollections can be discussed, but readers are encouraged to extend these ideas to work with individuals and families.  相似文献   

4.
    
Depression is a highly prevalent and debilitating mental health condition. Evidence suggests that there is a widening gap between the demand for and availability of effective treatments. As such, there is a vast need for the development and dissemination of accessible and affordable treatments for depression. In the past decade, there has been a proliferation of reduced client-therapist contact protocols for depression. In this article, the authors review and compare the efficacy of reduced contact cognitive-behavioral interventions for adult depression across two degrees of therapist-client contact (i.e., no therapist-client contact versus minimal therapist-client contact interventions). The authors also discuss the methodological and theoretical limitations of this research base. The present review suggests that a) reduced contact interventions for depression can be effective in remediating the symptoms of depression; b) the effect sizes of some reduced contact protocols may approximate those reported in traditional protocols involving significantly greater client-therapist contact; and c) protocols which employ some form of client-therapist contact, on average, generate higher effect sizes than those that are purely self-help in nature. A discussion of the theoretical and applied implications of such findings, as well as areas in need of further research, is provided.  相似文献   

5.
    
Therapeutic writing can play a valuable role in brief, workplace counselling. The present study explores the experiences of five women who used therapeutic writing in this context. Ethical and methodological dilemmas in carrying out this research are highlighted. The study also demonstrates the use of ‘fictionalist’ accounts as a way of overcoming some of the difficulties associated with the dual role of practitioner/researcher, especially confidentiality.  相似文献   

6.
The principles of narrative therapy imply that autobiographical diaries written by patients in treatment will not only facilitate but also elucidate progress. The relationship between the linguistic content of diaries and progress in treatment was examined in this study. Complete sets of daily diaries of ‘significant events’ written by 16 patients receiving treatment for drug, alcohol and food addictions at a residential centre, using the 12-step approach of the Anonymous fellowships, were typed up for analysis. Three forms of socio-linguistic enquiry were employed: narrative characterization; evaluative statement coding and computer analysis of word strategies. Results indicated that success in treatment as rated by counselling and psychiatric staff was associated with the following characteristics of diary narratives. They are (a) focused on individual progress, whether adopting a ‘positive interpretative’ or ‘negative reactive’ style; (b) less critical of self over time and more positive about others external to the treatment centre; (c) both positive about the treatment programme and critical of self; (d) using words indicative of ‘insight’ and ‘negativity’ as assessed by Pennebaker's LIWC programme. It is concluded that autobiographical material can usefully be employed to assess progress in treatment, and that its intrinsic value in effecting change should be further explored. © 1997 John Wiley & Sons, Ltd.  相似文献   

7.
    
To resolve various problems in schools, a “school as a team” approach for teachers to cooperate with other professionals as well as other teachers has been introduced in Japan. Consultations are one method school counselors use to support teachers as a team. This study examines a consultation case using the two-circles method based on narrative therapy and discusses the possibilities and challenges when using this method in Japan. Using a case study analysis, the author found that the two-circles method contributed positively to the consultation by externalizing the problem, gathering local knowledge, visualizing the participants' narratives, and applying scaffolding to develop the consultee's story. The results suggest that this method could be useful for achieving the “school as a team” approach because it combines teachers' narratives to resolve problems in schools.  相似文献   

8.
《Women & Therapy》2013,36(4):71-82
No abstract available for this article.  相似文献   

9.
叙事性阅读和写作能力是叙事能力的重要组成部分,在叙事能力培养过程中应得到充分的重视。读后续写作为一种把语言的输入和输出紧密结合的语言教学方法,对于培养学生的阅读和写作能力有重要作用。所以,在叙事能力培养的过程中,尤其是初级阶段,读后续写可用于训练和培养学生的叙事性读写能力。通过教学实践发现,读后续写把叙事性阅读和写作联系起来,能提高学生的叙事性阅读和写作能力,并帮助学生进行换位思考,提高其共情能力,最终提升学生的整体叙事能力。  相似文献   

10.
TicHelper.com (“TicHelper”) is an interactive online treatment program for youth with chronic tic disorders (CTDs) or Tourette Syndrome (TS) and their parents. It is based on Comprehensive Behavioral Intervention for Tics (CBIT), an individual, outpatient therapy protocol shown to effectively reduce tics in randomized controlled trials. The TicHelper website offers a user-friendly dashboard that is effective in making it easy to navigate through different treatment modules. Modules parallel core CBIT procedures and consist of interactive exercises, informational videos, and self-report ratings. TicHelper has some weaknesses (e.g., no outcomes research specific to the program has been published to date); however, its strengths (easily navigable, clear instructions, appropriate content) outweigh its weaknesses, making it a potentially useful dissemination tool to make CBIT more accessible to families and youth with tics.  相似文献   

11.
SUMMARY

A basic premise of this article is that the couple relationship always contains elements of spiritual awakening. “Spiritual emergencies,” fresh love, and new pain all bring with them the potential of spiritual awakening. The limits in our ability to express love, receive love, and to sustain intimate contact in our couple relationship mirror the limits within our spiritual life. Our relative ignorance of the spiritual aspects of our couple relationship causes stagnation and suffering.  相似文献   

12.
    
Professional counselors engage in meaningful relationships with their clients over time. In this narrative inquiry, the author explores the experiences of 2 licensed professional counselors who developed meaningful connections with their clients outside of or between their counseling sessions. Three narrative threads were identified. Implications for professional counselors are discussed.  相似文献   

13.
    
Aims: This paper introduces, describes and proposes life story research as an important, relevant and appropriate contribution to counselling and psychotherapy research. It shows how narrative knowledge is created and constructed through the stories people tell about their lived experiences and explores the concept of ‘narrative knowing’ (Bruner, 1986). Methods: Drawing on life story research with people who linked their history of problematic drug use with experiences of historic trauma/abuse, the paper contributes to the ongoing discussion related to the similarities/differences between therapy and research and what we might learn from each that informs the other. Implications for practice: The paper offers narrative ideas and practices as ways of researching matters of social and psychological importance. It suggests that therapists (and counselling researchers) could learn from what participants tell us about the therapeutic value of using life story methods which one participant described as helping him to face ‘out into the world, without unduly or specifically delving into, or focusing on [my] emotional state’. This learning may be particularly relevant for therapists working with traumatised clients.  相似文献   

14.
Anne Keary 《文化与宗教》2016,17(4):450-467
The main theoretical and practical focus of this paper is on the Catholic mother–daughter relationship, and how connections between women shape, and are shaped in, and through this nexus. It is contended that it is imperative that we begin to understand different representations of connections among, and between women, including that of mothers and daughters, as they compose part of the changing yet continual dialect of our (religious) feminine identities. The intent is to embrace the contradictions and polarities, which are apparent in these inter-generational relations. This article is set in middle class suburban Melbourne Australia, and spans the period from the early to late twentieth century. Conversations between an Anglo-Saxon Catholic mother and daughter act as a catalyst to discuss the matrilineal pedagogical dimensions that mark female relations within social and religious discourses.  相似文献   

15.
    
The recent Ebola outbreak in West Africa began in the spring of 2014 and has since caused the deaths of over 6,000 people. Since there are no approved treatments or prevention modalities specifically targeted at Ebola Virus Disease (EVD), debate has focused on whether unproven interventions should be offered to Ebola patients outside of clinical trials. Those engaged in the debate have responded rapidly to a complex and evolving crisis, however, and this debate has not provided much opportunity for in-depth analysis. Additionally, the existing literature on access to unproven therapies has focused on contexts like HIV/AIDS and oncology, which are very different than the Ebola epidemic. In this paper, we examine the ethical issues surrounding access to unproven therapies in the context of the recent Ebola outbreak to yield new insights about this controversial and unsettled issue. We argue first that, in this context, the interests of patients in obtaining access to unproven therapies are not fully aligned with the interests of their providers and drug developers. Second, we focus on the resource constraints facing providers, funders, and patients and conclude that they often counsel against the use of unproven interventions against EVD.  相似文献   

16.
叙事隐喻不仅仅是一种修辞手法或语言中暗含的言外之意,更是一种理解、看待问题的哲学方式,构成了叙事疗法的要素核心。通过文献梳理与分析,对叙事隐喻作用机制进行探讨,揭示了其在第三叙事视角转换、长时记忆、具身认知体验三个方面的特异性作用。并结合绘本阅读,阐明以绘本为载体的叙事隐喻在青少年与成人心理治疗中的表现形式、共通性作用机制和不同的临床实践运用,期望为“绘本阅读+叙事疗法”的联合治疗提供可能性和有效性参考。  相似文献   

17.
    
Today the extent of the difference between theoretical models of therapy is under discussion. There have been proposals to abandon such models altogether, or to create others, such as integrative or meta‐ theoretical models. This article proposes, through the analysis of a clinical situation, the possibility of building a theory of practice which could account for most of the aspects of the therapeutic process that remain tacit and implicit. Such a theory could help us explain what concretely happens when a therapist is doing therapy, and also how theoretical models interact with the everyday practice of therapists.  相似文献   

18.
Competitive Memory Training (COMET) is a cognitive intervention that aims to change the maladaptive cognitive-emotional networks underlying obsessive-compulsive disorder (OCD). COMET has not been previously tried as a self-help intervention. The present study tested the preliminary feasibility, acceptability, and effectiveness of COMET for OCD implemented as a self-help intervention. Sixty-five participants with OCD recruited through online OCD self-help fora completed an online baseline assessment including measures of OCD symptoms, self-esteem, and depression. Participants were randomly assigned to either COMET or a wait-list control group. All participants were approached 4 weeks later to complete an online post-assessment. There was no evidence for a greater decline of OCD symptoms or depression under COMET. When analyses were limited to only those participants who reported reading the entire manual at least once, self-esteem was higher at post-assessment in the COMET group. Although 78.1% of patients in the COMET group rated it as appropriate for self-administration, only 56.5% performed COMET exercises regularly and 26.4% read the entire manual at least once. The feasibility and effectiveness of COMET as a self-help internet intervention for OCD was not supported in this study. Further work is needed to better understand if modifications to our implementation of COMET may yield improved outcomes.  相似文献   

19.
    
This study utilised an instrumental case study to investigate the experience of a woman living in poverty in a South African community. The participant was a widowed African female with two children. Data were collected during an interview process that took place over a period of ten weeks. Each interview was in-depth and lasted between forty minutes and an hour long. Appreciative Inquiry (AI) was used to facilitate the construction of the interview questions. Data were thematically analyzed. Findings suggest that AI leads to a positive view of self and others even in the context of significant poverty.  相似文献   

20.
    
Decades of research and more than 20 randomized controlled trials show that Virtual Reality exposure therapy (VRET) is effective in reducing fear and anxiety. Unfortunately, few providers or patients have had access to the costly and technical equipment previously required. Recent technological advances in the form of consumer Virtual Reality (VR) systems (e.g. Oculus Rift and Samsung Gear), however, now make widespread use of VRET in clinical settings and as self-help applications possible. In this literature review, we detail the current state of VR technology and discuss important therapeutic considerations in designing self-help and clinician-led VRETs, such as platform choice, exposure progression design, inhibitory learning strategies, stimuli tailoring, gamification, virtual social learning and more. We illustrate how these therapeutic components can be incorporated and utilized in VRET applications, taking full advantage of the unique capabilities of virtual environments, and showcase some of these features by describing the development of a consumer-ready, gamified self-help VRET application for low-cost commercially available VR hardware. We also raise and discuss challenges in the planning, development, evaluation, and dissemination of VRET applications, including the need for more high-quality research. We conclude by discussing how new technology (e.g. eye-tracking) can be incorporated into future VRETs and how widespread use of VRET self-help applications will enable collection of naturalistic “Big Data” that promises to inform learning theory and behavioral therapy in general.  相似文献   

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