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Therapists often conceptualize resistance as client behaviors that impede progress; this perspective threatens the therapeutic alliance, especially in couple and family therapy where increased resistance and multiple alliances are present. Polyvagal theory reframes and normalizes resistant behaviors as preconscious, protective responses emerging from our autonomic nervous system. The theory also explains how humans reciprocate safety cues to connect with each other; therapists can use concepts of polyvagal theory to manage their own emotional regulation and foster safety and connection in therapy. Polyvagal concepts deepen our understanding of protective behaviors presenting in couple and family therapy; therapists can help couple and family clients to recognize protective behaviors in their own relationships and facilitate safer connection and engagement. Clinical implications are presented: psychoeducation can help clients normalize and understand their protective processes; therapist presence and immediacy acknowledges and normalizes protective behaviors as they arise; therapist and client self-regulation skills support connection; therapist genuineness is a precondition to client safety; and understanding of polyvagal theory enhances assessment of conflict and enactments in couple and family therapy.
相似文献We tested the effectiveness of Brief Behavioral Activation Treatment for Depression-Revised (BATD-R), and its impact on secondary outcomes: anxiety, dysfunctional attitudes, and mindfulness. It was expected that individuals who completed BATD-R would exhibit decreased depression, anxiety, and dysfunctional attitudes, as well as increased mindfulness. A sample of adults with depression (n?=?42) was recruited to complete the 10-week treatment. A healthy control group (n?=?38) was included for comparison. Outcomes (depression, anxiety, dysfunctional attitudes, and mindfulness) were assessed at pre-treatment, post-treatment or 10 weeks for the healthy control group, and three-month follow-up. At pre-treatment, the clinical group reported greater depression, anxiety, and dysfunctional attitudes, and less mindfulness than the healthy control group. At post-treatment, the clinical group reported decreased depressive symptoms, trait anxiety, and dysfunctional attitudes, and increased mindfulness, compared to pre-treatment. The control group did not exhibit changes across the 10 weeks. Clinical and healthy control group post-treatment scores did not differ. At three-month follow-up, the clinical group reported a slight increase in depressive symptoms from post-treatment, but still maintained lower depressive symptoms than pre-treatment. The clinical group maintained treatment gains in dysfunctional attitudes, and mindfulness. Results support the effectiveness of BATD-R and suggest BATD-R may influence dysfunctional attitudes and mindfulness.
相似文献Although the association between siblings’ compositional characteristics and educational performance has been extensively studied, the question of whether the features of a sibling group are related to substantive gendered educational preferences has not been examined. Our analysis of the National Longitudinal Survey of Youth 1979 cohort (NLSY-79) Mothers and Children Files (N?=?1545; 57% young women; 22% STEM major) showed that siblings’ compositional characteristics matter for STEM major preferences in college, but only for young women. Our findings indicated that women were more likely to prefer a STEM major if they were raised in smaller sibling groups, in male sibling group dominance, and if they had an older sister with high math achievement. These results are in line with the resource dilution approach; they shed light on the effects of being in a normative male-role sibling group climate; and they suggest that gendered outcomes are shaped by the interplay of role modeling and same-gender competitive stimulation. We also found that for young men, their preference for majoring in a STEM field was mostly driven by their own math ability. These findings suggest that socialization experiences that operate on the sibling level play a crucial role in whether girls become interested in and pursue “gender-atypical” educational choices. Our findings also underscore the need to differentiate these theoretical approaches by gender, particularly when applied to gendered outcomes such as STEM career trajectories.
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