What’s in a therapy room?—A mixed‐methods study exploring clients’ and therapists’ views and experiences of the physical environment of the therapy room     

T. Sinclair 《Counselling and Psychotherapy Research》2021,21(1):118-129

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Naomi J. Wheeler  Rachel A. Regal  Sandy‐Ann M. Griffith  Sejal M. Barden 《Journal of counseling and development : JCD》2021,99(1):24-36

Adverse childhood experiences (ACEs) predict physical and mental health. We examined dyadic differences in intimate partner relationship health by ACE score among couples with low to moderate income enrolled in a relationship education program. Overall, we found a high prevalence of ACEs, disproportionate representation in the highest risk ACE group, and a significant effect between ACEs and indicators of mental and relational health. Implications for counselors include support for an ACE‐informed approach to couples counseling services, as well as a holistic and systemic view of mental and relational health.  相似文献   

    

Beatrijs Vandenkerckhove  Maarten Vansteenkiste  Katrijn Brenning  Michiel Boncquet  Nele Flamant  Patrick Luyten  Bart Soenens 《Journal of personality》2020,88(6):1145-1161

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Sabrina R. Liu  Maryam Kia-Keating  Karen Nylund-Gibson  Miya L. Barnett 《American journal of community psychology》2020,65(1-2):173-186

It is important to understand racial/ethnic differences in adverse childhood experiences (ACEs), given their relationship to long-term physical and mental health, and the public health cost of the significant disparities that exist. Moreover, in order to inform interventions and promote resilience, it is critical to examine protective factors that mitigate the relationship between adversity and poor health. The current study utilized latent transition analyses (LTA) to examine co-occurring profiles of ACEs and protective factors (from school, family, and community contexts) and links to health outcomes among 30,668 Black (10.4%), Latinx (12.3%), and White youth (77.3%) ages 12–17 (52.5% male) who participated in the 2011–12 National Survey of Children's Health (NSCH). Results suggested that greater adversity was associated with worse health, while more access to protective factors was associated with better health. White youth had consistently lower endorsement of ACEs, greater access to protective factors, and better health compared to their Black and Latinx counterparts. Efforts to improve child health and racial/ethnic disparities in research and practice must consider adversity, protective factors, and the systemic inequities faced by racial/ethnic minority youth in the United States.  相似文献   

    

Brett Zyromski  Emily Baker  Jennifer Betters-Bubon  Colette T. Dollarhide  Joseph Antonides 《Journal of counseling and development : JCD》2020,98(4):351-362

The purpose of this content analysis was to illustrate trends related to the use of the term adverse childhood experiences (ACEs), or terms related to the 10 components of ACEs, within 140 peer-reviewed articles published in 22 journals affiliated with the American Counseling Association (ACA) and the American School Counselor Association (ASCA) between 1998 and 2018. Of the 9,120 articles published in the 22 ACA- and ASCA-affiliated journals in that time, only three articles (0.03%) explicitly mentioned the term adverse childhood experiences in the title, abstract, or keywords. Authors of 93 journal articles mentioned terms related to the original 10 categories of ACEs 104 times (1.0% of all published articles). The need for consistent language across research and practice is highlighted. Implications include ways that the counseling field may benefit from an increased clarity and focus around ACEs.  相似文献   

    

Jason J. Westwater  Elizabeth Riley  Gregory M. Peterson 《International Journal of Transgenderism》2020,21(3):321-336

Abstract

Background: The number of young people reporting gender dysphoria is increasing worldwide, with gender dysphoria known to affect everyone in the family in unique ways. Previous research has highlighted the importance of family support and understanding; however, much less is known about individual and collective family member experiences, particularly for siblings under the age of 18?years.

Aims: This study sought to identify, describe and interpret individual family member experiences of youth gender dysphoria using semi-structured interviews, incorporating circular questioning, within a whole of family, clinical and wider social context.

Methods: Thirty-five individual family members living in Australia (nine young people aged 12-17?years experiencing gender dysphoria, 10 mothers, eight fathers, and eight siblings aged 11-17?years) were interviewed, exploring positive and negative experiences of youth gender dysphoria, within and outside of the family. Family relationships, support and healthcare experiences were also explored.

Results: All participants reported a mixture of positive and negative experiences of youth gender dysphoria. Levels of acceptance tended to change with the duration of transition, with most family members adapting with time. Siblings reported mixed experiences within the same family, with some struggling to adapt. Most family members felt that including the whole family in the healthcare of the young person was important, although dependent on individual circumstances and family context. Specialist gender care experiences were unanimously positive, although services were considered difficult to access.

Discussion: Family members reported shared and individual positive and negative experiences of youth gender dysphoria across social contexts. Accepting and facilitating gender transition for young people appeared to improve individual and family functioning. Most participants valued a whole of family approach within specialist healthcare. The use of circular questioning in the study helped dispel assumptions and facilitated curiosity for others’ experiences in the family.  相似文献   

    

《Infant behavior & development》2019

BackgroundPrior research on adverse experiences in early childhood has mainly focused on at-risk populations while studies of unselected populations are scarce. This topic therefore remains to be elucidated in broader child populations. Accordingly, the aim of this study was to examine if and to what extent children from a general population sample are exposed to psychosocial adversity and stressors in early childhood and whether the development and mental health of children with and without such exposure differ at the age of 18-months.MethodsA random sample of the Copenhagen Child Cohort (CCC2000) comprising 210 children and their parents participated in the study when the children were approximately 18-months. Information on exposures was obtained from a semi-structured interview including the Mannheim Parent Interview (MPI) and classified in agreement with the Multiaxial Classification of Child and Adolescent Psychiatric Disorders (ICD-10), and the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC: 0-3). Child development was assessed with the Bayley Scales of Infant and Toddler Development – Second Edition (BSID-II), while mental health was measured using the Child Behavior Check List (CBCL 1½-5).ResultsAmong the 210 children, 91 (43%) had been exposed to psychosocial adversity and persistent stressors. The exposed children differed from the non-exposed children by poorer cognitive development and behavioral regulation, as well as more attention problems and anxious/depressed symptoms. The children exposed to adverse caregiving environments were specifically more likely to have delayed cognitive development than the rest of the sample.ConclusionsIn a general population sample of children aged 18-months, exposure to psychosocial adversity and stressors was associated with poorer development and mental health in cognitive and affective domains. These findings highlight an avenue for further research with potential implications for early preventative practices.  相似文献   

    

Lisa Graham-Wisener  Julie Hanna  Louise Collins  Martin Dempster 《Psychology & health》2019,34(8):901-921

Objective: Oesophageal cancer is an increasingly prevalent disease with a demanding post-curative treatment recovery period and sustained longer-term effects. Although post-curative treatment is a key transitionary period, the process of psychological adjustment for the individual is under-researched which limits the evidence base to inform supportive care. The aim of this study was to understand the process of adjustment for oesophageal cancer patients post-curative treatment, in particular the beliefs participants hold regarding their condition and how these are appraised against their experience.

Design: Serial interviews were undertaken with six oesophageal cancer patients who have recently completed curative treatment, at baseline and at 6-month follow-up using interpretative phenomenological analysis.

Results: The findings demonstrate an effortful process of adjustment, including recognising and accepting a changed self, fostering control beliefs over the course of the illness and physical sequelae, searching for meaning, developing illness coherence and moving away from self-blame.

Conclusions: This study is the first to utilise a longitudinal qualitative design in oesophageal cancer, and provides an understanding of post-treatment adjustment over time for this clinical population through which to inform clinical practice and service development.  相似文献   

    

Rawatee Maharaj-Sharma  Aarti Sharma 《Reflective Practice》2019,20(1):27-41

Qualitative narrative inquiry using exploratory interviews with five experienced secondary school science teachers in Trinidad and Tobago were analysed to reveal what learnings can be derived from the experiences and stories shared by these individuals. The stories present science teaching as an evolutionary process, which portrays science teaching with the following attributes: a work in progress, a haven for students, a lifelong vocation, and a personal commitment. Integral elements of science teaching as a process rather than a product in an atmosphere of discipline, respect, and trustworthiness were revealed. While this work is instructive for aspiring teachers and has several implications for teacher preparation programmes, the aim in this instance is to share the stories of these five teachers, and in that regard it serves a celebratory rather than a theoretical purpose.  相似文献   

    

Leah Drewitt  Joanne Pybis  David Murphy  Michael Barkham 《Counselling and Psychotherapy Research》2018,18(1):3-13

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