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The two authors intend to underline the continuities and discontinuities that organize the Milan Approach, after the splitting from Selvini Palazzoli and Prata; they intend to tell the teachings of Luigi Boscolo and Gianfranco Cecchin from the beginning of training in 1978 till nowadays. After having spoken of some important stages in the work till the death of the two masters, the article underlines two major new aspects. 1. We speak about the corporeal turn: embodied experience as preconceptual know‐how from which concepts are structured. We speak about the connections between bodies and social issues that enact forms of knowledge and understanding. 2. In this period of war, violence, and tyranny, we speak about epistemology and ontology as complementary stances: the need to let others disclose themselves, by allowing them to speak their own terms of engagement. The therapeutic effort is one of deactivating the dangers of one’s own presuppositions and prejudices that limit one’s capacity to describe and make hypothesis. There are social ontologies, communities with strong moral intensity, historical and social realities that need therapists to take position, since they need to take side and be aware of the categories they utilize. Historical and social ontology deals with the continuous change of symptoms in connection to the continuous change of the social panorama in the context we live in. We live by the bodies we are. 相似文献
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Elizabeth D’Arrigo-Patrick Sarah K. Samman Carmen Knudson-Martin 《Family process》2020,59(4):1517-1529
Prior research indicates that couples who cope with chronic illness from a relational “we” orientation experience more positive outcomes than couples that cope individually; however, little prior research identifies clinical processes that promote reciprocity or how societal gender processes are involved. This grounded theory analysis of 25 videotaped therapy sessions with six heterosexual couples coping with chronic liver disease (LD) used a feminist-informed relational lens to focus on the clinical processes involved in shifting from an individual to a relational orientation. Findings identified three contextual barriers to attaining a “we orientation”: (a) autonomy discourse, (b) illness-related power, and (c) gendered power. Analysis detailed therapist actions that decreased the impact of barriers to reciprocity and fostered relational coping. Clinical implications attend to complex intersections among gender, caregiving, and contextual barriers to reciprocity. 相似文献
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A systemic approach to researching families and health should capture the complex network within which family members are embedded, including multiple family relationships and larger systems of health care. However, much of the families and health research focused on adult family members has focused solely on intimate partnerships, usually the marital relationship. This neglects the remainder of the powerfully influencing family relationships adults retain, and may increasingly focus on as they age. We conducted a systematic review of the families and adult health literature, retaining 72 articles which were subsequently thematically coded to highlight main foci of this area of research. Results highlight six themes, which include family relationship quality, family composition, behavioral factors in health and health care, psychophysiological mediators, caregiving, and aging health. Findings support an underrepresentation of family members, other than the intimate partner, in research on adult health. 相似文献
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W. H. Buffery 《Estudios de Psicología》2013,34(1):83-109
RESUMENEste trabajo presenta las contribuciones originarias, actuales y potenciales de la neuropsicología clínica, defendiendo que no sólo ayuda a la comprensión de los problemas de la relación entre mente y cerebro sino que puede revolucionar el tratamiento de los pacientes que sufren diversas disfunciones del sistema nervioso superior, debido a sus implicaciones terapéuticas. Respecto a sus contribuciones actuales se destacan, entre otras, la de proporcionar medidas objetivas de la significación funcional de una lesión y líneas base para evaluar los efectos a largo plazo o el curso de rehabilitación, revisando las técnicas y resultados de varias investigaciones que exploran las funciones de estructuras corticales y subcorticales. Como contribución potencial se señala la posibilidad de reinstaurar las funciones cerebrales y de acelerar el ritmo de compensación de lesiones, diseñando programas de rehabilitación específicos para cada paciente que estén basados en la medición neuropsicológica, en estrecha colaboración con otros profesionales. Este trabajo finaliza concluyendo que la neuropsicología clínica puede constituir el foco del tratamiento interdisciplinario de los pacientes con alteraciones del sistema nervioso central. 相似文献
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Amelia Alvarez Vitor da Fonseca Ana María Pardo Pablo del Río Vitor Soares 《Estudios de Psicología》2013,34(2):20-44
RESUMENEn esta entrevista Julián de Ajuriaguerra describe su historia científica desde que era interno en hospitales psiquiátricos y alumno de Thomas y Lhermitte, comentando los trabajos que realizó con adultos, ancianos y dementes aunque su interés estuviese desde un principio en los niños. Responde, entre otras, a cuestiones tales como si lo biológico se complementa con lo social en el desarrollo, cómo son los vínculos de los padres con el niño, cuál es su posición respecto al psicoanálisis, si es necesaria la interdisciplinariedad para hacer psicología o qué opina del problema de los estadios. También realiza un balance del estado actual de la psicomotricidad, ejemplifica qué entiende por “diálogo tónico” y explica las diferencias entre los juegos de niños y niñas de siete, ocho y nueve años, admitiendo la distinta organización tónica de los sexos. Por último el autor se centra en el trabajo clínico, ofreciendo sugerencias para aquéllos que empiezan a llevarlo a cabo en España. Los comentarios que Ana María Pardo y Ángel Rivière realizan del autor y su obra introducen esta entrevista. 相似文献
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Christian Roesler 《Family process》2020,59(2):390-408
Even though couple therapy is efficacious, there is no improvement in up to 50% of the couples. Also effect sizes found in effectiveness studies in real-world settings are considerably lower than those found in efficacy studies. There is a need to understand more about couple therapy effectiveness in practice settings and the factors responsible for different outcomes. A German nationwide study on the effectiveness of couple counseling including 554 couples applied the same methodology as two earlier studies in the same field. A remarkable consistency was found over the three independent studies in the burden with individual and relationship distress as well as in the rates of improvement. This supports the insight that the improvements reached through couple therapy in practice settings are only about half of the effect sizes reached in efficacy trials. Additionally this study investigated 64 factors, which were found to be influential for relationship quality and stability in earlier studies, for their impact on outcome. Factors present at initiation and termination of therapy were found, which correlate significantly with outcome and with separation of the couple in the follow-up. These factors could be included in prediction models for improvement and separation of the couple. The implications for the practice of couple therapy and for future research are discussed. 相似文献
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The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty. 相似文献
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Natacha D. Emerson Holly E. R. Morrell Cameron Neece Daniel Tapanes Brian Distelberg 《Family process》2019,58(1):100-113
Although self‐concept has been identified as salient to the psychosocial adjustment of adolescents dealing with a chronic illness (CI), little research has focused on its predictors it. Given that depression and parent–child attachment have been linked to self‐concept in the population at large, the goal of this study was to evaluate these relationships longitudinally in a sample of adolescents with CI. Using participant data from the Mastering Each New Direction (MEND) program, a 3‐month psychosocial, family based intensive outpatient program for adolescents with CI, we employed multilevel modeling to test longitudinal changes in self‐concept, as predicted by depressive symptoms and parent–child attachment, in a sample of 50 youths (Mage = 14.56, SDage = 1.82) participating in MEND. Both “time spent in the program” and decreases in depressive symptoms were associated with increases in self‐concept over time. Higher baseline levels of avoidant attachment to both mother and father were also associated with greater initial levels of self‐concept. Targeting depressive symptoms and supporting adaptive changes in attachment may be key to promoting a healthy self‐concept in pediatric CI populations. The association between avoidant attachment and higher baseline self‐concept scores may reflect differences in participants’ autonomy, self‐confidence, or depression. Limitations of the study include variability in the amount of time spent in the program, attrition in final time point measures, and the inability to fully examine and model all potential covariates due to a small sample size (e.g. power). 相似文献