Le Roux P  Podgorski C  Rosenberg T  Watson WH  McDaniel S 《Family process》2011,50(4):544-560

This paper addresses a growing need for cost-effective, outcome-based assessment in family therapy training. We describe the ROSCE, a structured, evidence-informed, learner-centered approach to the assessment of clinical skills developed at the University of Rochester Medical Center. The ROSCE emphasizes direct observation of trainees demonstrating clinical competencies. The format integrates both formative and summative assessment methods. It can readily be adapted to a wide variety of educational and training settings.  相似文献   

    

Madsen WC 《Family process》2011,50(4):529-543

This article highlights \"disciplined improvisation\" as a metaphor for community-based work with multi-stressed families. It introduces Collaborative Helping maps as a tool that both helps workers think their way through complex situations with families and provides a structure to support constructive conversations between workers and families about challenging situations. The article illustrates this map through a clinical vignette and uses interviews with workers to highlight ways in which the map can both enhance worker thinking and support constructive conversations between workers and families about problems that could easily divide them and lead to polarization and escalating tension.  相似文献   

    

Brenda McHugh  Neil Dawson  Anthony Scrafton  Eia Asen 《Journal of Family Therapy》2010,32(1):58-72

This article describes how a biofeedback device is used to 'externalize' internal physiological states. Heart rate monitors, emitting audible signals when a specific threshold is reached, are fitted to children and members of the family. This can help all those present to make connections between problematic behaviours and internal states of emotional/physical arousal. Devices may be worn for up to twenty-four hours and computer graph printouts of fluctuating heart rates can assist in contextualizing problematic interactions, particularly if other family members are also fitted with heart rate monitors. In this way biofeedback becomes 'systemic' as people are alerted to the interconnectedness of each others' states. Participants are not only helped to identify stressors leading to heightened states of emotional arousal and resulting 'out-of-control' behaviours, but also to find ways of employing (self-)calming strategies. This article outlines the application of systemic biofeedback in school settings with children at risk of exclusion. With the help of these biofeedback devices pupils begin to manage themselves in situations which would previously have resulted in stressed, angry or violent behaviours.  相似文献   

    

David Pocock 《Journal of Family Therapy》2010,32(4):362-378

Despite Gregory Bateson's interest in emotion and culture, the potential for understanding emotion systemically and culturally was lost very early in the mainstream development of family therapy, partly as a reaction to the dominant psychiatric‐psychoanalytic paradigm of North America at the time. In those pioneering years, to take emotion seriously was to risk appearing stuck in a one‐person psychology. In an interesting paradox, it is relational psychoanalysts and parent–infant researchers such as Beatrice Beebe and Frank Lachmann who have recently turned to systems theory to give a fuller account of emotions and emotional regulation in self and relationships. The author draws on their ideas together with the work of Peter Fonagy, Patricia Crittenden, Jessica Benjamin, Britt Krause and others to sketch briefly an ecosystemic theory of emotional expression. This sketch is used to give contextual meaning to two contrasting clinical topics in relation to anger: self‐harm and conduct ‘disorder’.  相似文献   

    

Valerie Owen-Pugh 《Counselling and Psychotherapy Research》2010,10(3):153-162

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Sheila Spong 《Counselling and Psychotherapy Research》2010,10(1):67-74

Aim: It is only relatively recently that discourse analysis has begun to rise to prominence in the fields of counselling and psychotherapy. This paper briefly explains ways of understanding discourse analysis, discussing what the approach can offer counselling research and practice. Approach: An initial categorisation of recent discourse analysis studies is offered, to demonstrate diverse ways in which this type of research can address issues relevant to counselling practice. The five categories proposed range from the examination of language use in therapy to analyses that focus on the social structures, meanings and power relations related to therapy. Implications: The paper demonstrates that through the critical analysis of counselling sessions, research interviews, written texts and other materials, discourse analysis can provide insight into ways in which counselling operates as a social practice, and so help counsellors to contextualise their work within broader social structures and processes.  相似文献   

    

Soti Grafanaki  John McLeod 《Counselling and Psychotherapy Research》2002,2(1):20-32

The concept of congruence represents a core theoretical construct in the development of client‐centred therapy, and remains fundamental to the practice of experiential approaches to psychotherapy. This study explores the ways in which congruence is experienced during significant moments of therapy. Client and counsellor accounts of moments of congruence/incongruence were collected from six cases of person‐centred counselling, and were analysed using a method of narrative analysis. It was found that participants experienced congruence in a variety of ways, suggesting that the construct does not describe a unitary phenomenon. Congruence was experienced as simultaneously intrapsychic and relational. The effective negotiation of episodes of incongruence comprised a necessary element of effective therapy. Further research into the nature of congruence may be valuable in contributing to new understandings of how therapeutic alliances are made, broken and repaired.  相似文献   

    

Susan Heitler 《Journal of Psychotherapy Integration》2001,11(3):349-383

This paper illustrates how couple and individual treatment formats can be intertwined. A conflict resolution theoretical framework structures treatment around three goals: (1) relieving symptoms (anger, depression, and marital distress), (2) facilitating resolution of the couple's conflicts, and (3) building communication and conflict resolution skills. The literature review focuses on why combining individual and couple therapy is often important for married clients. Two Bicycles, an illustrative case incorporating both conjoint and individual interventions, is presented and analyzed with regard to when each format seems beneficial. Ethical and practical issues raised by dual format treatment include potential harm, informed consent, dual roles, confidentiality, and time and financial costs.  相似文献   

    

Stephen Joseph  P. Alex Linley 《Counselling and Psychotherapy Research》2005,5(1):5-10

The term positive psychology has become widely used in recent years to refer to the new movement among psychologists who have turned their attention to positive human functioning. In this article we will review what the emerging field of positive psychology tells us about therapeutic practice. The positive psychology movement has led to a questioning of the fundamental assumptions underlying the practice of psychological therapy, and it is our view that the emerging positive psychology research is supportive of those therapeutic approaches which serve to facilitate the client's ability to hear their own inner voice.  相似文献   

    

Mick Cooper 《Counselling and Psychotherapy Research》2005,5(2):87-95

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