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191.
Naomi Pauling 《Counselling and Psychotherapy Research》2023,23(4):982-994
Background
The importance of addressing social determinants of mental health in therapy is well-documented. However, there appears to be limited research on what this actually involves in practice and how best to prepare therapists to work with individuals experiencing adverse social determinants.Aims
The aim of this review was to draw implications for practice and training from reviewing research on addressing social determinants of mental health in therapy.Methodology
A qualitative systematic review of the research on addressing social determinants of mental health in therapy was conducted, extracting papers from eight databases: Cochrane Library, ASSIA, CINAHL Plus, PsycInfo, Psychoanalytic Electronic Publishing, Science Direct, Scopus and Web of Science. Out of 127 papers found, five met the eligibility criteria and were quality-assessed and analysed thematically.Findings
The thematic synthesis generated three main themes: “the therapeutic relationship,” “adapting to client context” and “community as a resource,” with eight subthemes.Conclusion
This thematic synthesis highlights the importance of the therapeutic relationship and adapting mental health support to client frame of reference and context to address social determinants of mental health in therapy. It emphasises community as a helpful resource for informing training and therapeutic interventions, as well as a significant resource for people experiencing adverse social determinants. 相似文献192.
Edmund W. Orlowski;Myrna L. Friedlander;Shayne R. Anderson;Lee N. Johnson; 《Journal of Family Therapy》2024,46(1):59-69
In this study, we investigated the association between clients' initial outcome expectations and their subsequent perceptions of the expanded therapeutic alliance. Romantic partners (N = 252) who received at least four sessions of systemic couple therapy from thirty-one therapists from the Marriage and Family Therapy Practice Research Network (Johnson et al., 2017; www.mft-prn.net) completed an outcome expectation measure before session 1 and a therapeutic alliance measure before session 4. Results showed a strong association between expectations and alliance (r = 0.51). While fourteen per cent of the variability in session 4 alliance scores was uniquely attributable to therapists, 31.6 per cent of the variability in the expectations/alliance association was uniquely attributable to couples, with only 6.1 per cent uniquely attributable to individual clients. Taken together, these results suggest that, while some therapists are better at developing strong alliances, couple and client factors associated with expectations for therapy set the stage for how the expanded alliance develops. 相似文献
193.
This study investigated the links between theory of mind, social motivation, and children's social competence in middle childhood and early adolescence. Two hundred and sixty four children (136 girls, 128 boys) aged between 8 and 13 years (M Age = 10.88 years, SD = 1.45) completed theory-of-mind tests and self-report questionnaires measuring social motivation. Teachers rated children's social competence at school. Teacher-rated social competence was associated with individual differences in both theory of mind and children's motivation to develop and maintain social relationships. Results suggest that while individual differences in social motivation and theory of mind are partially overlapping, both theory of mind ability and social motivation contribute to successful social interaction at school. 相似文献
194.
Sona Klucarova 《Psychologie appliquee》2022,71(2):695-709
The rapid spread of COVID-19 brought about an increased use of face masks among the general public. Focusing on disposable surgical masks in particular, this article examines consumer perceptions of and intentions toward social media influencers who wear such masks amid the pandemic. Drawing on the theory of product symbolism, this research experimentally demonstrates that masked (vs. unmasked) influencers remind consumers of highly competent healthcare professionals, leading in turn to greater competence inferences about and more favorable behavioral intentions toward these influencers. Additional analysis demonstrates that this effect might not hold for other groups of professionals who are considered relatively competent at the outset and/or whose profession is less reliant on external cues. Overall, this research suggests that apart from curtailing the spread of the pandemic, mask wearing might prove beneficial to certain groups of professionals, such as social media influencers, who have traditionally struggled to establish credibility. In a broader context, this research establishes mask wearing as a new form of nonverbal communication that warrants further examination. 相似文献
195.
Sarah Elizabeth Gellhaus Thomas Ronald Jay Werner-Wilson Megan J. Murphy 《Contemporary Family Therapy》2005,27(1):19-35
This study considers the combined effect of therapist behaviors and couples interaction dynamics on therapeutic alliance because it seems to be a significant predictor of successful therapy outcomes. We measured therapeutic alliance using the Working Alliance Inventory, Observer Version (WAI-O), which includes three subscales: goals, tasks, and bond. We investigated the combined effect of therapist behaviors and couples interactions on therapeutic alliance. There were three significant findings: (1) the models better predicted therapeutic alliance for men clients than women clients; (2) combined consideration of partner behaviors and therapist behaviors provided the stronger prediction of therapeutic alliance; and (3) different variables predicted alliance for women clients versus men clients. 相似文献
196.
The equipoise requirement in clinical research demands that, if patients are to be randomly assigned to one of two interventions in a clinical trial, there must be genuine doubt about which is better. This reflects the traditional view that physicians must never knowingly compromise the care of their patients, even for the sake of future patients. Equipoise has proven to be deeply problematic, especially in the Third World. Some recent critics have argued against equipoise on the grounds that clinical research is fundamentally distinct from clinical care, and thus should be governed by different norms. I argue against this “difference position,” and instead take issue with the traditional, exclusively patient-centered account of physicians' obligations that equipoise presupposes. In place of this traditional view, I propose a Kantian test for the reasonable partiality that physicians should show their patients, focusing on its application in clinical research and medical education. 相似文献
197.
Jan Abram 《The International journal of psycho-analysis》2016,97(2):489-501
In this Commentary I will first of all summarise my understanding of the proposal set out by Béatrice Ithier concerning her concept of the ‘chimera’. The main part of my essay will focus on Ithier's claim that her concept of the chimera could be described as a ‘mental squiggle’ because it corresponds to Winnicott's work illustrated in his book ‘Therapeutic Consultations’ (1971). At the core of Ithier's chimera is the notion of a traumatic link between analyst and patient, which is the reason she enlists the work of Winnicott. I will argue, however, that Ithier's claim is based on a misperception of the theory that underpins Winnicott's therapeutic consultations because, different from Ithier's clinical examples of work with traumatised patients, Winnicott is careful to select cases who are from an ‘average expectable environment’ i.e. a good enough family. Moreover, Winnicott does not refer to any traumatic affinity with his patients, or to experiencing a quasi‐hallucinatory state of mind during the course of the consultations. These aspects are not incorporated into his theory. In contrast (to the concept Ithier attempts to advance), Winnicott's squiggle game constitutes an application of psychoanalysis intended as a diagnostic consultation. In that sense Winnicott's therapeutic consultations are comparable with the ordinary everyday work between analyst and analysand in a psychoanalytic treatment. My Commentary concludes with a question concerning the distinction between the ordinary countertransference in working with patients who are thinking symbolically in contrast to an extraordinary countertransference that I suggest is more likely to arise with patients who are traumatised and thus functioning at a borderline or psychotic level. 相似文献
198.
Reginald Thomas O'Brien;Vivien Burr;Heather Dale; 《Counselling and Psychotherapy Research》2024,24(4):1670-1680
Since the inception of Counselling for Depression (CfD) in the UK as a competence-based training course for experienced therapists, there has been remarkably little empirical work exploring the experiences and views of trainees and those involved in course delivery. 相似文献
199.
Many negative stereotypes of older women are related to changes in the body that render it incompetent (e.g., weak, frail, debilitated). Such stereotypes disempower women in the eyes of others and in their own eyes if they come to embody the stereotype. One way to resist the stereotype and remain empowered is to engage in regular physical activity, which increases stamina, energy, muscle strength, joint flexibility, and balance. Here we review the physical and mental health benefits of physical activity for older women and discuss the barriers that keep many older women from regular exercise. We discuss ways that feminist therapists can encourage their older clients to become more physically active, provide information about role models who can inspire clients, and suggest resources suitable for recommendation. 相似文献
200.
This study examined the role of motivation as a mediator of the relationship between parents' socio‐economic status (SES) and children's standardized test achievement in math. We employed a one‐year longitudinal approach using Programme for International Student Assessment (PISA) 2003 and a follow‐up exam in 2004. The sample consisted of N = 6020 German students (mean age 15.5 years, SD = .55) who continued school after Grade 9 (PISA 2003) and were in Grade 10 at the time of PISA 2004. Children completed measures related to their parents' SES, math‐specific self‐concept, task‐specific and global self‐efficacy, and interest, intelligence and mathematical competence. We found a small to moderate correlation between parents' SES and children's achievement. All motivational constructs partially mediated the relationship between father's SES as well as a family index for SES (economic, social, and cultural status) and children's mathematical competence, but only math‐specific self‐concept and self‐efficacy were significant mediators for mother's SES. Even when simultaneously considering the mediating effect of children's intelligence and prior achievement, the mediation effects of motivation remained significant. These results are important for our understanding of educational equality. Copyright © 2016 European Association of Personality Psychology 相似文献