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Kinds of Therapists Terms modified by Therapists Selected AbstractsVALUES IN THE ROLE OF THE FAMILY THERAPIST: SELF DETERMINATION AND JUSTICEJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2003Richard Melito Recently, there has been renewed interest in the role of values in family therapy. A number of theorists agree that there is an inherent ethical dimension in all forms of therapy, because therapy necessarily involves influencing others in accord with a set of values. In cultures that value self determination, a potential conflict arises between the therapist's inherent moral influence and protecting the client's self determination. This article identifies that dilemma and investigates how different treatment approaches resolve it as they attempt to promote justice in the family. [source] GAY AND LESBIAN COUPLES IN THERAPY: PERSPECTIVES FOR THE CONTEMPORARY FAMILY THERAPISTJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2000Claudia Bepko This paper outlines the major concerns of gay and lesbian couples who seek therapy. Presenting problems are classified as either internal to the relationship or as external (contextual) ones that reflect the influence of oppressive cultural and gender biases. Throughout the article, distinctive therapy methods are described that address the unique concerns of lesbian and gay couples, with special sensitivity to heterosexist and homophobic bias. [source] COMMENTARY BY A PSYCHIATRIST, SEXUAL AND COUPLE THERAPISTBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2000Michael Crowe No abstract is available for this article. [source] COMMENTARY BY A SYSTEMIC FAMILY THERAPISTBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2000Pat Gray First page of article [source] DEVELOPING CULTURALLY EFFECTIVE FAMILY-BASED RESEARCH PROGRAMS: IMPLICATIONS FOR FAMILY THERAPISTSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2004William L. Turner Recently, some family scholars have developed greater sensitivity to the relative neglect of families of color in clinical and empirical research. Consequently, a proliferation of research elucidating many nuances of ethnic families has come to the forefront, containing a wealth of knowledge with useful implications for family therapists and other mental health providers. The findings of these studies hold enormously important implications for how family therapists can better engage and accommodate families of color in therapy: In this article we discuss some of the etiological and methodological issues associated with planning, conducting, and disseminating family-based prevention and intervention research programs with ethnic minority families. [source] CLOSE RELATIONSHIPS RESEARCH: A RESOURCE FOR COUPLE AND FAMILY THERAPISTSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2004Susan S. Hendrick This article describes the relatively new field of close relationships research, offering a representative list of topics studied by relationships reseachers. Some of the common interests shared by both close relationships reseachers and couple and family therapists are described, with theshared emphasis on relationships as an anchor for both fields. Some representative love theories are discussed, and Love Styles theory and research are presented in considerable detail. A clinicalcase example indicates how love styles research may be employed to advantage by couple therapists, and the utility of other close relationships theories and measures for therapy is briefly discussed. [source] DEVELOPING CULTURALLY COMPETENT MARRIAGE AND FAMILY THERAPISTS: TREATMENT GUIDELINES FOR NON-AFRICAN-AMERICAN THERAPISTS WORKING WITH AFRICAN-AMERICAN FAMILIESJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2002Roy A. Bean To serve African-American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to examine the most common expert recommendations for family therapy with African Americans. Fifteen specific guidelines were generated, including orient the family to therapy, do not assume familiarity, address issue of racism, intervene multi-systemically, do home visits, use problem-solving focus, involve religious leader, incorporate the father, and acknowledge strengths. conceptual and empirical support for each guideline is discussed, and conclusions are made regarding culturally conpetent therapy with African-American families. [source] PAIN: A TEXTBOOK FOR THERAPISTSAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 4 2002Pat O'Hara No abstract is available for this article. [source] A PSYCHODYNAMIC PROFILE OF THERAPISTS WHO SEXUALLY EXPLOIT THEIR CLIENTSBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2000Angela Hetherington ABSTRACT This paper reviews recent literature pertaining to therapists who sexually exploit their clients. It examines some of the common characteristics that have been identified in therapists who abuse, and the psychosexual factors in their background. It goes on to discuss the dynamics which may prevail in the event of therapist abuse. Research suggests that therapists who exploit their role will only do so if they are in some way dysfunctional (Russell 1993). Similarly, therapists who abuse are found to have severe problems with their own sexual identities and experience a considerable amount of sexual anxiety and guilt in their personal relationships (Strean 1993b). It is suggested that their own unresolved conflicts take precedence over those of their clients and unconsciously they harbour a deep antipathy towards the practice of psychotherapy (Strean 1993a). [source] Training the Person of the Therapist in an Academic SettingJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2009Harry J. Aponte Drexel University's Couple and Family Therapy Department recently introduced a formal course on training the person of a therapist. The course is based on Aponte's Person-of-the-Therapist Training Model that up until now has only been applied in private, nonacademic institutes with postgraduate therapists. The model attempts to put into practice a philosophy that views the full person of therapists, and their personal vulnerabilities in particular, as the central tool through which therapists do their work in the context of the client,therapist relationship. This article offers a description of how this model has been tested with a group of volunteer students, and subsequently what had to be considered to formally structure the training into the Drexel curriculum. [source] Comments on the Proposed Pediatric Oral Health TherapistJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2005James B. Bramson DDS First page of article [source] Response to Drs. Bramson and Guay's Comments on the Proposed Pediatric Oral Health TherapistJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2005David A. Nash DMD No abstract is available for this article. [source] Therapist and/or medication manager?PERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2001Pamela Pepper MSN No abstract is available for this article. [source] Should people with a history of an eating disorder work as eating disorder therapists?EUROPEAN EATING DISORDERS REVIEW, Issue 5 2005Craig Johnston Abstract Much recent attention has focused on the fitness to practise of health professionals. Patients expect their care to be provided by therapeutic staff who can give support and guidance without unhelpful subjective influence. On the other hand, those recovered from health problems expect their employment prospects to be free of discrimination. Eating disorder services increasingly encourage patient and public involvement in service design and monitoring but reservations are sometimes expressed about employing staff who have themselves suffered with an eating disorder. This survey canvassed the views of patients, carers and professionals on the suitability of employing people with a history of an eating disorder as therapists in the same field. With some reservations (mainly from professionals), there was a widespread belief that those who had recovered would have therapeutic advantages as a result of their experience. Therapists with a current eating disorder, however, were thought to lack objectivity and to be vulnerable. Current UK policies on employment appear unnecessarily discriminatory and stigmatizing. Copyright © 2005 John Wiley & Sons, Ltd and Eating Disorders Association. [source] The role of therapies in managing cancer-related painEUROPEAN JOURNAL OF CANCER CARE, Issue 1 2010K. ROBB phd, consultant physiotherapist, pgcap ROBB K. & EWER-SMITH C. (2010) European Journal of Cancer Care19, 5 The role of therapies in managing cancer-related pain Cancer pain is complex and multi-dimensional and requires a multi-disciplinary team approach. Therapists have an important role in the assessment and management of patients with cancer-related pain, but the challenge remains to practise in an evidence-based way. [source] The development of an ePortfolio for life-long reflective learning and auditable professional certificationEUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 3 2009R. L. Kardos Abstract Recent legislative changes, that affect all healthcare practitioners in New Zealand, have resulted in mandatory audits of practitioners who are now required to provide evidence of competence and continued professional development in the form of a professional portfolio. These changes were the motivation for our development of an electronic portfolio (ePortfolio) suitable for both undergraduate and life-long learning. Bachelor of Oral Health (BOH) students, studying to qualify as Dental Hygienists and Dental Therapists, and BOH teaching staff (who held registrations in Dental Hygiene, Dental Therapy and Dentistry) trialled the use of a personal ePortfolio for advancing their academic and professional development. The ePortfolio enables BOH students to collect evidence of their achievements and personal reflections throughout their 3 years of undergraduate study, culminating in registration and the award of an Annual Practising Certificate (APC). The ePortfolio was designed to allow users to store information and then select appropriate material to be displayed or published, thus assisting health practitioners to present high-quality evidence of their participation and achievements, and to meet the professional requirements for their APC. [source] Teaching and Learning with Therapists Who Work with Street Children and Their FamiliesFAMILY PROCESS, Issue 3 2010JANINE ROBERTS ED.D. Providing training for people working with some of the most marginalized families in Guatemala and Peru meant establishing credibility as a facilitator; entering organizations as a learner; cocreating training agendas; and working in a format that paralleled a strength-based, resilience focus in therapy. Strategies used for different phases of the work are detailed: multiple ways to gather information, shadowing staff, delivering topics on demand, and creating learning environments with a focus on families as teachers. Key processes included moving in and out of the role of facilitator and participant, entering into the trainings from different vantage points within the organizations, and designing activities with an eye to how they would impact work relationships of staff and clients. RESUMEN Brindar capacitación a personas que trabajan con algunas de las familias más marginadas de Guatemala y Perú implicó establecer credibilidad como facilitador; ingresar en organizaciones como alumno; co-crear agendas de capacitación y trabajar en un formato análogo a un enfoque basado en las virtudes y la resiliencia en terapia. Se detallan las estrategias utilizadas en las diferentes fases del trabajo: distintas maneras de reunir información, observación del personal, charlas a pedido, y creación de ambientes de aprendizaje haciendo hincapié en las familias como maestras. Los procesos clave consistieron en asumir y abandonar el rol de facilitador y participante, iniciar las capacitaciones desde diferentes posiciones de ventaja dentro de las organizaciones y diseñar actividades con miras a cómo repercutirían sobre las relaciones laborales del personal y los clientes. Palabras clave: capacitación colaborativa, niños que trabajan en la calle, terapia familiar en Latinoamérica [source] Dialogue and Power: A Critical Analysis of Power in Dialogical TherapyFAMILY PROCESS, Issue 3 2003MICHAEL GUILFOYLE M.A. This article explores the relationship between dialogue and power in the practice of dialogue-oriented, "not-knowing" forms of therapy. It is argued that power of a dynamic and reversible kind infuses much ordinary social dialogue, and that the joint processes of power and resistance work together to render an interaction dialogical. In contrast, in dialogical therapy, overt exercises of power threaten the interaction's dialogical status, and power is deferred and denied by the therapist through not-knowing practices. A case study of Harlene Anderson's (1997) is used to illustrate that it is precisely power's presence that informs the practices of not-knowing and uncertainty that characterize dialogical therapies. It is suggested that the not-knowing therapist withholds aspects of his or her voice as a condition for dialogicity. Instead, special speaking arrangements are required, in which the therapist's not-knowing is continuously communicated to the client, for the therapeutic, conversation to remain dialogical. Without these speaking arrangements, I argue that therapy moves toward monologue. Therapists inherit powerful speaking positions from the institutional and sociocultural context, and the rejection of power within therapy serves only to conceal this aspect of power, which nevertheless pervades the therapeutic relationship. Finally, it is suggested that power is a "common factor",shared by all therapies,and that our status as "inheritors" of power needs to be included in our understanding of the therapeutic process. This expanded view of therapy requires the re-theorization of dialogue, such that it includes, rather than excludes, considerations of power. [source] The quality of treatment of eating disorders: A comparison of the therapists' and the patients' perspectiveINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 4 2008Simone de la Rie MA Abstract Objective: The aims of this study were to investigate the quality of treatment of eating disorders (EDs) from the therapists' and patients' perspective and to compare their views. Method: The Questionnaire for Eating Problems and Treatment (QEPT) was administered to 73 therapists working with patients with ED, to 156 current ED and 148 former ED patients. The QEPT addresses the quality of treatment of EDs. ED diagnosis was assessed by the Eating Disorder Examination Questionnaire. Answers were analyzed quantitatively and qualitatively. Results: Both therapists and patients most often mentioned focus of treatment, therapeutic alliance, and communicational skills as important aspects of the quality of treatment. However, they valued similar topics differently. Therapists valued the focus on ED symptoms and behavioral change more highly, whereas patients underscored the importance of the therapeutic relationship and addressing underlying problems. Most therapists work from a cognitive behavioral orientation, but protocol-based treatment was not found important. Conclusion: There is an avid need for dissemination of evidence-based treatment. Therapists' and patients' views supplement current evidence-based knowledge on treatment quality of EDs. Optimal treatment of EDs will be facilitated when these three bodies of knowledge,the available evidence and the therapists' and patients' views,are integrated. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord, 2008 [source] The Doctoral Education of Professional Marriage and Family TherapistsJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2010Robert E. Lee The professional practice of marriage and family therapy (MFT) scholarship is regulated at the master's level in the United States. Consequently, contemporary curricular issues have largely been focused on what is to be achieved within the master's degree, with an emphasis on clinical practice. We consider here what value may and should be added through the doctoral degree in marriage and family therapy. Doctoral programs are the developmental stage wherein we should seek to transmit the specialized knowledge and skills germane to MFT scholarship and practice in diverse settings, e.g., clinical and research intensive university, family law, health care, child development and education, child welfare, juvenile justice, faith based, and business. However, underlying this specialty education are three transcendental goals: sophistication of family systems scholarship, socialization into the profession of MFT, and cultivation of professional maturity. [source] Reflections of Two Trainees: Person-of-the-Therapist Training for Marriage and Family TherapistsJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2009Lauren Lutz In this article we share our personal and professional experiences, struggles, and growth, as former trainees of the Person-of-the-Therapist Training pilot study, conducted during our master's coursework in the Couple and Family Therapy Department at Drexel University. We include our perceptions of the training process in vivo, the challenges and benefits of doing this work in an academic setting, case examples to convey our journey of personal discovery, and the use of what we learned about ourselves in our development as therapists. This development includes a deepening of awareness of self in our relationship and work with our clients, a greater ability to work with both our personal assets and vulnerabilities, as well as the acquisition of skills to actively and purposefully use our entire person diagnostically and therapeutically in our work with clients. [source] African American Therapists Working With African American Families: An Exploration of the Strengths Perspective in TreatmentJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2009LaVerne Bell-Tolliver With the exception of Hill's (1971, 1999) work, historically much of the literature on African American families has focused more on pathology than strengths. This study used interviews with 30 African American psychotherapists, self-identified as employing a strengths perspective with African American families, to investigate which strengths they identified in the families and how they use those strengths in therapy. Themes emerging from data analysis confirmed the continued importance of the five strengths Hill noted. In addition, two new strengths were identified by the participants: a willingness of a greater number of families to seek therapy, and the importance of family structure. Strategies used in engaging the families in therapy and practice implications for family therapists are discussed. [source] Cybersex and the E-teen: What Marriage and Family Therapists Should KnowJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2008David L. Delmonico Adolescents who use the Internet regularly (the "e-teen") present a new set of challenges for marriage and family therapists. This article introduces marriage and family therapists to (a) the basic technological concepts and unique psychological characteristics of the Internet important in understanding and addressing adolescent online sexual behavior, (b) the appropriate developmental expectations for teens online, including risk-taking behaviors and critical decision-making skills, and (c) suggested strategies for assessment, prevention, and intervention when dealing with problematic online sexual behavior in adolescents. Marriage and family therapists cannot ignore the role the Internet plays in adolescent sexual development and its implication for the family. This article will serve as a primer for the marriage and family therapist when presented with adolescents who engage in online sexual behaviors. [source] Treatment Completion in a Brief Motivational Intervention in the Emergency Department: The Effect of Multiple Interventions and Therapists' BehaviorALCOHOLISM, Issue 2007Janette Baird Background:, The aim of this study was to identify therapist behaviors during a brief motivational intervention (BMI) given to injured emergency department patients that predicted participant return for a second BMI session and 12-month alcohol-related outcomes. Method:, This was a secondary data analysis of a randomized controlled trial (n = 539) previously demonstrating that random assignment to a BMI and booster session resulted in a significant reduction of 12-month postintervention alcohol-related injuries and negative consequences relative to standard care. Results:, Participants who actually received 2 BMI sessions had significantly less alcohol-related negative consequences than those who received only 1 BMI session. Therapists who reported a higher focus on emotional support and low focus on participant drinking behaviors during the initial BMI session were more likely to have assigned participants return for the second BMI session. Conclusion:, The results of these secondary analyses show that compliance with a 2-session therapeutic intervention (BIB) predicted fewer negative alcohol-related consequences, and that therapists' supportive emotional emphasis during the first BMI session was important in predicting participants returning for the second MI session. [source] Static orthoses in the prevention of hand dysfunction in rheumatoid arthritis: a review of the literatureMUSCULOSKELETAL CARE, Issue 2 2005DipCOT Lecturer in Occupational Therapy, Jo Adams MSc Abstract Static orthoses are recommended for individuals who have early rheumatoid arthritis (Scottish Intercollegiate Guidelines Network, 2002; College of Occupational Therapists, 2003). These orthoses aim to rest and immobilize weakened joint structures and decrease local inflammation (Janssen et al., 1990; Nicholas et al., 1982); correctly position joints (Nordenskiöld, 1990; Ouellette, 1991); minimize joint contractures (McClure et al., 1994); increase joint stability (Kjeken et al., 1995); relieve pain (Feinberg, 1992; Callinan and Mathiowetz, 1996; Kjeken et al., 1995) and improve function (Janssen et al., 1990; Pagnotta et al., 1998; Nordenskiöld, 1990). Wrist and hand orthoses have been routinely prescribed for individuals with rheumatoid arthritis (RA) for the last 30 years with limited evidence that they are effective in achieving their purported aims. This article reviews the possible deterioration in hand structure that can occur in RA and discusses the theoretical basis for the application of static orthoses in RA. The evidence for the effectiveness of four commonly used static orthoses is then examined. Copyright © 2005 Whurr Publishers Ltd. [source] A comparison of mothers' and fathers' experience of parenting stress and attributions for parent,child interaction outcomesOCCUPATIONAL THERAPY INTERNATIONAL, Issue 2 2003AccOT, SROT, Susan A. Esdaile Ph.D. Abstract Parents of children with disabilities are vulnerable to parenting stress, which may place them at physical and psychological risk. However, it is not clear whether fathers experience stress differently to mothers, or whether their experiences are reported less frequently. Additionally, there is little reported on the relationships and gender differences between mothers' and fathers' attributions for parent,child interaction outcomes. Parenting stress was assessed in this study using Abidin's (1990) Parenting Stress Index (PSI), and parenting attributions were assessed using the original (Bugental et al., 1989; Bugental and Shennum, 1984), and modified versions of the Parenting Attribution Test, also known as the Child Interaction Survey (CIS) (M-CIS: Esdaile and Greenwood, 1995b). Participants were 53 mothers and 25 fathers of children with disabilities. Having a child with a disability was associated with elevated scores on the PSI; some gender differences were found. Only one significant outcome was found on the assessment of parenting attributions. Thus, the findings suggest that further research is indicated to explore differences in mothers' and fathers' experiences of parenting stress, and the assessment of parenting attributions. The fact that having a child with a disability was associated with elevated scores on the PSI for both mothers and fathers indicates the importance of considering stress management as an integral part of occupational therapy programmes that involve parents of children with special needs. Therapists also need to consider possible gender differences when planning stress management programmes including both mothers and fathers of children with disabilities. Copyright © 2003 Whurr Publishers Ltd. [source] Australian occupational therapy practice in acute care settingsOCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2001Dr Susan D. Griffin Lecturer, Faculty of Health Sciences Abstract A national sample of occupational therapists was surveyed to explore the nature of Australian occupational therapy practice in acute care settings. Self-care was the major client need that therapists reported they addressed, with an initial interview being the most common assessment procedure. Client education was the most frequently used intervention. The most important skills therapists reported for effective practice in acute care were time management, quick clinical reasoning and lateral thinking. Important workplace characteristics included a cooperative health-care team and early referral. Therapists reported that their most important resources were supportive senior therapists and a well-resourced equipment pool. Three attitudinal factors emerged. Therapists in interdisciplinary teams and those with more experience had more positive attitudes. Younger therapists experienced more concern about not being able to do more for their patients. Results suggest a need for graduates to be better prepared in some skill areas and to have more realistic expectations of practice in this area. Department managers need to ensure younger therapists receive adequate support from senior therapists. Further research is needed to determine how best to provide this support and to further examine the influence of the education experience on practice expectations. Copyright © 2001 Whurr Publishers Ltd. [source] Aftermath of a Patient's Suicide: A Case StudyPERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2003Sharon M. Valente PhD TOPIC. Nurse psychotherapists often feel poorly prepared to cope with a patient's death by suicide. The psychotherapist may identify with the family, feel sad at the death, and be plagued by feelings of guilt and responsibility. PURPOSE. A case study illustrates the meaning of the loss to the therapist and the influence on professional identity, self-confidence, and self-esteem. SOURCES. Case study and review of the literature from Medline, psychinfo, and CINAHL. CONCLUSIONS. Therapists experience their own grief as a lack of omnipotence over suicide, and the fear of their colleagues' responses. Understanding bereavement and factors influencing bereavement may help therapists facilitate and reduce negative consequences of their own grief. [source] Does three months of nightly splinting reduce the extensibility of the flexor pollicis longus muscle in people with tetraplegia?PHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 1 2007Lisa Harvey Abstract Background and Purpose.,The extensibility of the paralysed flexor pollicis longus (FPL) muscle is an important determinant of an effective tenodesis grip in people with C6 and C7 tetraplegia. Therapists believe that splinting can reduce the extensibility of the FPL muscle and thus improve hand function. However, there remains much controversy around the optimal position of splinting and its effectiveness is yet to be verified. The aim of the present study was to determine whether a three-month thumb splinting protocol reduces extensibility of the FPL muscle in people with tetraplegia.,Method.,An assessor-blinded, within-subject, randomized controlled trial was undertaken. Twenty people with tetraplegia and bilateral paralysis of all thumb muscles were recruited from a sample of convenience. One randomly selected hand of each subject was splinted each night for three months. The splint immobilized the FPL muscle in a relatively shortened position by positioning the carpometacarpal and metacarpophalangeal joint of the thumb in flexion. The other hand remained unsplinted for the duration of the study. Carpometacarpal angle was measured with the application of a standardized torque by a blinded assessor at the beginning and end of the three-month study period. A device specifically designed for this purpose that stabilized the wrist and other joints of the thumb in full extension was used.,Results.,No subject withdrew from the study. The three-month splinting protocol had a mean treatment effect on carpometacarpal joint angle of 0° (95% CI, ,6° to 6°).,Conclusion.,Splinting the FPL muscle in a relatively shortened position each night for three months does not reduce its extensibility. Copyright © 2006 John Wiley & Sons, Ltd. [source] Innovative Ways to Address the Mental Health and Medical Needs of Marginalized Patients: Collaborations Between Family Physicians, Family Therapists, and Family PsychologistsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2004Warren L. Holleman PhD This article describes an innovative program to meet the needs of homeless women, children, and families residing at a transitional living center in an urban setting. The program involves collaboration between medical and mental health professionals to address the multiple problems and unmet needs of this population. Recommendations for future work in expanding collaborative practice are discussed. [source] |