Intersections of gendered racial trauma and childbirth trauma: Clinical interventions for Black women.
Psychotherapy, Vol 60(1), Mar 2023, 27-38; doi:10.1037/pst0000403Studies suggest that racism affects the type and quality of health care that patients who are Black receive, perhaps in part because poorer patient–provider communication and less provider encouragement of patient involvement have been consistently reported for patients of color. In particular, Black women are 3–4 times more likely to experience dangerous and even life-threatening complications, and more likely to report mistreatment and neglect from medical providers and staff, during childbirth. Experiences with gendered racism during childbirth, which ...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Task analysis of a christian-integrated psychotherapy framework.
This study aimed to gain a deeper understanding of spiritual change processes by conducting an empirical investigation of clinically meaningful events occurring within the context of a Christian-Integrated Psychotherapy Framework. The discovery phase of task analysis was used to build a rational–empirical model that explicated how clients developed stronger attachments to their God images. A rational model was specified, and five cases were selected for further analysis from a pool of 27 client-participants and 423 video-recorded psychotherapy sessions. Clinical observations and the coding of in-session measures were use...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Spiritually integrated psychotherapies in real-world clinical practice: Synthesizing the literature to identify best practices and future research directions.
Psychotherapy, Vol 59(3), Sep 2022, 307-320; doi:10.1037/pst0000407A comprehensive review of the practice-based evidence for spiritually integrated psychotherapy (SIP) is necessary in order to catalyze research and training in this important diversity area. In this article, we identify and synthesize key findings from 35 studies in six key areas: (a) SIPs in trauma treatment, (b) SIPs in treating eating disorders, (c) SIPs in general psychotherapy, (d) existential concerns as part of SIPs, (e) patients and therapist attitudes about SIPs, and (f) SIP supervision and training models. Building on this, we propose a culturally...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Task analysis of a christian-integrated psychotherapy framework.
This study aimed to gain a deeper understanding of spiritual change processes by conducting an empirical investigation of clinically meaningful events occurring within the context of a Christian-Integrated Psychotherapy Framework. The discovery phase of task analysis was used to build a rational–empirical model that explicated how clients developed stronger attachments to their God images. A rational model was specified, and five cases were selected for further analysis from a pool of 27 client-participants and 423 video-recorded psychotherapy sessions. Clinical observations and the coding of in-session measures were use...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Spiritually integrated psychotherapies in real-world clinical practice: Synthesizing the literature to identify best practices and future research directions.
A comprehensive review of the practice-based evidence for spiritually integrated psychotherapy (SIP) is necessary in order to catalyze research and training in this important diversity area. In this article, we identify and synthesize key findings from 35 studies in six key areas: (a) SIPs in trauma treatment, (b) SIPs in treating eating disorders, (c) SIPs in general psychotherapy, (d) existential concerns as part of SIPs, (e) patients and therapist attitudes about SIPs, and (f) SIP supervision and training models. Building on this, we propose a culturally contextual understanding of this diversity area, drawing from the ...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Cohesion and chronic pain: A case for assessing an overlooked process variable.
Chronic pain management services are often provided in group formats, as they are cost effective, increase access to care, and provide unique and needed social support to patients, but mixed outcomes for these groups indicate room for improvement. A small but growing body of research suggests routine assessment of and feedback on group cohesion may improve individual patient outcomes, though this has not been studied among chronic pain groups. Provided in this article is a rationale for assessing group cohesion in pain management programs, along with considerations for how and when to use routine outcome monitoring of cohe...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

Meaning in life: Perspectives of experienced Chinese psychotherapists.
We attempted a cross-cultural replication of Hill et al.’s (2017) consensual qualitative study of experienced Western therapists’ perspectives on working with meaning in life (MIL) in psychotherapy. We thus interviewed 12 experienced Chinese therapists about their views on MIL, working with MIL in psychotherapy, and the meanings they derived from working as psychotherapists. Chinese participants typically defined MIL as involving freedom, responsibility, and valuing life and viewed MIL as underlying many clients’ presenting concerns and thus playing a critical role in therapy. In terms of working with clients on MIL,...
Source: Psychotherapy: Theory, Research, Practice, Training - November 29, 2021 Category: Psychiatry & Psychology Source Type: research

“How could I not bring it up?”: A multiple case study of therapists’ comfort when Black clients discuss anti-Black racism in sessions.
Psychotherapy, Vol 60(1), Mar 2023, 63-75; doi:10.1037/pst0000404Anti-Black racism is often overlooked in predominantly White spaces such as psychotherapy. This pervasive disregard and dehumanization reflects the perpetuation of ongoing racial trauma that can influence the psychological health of Black people seeking psychotherapy. Therapists, therefore, ought to be equipped and comfortable to have conversations about anti-Blackness and anti-Black racism in sessions, though evidence suggests they are often uncomfortable discussing race and racism in practice. To understand therapists’ comfort when clients discuss anti-Bl...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Why is Spiritual Psychotherapy for Inpatient, Residential, and Inpatient Treatment (SPIRIT) more effective when provided by nonreligious clinicians?
We examined these effects within a large and clinically heterogeneous sample of patients (N = 1,443) receiving Spiritual Psychotherapy for Inpatient, Residential, and Intensive Treatment (SPIRIT; Rosmarin et al., 2019) by a diverse sample of clinicians (n = 22). In addition to demographics, patients completed a brief measure of their experience in SPIRIT; clinicians completed measures of previous mental health training, previous training in spiritual psychotherapy, and attitudes toward spiritual psychotherapy, and also provided details regarding modalities, clinical interventions, and spiritual interventions utilized at ea...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Religious microaggressions in psychotherapy: A mixed methods examination of client perspectives.
Psychotherapy, Vol 59(3), Sep 2022, 351-362; doi:10.1037/pst0000408Ethical guidelines state that psychologists should consider clients’ religion in their practice. However, some clients have reported negative experiences regarding clinicians’ treatment of religion in psychotherapy. These experiences may constitute microaggressions, which have been negatively associated with the working alliance and treatment outcomes among clients with various identities (e.g., those of marginalized racial groups or sexual orientations). The present study used mixed methods to examine religious microaggressions among current and former...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Mindfulness in psychotherapy: The experience of psychotherapists who incorporate mindfulness into their practice.
Psychotherapy, Vol 59(3), Sep 2022, 332-338; doi:10.1037/pst0000394Mindfulness is most commonly defined as the ability to bring one’s attention to experiences occurring in the present moment, with complete acceptance and without judgment. The diverse benefits of mindfulness as a therapeutic tool have been widely explored. Nevertheless, when mindfulness is incorporated into psychotherapy it may influence the relationship between the therapist and the patient in diverse manners. This influence appears in the literature as relational mindfulness pertaining to mindfulness practiced in relationship to other people. The presen...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Why is Spiritual Psychotherapy for Inpatient, Residential, and Inpatient Treatment (SPIRIT) more effective when provided by nonreligious clinicians?
We examined these effects within a large and clinically heterogeneous sample of patients (N = 1,443) receiving Spiritual Psychotherapy for Inpatient, Residential, and Intensive Treatment (SPIRIT; Rosmarin et al., 2019) by a diverse sample of clinicians (n = 22). In addition to demographics, patients completed a brief measure of their experience in SPIRIT; clinicians completed measures of previous mental health training, previous training in spiritual psychotherapy, and attitudes toward spiritual psychotherapy, and also provided details regarding modalities, clinical interventions, and spiritual interventions utilized at ea...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Religious microaggressions in psychotherapy: A mixed methods examination of client perspectives.
Ethical guidelines state that psychologists should consider clients’ religion in their practice. However, some clients have reported negative experiences regarding clinicians’ treatment of religion in psychotherapy. These experiences may constitute microaggressions, which have been negatively associated with the working alliance and treatment outcomes among clients with various identities (e.g., those of marginalized racial groups or sexual orientations). The present study used mixed methods to examine religious microaggressions among current and former psychotherapy clients identifying as religious (N = 396). Approxim...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

Mindfulness in psychotherapy: The experience of psychotherapists who incorporate mindfulness into their practice.
Mindfulness is most commonly defined as the ability to bring one’s attention to experiences occurring in the present moment, with complete acceptance and without judgment. The diverse benefits of mindfulness as a therapeutic tool have been widely explored. Nevertheless, when mindfulness is incorporated into psychotherapy it may influence the relationship between the therapist and the patient in diverse manners. This influence appears in the literature as relational mindfulness pertaining to mindfulness practiced in relationship to other people. The present article attempts to delineate the diverse influences of relationa...
Source: Psychotherapy: Theory, Research, Practice, Training - November 22, 2021 Category: Psychiatry & Psychology Source Type: research

The process and outcome of spiritually integrated psychotherapies: A cross-cultural study in Asia, Africa, Europe, and Latin America.
Psychotherapy, Vol 59(3), Sep 2022, 415-430; doi:10.1037/pst0000409We investigated the process and outcome of spiritually integrated psychotherapies (SIPs) with 34 Catholic therapists and 359 clients in Asia, Africa, Europe, and Latin America using a practice-based evidence design. The three most frequently used spiritual interventions across all therapists were: “encouraging personal prayer,” “affirming trusting God,” and “encouraging listening to the heart,” but “discussing hope” was also one of the top three in Asia and Africa, “self-control” in Asia, “spiritual confrontation” and “self-disclos...
Source: Psychotherapy: Theory, Research, Practice, Training - November 18, 2021 Category: Psychiatry & Psychology Source Type: research