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微观倡导:夫妻与家庭治疗中的常见过程。

Microlevel Advocacy: A Common Process in Couple and Family Therapy.

机构信息

Texas Tech University, Lubbock, TX, USA.

出版信息

Fam Process. 2021 Jun;60(2):654-669. doi: 10.1111/famp.12620. Epub 2020 Nov 27.

Abstract

Advocacy is an essential element to mental health practitioners' professional identity. Some scholars contend that many couple and family therapists lack the skill set needed to effectively advocate. However, these researchers often discuss advocacy solely on the macrolevel, which makes advocacy appear unidimensional and may feel out of reach for many practitioners. In this article, we argue that advocacy is not unidimensional, but consists of two levels: macro- and microlevel advocacy. Microlevel advocacy is client-centered and is effectively performed by couple and family therapists on a regular basis. By broadening the definition of advocacy to include the microlevel, we argue that advocacy is a common process of couple and family therapy that cuts across therapy models and is interwoven into the very being of a couple and family therapist. We present in this article a comprehensive case vignette to illustrate how microlevel advocacy may be performed by CFTs. Clinical and training implications are offered to help clinicians begin to bridge the gap between micro- and macrolevel advocacies.

摘要

倡导是心理健康从业者专业身份的重要组成部分。一些学者认为,许多夫妻和家庭治疗师缺乏有效倡导所需的技能。然而,这些研究人员通常仅在宏观层面上讨论倡导,这使得倡导显得单一维度,可能让许多从业者感到遥不可及。在本文中,我们认为倡导不是单一维度的,而是由宏观和微观两个层面组成。微观层面的倡导以客户为中心,夫妻和家庭治疗师经常在常规基础上进行。通过将倡导的定义扩展到包括微观层面,我们认为倡导是夫妻和家庭治疗的一个常见过程,它贯穿于各种治疗模式,并融入夫妻和家庭治疗师的本质之中。我们在本文中提供了一个全面的案例描述,说明夫妻和家庭治疗师如何进行微观层面的倡导。我们还提供了临床和培训方面的建议,以帮助临床医生开始弥合微观和宏观倡导之间的差距。

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