ABSTRACT
Mental health professionals working in the juvenile justice system work with clients who have complex mental health needs putting them at increased risk of burnout and vicarious trauma. Clinical supervision can help beginning counselors provide competent services and, at the same time, protect them from burnout. This article shows how supervisors can use an Adlerian-informed supervision method that integrates the Respectfully Curious Inquiry/Therapeutic Encouragement (RCI/TE) framework with the discrimination model of supervision to increase the supervisee's experience of the Crucial Cs. Supervisors can protect supervisees from burnout and vicarious trauma by increasing feelings of connection, significance, competence, and courage. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Subject(s)
Burnout, Professional , Compassion Fatigue , Counselors , Humans , Counselors/psychology , Burnout, Professional/prevention & control , Health Personnel/psychologyABSTRACT
OBJECTIVE: This practice-based evidence study examined trajectories of God representations and psychological distress among Christians participating in spiritually integrated psychotherapies (SIPs). METHODS: In total, 17 clinicians practicing SIPs in a mid-sized city on the US Gulf Coast implemented session-to-session assessments of these outcomes with 158 clients over a 4-month period and also reported their use of specific spiritual interventions after each session (e.g., affirmed client's divine worth). RESULTS: Multivariate growth modeling revealed clients' psychological distress decreased over the study period whereas authoritarian God representations increased and benevolent God representations remained stable. In addition, clients who increased in benevolent representations of God had a greater likelihood of experiencing alleviation of psychological distress. CONCLUSION: These findings affirm the potential efficacy of SIPs and cultural importance of belief in a benevolent deity as a source of strength, identity, and potential healing among Christians clients who prefer a spiritually integrated approach in psychotherapy.
Subject(s)
Psychotherapy , Spirituality , HumansABSTRACT
Background: First responders (e.g., emergency medical technicians, firefighters) may be at higher suicide risk than the general population due to frequent exposure to suicidal behaviors of others. Aims: We aimed to confirm the factor structure, scale reliability, and convergent validity of a new measure of suicidal exposure, the Suicidal Behaviors Exposure Scale, in first responders. Method: Using a cross-sectional web-based survey, we recruited 862 participants (81.3% male, mean age = 40.23, SD = 11.88) from a national database and southeastern state-based organization of first responders. Results: Confirmatory factor analysis resulted in a generally poor fit for the three-factor structure (exposure to suicidal communication, indirect exposure to suicide attempts/deaths, direct exposure to suicide attempts/deaths). However, good scale reliability and convergent validity were demonstrated. Limitations: The cross-sectional design, a convenience sample, and the low percentage of women comprise the limitations of this study. Conclusion: The Suicidal Behavior Exposure Scale requires additional development and validation before use in a first-responder sample. Future work should also examine other aspects of reliability and validity, namely, measurement invariance across groups and time.
Subject(s)
Firefighters , Suicidal Ideation , Adult , Cross-Sectional Studies , Female , Humans , Male , Reproducibility of Results , Risk FactorsABSTRACT
The current study sought to explore subtypes of adolescents within a sample of female juvenile offenders. Using the Millon Adolescent Clinical Inventory with 101 female juvenile offenders, a two-step cluster analysis was performed beginning with a Ward's method hierarchical cluster analysis followed by a K-Means iterative partitioning cluster analysis. The results suggest an optimal three-cluster solution, with cluster profiles leading to the following group labels: Externalizing Problems, Depressed/Interpersonally Ambivalent, and Anxious Prosocial. Analysis along the factors of age, race, offense typology and offense chronicity were conducted to further understand the nature of found clusters. Only the effect for race was significant with the Anxious Prosocial and Depressed Intepersonally Ambivalent clusters appearing disproportionately comprised of African American girls. To establish external validity, clusters were compared across scales of the Behavioral Assessment System for Children - Self Report of Personality, and corroborative distinctions between clusters were found here.
Subject(s)
Juvenile Delinquency/psychology , Juvenile Delinquency/statistics & numerical data , Surveys and Questionnaires , Adolescent , Child , Cluster Analysis , Conflict, Psychological , Crime Victims/psychology , Depression/epidemiology , Depression/psychology , Ethnicity/statistics & numerical data , Family/psychology , Female , Humans , Incidence , Interpersonal Relations , Juvenile Delinquency/ethnology , MaleABSTRACT
The Millon Adolescent Clinical Inventory (MACI) is a unique adolescent instrument that attempts to delineate between personality and acute symptoms. This study sought to explore typologies based on the Personality Pattern scales of the MACI in a sample of detained male juvenile offenders (N = 103). A Ward's method cluster analysis yielded a four-cluster solution, and each cluster was provided a clinically relevant label: (a) disruptive, antisocials; (b) agreeable, antisocials; (c) anxious, prosocials; and (d) reactive, depressives. The largest group consisted of the reactive depressives (n = 41). This suggests the importance of considering the role of internalizing problems as a conduit to delinquency in addition to antisocial personality. No interaction between cluster membership and offense history or race was found.