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    Casi Clinici: Interventi sul caso Linda

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    How is Systemic and Constructionist Therapy Change Process Narrated in Retrospective Accounts of Therapy? A Systematic Meta‐synthesis Review

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    Despite the considerable potential of qualitative approaches for studying the systemic and constructionist therapy process due to shared theoretical and epistemological premises, to date there is lack of a comprehensive qualitative synthesis of how change process is experienced and conceptualized by clients and therapists. To address this evidence gap, we performed a systematic meta‐synthesis review of 30 studies reporting clients’ and therapists’ retrospective narratives of change process across systemic and constructionist models and across a range of client configurations, including individuals, couples, families, and groups. The studies were identified following a systematic search in PsycINFO and MEDLINE resulting in 2,977 articles, which were screened against eligibility criteria. Thematic analysis led to the identification of four main themes: (1) navigating through differences, (2) toward nonpathologizing construction of problems, (3) navigating through power imbalances, and (4) toward new and trusting ways of relating. Findings illustrate the multifaceted aspects of systemic and constructionist change process, the importance for their reflexive appraisal, and the need for further research contributing to the understanding of the challenges inherent in the systemic and constructionist therapeutic context

    Families in chronically unsafe community environments: Experiences in Northern Ireland and Palestine

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    Experiences of families in Northern Ireland and post‐1967 occupied Palestine are explored to highlight the impacts of trauma, political violence, and dislocation on family life. A therapeutic model that focuses in detail on the psychological and relational effects of oppression and power imbalance is outlined. The disadvantages of applying individualized models of posttraumatic stress disorder to contexts where assaults on community life are ongoing are addressed through the concepts of complex trauma and community trauma with its associated traumas of impotence and humiliation. The wider effects of social deprivation and poor access to mental health facilities are addressed as well as—in the case of Palestine—the ongoing theft of land and livelihoods. Factors that support family and community resilience are discussed. Therapeutic interventions that aim to strengthen family and community connections and sustain hope in contexts of extreme suffering and despair are outlined. The chapter includes a discussion of the position of therapists who endure the same political oppression and traumatic experiences as those they are helping and draws out some principles that can be useful to therapists working in other contexts

    The Tavistock Adult Depression Study (TADS)

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    Soldiering on

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    Introduction

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    The traumatic roots of the violence are all too often overlooked, and women of colour and those from ethnic minority backgrounds are viewed simply as bad or dangerous, or alternatively not seen at all. The trauma that the women have experienced in the past, and battle, is not only overlooked in their sentencing and subsequent placement, but is also often re-enacted within custodial settings and in the community. There are powerful intergenerational factors that perpetuate these cycles of offending and trauma re-enactment that current sentencing practice overlooks. Women who step out of the role of traditional femininity are ‘doubly damned’: they are punished harshly within the criminal justice system and further condemned by wider society as evil, monstrous or otherwise depraved. The chapter also presents an overview of the key concepts discussed in this book

    The criminalisation of blackness

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    This chapter aims to explore intergenerational and transgenerational trauma in the criminal justice system. It discusses how the negative internalisation of blackness leads to an individual feeling guilt, which can bind with a cycle of criminality and incarceration. The chapter discusses how the internalised hatred and denigration of blackness can impact BAME communities and how some of the fractures in certain aspects of the community can be replayed. If one’s blackness is one’s ruin, if one can be punished for one’s blackness, one can expedite the crime. The internal object-relating being one of guilt for their badness; this is attributed to their blackness, which has to be punished. Any system seems to privilege just one aspect of BAME people, which is their blackness/skin colour, and becomes a receptor for unwanted projections from the other

    Conclusion: Why the caged bird sings

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    This chapter identifies ways forward to support women, and offer thoughts on how best to ensure they are properly seen, and attended to, rather than overlooked or perceived through a distorting lens. The chapter outlines some of the initiatives that attempt to address this dilemma, and to both see and respond to the women in their true complexity. The Ministry of Justice is committed to funding pilot women’s residential units and evaluating their success in terms of enhancing female offenders’ treatment, retaining their community ties and diverting them from custody wherever possible. For women to ‘go straight’ they need hope, and a narrative that offers meaning and a life story in which they are viewed as active agents, capable of choosing and living meaningful and pro-social lives. The chapter also presents an overview of the key concepts discussed in this book

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