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Articles 1381 - 1410 of 5479
Full-Text Articles in Entire DC Network
Identification And Removal Of Barriers To Va Mental Health Treatment For Black Female Veterans, Thea Jenune Williams
Identification And Removal Of Barriers To Va Mental Health Treatment For Black Female Veterans, Thea Jenune Williams
DSW Capstone Projects
The Department of Veteran Affairs (VA) operates the largest integrated health care system in the country. The VA dates back to 1865, when President Lincoln signed legislature establishing a network for caring for the nation’s wounded after the Civil War. Many see this system as a safety net for the nation’s military veterans. Research shows veterans have reported several factors that interfere with them receiving needed mental health treatment from the VA. The majority of veterans are males however the number of females is quickly growing. Currently, females make up 11% of the veteran population and are projected to reach …
Sleep And Health Behaviors In A Safety-Net Primary Care Setting, Sahar Sabet
Sleep And Health Behaviors In A Safety-Net Primary Care Setting, Sahar Sabet
Theses and Dissertations
Nearly half of all premature deaths in the United States are attributable to preventable and modifiable health risk behaviors. For decades, the leading behavioral health contributors to morbidity and mortality are tobacco use, physical inactivity, and alcohol consumption. Medication adherence is a relatively less studied yet critical interrelated health behavior that is tied to health and treatment outcomes. Sleep, an important pillar of health, is a daily and modifiable behavior that shows promise as a health behavior facilitator. Better understanding the dynamics of these modifiable health behaviors is essential for the improvement of health promotion, particularly among underserved populations (e.g., …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Walden Dissertations and Doctoral Studies
Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …
Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn
Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn
Walden Dissertations and Doctoral Studies
This descriptive phenomenological study was conducted to explore how professional counselors described their professional identity development and if professional recognition from psychologists, social workers, psychiatrists, and other professional organizations contributed to professional identity development. Phenomenology was developed by Edmund Husserl and explores insights from others based on their experiences. Licensed clinical professional counselors in Maryland formed the purposive sample that included six participants; each participated in a semi-structured interview. Thematic coding highlighted themes that emerged and included (a) the importance of the Council for Accreditation of Counseling and Related Educational Programs (CACREP), (b) licensure as a stressful process, (c) professional …
Nsu College Of Psychology Graduate Student Catalog 2023–2024, Nova Southeastern University
Nsu College Of Psychology Graduate Student Catalog 2023–2024, Nova Southeastern University
College of Psychological Services / College of Psychology Postgraduate Student and Course Catalogs
No abstract provided.
Ethical Dilemmas And Moral Distress In Companion Animal Veterinary Medicine: Mental Health Implications, Bronwyn Dickson
Ethical Dilemmas And Moral Distress In Companion Animal Veterinary Medicine: Mental Health Implications, Bronwyn Dickson
Theses and Dissertations (Comprehensive)
Mental health concerns are a significant problem in the veterinary community, and studies suggest that veterinarians working in Western countries are at higher risk of suicide compared to the general population and other healthcare professionals (Bartram et al., 2009; Bartram & Baldwin, 2010; Platt et al., 2012). Additionally, veterinary medicine is an occupation inundated with complex ethical and moral dilemmas. However, current studies are limited in their ability to contextualize the risk and contributing factors fully; therefore, they offer limited insight into effective preventative and support strategies. Using Interpretive Phenomenological Analysis (IPA), eight companion animal veterinarians were interviewed about their …
Secondary Traumatic Stress: Therapists’ Past Trauma And Workplace Interventions, Morgan Wickman
Secondary Traumatic Stress: Therapists’ Past Trauma And Workplace Interventions, Morgan Wickman
Honors Program Theses
Secondary traumatic stress (STS) is a type of indirect trauma wherein listening to the traumatic experiences of another causes a stress reaction. STS can lead to PTSD-like symptoms which can develop after only one instance. STS affects mental health professionals at high rates because they have high rates of exposure to traumatic content. In particular, therapists with a personal trauma history have an increased risk of developing STS, as they are more likely to identify with their client’s traumatic experience. This review examines how therapists’ STS severity and frequency is impacted by a personal trauma history. It also identifies workplace …
Effectiveness Of Cognitive Behavioral Therapy Versus Therapeutic Play For Hospitalized Children Diagnosed With Cancer: An Integrative Systematic Review, Dianne Kong
Theses and Dissertations
Psychotherapy provides essential coping mechanisms and strategies for children who are diagnosed with cancer, as they experience the extraordinary burden of physical, emotional, and mental strains. While many medical advancements have been made within the past few decades, progress related to psychotherapy for pediatric cancer patients has not been commensurate, evidenced by the limited current literature. Given the sparsity of relevant research, it is presently difficult to compare and evaluate the various psychotherapeutic interventions available for pediatric oncology patients. Additionally, there are significant challenges in providing psychotherapeutic care for patients and their families, including lack of consistency, disruption of care, …
The Use Of Dance And Movement For The Embodied Healing Of Interpersonal Trauma In Women And Girls: A Systematic Review, Catherine Xinyu Liang
The Use Of Dance And Movement For The Embodied Healing Of Interpersonal Trauma In Women And Girls: A Systematic Review, Catherine Xinyu Liang
Theses and Dissertations
Interpersonal trauma is a serious and devastating problem for women and girls from all walks of life. Research has shown that there are physiological consequences for experiencing trauma, and as such, treatment for trauma may need to target the body. Dance/Movement Therapy (DMT) has been emerging in the current literature as one body-oriented treatment approach that is effective in helping women and girls heal from interpersonal trauma. This review examines how practitioners are currently using DMT for this population, what treatment outcomes have been observed, and what the racial/ethnic identities and international contexts are for survivors who have benefited from …
The Effects Of Relational Poverty: Healing Our Culture, Jenet Erickson
The Effects Of Relational Poverty: Healing Our Culture, Jenet Erickson
Issues in Religion and Psychotherapy
One of the most vexing challenges of our day is a profound hunger for connection, evidenced by an epidemic of loneliness, violence, relational poverty, and increasing mental health challenges. We are born to be in deep connection with others. As German analyst Frieda Fromm-Reichman wrote, “The longing for interpersonal intimacy stays with every human being from infancy through life, and there is no human being who is not threatened by its loss.” A radical cultural focus on autonomy with the associated ruptures in family stability, decreased religiosity and community engagement have increased loneliness in spite of the seeming “connectivity” of …
Cuing Disparities: The Consequences Of Race-Based Social Stressors For Academic Achievement, Dorainne J. Green, Kathryn M. Kroeper, Mary Murphy
Cuing Disparities: The Consequences Of Race-Based Social Stressors For Academic Achievement, Dorainne J. Green, Kathryn M. Kroeper, Mary Murphy
Psychology Faculty Publications
Underrepresented racially and ethnically minoritized (URM) students contend with individual-level race-based stressors in college, like racialized discrimination and microaggressions. In this study, we consider whether URM students' perceptions of racial inequity on campus—a context-level race-based stressor—trigger adverse psychological and physical stress responses that, in turn, undermine academic achievement. Using a sample of 781 science, technology, engineering and math (STEM) students, we found in a longitudinal study that URM students report perceiving more inequality on campus compared with White and Asian students. Greater perceived inequality was, in turn, associated with increased psychological and physical stress responses, which, in some cases, predicted …
An Introduction To Local And Global Health Behaviors Using A Collaborative Online International Learning Exchange, Niamh M. Higgins, Lisa B. Smith
An Introduction To Local And Global Health Behaviors Using A Collaborative Online International Learning Exchange, Niamh M. Higgins, Lisa B. Smith
Psychology Faculty Publications
Collaborative Online International Learning (COIL), uses technology to facilitate the engagement of students from different countries in collaborative coursework and sharing of cultural perspectives. The existing literature concerning COIL exchanges points to the need to further explore student satisfaction and engagement with such exchange projects, and whether course learning outcomes are being achieved. This practice paper describes a COIL exchange between students of health psychology at Mary Immaculate College, Ireland, and Sacred Heart University, in the United States. During this 10-week project students were required to engage in synchronous and asynchronous activities. Following the completion of the COIL project, students …
Secondary Traumatic Stress Is An Occupational Hazard For Pet Hospice Support Staff: Psychoeducational Support Groups Provide The Cure, Kari Hayden
DSW Capstone Projects
There are three separate yet interrelated products presented in this final capstone product. The completed product is focused on pet hospice veterinary support staff and the need for an evidence-based social work intervention to combat secondary traumatic stress. This capstone uses the andragogical approach to adult learning theory as the foundation to construct a psychoeducational peer support group specific to this population. Implications for clinical social work in veterinary medicine are presented within this project.
The first scholarly product presented is the Systematic Literature Review (SLR). The SLR utilizes a scoping review process in an attempt to locate prior research …
Youth And Caregivers' Perceptions Of Racial Socialization: Examining The Interactive Role Of Risk And Cultural Resilience Factors As Predictors And Mental Health As Outcomes, Arlenis Santana
Theses and Dissertations
Black families' mental health, including that of the children and caretakers, is a persistent public health concern. Existing work documents that parental racial socialization messages are a protective process for the psychological well-being of Black children, youth, and emerging adults (Bannon et al., 2009). The majority of work to date has focused on youth, and we have limited information about the effects of racial socialization on caregivers’ mental health outcomes. It is also essential to examine the relation between racial socialization and outcomes among caregivers because, aside from their identity as parents, caregivers have other identities and experiences that deserve …
Treatment Of Borderline Personality Disorder: Re-Envisioned To Mitigate Stigma And Enhance Treatment Effectiveness, Abigail Lorraine Steinkamp
Treatment Of Borderline Personality Disorder: Re-Envisioned To Mitigate Stigma And Enhance Treatment Effectiveness, Abigail Lorraine Steinkamp
DSW Capstone Projects
Borderline personality disorder (BPD) and the characteristics that define it are often viewed negatively by therapists and other mental health providers. Terms to describe these clients commonly include “manipulative”, “attention-seeking”, and “always in crisis.” Because of this jargon, there is a deep-set stigma that surrounds the disorder. Therapists and treating clinicians base their decisions and treatment protocol on hearsay of the disorder and already have an image of their prospective BPD client before the client enters their office. This capstone project seeks to inform clinicians about the present stigma and provides tools that are proposed to reduce stigmatizing beliefs within …
Racial Microaggressions And Asian Americans' Well-Being: A Scoping Review And Exploratory Meta-Analysis, Shinwoo Choi, Amy Alberton, Hyejoon Park, Eun-Jee Song, Heather Gough, Inyoung Stella Lee
Racial Microaggressions And Asian Americans' Well-Being: A Scoping Review And Exploratory Meta-Analysis, Shinwoo Choi, Amy Alberton, Hyejoon Park, Eun-Jee Song, Heather Gough, Inyoung Stella Lee
The Journal of Sociology & Social Welfare
BACKGROUND: Racial microaggressions continue to be a serious problem in the United States. While racialized microaggressions have been a long standing, though under explored, issue for all Asian Americans, Covid significantly amplified both overt and microaggression-based discrimination against Asian Americans because of the links between the origins of the viral spread and China (Lee & Waters, 2021). Despite this history of discrimination against Asian Americans, research in the area of microaggressions has lagged compared to other groups. However, research in this area has recently grown significantly, warranting a synthetic study of existing literature in order to better frame understandings of …
Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb
Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb
Walden Dissertations and Doctoral Studies
AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …
How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung
How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung
Walden Dissertations and Doctoral Studies
AbstractSchool counselors serve an important role in providing frontline counseling services to students in local school districts. Professional associations and educational institutions emphasize the importance of professional competence. However, research on professional competence is fragmented, outdated, and unintegrated. This qualitative study explored the development of competence in trainee school counselors during supervision, from the supervisors’ perspectives. Using the conceptual frameworks of self-efficacy and professional identity development, 16 experienced supervisors were interviewed and asked to describe the development of competence in trainee school counselors and how they instructed the development of competence. Thorne’s interpretive description method was combined with a reality-testing …
Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
Walden Dissertations and Doctoral Studies
AbstractPhysician burnout is prevalent in healthcare today. Contributing factors include emotional exhaustion, depersonalization, and a sense of loss of autonomy. Physician burnout negatively affects a physician’s ability to provide high quality patient care. Physician burnout indicators include poor behavior, mental decline, depression, narcotics and alcohol abuse, suicidal ideation, and suicide completion. Given the negative impact of physician burnout, it is necessary to understand what can counter this phenomenon. Through lived experiences of physicians who self-identified as burned out, the purpose of this study was to explore personal resilience as an interventional strategy to reduce physician burnout. Personal resilience is adapting …
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk
Walden Dissertations and Doctoral Studies
Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …
An Examination Of The Influence Of Ethnic Identity, Spirituality, And Social Support As Predictors Of Resilience Among Black Male College Graduates Born In The United States, Sandy Belizaire
Dissertations
Problem
This study aimed to assess the influence of ethnic identity, spirituality, and social support on resilience among Black males (BM) who were born in the United States of America and are recent college graduates. The achievement gap between BM and their counterparts is among education's most infuriating problems. Educators are more likely to dissuade Black men from going to college, and those who enroll drop out before they graduate (Noguera 2003; Wilborn 2013).
Method
This study employed a non-experimental, quantitative correlation research design using self-report questionnaires. The target population for this study was American-born Black males who were graduates …
Daily Heterosexist Experiences In Lgbtq+ Adults From Spain: Measurement, Prevalence, And Clinical Implications, Román Ronzón-Tirado, Ruby Charak, Ines Cano-Gonzalez
Daily Heterosexist Experiences In Lgbtq+ Adults From Spain: Measurement, Prevalence, And Clinical Implications, Román Ronzón-Tirado, Ruby Charak, Ines Cano-Gonzalez
Psychological Science Faculty Publications
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals face unique stressors related to their sexual and gender identities that have a detrimental impact on their mental health. Nonetheless, studies have not yet investigated these minority stressors among LGBTQ+ individuals from Spain. The limited availability of standardized tools/instruments to measure minority stressors in Spanish makes it challenging to explore these experiences among Spanish speaking individuals. The present study aimed to examine the factor structure of the Daily Heterosexist Experiences Questionnaire (DHEQ) among LGBTQ+ adults from Spain, compare rates of minority stressors across diverse gender and sexual orientations, and examine the impact …
"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon
"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon
Antioch University Dissertations & Theses
The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …
How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner
How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner
Antioch University Dissertations & Theses
This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …
Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows
Antioch University Dissertations & Theses
This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …
Can Too Much Job Crafting Lead To Burnout? Curvilinear And Moderation Analyses, Panod Srisinsuphya
Can Too Much Job Crafting Lead To Burnout? Curvilinear And Moderation Analyses, Panod Srisinsuphya
Chulalongkorn University Theses and Dissertations (Chula ETD)
Job Crafting involves individuals reshaping their work to align with their values and strengths, making work life more meaningful. While it reduces stress, studies also note drawbacks like increased stress and work disruption. This research uses polynomial hierarchical multiple regression to exhibit where job crafting shifts from positive to negative effects. Drawing on the conservation of resources theory and the too-much-of-a-good-thing effect, this research includes two studies. The first, with hotel group employees in Thailand (N = 405), examines job crafting's four dimensions and their impact on burnout. Results reveal that only 'increasing challenging job demands' has a curvilinear relationship …
ความสัมพันธ์ระหว่างความสนุกในสถานที่ทำงาน และความผูกพันในงาน โดยมีอายุทางอัตวิสัย และการเรียนรู้แบบไม่เป็นทางการเป็นตัวแปรส่งผ่านในกลุ่มบุคลากรอาวุโส, มนัส อุ่นใจ
Chulalongkorn University Theses and Dissertations (Chula ETD)
งานวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาอิทธิพลส่งผ่านของการเรียนรู้แบบไม่เป็นทางการและอายุทางอัตวิสัยต่อความสัมพันธ์ระหว่างความสนุกในสถานที่ทำงานและความผูกพันในงานของบุคลากรอาวุโส โดยเก็บข้อมูลจากกลุ่มตัวอย่างบุคลากรอาวุโสที่ปฏิบัติงานกับองค์กรเอกชนในประเทศไทย จำนวน 208 คน มีอายุระหว่าง 40 ถึง 65 ปี ใช้แบบสอบถามออนไลน์ การวิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนาและสถิติเชิงอนุมาน รวมทั้งการวิเคราะห์สถิติการทดสอบตัวแปรส่งผ่าน ผลการวิจัยพบว่า ความสนุกในสถานที่ทำงานมีความสัมพันธ์ทางบวกกับความผูกพันในงาน อย่างมีนัยสำคัญทางสถิติ (β = .54, SE = .09, 95% ของช่วงชั้นความเชื่อมั่น [.464, .815], p < .01) การเรียนรู้แบบไม่เป็นทางการเป็นตัวแปรส่งผ่านระหว่างความสนุกในสถานที่ทำงานและความผูกพันในงาน (β = .10, SE = .04, 95% ของช่วงชั้นความเชื่อมั่น [.023, .196]) ในขณะที่ อายุทางอัตวิสัยไม่ใช่ตัวแปรส่งผ่านระหว่างความสนุกในสถานที่ทำงานและความผูกพันในงาน สรุปได้ว่าการเรียนรู้แบบไม่เป็นทางการเป็นตัวแปรส่งผ่านบางส่วนระหว่างความสนุกในสถานที่ทำงานและความผูกพันในงานในบุคลากรอาวุโส เมื่อความสนุกในสถานที่ทำงานสูงบุคลากรอาวุโสมีแนวโน้มที่จะเกิดการเรียนรู้แบบไม่เป็นทางการและส่งผลไปยังความผูกพันในงานในที่สุด ผลการศึกษานี้สามารถใช้เป็นแนวทางสำหรับองค์การเพื่อนำไปออกแบบสภาพแวดล้อมการทำงานและพัฒนากิจกรรมการเรียนรู้แบบไม่เป็นทางการให้เหมาะสมกับบุคลากรอาวุโส
Ukrainian Women Refugees In Italy And Their Risk Of Sexual Violence: An Interview With Luisanna Porcu, Lepa Mladjenović
Ukrainian Women Refugees In Italy And Their Risk Of Sexual Violence: An Interview With Luisanna Porcu, Lepa Mladjenović
Dignity: A Journal of Analysis of Exploitation and Violence
No abstract provided.
Awareness Of Social Media Audiences Among Adolescents In A School-Based Intervention, Keeley Hynes, Luke Russell, Daniel Lannin, Leandra N. Parris, Ani Yazedjian
Awareness Of Social Media Audiences Among Adolescents In A School-Based Intervention, Keeley Hynes, Luke Russell, Daniel Lannin, Leandra N. Parris, Ani Yazedjian
Faculty Publications – Psychology
The current study investigated adolescents’ (N=213) decision finding processes and affective reactions to interactions on social media via 29 focus groups. As part of a larger study, adolescents participated in focus groups at two time-points across an academic year while participating in a school-based intervention promoting healthy romantic, interpersonal, and family relationships, job readiness, and financial literacy. Qualitative analyses indicated adolescents’ experiences and decisions on social media platforms were informed by their awareness of audiences, namely who they thought would view their posts and anticipated responses from “friends,” “family members,” “fans,” “creeps,” and “potential employers.” Comprehensive school-based interventions may serve …
Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic
Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic
Antioch University Dissertations & Theses
This post-qualitative study branching from new-materialist, post-humanist epistemology and ontology examines relationality through the lens of three different theories: agential realism, John Shotter’s communication theory, and relational mindfulness. These theories each describe the dynamics involved in relationships, how they each make sense of these dynamics, and what they entail for human relations. Using a post-qualitative diffractive methodology, this study examines these theories and how they intersect to bring about new insights in our understanding of relationships and how this information can support therapy practice. The results are a series of nine principles of orientation, which were applied to marriage and …