Children with deafness face societal obstacles every day that require navigation of environmental and communication factors. Deaf children raised in hearing families encounter barriers to development in a hearing world that limits their expression of thoughts, feelings, and emotions. Child-centered play therapy may provide an opportunity for deaf children to experience a therapeutic relationship that fosters the child's growth and exploration of thoughts, feelings, and emotions in an open and accepting environment. Modifying practices of child-centered play therapy to meet the needs of deaf children using American Sign Language can provide a new opportunity for therapeutic access for these children in a culturally responsive manner.
Among a sample of 196 participants, small differences in holistic client functioning, as measured by standardized Adult Needs and Strengths Assessment (Lyons & Walton, 1999) and symptom severity scores, emerged across 3 diagnostic categories of serious mental illness (SMI; i.e., depression, bipolar disorder, and schizophrenia). However, sizable variations in symptom severity were evident across diagnoses of SMI, despite study participants receiving a similar configuration and intensity of recovery‐oriented usual‐care services. These results may evidence previous concerns surrounding the transdiagnosis of SMI, overlapping criteria and symptomatology among disorders in the Diagnostic and Statistical Manual of Mental Disorders, and mental health treatment and service practices in the United States. Implications for counselor practice are discussed.
Children with disabilities have unique and often specialized needs. The parents of children with disabilities play an integral and sometimes challenging role in supporting, advocating, and caring for their children. This article introduces an evidence-based approach to work with parents of children with disabilities that focuses on strengthening the relationship between the parent and child through child–parent–relationship therapy (CPRT). Disability-responsive adaptations and recommendations are provided for CPRT, specifically for deaf and hard-of-hearing children, children with physical disabilities, and children with autism spectrum disorder.
Children living in rural communities can have higher levels of mental health needs due to limited access to developmentally appropriate care. Often the lack of play therapy training or access to mental health resources makes it difficult for children or families in rural areas to receive care. The coronavirus disease 2019 pandemic has forced virtual methods of service delivery to increase around the world, which provide opportunities for mental health professionals to reach rural communities and families. Child-Parent Relationship Therapy offers healing to families through strengthening the child-parent relationship. Recommendations are provided to successfully facilitate Child-Parent Relationship Therapy virtually to rural communities in need.
Interabled couples navigate various systems of care as they respond to the needs of the disabled partner.
Interabled couplesare defined as one disabled partner and one nondisabled partner. Emotionally focused therapy (EFT) has shown benefits in reducing relationship distress and increasing the experience of security within couples. The study used interpretative phenomenological analysis to address how EFT therapists make sense of their lived experience working with interabled couples in couple therapy. The purpose of the study was to examine the experiences of therapists' serving interabled couples. The study explored the experiences of 10 EFT therapists who served at least one interabled couple in couple therapy. Findings resulted in four superordinate themes, (a) ableism; (b) self-of-the-therapist; (c) reported relationship dynamics of interabled couples; and (d) the "fit" of EFT approach with interabled couples. The themes demonstrate a need to further identify disability-responsive practices within EFT in serving interabled couples.
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