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Background: Mental health professionals encounter numerous difficulties when working with suicidal clients. To understand these difficulties in clinical practice better, a valid instrument measuring them is needed. Aims: This study aimed to translate the Difficulties in Suicidal Behaviors Intervention Questionnaire (DSBQ) to Slovene, validate it, and explore Slovenian professionals' experiences with it. Method: The participants were 106 professionals (19 men, 87 women), aged 26-66 years. Apart from the DSBQ, scales on attitudes toward suicide prevention and coping strategies in difficult clinical situations were used. The data were collected between October 2017 and January 2019. Results: Although slightly diverging from the originally reported component structure, the Slovene translation of the DSBQ measures difficulties in working with suicidal clients with acceptable/good reliability and sensitivity, and adequate construct validity. Slovenian professionals most commonly experience difficulties related to working with children, followed by technical, system and setting, and other types of difficulties. Limitations: The sample of participants was relatively heterogeneous. Conclusion: Further studies of the DSBQ structure and validity, as well as difficulties, especially those related to working with children/adolescents and facing the theme of death, are warranted. Considering the difficulties most frequently reported in this investigation, more efforts are also needed in Slovenia to address technical and logistic aspects.
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This article aims to adapt to Spanish the Relational Needs Satisfaction Scale (RNSS) and to test the factor structure with a clinical and a non-clinical sample. A total of 459 individuals completed the RNSS, a measure of life satisfaction and of psychological wellbeing. Results showed that the translation was adequate. An exploratory and confirmatory factor analysis was conducted followed by the test of three models that confirmed the five-factor structure and the second-order global factor proposed in the original study, and in adaptations to other languages. The advantages and disadvantages of these models are discussed. Correlations of the RNSS with life satisfaction and psychological wellbeing measures were in the expected direction, providing evidence of convergent validity. The Spanish version of the RNSS is a valid and reliable measure of the construct it was intended to measure, though some improvements in item wording could be incorporated and tested (for instance, item 18 should be positively worded as the rest of the items in order to avoid the effect of negative wording).
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[This corrects the article DOI: 10.3389/fpsyg.2020.00359.].
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Working with suicidal clients is frequently referred to as one of the most demanding and anxiety-provoking aspects of therapeutic work. The aim of this study was to obtain an in-depth understanding of therapists' experience in treating suicidal individuals and to develop a theoretical model of it. Eleven psychotherapists (four men and seven women) participated in individual semistructured interviews. The interviews were audiotaped, transcribed and analysed by the principles of grounded theory. We developed a model of dynamic balance in therapists' experiences and views on working with suicidal clients. The model includes six core themes, which represent aspects of therapists' experience and views where a dynamic balance is needed between two different poles. The core themes are as follows: (i) understanding of suicidality: the general versus specific; (ii) the role of alliance: protective factor versus no guarantees; (iii) attitudes: acceptant versus life-oriented; (iv) emotional response: worry versus trust; (v) responsibility: therapist's professionality versus client's autonomy; and (vi) focus: suicidality versus individual as a person. The model takes into account other variables that are relevant to the process and outcomes of the therapy: factors, related to the therapist and the client, as well as system regulations and therapeutic setting. The presented model may be helpful for mental health professionals in reflecting on their experiences of working with suicidal clients, describing the relevant topics and the way they relate to each other.
Subject(s)
Professional-Patient Relations , Suicidal Ideation , Female , Health Personnel , Humans , Male , Psychotherapy , Qualitative ResearchABSTRACT
The aim of the research was the development of a new scale for measuring the satisfaction of relational needs. In the first study, we developed 269 items based on Erskine's description of eight relational needs. Five experts evaluated the items, and then they were pilot-tested on a sample of 221 participants. Using principal component analysis, we found five components related to five relational needs: authenticity, support and protection, having an impact, shared experience, and initiative from the other. In the second study, the Relational Needs Satisfaction Scale was tested on a sample of 255 participants and further refined with the help of factor analysis. The final version of the scale consists of 20 items and measures overall relational needs satisfaction and the five dimensions of relational needs. The reliability of the overall score was excellent, while subscales had acceptable to good reliability. The relational needs satisfaction positively and significantly correlates with the secure attachment style, self-compassion, higher satisfaction with life, and better well-being. In the third study, we confirmed both the five-factor model and the hierarchical model on the sample of 354 participants. We proposed that the hierarchical model is more congruent with the theoretical model, as all five dimensions of relational needs are aspects of one general dimension of relational needs satisfaction. The scale can be used in both psychotherapy and counseling and research related to different fields of psychology.
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AIM: If we want to understand people's satisfaction in their relationships, it is essential to have a valid and reliable measure of relational needs satisfaction. The aim of this study was to test the factor structure of the Czech version of the Relational Needs Satisfaction Scale (RNSS) as well as the scale's measurement invariance and convergent validity. METHOD: In total, 419 adults answered a battery of measures, including the RNSS, in an online survey. Confirmatory factor analysis was conducted to test the factor structure and the measurement invariance of the RNSS across gender and age. A correlational analysis was conducted to assess the convergent validity. RESULTS: The five-factor structure of the RNSS was confirmed. Furthermore, support for a second-order global relationship satisfaction factor was found. The hierarchical model was strictly invariant with respect to gender and age. Furthermore, the RNSS demonstrated an expected pattern of correlations with the reference instruments. CONCLUSION: The Czech version of the RNSS can be considered a valid and reliable method.
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In the article the author presents a model of interpersonal relationships based on integration of object relations theory and theory of attachment. He proposes three main bipolar dimensions of interpersonal relationships: Independence - Dependence, Connectedness - Alienation and Reciprocity - Self-absorption. The author also proposes that it is important to distinguish between two main types of adult interpersonal relationships: object and subject relations. Object relations describe relationships in which the other person is perceived as an object that serves the satisfaction of the first person's needs. Object relations are a manifestation of the right pole of the three main dimensions of interpersonal relationships (Dependence, Alienation and Self-absorption). Subject relations are a counter-pole to the concept of object relations. They describe relationships with other people who are experienced as subjects with their own wishes, interests and needs. Subject relations are a manifestation of the left pole of the main dimensions (Independence, Connectedness and Reciprocity). In this article the author specifically focuses on definitions of object relations in adulthood through a description of six sub-dimensions of object relations: Symbiotic Merging, Separation Anxiety, Social Isolation, Fear of Engulfment, Egocentrism and Narcissism. Every sub-dimension is described in connection to adaptive and pathological functioning. Further research is needed to test the clinical and scientific validity of the model.
