The purpose of this study was to investigate the relationships between mindfulness, spousal attachment, and marital satisfaction. The national sample included 104 married adults aged 19–66. Results indicated partial support for the mediating effect of spousal attachment on the relationship between trait mindfulness and marital satisfaction. Although the relationship between trait mindfulness and marital satisfaction demonstrated in the current study is not the first of its kind, these results provide preliminary support for the role of spousal attachment as the mechanism through which trait mindfulness may contribute to greater marital satisfaction. These findings suggest that mindful attunement to one’s partner may promote the activation and growth of neural circuitry associated with safety, security, and positive affect within the romantic relationship, that mindfulness training may have beneficial effects for couples' therapy and relationship enhancement, and that mindfulness training could help foster healthy spousal attachment.
Using consensual qualitative research, the authors examined the treatment planning process of experienced counselors (N = 9). The data analysis resulted in 4 domains: assessment steps, clinical impressions, treatment factors, and treatment strategies. These domains describe the process used by experienced counselors in making clinical decisions and offer insight into the nature of clinical expertise and the need for further research on treatment planning.
The Institute of Medicine (2001) identifies equity as one of six essential components of health-care quality. However, many health-care organizations lack a formal method to deeply understand and evaluate diverse patient and family experiences. Understanding care experiences of patients and families from minority racial and ethnic groups is essential to improving pervasive health disparities and to making health care more equitable. This article describes the creation of a toolkit aimed at strengthening health-care organizations' abilities to advance health equity through patient and family advisory councils (PFACs). This resource, cocreated with representatives from diverse PFACs, identifies and promotes strategies to recruit and retain diverse representation in advisory councils.
The ethical provision of psychological aid following international disasters is influenced by cultural factors and questions about how to effectively promote social justice. A need for holistic, systemic postdisaster mental health approaches has been identified (Wessells, 2009). This article presents a systemic epistemology superimposed on a social justice framework as a model for conceptualizing ethical service delivery in international disaster psychology. Implications of three underlying conceptual perspectives in international mental health ethics-absolutism, relativism, and universalism-are discussed. A case example is provided that illustrates how a family systems epistemology offers a flexible, integrated way to understand the universalist approach while placing social justice concerns relevant to international disaster psychology into a nested model, where the whole is greater than the sum of its parts.
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