Counselling psychology is a hugely rewarding career, as it focuses on facilitating the positive wellbeing and growth of those in distress. Therapeutic practice thus provides a privileged position within which to bear witness to positive change and growth, but it can often come at a cost to the therapist. There exists an extensive amount of research documenting the negative effects of therapy on the therapist such as compassion fatigue, vicarious trauma, and burnout. These occupational hazards have historically been neglected during practitioner training rendering trainees and qualified counselling psychologists mentally and emotionally vulnerable to the distressing stories they hear. Recently, research has shifted its focus towards identifying and understanding the positive effects of therapy upon the therapist. This is termed vicarious growth. The idea that therapists can grow in ways that are life enriching as a result of the stories they hear accords with counselling psychology and positive psychology, as both promote human flourishing, are strengths focused, and promote and support individual autonomy. An exploration of the positive and negative effects of therapeutic practice on the therapist is the focus of this paper. Further, therapist self-care plays a crucial role in not only preventing and helping to manage the potentially damaging impact of practice but can also facilitate the therapist’s personal and professional growth. The methods by which this is achieved will be examined, differentiating between self-care strategies that foster resilience and those that can facilitate vicarious growth. A framework for self-care that integrates both approaches will be outlined.
{"title":"Transformative practice","authors":"Jane Simms","doi":"10.2307/j.ctt1t89038.13","DOIUrl":"https://doi.org/10.2307/j.ctt1t89038.13","url":null,"abstract":"Counselling psychology is a hugely rewarding career, as it focuses on facilitating the positive wellbeing and growth of those in distress. Therapeutic practice thus provides a privileged position within which to bear witness to positive change and growth, but it can often come at a cost to the therapist. There exists an extensive amount of research documenting the negative effects of therapy on the therapist such as compassion fatigue, vicarious trauma, and burnout. These occupational hazards have historically been neglected during practitioner training rendering trainees and qualified counselling psychologists mentally and emotionally vulnerable to the distressing stories they hear. Recently, research has shifted its focus towards identifying and understanding the positive effects of therapy upon the therapist. This is termed vicarious growth. The idea that therapists can grow in ways that are life enriching as a result of the stories they hear accords with counselling psychology and positive psychology, as both promote human flourishing, are strengths focused, and promote and support individual autonomy. An exploration of the positive and negative effects of therapeutic practice on the therapist is the focus of this paper. Further, therapist self-care plays a crucial role in not only preventing and helping to manage the potentially damaging impact of practice but can also facilitate the therapist’s personal and professional growth. The methods by which this is achieved will be examined, differentiating between self-care strategies that foster resilience and those that can facilitate vicarious growth. A framework for self-care that integrates both approaches will be outlined.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-01DOI: 10.53841/bpscpr.2017.32.2.4
C. Finill, R. Tribe
There is a paucity of research on the experience of daughters of mothers with dementia, who do not live together. This research explores how daughters experience having a mother with dementia.Seven semi-structured interviews with daughters of mothers with dementia, were conducted. Interview accounts were analysed using thematic analysis.The main themes of Bewilderment and Fear, and Transformed Relationships were identified. The analysis indicated that the experiences described were, at times, distressing for the daughters and there was a perceived lack of professional help to support both mothers and daughters through the changes. However, the analysis also indicated that some daughters experienced transformative ways to make thoughtful new connections and aspects of the relationship with their mothers were described as having improved.It is proposed that it could be helpful if professional services recognised that having a mother with dementia can be a challenging experience, even if mothers and daughters do not live together. It is also proposed that services need to continue to be improved for both mothers and daughters.
{"title":"How do daughters experience having a mother with dementia?","authors":"C. Finill, R. Tribe","doi":"10.53841/bpscpr.2017.32.2.4","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.2.4","url":null,"abstract":"There is a paucity of research on the experience of daughters of mothers with dementia, who do not live together. This research explores how daughters experience having a mother with dementia.Seven semi-structured interviews with daughters of mothers with dementia, were conducted. Interview accounts were analysed using thematic analysis.The main themes of Bewilderment and Fear, and Transformed Relationships were identified. The analysis indicated that the experiences described were, at times, distressing for the daughters and there was a perceived lack of professional help to support both mothers and daughters through the changes. However, the analysis also indicated that some daughters experienced transformative ways to make thoughtful new connections and aspects of the relationship with their mothers were described as having improved.It is proposed that it could be helpful if professional services recognised that having a mother with dementia can be a challenging experience, even if mothers and daughters do not live together. It is also proposed that services need to continue to be improved for both mothers and daughters.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42791630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-01DOI: 10.53841/bpscpr.2017.32.2.30
Lucie Bartoskova
Recent studies on the effects of trauma work among trauma therapists have shown that the outcome is not exclusively negative, as trauma therapists also report positive experiences known as post-traumatic growth. Some preliminary understandings have emerged from limited research of individuals’ experience of post-traumatic growth in trauma therapists. This study has therefore been designed to gain insights into trauma therapists’ experiences of their trauma work and to understand the potential factors enabling post-traumatic growth.To gain an understanding of the trauma work individualistic experience, qualitative approach has been adapted. A total of 10 self-identified trauma therapists who met the inclusion criteria completed a short demographic information sheet and participated in a semi-structured interview. The data was analysed in accordance with the Interpretative Phenomenological Analysis (IPA) and Smith (1996) method.Participants’ perceptions about their experience of working with trauma clients indicated four superordinate themes: ‘responding to a client’, ‘noticing growth in self’, ‘making a difference’, and ‘finding their own ways to process the trauma work’.The emerging themes indicate that therapists experience a wave in terms of the trauma work’s impact, rather than simply being a negative or positive type of work. The data indicates that trauma therapists also experience growth from their work, contradicting most prior studies on the impact of trauma work on therapists. The findings are further discussed in relation to the implications for therapists and importance of self-care.
{"title":"How do trauma therapists experience the effects of their trauma work, and are there common factors leading to post-traumatic growth?","authors":"Lucie Bartoskova","doi":"10.53841/bpscpr.2017.32.2.30","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.2.30","url":null,"abstract":"Recent studies on the effects of trauma work among trauma therapists have shown that the outcome is not exclusively negative, as trauma therapists also report positive experiences known as post-traumatic growth. Some preliminary understandings have emerged from limited research of individuals’ experience of post-traumatic growth in trauma therapists. This study has therefore been designed to gain insights into trauma therapists’ experiences of their trauma work and to understand the potential factors enabling post-traumatic growth.To gain an understanding of the trauma work individualistic experience, qualitative approach has been adapted. A total of 10 self-identified trauma therapists who met the inclusion criteria completed a short demographic information sheet and participated in a semi-structured interview. The data was analysed in accordance with the Interpretative Phenomenological Analysis (IPA) and Smith (1996) method.Participants’ perceptions about their experience of working with trauma clients indicated four superordinate themes: ‘responding to a client’, ‘noticing growth in self’, ‘making a difference’, and ‘finding their own ways to process the trauma work’.The emerging themes indicate that therapists experience a wave in terms of the trauma work’s impact, rather than simply being a negative or positive type of work. The data indicates that trauma therapists also experience growth from their work, contradicting most prior studies on the impact of trauma work on therapists. The findings are further discussed in relation to the implications for therapists and importance of self-care.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44319701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-01DOI: 10.53841/bpscpr.2017.32.2.14
Birgit Vote, E. Kasket
Early experiences can have an influence on the adult’s ability to form trusting relationships with others, this can include therapists. Currently, there is a lack of empirical and theoretical understanding of the complexities of the therapeutic relationship when working with adults who were adopted. This study sought to understand the nature of this therapeutic relationship as experienced by therapists.Six homogenous adoption-counsellor participants were purposively sampled; semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). This enabled detailed exploration of the experience of adoption counsellors currently working with adult adoptees. Findings: Analysis produced three master themes: An awareness of the early rejection in all stages of the therapeutic process; a personal commitment to provide a corrective emotional experience; and the psychological consequences of working with adult adopted clients for therapists. The analysis emphasised the challenges that participants perceived in terms of establishing, maintaining and ending the therapeutic relationship with adopted adults.The findings of this study extend the pre-existing research base by emphasising the interconnectedness of the personal and professional experiences of adoption counsellors and the need for flexibility in their practice in each phase of the therapeutic process, predominantly with regard to therapeutic boundaries and engaging in a different ending experience. The study highlights practical implications, particularly the importance of familiarisation with certain aspects of adoption due to their likely influence on the therapeutic relationship, and the need for reflective practice.
{"title":"Therapists’ experience of the therapeutic relationship when working with adults adopted as infants","authors":"Birgit Vote, E. Kasket","doi":"10.53841/bpscpr.2017.32.2.14","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.2.14","url":null,"abstract":"Early experiences can have an influence on the adult’s ability to form trusting relationships with others, this can include therapists. Currently, there is a lack of empirical and theoretical understanding of the complexities of the therapeutic relationship when working with adults who were adopted. This study sought to understand the nature of this therapeutic relationship as experienced by therapists.Six homogenous adoption-counsellor participants were purposively sampled; semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). This enabled detailed exploration of the experience of adoption counsellors currently working with adult adoptees. Findings: Analysis produced three master themes: An awareness of the early rejection in all stages of the therapeutic process; a personal commitment to provide a corrective emotional experience; and the psychological consequences of working with adult adopted clients for therapists. The analysis emphasised the challenges that participants perceived in terms of establishing, maintaining and ending the therapeutic relationship with adopted adults.The findings of this study extend the pre-existing research base by emphasising the interconnectedness of the personal and professional experiences of adoption counsellors and the need for flexibility in their practice in each phase of the therapeutic process, predominantly with regard to therapeutic boundaries and engaging in a different ending experience. The study highlights practical implications, particularly the importance of familiarisation with certain aspects of adoption due to their likely influence on the therapeutic relationship, and the need for reflective practice.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42434301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-01DOI: 10.53841/bpscpr.2017.32.2.57
R. Tribe, Aneta D. Tunariu
This paper will outline how to prepare for, and write up, a good doctoral thesis. It will review strategies to help candidates through the whole process. It will start by looking at the purpose of a thesis, and the importance of developing good academic and personal support structures for candidates. It will go on to outline the pivotal role of planning and preparation of the structure and content, not only at the start, but by reviewing and amending the plan throughout the process. Some of the common psychological and practical dilemmas and experiences that are likely to unfold during the writing up process will be reviewed and a range of strategies for dealing with these will be provided, including some given by recent doctoral graduates. It will explain the importance of developing a relationship with the supervisory team that supports and facilitates the doctoral candidate’s progress and the importance of complying with departmental/university requirements. The authors also give suggestions about the organisation and structure of a thesis and map out core milestones and a timeline which should make successful completion of a doctorate more likely and less stressful.
{"title":"Preparing for and writing up your doctoral thesis","authors":"R. Tribe, Aneta D. Tunariu","doi":"10.53841/bpscpr.2017.32.2.57","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.2.57","url":null,"abstract":"This paper will outline how to prepare for, and write up, a good doctoral thesis. It will review strategies to help candidates through the whole process. It will start by looking at the purpose of a thesis, and the importance of developing good academic and personal support structures for candidates. It will go on to outline the pivotal role of planning and preparation of the structure and content, not only at the start, but by reviewing and amending the plan throughout the process. Some of the common psychological and practical dilemmas and experiences that are likely to unfold during the writing up process will be reviewed and a range of strategies for dealing with these will be provided, including some given by recent doctoral graduates. It will explain the importance of developing a relationship with the supervisory team that supports and facilitates the doctoral candidate’s progress and the importance of complying with departmental/university requirements. The authors also give suggestions about the organisation and structure of a thesis and map out core milestones and a timeline which should make successful completion of a doctorate more likely and less stressful.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45552130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.53841/bpscpr.2017.32.1.16
Del Naidoo
Controlled drug use has been described by previous researchers however few such studies explored the clubbing or gay/bisexual populations. Research into gay/bisexual men’s drug-taking fails to acknowledge the possibilities of controlled drug use. This study takes a qualitative approach to the data in an attempt to explore the phenomenon as it exists.Eight men who identified as gay/bisexual and took drugs on a controlled basis participated in semi-structured interviews. Interpretative phenomenological analysis (IPA) was used to analyse the data, indicating themes emerging from the participants’ communicated experiences.Analysis revealed a significant theme related to control and organisation, depicting how participants maintained a sense of control over their drug use and what helped this sense of control in use. Results show that not all gay/bisexual men’s drug use follows a usage-addiction pattern and that controlled drug use is possible. Participants indicated that they were able to control their drug use through an interaction of personality traits, social factors and self-knowledge.The research enhances the understanding of controlled drug use, especially within the gay/bisexual clubbing sub-culture. Furthermore, it clarifies strategies that could be useful for other drug-taking populations who wish to control their drug use. The cycle of and reasons for the drug-taking behaviour are possible routes for further research.
{"title":"Studying the experiences of gay/bisexual men who take drugs on a controlled basis when clubbing","authors":"Del Naidoo","doi":"10.53841/bpscpr.2017.32.1.16","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.1.16","url":null,"abstract":"Controlled drug use has been described by previous researchers however few such studies explored the clubbing or gay/bisexual populations. Research into gay/bisexual men’s drug-taking fails to acknowledge the possibilities of controlled drug use. This study takes a qualitative approach to the data in an attempt to explore the phenomenon as it exists.Eight men who identified as gay/bisexual and took drugs on a controlled basis participated in semi-structured interviews. Interpretative phenomenological analysis (IPA) was used to analyse the data, indicating themes emerging from the participants’ communicated experiences.Analysis revealed a significant theme related to control and organisation, depicting how participants maintained a sense of control over their drug use and what helped this sense of control in use. Results show that not all gay/bisexual men’s drug use follows a usage-addiction pattern and that controlled drug use is possible. Participants indicated that they were able to control their drug use through an interaction of personality traits, social factors and self-knowledge.The research enhances the understanding of controlled drug use, especially within the gay/bisexual clubbing sub-culture. Furthermore, it clarifies strategies that could be useful for other drug-taking populations who wish to control their drug use. The cycle of and reasons for the drug-taking behaviour are possible routes for further research.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49193140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.53841/bpscpr.2017.32.1.44
Caroline Vermes
This paper argues that counselling psychology has been shaped by the philosophical and cultural value of individualism. Counselling psychology’s reliance on individual therapy models hinders its potential to actively address social issues that cause or exacerbate many mental health problems. The history and role of UK state-funded individual therapy markets, which employ a significant proportion of counselling psychologists, is examined. Some origins and consequences of counselling psychology’s individualistic ideals are explored. The professionalisation of personal therapy in the UK is traced to the USA and the development of humanistic psychology in the mid-20th century. Humanistic ideals are traced back further, to the 18th and 19th century rhetoric of New World democracy. Some undesirable social consequences of individualism are highlighted. In comparison the paper looks at potentially ‘post-individualistic’ therapeutic philosophies, including feminist and social constructionist approaches but finds that, in practice, they also tend to operate as individual therapy models.Individual therapy approaches help people cope with conditions arising from the socioeconomic status quo, but don’t necessarily challenge it. Evolving counselling psychology research and practice into more demonstrably socially transformative ways of working would require substantive, and probably unpopular, changes in training, regulation, career pathways and professional identity.
{"title":"The individualism impasse in counselling psychology","authors":"Caroline Vermes","doi":"10.53841/bpscpr.2017.32.1.44","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.1.44","url":null,"abstract":"This paper argues that counselling psychology has been shaped by the philosophical and cultural value of individualism. Counselling psychology’s reliance on individual therapy models hinders its potential to actively address social issues that cause or exacerbate many mental health problems. The history and role of UK state-funded individual therapy markets, which employ a significant proportion of counselling psychologists, is examined. Some origins and consequences of counselling psychology’s individualistic ideals are explored. The professionalisation of personal therapy in the UK is traced to the USA and the development of humanistic psychology in the mid-20th century. Humanistic ideals are traced back further, to the 18th and 19th century rhetoric of New World democracy. Some undesirable social consequences of individualism are highlighted. In comparison the paper looks at potentially ‘post-individualistic’ therapeutic philosophies, including feminist and social constructionist approaches but finds that, in practice, they also tend to operate as individual therapy models.Individual therapy approaches help people cope with conditions arising from the socioeconomic status quo, but don’t necessarily challenge it. Evolving counselling psychology research and practice into more demonstrably socially transformative ways of working would require substantive, and probably unpopular, changes in training, regulation, career pathways and professional identity.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44245386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.53841/bpscpr.2017.32.1.5
Cemil Egeli
There is paucity of counselling psychology literature which explores the experience of people coming from a mixed cultural background. The literature available focuses on developmental theories and cultural competencies of practitioners but all too often fails to capture the peculiarities and particularities of the mixed experience. It also has a tendency to focus on ethnic, racial and cultural labels which are not always useful or helpful for people.This paper explores autoethnography as a methodology with which to research the mixed cultural experience. It aims to highlight the importance for the counselling psychology professions of reflexive and subjective research with regards to studying and understanding people’s experiences of mixed culture.It examines the methods and processes used by a researcher in the data gathering, analysis and explication of their own subjective research. It reveals some of the difficulties encountered and ethical decisions which had to be made during the research. In keeping with the ethnographic and creative approach it is written as a self-diaologue and hopes to give the reader a sense of how the research was undertaken.It concludes that autoethnography can highlight the complexities of the experience of people operating between or on the edge of cultures and can bring greater understanding and awareness to counselling professionals who will then hopefully be better enabled to help people.
{"title":"Autoethnography: A methodological chat with self","authors":"Cemil Egeli","doi":"10.53841/bpscpr.2017.32.1.5","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.1.5","url":null,"abstract":"There is paucity of counselling psychology literature which explores the experience of people coming from a mixed cultural background. The literature available focuses on developmental theories and cultural competencies of practitioners but all too often fails to capture the peculiarities and particularities of the mixed experience. It also has a tendency to focus on ethnic, racial and cultural labels which are not always useful or helpful for people.This paper explores autoethnography as a methodology with which to research the mixed cultural experience. It aims to highlight the importance for the counselling psychology professions of reflexive and subjective research with regards to studying and understanding people’s experiences of mixed culture.It examines the methods and processes used by a researcher in the data gathering, analysis and explication of their own subjective research. It reveals some of the difficulties encountered and ethical decisions which had to be made during the research. In keeping with the ethnographic and creative approach it is written as a self-diaologue and hopes to give the reader a sense of how the research was undertaken.It concludes that autoethnography can highlight the complexities of the experience of people operating between or on the edge of cultures and can bring greater understanding and awareness to counselling professionals who will then hopefully be better enabled to help people.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47987608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.53841/bpscpr.2017.32.1.33
H. Davies, Andreea Halewood, L. Johnstone, J. Waite
Many people who experience mental distress will receive a psychiatric diagnosis following assessment. However, while the utility of diagnosis continues to be debated, the impact of diagnosis on the therapeutic relationship has yet to be considered.The purpose of this research was twofold: to explore how working with diagnosed clients is experienced by counselling psychologists; and to formulate an explanatory theory of this process.This was a qualitative study using semi-structured interviews and a grounded theory methodology. Fourteen Chartered Counselling Psychologists and one Chartered Clinical Psychologist were interviewed about their experiences of working with diagnosed clients.Participants adopted one of three responses to diagnosis; ‘uncritically adopting diagnosis’, ‘challenging diagnosis’, and ‘compromising through pragmatic positioning’. Attempting to integrate the opposing paradigms of the counselling psychology philosophy and the medical model resulted in ideological dilemmas and uncertainty which compromised the therapeutic relationship and undermined the counselling psychologists’ professional identity.The process outlined in this study suggests that working with clients who have a psychiatric diagnosis creates uncertainty and ideological dilemmas. Clinical implications, limitations of the study, and suggestions for further research are discussed.
{"title":"Counselling psychologists’ experiences of working with clients with a psychiatric diagnosis: A grounded theory analysis","authors":"H. Davies, Andreea Halewood, L. Johnstone, J. Waite","doi":"10.53841/bpscpr.2017.32.1.33","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.1.33","url":null,"abstract":"Many people who experience mental distress will receive a psychiatric diagnosis following assessment. However, while the utility of diagnosis continues to be debated, the impact of diagnosis on the therapeutic relationship has yet to be considered.The purpose of this research was twofold: to explore how working with diagnosed clients is experienced by counselling psychologists; and to formulate an explanatory theory of this process.This was a qualitative study using semi-structured interviews and a grounded theory methodology. Fourteen Chartered Counselling Psychologists and one Chartered Clinical Psychologist were interviewed about their experiences of working with diagnosed clients.Participants adopted one of three responses to diagnosis; ‘uncritically adopting diagnosis’, ‘challenging diagnosis’, and ‘compromising through pragmatic positioning’. Attempting to integrate the opposing paradigms of the counselling psychology philosophy and the medical model resulted in ideological dilemmas and uncertainty which compromised the therapeutic relationship and undermined the counselling psychologists’ professional identity.The process outlined in this study suggests that working with clients who have a psychiatric diagnosis creates uncertainty and ideological dilemmas. Clinical implications, limitations of the study, and suggestions for further research are discussed.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46076161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.53841/bpscpr.2017.32.3.26
E. H. Chtereva
A great number of Central and Eastern European immigrants have moved to the UK since 2004, and a better understanding of their help-seeking behaviour is needed. This study aimed to explore how the experience of immigration had impacted on the wellbeing of some Central and Eastern European immigrants, whether these immigrants had sought help for any psychological distress, and to explore the support needs of this particular population.A qualitative design was employed. Semi-structured interviews were conducted with four male and twelve female immigrants from Central and Eastern Europe living in the UK. Interview transcripts were analysed using inductive thematic analysis.Four overarching themes were identified in the analysis: immigration experience; views and meanings of mental health; help-seeking experience and addressing immigrants’ emotional needs. Participants in the study reported having good mental health and the ability to deal with distress, but highlighted that a lack of English proficiency, low job attainment and experiences of prejudice and discrimination negatively affected their psychological health.The results offered a thorough description and understanding of some immigrants’ experiences, the meanings attributed to these experiences, and their needs concerning psychological health. Some possible implications for working with this minority group are discussed from a social justice perspective, including the recommendation to apply contextual approaches such as relational cultural theory.
{"title":"Becoming ‘another brick in the wall’: A thematic analysis of Central and Eastern European immigrants’ experience of psychological distress and help-seeking","authors":"E. H. Chtereva","doi":"10.53841/bpscpr.2017.32.3.26","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.3.26","url":null,"abstract":"A great number of Central and Eastern European immigrants have moved to the UK since 2004, and a better understanding of their help-seeking behaviour is needed. This study aimed to explore how the experience of immigration had impacted on the wellbeing of some Central and Eastern European immigrants, whether these immigrants had sought help for any psychological distress, and to explore the support needs of this particular population.A qualitative design was employed. Semi-structured interviews were conducted with four male and twelve female immigrants from Central and Eastern Europe living in the UK. Interview transcripts were analysed using inductive thematic analysis.Four overarching themes were identified in the analysis: immigration experience; views and meanings of mental health; help-seeking experience and addressing immigrants’ emotional needs. Participants in the study reported having good mental health and the ability to deal with distress, but highlighted that a lack of English proficiency, low job attainment and experiences of prejudice and discrimination negatively affected their psychological health.The results offered a thorough description and understanding of some immigrants’ experiences, the meanings attributed to these experiences, and their needs concerning psychological health. Some possible implications for working with this minority group are discussed from a social justice perspective, including the recommendation to apply contextual approaches such as relational cultural theory.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71098714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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