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Counselling psychology in 10 years 咨询心理学十年
Pub Date : 2019-12-01 DOI: 10.53841/bpscpr.2019.34.2.5
Helen Nicholas
In this article, the author talks about seeing the positive changes in the counselling psychology. Topics include how counselling psychologists contribute to the growth needed within mental health services and the mental health workforce and influencing governmental policies on mental health; and future of counselling psychology in terms of training and funding of trainees and those wanting to pursue a career as a counselling psychologist.
在这篇文章中,作者谈到了看到心理咨询的积极变化。主题包括心理咨询心理学家如何促进心理健康服务和心理健康工作人员所需的增长,以及如何影响政府的心理健康政策;以及咨询心理学的未来在培训和资助受训者以及那些想要从事咨询心理学家职业的人方面。
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引用次数: 0
Into the future 展望未来
Pub Date : 2019-12-01 DOI: 10.53841/bpscpr.2019.34.2.19
Peter Robert Martin
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引用次数: 0
Editorial: CPR – The last 10 years and the next 社论:CPR——过去10年和未来
Pub Date : 2019-12-01 DOI: 10.53841/bpscpr.2019.34.2.1
C. Richards
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引用次数: 2
Counselling psychology as observed by a drone1 从drone1观察到的咨询心理学
Pub Date : 2019-12-01 DOI: 10.53841/bpscpr.2019.34.2.12
R. Goldstein
Whilst many counselling psychologists have done excellent work, there are many questions to be raised. Have the structures which came into being around 10–12 years ago helped or hindered? Have we had sufficient empirical tools to hand to test the outcomes of our labours? Is the current training wide enough and deep enough? What of our theoretical concerns and value systems?These issues are briefly commented upon and pointers to the future are outlined with the hope that a kind reader might be encouraged to pursue a refreshed direction with beneficial outcomes for their varied clients.
虽然许多咨询心理学家做了出色的工作,但仍有许多问题有待提出。10-12年前形成的结构是有帮助还是有阻碍?我们有足够的经验工具来检验我们的劳动成果吗?目前的培训是否足够宽、足够深?我们的理论关注点和价值体系呢?对这些问题进行了简要的评论,并概述了对未来的指示,希望能够鼓励善良的读者追求一个更新的方向,为他们不同的客户带来有益的结果。
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引用次数: 0
Counselling psychologists’ anti-discriminatory awareness and practice in the UK: Exploring the relationship between self-awareness of beliefs and attitudes in relation to difference and diversity and therapeutic practice 咨询英国心理学家的反歧视意识和实践:探索与差异和多样性相关的信仰和态度的自我意识与治疗实践之间的关系
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.4
Maureen Campbell-Balcom, Tasim Martin-Berg
Research suggests that a therapist who works dynamically with their own explicit and implicit beliefs and attitudes, sourced in their own multilayered lived experience, may be better able to appreciate, and more accurately perceive, a clients’ lived experience. This study aims to explore counselling psychologists’ narratives around anti-discriminatory practice and to examine how counselling psychologists utilise self-awareness to make meaning of and to address the influence of potentially biasing explicit and implicit beliefs, on the therapeutic process in relation to difference and diversity.Semi-structured interviews were carried out with six qualified counselling psychologists who graduated from UK-based counselling psychology doctoral programmes within five years previous to the study. Verbatim transcripts of the interviews were analysed using Interpretative Phenomenological Analysis (IPA).The analysis produced three master themes: ‘Views toward anti-discriminatory practice’; ‘Reflections on self-awareness of beliefs and attitudes in relation to difference and diversity’; and ‘Actively working with difference and diversity in the therapy room’.The findings substantiate counselling psychologist’s multifaceted and critical stance on anti-discriminatory practice. Participants were conscious of and sensitive to the relationship between self-awareness of potentially biasing beliefs and attitudes in relation to difference and diversity and therapeutic practice. Moreover, the findings suggest that core humanistic therapeutic skills, when aided by self-awareness and a reflective practice, can monitor potentially biasing and prejudicial attitudes in Counselling Psychology practice, thus providing a foundation for ADP from a counselling psychology perspective.
研究表明,治疗师根据自己的多层次生活体验,动态地运用自己的显性和隐性信仰和态度,可能能够更好地欣赏和更准确地感知客户的生活体验。本研究旨在探索咨询心理学家围绕反歧视实践的叙述,并研究咨询心理学家如何利用自我意识来理解和解决潜在的显性和隐性偏见对差异和多样性治疗过程的影响。对六名在研究前五年内从英国咨询心理学博士课程毕业的合格咨询心理学家进行了半结构化访谈。使用解释现象学分析(IPA)对访谈的逐字记录进行了分析。该分析产生了三个主要主题:“对反歧视做法的看法”对与差异和多样性有关的信仰和态度的自我意识的思考”;以及“在治疗室积极处理差异和多样性”。研究结果证实了咨询心理学家对反歧视做法的多方面和批判性立场。参与者意识到并敏感地认识到潜在偏见信念和态度的自我意识与差异和多样性以及治疗实践之间的关系。此外,研究结果表明,在自我意识和反思实践的帮助下,核心人文治疗技能可以监测咨询心理学实践中潜在的偏见和偏见态度,从而从咨询心理学的角度为ADP提供基础。
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引用次数: 0
The ripple effect: Exploring the impact of therapeutic endings upon trainee counselling psychologists 连锁反应:探索治疗结局对实习咨询心理学家的影响
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.15
Elaine Turtle
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引用次数: 1
Presence and personality: A factoral exploration of the relationship between facets of dispositional mindfulness and personality 存在与人格:性格正念与人格之间关系的因素探索
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.27
Phillip Mather, T. Ward, R. Cheston
The purpose of this study is to explore the relationship between the discrete facets of personality and dispositional, or trait-like, mindfulness.The study employed a factoral quantitative design and 229 participants completed two online measures, the Five Factor Mindfulness Questionnaire (FFMQ) and the NEO-PI-R Personality Questionnaire. The latter measured the ‘Big Five’ factors of personality (Neuroticism, Extraversion, Openness, Agreeableness and Conscientiousness) and their 30 associated facets. Participant data was analysed via factor analysis utilising scores across all 35 variables, that is, the five dispositional mindfulness domains plus the 30 personality facets.Analysis resulted in the emergence of a five-factor model. These five ‘new’ factors aligned closely with the ‘Big Five’ personality factors. Hence, dispositional mindfulness domains were statistically indistinct from established factors of personality. Notably, three out of the five FFMQ dispositional mindfulness domains (namely, Non-Judging of Inner Experience, Non-Reactivity to Inner Experience, and Acting with Awareness) loaded inversely on to the ‘Neuroticism’ factor. Additionally, two FFMQ domains (Acting with Awareness and Describing) loaded positively on to ‘Conscientiousness’, while one FFMQ domain (Observe) loaded positively on to ‘Openness’. These results align with previous studies conducted at factor level and deepen understanding of facet- level relationships.Mindfulness training as a clinical intervention is now utilised extensively, often within the context of a broader counselling approach. The results of this study suggest that tailoring such clinical mindfulness interventions more to the client’s particular personality and needs may maximise benefit and negate the possibility of harmful consequences. For example, accentuating self-compassion, perhaps by setting the work in the context of a richer compassion-based approach, could be beneficial for a deeply self-critical client scoring highly on Neuroticism.
本研究的目的是探索人格的离散方面与性格或特质型正念之间的关系。该研究采用因子定量设计,229名参与者完成了两项在线测量,即五因子正念问卷(FFMQ)和NEO-PI-R人格问卷。后者测量了人格的“五大”因素(神经质、外向性、开放性、随和性和尽责性)及其30个相关方面。参与者数据通过因子分析进行分析,利用所有35个变量的得分,即五个倾向性正念领域加上30个人格方面。分析结果产生了一个五因素模型。这五个“新”因素与“五大”人格因素密切相关。因此,在统计学上,性格正念领域与既定的人格因素是模糊的。值得注意的是,五个FFMQ倾向性正念领域中有三个(即,对内在体验的不判断、对内在经验的不反应和凭意识行事)与“神经质”因素呈反比。此外,两个FFMQ域(感知和描述)正向加载到“良心”,而一个FFMQ域名(观察)正向加载“开放性”。这些结果与先前在因子水平上进行的研究一致,并加深了对方面水平关系的理解。正念训练作为一种临床干预措施现在被广泛使用,通常是在更广泛的咨询方法的背景下。这项研究的结果表明,更多地根据客户的特定个性和需求调整这种临床正念干预措施,可以最大限度地提高收益,并消除有害后果的可能性。例如,强调自我同情,也许可以将作品放在更丰富的基于同情的方法的背景下,这对一个在神经质方面得分很高的自我批评的客户来说是有益的。
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引用次数: 0
Schizophrenia and schizoaffective disorder and the therapeutic relationship: Client perspectives 精神分裂症和分裂情感性障碍及其治疗关系:病人观点
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.41
Katie McInnes, Alex Hudson-Craufurd
At the heart of counselling psychology (CoP) practice is the use of the therapeutic relationship (TR). However, there is little research about the TR and schizophrenia/schizoaffective from a CoP or client perspective.The aim of this study was to explore how adults diagnosed with schizophrenia or schizoaffective disorder experience the TR and discover what factors influence the relationship.Four participants were interviewed and the data was analysed using thematic analysis.The analysis revealed six main themes: TR is special; trust; TR is a mirror; the management of symptoms; therapist factors; and client factors.The results indicate that clients with schizophrenia/schizoaffective generally experience a positive TR. Practitioners might encourage a healthy TR by giving the client power and control, creating trustworthiness, being open to symptoms, showing understanding, having a flexible approach and offering self-disclosure. The strengths of the study included the original design and aims of the study, the TR as a primary focus, the characteristics of the participants, respondent validation and the emphasis on client perspectives. Key limitations of the study were the small number of participants, lack of data saturation, over-representation of female participants and the use of one coder.The study suggests that clients with schizophrenia/schizoaffective disorder generally develop a positive therapeutic relationship. The study offers client-based insight about the therapeutic relationship and provides recommendations on how clinicians can use these insights to aid their practice.
咨询心理学(CoP)实践的核心是治疗关系(TR)的使用。然而,很少有从CoP或客户角度研究TR与精神分裂症/情感分裂的关系。本研究的目的是探讨被诊断为精神分裂症或分裂情感障碍的成年人如何经历TR,并发现影响这种关系的因素。对四名参与者进行了访谈,并使用专题分析对数据进行了分析。分析揭示了六个主要主题:TR是特殊的;信任;TR是一面镜子;对症状的处理;治疗师因素;还有客户因素。结果表明,患有精神分裂症/情感分裂的来访者通常会经历积极的TR。从业者可以通过给予来访者权力和控制权、建立信任感、对症状持开放态度、表现出理解、采取灵活的方法和提供自我披露来鼓励健康的TR。该研究的优势包括研究的原始设计和目的,TR作为主要焦点,参与者的特征,受访者验证以及对客户观点的强调。该研究的主要局限性是参与者数量少,缺乏数据饱和,女性参与者的过度代表以及使用一名编码员。研究表明,精神分裂症/分裂情感障碍患者通常会发展出积极的治疗关系。该研究提供了关于治疗关系的基于客户的见解,并就临床医生如何使用这些见解来帮助他们的实践提供了建议。
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引用次数: 0
Detransition rates in a large national gender identity clinic in the UK 英国一个大型国家性别认同诊所的变性率
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.60
C. Richards, J. Doyle
Detransition – reverting to birth assigned gender after transition to another gender – may be considered to be a part of people’s exploration of their gender; but may also cause regret if irreversible changes have been undertaken. In nationalised healthcare it is therefore important to determine rates of detransition as they are important in ensuring health and wellbeing.End rates of detransition of patients at The Nottingham Centre for Transgender Health were reviewed. Taking a random sample of patient files (N=303), all were thoroughly investigated for any evidence of detransitioning.Only one case of a detransition was found (0.33 per cent). An additional two cases had noted a history of detransition before coming to the Nottingham Centre for Transgender Health specifically (0.99 per cent).This study concludes that the standards of care used within this service therefore appear to be working satisfactorily in relation to detransition. With such a low prevalence, there is no justification in slowing the pathway for other patients in order to prevent detransition as such slowing would likely have a deleterious effect on the mental health of the vast majority.
变性——在转变为另一种性别后恢复到出生时指定的性别——可能被认为是人们探索自己性别的一部分;但如果发生了不可逆转的变化,也可能引起遗憾。因此,在国有化的医疗保健中,确定去转型率很重要,因为它们对确保健康和福祉很重要。对诺丁汉跨性别健康中心的患者变性终止率进行了审查。随机抽取患者档案样本(N=303),对所有患者档案进行彻底调查,以确定是否存在去变性的证据。只有一例(0.33%)出现变性障碍。另外两例患者在来到诺丁汉跨性别健康中心之前(0.99%)有变性病史。本研究得出结论,该服务中使用的护理标准似乎在变性方面起到了令人满意的作用。由于发病率如此之低,没有理由为了防止去变性而减缓其他患者的发病途径,因为这种减缓可能会对绝大多数人的心理健康产生有害影响。
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引用次数: 3
Gender dysphoria and the mirror: A mediator between the first person and third person perspective 性别焦虑与镜子:第一人称视角与第三人称视角之间的中介
Pub Date : 2019-06-01 DOI: 10.53841/bpscpr.2019.34.1.51
Laura Scarrone Bonhomme
This article seeks to demystify Gender Dysphoria by offering a theoretical framework to formulate dissonance between the internal sense of gender (through interoceptive, proprioceptive, and exteroceptive sensation), body image, and socialisation. We will focus on the psychotherapeutic applicability of this model, offering a clinical case example and suggesting concrete psychological explorations of the person’s relationship with the mirror.
本文试图通过提供一个理论框架来阐明性别的内在感觉(通过内感受、本体感受和外感受)、身体形象和社会化之间的不和谐,从而揭开性别障碍的神秘面纱。我们将重点关注这个模型在心理治疗上的适用性,提供一个临床案例,并建议对人与镜子的关系进行具体的心理探索。
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引用次数: 0
期刊
Counselling Psychology Review
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