Pub Date : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.13
Dzintra Stalmeisters
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex illness, one that is devastating and life changing for many people. Early maladaptive schemas (EMS), as described by Young et al., (2003), have been observed in some patients with ME/CFS; seemingly adversely impacting on psychological and physical wellbeing. This study explores the experience of working at schema level with a woman with ME/CFS and endorsed EMS. It provides an overview of the therapeutic treatment, with the aim of adding to the limited research in this area.The instrumental single case study takes place within a clinical context. The client received 20 sessions of therapy. Standard cognitive behavioural therapy (CBT) was initially utilised to work with the client’s depression; once reduced, schema work commenced. Beck’s Depression Inventory (BDI-II) was used to measure mood, and Young’s Schema Questionnaire (YSQ-S3) was employed to measure schemas.By the end of therapy only two schemas from the nine schemas that the client had endorsed at the start of therapy remained at a level of ‘therapeutic significance’; three schemas diminished once the depression had been treated. The client reported that her quality of life had improved and that she had taken up part-time paid employment.The results appear to offer some support for working at schema level with people that have ME/CFS and also endorse EMS. However, treating existing depression first is recommended.
{"title":"Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and early maladaptive schemas: A single case study","authors":"Dzintra Stalmeisters","doi":"10.53841/bpscpr.2018.33.1.13","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.13","url":null,"abstract":"Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex illness, one that is devastating and life changing for many people. Early maladaptive schemas (EMS), as described by Young et al., (2003), have been observed in some patients with ME/CFS; seemingly adversely impacting on psychological and physical wellbeing. This study explores the experience of working at schema level with a woman with ME/CFS and endorsed EMS. It provides an overview of the therapeutic treatment, with the aim of adding to the limited research in this area.The instrumental single case study takes place within a clinical context. The client received 20 sessions of therapy. Standard cognitive behavioural therapy (CBT) was initially utilised to work with the client’s depression; once reduced, schema work commenced. Beck’s Depression Inventory (BDI-II) was used to measure mood, and Young’s Schema Questionnaire (YSQ-S3) was employed to measure schemas.By the end of therapy only two schemas from the nine schemas that the client had endorsed at the start of therapy remained at a level of ‘therapeutic significance’; three schemas diminished once the depression had been treated. The client reported that her quality of life had improved and that she had taken up part-time paid employment.The results appear to offer some support for working at schema level with people that have ME/CFS and also endorse EMS. However, treating existing depression first is recommended.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44274566","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 : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.33
Francesca Palmieri
Counselling psychologists’ experiences of the death of a terminally ill client are substantially under-researched even though they are well positioned to work in this area and previous literature indicates that this might be an important area. The present study has aimed to explore how counselling psychologists make sense of their lived experiences of client death. Two subsidiary aims were to explore what drew counselling psychologists to work with terminally ill clients, and to explore their experiences in terms of personal and professional growth.Semi-structured interviews were conducted with seven counselling psychologists who had experienced the death of a terminally ill client. Their accounts were analysed using Interpretative Phenomenological Analysis (IPA), a qualitative methodology that attempts to illuminate the lived experience of a phenomenon among a small sample of individuals.Three main superordinate themes emerged from the data: (1) Working within the dying space (working when the client outcome is death); (2) Heightened emotional arousal (the raw emotions of working with the existential crisis of death); and (3) Dynamics between professional and personal identity (conflicting aspects of the two identities).This study suggests that counselling psychologists experienced challenges in the complex dynamics between their personal and professional identities, such as ethical dilemmas about whether to attend a funeral and how to set boundaries. Future research could usefully investigate intrinsic motivation to work in this field to support the recruiting of counselling psychologists to work in this area.
{"title":"Counselling psychologists’ experience of the death of a terminally ill client: An interpretative phenomenological analysis","authors":"Francesca Palmieri","doi":"10.53841/bpscpr.2018.33.1.33","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.33","url":null,"abstract":"Counselling psychologists’ experiences of the death of a terminally ill client are substantially under-researched even though they are well positioned to work in this area and previous literature indicates that this might be an important area. The present study has aimed to explore how counselling psychologists make sense of their lived experiences of client death. Two subsidiary aims were to explore what drew counselling psychologists to work with terminally ill clients, and to explore their experiences in terms of personal and professional growth.Semi-structured interviews were conducted with seven counselling psychologists who had experienced the death of a terminally ill client. Their accounts were analysed using Interpretative Phenomenological Analysis (IPA), a qualitative methodology that attempts to illuminate the lived experience of a phenomenon among a small sample of individuals.Three main superordinate themes emerged from the data: (1) Working within the dying space (working when the client outcome is death); (2) Heightened emotional arousal (the raw emotions of working with the existential crisis of death); and (3) Dynamics between professional and personal identity (conflicting aspects of the two identities).This study suggests that counselling psychologists experienced challenges in the complex dynamics between their personal and professional identities, such as ethical dilemmas about whether to attend a funeral and how to set boundaries. Future research could usefully investigate intrinsic motivation to work in this field to support the recruiting of counselling psychologists to work in this area.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49191225","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 : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.24
A. Davies
Leonie Sugarman has previously made the case for counselling psychology to embrace lifespan theories as readily available frameworks that can incorporate the needs of clients in an open and flexible manner without resorting to the medical model. This article advocates again for the uptake of such theories but addresses the issue of their language as something which is fundamentally non -pathological. It is argued that lifespan approaches help in the normalisation of distress rather than view it as ‘abnormal’.One of the key concepts of the lifespan approach is ‘challenges’, something which can account for the ecological role of distress, signifying the importance of individual-environment interactions. They demonstrate that challenges are something to be expected and are ‘normal’ aspects of living. This way distress is not located ‘within’ individuals but in the ways which they relate to their environments.One such model that provides a non-pathological ‘language of challenge’ is ‘The Lifespan Model of Developmental Challenge’ (Hendry & Kloep, 2006, 2012). This framework is discussed in detail. It highlights that development is uniquely personal and can only be understood through use of a narrative account. Practioners ought to be aware of such models which can help bring phenomenology to the surface while at the same time normalising distressing feelings as part of the natural flow of life.
{"title":"From ‘disorder’ to ‘challenge’: Using lifespan development theories to reframe distress","authors":"A. Davies","doi":"10.53841/bpscpr.2018.33.1.24","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.24","url":null,"abstract":"Leonie Sugarman has previously made the case for counselling psychology to embrace lifespan theories as readily available frameworks that can incorporate the needs of clients in an open and flexible manner without resorting to the medical model. This article advocates again for the uptake of such theories but addresses the issue of their language as something which is fundamentally non -pathological. It is argued that lifespan approaches help in the normalisation of distress rather than view it as ‘abnormal’.One of the key concepts of the lifespan approach is ‘challenges’, something which can account for the ecological role of distress, signifying the importance of individual-environment interactions. They demonstrate that challenges are something to be expected and are ‘normal’ aspects of living. This way distress is not located ‘within’ individuals but in the ways which they relate to their environments.One such model that provides a non-pathological ‘language of challenge’ is ‘The Lifespan Model of Developmental Challenge’ (Hendry & Kloep, 2006, 2012). This framework is discussed in detail. It highlights that development is uniquely personal and can only be understood through use of a narrative account. Practioners ought to be aware of such models which can help bring phenomenology to the surface while at the same time normalising distressing feelings as part of the natural flow of life.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48313510","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 : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.2
Esther Ingham
Using a recent, widely-distributed film (that provoked strong reactions and protest across the globe) as its focus, this paper attempts to illustrate the construction of disability as created by the able-bodied majority to be primarily a societal issue of inequality and social justice.Analysis of the film is made using the component parts of Critical Disability Theory (CDT) as a framework with which to identify and disentangle factors that reveal the social construction of disability.The paper identifies factors that, combined, form a dark and potentially sinister objective conceptualisation of disability by the able-bodied that sees disability as a fate worse than death.By bringing to life through analysis the assertion that ‘the personal is political’, the paper suggests that maintaining a reflexive awareness of such negative portrayals of disability is an ethical obligation of counselling psychologists as ambassadors of social justice.
{"title":"Attitudes towards disability in society viewed through the lens of critical disability theory: An analysis ofMe Before You","authors":"Esther Ingham","doi":"10.53841/bpscpr.2018.33.1.2","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.2","url":null,"abstract":"Using a recent, widely-distributed film (that provoked strong reactions and protest across the globe) as its focus, this paper attempts to illustrate the construction of disability as created by the able-bodied majority to be primarily a societal issue of inequality and social justice.Analysis of the film is made using the component parts of Critical Disability Theory (CDT) as a framework with which to identify and disentangle factors that reveal the social construction of disability.The paper identifies factors that, combined, form a dark and potentially sinister objective conceptualisation of disability by the able-bodied that sees disability as a fate worse than death.By bringing to life through analysis the assertion that ‘the personal is political’, the paper suggests that maintaining a reflexive awareness of such negative portrayals of disability is an ethical obligation of counselling psychologists as ambassadors of social justice.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48556580","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 : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.57
L. Johnstone, M. Boyle
{"title":"The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis","authors":"L. Johnstone, M. Boyle","doi":"10.53841/bpscpr.2018.33.1.57","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.57","url":null,"abstract":"","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41503399","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 : 2018-06-01DOI: 10.53841/bpscpr.2018.33.1.60
Barbara Douglas, R. Woolfe, Sheelagh Strawbridge, E. Kasket, Victoria E. Galbraith
{"title":"The Handbook of Counselling Psychology (4th edn)","authors":"Barbara Douglas, R. Woolfe, Sheelagh Strawbridge, E. Kasket, Victoria E. Galbraith","doi":"10.53841/bpscpr.2018.33.1.60","DOIUrl":"https://doi.org/10.53841/bpscpr.2018.33.1.60","url":null,"abstract":"","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45274165","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 : 2017-12-01DOI: 10.53841/bpscpr.2017.32.4.18
T. Ward, A. Plagnol, N. Delrue
This article describes how principles from neuroscience can be used to inform, guide and develop psychotherapy. Such a "neuropsychotherapeutic approach" has been put forward by various authors. In this papers, the current authors develop the notion of "representational space" and illustrate how this can be applied to trauma. Recent cases of trauma resurfacing in elderly clients are used as illustration. Finally, the paper argues that neuroscience can both inform psychotherapeutic practice as well as guide future research.
{"title":"Neuropsychotherapy as an integrative framework in counselling psychology:The example of trauma","authors":"T. Ward, A. Plagnol, N. Delrue","doi":"10.53841/bpscpr.2017.32.4.18","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.4.18","url":null,"abstract":"This article describes how principles from neuroscience can be used to inform, guide and develop psychotherapy. Such a \"neuropsychotherapeutic approach\" has been put forward by various authors. In this papers, the current authors develop the notion of \"representational space\" and illustrate how this can be applied to trauma. Recent cases of trauma resurfacing in elderly clients are used as illustration. Finally, the paper argues that neuroscience can both inform psychotherapeutic practice as well as guide future research.","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45930783","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 : 2017-12-01DOI: 10.53841/bpscpr.2017.32.4.39
E. Seeto, Kate Scruby, Tina Greenhill
{"title":"‛Your whole life becomes a recovery‚: Experiences of young adults following acquired brain injury","authors":"E. Seeto, Kate Scruby, Tina Greenhill","doi":"10.53841/bpscpr.2017.32.4.39","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.4.39","url":null,"abstract":"","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46796943","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 : 2017-12-01DOI: 10.53841/bpscpr.2017.32.4.29
H. Fairfax
{"title":"Incorporating a neuropsychological perspective into practice: A practical guide","authors":"H. Fairfax","doi":"10.53841/bpscpr.2017.32.4.29","DOIUrl":"https://doi.org/10.53841/bpscpr.2017.32.4.29","url":null,"abstract":"","PeriodicalId":36758,"journal":{"name":"Counselling Psychology Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46011077","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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