Crystal methamphetamine, also known as “ice” or “crystal meth,” is a potent psychostimulant drug that can cause irreversible physical and psychological damage to users (Halkitis, 2009). This qualitative research investigated the lived experiences of users, the background of their addiction, and the effects of using this drug. Six men between 31 and 39 years of age participated in the research. Three main themes emerged from the data: context, aftermath, and recovery. Respondents identified an inability to cope with dysfunctional family environments and negative social influences as the main causes of their crystal methamphetamine addiction, which resulted in significant adverse effects on their physical and mental health, relationships, occupation, and behaviour. They expressed a need for integrated and family focussed services, as well as a decriminalised approach towards crystal methamphetamine usage to help individuals and their families in the recovery journey.
{"title":"The Lived Experiences of Adult Crystal Methamphetamine Users: A Qualitative Study","authors":"Girija Dadhe, Cathy Bettman","doi":"10.59158/001c.71114","DOIUrl":"https://doi.org/10.59158/001c.71114","url":null,"abstract":"Crystal methamphetamine, also known as “ice” or “crystal meth,” is a potent psychostimulant drug that can cause irreversible physical and psychological damage to users (Halkitis, 2009). This qualitative research investigated the lived experiences of users, the background of their addiction, and the effects of using this drug. Six men between 31 and 39 years of age participated in the research. Three main themes emerged from the data: context, aftermath, and recovery. Respondents identified an inability to cope with dysfunctional family environments and negative social influences as the main causes of their crystal methamphetamine addiction, which resulted in significant adverse effects on their physical and mental health, relationships, occupation, and behaviour. They expressed a need for integrated and family focussed services, as well as a decriminalised approach towards crystal methamphetamine usage to help individuals and their families in the recovery journey.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134263926","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}
{"title":"Editorial Note","authors":"Kim Dunphy","doi":"10.59158/001c.71186","DOIUrl":"https://doi.org/10.59158/001c.71186","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129355116","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}
This article is a response to an assumption in Cognitive Behaviour Therapy (CBT) theory that core beliefs are central to the existence of client distress and to the mitigation of it. The paper contains an analysis of the verbal content of a demonstration of CBT therapy in Module 1 of a course, “CBT Fundamentals” provided by the Australian Psychological Society, and a case is made supporting the proposition that the methods that privilege the search for, and manipulation of, core beliefs is too parsimonious a way of explaining both the processes and outcomes of otherwise high quality therapy. An alternative view is canvassed to the effect that the aesthetic qualities present in the work of Nick, the therapist who demonstrated CBT, are what better account for the successful work. Meta-analyses of research, supposed to give evidence of the superior effectiveness of CBT, are also reviewed and contextualised. The concept of the aesthetic is then placed within philosophical and humanist-existential frameworks claimed to be used by humanist/existential counselling psychologists. Finally, researchable questions are suggested as ways of exploring and validating the claims made in this paper. Public Health Significance: The paper provides a challenge to scientism embedded in the theory and practice of Cognitive Behaviour Therapy. The challenge is the author’s way of highlighting the distancing that arises from objectification of client problems. It is also intended as a challenge to the scientism that presently pervades psychology as a discipline.
{"title":"Counselling Psychology: Aesthetics as a Core Frame of Reference","authors":"G. Wills","doi":"10.59158/001c.71191","DOIUrl":"https://doi.org/10.59158/001c.71191","url":null,"abstract":"This article is a response to an assumption in Cognitive Behaviour Therapy (CBT) theory that core beliefs are central to the existence of client distress and to the mitigation of it. The paper contains an analysis of the verbal content of a demonstration of CBT therapy in Module 1 of a course, “CBT Fundamentals” provided by the Australian Psychological Society, and a case is made supporting the proposition that the methods that privilege the search for, and manipulation of, core beliefs is too parsimonious a way of explaining both the processes and outcomes of otherwise high quality therapy. An alternative view is canvassed to the effect that the aesthetic qualities present in the work of Nick, the therapist who demonstrated CBT, are what better account for the successful work. Meta-analyses of research, supposed to give evidence of the superior effectiveness of CBT, are also reviewed and contextualised. The concept of the aesthetic is then placed within philosophical and humanist-existential frameworks claimed to be used by humanist/existential counselling psychologists. Finally, researchable questions are suggested as ways of exploring and validating the claims made in this paper. Public Health Significance: The paper provides a challenge to scientism embedded in the theory and practice of Cognitive Behaviour Therapy. The challenge is the author’s way of highlighting the distancing that arises from objectification of client problems. It is also intended as a challenge to the scientism that presently pervades psychology as a discipline.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133577022","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}
Annemarie Klingenberg, Johannes M. Luetz, Ann Crawford
Globalisation has increased human migration, spawning issues of identity, integration and wellbeing (Wampole, 2016; Hsu, 2011; Elliot, 2011; Bauman, 1996). Reaching beyond the traditional perspective that conceives of persons primarily as individuals, this research offers insights into impacts on migrants’ relational and social identities by specifically focusing on “sense of belonging” as a key area of interest. It also extends traditional acculturation models by applying transnationalism to migrants’ lived experience of “dual belonging”. Based on qualitative approaches, this research uses grounded theory set in social constructionism, and involved participants who were South African migrants residing in Adelaide, Australia. Response analysis revealed core themes of belonging in South Africa and Australia, factors affecting belonging, and loss or weakened belonging over time. Findings highlight “a sense of belonging” as a key success factor for the nurture of social identity, and practical strategies for migrants and mental health professionals are suggested that have the potential to help mitigate the loss of a sense of belonging, strengthen migrant resilience, underpin their agency and resourcefulness, and provide hope.
{"title":"Mitigating Developmental Crises for Migrants From South Africa: The Role and Significance of “A Sense of Belonging”","authors":"Annemarie Klingenberg, Johannes M. Luetz, Ann Crawford","doi":"10.59158/001c.71189","DOIUrl":"https://doi.org/10.59158/001c.71189","url":null,"abstract":"Globalisation has increased human migration, spawning issues of identity, integration and wellbeing (Wampole, 2016; Hsu, 2011; Elliot, 2011; Bauman, 1996). Reaching beyond the traditional perspective that conceives of persons primarily as individuals, this research offers insights into impacts on migrants’ relational and social identities by specifically focusing on “sense of belonging” as a key area of interest. It also extends traditional acculturation models by applying transnationalism to migrants’ lived experience of “dual belonging”. Based on qualitative approaches, this research uses grounded theory set in social constructionism, and involved participants who were South African migrants residing in Adelaide, Australia. Response analysis revealed core themes of belonging in South Africa and Australia, factors affecting belonging, and loss or weakened belonging over time. Findings highlight “a sense of belonging” as a key success factor for the nurture of social identity, and practical strategies for migrants and mental health professionals are suggested that have the potential to help mitigate the loss of a sense of belonging, strengthen migrant resilience, underpin their agency and resourcefulness, and provide hope.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115494346","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}
{"title":"Rhythms of Relating in Children’s Therapies: Connecting Creatively With Vulnerable Children. Stuart Daniel and Colwyn Trevarthen (Eds). London, Philadelphia PA: Jessica Kingsley Publishers, 2017. 374 pp. Illustrated","authors":"S. Denning","doi":"10.59158/001c.71193","DOIUrl":"https://doi.org/10.59158/001c.71193","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116093795","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}
The intergenerational impact of psychological trauma and the repercussions that trauma can have upon an entire family system suggests individual therapy alone may be insufficient. The aim of this paper is to critically examine the Family Constellation Therapy approach as a potential therapy option for responding to intergenerational trauma. This paper initially discusses the challenges of responding to trauma and then describes Family Constellation Therapy within a practice context. The underpinning philosophy of the therapy is also forwarded. To establish the potential worth of the approach, this paper then reports on the findings from a narrative review of the international peer reviewed literature on Family Constellation Therapy, following with a discussion on its application to intergenerational trauma. The limited evidence available suggests there is worth in integrating Family Constellation Therapy into other therapeutic approaches. There is also a clear need for creating a wider and deeper evidence base for Family Constellation Therapy.
{"title":"Responding to Intergenerational Psychological Trauma: A Literature Review Paper on the Place of Family Constellation Therapy","authors":"J. Hurley, M. Koenning, Angeline Bray","doi":"10.59158/001c.71192","DOIUrl":"https://doi.org/10.59158/001c.71192","url":null,"abstract":"The intergenerational impact of psychological trauma and the repercussions that trauma can have upon an entire family system suggests individual therapy alone may be insufficient. The aim of this paper is to critically examine the Family Constellation Therapy approach as a potential therapy option for responding to intergenerational trauma. This paper initially discusses the challenges of responding to trauma and then describes Family Constellation Therapy within a practice context. The underpinning philosophy of the therapy is also forwarded. To establish the potential worth of the approach, this paper then reports on the findings from a narrative review of the international peer reviewed literature on Family Constellation Therapy, following with a discussion on its application to intergenerational trauma. The limited evidence available suggests there is worth in integrating Family Constellation Therapy into other therapeutic approaches. There is also a clear need for creating a wider and deeper evidence base for Family Constellation Therapy.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134434939","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}
{"title":"Regenerating Images in Memory (RIM): An Introduction for Therapists","authors":"K. Cole","doi":"10.59158/001c.71188","DOIUrl":"https://doi.org/10.59158/001c.71188","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124537950","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}
Perceptions and experiences of supervision were investigated across 23 psychotherapists’ careers from training, through mid-career to senior using a cross-sectional design within an exploratory, qualitative paradigm. Promising beginners and highly regarded mid-career and senior therapists were recruited according to literature-derived criteria for therapeutic expertise. Six beginners, six mid-career, and eleven senior therapists were interviewed about their reasons for becoming and remaining a therapist, their past and current practice, and perceived developmental influences. Supervision was identified as the most valued developmental influence. Interview transcript excerpts coded as pertaining to supervision were subject to inductive content analysis, followed by thematic analysis. Participants reported being highly interconnected and influenced by supervisory relationships, with some relationships spanning decades. This research provides a career-span perspective and contributes to the literature about post-training supervision. Findings offer practice implications for both practitioners and supervisors wishing to optimise the supervision experience.
{"title":"Supervision Across the Career: Perceptions and Experiences of Highly Regarded Trainees and Practicing Therapists","authors":"S. Stewart, J. Simmonds","doi":"10.59158/001c.71040","DOIUrl":"https://doi.org/10.59158/001c.71040","url":null,"abstract":"Perceptions and experiences of supervision were investigated across 23 psychotherapists’ careers from training, through mid-career to senior using a cross-sectional design within an exploratory, qualitative paradigm. Promising beginners and highly regarded mid-career and senior therapists were recruited according to literature-derived criteria for therapeutic expertise. Six beginners, six mid-career, and eleven senior therapists were interviewed about their reasons for becoming and remaining a therapist, their past and current practice, and perceived developmental influences. Supervision was identified as the most valued developmental influence. Interview transcript excerpts coded as pertaining to supervision were subject to inductive content analysis, followed by thematic analysis. Participants reported being highly interconnected and influenced by supervisory relationships, with some relationships spanning decades. This research provides a career-span perspective and contributes to the literature about post-training supervision. Findings offer practice implications for both practitioners and supervisors wishing to optimise the supervision experience.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115052023","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}
In the current Australian public mental health system, in which scarce resources result in a ‘revolving door’ system, pharmacological intervention conveniently takes precedence over its psychological counterpart. Although there is limited capacity for psychodynamic psychotherapy intervention in the public mental health system, I believe many patients could be understood and better managed through psychotherapy, even if it is adapted as an adjunct to biological psychiatry. This case report illustrates the applicability of Kohut’s self psychology principles in approaching psychopathology in the public setting. It is based on the experience of a psychiatry registrar in a public acute inpatient mental health unit which cares for more severe psychiatric patients. It aims to demonstrate the importance of empathic understanding and exchanges within therapeutic relationships, as argued by Kohut, especially in those forced and compromised by involuntary treatment orders, as with most patients encountered in the public setting, exemplified by the case of Fatima.
{"title":"Application of Kohut in Public Mental Health: Understanding Fatima","authors":"Julia Jamaludin","doi":"10.59158/001c.71180","DOIUrl":"https://doi.org/10.59158/001c.71180","url":null,"abstract":"In the current Australian public mental health system, in which scarce resources result in a ‘revolving door’ system, pharmacological intervention conveniently takes precedence over its psychological counterpart. Although there is limited capacity for psychodynamic psychotherapy intervention in the public mental health system, I believe many patients could be understood and better managed through psychotherapy, even if it is adapted as an adjunct to biological psychiatry. This case report illustrates the applicability of Kohut’s self psychology principles in approaching psychopathology in the public setting. It is based on the experience of a psychiatry registrar in a public acute inpatient mental health unit which cares for more severe psychiatric patients. It aims to demonstrate the importance of empathic understanding and exchanges within therapeutic relationships, as argued by Kohut, especially in those forced and compromised by involuntary treatment orders, as with most patients encountered in the public setting, exemplified by the case of Fatima.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124089958","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}
Emerging evidence suggests a bi-directional dynamic between chronic illness and intimate relationships. Moreover, the quality of this relationship affects the capacity of the affected person to manage their illness. Literature directed towards health professionals encourages them to incorporate interventions which account for such factors, so that support service users can better manage their illness and treatment program. There are, however, scarce reports to inform counsellors and couple therapists working with this presentation. In this paper, we outline findings from a scoping literature review which explored published reports on the interplay between chronic illness and relationships; how best to develop and evaluate programs which focus on this intersection; and the potential role of counsellors and couple therapists in supporting clients affected by chronic illness. Author Note: This project received a Health Access Grant from Medtronic Philanthropy. We gratefully acknowledge this support
{"title":"Intimate Relationships and Chronic Illness: A Literature Review for Counsellors and Couple Therapists","authors":"R. Gray, T. Newton-John, Jamie Lee, Claire Ralfs","doi":"10.59158/001c.71182","DOIUrl":"https://doi.org/10.59158/001c.71182","url":null,"abstract":"Emerging evidence suggests a bi-directional dynamic between chronic illness and intimate relationships. Moreover, the quality of this relationship affects the capacity of the affected person to manage their illness. Literature directed towards health professionals encourages them to incorporate interventions which account for such factors, so that support service users can better manage their illness and treatment program. There are, however, scarce reports to inform counsellors and couple therapists working with this presentation. In this paper, we outline findings from a scoping literature review which explored published reports on the interplay between chronic illness and relationships; how best to develop and evaluate programs which focus on this intersection; and the potential role of counsellors and couple therapists in supporting clients affected by chronic illness. Author Note: This project received a Health Access Grant from Medtronic Philanthropy. We gratefully acknowledge this support","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129904878","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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