During lockdown in response to COVID-19, students in the Master of Psychotherapy at Auckland University of Technology were required to rapidly move their clinical work online. We surveyed these students about their experience of working clinically online. We used a mixed-methods approach and analysed qualitative data using grounded theory methods. Students found the move online challenging in terms of the technological challenges, lack of professional clinical space, and establishing and maintaining the therapeutic alliance. Students showed a strong preference for in-person (or, face-to-face) clinical work, along with scepticism about the efficacy of online therapy, though some acknowledged its convenience and others its currency and relevance. Most expressed a need for more specific training in online therapy. The literature finds equivalence between the effectiveness of in-person and online therapy. However, it acknowledges that online therapy can impose increased strain on clinicians and finds that clinician expectations directly impact their capacity to manage online clinical work.
{"title":"Zoomed Out: Trainee Psychotherapist Perspectives on Online Clinical Work During the COVID-19 Pandemic","authors":"Elizabeth Day, Kerry Thomas-Anttila","doi":"10.59158/001c.71080","DOIUrl":"https://doi.org/10.59158/001c.71080","url":null,"abstract":"During lockdown in response to COVID-19, students in the Master of Psychotherapy at Auckland University of Technology were required to rapidly move their clinical work online. We surveyed these students about their experience of working clinically online. We used a mixed-methods approach and analysed qualitative data using grounded theory methods. Students found the move online challenging in terms of the technological challenges, lack of professional clinical space, and establishing and maintaining the therapeutic alliance. Students showed a strong preference for in-person (or, face-to-face) clinical work, along with scepticism about the efficacy of online therapy, though some acknowledged its convenience and others its currency and relevance. Most expressed a need for more specific training in online therapy. The literature finds equivalence between the effectiveness of in-person and online therapy. However, it acknowledges that online therapy can impose increased strain on clinicians and finds that clinician expectations directly impact their capacity to manage online clinical work.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134066214","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 early 2020, COVID-19 began disrupting working life across the globe, with remote working and social distancing becoming the norm for many industries. This called for radical changes in psychotherapeutic practices in Australia and internationally, challenging the long-accepted face-to-face therapeutic model. COVID-19 also introduced new anxieties for patients and practitioners alike. In this paper, I draw on my own personal experiences and, through a series of case studies, explore how moving to remote working during COVID-19 actually provided unexpected and positive therapeutic outcomes. Firstly, I discuss how unexpectantly working remotely with a young girl in long-term psychotherapy helped her to return from her “psychic retreat”. Secondly, I look at how a father who was working remotely at home during COVID-19 was more available to his anorectic daughter. Thirdly, I describe how students who were undertaking infant observations were able to continue these intimate mother/caregiver and baby observations remotely, and how crucial these were to the observed family.
{"title":"Sharing Experiences and Positive Outcomes From Working as a Psychoanalytic Psychotherapist During COVID-19","authors":"Jude Piercey","doi":"10.59158/001c.71075","DOIUrl":"https://doi.org/10.59158/001c.71075","url":null,"abstract":"In early 2020, COVID-19 began disrupting working life across the globe, with remote working and social distancing becoming the norm for many industries. This called for radical changes in psychotherapeutic practices in Australia and internationally, challenging the long-accepted face-to-face therapeutic model. COVID-19 also introduced new anxieties for patients and practitioners alike. In this paper, I draw on my own personal experiences and, through a series of case studies, explore how moving to remote working during COVID-19 actually provided unexpected and positive therapeutic outcomes. Firstly, I discuss how unexpectantly working remotely with a young girl in long-term psychotherapy helped her to return from her “psychic retreat”. Secondly, I look at how a father who was working remotely at home during COVID-19 was more available to his anorectic daughter. Thirdly, I describe how students who were undertaking infant observations were able to continue these intimate mother/caregiver and baby observations remotely, and how crucial these were to the observed family.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122779687","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}
Keith Tudor, Cathy Bettman, Alexandra Bloch-Atefi, Elizabeth Day, Timothy Hsi, D. Loewenthal, Poi Kee Low, Gina O'Neill, Emmy van Deurzen
This article comprises reflections by nine members of the editorial board of the Psychotherapy and Counselling Journal of Australia (PACJA) on the impact of the coronavirus pandemic, encompassing the personal, the professional, and the political.
{"title":"Psychotherapy Practice, Education, and Training During the Coronavirus Pandemic: Members of the Editorial Board of the Psychotherapy and Counselling Journal of Australia Share Their Experiences","authors":"Keith Tudor, Cathy Bettman, Alexandra Bloch-Atefi, Elizabeth Day, Timothy Hsi, D. Loewenthal, Poi Kee Low, Gina O'Neill, Emmy van Deurzen","doi":"10.59158/001c.71231","DOIUrl":"https://doi.org/10.59158/001c.71231","url":null,"abstract":"This article comprises reflections by nine members of the editorial board of the Psychotherapy and Counselling Journal of Australia (PACJA) on the impact of the coronavirus pandemic, encompassing the personal, the professional, and the political.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122111008","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}
Ana Sofia Caetano, M. João Martins, Ana Carvalhal de Melo, Antonio Queiros
The present paper aims to share a university medical services’ experience during the COVID-19 pandemic. As a reaction to the predictable negative psychosocial impact on the community brought by home confinement due to the COVID-19 pandemic, the University of Coimbra (Portugal) implemented an emotional support line (UCare). A team of clinical psychologists provided online intervention through videocalls, audio, or text. From March to July 2020, 56 people, mostly students, utilised UCare, through 90 appointments. Users reported difficulties regarding academic issues, time management, anxiety, isolation, sleep disorders, fear of infection, and exacerbation of previous psychopathology. Interventions included emotional debriefing, time management strategies, emotional regulation, and sleep quality improvement techniques. Psychotherapeutic tools (e.g., flyers, audio tutorials) were made available after appointments. Over 30% of users were referred to clinical psychology services. In an evaluation of UCare user satisfaction, all respondents rated the interventions between “useful” or “very useful” and reported high satisfaction levels. UCare targeted vulnerable groups (international and post-graduate students) and had an important role in identifying specific mental health problems. Future directions are discussed.
{"title":"Caring for a University Community During the COVID-19 Pandemic: Development of an Online Psychological Support Service (UCare)","authors":"Ana Sofia Caetano, M. João Martins, Ana Carvalhal de Melo, Antonio Queiros","doi":"10.59158/001c.71228","DOIUrl":"https://doi.org/10.59158/001c.71228","url":null,"abstract":"The present paper aims to share a university medical services’ experience during the COVID-19 pandemic. As a reaction to the predictable negative psychosocial impact on the community brought by home confinement due to the COVID-19 pandemic, the University of Coimbra (Portugal) implemented an emotional support line (UCare). A team of clinical psychologists provided online intervention through videocalls, audio, or text. From March to July 2020, 56 people, mostly students, utilised UCare, through 90 appointments. Users reported difficulties regarding academic issues, time management, anxiety, isolation, sleep disorders, fear of infection, and exacerbation of previous psychopathology. Interventions included emotional debriefing, time management strategies, emotional regulation, and sleep quality improvement techniques. Psychotherapeutic tools (e.g., flyers, audio tutorials) were made available after appointments. Over 30% of users were referred to clinical psychology services. In an evaluation of UCare user satisfaction, all respondents rated the interventions between “useful” or “very useful” and reported high satisfaction levels. UCare targeted vulnerable groups (international and post-graduate students) and had an important role in identifying specific mental health problems. Future directions are discussed.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122813670","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 rapid expansion of video-conferencing in response to the COVID-19 health crisis introduces challenges and benefits to the psychoanalytic encounter. Carl Jung considered the phenomenon of the analytic third, and theorised that this mysterious constellation of a transformative liminal field emerged from the interpersonal dynamic between analyst and analysand. Implicit in the canon of related literature is the assumption of shared physical space. Today’s wide use of video-conferencing offers an opportunity to explore whether physical proximity is essential to the creation of this vital psychotherapeutic phenomenon. Three Jungian analysts explore ideas and experiences in a condensed, edited version of a podcast episode from This Jungian Life.
{"title":"Zoom, Embodiment, and the Analytic Third","authors":"Joseph R. Lee, Lisa Marchiano, D. Stewart","doi":"10.59158/001c.71226","DOIUrl":"https://doi.org/10.59158/001c.71226","url":null,"abstract":"The rapid expansion of video-conferencing in response to the COVID-19 health crisis introduces challenges and benefits to the psychoanalytic encounter. Carl Jung considered the phenomenon of the analytic third, and theorised that this mysterious constellation of a transformative liminal field emerged from the interpersonal dynamic between analyst and analysand. Implicit in the canon of related literature is the assumption of shared physical space. Today’s wide use of video-conferencing offers an opportunity to explore whether physical proximity is essential to the creation of this vital psychotherapeutic phenomenon. Three Jungian analysts explore ideas and experiences in a condensed, edited version of a podcast episode from This Jungian Life.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130696727","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}
Telehealth may become a more accepted format of service delivery after COVID-19 and it is essential that counsellors and counsellor educators are suitably prepared for contemporary professional practice in its diversity. While technology-assisted counselling has been practiced in Australia for 60 years, the Psychotherapy and Counselling Federation of Australia’s (PACFA) current Training Standards mandate that the 40 hours of placement done in training must be delivered in the same room as clients. This privileging of face-to-face (F2F) experience may reflect outdated practitioner reservations that demonstrate inadequate awareness of existing research on alternative delivery formats. In addition, I argue this restriction may run counter to employability aims of placements and has broader ramifications on students, training providers, and research. I argue that non-F2F formats such as those delivered by telehealth should be treated without prejudice and should be counted with or without the presence of F2F hours for student placements.
{"title":"COVID-19’s Nudge to Modernise: An Opportunity to Reconsider Telehealth and Counselling Placements","authors":"Nathan Beel","doi":"10.59158/001c.71230","DOIUrl":"https://doi.org/10.59158/001c.71230","url":null,"abstract":"Telehealth may become a more accepted format of service delivery after COVID-19 and it is essential that counsellors and counsellor educators are suitably prepared for contemporary professional practice in its diversity. While technology-assisted counselling has been practiced in Australia for 60 years, the Psychotherapy and Counselling Federation of Australia’s (PACFA) current Training Standards mandate that the 40 hours of placement done in training must be delivered in the same room as clients. This privileging of face-to-face (F2F) experience may reflect outdated practitioner reservations that demonstrate inadequate awareness of existing research on alternative delivery formats. In addition, I argue this restriction may run counter to employability aims of placements and has broader ramifications on students, training providers, and research. I argue that non-F2F formats such as those delivered by telehealth should be treated without prejudice and should be counted with or without the presence of F2F hours for student placements.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133091954","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}
Monogamism is the systemic oppression enacted through ideas and practices that valorise monogamous people and relationships while systematically devaluing polyamorous and multi-partnered ones. One manifestation of monogamism is mononormative bias: the bias that all people are or should be monogamous and that multi-partnered relationships are “alternative,” “different,” immature, or rare. Couple-centric bias is a type of mononormative bias that assumes all people desire or should have a “couple” relationship, and that other relationship configurations are inferior, immature, unnatural, abnormal, or unsustainable. Everyday monogamism refers to the unexamined implicit and explicit monogamist biases and systemic oppression that people in polyamorous relationship systems and multi-partnered kinship bonds navigate in everyday life. This paper explores everyday monogamism in counselling and psychotherapy. In this article, I critique some everyday language, concepts, and clinical practices through which therapists—particularly relationship counsellors—enact monogamist oppression. Next, I challenge the couple-centric bias endemic to both explicitly monogamist and ostensibly polyamory-inclusive relationship counselling approaches. Finally, I discuss how therapists can participate in the ongoing paradigm shift from couple-centric bias toward polycule-centred practice.
{"title":"Challenging Everyday Monogamism: Making the Paradigm Shift From Couple-Centric Bias to Polycule-Centred Practice in Counselling and Psychotherapy","authors":"-psychotherapy, Gavriel Ansara","doi":"10.59158/001c.71237","DOIUrl":"https://doi.org/10.59158/001c.71237","url":null,"abstract":"Monogamism is the systemic oppression enacted through ideas and practices that valorise monogamous people and relationships while systematically devaluing polyamorous and multi-partnered ones. One manifestation of monogamism is mononormative bias: the bias that all people are or should be monogamous and that multi-partnered relationships are “alternative,” “different,” immature, or rare. Couple-centric bias is a type of mononormative bias that assumes all people desire or should have a “couple” relationship, and that other relationship configurations are inferior, immature, unnatural, abnormal, or unsustainable. Everyday monogamism refers to the unexamined implicit and explicit monogamist biases and systemic oppression that people in polyamorous relationship systems and multi-partnered kinship bonds navigate in everyday life. This paper explores everyday monogamism in counselling and psychotherapy. In this article, I critique some everyday language, concepts, and clinical practices through which therapists—particularly relationship counsellors—enact monogamist oppression. Next, I challenge the couple-centric bias endemic to both explicitly monogamist and ostensibly polyamory-inclusive relationship counselling approaches. Finally, I discuss how therapists can participate in the ongoing paradigm shift from couple-centric bias toward polycule-centred practice.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124321567","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: Building an Anti-Oppressive Community of Practice: Moving From Lip Service to Liberation Through Belonging","authors":"Y. Ansara","doi":"10.59158/001c.71233","DOIUrl":"https://doi.org/10.59158/001c.71233","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121691032","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":"Working With Transgender Young People and Their Families: A Critical Developmental Approach (2019) by Damien W. Riggs. London: Palgrave Macmillan. ISBN: 978-3-030-14230-8 (pbk).","authors":"Shoshana M. Rosenberg","doi":"10.59158/001c.71239","DOIUrl":"https://doi.org/10.59158/001c.71239","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"311 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124223937","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 discusses how, in contrast to the field of social work, anti-oppressive practice has a relatively short history within the field of counselling, psychotherapy, and psychology. The article addresses the limitations in predominant approaches to counselling and psychotherapy and presents anti-oppression psychotherapy (AOP) as a model that integrates an anti-colonial, intersectional perspective. This article provides an overview of the context from which AOP emerges, along with foundational definitions, and a detailed explanation of the principles of the model.
{"title":"Anti-oppression Psychotherapy: An Emancipatory Integration of Intersectionality Into Psychotherapy","authors":"R. Timothy, Mercedes Umana Garcia","doi":"10.59158/001c.71085","DOIUrl":"https://doi.org/10.59158/001c.71085","url":null,"abstract":"This article discusses how, in contrast to the field of social work, anti-oppressive practice has a relatively short history within the field of counselling, psychotherapy, and psychology. The article addresses the limitations in predominant approaches to counselling and psychotherapy and presents anti-oppression psychotherapy (AOP) as a model that integrates an anti-colonial, intersectional perspective. This article provides an overview of the context from which AOP emerges, along with foundational definitions, and a detailed explanation of the principles of the model.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121283024","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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