Henry von Doussa, J. Beauchamp, Sally Goldner, Belinda Zipper
Counsellors and family therapists unfamiliar with working with transgender and gender diverse (TGD) people may be hesitant to undertake this work. A lack of familiarity is not a reason to avoid the work. There is a clear need for professionals to be open to supporting people with TGD lived experience and their families, who are increasingly turning to healthcare services for help. This paper outlines an approach adopted by an organisation not well practised in working with TGD people, in response to increased calls for support. The Bouverie Centre, in Victoria, Australia, paired a researcher (who works in other contexts with TGD people and their families) and a clinical family therapist (not well practised in working with TGD people) to synthesise their skills and knowledge to fill the service gap. This paper offers reflections and (un)learnings from these 45+ year old, cisgender workers who were new to clinical work with people with TGD lived experience and their families.
{"title":"Reflections and (un)learnings on Supporting Transgender and Gender Diverse People and Their Families in a Mental Health Family Service New to This Work","authors":"Henry von Doussa, J. Beauchamp, Sally Goldner, Belinda Zipper","doi":"10.59158/001c.71236","DOIUrl":"https://doi.org/10.59158/001c.71236","url":null,"abstract":"Counsellors and family therapists unfamiliar with working with transgender and gender diverse (TGD) people may be hesitant to undertake this work. A lack of familiarity is not a reason to avoid the work. There is a clear need for professionals to be open to supporting people with TGD lived experience and their families, who are increasingly turning to healthcare services for help. This paper outlines an approach adopted by an organisation not well practised in working with TGD people, in response to increased calls for support. The Bouverie Centre, in Victoria, Australia, paired a researcher (who works in other contexts with TGD people and their families) and a clinical family therapist (not well practised in working with TGD people) to synthesise their skills and knowledge to fill the service gap. This paper offers reflections and (un)learnings from these 45+ year old, cisgender workers who were new to clinical work with people with TGD lived experience and their families.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"31 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":"116820172","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}
It has long been demonstrated that psychological and psychiatric fields pathologise and discipline certain bodies. However, few have explored practitioners’ resistance to, and critiques of, gender oppressive practices. Drawing from theoretical frameworks of transgender studies and queer theory, this paper reports on qualitative data gathered from semi-structured interviews with six therapists in Sydney, Australia. Case studies highlight the ruptures, dissonances, and possibilities of transgender and gender diverse (TGD) mental health care in practice. Thematic analysis of therapist case studies demonstrates how notions of “allyship” are inadequate in problematising power dynamics, binary gender, and cisgenderism, as therapists engaged in problematic discourses and practices in relation to their TGD clients. Exploring the limitations of traditional gatekeeping models, the paper situates counselling and psychotherapy practices within an Australian context as holding unique opportunities to engage in anti-oppressive practice with TGD clients. The research makes clear that active frameworks for challenging oppression in the lives of clients are essential to ethical, client-centred work.
{"title":"“Gender Dysphoria”: Therapist Negotiations of Oppressive Practices","authors":"J. Ellis","doi":"10.59158/001c.71238","DOIUrl":"https://doi.org/10.59158/001c.71238","url":null,"abstract":"It has long been demonstrated that psychological and psychiatric fields pathologise and discipline certain bodies. However, few have explored practitioners’ resistance to, and critiques of, gender oppressive practices. Drawing from theoretical frameworks of transgender studies and queer theory, this paper reports on qualitative data gathered from semi-structured interviews with six therapists in Sydney, Australia. Case studies highlight the ruptures, dissonances, and possibilities of transgender and gender diverse (TGD) mental health care in practice. Thematic analysis of therapist case studies demonstrates how notions of “allyship” are inadequate in problematising power dynamics, binary gender, and cisgenderism, as therapists engaged in problematic discourses and practices in relation to their TGD clients. Exploring the limitations of traditional gatekeeping models, the paper situates counselling and psychotherapy practices within an Australian context as holding unique opportunities to engage in anti-oppressive practice with TGD clients. The research makes clear that active frameworks for challenging oppression in the lives of clients are essential to ethical, client-centred work.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"21 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":"134374880","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 provides a theoretical framework and practical applications for an Indigenous-centred decolonising therapeutic practice. I define and critique the concept of the “attachment disruption” of colonisation and its impacts on Indigenous Peoples and, specifically, Indigenous clients. I discern and differentiate colonial forms of power, which are based in domination and violence, from Indigenous forms of power rooted in cultural traditions and connections to ancestral territories. Case examples illustrate ways of working therapeutically with the “attachment disruption” of colonisation as it concerns “residential school trauma,” “lateral violence,” and “addictions”. The importance of externalising the impacts of colonial violence and centring Indigenous cultural and relational imprints is the foundation of this decolonising therapeutic praxis.
{"title":"Resisting the “Attachment Disruption” of Colonisation Through Decolonising Therapeutic Praxis: Finding Our Way Back to the Homelands Within","authors":"Riel Dupuis-Rossi","doi":"10.59158/001c.71234","DOIUrl":"https://doi.org/10.59158/001c.71234","url":null,"abstract":"This article provides a theoretical framework and practical applications for an Indigenous-centred decolonising therapeutic practice. I define and critique the concept of the “attachment disruption” of colonisation and its impacts on Indigenous Peoples and, specifically, Indigenous clients. I discern and differentiate colonial forms of power, which are based in domination and violence, from Indigenous forms of power rooted in cultural traditions and connections to ancestral territories. Case examples illustrate ways of working therapeutically with the “attachment disruption” of colonisation as it concerns “residential school trauma,” “lateral violence,” and “addictions”. The importance of externalising the impacts of colonial violence and centring Indigenous cultural and relational imprints is the foundation of this decolonising therapeutic praxis.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"44 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":"121872179","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 capacity to be empathic and communicate empathically are foundational skills of counselling and psychotherapy, if not all interpersonal helping endeavours. Empathy requires the capability, inclination, and capacity to take the perspective of others, appraise and understand their experiences without being overwhelmed, and communicate this understanding in a helpful way to them. This paper reviews and highlights the importance of this capability and describes a form of “advanced empathy” characterised by the capacity to take the perspective of others experiencing extreme states, making sense of these experiences, and conveying an understanding of their experiences in a way which is useful to them. The capacity for advanced empathy is a foundation for any kind of therapeutic work with people who may express delusional or disturbing ideas and will be helpful for anyone needing to develop or maintain a relationship with people in extreme states. These ideas have been tested in practice and with a wide variety of audiences. This synthesis provides practical advice that may be useful for training, supervision, or reflection by those who hope to build alliances with people in crisis, experiencing psychosis, or who are otherwise “out of step” with people around them.
{"title":"Advanced Empathy: A Key to Supporting People Experiencing Psychosis or Other Extreme States","authors":"R. Lakeman","doi":"10.59158/001c.71092","DOIUrl":"https://doi.org/10.59158/001c.71092","url":null,"abstract":"The capacity to be empathic and communicate empathically are foundational skills of counselling and psychotherapy, if not all interpersonal helping endeavours. Empathy requires the capability, inclination, and capacity to take the perspective of others, appraise and understand their experiences without being overwhelmed, and communicate this understanding in a helpful way to them. This paper reviews and highlights the importance of this capability and describes a form of “advanced empathy” characterised by the capacity to take the perspective of others experiencing extreme states, making sense of these experiences, and conveying an understanding of their experiences in a way which is useful to them. The capacity for advanced empathy is a foundation for any kind of therapeutic work with people who may express delusional or disturbing ideas and will be helpful for anyone needing to develop or maintain a relationship with people in extreme states. These ideas have been tested in practice and with a wide variety of audiences. This synthesis provides practical advice that may be useful for training, supervision, or reflection by those who hope to build alliances with people in crisis, experiencing psychosis, or who are otherwise “out of step” with people around them.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131655175","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":"The Talking Cure: Normal People, Their Struggles and the Life-Changing Power of Therapy (2019) by Gillian Straker and Jacqui Winship. Sydney, Australia: Pan Macmillan Australia. ISBN-10: 1760781169; ISBN-13: 978-1760781163.","authors":"Jennifer English","doi":"10.59158/001c.71257","DOIUrl":"https://doi.org/10.59158/001c.71257","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115099207","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}
R. Price-Robertson, Alexandra Bloch-Atefi, T. Snell, Elizabeth Day, Gina O'Neill
{"title":"Editorial: Reflections on Psychotherapy and Counselling From COVID-19 Lockdown","authors":"R. Price-Robertson, Alexandra Bloch-Atefi, T. Snell, Elizabeth Day, Gina O'Neill","doi":"10.59158/001c.71250","DOIUrl":"https://doi.org/10.59158/001c.71250","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128646480","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 Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative was introduced by the Australian Government to improve outcomes for people with a clinically diagnosed mental health condition through evidence-based treatment. Under this initiative, Government Medicare rebates are available to patients for services provided by approved practitioners using the Focused Psychological Strategies, which are specific mental health treatment strategies derived from evidence-based psychological therapies: psycho-education (including motivational interviewing), cognitive-behavioural therapy, relaxation strategies, skills training, interpersonal therapy, and narrative therapy (for clients of Aboriginal and Torres Strait Islander descent). This paper outlines how logotherapy, as an adjunct therapy to other approaches, can help ensure that Better Access leads to better outcomes for clients.
{"title":"From Better Access to Better Outcomes: Integrating Logotherapy With Focused Psychological Strategies","authors":"Kyra J. Dawbarn, P. McQuillan","doi":"10.59158/001c.71252","DOIUrl":"https://doi.org/10.59158/001c.71252","url":null,"abstract":"The Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative was introduced by the Australian Government to improve outcomes for people with a clinically diagnosed mental health condition through evidence-based treatment. Under this initiative, Government Medicare rebates are available to patients for services provided by approved practitioners using the Focused Psychological Strategies, which are specific mental health treatment strategies derived from evidence-based psychological therapies: psycho-education (including motivational interviewing), cognitive-behavioural therapy, relaxation strategies, skills training, interpersonal therapy, and narrative therapy (for clients of Aboriginal and Torres Strait Islander descent). This paper outlines how logotherapy, as an adjunct therapy to other approaches, can help ensure that Better Access leads to better outcomes for clients.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127215301","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 counselling profession, reflective practice is often touted as an essential characteristic of professional development, growth, and professionalism. Yet there remain countless characterisations of what reflective practice is and how best to do it. The aim of this scoping review was to evaluate over two decades of key reflective practice thinking, exploring its benefits, uses, and research findings in the 21st century. The scoping review process identified 47 peer-reviewed publications, seminal publications, and counselling guidelines, which included both quantitative (often seen as more “scientific”) and qualitative (seen as more “artistic”) research findings. The major themes identified in the reflective practice literature were: reflective purpose, reflective practice, reflective writing, quantitative versus qualitative rationale, therapeutic alliance and research results, reflecting practice in counselling, personal and professional development, counsellor self-care, and ethical guidelines.
{"title":"Reflective Practice in the Art and Science of Counselling: A Scoping Review","authors":"Donnalee B. Taylor","doi":"10.59158/001c.71255","DOIUrl":"https://doi.org/10.59158/001c.71255","url":null,"abstract":"In the counselling profession, reflective practice is often touted as an essential characteristic of professional development, growth, and professionalism. Yet there remain countless characterisations of what reflective practice is and how best to do it. The aim of this scoping review was to evaluate over two decades of key reflective practice thinking, exploring its benefits, uses, and research findings in the 21st century. The scoping review process identified 47 peer-reviewed publications, seminal publications, and counselling guidelines, which included both quantitative (often seen as more “scientific”) and qualitative (seen as more “artistic”) research findings. The major themes identified in the reflective practice literature were: reflective purpose, reflective practice, reflective writing, quantitative versus qualitative rationale, therapeutic alliance and research results, reflecting practice in counselling, personal and professional development, counsellor self-care, and ethical guidelines.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134048299","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}
Graphic medicine holds promise for overcoming a client’s initial dismissal of psychotherapeutic treatment by improving their agency in their own treatment. Graphic medicine refers to the use of comics or graphic novels to facilitate the mutual understanding of psychotherapeutic processes, and may be potentially used to stimulate enjoyable discussion of a range of different experiences that may traditionally be difficult to discuss due to clients’ shame, vulnerability, fear of retraumatization, and/or the stigma of mental illness. I outline how the Japanese comic (i.e., manga) and animated film (i.e., anime) series Naruto can be used as graphic medicine for conversational model therapy (CMT), stimulating conversations without triggering the distress underlying a client’s coping mechanisms. Various concepts of CMT will be discussed within the conceptual, linguistical, and metaphorical framework already supplied by Naruto. These therapeutic conversations can potentially amplify the client’s feelings of positive affect for the manga/anime, while still relating with the similarities between their own difficulties and the negative affect portrayed by the characters.
{"title":"Using the Manga/anime Naruto as Graphic Medicine to Engage Clients in Conversational Model Therapy","authors":"Shaun Halovic","doi":"10.59158/001c.71095","DOIUrl":"https://doi.org/10.59158/001c.71095","url":null,"abstract":"Graphic medicine holds promise for overcoming a client’s initial dismissal of psychotherapeutic treatment by improving their agency in their own treatment. Graphic medicine refers to the use of comics or graphic novels to facilitate the mutual understanding of psychotherapeutic processes, and may be potentially used to stimulate enjoyable discussion of a range of different experiences that may traditionally be difficult to discuss due to clients’ shame, vulnerability, fear of retraumatization, and/or the stigma of mental illness. I outline how the Japanese comic (i.e., manga) and animated film (i.e., anime) series Naruto can be used as graphic medicine for conversational model therapy (CMT), stimulating conversations without triggering the distress underlying a client’s coping mechanisms. Various concepts of CMT will be discussed within the conceptual, linguistical, and metaphorical framework already supplied by Naruto. These therapeutic conversations can potentially amplify the client’s feelings of positive affect for the manga/anime, while still relating with the similarities between their own difficulties and the negative affect portrayed by the characters.","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127441874","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":"Marriage Is for Grown Ups: How Your Relationship Is Trying to Grow You Up and How to Step Beyond the Romantic Dream Into a Grown-Up and Growing-Up Relationship (2018) by Noel Giblett. Noel Giblett Publishing. ISBN-13: 978-0648284307 (pbk).","authors":"Margie Ulbrick","doi":"10.59158/001c.71256","DOIUrl":"https://doi.org/10.59158/001c.71256","url":null,"abstract":"","PeriodicalId":394035,"journal":{"name":"Psychotherapy and Counselling Journal of Australia","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132500462","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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