Pub Date : 2022-10-02DOI: 10.1080/13642537.2023.2175884
N. Carey, Emma Karwatzki, Vanessa Griffin, S. Keville
ABSTRACT Working therapeutically in the United Kingdom, means working with individuals made homeless by a housing crisis created by economics and policy decisions. Negative effects are often experienced by the most vulnerable with subsequent injustices concealed by those at the top; this has been conceptualised as a structural violence. Whilst the mental health of homeless single mothers and their children is disproportionately affected, research on structural inequality is minimal and neglects lived experience. Semi-structured interviews with 12 single mothers living in temporary accommodation in London were analysed using Thematic Analysis. Four main themes emerged: ‘Neglect and abuse within a powerful, unjust system’, ‘Futility, entrapment and cycles of suffering’, ‘Mothering against the odds’, and ‘Surviving and resisting in the face of adversity’. Results highlighted the distress temporary accommodation created for mothers and children. Despite this, love and care were evident within mother-child relationships. Through individual and collective action, mothers strove to resist the sources of their distress, even whilst facing adversity and stigma, providing insight for therapists on the operation of structural violence. Social action psychotherapy provides a collective approach addressing experiences of stigma and material inequalities where professionals can acknowledge the reality of oppression and stand in solidarity to resist it.
{"title":"“Hell on Earth”: Single mothers’ experiences of temporary accommodation in London and its impact on their mental health","authors":"N. Carey, Emma Karwatzki, Vanessa Griffin, S. Keville","doi":"10.1080/13642537.2023.2175884","DOIUrl":"https://doi.org/10.1080/13642537.2023.2175884","url":null,"abstract":"ABSTRACT Working therapeutically in the United Kingdom, means working with individuals made homeless by a housing crisis created by economics and policy decisions. Negative effects are often experienced by the most vulnerable with subsequent injustices concealed by those at the top; this has been conceptualised as a structural violence. Whilst the mental health of homeless single mothers and their children is disproportionately affected, research on structural inequality is minimal and neglects lived experience. Semi-structured interviews with 12 single mothers living in temporary accommodation in London were analysed using Thematic Analysis. Four main themes emerged: ‘Neglect and abuse within a powerful, unjust system’, ‘Futility, entrapment and cycles of suffering’, ‘Mothering against the odds’, and ‘Surviving and resisting in the face of adversity’. Results highlighted the distress temporary accommodation created for mothers and children. Despite this, love and care were evident within mother-child relationships. Through individual and collective action, mothers strove to resist the sources of their distress, even whilst facing adversity and stigma, providing insight for therapists on the operation of structural violence. Social action psychotherapy provides a collective approach addressing experiences of stigma and material inequalities where professionals can acknowledge the reality of oppression and stand in solidarity to resist it.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76328506","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 : 2022-10-02DOI: 10.1080/13642537.2023.2175885
J. Zeig, K. Tanev
ABSTRACT Hypnotic induction is a requisite step before starting hypnotherapy, but its role is often underappreciated. In traditional hypnosis, the induction is the means to get the person into trance; it is frequently scripted and does not have direct relationship to the hypnotherapy to follow. In contradistinction, Milton Erickson strategically coordinated induction with hypnotherapy. We first review the functions of informative and evocative communication. We define hypnosis as an interpersonal state. During induction, the hypnotherapist encourages responsiveness to implied meaning which paves the way for therapeutic utilization. Induction is a context for offering therapeutic suggestions. Components of induction are reviewed – focusing attention, altering intensity, dissociation, and building responsiveness. The hypnotherapist’s “palette” of evocative tools to elicit hypnotic responsiveness include gestures, posture, proximity, tone and tempo of voice, and unusual forms of grammar. Additional ways to increase therapeutic impact include precision and modulation of tension and the density of communication.
{"title":"Advancing hypnotic inductions: An Ericksonian perspective","authors":"J. Zeig, K. Tanev","doi":"10.1080/13642537.2023.2175885","DOIUrl":"https://doi.org/10.1080/13642537.2023.2175885","url":null,"abstract":"ABSTRACT Hypnotic induction is a requisite step before starting hypnotherapy, but its role is often underappreciated. In traditional hypnosis, the induction is the means to get the person into trance; it is frequently scripted and does not have direct relationship to the hypnotherapy to follow. In contradistinction, Milton Erickson strategically coordinated induction with hypnotherapy. We first review the functions of informative and evocative communication. We define hypnosis as an interpersonal state. During induction, the hypnotherapist encourages responsiveness to implied meaning which paves the way for therapeutic utilization. Induction is a context for offering therapeutic suggestions. Components of induction are reviewed – focusing attention, altering intensity, dissociation, and building responsiveness. The hypnotherapist’s “palette” of evocative tools to elicit hypnotic responsiveness include gestures, posture, proximity, tone and tempo of voice, and unusual forms of grammar. Additional ways to increase therapeutic impact include precision and modulation of tension and the density of communication.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74277232","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 : 2022-10-02DOI: 10.1080/13642537.2022.2143067
T. Strong
{"title":"Institutionality: Studies of discursive and material (Re-)ordering","authors":"T. Strong","doi":"10.1080/13642537.2022.2143067","DOIUrl":"https://doi.org/10.1080/13642537.2022.2143067","url":null,"abstract":"","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87535848","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 : 2022-10-02DOI: 10.1080/13642537.2023.2175890
Jacqueline Karen Andrea Serra Undurraga
ABSTRACT In this paper, in a Foucauldian argument, I draw attention to how psychotherapy is both produced and productive. I argue how psychotherapeutic theories and practices can contribute to generate hegemonic versions of subjectivity that limit the scope of alternative ways of living and feed into individualism. As Rose contends, the psy sciences, including psychotherapy, are highly influential in informing how we make sense of ourselves, and thus in how we produce ourselves. Psychotherapy – through assuming that its theories only reveal psychic mechanisms and that psychotherapeutic practice only helps people to know themselves better and develop – becomes extremely powerful in producing subjectivities whilst believing that it is only a matter of self-discovering. On this basis, I stress the need for questioning psychotherapy. In particular, I explore how engagement with authors associated with the so-called ‘post’ theories can transform psychotherapeutic theories and practices, including questioning the very existence of psychotherapy. As a psychotherapist myself, I attempt to stay uncomfortable and to allow myself to be moved while I grapple with what psychotherapy might become.
{"title":"What are our psychotherapeutic theories and practices producing?","authors":"Jacqueline Karen Andrea Serra Undurraga","doi":"10.1080/13642537.2023.2175890","DOIUrl":"https://doi.org/10.1080/13642537.2023.2175890","url":null,"abstract":"ABSTRACT In this paper, in a Foucauldian argument, I draw attention to how psychotherapy is both produced and productive. I argue how psychotherapeutic theories and practices can contribute to generate hegemonic versions of subjectivity that limit the scope of alternative ways of living and feed into individualism. As Rose contends, the psy sciences, including psychotherapy, are highly influential in informing how we make sense of ourselves, and thus in how we produce ourselves. Psychotherapy – through assuming that its theories only reveal psychic mechanisms and that psychotherapeutic practice only helps people to know themselves better and develop – becomes extremely powerful in producing subjectivities whilst believing that it is only a matter of self-discovering. On this basis, I stress the need for questioning psychotherapy. In particular, I explore how engagement with authors associated with the so-called ‘post’ theories can transform psychotherapeutic theories and practices, including questioning the very existence of psychotherapy. As a psychotherapist myself, I attempt to stay uncomfortable and to allow myself to be moved while I grapple with what psychotherapy might become.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74212996","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 : 2022-10-02DOI: 10.1080/13642537.2023.2175888
M. Akbari, M. Rezaeian, Peter J. Helm, Kathryn A. Becker
ABSTRACT Suicide is a worldwide public health issue and concerns about rising suicide rates are growing significantly in many countries. Psychotherapy is often expected to address this problem in clients. Existential therapy may be a particularly effective prevention technique to address suicide related concerns. Existential concerns common among suicidal patients include meaninglessness, isolation, freedom and responsibility. Previous work in existential therapy has given considerable attention to meaninglessness and meaning in life, but discussions on other existential concerns have been limited. This article presents a case for the relevance of existential therapy for working with people presenting with issues relating to suicidality and offers recommendations for clinicians hoping to foster discussions with clients pertaining to existential concerns.
{"title":"How existential therapy may help people who are suicidal","authors":"M. Akbari, M. Rezaeian, Peter J. Helm, Kathryn A. Becker","doi":"10.1080/13642537.2023.2175888","DOIUrl":"https://doi.org/10.1080/13642537.2023.2175888","url":null,"abstract":"ABSTRACT Suicide is a worldwide public health issue and concerns about rising suicide rates are growing significantly in many countries. Psychotherapy is often expected to address this problem in clients. Existential therapy may be a particularly effective prevention technique to address suicide related concerns. Existential concerns common among suicidal patients include meaninglessness, isolation, freedom and responsibility. Previous work in existential therapy has given considerable attention to meaninglessness and meaning in life, but discussions on other existential concerns have been limited. This article presents a case for the relevance of existential therapy for working with people presenting with issues relating to suicidality and offers recommendations for clinicians hoping to foster discussions with clients pertaining to existential concerns.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90199607","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 : 2022-10-02DOI: 10.1080/13642537.2022.2179008
D. Loewenthal
phenomenological
现象学
{"title":"Effective psychotherapy and Trotsky: Should theory, practice or research, come first?","authors":"D. Loewenthal","doi":"10.1080/13642537.2022.2179008","DOIUrl":"https://doi.org/10.1080/13642537.2022.2179008","url":null,"abstract":"phenomenological","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87120634","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 : 2022-07-03DOI: 10.1080/13642537.2022.2070232
Ashley Morgan
ABSTRACT Models of counselling and psychotherapy indicated for diagnoses of depression include brief, goal-oriented interventions such as Cognitive Behavioural Therapy (CBT) or Interpersonal Psychotherapy (IPT), and are favoured by state funded mental health services. Whilst effective in addressing low mood these modalities provide little scope to consider the effect of structural and social inequalities that contribute to the known determinants of poor mental health, which have been exacerbated as a result of Covid-19. Using a fictional case study, this article seeks to explore the impact of oppressive, gendered, societal discourse on Simone’s mental wellbeing during the Covid-19 outbreak. Using Narrative Therapy Principles, this article considers how Simone might use this therapeutic framework to reframe and re-author her experience, asking the question ‘what’s happened to me?’ instead of ‘what’s wrong with me?’ With the psychosocial legacy of Covid-19 predicted to be far reaching, opportunities exist for providers of counselling and psychotherapy to review the availability of therapeutic modalities that acknowledge the role and impact of social inequality and oppression on the lives of our clients.
{"title":"Narrative Therapy in a post-pandemic world: A fictional case study of a client living with depression","authors":"Ashley Morgan","doi":"10.1080/13642537.2022.2070232","DOIUrl":"https://doi.org/10.1080/13642537.2022.2070232","url":null,"abstract":"ABSTRACT Models of counselling and psychotherapy indicated for diagnoses of depression include brief, goal-oriented interventions such as Cognitive Behavioural Therapy (CBT) or Interpersonal Psychotherapy (IPT), and are favoured by state funded mental health services. Whilst effective in addressing low mood these modalities provide little scope to consider the effect of structural and social inequalities that contribute to the known determinants of poor mental health, which have been exacerbated as a result of Covid-19. Using a fictional case study, this article seeks to explore the impact of oppressive, gendered, societal discourse on Simone’s mental wellbeing during the Covid-19 outbreak. Using Narrative Therapy Principles, this article considers how Simone might use this therapeutic framework to reframe and re-author her experience, asking the question ‘what’s happened to me?’ instead of ‘what’s wrong with me?’ With the psychosocial legacy of Covid-19 predicted to be far reaching, opportunities exist for providers of counselling and psychotherapy to review the availability of therapeutic modalities that acknowledge the role and impact of social inequality and oppression on the lives of our clients.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83898256","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 : 2022-07-03DOI: 10.1080/13642537.2022.2072926
Isabella Mighetto
ABSTRACT Torture and exile shatter a person’s sense of self, their trust in others, and produce isolation and an array of post-traumatic sequelae. This article explores the experiences of therapists working with torture survivors at a London-based charity. It explores what, for them, constitutes the process of bearing witness to narratives of trauma in therapeutic encounters. An Interpretative Phenomenological Analysis (IPA) was employed, using semi-structured interviews. Analysis was underpinned by intersubjectivity and psychoanalytic social theory. The findings illuminate the significance of engaging in affective relationships of political solidarity and validation against the backdrop of the structural disavowal of the ‘hostile environment’ in the UK context. Witnessing was described as the interplay of ‘staying with’ people’s trauma without attempting to ‘fix’ or pathologize. Participants described witnessing multi-dimensional aspects of a person. The article concludes by discussing the implications of witnessing for therapists working with survivors of torture.
{"title":"“Touching the depths of suffering with others”: The nature of witnessing with survivors of torture","authors":"Isabella Mighetto","doi":"10.1080/13642537.2022.2072926","DOIUrl":"https://doi.org/10.1080/13642537.2022.2072926","url":null,"abstract":"ABSTRACT Torture and exile shatter a person’s sense of self, their trust in others, and produce isolation and an array of post-traumatic sequelae. This article explores the experiences of therapists working with torture survivors at a London-based charity. It explores what, for them, constitutes the process of bearing witness to narratives of trauma in therapeutic encounters. An Interpretative Phenomenological Analysis (IPA) was employed, using semi-structured interviews. Analysis was underpinned by intersubjectivity and psychoanalytic social theory. The findings illuminate the significance of engaging in affective relationships of political solidarity and validation against the backdrop of the structural disavowal of the ‘hostile environment’ in the UK context. Witnessing was described as the interplay of ‘staying with’ people’s trauma without attempting to ‘fix’ or pathologize. Participants described witnessing multi-dimensional aspects of a person. The article concludes by discussing the implications of witnessing for therapists working with survivors of torture.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80312831","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 : 2022-07-03DOI: 10.1080/13642537.2022.2072927
Sarah Penwarden
ABSTRACT While clients embark of journeys of discovery when participating in counselling, a counsellor is also discovering which processes in counselling potentially facilitate change. In this paper, I present one research finding: that offering a client a found poem which featured resonant images from their own talk could enhance meaning-making by them. Drawing on Bachelard (1969b), this approach can be considered thera-poiesis. In my counsellor practitioner research, I engaged eight bereaved people in individual therapeutic conversations about how their lost loved spouse or partner still contributes to their life. In my listening, I paid attention to resonant images in their talk, wrote these as found poetry, and offered this poetry to each participant. In this paper, focusing on one participant’s image of the ‘bubbling life force’, I show the meaning making potential for the client of a counsellor’s highlighting of a resonant image. I argue that one engine of change in counselling may be the generative potential of language itself, and the artful replication of resonant images in particular.
{"title":"Thera-poiesis: An exploration of the work of resonant images in found poetry to create newness in counselling","authors":"Sarah Penwarden","doi":"10.1080/13642537.2022.2072927","DOIUrl":"https://doi.org/10.1080/13642537.2022.2072927","url":null,"abstract":"ABSTRACT While clients embark of journeys of discovery when participating in counselling, a counsellor is also discovering which processes in counselling potentially facilitate change. In this paper, I present one research finding: that offering a client a found poem which featured resonant images from their own talk could enhance meaning-making by them. Drawing on Bachelard (1969b), this approach can be considered thera-poiesis. In my counsellor practitioner research, I engaged eight bereaved people in individual therapeutic conversations about how their lost loved spouse or partner still contributes to their life. In my listening, I paid attention to resonant images in their talk, wrote these as found poetry, and offered this poetry to each participant. In this paper, focusing on one participant’s image of the ‘bubbling life force’, I show the meaning making potential for the client of a counsellor’s highlighting of a resonant image. I argue that one engine of change in counselling may be the generative potential of language itself, and the artful replication of resonant images in particular.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77645987","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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