Roel M. Pietersen, Karin Timmerman, Gerben J. Westerhof
Problem
Inpatient psychotherapy can offer positive treatment outcomes for people with complex personality pathology who do not benefit from outpatient treatment. Little is known about how the development of schema modes during treatment relates to long-term development of symptoms, well-being and schema modes.
Method
This study employed a naturalistic, exploratory, within-subject design with long-term follow-up (LFU) measurement 2–8 years after discharge. Course and correlation of symptoms, well-being and schema modes were examined through multilevel analyses.
Results
Best scores on symptoms, well-being and schema modes were at LFU. The higher the baseline level and the greater the results achieved on schema modes during treatment, the more positive the course of symptoms and well-being becomes during treatment and in the long term.
Conclusion
This study shows that results achieved on symptoms, well-being and schema modes during inpatient psychotherapy treatment persist and even continue to improve two to eight years after treatment.
{"title":"Inpatient psychotherapy for complex personality pathology: The long-term development of symptoms, well-being and schema modes","authors":"Roel M. Pietersen, Karin Timmerman, Gerben J. Westerhof","doi":"10.1002/capr.12806","DOIUrl":"https://doi.org/10.1002/capr.12806","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Inpatient psychotherapy can offer positive treatment outcomes for people with complex personality pathology who do not benefit from outpatient treatment. Little is known about how the development of schema modes during treatment relates to long-term development of symptoms, well-being and schema modes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study employed a naturalistic, exploratory, <i>within-subject</i> design with long-term follow-up (LFU) measurement 2–8 years after discharge. Course and correlation of symptoms, well-being and schema modes were examined through multilevel analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Best scores on symptoms, well-being and schema modes were at LFU. The higher the baseline level and the greater the results achieved on schema modes during treatment, the more positive the course of symptoms and well-being becomes during treatment and in the long term.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows that results achieved on symptoms, well-being and schema modes during inpatient psychotherapy treatment persist and even continue to improve two to eight years after treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eivind Kjølsrød, Malin Westgaard, Martin Brattmyr, Jakob Lundqvist, Martin Schevik Lindberg, Odin Hjemdal, Audun Havnen, Stian Solem
Introduction
Manual-based treatments, such as cognitive behavioural therapy and metacognitive therapy, are effective for patients with generalised anxiety disorder (GAD), but no studies have examined non-manualised clinically representative treatment for GAD.
Methods
The sample consisted of 103 patients with GAD who completed non-manualised eclectic outpatient treatment at a local psychiatric outpatient clinic from 2020 to 2023. Questionnaires before and after treatment measured GAD symptoms, depressive symptoms, functioning, health and treatment satisfaction.
Results
There were significant improvements with large effect sizes (Cohen's d using pooled standard deviations) for GAD symptoms (d = 1.30, p < .001), depressive symptoms (d = 1.22, p < .001) and functioning (d = 0.87, p < .001). There was a medium improvement in health (d = −0.66, p < .001). Regarding GAD symptoms, half of the sample achieved clinically significant change (scoring below cut-off at post-treatment and achieving reliable improvement), and 69% showed reliable improvement (statistically significant change). Most patients (72%–84%) were satisfied with their treatment.
Conclusion
Clinically representative treatment is associated with improvement in GAD, but the effect sizes were smaller than in manual-based treatments. Research using randomised controlled trial designs comparing manual-based treatment to clinically representative treatment is needed to establish relative efficacy and for refining treatment guidelines in Norway.
{"title":"Clinically representative treatment for generalised anxiety disorder","authors":"Eivind Kjølsrød, Malin Westgaard, Martin Brattmyr, Jakob Lundqvist, Martin Schevik Lindberg, Odin Hjemdal, Audun Havnen, Stian Solem","doi":"10.1002/capr.12818","DOIUrl":"https://doi.org/10.1002/capr.12818","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Manual-based treatments, such as cognitive behavioural therapy and metacognitive therapy, are effective for patients with generalised anxiety disorder (GAD), but no studies have examined non-manualised clinically representative treatment for GAD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The sample consisted of 103 patients with GAD who completed non-manualised eclectic outpatient treatment at a local psychiatric outpatient clinic from 2020 to 2023. Questionnaires before and after treatment measured GAD symptoms, depressive symptoms, functioning, health and treatment satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were significant improvements with large effect sizes (Cohen's <i>d</i> using pooled standard deviations) for GAD symptoms (<i>d</i> = 1.30, <i>p</i> < .001), depressive symptoms (<i>d</i> = 1.22, <i>p</i> < .001) and functioning (<i>d</i> = 0.87, <i>p</i> < .001). There was a medium improvement in health (<i>d</i> = −0.66, <i>p</i> < .001). Regarding GAD symptoms, half of the sample achieved clinically significant change (scoring below cut-off at post-treatment and achieving reliable improvement), and 69% showed reliable improvement (statistically significant change). Most patients (72%–84%) were satisfied with their treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clinically representative treatment is associated with improvement in GAD, but the effect sizes were smaller than in manual-based treatments. Research using randomised controlled trial designs comparing manual-based treatment to clinically representative treatment is needed to establish relative efficacy and for refining treatment guidelines in Norway.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12818","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Depression and anxiety are prevalent psychological symptoms among COVID-19 survivors. This study compared the efficacy of mindfulness-based cognitive therapy (MBCT) and Beck cognitive therapy (BCT) in addressing these issues.
Methods
Forty-five COVID-19 survivors were randomly assigned to one of three groups: MBCT, BCT or a control. Pre- and postintervention assessments, using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI), were conducted. Both interventions consisted of eight 90-minute sessions.
Results
An ANCOVA analysis revealed that BCT was more effective than MBCT in reducing depression and anxiety symptoms. Both interventions led to significant improvements, but no significant differences were observed between post-test and follow-up.
Conclusion
BCT is a promising intervention for depression and anxiety in COVID-19 survivors. Facilities providing cognitive therapy should be integrated into healthcare settings to support mental health recovery.
{"title":"A comparison of the efficacy of mindfulness-based cognitive therapy and Beck cognitive therapy on the depression and anxiety of patients recovering from COVID-19: A pilot study","authors":"Maryam Khajehnezhad, Sahar Khanjani Veshki","doi":"10.1002/capr.12811","DOIUrl":"https://doi.org/10.1002/capr.12811","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression and anxiety are prevalent psychological symptoms among COVID-19 survivors. This study compared the efficacy of mindfulness-based cognitive therapy (MBCT) and Beck cognitive therapy (BCT) in addressing these issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-five COVID-19 survivors were randomly assigned to one of three groups: MBCT, BCT or a control. Pre- and postintervention assessments, using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI), were conducted. Both interventions consisted of eight 90-minute sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>An ANCOVA analysis revealed that BCT was more effective than MBCT in reducing depression and anxiety symptoms. Both interventions led to significant improvements, but no significant differences were observed between post-test and follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BCT is a promising intervention for depression and anxiety in COVID-19 survivors. Facilities providing cognitive therapy should be integrated into healthcare settings to support mental health recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447689","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}
Yoga is a form of complementary medicine for substance use disorder (SUD). Randomised controlled trials involving yoga for the treatment of SUD have found that yoga practice reduces the risk of relapse and improves mood and well-being for people undergoing treatment for SUD; however, the lived experience of yoga practice involving the benefits of reducing SUD is unknown. The aim of this study was to examine the in-depth experience of yoga to inform the treatment of SUD.
Methods
Five semi-structured interviews explored experiences of yoga among people with a prior history of substance use. Four out of the five participants reported prior use of alcohol, and one reported the use of ‘GBL’ and methamphetamine. Data were analysed using interpretative phenomenological analysis.
Results
The analysis resulted in three final Superordinate themes: (1) growing awareness of the body, mind and emotions; (2) yoga opens a positive way of life; and (3) blending the worlds of yoga and 12-step recovery. Yoga was reported to enhance awareness of muscle tension, reduce physical stress, increase positive emotions and build tolerance to negative emotions. The integration of the eight-limb philosophy of yoga, notably withdrawing of the senses, helped combat internal cues and triggers (negative thoughts and emotions) for relapse. Yoga was reported to be compatible with an abstinence-based lifestyle found in 12-step mutual aid programmes and helped extend social networks to support long-term abstinence.
Conclusions
The experience of integrating the eight-limb philosophy to support abstinence and the asana practice helped participants to reduce cue reactivity. Yoga appeared to enhance interoceptive awareness, which is useful for reducing physical stress related to triggers for relapse, making yogic practice a valuable tool to integrate within mainstream group and individual relapse prevention programmes. Therefore, programmes and health policymakers may want to consider treatments that integrate yogic practices to enhance and support long-term abstinence for SUD.
{"title":"‘Yoga is a way of life’ exploring experiences of yoga as a treatment for substance use: An interpretative phenomenological analysis","authors":"Nicole M. Miller","doi":"10.1002/capr.12817","DOIUrl":"https://doi.org/10.1002/capr.12817","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Yoga is a form of complementary medicine for substance use disorder (SUD). Randomised controlled trials involving yoga for the treatment of SUD have found that yoga practice reduces the risk of relapse and improves mood and well-being for people undergoing treatment for SUD; however, the lived experience of yoga practice involving the benefits of reducing SUD is unknown. The aim of this study was to examine the in-depth experience of yoga to inform the treatment of SUD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five semi-structured interviews explored experiences of yoga among people with a prior history of substance use. Four out of the five participants reported prior use of alcohol, and one reported the use of ‘GBL’ and methamphetamine. Data were analysed using interpretative phenomenological analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis resulted in three final Superordinate themes: (1) growing awareness of the body, mind and emotions; (2) yoga opens a positive way of life; and (3) blending the worlds of yoga and 12-step recovery. Yoga was reported to enhance awareness of muscle tension, reduce physical stress, increase positive emotions and build tolerance to negative emotions. The integration of the eight-limb philosophy of yoga, notably withdrawing of the senses, helped combat internal cues and triggers (negative thoughts and emotions) for relapse. Yoga was reported to be compatible with an abstinence-based lifestyle found in 12-step mutual aid programmes and helped extend social networks to support long-term abstinence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The experience of integrating the eight-limb philosophy to support abstinence and the asana practice helped participants to reduce cue reactivity. Yoga appeared to enhance interoceptive awareness, which is useful for reducing physical stress related to triggers for relapse, making yogic practice a valuable tool to integrate within mainstream group and individual relapse prevention programmes. Therefore, programmes and health policymakers may want to consider treatments that integrate yogic practices to enhance and support long-term abstinence for SUD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12817","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mental health professionals play a crucial role in either alleviating or exacerbating stress among queer clients.
Aims
Drawing on minority stress theory, we conducted a study to examine the experiences of lesbian, gay, bisexual and/or consensually non-monogamous clients with current or recent psychotherapy or counselling experiences in Germany.
Method
A convenience sample of 492 queer individuals participated in an online survey, providing insights into their most recent experiences with psychotherapy or counselling and evaluating the success of these processes. Among the participants, 92% identified as lesbian, gay, bisexual, or another non-heterosexual identity, while 8% identified as heterosexual. Additionally, 54% reported being in consensually non-monogamous relationships, and 23% identified as gender-diverse.
Results
The majority (92%) had prior experience with psychotherapy, with over half reporting their last session within the last month. The remaining 8% reported counselling experience. Most participants rated their recent psychotherapy or counselling process as successful. Exemplary practices were more common than inappropriate ones. While overt discrimination by mental health professionals was rare, subtle inappropriate behaviours were still prevalent. Affirmative and actively reassuring practices were strongly linked to subjective therapy success.
Conclusion
The study's findings warrant cautious optimism regarding a non-discriminative stance in German mental health professionals while highlighting the need for further research, training and guidelines for therapists and counsellors.
{"title":"Therapy and counselling experiences of queer adults in Germany","authors":"Sonja Bröning, Agostino Mazziotta","doi":"10.1002/capr.12814","DOIUrl":"https://doi.org/10.1002/capr.12814","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mental health professionals play a crucial role in either alleviating or exacerbating stress among queer clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Drawing on minority stress theory, we conducted a study to examine the experiences of lesbian, gay, bisexual and/or consensually non-monogamous clients with current or recent psychotherapy or counselling experiences in Germany.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A convenience sample of 492 queer individuals participated in an online survey, providing insights into their most recent experiences with psychotherapy or counselling and evaluating the success of these processes. Among the participants, 92% identified as lesbian, gay, bisexual, or another non-heterosexual identity, while 8% identified as heterosexual. Additionally, 54% reported being in consensually non-monogamous relationships, and 23% identified as gender-diverse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority (92%) had prior experience with psychotherapy, with over half reporting their last session within the last month. The remaining 8% reported counselling experience. Most participants rated their recent psychotherapy or counselling process as successful. Exemplary practices were more common than inappropriate ones. While overt discrimination by mental health professionals was rare, subtle inappropriate behaviours were still prevalent. Affirmative and actively reassuring practices were strongly linked to subjective therapy success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study's findings warrant cautious optimism regarding a non-discriminative stance in German mental health professionals while highlighting the need for further research, training and guidelines for therapists and counsellors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12814","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is a limited amount of research assessing the effectiveness of group therapy on acute inpatient psychiatric wards, and mixed results from research assessing inpatient psychological therapies in general. Previous studies highlight challenges for conducting research on psychiatric inpatient hospitals, such as short admissions, high patient turnover, engagement challenges, acuteness of illness, overmedication and feelings of stigma and disempowerment.
Aims
This service evaluation aims to assess whether weekly ward-based interpersonal group therapy reduces short-term psychological distress for women on an acute psychiatric inpatient ward in inner-city London (Tower Hamlets), UK.
Methods
This service evaluation compared psychological distress, as measured by the Clinical Outcomes in Routine Evaluation 10 (CORE-10), pre- and post-intervention for women attending a weekly ward-based interpersonal therapy group between February 2023 and August 2023.
Results
There were 46 participants included in the analysis. There was an 11.3% decrease in the mean CORE-10 score post-intervention. Four (9%) patients exhibited significant and reliable change (i.e. short-term psychological distress reduced to a ‘healthy’ level). A further three (7%) patients exhibited no significant change. Short-term psychological distress did not significantly deteriorate for any patients who attended the ward-based interpersonal therapy group.
Conclusion
It is feasible to collect pre- and post-outcome data to assess psychological distress following a weekly ward-based interpersonal therapy group over a 6-month period, which meet acceptable a priori sample size calculations. The group appears to have an immediate positive impact for the majority (95%) of patients where short-term psychological distress reduced or stayed the same; however, this was only significant for 16% of patients. It would be important to collect qualitative data, ideally using multiple methods or data sources for triangulation, in order to corroborate and strengthen the current findings. Practitioners cannot rely solely on the results of this study to demonstrate effectiveness of psychotherapeutic group interventions in acute inpatient settings.
{"title":"Does a weekly ward-based interpersonal therapy group reduce psychological distress for women in an acute psychiatric inpatient hospital? A service evaluation","authors":"Emily Staite, Farah Francine","doi":"10.1002/capr.12812","DOIUrl":"https://doi.org/10.1002/capr.12812","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a limited amount of research assessing the effectiveness of group therapy on acute inpatient psychiatric wards, and mixed results from research assessing inpatient psychological therapies in general. Previous studies highlight challenges for conducting research on psychiatric inpatient hospitals, such as short admissions, high patient turnover, engagement challenges, acuteness of illness, overmedication and feelings of stigma and disempowerment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This service evaluation aims to assess whether weekly ward-based interpersonal group therapy reduces short-term psychological distress for women on an acute psychiatric inpatient ward in inner-city London (Tower Hamlets), UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This service evaluation compared psychological distress, as measured by the Clinical Outcomes in Routine Evaluation 10 (CORE-10), pre- and post-intervention for women attending a weekly ward-based interpersonal therapy group between February 2023 and August 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 46 participants included in the analysis. There was an 11.3% decrease in the mean CORE-10 score post-intervention. Four (9%) patients exhibited significant and reliable change (i.e. short-term psychological distress reduced to a ‘healthy’ level). A further three (7%) patients exhibited no significant change. Short-term psychological distress did not significantly deteriorate for any patients who attended the ward-based interpersonal therapy group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is feasible to collect pre- and post-outcome data to assess psychological distress following a weekly ward-based interpersonal therapy group over a 6-month period, which meet acceptable a priori sample size calculations. The group appears to have an immediate positive impact for the majority (95%) of patients where short-term psychological distress reduced or stayed the same; however, this was only significant for 16% of patients. It would be important to collect qualitative data, ideally using multiple methods or data sources for triangulation, in order to corroborate and strengthen the current findings. Practitioners cannot rely solely on the results of this study to demonstrate effectiveness of psychotherapeutic group interventions in acute inpatient settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447637","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}
Reginald Thomas O'Brien, Vivien Burr, Heather Dale
Background
Since the inception of Counselling for Depression (CfD) in the UK as a competence-based training course for experienced therapists, there has been remarkably little empirical work exploring the experiences and views of trainees and those involved in course delivery.
Aims
This qualitative study aimed to explore trainees', trainers' and supervisors' experiences of CfD training and their perceptions and understanding of competence in the context of CfD training and assessment.
Methods
Semi-structured interviews were carried out with 19 participants recruited from two UK training courses and the BACP Practice Network. The interviews were analysed using Template Analysis.
Findings
Two key themes are reported here: tensions in the CfD competence model and tensions in CfD methods of training and assessment. Participants reported challenges in adapting to the CfD model. They felt that its use drew them away from core values in their practice so that they felt their identity as a therapist was threatened. In particular, they questioned the possibility of integrating person-centred and emotion-focussed approaches and felt that the directivity of emotion-focussed therapy was out of keeping with their core practice values. They also identified a number of difficulties with the CfD training and assessment; the training period was seen as an inadequate preparation for workplace practice, and the assessment process was criticised for being too narrow and was regarded as having little connection to the competence framework.
Conclusion
The findings suggest a need for changes in policy and practice, specifically in regard to training and assessment.
{"title":"Training, assessment and competence in Counselling for Depression: Experiences of trainees, trainers and supervisors","authors":"Reginald Thomas O'Brien, Vivien Burr, Heather Dale","doi":"10.1002/capr.12815","DOIUrl":"https://doi.org/10.1002/capr.12815","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Since the inception of Counselling for Depression (CfD) in the UK as a competence-based training course for experienced therapists, there has been remarkably little empirical work exploring the experiences and views of trainees and those involved in course delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This qualitative study aimed to explore trainees', trainers' and supervisors' experiences of CfD training and their perceptions and understanding of competence in the context of CfD training and assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were carried out with 19 participants recruited from two UK training courses and the BACP Practice Network. The interviews were analysed using Template Analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Two key themes are reported here: tensions in the CfD competence model and tensions in CfD methods of training and assessment. Participants reported challenges in adapting to the CfD model. They felt that its use drew them away from core values in their practice so that they felt their identity as a therapist was threatened. In particular, they questioned the possibility of integrating person-centred and emotion-focussed approaches and felt that the directivity of emotion-focussed therapy was out of keeping with their core practice values. They also identified a number of difficulties with the CfD training and assessment; the training period was seen as an inadequate preparation for workplace practice, and the assessment process was criticised for being too narrow and was regarded as having little connection to the competence framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest a need for changes in policy and practice, specifically in regard to training and assessment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12815","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
School counselling in the Asia Pacific region has experienced enormous development in the last few decades but faces many serious challenges as counsellors seek to respond to the needs of young people in a complex and fast-changing environment.
Aims
This article aimed to explore the challenges school counsellors face in finding a clear identity and sense of purpose.
Discussion
We outline the antecedents and consequences of a weak counsellor identity. We suggest that the future development of school counselling in the region rests on responding to the challenge of school counsellors finding a clear and robust identity by (1) adopting an ecological perspective and (2) developing culture-specific, indigenous ways of counselling.
Conclusion
Given that the development of school counselling in this region has a long way to go, we briefly sketch some research priorities for the years ahead, which may contribute to the realisation and articulation of a stronger professional identity for school counsellors.
{"title":"Developing the professional identity of school counsellors in the Asia Pacific: Challenges and ways forward","authors":"Mark G. Harrison, Low Poi Kee","doi":"10.1002/capr.12816","DOIUrl":"https://doi.org/10.1002/capr.12816","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School counselling in the Asia Pacific region has experienced enormous development in the last few decades but faces many serious challenges as counsellors seek to respond to the needs of young people in a complex and fast-changing environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This article aimed to explore the challenges school counsellors face in finding a clear identity and sense of purpose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>We outline the antecedents and consequences of a weak counsellor identity. We suggest that the future development of school counselling in the region rests on responding to the challenge of school counsellors finding a clear and robust identity by (1) adopting an ecological perspective and (2) developing culture-specific, indigenous ways of counselling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Given that the development of school counselling in this region has a long way to go, we briefly sketch some research priorities for the years ahead, which may contribute to the realisation and articulation of a stronger professional identity for school counsellors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449075","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}
Research indicates counsellors and psychotherapists receive little training around working with clients who present with religious or spiritual issues and feel unprepared to work with these clients.
Aims
This paper presents part of the findings from an online survey that aimed to explore how trainee and newly qualified counsellors and psychotherapists, who identify as religious or spiritual, experienced undertaking therapeutic training in the UK.
Method
This online survey collected data on how much training participants received on their courses in religion/spirituality, how this training was delivered, how satisfied they were with their training, their knowledge base and skills around religion/spirituality, and what areas relating to religion/spirituality participants would like to see incorporated into therapeutic training. The survey data were analysed using descriptive statistics and thematic analysis.
Results
Over half of the participants received no training in this area, with a further third receiving minimal input. Participants reported low satisfaction rates with training received unless integrated throughout their course and identified specific knowledge gaps around religious/spiritual literacy, therapeutic skills, and awareness of religion and mental health research. Participants wanted more input on religion/spirituality in the training syllabus to increase their knowledge base and therapeutic competences.
Conclusion
This research employed a non-randomised sample, which limits the generalisability of these findings to a wider training population. Survey participants were also a highly religious/spiritual group, with 87% indicating they engaged in weekly religious/spiritual practices. Participants identified as Christian and White, and reported receiving person-centred or integrative training.
{"title":"Religion and spirituality in therapeutic training in the UK: A survey of current and recent trainees","authors":"Jane Hunt","doi":"10.1002/capr.12807","DOIUrl":"https://doi.org/10.1002/capr.12807","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research indicates counsellors and psychotherapists receive little training around working with clients who present with religious or spiritual issues and feel unprepared to work with these clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This paper presents part of the findings from an online survey that aimed to explore how trainee and newly qualified counsellors and psychotherapists, who identify as religious or spiritual, experienced undertaking therapeutic training in the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This online survey collected data on how much training participants received on their courses in religion/spirituality, how this training was delivered, how satisfied they were with their training, their knowledge base and skills around religion/spirituality, and what areas relating to religion/spirituality participants would like to see incorporated into therapeutic training. The survey data were analysed using descriptive statistics and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over half of the participants received no training in this area, with a further third receiving minimal input. Participants reported low satisfaction rates with training received unless integrated throughout their course and identified specific knowledge gaps around religious/spiritual literacy, therapeutic skills, and awareness of religion and mental health research. Participants wanted more input on religion/spirituality in the training syllabus to increase their knowledge base and therapeutic competences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research employed a non-randomised sample, which limits the generalisability of these findings to a wider training population. Survey participants were also a highly religious/spiritual group, with 87% indicating they engaged in weekly religious/spiritual practices. Participants identified as Christian and White, and reported receiving person-centred or integrative training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A record of 122.6 million people have sought refuge and asylum across the globe in 2024, exacerbated by emergencies in Ukraine, Sudan, Afghanistan and by the Israel–Hamas war. This number is set to rise to over 130 million people in refugee situations in 59 countries this year alone. With refugees suffering from higher rates of mental health difficulties than the general population, there is an urgent need to provide an expedient, socially just, transculturally informed pathway into humanistic psychological care services for these individuals. The objectives of this study were to explore how therapeutic practitioners are working effectively with displaced individuals presenting with embodied trauma, their experiences of transcultural approaches to therapeutic work and the impact of working alongside psychopharmacological medications in this commonly overprescribed client group.
Method
A qualitative semi-structured interview was operationalised with 12 therapeutic practitioners who have worked with displaced individuals, utilising reflexive thematic analysis of the data.
Results
Findings highlight a critical need for an updated transculturally informed, humanistic, person-centred pathway of care for each displaced individual.
Discussion
This study offers facilitators and challenges to using a humanistic, transculturally updated assessment, formulation, treatment plan, and routine outcome measures for embodied trauma. It also considers the importance of working with a client's cultural context of origin, language, universally understood emotions, cultural strengths, preferences for therapy and use of a psychopharmacological review within a holistic constellation of care.
{"title":"Advancing transculturally informed, humanistic therapeutic practice for refugees and asylum seekers presenting with embodied trauma","authors":"Charlotte O'Brien, Divine Charura","doi":"10.1002/capr.12808","DOIUrl":"https://doi.org/10.1002/capr.12808","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A record of 122.6 million people have sought refuge and asylum across the globe in 2024, exacerbated by emergencies in Ukraine, Sudan, Afghanistan and by the Israel–Hamas war. This number is set to rise to over 130 million people in refugee situations in 59 countries this year alone. With refugees suffering from higher rates of mental health difficulties than the general population, there is an urgent need to provide an expedient, socially just, transculturally informed pathway into humanistic psychological care services for these individuals. The objectives of this study were to explore how therapeutic practitioners are working effectively with displaced individuals presenting with embodied trauma, their experiences of transcultural approaches to therapeutic work and the impact of working alongside psychopharmacological medications in this commonly overprescribed client group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative semi-structured interview was operationalised with 12 therapeutic practitioners who have worked with displaced individuals, utilising reflexive thematic analysis of the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings highlight a critical need for an updated transculturally informed, humanistic, person-centred pathway of care for each displaced individual.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study offers facilitators and challenges to using a humanistic, transculturally updated assessment, formulation, treatment plan, and routine outcome measures for embodied trauma. It also considers the importance of working with a client's cultural context of origin, language, universally understood emotions, cultural strengths, preferences for therapy and use of a psychopharmacological review within a holistic constellation of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号