The traditional research on evaluating psychological interventions has primarily relied on behavioural measurements (e.g. self-report questionnaires). This study aimed to investigate the effects of child-centred play therapy (CCPT) on autistic children at both behavioural and neural levels, as well as the association between the changes in neural and behavioural measurements induced by CCPT. It is hypothesised that alpha power would increase after CCPT, along with improvements in social responsiveness, adaptive social behaviour and autism spectrum disorder (ASD) social symptom measures and that these changes would be correlated across participants.
Method
A total of 65 autistic children were randomly assigned to a CCPT experimental group (n = 34; M age = 7.50) or a waitlist control group (n = 31; M age = 7.47). Electroencephalography (EEG) alpha power and behavioural data were recorded during pre- and post-intervention assessment sessions. The behavioural measurements included the Social Responsiveness Scale-2, Autism Spectrum Quotient—Child (social skill subscale) and Adaptive Behaviour Assessment System-II (social domain). t-Tests and correlational analyses were conducted to examine the CCPT effects and brain–behaviour associations.
Results
The results confirmed the effects of CCPT at both neural and behavioural levels and the association between these two levels across participants. Specifically, individuals with larger increases in alpha power after CCPT also showed greater behavioural improvement.
Conclusion
This study marks an initial endeavour, providing the first cross-validation of CCPT effects on autistic children by demonstrating the brain–behaviour association. This approach advances the understanding of the therapeutic intervention effects of CCPT by presenting its multilevel impacts.
{"title":"Association between changes in EEG alpha power and behavioural outcome in autistic children induced by child-centred play therapy: A randomised controlled trial","authors":"Kim-Lui Raise Chan, Guang Ouyang","doi":"10.1002/capr.12813","DOIUrl":"https://doi.org/10.1002/capr.12813","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The traditional research on evaluating psychological interventions has primarily relied on behavioural measurements (e.g. self-report questionnaires). This study aimed to investigate the effects of child-centred play therapy (CCPT) on autistic children at both behavioural and neural levels, as well as the association between the changes in neural and behavioural measurements induced by CCPT. It is hypothesised that alpha power would increase after CCPT, along with improvements in social responsiveness, adaptive social behaviour and autism spectrum disorder (ASD) social symptom measures and that these changes would be correlated across participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 65 autistic children were randomly assigned to a CCPT experimental group (<i>n</i> = 34; <i>M</i> age = 7.50) or a waitlist control group (<i>n</i> = 31; <i>M</i> age = 7.47). Electroencephalography (EEG) alpha power and behavioural data were recorded during pre- and post-intervention assessment sessions. The behavioural measurements included the Social Responsiveness Scale-2, Autism Spectrum Quotient—Child (social skill subscale) and Adaptive Behaviour Assessment System-II (social domain). <i>t</i>-Tests and correlational analyses were conducted to examine the CCPT effects and brain–behaviour associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results confirmed the effects of CCPT at both neural and behavioural levels and the association between these two levels across participants. Specifically, individuals with larger increases in alpha power after CCPT also showed greater behavioural improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study marks an initial endeavour, providing the first cross-validation of CCPT effects on autistic children by demonstrating the brain–behaviour association. This approach advances the understanding of the therapeutic intervention effects of CCPT by presenting its multilevel impacts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862307","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}
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":"24 4","pages":"1670-1680"},"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":"24 4","pages":"1681-1688"},"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":"24 4","pages":"1600-1611"},"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}
Despite a plethora of treatments available for alleviating mental health issues, it has been reported that interventions, as they stand, are simply just not good enough (Kalin, Am. J. Psychiatry, 176, 2019, 885). Increasing figures of suicides are published each year, most recently standing at over 49,000 in the United States. Contested arguments continue in the field of psychotherapy with regard to finding the ‘best’ treatments for mental health issues. Recently, there have been calls for mental health practitioners and researchers to move towards innovation by asking different questions and creating new methods, albeit underpinned by rigorous scientific investigation. One such method currently being adopted with promising outcomes is the integration of mind–body techniques, such as yoga, into mental health treatments. Yoga is an ancient practice which provides a holistic system of healing and complementary philosophy to western understandings of the human mind. Like psychotherapy, yoga seems to work with unconscious processes, which can enable long-term change. Combined with psychotherapeutic discovery, novel treatment models which incorporate both yoga and psychotherapy could therefore be provided. Yoga-integrated psychotherapy (YiP), as a new model of treatment, could enhance outcomes for clients presenting with a range of difficulties as it aims to work with these methods as well as transdiagnostic understandings of distress. Additionally, YiP underscores the importance of a humanistic approach, which values the uniqueness of individuals and their subjective understandings of distress. Promising data from a recent pilot study of a YiP model in which participants describe the approach as ‘life changing’ form the basis of this discussion paper. The question arising is whether a humanistic and yoga-integrated approach to psychotherapy could assist in enhancing client outcomes.
{"title":"Introducing yoga-integrated psychotherapy (YiP): A discussion paper","authors":"Jasmine Childs-Fegredo","doi":"10.1002/capr.12809","DOIUrl":"https://doi.org/10.1002/capr.12809","url":null,"abstract":"<p>Despite a plethora of treatments available for alleviating mental health issues, it has been reported that interventions, as they stand, are <i>simply just not good enough</i> (Kalin, <i>Am</i>. <i>J</i>. <i>Psychiatry</i>, <i>176</i>, 2019, 885). Increasing figures of suicides are published each year, most recently standing at over 49,000 in the United States. Contested arguments continue in the field of psychotherapy with regard to finding the ‘best’ treatments for mental health issues. Recently, there have been calls for mental health practitioners and researchers to move towards innovation by asking different questions and creating new methods, albeit underpinned by rigorous scientific investigation. One such method currently being adopted with promising outcomes is the integration of mind–body techniques, such as yoga, into mental health treatments. Yoga is an ancient practice which provides a holistic system of healing and complementary philosophy to western understandings of the human mind. Like psychotherapy, yoga seems to work with unconscious processes, which can enable long-term change. Combined with psychotherapeutic discovery, novel treatment models which incorporate both yoga and psychotherapy could therefore be provided. Yoga-integrated psychotherapy (YiP), as a new model of treatment, could enhance outcomes for clients presenting with a range of difficulties as it aims to work with these methods as well as transdiagnostic understandings of distress. Additionally, YiP underscores the importance of a humanistic approach, which values the uniqueness of individuals and their subjective understandings of distress. Promising data from a recent pilot study of a YiP model in which participants describe the approach as ‘life changing’ form the basis of this discussion paper. The question arising is whether a humanistic and yoga-integrated approach to psychotherapy could assist in enhancing client outcomes.</p>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861465","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}
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":"24 4","pages":"1612-1631"},"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}
Women who receive a breast cancer diagnosis often have to cope with physical and psychological issues, even some years after diagnosis and treatments. Physical changes and negative inner sensations damage body image, leading to reduced contact with the body and social relationships due to shame and increased fear of cancer recurrence. Several psychological interventions have been conducted to manage psycho-emotional issues involving bodily sensations and emotions.
Aims
This study aimed to propose a virtual reality (VR) intervention to improve awareness and management of bodily sensations.
Materials and Methods
Thirteen women participated in a study design in which they were guided to focus their attention on three different parts of their body (i.e. arms, chest and legs) in a randomised way. Participants followed a light as a virtual visual stimulation and heard the researcher's voice.
Results
Findings showed that physical discomfort and negative emotions related to the body significantly decreased after the VR intervention. Additionally, the present VR intervention decreased anxiety. Accordingly, women qualitatively stated being satisfied with the intervention, considering VR as a helpful tool to be more focused on their inner sensations and decrease discomfort.
Discussion
In conclusion, VR may be implemented to promote bodily awareness in women with a breast cancer diagnosis, improving bodily awareness and the management of negative emotions.
Conclusion
Directions for future research and clinical implications are given.
{"title":"Virtual body and emotions: A pilot study on the use of virtual reality for the management of unpleasant sensations after cancer","authors":"Valeria Sebri, Ilaria Durosini, Milija Strika, Silvia Francesca Maria Pizzoli, Ketti Mazzocco, Gabriella Pravettoni","doi":"10.1002/capr.12810","DOIUrl":"https://doi.org/10.1002/capr.12810","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Women who receive a breast cancer diagnosis often have to cope with physical and psychological issues, even some years after diagnosis and treatments. Physical changes and negative inner sensations damage body image, leading to reduced contact with the body and social relationships due to shame and increased fear of cancer recurrence. Several psychological interventions have been conducted to manage psycho-emotional issues involving bodily sensations and emotions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to propose a virtual reality (VR) intervention to improve awareness and management of bodily sensations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Thirteen women participated in a study design in which they were guided to focus their attention on three different parts of their body (i.e. arms, chest and legs) in a randomised way. Participants followed a light as a virtual visual stimulation and heard the researcher's voice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings showed that physical discomfort and negative emotions related to the body significantly decreased after the VR intervention. Additionally, the present VR intervention decreased anxiety. Accordingly, women qualitatively stated being satisfied with the intervention, considering VR as a helpful tool to be more focused on their inner sensations and decrease discomfort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In conclusion, VR may be implemented to promote bodily awareness in women with a breast cancer diagnosis, improving bodily awareness and the management of negative emotions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Directions for future research and clinical implications are given.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1632-1640"},"PeriodicalIF":1.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447451","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}
Adoption research has tended to focus on associated emotional and developmental challenges. There is little research on how adoptees experience counselling training and its personal and professional impact on adoptees. The aim of this qualitative study was to explore the counselling training experiences of four counsellors who were adopted as babies (under 1 year of age).
Methods
One-to-one semi-structured interviews were conducted with two psychodynamically trained counsellors and two integratively trained counsellors. Interpretative phenomenological analysis was used to analyse the training experiences of adoptees, and the personal and professional impact of training.
Findings
Four group experiential themes were identified: disclosure; place in world; relationships; and reflexivity.
Implications for Practice
The findings contribute to the growing body of research on counsellor training and provide insights into adoptees' experiences of counselling training. These insights enable improvements in the provision of such training by counselling training providers to adoptees, and in the provision of the specialist training either required or recommended to provide adoption support. The research also furthers the understanding of adoptees' experiences more generally and may also help noncounsellor adoptees deal with issues perceived as related to their adoption as well as others who face similar issues, due to their own lived experiences.
Conclusion
Both modalities of counselling training helped participants deal with difficulties presented by their adoptions, in particular regarding identity and relationships, affording opportunities for growth and healing.
{"title":"A qualitative exploration of the experience and personal and professional impact of psychodynamic and integrative counselling training on adoptee counsellors","authors":"Ann Bevitt, Banjo Aromolaran","doi":"10.1002/capr.12802","DOIUrl":"10.1002/capr.12802","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adoption research has tended to focus on associated emotional and developmental challenges. There is little research on how adoptees experience counselling training and its personal and professional impact on adoptees. The aim of this qualitative study was to explore the counselling training experiences of four counsellors who were adopted as babies (under 1 year of age).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One-to-one semi-structured interviews were conducted with two psychodynamically trained counsellors and two integratively trained counsellors. Interpretative phenomenological analysis was used to analyse the training experiences of adoptees, and the personal and professional impact of training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four group experiential themes were identified: disclosure; place in world; relationships; and reflexivity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings contribute to the growing body of research on counsellor training and provide insights into adoptees' experiences of counselling training. These insights enable improvements in the provision of such training by counselling training providers to adoptees, and in the provision of the specialist training either required or recommended to provide adoption support. The research also furthers the understanding of adoptees' experiences more generally and may also help noncounsellor adoptees deal with issues perceived as related to their adoption as well as others who face similar issues, due to their own lived experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both modalities of counselling training helped participants deal with difficulties presented by their adoptions, in particular regarding identity and relationships, affording opportunities for growth and healing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1562-1576"},"PeriodicalIF":1.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928012","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}
Tracking session-by-session patient-reported outcomes (e.g. alliance and clinical symptoms) has been shown to improve treatment outcomes. However, self-report measures are cumbersome to collect, and completion rates are inconsistent. Proof-of-concept machine learning research applications using psychotherapy data sets suggest that it may be possible to generate fully automated predictions of patient-reported alliance and symptom ratings based on behavioural markers extracted from video recordings of psychotherapy sessions. For these artificial intelligence (AI)-based measurements to be feasible, patients and clinicians must be comfortable with video recording their sessions and must be open to deploying such automated AI-based models in their psychotherapy practice.
Methods
We conducted two online survey studies between December 2022 and March 2023. We asked 954 patients and 248 clinicians about the use and usefulness of (1) self-report measures for routine outcome monitoring, (2) video recording therapy sessions and (3) utilising AI-based prediction models in their treatments.
Results
Patients and clinicians found the use of self-report measures useful but burdensome. While both patients and clinicians reported interest and willingness to embrace AI-based technology for measurement-based care, patients reported significantly more willingness to record their sessions, and more positive views on the use and usefulness of AI-based measurement feedback for clinical outcomes, compared with clinicians.
Conclusion
Clinicians should be provided with more practice and training in the use of AI-based tools to aid their clinical work before such AI-based measurement tools may be successfully implemented into clinical practice.
{"title":"Feasibility of artificial intelligence-based measurement in psychotherapy practice: Patients' and clinicians' perspectives","authors":"Katie Aafjes-van Doorn","doi":"10.1002/capr.12800","DOIUrl":"https://doi.org/10.1002/capr.12800","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Tracking session-by-session patient-reported outcomes (e.g. alliance and clinical symptoms) has been shown to improve treatment outcomes. However, self-report measures are cumbersome to collect, and completion rates are inconsistent. Proof-of-concept machine learning research applications using psychotherapy data sets suggest that it may be possible to generate fully automated predictions of patient-reported alliance and symptom ratings based on behavioural markers extracted from video recordings of psychotherapy sessions. For these artificial intelligence (AI)-based measurements to be feasible, patients and clinicians must be comfortable with video recording their sessions and must be open to deploying such automated AI-based models in their psychotherapy practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted two online survey studies between December 2022 and March 2023. We asked 954 patients and 248 clinicians about the use and usefulness of (1) self-report measures for routine outcome monitoring, (2) video recording therapy sessions and (3) utilising AI-based prediction models in their treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients and clinicians found the use of self-report measures useful but burdensome. While both patients and clinicians reported interest and willingness to embrace AI-based technology for measurement-based care, patients reported significantly more willingness to record their sessions, and more positive views on the use and usefulness of AI-based measurement feedback for clinical outcomes, compared with clinicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clinicians should be provided with more practice and training in the use of AI-based tools to aid their clinical work before such AI-based measurement tools may be successfully implemented into clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862319","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}
Myles Gutkin, Richard A. Kanaan, Loyola McLean, Jodi Cartoon, Richard J. Brown
Objective
Shared Individual Formulation Therapy (SIFT) is a brief, hybrid psychotherapy intervention that uses shared formulation and psychodynamic psychotherapy techniques to help participants expand their understanding of their difficulties. It was used in a pilot study for 29 adults with functional neurological disorder (FND). This analysis explores the experiences of participants using qualitative methods.
Method
Participants underwent semistructured interviews about their experiences of SIFT, which were analysed using reflexive thematic analysis from a critical realist standpoint. Findings were triangulated with the previously published quantitative results.
Results
Participants experienced SIFT as providing a safe space to help them explore and make sense of their FND. The resulting self-knowledge was experienced as promoting recovery and growth, but some participants experienced the process as challenging and were ambivalent about it.
Conclusion
The findings support SIFT's potential value for treating adults with FND. The psychodynamic aspects are an important component of SIFT for many, but not all, participants.
{"title":"Making meaning: The experience of Shared Individual Formulation Therapy in adults with functional neurological disorder","authors":"Myles Gutkin, Richard A. Kanaan, Loyola McLean, Jodi Cartoon, Richard J. Brown","doi":"10.1002/capr.12805","DOIUrl":"https://doi.org/10.1002/capr.12805","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Shared Individual Formulation Therapy (SIFT) is a brief, hybrid psychotherapy intervention that uses shared formulation and psychodynamic psychotherapy techniques to help participants expand their understanding of their difficulties. It was used in a pilot study for 29 adults with functional neurological disorder (FND). This analysis explores the experiences of participants using qualitative methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants underwent semistructured interviews about their experiences of SIFT, which were analysed using reflexive thematic analysis from a critical realist standpoint. Findings were triangulated with the previously published quantitative results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants experienced SIFT as providing a safe space to help them explore and make sense of their FND. The resulting self-knowledge was experienced as promoting recovery and growth, but some participants experienced the process as challenging and were ambivalent about it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings support SIFT's potential value for treating adults with FND. The psychodynamic aspects are an important component of SIFT for many, but not all, participants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1577-1587"},"PeriodicalIF":1.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447738","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}
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