Counselling & Psychotherapy Research最新文献_第3页

How Do Counsellors Make Sense of the Online Disinhibition Effect When Counselling Clients via Video-Conferencing? An Interpretative Phenomenological Analysis Study 当咨询师通过视频会议咨询客户时，如何理解在线去抑制效果？解释性现象学分析研究

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-12-03 DOI: 10.1002/capr.70054

Kathryn. L. Broome, Stephen Roberts

Objectives

This qualitative study focuses on how counsellors make sense of the online disinhibition effect via video conferencing. Whilst online disinhibition is recognised within the profession as the unregulated release of emotions when online, there is a lack of research exploring how this is experienced and understood by counsellors using video conferencing.

Method

Six counsellors participated in semi-structured interviews, ‘in person’ or via video-conferencing. Data was analysed using interpretative phenomenological analysis to provide a nuanced exploration of participants' rich data on their lived experiences and meaning-making processes of the online disinhibition effect via video-conferencing.

Results

Three group experiential themes were generated from the data: the phenomenology of disinhibition, adapting to technology in the post-COVID world and the therapeutic relationship via video-conferencing. Results suggest the experience of disinhibition is highly individualised with participants making sense of this concept through unique perspectives. Their understanding of online disinhibition was influenced by their transition into a post-COVID-19 world and the need to adapt to technological changes. Consequently, participants made sense of the online disinhibition effect within the video-conferencing therapeutic relationship.

Conclusion

Findings indicate counsellor and client co-experience each other, and the mediating factors of disinhibition, within the context of the technological relationship. As such, online disinhibition is seen here as a complex process of co-creation within the relationship, as opposed to something that ‘happens’ to the client. Training providers, supervisors and practitioners could facilitate more effective and ethical practice by increasing their awareness of the element of co-creation and highly individualised experience of online disinhibition.

目的本定性研究主要探讨咨询师如何通过视频会议理解在线去抑制效应。虽然在线解除抑制在专业人士中被认为是在线时不受管制的情绪释放，但缺乏研究来探索使用视频会议的咨询师如何体验和理解这种情绪。方法对6名心理咨询师进行半结构化访谈，包括面对面访谈和视频访谈。数据分析采用解释性现象学分析，以提供一个细致入微的探索参与者的丰富数据，他们的生活经验和意义的制造过程，通过视频会议的在线去抑制效应。结果从数据中产生了三个组体验主题：解除抑制的现象学、后冠状病毒世界的技术适应和通过视频会议的治疗关系。结果表明，解除抑制的体验是高度个性化的，参与者通过独特的视角来理解这个概念。他们对网络去抑制的理解受到他们进入后covid -19世界的过渡和适应技术变革的需要的影响。因此，参与者在视频会议治疗关系中理解了在线去抑制效应。结论研究结果表明，在技术关系的背景下，咨询师和来访者相互共同体验，以及去抑制的中介因素。因此，在线去抑制在这里被视为关系中共同创造的复杂过程，而不是“发生”在客户身上的事情。培训提供者、主管和从业人员可以通过提高他们对共同创造要素和高度个性化的在线去抑制体验的认识，促进更有效和合乎道德的实践。

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引用次数: 0

Perceptions of Psychotherapy After Therapists Repair Ruptures With Immediate or Expressive Strategies 治疗师用即时或表达策略修复破裂后对心理治疗的看法

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-12-01 DOI: 10.1002/capr.70058

Erin M. Solomon, Jeffrey S. Berman

Objective

Researchers have long recognised that disruptions in the psychotherapy relationship can lead to poorer treatment outcomes or dropout, with several strategies proposed to repair such therapeutic ruptures. The aim of the study was to compare two recommended repair strategies: (a) immediate repair, in which the therapist tries to resolve an obstacle by immediate problem-solving, or (b) expressive repair, in which the therapist addresses the disruption by focussing on emotional issues that may be the basis for the rupture. Each strategy was also compared with a condition consisting of minimal encouragers, representing no attempt at repair other than adopting a listening stance.

Method

In the study, participants watched two brief audiovisual recordings of stimuli presented as coming from two different psychotherapy cases in which a disruption had occurred. In one recording, the therapist uses either a repair strategy or the listening stance, and in the other recording, the therapist uses either the second repair strategy or the listening stance. For half the participants, therapist and client in the therapy recordings were male; for the other half, therapist and client were female. After each viewing, participants rated therapeutic bond and treatment credibility.

Results

Both repair strategies were superior to minimal encouragers for treatment credibility, and problem-solving was also superior to minimal encouragers for therapeutic bond. Problem solving was superior to emotion focussing for both types of perceptions. The effect of both strategies further depended on the race, sex and/or therapy experience of participants.

Conclusion

The findings suggest that therapists should attempt repair of a rupture rather than avoid it, with problem-solving appearing generally as a safer strategy than emotion focussing.

研究人员早就认识到，心理治疗关系的中断可能导致较差的治疗结果或辍学，并提出了几种修复这种治疗破裂的策略。本研究的目的是比较两种推荐的修复策略：(a)立即修复，治疗师试图通过立即解决问题来解决障碍，或(b)表达修复，治疗师通过关注可能是破裂基础的情感问题来解决破坏。每一种策略还与一种由最低限度的鼓励组成的条件进行了比较，这种情况下，除了采取倾听的立场外，没有任何修复的企图。方法在研究中，参与者观看了两段简短的视听录像，这些录像显示了来自两个不同的心理治疗案例的刺激，其中发生了中断。在一段录音中，治疗师使用修复策略或倾听立场，在另一段录音中，治疗师使用第二种修复策略或倾听立场。在一半的参与者中，治疗记录中的治疗师和来访者是男性；另一半则是女性治疗师和客户。每次观看后，参与者对治疗关系和治疗可信度进行评分。结果两种修复策略在治疗可信度方面均优于最小鼓励策略，在解决问题方面也优于最小鼓励策略。在这两种感知中，解决问题的能力都优于情感聚焦。两种策略的效果进一步取决于参与者的种族、性别和/或治疗经历。研究结果表明，治疗师应该尝试修复破裂，而不是避免它，解决问题通常是比情绪集中更安全的策略。

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引用次数: 0

Experiencing Grief Over the Death of a Pet: A Phenomenological Study in an Online Support Group 经历宠物死亡的悲伤：在线支持小组的现象学研究

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-12-01 DOI: 10.1002/capr.70060

Amanda Fernandes Rodrigues Alves, Carla Augusta Pavlu Matioli, Fabio Scorsolini-Comin

Background

Pet loss grief remains insufficiently understood and often underestimated, despite its profound emotional and existential impact. Exploring this experience in supportive contexts can deepen the understanding of how individuals navigate this form of bereavement.

Aims

This study aimed to explore the lived experience of pet loss grief within an open online support group, adopting a phenomenological–existential perspective.

Materials and Methods

Seven online group meetings were conducted, each lasting two hours, comprising a total of 28 participants. The analysis followed a phenomenological–existential approach to describe and interpret the participants’ experiences of pet loss grief.

Results

Pet loss grief involved a deep reconfiguration of caregivers’ being-in-the-world, revealing emotional, relational and social complexities that challenge superficial understandings of this type of loss. Participants expressed profound shifts in daily routines, identity and meaning-making following the death of their pets.

Discussion

The findings illuminate how pet loss grief extends beyond emotional distress, involving existential disruption and a need for recognition in social contexts. This underscores the importance of considering the relational and existential dimensions of this experience in both research and clinical practice.

Conclusion

Pet loss grief should be acknowledged as an existentially significant experience. Interventions that validate and meaningfully integrate this loss into individuals’ lives are essential for enhancing support and clinical care in this domain.

失去宠物的悲伤仍然没有得到充分的理解，而且经常被低估，尽管它对情感和生存产生了深远的影响。在支持性的环境中探索这种经历可以加深对个人如何应对这种丧亲之痛的理解。目的采用现象学-存在主义视角，探讨开放式网络支持团体中失宠悲伤的生活体验。材料与方法进行了7次在线小组会议，每次会议持续2小时，共有28人参加。分析遵循现象学-存在主义方法来描述和解释参与者失去宠物的悲伤经历。结果：失去宠物的悲伤涉及到对照顾者在世界上存在的深刻重构，揭示了情感、关系和社会的复杂性，挑战了对这种损失的肤浅理解。参与者表示，在他们的宠物去世后，他们的日常生活、身份和意义产生了深刻的变化。研究结果阐明了失去宠物的悲伤是如何超越情感困扰的，包括存在的破坏和对社会环境中认可的需要。这强调了在研究和临床实践中考虑这种经验的关系和存在维度的重要性。结论丧宠悲痛是一种重要的存在体验。验证并有意义地将这种损失融入个人生活的干预措施对于加强这一领域的支持和临床护理至关重要。

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引用次数: 0

Cognitive Emotion Regulation Strategies as Mediators Between Childhood Maltreatment and Eating Disorders: A Cross-Sectional Study 认知情绪调节策略在儿童虐待与饮食失调之间的中介作用：一项横断面研究

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-12-01 DOI: 10.1002/capr.70061

Ayşe Özçiçek, Şeyda Eruyar

Background

Eating disorder (ED) symptoms are common in the general population and are often associated with childhood maltreatment (CM). Emotion regulation difficulties are likewise linked to both CM and ED symptoms, yet the role of cognitive emotion regulation strategies (CERS) in this relationship remains underexplored. Culturally specific forms of adversity, such as parental overprotection and overcontrol (OP–OC), have also been largely overlooked.

Method

This cross-sectional study investigated whether adaptive and maladaptive CERS mediate the associations between six forms of CM and ED symptoms in a non-clinical sample of 352 Turkish adults. Participants completed the Childhood Trauma Questionnaire–Expanded, the Eating Disorder Examination Questionnaire–Short Form, and the Cognitive Emotion Regulation Questionnaire. Mediation analyses were conducted using the PROCESS macro (Model 4) in SPSS v29.

Results

The results revealed that, except for physical abuse, maladaptive CERS significantly mediated the associations between all CM types and ED symptoms, with full mediation found for emotional neglect and sexual abuse. Although adaptive CERS did not mediate these relationships, their use was significantly lower among individuals exposed to emotion-related maltreatment, including OP–OC.

Discussion

These findings underscore the potential of maladaptive CERS as early indicators and modifiable risk factors in subclinical populations. Tailoring emotion regulation components within interventions like Cognitive Behavioural Therapy–Enhanced (CBT-E) and Dialectical Behaviour Therapy (DBT) may enhance efficacy, especially for trauma-exposed individuals. Preventive psychoeducational programmes in youth and community settings could offer timely support before clinical symptoms emerge.

背景：进食障碍（ED）症状在普通人群中很常见，通常与儿童虐待（CM）有关。情绪调节困难同样与CM和ED症状有关，但认知情绪调节策略（CERS）在这种关系中的作用仍未得到充分探讨。文化上特定的逆境形式，如父母的过度保护和过度控制（OP-OC），也在很大程度上被忽视了。方法本横断面研究调查适应性和非适应性CERS是否介导了352名土耳其成年人非临床样本中6种形式的CM和ED症状之间的关联。参与者完成了儿童创伤问卷（扩展版）、饮食失调检查问卷（简表）和认知情绪调节问卷。使用SPSS v29中的PROCESS宏（模型4）进行中介分析。结果结果显示，除身体虐待外，适应性不良的CERS显著介导了所有CM类型与ED症状之间的关联，其中情绪忽视和性虐待具有完全的中介作用。尽管适应性CERS没有调节这些关系，但在暴露于情绪相关虐待（包括OP-OC）的个体中，它们的使用显著降低。这些发现强调了适应性不良的CERS作为亚临床人群的早期指标和可改变的危险因素的潜力。在认知行为强化疗法（CBT-E）和辩证行为疗法（DBT）等干预措施中调整情绪调节成分可能会提高疗效，特别是对创伤暴露的个体。在青少年和社区环境中的预防性心理教育方案可以在临床症状出现之前提供及时的支持。

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引用次数: 0

Therapists as Researchers: Navigating Dilemmas From Research on Indian Therapists 作为研究人员的治疗师：从印度治疗师的研究中导航困境

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-27 DOI: 10.1002/capr.70057

Meera H. Alva, Sherin P. Antony, Arushi Kothari

Background and Aim

This paper explores the journey of an Indian therapist-researcher as she delves into the complex realm of the therapists' use of self in India. It examines the reflection of an experienced Indian therapist-researcher investigating the complex phenomenon of the use of self.

Methods

Using qualitative phenomenological interviews, the present study explores the dilemmas that therapists as researchers face during the interview process. This paper draws from a study with eight participants on the topic ‘Use of Self in Therapy: An Exploratory Study Among Indian Counsellors and Therapists’ using interpretative phenomenological analysis.

Results and Discussion

The dynamic interplay between researcher and participant identities underscores the necessity of carefully navigating boundaries and tailoring the inquiry process to participant needs and research objectives. This paper illustrates possible pathways of responding to these dilemmas of identity by transforming the interview process into a more participant-led conversation and using therapeutic skills to ethically navigate research interviews. As the researcher grapples with the question of whether the therapist self should be held back or freely expressed, the paper offers insights into the delicate balance between knowledge-gathering as part of research and maintaining participant safety. Finally, this study emphasises the importance of reflexivity in understanding the self of the therapist, particularly in the context of India's evolving therapy landscape.

Conclusion

This paper highlights the questions and dilemmas that arise in qualitative research and the need for ethical reflexivity, responsiveness and sensitivity while working with people.

背景与目的本文探讨了一位印度治疗师兼研究员的旅程，她深入研究了印度治疗师使用自我的复杂领域。它考察了一位经验丰富的印度治疗师研究人员调查自我使用的复杂现象的反思。方法采用质性现象学访谈法，探讨治疗师作为研究人员在访谈过程中所面临的困境。本文采用解释性现象学分析方法，对八名参与者进行了一项关于“在治疗中使用自我：印度咨询师和治疗师的探索性研究”的研究。研究人员和参与者身份之间的动态相互作用强调了仔细导航边界和定制调查过程以满足参与者需求和研究目标的必要性。本文阐述了应对这些身份困境的可能途径，方法是将访谈过程转变为更以参与者为主导的对话，并使用治疗技巧在伦理上引导研究访谈。当研究者努力解决治疗师自我是否应该被抑制或自由表达的问题时，这篇论文提供了关于作为研究一部分的知识收集与维护参与者安全之间微妙平衡的见解。最后，本研究强调了反身性在理解治疗师自我方面的重要性，特别是在印度不断发展的治疗领域的背景下。本文强调了在定性研究中出现的问题和困境，以及在与人合作时对伦理反身性、反应性和敏感性的需求。

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引用次数: 0

Artificial Intelligence and the Changing Landscape of Therapy 人工智能和不断变化的治疗前景

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-24 DOI: 10.1002/capr.70056

Terry Hanley

Artificial intelligence (AI) has the potential to reshape the therapeutic landscape of the future, offering new possibilities for access, efficiency and insight, while simultaneously challenging foundational principles of human connection, ethics and professional identity. This editorial introduces the growing interface between AI and therapy, highlighting how conversational agents, analytic tools and generative systems are beginning to influence assessment, supervision and clinical decision-making. It also emphasises the need for critical, ethically informed engagement, integrating AI within ecosystems of support and learning that respect the relational and contextual nature of therapeutic work. The editorial introduces a collection of papers in Counselling and Psychotherapy Research exploring these developments. Together, the articles address the integration of AI into training, ethics and multicultural practice; examine novel uses of AI for outcome monitoring and process analysis; and offer both advocacy and critique of AI's emerging role in mental health. Collectively, they reflect a profession in dialogue, one that is curious, cautious, and committed to ensuring that technology serves, rather than shapes, the values of therapy.

人工智能（AI）有可能重塑未来的治疗前景，为获取、效率和洞察力提供新的可能性，同时挑战人际关系、道德和职业身份的基本原则。这篇社论介绍了人工智能与治疗之间日益增长的接口，强调了对话代理、分析工具和生成系统如何开始影响评估、监督和临床决策。它还强调需要批判性的、道德知情的参与，将人工智能纳入支持和学习的生态系统，尊重治疗工作的关系和背景性质。这篇社论介绍了《咨询和心理治疗研究》中探讨这些发展的一系列论文。这些文章共同探讨了将人工智能融入培训、道德和多元文化实践；研究人工智能在结果监测和过程分析方面的新用途；并对人工智能在心理健康方面的新兴作用提出了支持和批评。总的来说，它们反映了一个对话中的职业，一个好奇、谨慎、致力于确保技术服务而不是塑造治疗价值的职业。

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引用次数: 0

Prevalence and Risk Factors of Burnout Among Mental Health Professionals in the NHS: A Systematic Review 英国国家医疗服务体系中精神卫生专业人员职业倦怠的患病率和危险因素：一项系统综述

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-24 DOI: 10.1002/capr.70055

Athena Despoina Sideri, Eleftherios Kipoulas, Adrian Leddy, Corinna Hackmann

Introduction

Approximately 41% of NHS staff experience work-related stress. Previous reviews on mental health professionals' (MHPs) burnout have suggested that up to 40% experience emotional exhaustion, 22% depersonalisation and 19% low personal accomplishment. The present review aimed to explore the prevalence of burnout among MHPs in NHS mental health services and the associated risk factors.

Methods

A systematic review and meta-analysis on the prevalence and risk factors of burnout was conducted. Synonyms and related terms with ‘mental health professionals’ (population), ‘burnout’ (outcome) and ‘NHS’ (context) were searched on CINAHL, MEDLINE, EMBASE, PsycINFO and Web of Science in March 2025. The meta-analysis on burnout prevalence was conducted using the ‘metafor’ package on R. Cochran's Q and I² were used to assess heterogeneity. A narrative synthesis was employed to explore risk factors.

Results

A total of 14 studies were included, seven of which were used for the meta-analysis due to the available data, replicating previous meta-analysis studies on burnout. Pooled prevalence for emotional exhaustion was 42%, for depersonalisation it was 22% and for personal accomplishment it was 19%. Risk factors are conceptualised at an individual and organisational level.

Discussion

Future research is needed to explore NHS MHPs' experiences of burnout, particularly clinical psychologists, who were the least represented group across the included studies. Clinical implications and limitations are also discussed.

大约41%的NHS员工有工作压力。先前对心理健康专业人员（MHPs）倦怠的评论表明，高达40%的人经历过情绪衰竭，22%的人经历过人格解体，19%的人经历过低的个人成就感。本综述旨在探讨NHS心理健康服务中MHPs的职业倦怠患病率及其相关危险因素。方法对职业倦怠的患病率及危险因素进行系统回顾和meta分析。2025年3月，在CINAHL、MEDLINE、EMBASE、PsycINFO和Web of Science上搜索了“心理健康专业人员”（人口）、“倦怠”（结果）和“NHS”（背景）的同义词和相关术语。使用R. Cochran的Q和I2来评估异质性，对倦怠患病率进行了荟萃分析。采用叙事综合法探讨危险因素。结果本研究共纳入14项研究，其中7项研究因数据可得而被用于meta分析，重复了以往关于职业倦怠的meta分析研究。情绪衰竭的总患病率为42%，人格解体的总患病率为22%，个人成就的总患病率为19%。风险因素是在个人和组织层面概念化的。未来的研究需要探索NHS MHPs的倦怠经历，特别是临床心理学家，他们在纳入的研究中是最不具代表性的群体。临床意义和局限性也进行了讨论。

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引用次数: 0

Mental Health Risks and Resilience Factors of Adolescents in Under-Resourced Schools 资源不足学校青少年心理健康风险及心理弹性因素研究

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-16 DOI: 10.1002/capr.70052

Linda Jabbour, Jace Pillay

Background

Adolescent mental health has become an increasing concern globally, particularly within under-resourced urban areas where poverty, violence and limited educational resources intersect. In South Africa, adolescents in disadvantaged schools face heightened exposure to psychosocial and environmental risks that contribute to poor mental health outcomes. Understanding both the risk and resilience factors affecting this population is essential for developing culturally relevant, community-based mental health interventions.

Aims

This study aimed to explore the mental health risk and resilience factors among adolescents in under-resourced schools in Johannesburg South. It further sought to examine how these factors interact within the biopsychosocial and Nsamenang's social ontogenesis theories to shape adolescent well-being.

Materials and Methods

A qualitative research design was employed using semi-structured interviews, focus groups and the Incomplete Sentences projective technique. Thirty adolescents aged 13 to 18 years participated. Data were analysed using Braun and Clarke's thematic analysis.

Results

Findings revealed multiple interacting risk factors across biological, psychological and social domains. Reported mental health symptoms included anxiety, sadness, sleep disturbances, intrusive thoughts and post-traumatic stress. Key risk factors were academic pressure, financial hardship, exposure to violence, substance abuse, physical health difficulties and lack of emotional support. Despite these adversities, participants demonstrated resilience through intrinsic motivation, self-care strategies, adult and peer support, and religion.

Discussion

The findings underscore the biopsychosocial nature of adolescent mental health in low resource setting. These results align with mulitsystemic resilience models emphasising that resilience emerges through dynamic interactions between individual, familial, social and cultural systems. Interpersonal connectedness, particularly with trusted adults and peers, played a pivotal role in buffering the effects of chronic stress and socioeconomic disadvantage.

Conclusion

This study highlights t

青少年心理健康已成为全球日益关注的问题，特别是在贫穷、暴力和有限教育资源相互交织的资源不足的城市地区。在南非，处境不利学校的青少年面临更多的社会心理和环境风险，导致心理健康状况不佳。了解影响这一人群的风险和复原力因素对于制定与文化相关的、基于社区的精神卫生干预措施至关重要。目的探讨约翰内斯堡南部资源不足学校青少年的心理健康风险及心理弹性因素。它进一步试图研究这些因素如何在生物心理社会和Nsamenang的社会个体发生理论中相互作用，以塑造青少年的幸福感。材料与方法采用质性研究设计，采用半结构化访谈、焦点小组和不完整句子投射法。30名年龄在13至18岁之间的青少年参与了调查。数据分析采用Braun和Clarke的主题分析。结果研究结果揭示了生物、心理和社会领域多重相互作用的危险因素。报告的心理健康症状包括焦虑、悲伤、睡眠障碍、侵入性思维和创伤后压力。主要的风险因素是学业压力、经济困难、遭受暴力、滥用药物、身体健康困难和缺乏情感支持。尽管有这些逆境，参与者通过内在动机、自我照顾策略、成人和同伴支持以及宗教表现出了适应力。研究结果强调了低资源环境下青少年心理健康的生物心理社会性质。这些结果与多系统复原力模型一致，强调复原力是通过个人、家庭、社会和文化系统之间的动态相互作用产生的。人际联系，尤其是与可信任的成年人和同伴的联系，在缓解慢性压力和社会经济劣势方面发挥了关键作用。结论本研究强调了影响资源不足学校青少年心理健康的风险和弹性因素之间复杂的相互作用。有效的干预措施必须具有文化敏感性，利用基于家庭、社区和信仰的优势来增强复原力。以学校为基础的心理健康倡议、教师培训和心理社会支持规划对于促进福祉和减少心理健康差距至关重要。应用以非洲社会个体发生为基础的文化框架，确保干预措施具有可持续性和上下文意义。

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引用次数: 0

The ‘Push and Pull’ of NHS Talking Therapies: A Qualitative Study of Adaptations and Accommodations in a UK Mental Health Workforce Pilot NHS谈话疗法的“推与拉”：英国心理健康劳动力试点的适应和适应的定性研究

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-12 DOI: 10.1002/capr.70053

Sahanika Ratnayake, Ellen Dunn

Objectives

The United Kingdom's NHS Talking Therapies programme currently provides talking therapy free at the point of use, namely by high-intensity cognitive behavioural therapy practitioners. However, the programme suffers from chronic workforce shortages and limited treatment options. This study explores the experiences of participants in a pilot programme designed to address these issues by introducing psychotherapeutic counsellors from alternate underrepresented therapeutic modalities into the NHS Talking Therapies programme. The research aimed to understand the positive and negative aspects of working within the Talking Therapies programme and fit with similar research on therapeutic practice in the NHS.

Methods

Two focus groups were conducted with participants of the pilot programme. The data were analysed via template analysis.

Results

The results touched on a number of themes, revealing both the positives of working within the talking therapies programme (wide client base, collegiality, job stability and opportunity) as well as pressures from service delivery standards, long waiting lists and the reality of working in a structure that was designed for a different therapy. Participants navigated these pressures by adapting their therapeutic practice, sometimes in ways that they found unethical.

Conclusion

The ongoing ethical concerns suggest that accommodations on the part of the NHS would be fruitful alongside adaptations on the part of practitioners.

英国国民保健服务谈话治疗计划目前在使用点免费提供谈话治疗，即由高强度认知行为治疗从业者提供。然而，该项目长期面临劳动力短缺和治疗选择有限的问题。本研究探讨了一个试点项目的参与者的经验，该项目旨在通过将心理治疗咨询师从其他代表性不足的治疗方式引入NHS谈话治疗项目来解决这些问题。该研究旨在了解在谈话疗法项目中工作的积极和消极方面，并与NHS治疗实践的类似研究相吻合。方法采用两个焦点小组对试点项目的参与者进行调查。采用模板分析法对数据进行分析。研究结果涉及了许多主题，揭示了在谈话治疗项目中工作的积极因素（广泛的客户基础、团队合作、工作稳定性和机会），以及来自服务提供标准的压力、漫长的等待名单和在为不同治疗设计的结构中工作的现实。参与者通过调整他们的治疗方法来应对这些压力，有时他们认为这种方法是不道德的。正在进行的伦理问题表明，住宿的一部分国民保健服务将是富有成效的适应部分从业人员。

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引用次数: 0

A Duoethnographic Account of Anti-Racism Training in Counselling Pedagogy 反种族主义训练在辅导教育学中的多民族志叙述

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2025-11-07 DOI: 10.1002/capr.70048

Gillian Proctor, Divine Charura

Introduction

As authors, we co-facilitate a teaching session on anti-racism as part of a module on ethical and cultural issues on an MA in counselling and psychotherapy in the North of England to a cohort of between 14 and 24 students. We have been ongoingly evaluating and conducting research with the student groups involved to try and improve the teaching session.

Methodology

This article reports on our duoethnographic approach to consider our learning from our pedagogical experience.

Findings

Themes emerged from our conversations using Colaizzi's phenomenological method which were: defences, pedagogies of discomfort, the work, and transformation. We also present an exhaustive description of the anti-racist work involved.

Discussion and Recommendations

We draw out implications and recommendations for an anti-racist pedagogy in counselling education, focusing on each of our responsibility to undertake the deep self-examination and listening to others that this requires.

作为作者，我们共同为英格兰北部的14至24名学生提供了一个关于反种族主义的教学课程，作为咨询和心理治疗硕士道德和文化问题模块的一部分。我们一直在不断地评估和开展与学生团体有关的研究，以尝试改进教学环节。本文报告了我们从教学经验中学习的多元民族志方法。使用Colaizzi的现象学方法，我们的对话中出现了以下主题：防御、不适教学法、工作和转变。我们还对所涉及的反种族主义工作进行了详尽的描述。讨论和建议我们提出了在咨询教育中采用反种族主义教学法的影响和建议，重点是我们每个人都有责任进行深刻的自我检查，并听取他人的意见。

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引用次数: 0

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