Counselling & Psychotherapy Research最新文献

{"title":"Global Approaches to Supporting Mental Health and Resettlement for Veterans With Embodied Trauma: A Comprehensive Scoping Review","authors":"Charlotte O'Brien,&nbsp;Aisha Akeel,&nbsp;Grace McCormick,&nbsp;Scott Cole,&nbsp;Divine Charura","doi":"10.1002/capr.70011","DOIUrl":"https://doi.org/10.1002/capr.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Military veterans face significant holistic challenges when leaving military services and resettling back into the community. Recent research has shown that veterans experience higher rates of mental health difficulties than the general population and experience poorer treatment outcomes. The aim of this comprehensive scoping review was to map out the current therapeutic interventions used to support mental health care and resettlement for veterans across the globe, proposing key themes, noting any gaps and limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We followed a five-staged scoping review protocol to map the existing landscape of the veteran mental health research literature regarding therapeutic and resettlement interventions, identifying key themes by: (1) identifying the research question, (2) identifying the relevant literature, (3) selecting the studies, (4) charting the data and (5) collating, summarising, and reporting the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results show a decline in publications regarding veteran mental health and resettlement interventions since 2018, the Americentric, ‘WEIRD’ nature of the research base, and preference for individualised, technology-based psychological interventions, with a lack of culturally-informed, community-focused, relational research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This work highlights an urgent need for further non-Westernised research into holistic psychological interventions which relationally support the culturally diverse needs of veterans resettling back into their communities across the globe. It also advocates for a holistic bio-psycho-social-sexual-spiritual-existential approach to the needs of each veteran, using a culturally-informed, relational and community-based assessment, formulation, and treatment plan for embodied trauma, moving beyond the pathologisation of <i>dis-ease</i>, and mobilising the traumatised self back into the body, relationship and community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629909","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}

{"title":"Application and Analysis of the Effectiveness of the STEPPS Programme in Patients With BPD, Extended to Their Families Through the Family Connections Programme: Study Protocol of a Randomised Controlled Trial","authors":"Christian López-Cruz,&nbsp;Heliodoro Marco,&nbsp;Jorge Grimaldos,&nbsp;Paz García,&nbsp;Verónica Guillén,&nbsp;Patricia Montejano,&nbsp;Soledad Quero","doi":"10.1002/capr.12905","DOIUrl":"https://doi.org/10.1002/capr.12905","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study investigates Borderline Personality Disorder (BPD), one of the main challenges in mental health care. The main objectives are to determine whether the combined use of established treatments for patients with BPD and their families leads to significant improvement in both groups. In addition, the acceptance and implementation of both programmes, as well as their feasibility, will be evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants will be randomly assigned to two treatment conditions: (1) STEPPS programme for patients and Family Connections programme (FC) for relatives; and (2) only STEPPS for patients. Qualified professionals from the University Hospital of La Ribera will perform the diagnosis of BPD, based on the DSM-5 criteria, using the SCID-II interview. The instruments used as primary outcome measures for participants will be: the Borderline Symptom List 23 (BSL-23), the Acquired Capability with Rehearsal for Suicide Scale (ACWRSS), and a critical incident registry. The main outcome measures for the family members will be: the Burden Assessment Scale (BAS), the Family Empowerment Scale (FES), and a critical incident registry. The protocol will include pre- and post-treatment evaluations and follow-up after 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This approach responds to the need found in scientific literature to involve families in the treatment of BPD to improve the quality of the intervention and represent an advancement in the treatment of the disorder. This study will be the first randomised controlled trial (RCT) designed to intervene simultaneously in both populations, patients and relatives, and demonstrate the effectiveness and feasibility of the treatment in a real clinical setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Black Women's Experiences in Psychotherapeutic Training and Practice in the UK","authors":"Melissa McCallum,&nbsp;Victoria Clarke","doi":"10.1002/capr.70009","DOIUrl":"https://doi.org/10.1002/capr.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Discussions around racial disparities and injustice have gained increasing prominence in psychotherapy and counselling research. However, research in this area has been criticised for its omission of Black women's experiences, including as counsellors and psychotherapeutic practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study explored and centred the experiences of Black women within therapeutic training and practice and particularly their navigation of gendered racism within training and clinical roles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>Informed by the frameworks of critical race theory and Black feminist thought, this qualitative study used interviews, focus groups, and qualitative surveys to capture the experiences of 15 Black women (11 trainee and 4 qualified therapeutic practitioners).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found that there is subtle racism in psychotherapeutic training and practice that hinders Black women's sense of belonging and professional development. The women's accounts highlighted how marginalised perspectives can be used to critique psychotherapeutic training and services, but participants faced silencing through victimisation after self-advocating. The participants felt a sense of hypervisibility for their differences while also being excluded and overlooked for the same differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The study provides insights for educational institutions and professional bodies to foster inclusive practice for Black women in the counselling and psychotherapy profession.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The data suggest that further research is needed that centres the experiences of Black women as therapeutic trainees and practitioners. Further research on white privilege in psychotherapeutic training and leadership, and examining resistance to changing current oppressive structures, is also needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571343","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}

{"title":"Examining the Relationships Between Existential Fulfilment, Professional Quality of Life, and Self-Efficacy Among Counsellors, Physicians, and Nurses in Healthcare Settings","authors":"Othman A. Alfuqaha","doi":"10.1002/capr.70012","DOIUrl":"https://doi.org/10.1002/capr.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Existential fulfilment (EF), professional quality of life (ProQol) and self-efficacy (SE) have important roles in meaning in life, mental health status and enhancing decision-making among healthcare professionals (HCPs) in healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examined the relationships between EF, ProQol and SE among counsellors, physicians and nurses. Furthermore, it investigated their differences based on selected variables and examined the predictors of EF, ProQol and SE based on different demographic factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A cross-sectional correlational design was conducted with 481 participants (counsellors = 147, physicians = 162 and nurses = 172). This study used a convenience sample method to recruit participants from October to December 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results found that counsellors had the highest levels of compassion satisfaction (CS) and SE, and lower levels of burnout (BO) and secondary traumatic stress (STS) compared to nurses and physicians. Physicians had the highest BO levels, while nurses had the highest STS levels. Physicians had the highest levels of all EF dimensions, followed by nurses. There were statistically significant differences (<i>p</i> &lt; 0.05) among all HCPs based on ProQol and EF dimensions. Educational level, age and gender were found to be the main predictors of EF dimensions, ProQol dimensions and SE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Urgent psychological interventions are warranted to tackle the problem of BO and STS among physicians and nurses, while EF levels among counsellors should be investigated in further studies to understand the reasons behind these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Experience and Perceptions of Psychotherapists and Counsellors Working With Autistic Adolescents: Paper One","authors":"Rachel Casper-White,&nbsp;Netalie Shloim,&nbsp;Judith Hebron","doi":"10.1002/capr.12903","DOIUrl":"https://doi.org/10.1002/capr.12903","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The publication of the DSM 5 in 2013 identified autistic individuals as more likely to experience mental health problems than their neurotypical peers. A prior systematic review suggested autistic adolescents may be more vulnerable to poor mental health (Casper et al. 2021), especially post-pandemic (Samji et al. 2022). Subsequent research (Maddox et al. 2020; Lipinski et al. 2022) has suggested that psychotherapist and counsellor perceptions of autism may act as barriers in accessing therapeutic support. Most of the research within this area is focused on broad age ranges and directive therapies, which does not reflect the spectrum nature of autism and limits the type of support offered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This research aimed to investigate counsellor and psychotherapist experience and perceptions of therapeutic working with autistic adolescents using quantitative data collected via an online survey of 103 participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings suggest significant relationships between therapist experience and confidence to work with autistic adolescents. Therapist confidence was significantly related to therapist competence but the direction of this relationship could not be confirmed. In addition, the results suggested 81% of participants had not received any formal autism training during their qualification and 93% perceived non-directive therapy to be beneficial for autistic adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Collectively this study highlights an urgent need for autism training to be included in courses, which may increase newly qualified therapists' confidence, competence and improve access to mental health services for autistic adolescents. The implications of these findings, as well as limitations and plans for further research, are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571338","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}

{"title":"Exploring the Experiences and Perceptions of Psychotherapists and Counsellors Working With Autistic Adolescents: Paper Two","authors":"Rachel Casper-White,&nbsp;Judith Hebron,&nbsp;Netalie Shloim","doi":"10.1002/capr.70007","DOIUrl":"https://doi.org/10.1002/capr.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A growing body of research has identified counsellor and psychotherapist perceptions of autism as barriers for autistic individuals to accessing mental health care (Lipinski et al. 2022; Roudbarani et al. 2022). A prior quantitative study (Casper-White et al. 2025) focusing on therapists' experiences and perceptions of working with autistic adolescents identified that the number of years since qualifying and the number of clients seen had a positive relationship with confidence to work with this client group. In addition, the descriptive statistics provided support for offering non-directive therapy to support autistic adolescents' mental health. This follow-up qualitative study aimed to better understand these findings and add to an emergent research field, from which improved training opportunities for therapists and access to psychological care for autistic adolescents can be gained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This research formed part of an explanatory sequential mixed-methods study (Maarouf 2019). It aimed to investigate counsellor and psychotherapist experiences and perceptions of therapeutic work with autistic adolescents, using data collected via online semi-structured interviews with <i>N</i> = 10 qualified psychotherapists/counsellors and analysed using reflexive thematic analysis (Braun and Clarke 2019).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Findings are presented in relation to five themes: (1) See the Person, not your Perceptions; (2) Collaborative Working; (3) Overcoming the Stereotypes; (4) Navigating a Deluge of Diagnosis; and (5) Improving upon Unpreparedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The qualitative results both support and extend previous quantitative findings and provide valuable suggestions for future training provision and a positive insight into working in a non-directive therapeutic way with autistic adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571363","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}

{"title":"A Counsellor-Led Evaluation of Islamic Counselling's Impact on Anxiety and Depression Experienced by Muslim Clients","authors":"Humayra Abdul Rauf,&nbsp;Farzana Noor,&nbsp;Stephen Abdullah Maynard","doi":"10.1002/capr.12888","DOIUrl":"https://doi.org/10.1002/capr.12888","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Context</h3>\u0000 \u0000 <p>UK Muslims are a growing proportion of the population who often experience complex mental health presentations while having the poorest mental health outcomes across faiths from standard cognitive behavioural therapy (CBT) interventions. Islamic psychology is a new development that addresses psychology as a psychospiritual phenomenon; Islamic counselling is a therapeutic approach within this field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The current study explores the immediate outcomes of the Islamic psychological intervention, Islamic Counselling, in relation to anxiety and depression, through a counsellor-led assessment of its impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Counsellors compared the Generalised Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scores before and after six to eight sessions of Islamic Counselling with 52 Muslim clients from three East London boroughs. Fifty of these clients presented with anxiety with depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the intervention, average GAD-7 scores across the three boroughs dropped from 14 to 8, moderate to mild anxiety, and average PHQ-9 scores across the three boroughs dropped from 15 to 9, moderately severe to mild depression, a fall of two thresholds. Following the results, the paper discusses the context of Muslim psychological health, specific factors regarding the nature of client presentations in this evaluation, and implications of this research. There were no ethical considerations in this evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared Music Listening: Walking Alongside Adolescents With Experiences of Trauma","authors":"Ellen Taverne,&nbsp;Claire D. Nicholls","doi":"10.1002/capr.70005","DOIUrl":"https://doi.org/10.1002/capr.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Shared listening of music has been widely explored in the field of music therapy, with some application to working with adolescents with experiences of trauma. However, there is a paucity of research investigating its potential application in school counselling settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This article therefore presents the findings of a hermeneutic phenomenological pilot study exploring the viability of integrating shared listening of music into guidance officer (school counsellor) practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with music therapists and a school counsellor who had utilised this intervention extensively in their practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The thematic analysis of findings revealed that shared listening of music represents an accessible and flexible intervention that can aid in developing emotional resilience and mood regulation for adolescents with experiences of trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The discussion highlights the importance of openness and authenticity on behalf of the therapist, and places emphasis on letting the young person lead the process, making for impactful and meaningful therapeutic engagement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535753","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}

{"title":"‘They Say We're the Rigid Ones’: A Reflexive Thematic Analysis of Autistic Adults' Experiences of Psychological Therapies","authors":"Daniela Di Marco,&nbsp;Phillippa Wood DClinPsy,&nbsp;Nicholas Troop CPsychol","doi":"10.1002/capr.12902","DOIUrl":"https://doi.org/10.1002/capr.12902","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Autistic people experience mental health difficulties in higher numbers compared to neurotypical people. Within the United Kingdom, many will access psychological therapies through the National Health Service (NHS), but many autistic people report negative experiences (All Party Parliamentary Group on Autism [APPGA] 2019). This study qualitatively examines the lived experiences of autistic people in their psychological therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This research adopts a qualitative approach by using Reflexive Thematic Analysis (RTA) to guide the research process and analysis of data. Eight autistic adults who had received treatment via the NHS were interviewed regarding their experiences of adult psychological therapies and what facilitated or hindered a positive experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four themes were constructed: ‘doing therapy “right”’, ‘the therapeutic relationship’, ‘what's the point?’ and ‘lack of choice’. The processes between the therapist and client underpinned experiences, with a reciprocal relationship between factors impacting and being impacted by the relationship. Psychological therapies were found to foster feelings of imposition of treatment with little ability to choose one's own pathway to recovery. All participants reported a lack of psychological safety regarding their identities as autistic people and named lack of therapist knowledge of neurodiversity as a barrier.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Recommendations include therapeutic boundaries and explicit communication of expectations, allowing the client to be themselves and feel able to engage in practical strategies. Tracking progress is also important, alongside attending relevant training delivered by autistic individuals. Implications for policy include offering more sessions to autistic individuals to allow time for rapport building to reduce re-referrals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521843","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}

{"title":"Phenomenologizing Humour Amongst Filipino Psychotherapists: A Cultural Lens","authors":"Adrian B. Rigor,&nbsp;Arsenio S. Alianan Jr.","doi":"10.1002/capr.70004","DOIUrl":"https://doi.org/10.1002/capr.70004","url":null,"abstract":"<div>\u0000 \u0000 <p>This study investigates the role of humour in the context of psychotherapy from a phenomenological and cultural lens. Previous studies have delved into the benefits and risks of humour in fostering the therapeutic relationship in psychotherapy as well as its impact on achieving therapeutic goals. More specifically, we focused on humour's benefits and costs from the perspective of Filipino psychotherapists. Using interpretative phenomenological analysis as a conceptual and methodological frame, this study explored the lived experiences of Filipino psychotherapists in their use of humour in their practice. Themes of (1) the Distinct Nature of Humour, (2) Language of Comfort, (3) <i>Pagtitimpla</i> (Approximations of Appropriateness), and (4) Instrument for Processing emerged from the lived experiences of Filipino psychotherapists. Despite previous assumptions of humour being spontaneous, its use is more deliberate and thoughtfully considered than previously discussed. Furthermore, the sociocultural inclination of Filipinos towards humour poses significant impacts on how humour is used in Philippine psychotherapy. Additional research may build on examining humour use in therapy specifically anchored in its cultural and contextual nuances.</p>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481516","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}