Madison Erbach, Evangeline Danseco, Valerie Schutte
Background
Helplines for post-secondary students have emerged in the last decade to address the growing mental health needs and increasing help-seeking of this population in ways that are responsive to their needs and preferences. However, there is no publicly available evidence of the effectiveness of helplines for post-secondary students.
Aims
This study evaluated the outcomes of Good2Talk, a helpline for post-secondary students in Ontario, Canada, that offers professional counselling and information and referral services related to mental health, addictions and well-being.
Methods
In this cross-sectional study, purposive sampling was used to recruit post-secondary students who contacted Good2Talk between March 2016 and March 2020. Data were collected using post-call questionnaires. Paired samples t-tests and multinomial logistic regression analyses were used to analyse the data from 619 post-secondary students.
Results
Participants reported significant decreases in distress and increases in their ability to face their concern after contacting the helpline. Feeling understood and low pre-call distress were significant predictors of low post-call distress. Confidence in their abilities and having a better plan were significant predictors of high post-call ability to face their concern. Age, gender and number of previous calls to the helpline were not significant predictors of positive outcomes. Most participants reported that they would recontact the helpline and recommend the helpline to a peer.
Conclusion
The study indicates that counselling and information and referral services can be effective in reducing distress and increasing post-secondary students' abilities to address their mental health concerns.
{"title":"Evaluating a helpline for post-secondary students: Caller distress, ability to face concern and satisfaction with helpline","authors":"Madison Erbach, Evangeline Danseco, Valerie Schutte","doi":"10.1002/capr.12718","DOIUrl":"10.1002/capr.12718","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Helplines for post-secondary students have emerged in the last decade to address the growing mental health needs and increasing help-seeking of this population in ways that are responsive to their needs and preferences. However, there is no publicly available evidence of the effectiveness of helplines for post-secondary students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study evaluated the outcomes of Good2Talk, a helpline for post-secondary students in Ontario, Canada, that offers professional counselling and information and referral services related to mental health, addictions and well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, purposive sampling was used to recruit post-secondary students who contacted Good2Talk between March 2016 and March 2020. Data were collected using post-call questionnaires. Paired samples <i>t</i>-tests and multinomial logistic regression analyses were used to analyse the data from 619 post-secondary students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported significant decreases in distress and increases in their ability to face their concern after contacting the helpline. Feeling understood and low pre-call distress were significant predictors of low post-call distress. Confidence in their abilities and having a better plan were significant predictors of high post-call ability to face their concern. Age, gender and number of previous calls to the helpline were not significant predictors of positive outcomes. Most participants reported that they would recontact the helpline and recommend the helpline to a peer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study indicates that counselling and information and referral services can be effective in reducing distress and increasing post-secondary students' abilities to address their mental health concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341872","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}
Susanne Axelsson, Sara Kihlberg, Paul Davis, Markus B. T. Nyström
Objective
There are few methods that focus on therapists' experiences of supervision. To facilitate the development of psychologist students, a supervisee-centred supervision, based on deliberate practice, feedback informed treatment and self-compassion, was introduced.
Methods
This study examines six supervisees’ experiences of a supervisee-centred supervision. A semi- structured interview was used for the collection of the data, which identified two main themes: Learning and Development and five associated sub-themes: structure and purposesfulness, prerequisites, experience-based learning, therapeutic skills and personal development.
Conclusion
The experience- and feedback-based approach was perceived as efficient, structured and goal oriented. This created high-focused activity and participation, a strong group dynamic and a good alliance with the supervisors, providing a good climate for learning and development. Focusing on performance and feedback was perceived as a potential obstacle that could create stress and anxiety.
{"title":"Psychotherapy students' experiences of supervisee-centred supervision based on deliberate practice, feedback-informed treatment and self-compassion","authors":"Susanne Axelsson, Sara Kihlberg, Paul Davis, Markus B. T. Nyström","doi":"10.1002/capr.12708","DOIUrl":"10.1002/capr.12708","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>There are few methods that focus on therapists' experiences of supervision. To facilitate the development of psychologist students, a supervisee-centred supervision, based on deliberate practice, feedback informed treatment and self-compassion, was introduced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study examines six supervisees’ experiences of a supervisee-centred supervision. A semi- structured interview was used for the collection of the data, which identified two main themes: Learning and Development and five associated sub-themes: structure and purposesfulness, prerequisites, experience-based learning, therapeutic skills and personal development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The experience- and feedback-based approach was perceived as efficient, structured and goal oriented. This created high-focused activity and participation, a strong group dynamic and a good alliance with the supervisors, providing a good climate for learning and development. Focusing on performance and feedback was perceived as a potential obstacle that could create stress and anxiety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135479894","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}
Studies delving into the personal and professional experiences of psychotherapists working with children and adolescents who have been sexually abused are scarce and mostly cross-sectional.
Aim
The present qualitative longitudinal study aimed to describe the narratives that therapists construct about their personal and professional experiences of working with children and/or adolescents who have been victims of sexual aggression during different moments of the psychotherapeutic process.
Method
Eight psychologists were interviewed and asked about the psychotherapy of 12 cases they were developing. These cases were of children and adolescents who had been sexually abused. Each participant was interviewed at different moments of the cases' psychotherapy (6 months into the process, 12 months into the process and once more at the end of therapy for those who received therapy for longer than 12 months). A total of 34 interviews were conducted and studied through narrative analysis.
Results
Three major themes involving the personal and professional experiences of psychotherapists emerged: regarding the patient and their family; regarding the institutional context; and regarding the personal/professional experience. Also, identified and analysed convergences and divergences that appear within these themes at different points in the participants' interviews are highlighted.
Discussion
The findings suggest that therapists manage to navigate the most complex and distressing aspects of each intervention case in the earlier moments of the psychotherapeutic process and later are likely to have an emotional connection with pleasant or satisfactory elements in their work and are likely to end treatment with an appreciation for the learning experiences they have had working with challenging cases and a sense of amazement at the resources and resilience of the children and adolescents they work with.
{"title":"Narratives of personal and professional experiences of psychotherapists working with cases of child and adolescent sexual abuse: A qualitative longitudinal study","authors":"Estrella Azócar, Camila Gómez, Claudia Capella, Daniela Águila, Macarena Espeleta","doi":"10.1002/capr.12714","DOIUrl":"10.1002/capr.12714","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Studies delving into the personal and professional experiences of psychotherapists working with children and adolescents who have been sexually abused are scarce and mostly cross-sectional.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The present qualitative longitudinal study aimed to describe the narratives that therapists construct about their personal and professional experiences of working with children and/or adolescents who have been victims of sexual aggression during different moments of the psychotherapeutic process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Eight psychologists were interviewed and asked about the psychotherapy of 12 cases they were developing. These cases were of children and adolescents who had been sexually abused. Each participant was interviewed at different moments of the cases' psychotherapy (6 months into the process, 12 months into the process and once more at the end of therapy for those who received therapy for longer than 12 months). A total of 34 interviews were conducted and studied through narrative analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three major themes involving the personal and professional experiences of psychotherapists emerged: regarding the patient and their family; regarding the institutional context; and regarding the personal/professional experience. Also, identified and analysed convergences and divergences that appear within these themes at different points in the participants' interviews are highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that therapists manage to navigate the most complex and distressing aspects of each intervention case in the earlier moments of the psychotherapeutic process and later are likely to have an emotional connection with pleasant or satisfactory elements in their work and are likely to end treatment with an appreciation for the learning experiences they have had working with challenging cases and a sense of amazement at the resources and resilience of the children and adolescents they work with.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135540397","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}
What are the recommendations provided by Australian therapists to engage and retain adolescent males in psychotherapy? This question is considered in response to research highlighting low engagement and high premature dropout in psychological treatment among adolescent males in both Australia and other Western nations.
Method
Participants were 67 Australian mental health practitioners (35 psychologists, 20 social workers, eight counsellors, three psychiatrists and one occupational therapist) recruited through purposive sampling via professional association websites, publications and social media. Participants completed an open-question, web-based qualitative survey. Responses were analysed using inductive reflexive thematic analysis.
Results
Three themes and 10 subthemes were developed, including the following: (1) creating a context of safety; (2) undertaking practices that develop rapport and engagement; and (3) undertaking masculinity-aware adaptions to the therapy process.
Conclusion
The recommendations provided by Australian therapists align with the broader literature tasked with developing male-friendly interventions applicable and appealing to young men. Therapeutic relationships underpinned by masculinity-informed trust, commitment and collaboration may be a part of the remedy to young men's limited engagement and retention in therapy.
{"title":"‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy","authors":"Micah Boerma, Nathan Beel, Carla Jeffries, Govind Krishnamoorthy","doi":"10.1002/capr.12716","DOIUrl":"10.1002/capr.12716","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>What are the recommendations provided by Australian therapists to engage and retain adolescent males in psychotherapy? This question is considered in response to research highlighting low engagement and high premature dropout in psychological treatment among adolescent males in both Australia and other Western nations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were 67 Australian mental health practitioners (35 psychologists, 20 social workers, eight counsellors, three psychiatrists and one occupational therapist) recruited through purposive sampling via professional association websites, publications and social media. Participants completed an open-question, web-based qualitative survey. Responses were analysed using inductive reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes and 10 subthemes were developed, including the following: (1) creating a context of safety; (2) undertaking practices that develop rapport and engagement; and (3) undertaking masculinity-aware adaptions to the therapy process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The recommendations provided by Australian therapists align with the broader literature tasked with developing male-friendly interventions applicable and appealing to young men. Therapeutic relationships underpinned by masculinity-informed trust, commitment and collaboration may be a part of the remedy to young men's limited engagement and retention in therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774202","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}
Wayne Full, Andreas Vossler, Naomi Moller, Jo Pybis, Jeannette Roddy
Objective
The aim of this research was to understand counsellors' and therapists' perceptions and experiences of working online during the COVID-19 pandemic.
Method
Five hundred and ninety clinicians, mostly UK-based, responded to an online qualitative survey, which allowed data to be gathered from a broader range of participants than is typical for qualitative interviews or focus group studies, and provided a wide-angle lens. The survey generated over 130,000 words, on which a five-staged framework analysis was conducted. Seven superordinate themes were identified.
Results
In this paper, three of these superordinate themes specifically addressing online therapeutic practice with individual adult clients are presented. Therapists' accounts addressed the diverse ways in which the online space changed how they thought about the therapy relationship and their interactions with clients. Respondents described instances where online therapy had been beneficial for facilitating and cultivating the therapeutic process and relationship as well as how online therapy could have a potentially disruptive impact on therapeutic practice.
Implications
For practitioners who continue to deliver therapy solely online and/or offer hybrid services, this study identifies the specific knowledge and skills required for effective and safe online therapeutic work.
{"title":"Therapists' and counsellors' perceptions and experiences of offering online therapy during COVID-19: A qualitative survey","authors":"Wayne Full, Andreas Vossler, Naomi Moller, Jo Pybis, Jeannette Roddy","doi":"10.1002/capr.12707","DOIUrl":"10.1002/capr.12707","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this research was to understand counsellors' and therapists' perceptions and experiences of working online during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Five hundred and ninety clinicians, mostly UK-based, responded to an online qualitative survey, which allowed data to be gathered from a broader range of participants than is typical for qualitative interviews or focus group studies, and provided a wide-angle lens. The survey generated over 130,000 words, on which a five-staged framework analysis was conducted. Seven superordinate themes were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this paper, three of these superordinate themes specifically addressing online therapeutic practice with individual adult clients are presented. Therapists' accounts addressed the diverse ways in which the online space changed how they thought about the therapy relationship and their interactions with clients. Respondents described instances where online therapy had been beneficial for facilitating and cultivating the therapeutic process and relationship as well as how online therapy could have a potentially disruptive impact on therapeutic practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>For practitioners who continue to deliver therapy solely online and/or offer hybrid services, this study identifies the specific knowledge and skills required for effective and safe online therapeutic work.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869117","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}
Peter J. Jankowski, Steven J. Sandage, Sarah A. Crabtree, Jesse Owen, George Stavros
We responded to the need for replication in psychotherapy research by extending a prior naturalistic study documenting the effectiveness of long-term psychodynamic treatment. We employed three novel analytic strategies and evaluated their influence on substantive interpretations offered in the prior study. The sample consisted of clients (N = 387; Mage = 31.61; SD = 11.13; 58.9% female; 79.1% Caucasian/White) receiving outpatient treatment at a psychodynamic training clinic. Results replicated the original two-class solutions for social functioning, depression and life satisfaction. Novel to the replication analyses, each trajectory for social functioning and depression exhibited nonlinear change and results advanced research on a theorised mechanism of effective psychodynamic treatment. Results showed that change in experiential avoidance was a possible mechanism between early-treatment change in social functioning and later-treatment changes in depression symptoms and life satisfaction. Clinical implications focus on the influence that initial levels of symptoms and well-being may have on early and later phases of treatment, monitoring progress throughout treatment, and how to promote symptom and well-being improvement.
{"title":"A constructive replication of client change during psychodynamic treatment in an outpatient setting","authors":"Peter J. Jankowski, Steven J. Sandage, Sarah A. Crabtree, Jesse Owen, George Stavros","doi":"10.1002/capr.12710","DOIUrl":"10.1002/capr.12710","url":null,"abstract":"<p>We responded to the need for replication in psychotherapy research by extending a prior naturalistic study documenting the effectiveness of long-term psychodynamic treatment. We employed three novel analytic strategies and evaluated their influence on substantive interpretations offered in the prior study. The sample consisted of clients (<i>N</i> = 387; <i>M</i><sub>age</sub> = 31.61; <i>SD</i> = 11.13; 58.9% female; 79.1% Caucasian/White) receiving outpatient treatment at a psychodynamic training clinic. Results replicated the original two-class solutions for social functioning, depression and life satisfaction. Novel to the replication analyses, each trajectory for social functioning and depression exhibited nonlinear change and results advanced research on a theorised mechanism of effective psychodynamic treatment. Results showed that change in experiential avoidance was a possible mechanism between early-treatment change in social functioning and later-treatment changes in depression symptoms and life satisfaction. Clinical implications focus on the influence that initial levels of symptoms and well-being may have on early and later phases of treatment, monitoring progress throughout treatment, and how to promote symptom <i>and</i> well-being improvement.</p>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872202","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}
David Tate, Linda Dubrow‐Marshall, Clare S. Allely
Abstract Background Many young people with autism can have an average or above average IQ, yet they still struggle with the social competencies needed to successfully navigate into adulthood. Despite many individuals with autism experiencing significant challenges during their transition into adulthood, evidence‐based therapeutic interventions to support individuals with autism during this transition are limited. The current literature suggests that cognitive behavioural therapy interventions can help improve social skills and the mental health of individuals with autism. However, little is known about the benefits for young adults with autism transitioning or who have transitioned into adulthood. Aims and Method The aim of this research was to deliver a newly developed Cognitive Behavioural Social Competence Therapeutic Intervention for Adults with Autism (CBSCTI‐A) to five young adults with autism. Research aims were to evaluate intervention feasibility and efficacy by triangulating data findings using a mixed methods approach. Results Results support feasibility, with CBSCTI‐A receiving very high user satisfaction ratings, and adherence to the intervention was high, recorded at ~90%. Fidelity to treatment was also high, ranging from ~86% to ~100%. Quantitative findings indicate that over an eight‐week time period, a small sample of young adults with autism experienced significant improvements with regard to their social motivation, non‐verbal conversation, emotional empathy, assertiveness, interpersonal relationships and self‐control. Qualitative findings provide further anecdotal support for intervention feasibility and efficacy. After the completion of the intervention, participants and their parents were invited to complete semistructured interviews. Thematic analysis (TA) revealed four main themes: user satisfaction, important components of therapeutic intervention, challenges and critiques, and recommendations. Conclusions CBSCTI‐A appears to be a feasible intervention; however, future research with larger samples and more rigorous controlled trials is needed before efficacy can be established.
{"title":"The development of the Cognitive Behavioural Social Competence Therapeutic Intervention for Adults with Autism: A mixed methods report","authors":"David Tate, Linda Dubrow‐Marshall, Clare S. Allely","doi":"10.1002/capr.12711","DOIUrl":"https://doi.org/10.1002/capr.12711","url":null,"abstract":"Abstract Background Many young people with autism can have an average or above average IQ, yet they still struggle with the social competencies needed to successfully navigate into adulthood. Despite many individuals with autism experiencing significant challenges during their transition into adulthood, evidence‐based therapeutic interventions to support individuals with autism during this transition are limited. The current literature suggests that cognitive behavioural therapy interventions can help improve social skills and the mental health of individuals with autism. However, little is known about the benefits for young adults with autism transitioning or who have transitioned into adulthood. Aims and Method The aim of this research was to deliver a newly developed Cognitive Behavioural Social Competence Therapeutic Intervention for Adults with Autism (CBSCTI‐A) to five young adults with autism. Research aims were to evaluate intervention feasibility and efficacy by triangulating data findings using a mixed methods approach. Results Results support feasibility, with CBSCTI‐A receiving very high user satisfaction ratings, and adherence to the intervention was high, recorded at ~90%. Fidelity to treatment was also high, ranging from ~86% to ~100%. Quantitative findings indicate that over an eight‐week time period, a small sample of young adults with autism experienced significant improvements with regard to their social motivation, non‐verbal conversation, emotional empathy, assertiveness, interpersonal relationships and self‐control. Qualitative findings provide further anecdotal support for intervention feasibility and efficacy. After the completion of the intervention, participants and their parents were invited to complete semistructured interviews. Thematic analysis (TA) revealed four main themes: user satisfaction, important components of therapeutic intervention, challenges and critiques, and recommendations. Conclusions CBSCTI‐A appears to be a feasible intervention; however, future research with larger samples and more rigorous controlled trials is needed before efficacy can be established.","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104007","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}
Evidence suggests that the quality of the therapeutic relationship impacts the outcome of therapy, with the ending phase having the potential to elicit painful and difficult emotions. There is limited research on this phase of the therapeutic relationship.
Aims
The study aimed to explore the lived experiences of counsellors when ending with clients in short-term planned settings those relationships in which they have worked at relational depth.
Method
Interpretative phenomenological analysis was used to evaluate the counsellors' lived experiences of ending therapeutic relationships. Online semi-structured interviews took place with six trainee and qualified counsellors who volunteered as counsellors for a local charity.
Findings
Three main themes were identified during the study—impact of ending, impact of short-term work and professional issues. Findings indicated that working at relational depth in short-term counselling could elicit unprocessed powerful emotions within the ending phase of therapy.
Limitations
A small sample size limits the wider application of these findings.
Implications
Further guidance and support are needed for trainee and qualified practitioners in the management and experience of ending counselling relationships within short-term work, including the exploration of counsellors' self-disclosure. Implications for practice include the need for supervisors and counsellors to be proactive in managing reflective practice within supervision, supervisors recognising and challenging supervisees' non-disclosure and counsellors looking at further ways for self-reflection on endings in counselling relationships.
Conclusion
The ending phase for counsellors working at relational depth within a seven-session model can elicit powerful emotions, positive experiences and challenges.
{"title":"‘I guess the ending is the price you pay’. Working at relational depth in a seven-session model: The impact of regular planned endings on counsellors","authors":"Liz Chambers, Andy Pendle","doi":"10.1002/capr.12712","DOIUrl":"10.1002/capr.12712","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence suggests that the quality of the therapeutic relationship impacts the outcome of therapy, with the ending phase having the potential to elicit painful and difficult emotions. There is limited research on this phase of the therapeutic relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The study aimed to explore the lived experiences of counsellors when ending with clients in short-term planned settings those relationships in which they have worked at relational depth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Interpretative phenomenological analysis was used to evaluate the counsellors' lived experiences of ending therapeutic relationships. Online semi-structured interviews took place with six trainee and qualified counsellors who volunteered as counsellors for a local charity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Three main themes were identified during the study—<i>impact of ending</i>, <i>impact of short-term work</i> and <i>professional issues</i>. Findings indicated that working at relational depth in short-term counselling could elicit unprocessed powerful emotions within the ending phase of therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>A small sample size limits the wider application of these findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Further guidance and support are needed for trainee and qualified practitioners in the management and experience of ending counselling relationships within short-term work, including the exploration of counsellors' self-disclosure. Implications for practice include the need for supervisors and counsellors to be proactive in managing reflective practice within supervision, supervisors recognising and challenging supervisees' non-disclosure and counsellors looking at further ways for self-reflection on endings in counselling relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The ending phase for counsellors working at relational depth within a seven-session model can elicit powerful emotions, positive experiences and challenges.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12712","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068580","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}
Doreen Fleet, Andrew Reeves, Paul Taylor, Lynne Gabriel
{"title":"Editorial for special section: Grounded theory in qualitative research","authors":"Doreen Fleet, Andrew Reeves, Paul Taylor, Lynne Gabriel","doi":"10.1002/capr.12677","DOIUrl":"https://doi.org/10.1002/capr.12677","url":null,"abstract":"","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68180672","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}
Vasile Boico, Susan Humblestone, Michael Moutoussis, Caroline Selai
Background
We describe our experience of developing Guided Self Help for patients with Functional Neurological Symptom Disorder as group therapy, delivered remotely, via Zoom.
Aims
The aims of the current study are (a) to describe how the original Queen Square Guided Self-Help (QGSH) was adapted for group therapy, and (b) to present a service evaluation of the first 8 months of running QGSH therapy groups remotely.
Methods
We carried out a review after 8 months, from 11 May 2021 until 31 January 2022.
Results
A total of 16 patients were treated in three groups. Assessing our outcomes in terms of Yalom's framework for group psychotherapy, we found that the group provided 10/11 of Yalom's therapeutic factors. Patient satisfaction was high.
Discussion
We outline for plans for further devaluation and development, including the development of a stand-alone group.
Conclusion
The group therapy format is a promising addition to our service.
{"title":"Group psychotherapy format guided self-help for patients with FNSD awaiting inpatient multidisciplinary treatment: A pilot study","authors":"Vasile Boico, Susan Humblestone, Michael Moutoussis, Caroline Selai","doi":"10.1002/capr.12709","DOIUrl":"10.1002/capr.12709","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>We describe our experience of developing Guided Self Help for patients with Functional Neurological Symptom Disorder as group therapy, delivered remotely, via Zoom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aims of the current study are (a) to describe how the original Queen Square Guided Self-Help (QGSH) was adapted for group therapy, and (b) to present a service evaluation of the first 8 months of running QGSH therapy groups remotely.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We carried out a review after 8 months, from 11 May 2021 until 31 January 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 16 patients were treated in three groups. Assessing our outcomes in terms of Yalom's framework for group psychotherapy, we found that the group provided 10/11 of Yalom's therapeutic factors. Patient satisfaction was high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>We outline for plans for further devaluation and development, including the development of a stand-alone group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The group therapy format is a promising addition to our service.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135462092","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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