Globalising counselling: humanistic counselling in Kenya

This paper explores the application of a Western, psychologically-based model of counselling and counselling training in contexts where the social and cultural conditions differ from mainstream Western societies. A group of Kenyan trainee counsellors following such a course are interviewed about their experience of training. The interview data are analysed to provide a tentative answer to the question of the appropriateness in a Kenyan cultural milieu of a humanistic counselling training model developed in the UK. It is concluded that such application is possible and desirable, if it is undertaken as shared and respectful learning between trainers and trainees.     

Some ethical dilemmas in counselling and counselling research

This paper raises a number of dilemmas in relation to the ethical practice of counselling, counsellor training and research and evaluation of counselling which reflect the author's increasing concerns about therapeutic ethics. A number of relevant issues are explored to develop awareness and understanding of ethical matters, though this is in the spirit of exploration and inquiry rather than having definitive answers to offer. These issues include: use of training videos of therapists with real clients; informed consent; how research and evaluation changes the therapeutic process; how sensitive and ongoing consent for counselling and counselling research could be best obtained; publication of research in ways that respect the research participant; and the value and implications of the new British Association for Counselling and Psychotherapy ethical framework. Finally, the concept of 'ethical mindfulness' is considered as a creative, if demanding, response to a concern to be ethical in research and practice.     

Replacing client-centred counselling with culture-centred counselling

Models of psychotherapies and counselling do not develop in a social vacuum. They arise out of and rest on several fundamental assumptions-social, linguistic and cultural-most which are understood and shared by the client group and the therapists andor counsellors. The extent to which there is a congruence of shared assumptions facilitates the process of counselling and/or therapy. It does not, however, guarantee its successful outcome. This paper examines the fundamental assumptions underlying client-centred counselling and argues that there is at present a lack of correspondence between the assumptions of the counsellors and those of their client groups-even within their own culture. But among the client groups comprising the ethnic minorities originating from the Indian subcontinent, there is a wide chasm. The clients do not understand or share the fundamental assumptions of their counsellors. As a result, client-centred counselling is irrelevant and does not serve the needs of the clients groups comprising the ethnic minorities. It is in urgent need of a paradigm shaft. It is argued that client-centred therapy needs to be replaced by culture-centred counselling, in which counsellors can be trained. The paper presents the main features of a model of counselling that is applicable not only to the white indigenous population in Britain but to the above ethnic minorities living in Britain.     

Gambling counselling in Australia: focus on cognitive counselling techniques

A number of specialised counselling services are now available to assist individuals who experience difficulties as a result of problem gambling behaviour. Clinicians within these services may utilise one or a number of counselling approaches depending on their own preferences and their assessment of the counselling style suitable for use with particular clients. The purpose of this paper is twofold. The first is to describe the range of specialised gambling counselling services now available in Australia. The second aim is to provide clinicians in the field with a range of practical cognitive counselling strategies that may be used to good effect to assist clients to reassess their attitudes towards and thoughts about gambling.     

Variables in abortion counselling

Five variables involved in abortion counselling are examined: the religioethical beliefs of the counsellor, the religio-ethical beliefs of the counselee, the status of abortion laws, the available techniques for abortion, and the counsellor's assumptions about the 'sequellae' of abortion. Illustrations are drawn from both the recently published Lane Report and a set of medical case-studies. An attempt is made to assess the relative importance of the five variables.     

HIV counselling in prisons

HIV presents particular problems in penal establishments: the nature of the population; conditions in prison; media attention and misinformation; the possibility of transmission within and beyond the prison population; the extra issues that apply to female prisoners. These are discussed in the context of prison policy regarding HIV and the broad strategic approach which is being adopted to manage the problem of HIV within penal institutions. Counselling has a key role is the overall strategy. Pre- and post-test counselling with prisoners is described and the particular problems presented by inmates are discussed and illustrated by reference to case histories. Developments in counselling provision for inmates are outlined.     

A causal model for causal priority

Recent attempts to fix the direction of causal priority without reference to the direction of temporal priority have begun with an analysis of the causal relation itself. I offer a method, based on causal modelling theory, designed to determine the direction of causal priority while remaining as agnostic as possible about the nature of the causal relation.     

Time-limited counselling

Abstract

This paper introduces a new synthesis of approaches to time-limited psychodynamic counselling, giving an account of some of its antecedents and of some of the values which underlie therapeutic effectiveness.

It offers a discussion of the impetus which may be obtained by facilitating the client in working towards a positive outcome which is clearly identifiable. Two time-limited counsellings are then described, in which the underlying conflicts, surrounding loss in the first and impaired trust in the second, are seen to emerge. Finally, some ethical issues are raised and the effects of the planned ending on the client's unconscious process are described.

Mental health, in the humanistic sense, is characterized by the ability to love and to create, by the emergence from the incestuous ties to family and to nature, by a sense of identity based on one's experience of self as the subject and agent of one's powers, by the grasp of reality inside and outside of ourselves, that is by the development of objectivity and reason.     

Towards networking in counselling: a follow-up study of Finnish school counselling

A follow-up study (1990-1997) and in-depth interviews on school counselling practices and problems in Finland showed that in the last 10 years the work of the school counsellor has extended and become more diversified. This article analyses this change in school counselling in terms of the problems and core tasks of counselling and the new challenges faced by Finnish counsellors, such as dismantling the traditional gender divisions in working life and counselling for immigrants. In addition, the article examines how school counsellors have attempted to solve the problems related to their work, for example, by establishing counselling networks inside and outside the school.     

The relevance of research in counselling and psychotherapy for the counselling practitioner

Current research paradigms are outlined and appraised to enable counsellors to see more clearly the practical relevance of counselling research. The standpoint taken is that although it is possible to criticise current research paradigms on a number of grounds, practitioners who know their own biases and the limitations of these paradigms can successfully experiment with interventions suggested by research in their own practice. An example is presented from the research on paralinguistic variables in client-centred therapy.     

Choosing optimal causal backgrounds for causal discovery

In two experiments, we studied the strategies that people use to discover causal relationships. According to inferential approaches to causal discovery, if people attempt to discover the power of a cause, then they should naturally select the most informative and unambiguous context. For generative causes this would be a context with a low base rate of effects generated by other causes and for preventive causes a context with a high base rate. In the following experiments, we used probabilistic and/or deterministic target causes and contexts. In each experiment, participants observed several contexts in which the effect occurred with different probabilities. After this training, the participants were presented with different target causes whose causal status was unknown. In order to discover the influence of each cause, participants were allowed, on each trial, to choose the context in which the cause would be tested. As expected by inferential theories, the participants preferred to test generative causes in low base rate contexts and preventative causes in high base rate contexts. The participants, however, persisted in choosing the less informative contexts on a substantial minority of trials long after they had discovered the power of the cause. We discuss the matching law from operant conditioning as an alternative explanation of the findings.     

Ethical issues in internet counselling

This paper examines the advantages and difficulties associated with using the internet as a communication medium for counselling. Access to the internet is increasing rapidly and counselling services are starting to be offered to clients. Such services may be particularly attractive to clients who may not be able to find such services locally. The disadvantages of using the internet for counselling include the loss of the non-verbal communication level. The paper addresses the ethical implications of counselling in this medium. It concludes that there is a need for more guidelines in professional codes of practice.     

Transference and counter-transference in counselling

Transference and counter-transference, along with the art of interpretation and the meeting of resistances, are fundamental concepts within psycho-analysis. The former refers to feelings directed by the patient to the analyst which do not belong to him; and the latter to feelings aroused in the analyst by the patient. Both are used therapeutically in psychoanalysis, but are they relevant in counselling? As an example of a school of counselling which does not use these concepts in any fundamental way, the position of Rogers is discussed along with that of Truax and Carkhuff, and various criticisms are made. Counselling which uses transference and counter-transference is then discussed – particularly work emanating from the Tavistock Clinic with Bowlby, Balint and Malan as its main advocates – and difficulties in this approach are noted. A claim is made for categorisation in therapeutic work as it can be useful in enriching rather than diminishing a relationship. Counsellors need to be trained experientially to understand transference and counter-transference phenomena, and suggestions are made as to how this may be done.     

Toward a causal realist account of causal understanding

Within a limited domain, humans can perceive causal relations directly. The term causal realism is used to denote this psychological hypothesis. The domain of causal realism is in actions upon objects and haptic perception of the effects of those actions: When we act upon an object we cannot be mistaken about the fact that we are acting upon it and perceive the causal relation directly through mechanoreceptors. Experiences of actions upon objects give rise to causal knowledge that can be used in the interpretation of perceptual input. Phenomenal causality, the occurrence of causal impressions in visual perception, is a product of the application of acquired causal knowledge in the automatic perceptual interpretation of appropriate stimuli. Causal realism could constitute the foundation on which all causal perception, judgment, inference, attribution, and knowledge develop.     

Utilising discursive positioning in counselling

Foucault's concern with the production of subjectivity has led to the development of positioning theory, as it has been called by Bronwyn Davies, Rom Harré and Luk van Langenhøve. The concept of discursive positioning has particular value for counselling because it shows how people are positioned in discourse in particular moments by their own and by others’ utterances. Positioning theory also points to the efforts people make to resist and refuse discursive positions they are called into in conversation. This article demonstrates how listening to the nuances of discursive positioning in a conversation can enrich professional practice. I shall use several examples from narrative counselling conversations in order to demonstrate these principles in action.     

Simulation and counselling

Simulations are basically models of social and physical situations. Their educational value and the problems involved in using simulation techniques are analysed, and some possible applications of these techniques in counselling are outlined: these include applications in counsellor training, in one-to-one and three-person counselling situations, and in preparing pupils for such experiences as job interviews. But dangers of “faddishness” have to be avoided, and more rigorous research into the effectiveness of simulation techniques is still needed.     

Theorising about counselling

The process of counselling differs from other helping processes not only in its aims and methods but also in the nature of the relationships established between the two participants. Clearer definition of these various processes in terms of the 'primary task' and the role relationship which each task involves would avoid role-confusion when individual helpers are called upon to switch from one job to another. An agreed definition of the nature of counselling would also be beneficial on theoretical grounds since many so-called 'theories of counselling' deal not with counselling per se but with varying approaches to the study of human development. The relation between theory and practice in the training of counsellors is discussed in the context of the work of Argyle, Goffman and the learning theorists, as well as Rogers.     

A Pragmatic Case against Pragmatic Scientific Realism

Pragmatic Scientific Realism (PSR) urges us to take up the realist aim or the goal of truth although we have good reason to think that the goal can neither be attained nor approximated. While Newton-Smith thinks that pursuing what we know we cannot achieve is clearly irrational, Rescher disagrees and contends that pursuing an unreachable goal can be rational on pragmatic grounds—if in pursuing the unreachable goal one can get indirect benefits. I have blocked this attempt at providing a pragmatic justification for the realist aim of PSR on precisely the same pragmatic grounds—since there is a competing alternative to PSR, and the alternative can provide whatever indirect benefits PSR can offer while being less risky than it is, prudential reasoning favours the alternative to PSR. This undermines the pragmatic case for the realist aim of science since the instrumentalist alternative does not aim at the truth.