The application of solution‐focused work in employment counseling

The author explores the applicability of a solution‐focused therapy (SFT) model as a comprehensive approach to employment counseling. SFT focuses the client on developing a vision of a preferred future and assumes that the client has the talents and resources that can be accessed in the employment counseling process. The solution‐focused counselor enters the therapeutic relationship from a point of “not knowing” and works with the client in job transition to develop possibilities that evolve from the client's strengths and knowledge. Examples are given of how solution‐focused employment counseling could be practiced.     

Metaphor and Change in Counseling

Increased general interest among counselors in the way language, narratives, and stories influence clients' personal and social realities has drawn particular attention to metaphorical language and its facilitative role in counseling. In this article, the authors suggest that metaphors and metaphorical knowing may play a significant role in facilitating at least 5 developmental change processes in counseling: relationship building, accessing and symbolizing client emotions, uncovering and challenging clients' tacit assumptions, working with client resistance, and introducing new frames of reference.     

Developmental Therapy: Integrating Developmental Processes into the Clinical Practice

The facilitation of development may be considered the primary goal of counseling and therapy. Developmental theory, however, remains relatively divorced from direct clinical work. Developmental therapy is oriented toward identifying how to use basic developmental theory in clinical consultation. Developmental therapy differs from life span developmental psychology in emphasizing specific processes of change, growth, and development rather than outcomes and life stages. Thus, developmental therapy supplements life span theory and provides specific suggestions for clinical-counseling interventions that may be used to assess the developmental level of a client on a specific task, select counseling skills and theory to match client cognitive-developmental level, and obtain feedback on the effectiveness of the intervention that will enable one to change counseling style to meet client needs. Basic to developmental therapy is a modern adaptatio of Platonic and Piagetian constructs that allows the systematic integration of counseling and therapy theory. Implications of the model for training and practice are discussed.     

Do Common Factors Account for Counseling Outcome?

This study drew from common factors as an explanatory model for how counseling produces client change. Client self‐report measures for 3 common factors—client factors, client–counselor relationship factors, and client expectancy factors—were examined at a counseling training clinic. Regression analyses revealed that 2 factors significantly predicted treatment outcome: client expectancy and the therapeutic alliance. One variable from client factors—abuse history—had a nonsignificant but modest relationship with outcome.     

Adlerian “Encouragement” and the Therapeutic Process of Solution‐Focused Brief Therapy

The authors discuss the overlooked similarities between the therapeutic process of solution‐focused brief therapy (SFBT) and the Adlerian process of therapeutic encouragement. SFBT and Adlerian therapy share common perspectives, albeit using different nomenclature, on maladjustment, the client‐counselor relationship, and methods of facilitating change. The authors also present conclusions regarding the continuing relevance of Adlerian therapy for contemporary counseling practice.     

Clients As Change Agents: What Color Could My Parachute Be?

Morrill and Forrest (1970) advocate an approach to career counseling (Type 4) that helps clients (a) understand career choice as a developmental process, (b) learn decision-making skills, and (c) become active change agents in their own lives. Referring to the Morrill and Forrest article as a benchmark statement about career counseling, Remer and O'Neill present a decision-making model that encompasses the tenets of Type 4 counseling. The model has 13 sequential steps; the authors indicate the role of the counselor and the objectives for the client at each. The article discusses the potential impact of this self-directed, decision-making model on career counseling. Specific counseling outcomes are discussed along with anecdotal evidence that supports the power of the model to create these outcomes.     

Hope as empowerment model: A client-based perspective on the process of hope development

Abstract

Research on the relationship of client hope to successful therapy outcome underlines the need to discover the processes and conditions when hope flourishes. Snyder’s Hope Theory has been applied to psychotherapy but client subjective experiences are needed to illuminate nuances in the process. The present study examined the trajectory of hope development in psychotherapy using interviews with 18 counseling clients, analyzed using grounded theory methodology. Findings were synthesized into a dynamic model titled hope as empowerment model (HEM) that shares features of Snyder’s Hope Theory. HEM introduces patterns of particular salience to psychotherapy. The compatibility of client preferences with therapist input raised faith in the process of counseling and, in turn, hope in a positive outcome. A number of conditions, including the flexibility of client role preferences and the directiveness of hope-inspiring therapeutic strategies, influenced the nature and strength of client hope. Implications for therapy and positive psychology are considered.     

Utilizing artistry in a therapeutic relationship

Abstract

In many humanistic approaches, therapeutic change involves utilizing the relationship between the client and therapist as a tool for personal growth. Like any relationship, the therapeutic relationship is one that is co‐created between those engaged in it, namely, the client and the therapist. Utilizing this co‐created relationship requires a sense of artistry on the part of the therapist. A therapist must be willing to engage in this meaningful relationship with the client. A therapist must also be aware of the personal values that he or she brings into therapy, and how they influence the therapeutic relationship. Finally, a therapist must acknowledge the power that the therapist and the client possess in the relationship, and understand how that power can be used to validate and invalidate the therapist's and the client's personal meanings. These aspects of therapeutic artistry are discussed and the use of therapeutic artistry in Eron and Lund's (1996) narrative solutions approach is presented.     

心理治疗的会谈间体验对治疗效果的影响——来自追踪研究的证据

采用多层线性分析方法,在短程心理咨询的连续会谈中检验来访者的会谈间体验对咨询效果的影响。以36名个案、151次会谈为样本,结果发现,来访者的症状总体呈线性下降趋势;不同来访者症状变化的速率存在个体差异,会谈间体验的情绪因子能解释症状变化速率总变异的40.79%。结论：在短程心理咨询中,来访者想起咨询会谈或/和咨询师时的情绪体验能显著预测咨询效果。     

Conversational perspective of therapeutic outcomes: The importance of preference in the development of discourse

Major theme: Evaluation of therapeutic outcome. Logical development of the theme: We suggest a way for practitioners and researchers to assess if they are on track in conversing towards client preferred goals. We offer a critique of more conventional approaches to studying therapeutic progress, suggesting how a discursive (i.e. focused on interaction and language use) lens can address these limitations. Through this lens we examine therapeutic progress evident in ‘preference work’, where clients demonstrably indicate, imply, agree and disagree with where the therapeutic conversation is heading. Such ‘preference work’ offers a form of evidence of within‐session outcomes in a process of reaching larger client preferred outcomes. Authors’ point of view: We present the results of conversation analysis – a qualitative approach to the study of therapy – to illustrate our discursive perspective on therapy progress and change. Implications: we suggest a way for practitioners to assess if they are on track in conversing towards client preferred goals. We propose that our interactional perspective may significantly contribute to bridging practice and research in therapy.     

Meeting Client Resistance and Reactance With Reverence

This article explores the meaning and function of client resistance in the counseling setting from various theoretical orientations. A relational model of resistance is offered that redefines traditional formulations of the concept and has implications for clinical treatment. A clinical vignette illustrates that the counselor's contribution to the emergence of client resistance is a relevant, although often ignored, factor in overcoming therapeutic impasse.     

Letter Therapy: A Model for Enhancing Counseling Intervention

Based on 15 letters between a counselor and a female client, this article outlines and discusses a unique letter therapy process, which is loosely adapted from the Morita Therapy approach to counseling. The five-step Letter therapy approach consists of 1) opening up, 2) focusing on life themes, 3) redirecting toward strengths, 4) reinforcing actions, and 5) affirming a positive attitude toward life. Letter writing has the potential of being used by counselors either in conjunction with face-to-face counseling or as a separate therapeutic method.     

A SOCIAL ENGINEERING APPROACH TO EMPLOYMENT COUNSELING

Traditionally counseling has been concerned with client change. The point of view taken here is that the goals and clientele of employment counseling require concern with social change as well as client change.     

Client or patient? Contrasts between medical and counselling models of confidentiality

Conflicts can arise within counseling in primary care settings over issues of client confidentiality as perceived from a therapeutic as opposed to medical perspective. ‘Ideal types’ of counseling confidentiality and medical confidentiality are compared, according to a proposed structural model of confidentiality. In contrast with a therapeutic concept of confidentiality as an interpersonal contract between client and counsellor, a structural model of confidentiality appropriate to medical and primary care settings would include reference to crucial aspects such as risk assessment, and the sharing of client information within a multi-disciplinary team. The client-centred counselling model of confidentiality is then explored with reference to the Derbyshire Inquiry Report on the mental health care provided for a client with psychiatric problems. The limitations of adopting an exclusive client-centred counselling approach towards confidentiality in primary care settings are noted, given the requirements of the Care Programme Approach for effective risk assessment and inter-professional liaison in the care of client and patients with psychiatric problems. The potential resultant issues of counsellor and general practitioner liability are identified in relation to complaints systems and the key legal concept of vicarious liability.     

a bill of client rights and responsibilities

Little has been written about client rights except on the issue of confidentiality. The authors of this article propose a bill of rights for the client in the counseling relationship. With each right there is a corresponding responsibility. The authors suggest that if clients wish to exercise their rights, they must also be prepared to assume a greater degree of responsibility. Such a change in the counseling relationship may bring about greater involvement on the part of both client and counselor.     

Motivational Counseling: Implications for Counseling Male Juvenile Sex Offenders

Juvenile sex offenders (JSOs) often appear unmotivated to change, which thus necessitates a therapeutic approach that matches “resistant” client characteristics. In this article, the authors review common traits of JSOs, introduce motivational counseling as an effective treatment modality, and offer a case illustration.     

Nondirectiveness and genetic counseling

Nondirectiveness is the generally required and professed standard for genetic counseling. However, studies are lacking in the field of human genetics and in other disciplines which address either the theory or practice of this type of therapeutic procedure in the context of genetic counseling. Moreover, there is no indication the further development this concept has undergone in client-centered therapy has been acknowledged in human genetics. This could be due tot he historical development of genetic counseling, its inherent conflicts and often undefined goals, and the latent need of human geneticists to defend themselves against being accused of eugenic tendencies. Nondirectiveness and directiveness, however, can neither adequately describe what takes place in genetic counseling, nor can they — according to their original meaning — be used to define an ethical standard of genetic counseling. Starting with the writings by Carl Rogers (1942), an experiential approach is described, in which counseling is seen as a process of influence, which is wished by all the persons involved, during which activities are oriented toward the experience of the client, and which allows the counselor to communicate openly and directly with the client. The present study illustrates the use of the experiential approach in genetic counseling and shows that it can uphold the principle of ethics, which nondirectiveness demands and, at the same time, prevent the inevitable and unresolvable contradictions. This means that in their training genetic counselors must learn to recognize and constantly reflect on the influence they can and want to exert. In order to be able to use this influence in a responsible manner, genetic counselors must also learn to have a certain degree of flexibility so that they are able to check at any time how their client responds to this influence.     

Just for Women? Feminist Multicultural Therapy with Male Clients

Feminist multicultural therapy is an integrative approach to psychotherapy that emphasizes a systems-level understanding of psychological distress and the process of therapeutic change. In the present exploratory study, the experiences of feminist multicultural therapists working with male clients were studied using Consensual Qualitative Research (CQR) (Hill et al. 1997). Phone interviews were conducted with eight female practicing licensed or license-eligible therapists who had worked with at least one male client in the past 6 months. Consistent with the theoretical approach, all of the therapists interviewed expressed their belief that psychological symptoms can be seen as a reaction to a loss of power or related to the effects of an oppressive system. Additionally, the therapists believed that this theoretical model is broad enough to be used with varying types of intersecting social identities. The findings illustrate the ways in which the counseling approach may work similarly across genders, as well as ways in which one’s therapeutic approach may be altered when working specifically with men. Implications for therapists who work with male clients (both the rewards and the challenges) as well as for researchers who wish to study the application of therapeutic interventions with men are discussed.     

Walking in sacred spaces in the therapeutic bond: therapists' experiences of compassion satisfaction coupled with the potential for vicarious traumatization

The therapeutic bond is at the heart of effective therapy, yet few studies have examined therapists' experience of this bond. Using a qualitative study design, this exploratory study examines the experiences of couple and family therapists in relation to their perceptions of the satisfactions and risks involved in the therapeutic bond. The research was conducted using grounded theory methodology and eight in-depth interviews were conducted with therapists working in five counseling agencies in Sydney, Australia. Therapists described the importance of the 3 component parts of the therapeutic bond: the empathic connection between therapist and client; the role investment of the client; and the mutual affirmation experienced by both therapist and client in the therapeutic process. Walking in sacred spaces with the client was seen as both enriching and challenging for the therapist. The therapeutic bond gave therapists intense satisfaction and posed risks for them, especially when working with traumatic client experiences. However, the findings suggest that the experience of compassion satisfaction and the development of vicarious resilience counter-balanced the intense difficulty of bearing witness to clients' traumatic experiences and the potential for vicarious traumatization. The implications for sustaining couple and family therapists in their work are discussed.