Counselling and the Relevance of Counsellors' and Clients' Views and Attitudes

Directing attention towards the counsellor's experience of the client and neglecting to include the client's experience of the counsellor can lead to serious errors and to a considerable distortion in attitudes and theoretical presuppositions. The behaviouristic revolution has generally tended to leave unanswered questions related to the role of the counsellor as a variable in the client-counsellor relationship. Theoretical views are discussed in relation to practical problems encountered in clinical practice.     

Empathic interactional sequences and counsellor trainee effectiveness

Consecutive counsellor trainee and client statements from 12 audiotaped assessment interviews were coded to operationalize empathy as a sequential variable. For each two statement sequence the speaking order (counsellor to client, client to counsellor) was also coded, and the resultant matrix analyzed via loglinear statistical procedures for categorical data. For the speaking order client to counsellor, three empathy sequences (empathy enhancing, empathy diverging, empathy commencing) were found to be significantly related to counselling effectiveness. For the speaking order counsellor to client, only one sequence(empathy diverging) was found to be significantly related to counselling effectiveness. Implications for counsellor training and future research are discussed.     

An exploration of the use of Christian prayer in mainstream counselling

Interviews were carried out with seven counsellor trainers from British universities to explore the possible use of Christian prayer in mainstream counselling. The data were analysed using Grounded Theory. The results showed that covert prayer is of benefit as a means of grounding the counsellor, a frame of reference for understanding counselling, and as a way of upholding the client. Overt prayer could be used as a way of expressing emotion and as a method of reformulation, but there are ethical implications. Prayer can be used with clients who are able to step back from the act of praying and reflect on their process. Its use must have regard to the client's spiritual development and be supported by good supervision.     

The Cognitive, Learned-Helplessness and Hopelessness Theories of Depression: A Review with Implications for Counsellors

Four theories of depression and the Attributional Style Questionnaire (ASQ) are described and their implications for counselling discussed. Recent research has focused upon the testing of the diathesis-stress component of the reformulated learned-helplessness theory of depression, and in particular upon the role which a hypothesised depressogenic causal attributional style towards events in general, and/or 'depressive attributions' towards specific events, play in the development of depression. It is suggested that the recently revised version of this theory — the hopelessness theory of depression — is both a more fruitful area of future research and of more interest to the counsellor, since it emphasises the role which attributions and other cognitive factors play in the maintenance and prevention of depression, rather than concentrating on a continued search for a cause.     

A study of Muslim Asian women's experiences of counselling and the necessity for a racially similar counsellor

A survey of four Muslim Asian women of varying ages was carried out, for whom the author had previously acted as a counsellor. The survey was designed to explore the extent to which client and counsellor racial similarity affected the therapeutic alliance, as the counsellor/author was of a similar race to all four clients. It was the author's belief that racial similarity in itself would not procure positive counselling outcomes, and hence this study attempted to explore the clients' perceptions of qualities extrinsic to race, including interpersonal skills, styles and approach to counselling of the counsellor, in order to duduce whether in fact these factors were more singnificant to the outcomes than race. The majority of clients did not feel racial similarity was an essential quality, although one client expressed cultural awareness as being a preferable quality. This has suggested that it is not essential for client and counsellor to be racially similar in order to achieve successul counselling outcomes.     

When 'knowing how' is not enough

Two cases are described of students with a common presenting problem — an inability to concentrate while studying. The factors contributing to poor concentration are explored. Some conclusions are drawn about the types of counsellor interventions which might be useful when working with such students.     

Standard posture,postural mirroring and client-perceived rapport

The relationship between client-perceived rapport (as measured from a standardized client) and physical mirroring and the standard counsellor posture was investigated with interviews performed by 59 post-graduate students in counselling psychology. Videotaped recordings were used to code counsellor posture in the categories of: total postural mirroring, mirroring of the hands and arms, mirroring of the legs, mirroring of the torso, and the frequency of the standard counsellor posture across each minute of the interviews. These minutes were classified as 'high' in rapport or 'low' in rapport as measured by the standardized client. Results indicated that there was significantly more postural mirroring of the torso during high versus low minutes, but that the counsellor standard posture occurred significantly more frequently during low rapport minutes than in high rapport minutes. However, when examined over the entire length of the interviews, these data were able to be understood in terms of counsellor 'flexibility' of response rather than simply whether these postural behaviours were present or not. Implications for counsellor training are discussed.     

A qualitative content analysis of ChatGPT's client simulation role-play for practising counselling skills

Role-play is often used as a pedagogical technique by counsellor educators to help counsellors-in-training (CITs) learn and practise counselling skills. This study used qualitative content analysis to assess the effectiveness of Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) chatbot, in simulating client role-play to facilitate practising counselling skills. The author used 10 case vignettes to conduct a simulated role-play where ChatGPT was asked to simulate the client and author as counsellor. The results indicated that ChatGPT demonstrated authenticity, consistency, appropriate emotional expression, cultural sensitivity, empathy and self-awareness while portraying the client. However, at times, ChatGPT's responses to the counsellor's questions appeared overly idealised, lacking the authenticity typically observed in real clients. Furthermore, ChatGPT, as a simulated client, lacked non-verbal cues, limiting the overall experience of counselling skill practice. Recommendations for CITs and future research are discussed.     

Distance Guidance: Careers Advice by Post

Careers guidance is traditionally carried out face-to-face. Use may be made of facilities such as job-information leaflets and computer programs which the client uses on their own (perhaps at the suggestion of the counsellor), but the core of the guidance process is generally the careers interview. Issues examined include: is it possible to provide adequate guidance without face-to-face contact between client and counsellor? what might be lost or gained by the difference in approach? what are the circumstances in which distance guidance might be appropriate and how is it best provided?     

The counselling interview: First impressions

This paper examines the nature of a counselling interview. It concerns itself with the first interview between the counsellor and the client, when both, the client and the counsellor are attempting to form their first impressions of one another. The paper discusses three major problems that arise in the process of forming impressions, viz., 1) maintaining neutrality and objectivity, 2) exercising cognitive control, and 3) expressing empathy. It is the contention of this paper that the above problems have not been clearly understood from their historical, philosophical, and psychological perspectives, and as a result, they have not been satisfactorily resolved. As a result, they have not been given sufficient consideration by counsellors and psychotherapists. The article considers the three problems and discusses ways and means by which they can be clearly understood and hopefully 'taken on board' by professionals working in the area.     

The challenge of prejudice: counsellors’ talk about challenging clients’ prejudices

This paper considers the implications for training and practice of counsellors’ responses to the notion of challenging clients’ prejudices. It explores tensions in counselling discourse between social responsibility, responsibility to the client and responsibility for one's self as counsellor. Three focus groups of counsellors were asked whether a counsellor should challenge clients’ prejudices. Responses were categorised as challenge, not-challenge or exit responses. Discursive themes identified in the responses are: managing congruence and being non-judgemental; self-care and self-respect; and social responsibility. Strategies for managing the discursive conflicts identified in responding to counsellor-identified client prejudices are summarised.     

Anne's story: A counsellor's dilemmas

One model of counselling is to identify the 'problems' of the client, to facilitate exploration of these problems, and to provide resources for whatever 'change' or 'choice' might best solve, or at least ameliorate, them. It is a tidy model. But life is not as tidy as that. And there is plenty of room in autonomous human relationships for the counsellor to find himself exploited by the client and in conflict with the expectations of society. Before he begins to listen to his client a counsellor should listen to himself, and work out just how much of that kind of ambiguity he can tolerate. This article shows how one client posed some of those questions for one counsellor.     

Black male client, white female counsellor: Making positive use of transference phenomena

The content and process of transference issues over a 9-month period of counselling contact between a white, female counsellor and a black, male client are examined. An attempt is made to show the positive effects that may come about through a non-ethnic- and non-gender-matched counsellor-client dyad, and to explore the benefits to the client of counsellor similarity and difference.     

The concept of boundaries in counselling and psychotherapy

Boundaries in the mind—the relative 'thinness' and 'thickness' of many kinds of boundaries—has been studied as a measurable dimension of personality. Persons scoring 'thin' overall on the Boundary Questionnaire can be described as open, trusting, vulnerable, and usually having a rich fantasy life; they are people in whom 'everything gets through'. People who score very 'thick' tend to be solid, well-organised, and sometimes rigid. The relationship of boundaries to other measures of personality, to dreams and nightmares, to clients' occupations and interests, and finally to the conduct of psychotherapists and counsellors, including the question of boundary violations, is discussed. Some boundary violators have very thin boundaries and are unable to maintain clear distinctions between the client's needs and their own; others have relatively thick boundaries which make them insensitive to the damage that boundary violations can cause. Awareness of the client's boundaries and one's own can be useful in 'matching' a client with a therapist and in the conduct of therapy, especially at stressful times. It is also useful at times to discuss boundaries with clients.     

Writing qualitative research — A gathering of selves

This paper is a reflection and discussion on the integration and personal development that may occur when we use ourselves in heuristic research, particularly in the process of writing. It focuses on my writing about a study I undertook with two of my ex‐clients who are brothers, and their journey towards healing, and on their experience of our counselling relationship as part of that journey. As their counsellor, and the main researcher, my story inevitably intermingles and overlaps with theirs. My ‘selves’ as woman, survivor, client, counsellor, researcher (and numerous other selves) and their selves as survivor, man, client and researcher (and many others) are impacted by the collaborative, experiential nature of the work. Issues faced in the writing of a book about the research (Etherington, 2000), such as self‐disclosure and reclaiming my voice, parallel many of my own issues as a client and my clients' issues.     

A Negotiation Approach to Intake and Treatment Choice

Treatment choice is the decision process whereby the psychotherapeutic methods and the psychotherapist are determined when psychotherapy is recommended for a specific client. In this article the problem of treatment choice is situated within an integrative view of psychotherapy. A review of the literature confirms the usefulness of the following concepts for treatment choice: client preferences, client control of the situation of choice, and the mutual acceptability of differing views of therapists and clients. These research findings reveal the importance of four elements in the psychotherapeutic intake strategy: exploration of the client's perspective, informing the client, negotiation as a process of confrontation between the client's and the clinician's perspective, and the client's ultimate choice between alternative treatment proposals.     

Effects of counsellor interpretations and client reactance on social influence and the working alliance

These two studies investigated the main and interaction effects of client reactance and counsellor interpretation discrepancy and style on counsellor social influence and the working alliance. Undergraduate students who were divided into high and low reactant pups listened to low, moderate, or high discrepancy interpretations given by counsellors who used a tentative or absolute interpretation. Contrary to the hypotheses, results showed only one interaction effect for reactance, interpretation discrepancy, and interpretation style. Low reactant participants rated the working alliance higher with tentative interpretations while high reactant participants rated it higher with absolute. High reactant participants consistently tended to perceive the counsellor less positively than low reactant participants. There were unexpected gender differences, suggesting that females saw the counselling more positively in the low discrepancy condition while males did in the moderate. The results were not supportive of an interaction among reactance, discrepancy, and style, but are in line with macro-results in the counselling and psychotherapy literature indicating the primary importance of client variables.     

Very brief psychodynamic counselling with young people

Abstract

This paper attempts to re-create the flavour and the atmosphere that is evoked when counsellor and client meet with prior agreement to engage in a piece of very brief counselling work. The context is an informal self-referral service operating on the boundary of a large psychiatric clinic which specializes in psychoanalytic and systemic work.

The situation provides a transitional space for both counsellor and client to observe and to learn from their own responses to each other and in so doing to concentrate their minds on the essential core anxieties that the client is currently experiencing. In this way the area of difficulty can be named and become available for thought.     

Researching the need for multicultural perspectives in counsellor training: A critique of Bimrose & Bayne

The paper by Bimrose & Bayne (1995) on evaluating counsellor training with reference to multicultural frameworks is critiqued. Suggestions are made for promoting greater rigour within the authors' existing paradigm and for replacing their research design with alternative research techniques that possess stronger formative potential for course improvement in counsellor training.