A cognitive developmental perspective on counselling adolescents

Although developmental perspectives on counselling are increasingly popular, difficulties inherent in these perspectives impede their actual use in practice. In this paper, individual counselling is situated within a cognitive developmental (Piagetian) framework. Its major constructs — structure and function, assimilation and accommodation, and equilibration — can profitably be applied to the counselling of adolescents. The implications of these constructs for use by counsellors are presented in the light of the traditional responsive and initiative conditions required of the helping relationship. Thus, a perspective on actual counselling intervention founded on a major direction in developmental psychology is provided.     

Coping with chronic childhood diseases: Implications for counselling children and adolescents

Children with chronic diseases have to cope with a number of potentially stressful situations. Some relate specifically to the disease and treatment, and others, relating to school and home, are shared with all children. Research has tended to focus on environmental or personal variables that influence ‘adjustment’ to the disease. In contrast, work in general developmental psychology is concerned with identifying changes in children's appraisal of what constitutes a stressful situation, and describing appropriate coping skills. It is argued that this latter approach should be integrated with work concerned with coping in childhood illness. Implications for clinical practice are considered.     

Inadequacy of sex knowledge of adolescents: implications for counselling and sex education

There is abundant evidence relating to the paucity of sex-oriented knowledge by the average adolescent across cultures. Investigations have demonstrated that such sex learning, generally colored with misconceptions and misinformation, is obtained almost entirely from the peer group since cultural inhibitions and puritan attitudes often prevent open discussions of the subject of sex with teachers, parents or other adults. There is also every indication that adolescents' natural interest in and preoccupation with human sexuality is on the increase, aided by the current massive circulation of pornographic literature, adult examples of sexual irresponsibility and the strong desire to conform with peer norms. This paper therefore suggests that if premature teenage pregnancy as well as social, emotional and psychological consequences of teenage genital exploration is to be avoided or controlled, then a comprehensive program of sex education and sex counselling for boys and girls in the second decade of the life cycle is overdue.     

Building social support for adolescents with suicidal ideation: implications for school guidance and counselling

This study involved interviews with 13 adolescents with high levels of suicidal ideation. It aimed to understand how these adolescents perceived their family, school and peer relationships, and how they perceived these systems as their support. Comparison between adolescents with severe and mild suicidal ideation showed that the family, school and peers could act as effective support systems in times of stress. A close interpersonal relationship was the key factor in unlocking these support systems. The school as a support system was highlighted. Implications for school guidance and counselling to strengthen the social support of adolescents and adolescents' resiliency were discussed.     

A counselling service for nurses in training

An account is given of the inception and development of a counselling service for nurses in training at a large London teaching hospital. The aims of the service are described, as are the evolving role of the counsellor and the use made of the service both by student nurses and other members of the hospital organisation. Some recommendations are made concerning the future development of counselling services within National Health Service hospitals.     

A new counselling inventory

The construction of a counselling inventory for use by teachers and counsellors in identifying those pupils most in need of personal counselling is described The inventory consists of statements in six factorially distinct areas: (i) relationship with teachers, (ii) relationship with family, (iii) relation-ship with peers, (iv) social confidence, (v) irritability and (vi) health Evidence of reliability and validity is reported.     

A behaviour category instrument for analysing counselling interactions

This is the first of two papers describing work based on the assumptions that skilled behaviour produced by counsellors can be (a) identified, (b) specified in detail, and (c) produced by training. A behaviour category instrument applicable to counselling interactions was developed, using techniques which had already been applied successfully to the analysis of interpersonal skills in an industrial setting. Client-centred, rational-emotive and gestalt approaches to counselling were initially selected for analysis, on the basis that they represented radically different approaches, that they were relatively well-defined, and that there was material available for analysis from skilled practitioners. The analyses show that the different approaches result in characteristically different behaviour profiles. The results are considered in terms of their potential contribution to outcome research and to training procedures.     

The effects of a programme of training in structured group counselling

This study examined the effects of a programmes of experiential training in structured group counselling, based on the approach of Sheldon Rose. Participants were 32 undergraduate and graduate students, divided into three groups, who participated in the group work as part of a course in Core Counseling skills. The groups met for two hours per week for eight weeks. At the end of each exercise the participants completed a 12-item questionnaire giving their evalution and experience of the exercise they had just finished. The questionnaires were initially factors analysed and produced three main factg43ors, labelled task orientation, cohesion and conflict. Factor scores were used for all subsequent analyses. A series of one-way analyses of variance showed how the groups reacted to the different exercises, and discriminant analysis was used to determine how the climate and method of the individual groups could be differentially characterised in terms of the questionnaire factors. It was concluded that the membership of structured groups may be a major determinant of the group climate and experience.     

The participation of children and adolescents in family counselling: The German experience

This paper reflects the experiences of young people in child guidance and family counselling. For this purpose, first the institutional background of these counselling services in Germany is outlined. The fact that the adolescents concerned feel partly excluded and insufficiently integrated into the counselling process is illustrated through qualitative analysis of the experiences 17 young people had during their counselling process. These empirical findings are critically discussed in terms of the institutional conditions and methodical approaches which counteract the involvement of the actual addressees of the counselling service. The paper concludes that professionals need to attend more to facilitating the participation of young people.     

The analytic group: A multifaceted approach to the treatment of adolescents

During adolescence the peer group plays a major role in facilitating developmental processes, since it not only serves as a replacement for childhood love-objects and attachments, but offers the adolescent allies in the struggle to separate and become emancipated from parents. For those adolescents who, because of interpersonal and intrapsychic difficulties, have no peer group or have chosen an inappropriate peer group, providing a therapeutic group can make it possible for development to proceed. This paper presents not only a theoretical basis for the utilization of groups of peers in the treatment of adolescents, but also an elaboration on the dynamic processes which make possible improvement of ego-functioning and resolution of core conflicts related to the past, as well as to this particular developmental phase.     

Therapeutic group approaches in an inpatient facility for children and adolescents: A 15-year perspective

Inner city, psychiatrically hospitalized adolescents are accessible to group therapy intervention. We developed a unique approach combining Slavson's theories with principles of family treatment and psychoanalytic theory. The group was conceptualized as a corrective family experience with the therapists functioning as model parents. Our model relies on a four-phase process, which is discussed.     

An evaluation of group therapy for adolescents using social skills training

The present study investigated the hypothesis that social skills training is more effective in increasing socially acceptable behaviour in adolescents than is a generalized or non-specific form of group therapy. Forty-two subjects were selected to participate in the study from among adolescents referred for group therapy at two youth guidance clinics in Brisbane, Australia. The 23 males and 19 females were randomly assigned to one of three treatment conditions: a social skills training group, a non-specific therapy group and a waiting-list-for-therapy (control) condition. All subjects were assessed before and after treatment on five measures of social skills. Subjects in the social skills training group showed significant improvements on three of these measures while the non-specific therapy and waiting-list control groups showed no specific changes on any of the measures.     

A systems approach to AIDS counselling

The initial tasks of a systemic AIDS Counsellor in accepting a referral are described. These include: (a) describing the context of the problem; (b) obtaining a clear definition of the problem; (c) responding to changing views of the problem over time; and (d) identifying whom the problem affects. Failure to consider these issues can give rise to extraneous difficulties in counselling sessions,     

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.     

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.     

Both group peer counselling and individual counselling reduce anxiety and depression,and increase self-esteem and overall life satisfaction in palliative cancer care

This study compared group peer counselling and individual counselling in relation to quality of life, well-being and perceived control in individuals receiving palliative cancer care. The study utilized a quasi-experimental pretest-posttest design to assess the effectiveness of counselling type, in a sample of individuals diagnosed with breast, bowel or lung cancer. Nine females underwent group peer counselling and nine underwent individual counselling. Individuals were administered self-report questionnaires which included standardized subscales that measure quality of life in terms of psychological well-being and perceived locus of control before and after counselling. Both group peer counselling and individual counselling significantly increased self-esteem, self-reported levels of overall life satisfaction, and reduced anxiety and depression. Self-esteem, overall life satisfaction, and anxiety and depression were comparable in the two counselling types, both at outset and after counselling, however, individuals with internal locii of control scored higher for self-esteem on post-test, and lower for depression and anxiety, irrespective of type of counselling.