Letting the baby out with the bathwater: Reflections on counselling,counselling psychology and psychotherapy in Britain

This paper responds to key points raised in Launagani's article (this issue). In particular, it focuses on the effectiveness of therapy and questions whether or not therapy is dangerous. Also it considers the future of counselling, counseling psychology and psychotherapy and predicts that therapies that do not adapt to brief or time-limited settings may become relegated to private practice. Treatment manuals based on techniques and strategies and not particular therapies will be developed which may include recommendations for the type of interpersonal approach required for different clients. It concludes that due to pressure of work, members of the therapeutic professions will have less time to sit on committess in support of their professional bodies.     

Don't throw the bathwater in with the baby

The Presidential Address of the European Association of Developmental Psychology, Goossens (2012, this issue), this year concerned how genes and environments interplay to shape loneliness and other developmental psychological relevant outcomes. This is a very welcome. However, when developmental psychology is now ready to integrate recent genetic and neuroscience knowledge and methods, I think it would be very wise not to go uncritically through the mistakes that have been made in other disciplines and instead to learn from their hard lessons. I discuss some problems (genes vs. environments, identifying genes for a phenotype, environmental causes of developmental outcomes, and gene×environment interaction and epigenetics) and some suggestions for solutions that can be used to avoid throwing the bathwater in with the baby.     

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.     

Let's not throw the baby out with the bathwater: The catharsis hypothesis revisited1

Boys between the ages of 9 and 10 participated in one of three experimental activities. One involved movement and aggression, the second movement devoid of aggression, and the third minimal movement of a nonaggressive nature. Aggressive fantasy decreased in the aggressive movement and minimal movement groups but increased in the nonaggressive movement group. The results are consistent with a cathartic view of the functional relationship between aggressive behavior and aggressive fantasy when the effects of movement and completion of an aggressive response are considered. This study supports the notion that the enactment of an aggressive goal response is essential to the occurrence of a cathartic effect and points up the importance of controlling for movement in investigations of the relationship between aggressive fantasy and aggressive behavior. An additional, exploratory investigation of daydreaming suggests that children who are high in aggressive fantasy are likely to daydream more frequently than children low in aggressive fantasy.     

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.     

The challenge of counselling and psychotherapy research

Aims: The purpose of this commentary is to argue that the value of counselling and psychotherapy research lies, not only in what it teaches us as therapists, but also in its ability to challenge us and our assumptions. Method: The paper identifies eight beliefs that may be prevalent in sections of the counselling and psychotherapy community, and presents evidence that challenges them. Findings: While many of our beliefs may hold true for some clients some of the time, the research evidence suggests that they are unlikely to be true for all clients all of the time. Discussion: By questioning and challenging therapists' a priori assumptions, research findings can help counsellors and psychotherapists to be less set in their beliefs; and more open to the unique experiences, characteristics and wants of each individual client.     

The 'storied' helper: narrative ideas and practices in counselling and psychotherapy

This paper is intended as an introduction to the use of narrative ideas, languages and practices in counselling and psychotherapy. It explores the skills and knowledges that are involved in narrative ways of working for bothpractitioners and those who consult them. Counselling is understood as comprising a social process within a ‘storied world’. These ideas are illustrated through one particular ‘shortstory’. A narrative perspective enables us to consider the stories that are hidden as well as the stories that are privileged within the both contemporary cultural discourse and the professional discourses of counselling and psychotherapy.     

Psychoanalytic psychotherapy and student counselling

This paper explores the experience of a psychotherapist working in a university counselling service, indicating the contribution I think a psychoanalytic orientation can make to this kind of work. The exposed ‘coal face’ nature of the work is illustrated, and some of the psychotherapeutic implications of working within a large organisation discussed. There is an exploration of institutional dynamics which bear directly upon the psychotherapist, in terms of what it is possible to provide, and of professional self-preservation and self-esteem. Analysis of the uses made of the counselling service is seen as a contribution towards enabling the service to represent properly itself and its concerns within the institution.     

The emerging narrative approach to counselling and psychotherapy

An important recent development within counselling and psychotherapy has been the emergence of narrative perspectives on theory and practice. The task of the counsellor is viewed as that of assisting the client to 're-author' parts of their life-story. The origins of this approach within psychology and social science are discussed, and the central elements of a narrative approach to counselling and psychotherapy are identified. A brief case-study illustrates some of these themes.     

The counselling and psychotherapy profession in Canada: regulatory processes and current status

ABSTRACT

Like the Canadian landscape and culture, the status of professional regulation for counselling and psychotherapy is a mosaic reflecting the unique cultural, linguistic and contextual realities of Canada. Statutory regulation in Canada is constitutionally a provincial/territorial matter. In the past five years, a major movement towards professional regulation has emerged. The authors describe the variable status of regulation, focusing on three provinces: Quebec, Nova Scotia and Ontario. They explore the federal Agreement of Internal Trade, designed to facilitate inter-provincial/territorial mobility of regulated professionals. Finally, the authors summarise national research and development activities of the Canadian Counselling and Psychotherapy Association that enhance the pan-Canadian mobility of practitioners and support shared professional understandings. These activities range from bilingual, national validation of competencies, definitions, titles and scopes of practice to symposia and an entry-to-practice competency assessment.     

Integration and eclecticism in counselling and psychotherapy: Cautionary notes

Obstacles on the path to integration and eclecticism are illustrated in three realms of endeavour: the therapeutic relationship, the constitution of knowledge, and visions of reality. The strands of three major systems of psychotherapy - the psychoanalytic, the behavioural and the humanistic - are examined as to the desired nature of the therapist-client relationship, their sources and understanding of data, and the worldviews they encompass from among the romantic, ironic, tragic and comic. Differences among these theories of psychotherapy are seen to limit the possibilities for integration and eclecticism. This conclusion is tempered, however, by a recognition of the value of each approach assimilating some views of the others in a considered way.