The baby and the bathwater: 'Professionalisation' in psychotherapy and counselling

The current rush to professionalisation in the field of counselling and psychotherapy, and some of its deleterious effects, are examined. The parallels between this process and the experience of psychoanalysis in the USA in the 1940s and early 1950s are demonstrated, quoting from contemporary critics; and comparisons are drawn with the American phenomenon of managed care. An account is offered of what is happening in terms of the sociology of professions, suggesting that 'expert systems' are being substituted for 'local knowledges—skills and wisdoms which cannot be fully systematised. The argument that this process is for 'the good of the client' is considered and rejected. Finally, some thoughts are presented about the likely future for counselling and psychotherapy, arguing that the victory of professionalisation and expertise is unlikely to be complete.     

The construction of counselling psychology in Britain: A discourse analysis of counselling psychology texts

Counselling psychology is a relatively recent arrival on the professional psychological scene in Britain. This paper examines the ways in which this new branch of professional psychology has been constructed by the counselling psychology community. Articles which embodied this construction process from the 1990 and 1996 volumes of the journal Counselling Psychology Review were subjected to discourse analysis. The main themes of the 1990 articles concerned the construction of identity and legitimation, achieved largely through representations of similarity with and difference from related professions at a general level, whereas in the 1996 articles, the emphasis was on more fine-grained constructions of similarity and difference. Implications for the future construction of counselling psychology are considered.     

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.     

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.     

On the margins: a psychoanalytic perspective on the location of counselling, psychotherapy and counselling psychology training programmes within universities

Despite the continuing expansion of psychotherapeutic training programmes within universities in the UK, very little has been written about the psychological strains which may be experienced by teams working within the context of higher education. This theoretical paper offers a psychoanalytic perspective on the location of such teams, drawing on Kleinian conceptualisations of anxiety and projective identification, as well as Menzies-Lyth's concept of social defence systems. The paper explores the way in which psychotherapeutic teams in general and counselling psychology teams in particular may be at risk of becoming the locus of unconsciously split-off emotional aspects of the institution. The role of such teaching teams within universities is discussed and brief suggestions for future practice outlined.     

On throwing out the baby with the bathwater: A reply to Black and Wilensky's evaluation of story grammars

A number of criticisms of a recent paper byare made. (1) In attempting to assess the observational adequacy of story grammars, they state that a context-free grammar cannot handle discontinuous elements; however, they do not show that such elements occur in the domain to which the grammars apply. Further, they do not present adequate evidence for their claim that there are acceptable stories not accounted for by existing grammars and that the grammars will accept nonstories such as procedures. (2) They state that it has been proven that under natural conditions children cannot learn transformational grammars, which is a misrepresentation of the learnability proofs which have been offered. (3) Most important, they take an unduly narrow approach to story understanding by claiming that people only understand story content and do not have knowledge of story structure which is useful in comprehension or memory. Counterevidence from the literature is cited which indicates that such knowledge is both useful and used, and a number of methods for assessing the psychological adequacy of structural models are discussed.     

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.     

Self psychology,intersubjectivity, and group psychotherapy

The basic concepts of self psychology are presented. The three self-object transferences of mirroring, idealizing, and twinship are described and applied to group therapy. The therapist's role is: 1) to accept the patient's need to idealize the leader, the group, or the specific members; 2) to receive recognition and admiration; and 3) to understand the patients search for twinship. The group therapist also has the responsibility of teaching group members to have empathy for one another.     

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.     

Rational and irrational beliefs in counselling psychology

Rational-emotive therapy (RET) holds that people largely make themselves neurotically anxious, depressed, hostile, and self-denigrating by strongly holding major dogmatic, absolutist, musturbatory beliefs and that they can use several cognitive, emotive and behavioral methods to modify these beliefs and increase their emotional health. This paper presents some evidence supporting this hypothesis and outlines the counseling advantages and disadvantages of active-directive cognitive restructuring.Invited address to British Psychological Association, Leeds, England, April 16, 1988.     

Reflections on group psychotherapy with eating-disordered patients

This paper addresses some of the dynamics, resistances, and transference and countertransference considerations in group psychotherapy with eating disordered patients. Several resistances are delineated, including guilt over being helped, the recreation of early problems around control and forced feeding, and withdrawal as a defensive operation. A brief vignette is presented which highlights the demand on the part of the therapist as well as the patient to contain and manage feelings rather than acting on them. Lastly, the author argues that group participation helps the patient to identify, articulate, and accept feelings and to promote assertiveness.This paper is based on a presentation given at the Training Institute for Mental Health on May 11, 1991.     

Universes of discourse: implications for counselling and psychotherapy

All individuals can be envisaged as living within a number of parallel universes of discourse, where different meanings and values may apply; these may be characterised by different language 'registers'. The process of counselling and psychotherapy itself constitutes such a universe. The inner and outer worlds of the client also constitute different universes that may themselves each consist of a number of distinct universes. Decisions made with respect to one universe may have different meanings or adverse consequences in another; it therefore beholds the therapist to be aware of, and alert to, these differences.     

Boundaries,journals and counselling psychology: Stephen Palmer interviews Kasia Szymanska

You have just retired from editing Counselling Psychology Review, the in-house journal of the British Psychological Society, Division of Counselling Psychology. It seems an appropriate moment to interview you for Counselling Psychology Quarterly. In this interview I want to focus on a topic I know you are interested in, client-therapist boundary issues, and your experience editing the journal. But I'd like to start off at a slight tangent. What encouraged you to go into counselling psychology as a profession?     

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.