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.     

Vocational counselling of mentally retarded young adults

Vocational counselling was given to a sample of mentally retarded young adults attending an Adult Training Centre. Counselling proved effective in the following areas: the dissemination of occupational information to the trainees; the development of trainees' vocational interests; the encouragement of trainees to express personal preoccupations; and the contribution to trainees' comprehension of the vocational and social aspects of their lives in the training centre. Counselling was too short to succeed in effecting a basic change of attitudes towards work. It is recommended that vocational counselling should be an integral part of any rehabilitation programme for retarded adults.     

Applying psychodynamic insights in brief counselling

Abstract

After a review of the place of brief work in the psycho-dynamic tradition, this paper explores how three psychodynamic insights may be of use in brief counselling. Using case examples drawn from work with employment problems, the paper discusses the activation of healing/developmental processes through brief counselling. The ‘significant emotional experience’ which is seen as important is analysed in terms of work with the transference and the punitive superego.     

Increasing undergraduate students' capacity to complete their degree programme successfully: Brief psychodynamic counselling intervention

Counsellors and their supervisors have much to gain from reading and reflecting upon nineteenth-century British horror novels. The plots of these novels are principally concerned with themes of over-reaching, repressed sexuality, discovery and pursuit. Parallels are shown to exist between these themes and the work of the counsellor. Examples and quotations drawn from Frankenstein, The Strange Case of Dr Jekyll and Mr Hyde, Dracula and The Hound of the Baskervilles demonstrate ways in which a reading of these novels can inform counselling work. The anxiety of the counsellor about creating uncontrollable ‘monsters’ is considered, along with the significance of the split between love and hate. Repressed sexuality in the counselling relationship is also discussed, as is the counsellor-as-discoverer, who is at times pursued by client material. The paper concludes with the contention that counsellors may find it valuable and enriching to read, write and reflect upon their own experiences and understandings of horror and the death instinct.     

Narrative counselling with a young engineer

This case study applied a narrative approach to develop the sense of self as a career resource for a young male engineer in his first working year. The participant client attended eight sessions lasting 60 to 90 minutes each over a period of five months. The case sessional data were thematically analysed. Following the intervention, the participant displayed career strengths of willingness to deal with challenges, enhanced adaptability strategies and volition to elect preferred work setting. He also displayed an enhanced future orientation. Narrative counselling appeared to support career adaptability development.     

Using career counselling with group life design principles to improve the employability of disadvantaged young adults

This article explores the effects of group life design counselling on unemployed young adults’ career adaptability skills. Purposive and criterion sampling were used to select 62 participants involved in a skills programme (mean age = 24.86 years, SD = 6.38 years). A quasi-experimental pre-test/post-test comparison group-design, embedded in an intervention framework, was used to gather data. Intervention occurred in the quasi-experimental group. Paired t-tests were used to compare the difference between the pre- and post-test scores obtained on the Career Adapt-Abilities Scale (CAAS). The scores on career concern and career control, as well as the total score on the CAAS, of the quasi-experimental group increased after the intervention. The results suggest that group career counselling interventions with life design principles enhanced the career adaptability in participants as a core element of employability. Future research should focus on more longitudinal research and tracing the long-term progress of participants to establish the value of the approach for diverse clients in (individual and) group contexts.     

Educational counselling of adults

There is increasing world-wide interest in the need for counselling of adult learners, an interest demonstrated by a recent UNESCO symposium. The work of the Educational Guidance Service for Adults, Belfast, is described, indicating the range of clients coming to the service and the methods used to help them.     

Explorations of the effectiveness of a voluntary sector psychodynamic counselling service

This paper reports two studies of individual psychodynamic counselling provided by a voluntary sector service. The first study examines evidence of the effectiveness of counselling, as evaluated by the General Health Questionnaire and Personal Opinion Survey. Measures of the process of counselling indicated the improvements that clients attributed to counselling, the changes that occurred during it, and the factors that were most beneficial, as well as the approaches used by counsellors. The second study, using the CORE Outcome Measure and ratings of problem severity, found counselling to be equally effective with disadvantaged and non‐disadvantaged clients, as defined by British Department of Health criteria, but these clients differed somewhat in their perceptions of helpful aspects of counselling. Both studies also indicated predictors of positive outcome of counselling. The studies are used to illustrate some of the methodological issues around research in this area.     

Visual arts in counselling adults with depressive disorders

This study provides a better understanding of using visual arts in counselling adults with depressive disorders. Three in-depth case studies were conducted in the counselling unit of a mental health hospital in Malaysia. Both qualitative and quantitative research methods were applied to explore three adult participants’ counselling experiences. They attended six individual counselling sessions, which included four art-making activities, and two after-session interviews, for approximately two months. Interpretative Phenomenological Analysis was used to analyse the qualitative data. The findings showed that through the therapeutic use of visual arts, the participants were able to explore and express various emotions, face their problems, communicate better with themselves and the counsellor, achieve a deeper self-understanding, and make meaningful progress in counselling, even though some of them experienced a sense of uncertainty at the beginning of some art-making activities.     

Brief dynamic counselling: Making the right choice

Abstract

Brief dynamic counselling has become a frequently practised method of treatment. This paper examines the usefulness of short-term therapy for certain clients and describes the relevant selection criteria. However, it is argued that there exists a real danger to the client should they be inappropriately referred for this work. Demands upon therapy services often mean that therapists are under pressure to have a rapid ‘through-put’ of clients. This may lead to some clients being treated in a way that is unsuitable and inadequate for their needs. It is suggested that, more than being inadequate, such a situation could cause additional harm to the client. Professional assessment is considered to be of vital importance. Case material is included in order to illustrate the difference between clients who are likely to benefit from short-term counselling work and those for whom the longer time duration is an essential part of the therapeutic relationship and process. In terms of therapy service provision, the need for flexibility and the need for availability of a variety of treatments are discussed.     

Brief psychodynamic psychotherapy in adolescent depression: Two case studies

In this paper the authors outline the basic principles of a manualized, brief psychodynamic approach that was evaluated as part of an outcome study within the National Health Service researching the effectiveness of two different forms of psychotherapy for major depression in childhood/adolescence: Focused Individual Psychodynamic Psychotherapy and Systems Integrative Family Therapy. As well as describing some of the difficulties encountered in short-term dynamic psychotherapy with adolescents, the authors present therapeutic work with two adolescents with major depressive disorder who were both seen as part of the research study. The authors depict some of the challenges and unavoidable difficulties which emerged during the therapy, arising from the needs of the research programme.     

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.