How effective is workplace counselling? A review of the research literature

The provision of counselling for work‐related problems has expanded in recent years, as organisations have recognised the value of this approach to staff support. However, there has been relatively little research into the outcomes of workplace counselling, and no systematic reviews have been conducted into the effectiveness of counselling in this setting. This paper presents the results of a preliminary review of evidence in this area. 34 studies of the effectiveness of workplace counselling were identified, of which 16 were sufficiently well designed to be considered as comprising reliable findings. The results of these studies suggest that, in general, workplace counselling is effective for clients for a wide variety of type and severity of presenting problems, employed across a range of different organisational contexts. The paper includes discussion of methodological issues associated with this research, recommendations for further research, and implications for practice.     

Does accuracy matter? A review of the consequences of accurate personality impressions as a function of context and content

What are the implications of seeing others as they see themselves? That is, does viewing others accurately have consequences, positive or negative, to relationship evaluations (e.g., liking)? To address this, the current article provides a comprehensive review of the personality accuracy literature and discusses related work from the self-verification and empathic accuracy domains. We specifically explore whether the consequences of accurate perceptions could be influenced by two key categories of moderators: the context of the impression (e.g., high vs. low stakes) and content of the impression (e.g., desirability of traits). Lastly, we discuss future directions to aid our understanding of this question.     

Swimming against the Stream?: Mindfulness as a Psychosocial Research Methodology

In this article, we extend psychosocial research methodology by integrating a breaching experiment, influenced by ethnomethodological sociology, with aspects of mindfulness practice, influenced by Buddhist traditions. We offer an empirical investigation of what happens when researcher-participants subtly “swim against the stream” of normative public social conduct in a capital city setting. Our qualitative analysis explores a single case from a corpus of 172 first-person retrospective accounts of standing still and doing nothing in a busy, public place. We investigate the qualitative aspects of how one researcher-participant arguably adopted a mindful, beginner’s mind orientation toward the flow of psychosocial consciousness. We empirically investigate this psychosocial orientation of mindfulness by integrating Wetherell’s concept of affective-discursive practice with James’ stream of consciousness. Mindfulness offers a specific, embodied reorientation toward psychosocial flows. We discuss the methodological implications and limitations of this reorientation for psychosocial research.     

Research and the organization of knowledge: where do psychotherapy and counselling fit in?

In order to clarify the place of research in psychotherapy and counselling, I look at the interrelationship of two ‘organizations of knowledge’. Organization can represent a process or an institution. My thesis is that there are particular characteristics of psychotherapy and counselling, considered as an intellectual discipline, that mean it organizes knowledge in peculiar ways that are reflected in the difficulty of reconciling them within the organization of the modern university. I shall propose that a different conception of research, based upon a third ‘organization of knowledge’, is necessary to resolve these tensions. Once psychotherapy/counselling finds more cohesion as a discipline, it is more likely to establish an independent niche within the university.     

Can cognitive psychological research on reasoning enhance the discussion around moral judgments?

In this article we will demonstrate how cognitive psychological research on reasoning and decision making could enhance discussions and theories of moral judgments. In the first part, we will present recent dual-process models of moral judgments and describe selected studies which support these approaches. However, we will also present data that contradict the model predictions, suggesting that approaches to moral judgment might be more complex. In the second part, we will show how cognitive psychological research on reasoning might be helpful in understanding moral judgments. Specifically, we will highlight approaches addressing the interaction between intuition and reflection. Our data suggest that a sequential model of engaging in deliberation might have to be revised. Therefore, we will present an approach based on Signal Detection Theory and on intuitive conflict detection. We predict that individuals arrive at the moral decisions by comparing potential action outcomes (e.g., harm caused and utilitarian gain) simultaneously. The response criterion can be influenced by intuitive processes, such as heuristic moral value processing, or considerations of harm caused.     

What is the place for philosophy within the field of medicine? A review of contemporary issues in medical ethics

This extended essay seeks to unpack some of the key aspects of philosophy which are applicable to medical thought and practice. It proceeds via an analytical discussion of the contemporary debate in three key areas of medical ethics: euthanasia, concepts of health & disease and psychiatry.

The main claims are as follows:

1. 1.
   The case for legalising euthanasia is strong on philosophical grounds but there are numerous practical obstacles.
    
2. 2.
   Elements from the normative and naturalistic definitions of disease are necessary for a thorough definition that dodges common objections to either.
    
3. 3.
   Mental health cannot be subsumed under a purely physicalist model of health rendering it distinctly different from other fields in Medicine.
    

Through a detailed discussion of three salient issues in the philosophy of medicine, it is argued that the application of profound philosophical thought to medicine and its practices reveals a depth that necessitates exploration before simply following the aims of curing all. Philosophical rigour matched with modern medicine has the potential to engage patients and help them make independent, informed decisions and assist physicians to think more clearly, analytically and empathetically.     

Are research subjects adequately protected? A review and discussion of studies conducted by the Advisory Committee on Human Radiation Experiments

In light of information uncovered about human radiation experiments conducted during the Cold War, an important charge for the Advisory Committee on Human Radiation Experiments was to assess the current state of protections for human research subjects. This assessment was designed to enhance the Committee's ability to make informed recommendations for the improvement of future policies and practices for the protection of research subjects. The Committee's examination of current protections revealed great improvement over those from the past, yet some problems remain. Although the data collected by the Committee highlight specific areas in need of attention, the Committee's work should be viewed in part as the beginning of a series of ongoing assessments of the adequacy and effectiveness of the protections afforded to human subjects.     

What determines the impact of context on sequential action?

In the current study we build on earlier observations that memory-based sequential action is better in the original learning context than in other contexts. We examined whether changes in the perceptual context have differential impact across distinct processing phases (preparation versus execution of a motor chunk) within an ongoing movement sequence. Participants were trained on two discrete keying sequences, each of which was systematically presented in its own unique color during a practice session with either limited or extended practice. In a subsequent test session, sequences were performed with the same, with reversed, and with completely novel sequence-specific colors. The results confirm context-dependence in sequential action, the relevance of practice for its development, and its selective expression for the preparation but not the execution of highly practiced motor chunks. As such, the current study provides novel insights into the determinants of context-dependent sequential action. We finish by outlining the overall status of context-dependence in sequential motor behavior, and specify a general working model.     

Addressing ‘Dreaded issues’: A Description of a unique counselling intervention with patients with AIDS/HIV

The authors describe an approach to counselling patients with AIDS/HIV in which the patients main anxieties can be addressed. A definition of ‘AIDS Counselling’ and ‘Dreaded issues’ is offered. The choice of method is derived from experience with over 1,000 patients. A therapeutic strategy is used in which hypothetical and future-orientated questions asked by the counsellor can help to sidestep denial and resistance with patients. Clinical case examples are described in order to illustrate the approach. Some of the advantages as well as the limitations of the approach, for patients and staff, are considered.     

Inebriation and Inspiration? A Review of the Research on Alcohol and Creativity

There is a conception that a uniquely positive correlation prevails between the intake of alcohol and creativity, but only a few experimental studies address this subject. Existing studies together with recent experiments are reviewed. This later series of experiments explored whether or not moderate alcohol intoxication (1.0 ml of 100% alcohol/kg body weight) facilitated different phasesof the creative process, i.e. preparation, incubation, illumination, verification, and restitution. A hypothesis is derived which postulates that modest alcohol consumption inhibits aspects of creativity based mainly on the secondary process (preparation, certain parts of illumination, and verification), and disinhibits those based mainly on the primary process (incubation, certain parts of illumination, and restitution).     

A failure of dialogue? a critical reflection on a discussion between a teacher trainer and a pre-service second-language teacher

Reflective practice in teacher education often involves dialogic communication between teacher educators and teachers. This essay asks what constitutes authentic dialogic engagement in discussions between a pre-service second-language (SL) teacher and her university supervisor. Written as a self-critical reflection, the paper first describes the author’s thoughts and feelings about a post-teaching session he conducted with one of his supervisees and identifies possible disconnections existing between them. Drawing on Mikhail Bakhtin’s concept of dialogism and Hans-Georg Gadamer’s of genuine dialogue, this paper reflects on the dispositions that foster a dialogic relationship between teacher educators and pre-service and in-service teachers.     

‘A preparation for practice?’ Students experiences of counselling training within departments of higher education

The literature has identified a gap between the education and practice in the education and training for the practice based professions based within traditional Departments of Higher Education. In the education and training in counselling it is suggested that this gap is primarily between those who view practice as the rigorous application of formal ‘science’ and those who see it as more holistically embedded in ‘tacit knowledge’ and artistry of the practitioner. This paper reports on a small scale qualitative study (Scanlon, 1993) which investigated the experience of students undertaking Counsellor training courses within Departments of Higher Education. Analysis of interview data revealed three main categories of concern. The first categoy describes the adverse effects of the theory-practice gap on the students. The second catego y describes the importance of clinical supervision in acquiring practice skills and the third catego y describes the participants' concerns about the quality of outcome for such training, particularly in relation to the perceived lack of ngour in the assessment of clinical competence. In the light of these findings a number of suggestions about how the professional education and training of counsellors could be better integrated into a more ‘practice led’ curriculum model are discussed.     

Family therapy research: Comment on “research as a family therapy intervention technique”

Wright's emphasis on and illustration of the use of family therapy research as a unique intervention technique for therapy is an important contribution to the practice literature. Equally important, however, is the isomorphic shift in focus of the family therapy researcher. Rather than focusing only on process or outcome research, family therapists should become more interested in their clients as research subjects. Though rarely discussed in the family therapy literature, the competencies of family therapists as researchers and the utility of research in a family therapy context is critical to being a well-rounded professional. Examples are provided of how this emphasis is being introduced in a PhD family therapy program.     

Karl Jaspers’ account of truth as a way into the discussion of theological truth-claims

This paper presents Karl Jaspers understanding of truth as communication as a framework for reflecting on the nature of truth-claims in Christian theology. Jaspers argues that the fact that we communicate with each other in several different modes implies that the criteria of truth in our discourse must vary in these different modes. In developing this view he distinguishes between four modes of communication: the mode of presenting and defending vital personal interests, the mode of common understanding of the observable world, the mode of developing and operating with ideas of unifying spiritual wholeness, and the mode of authentic personal identity. The formation of this framework draws heavily on Kant. His discussion of the spiritual ideas for example clearly links with Kant regulative ideas of reason. Yet where Kant seems to limit thwese ideas to three: the self, the world and God, Jaspers seems to offer a more open and indefinite view. This becomes important for making a comparison between his account of truth and an account which could accommodate claims of the Christian thelogians.     

A note on the use of A′ as a measure of sensitivity

The use of A′, a nonparametric measure of sensitivity in tests of recognition memory, is discussed. In particular, two formulas for computing A′ are considered. One formula, which was reported in a recent paper by Berch (1975), should be used only when the observed hit rate is greater than or equal to the false alarm rate. A second formula is presented for computing A′ when the hit rate is less than the false alarm rate.     

Is there a baby in the bathwater? Maybe: some methodological issues for the de novo protein synthesis hypothesis

The de novo protein synthesis hypothesis has a long history and will no doubt continue to influence research. Yet, the primary behavioral evidence for this claim continues to come from studies in which amnesia is produced by broad scale protein synthesis inhibitors such as anisomycin. What is remarkable is the uncritical acceptance of the idea that because anisomycin is a protein synthesis inhibitor then it must have produced amnesia because it prevented translation. Several viable alternative interpretations of such experiments are discussed here and it is concluded that there is nothing to be gained by the continued use of broad-scaled antibiotics to address this hypothesis. Moreover, this approach cannot answer two critical and related questions - why must new proteins be synthesized and what are they? A focus on specific proteins such as those synthesized locally and upregulate the translation of other proteins may be a promising approach to answering these questions.