Five women talk about work‐related brief therapy and therapeutic writing

Therapeutic writing can play a valuable role in brief, workplace counselling. The present study explores the experiences of five women who used therapeutic writing in this context. Ethical and methodological dilemmas in carrying out this research are highlighted. The study also demonstrates the use of ‘fictionalist’ accounts as a way of overcoming some of the difficulties associated with the dual role of practitioner/researcher, especially confidentiality.     

Dialogical journal writing as ‘self‐therapy’: ‘I matter’

Aim: This case study of one woman's (Jane's) experience of dialogical journal writing presents a way of finding a ‘compassionate image’ for self‐therapy. Various theoretical analyses are indicated with Mindfulness‐based conceptualisations at the forefront. Methodology: Based on three recorded interviews, the narrative inquiry took place over a year. Methodologically, this paper is also one contribution to an ongoing debate about different research approaches in therapeutic writing research. Participants: This study took place in Aotearoa New Zealand, where both Jane and I are migrants. Discussion: This account draws on a report of self‐directed writing for well‐being, seen as an alternative to counselling or medication for depression and anxiety. It focuses on how a particular style of writing evolved and how the motivation to write continues.     

Failing to come to terms with things: a multi‐storied conversation about poststructuralist ideas and narrative practices in response to some of life's failures

This paper is designed to demonstrate some of the multi‐storied representational possibilities available to us as writers and practitioner‐researchers. It highlights some of the opportunities that are available to therapists and the people who consult them when they describe their conversational space as a site for co‐research. It illustrates the reciprocity present in conversations, including therapeutic conversations, by juxtaposing three stories that are interrelated retellings from different writing genres. In positioning poetic, storied and more academic/interpretative texts alongside each other, we hope to trouble the edges between academic and creative writing and also between practice and research. In placing these stories next to each other we seek to disrupt carefully contained ‘client’ and ‘therapist’ positions. We intend to question some current bereavement orthodoxies by demonstrating some less taken‐for‐granted ways in which people, living and dead, can and do continue to sustain each other's lives. We also hope to invite the readers and future writers of this journal to play alongside us in this conversation.     

Sleep of Reason: critical reflections on performance arts-based research as psycho-social commentary in expressive arts therapy praxis

This arts-based case study is a critical reflection on how performance art can be used as psycho-social commentary. It is an attempt to amplify arts-based inquiry using critical understandings of diverse and inclusive meaning making in expressive arts praxis and psychology. It examines the use of performance art in the expressive arts to understand psycho-social proximity to and complicity in dehumanization and structural racism. This arts-based research exists in the intersections of culture, race, the arts, and social commentary with the goals of learning how it facilitates awareness of psycho-social justice and how current uncritical expressive arts and psychology praxis and practitioners can perpetuate structural racism and racial trauma. It asserts performance art can be utilized as a catalyst for psycho-social transformation in creative ways.     

Depressed youth: treatment outcome and changes in family functioning in individual and family therapy

This study explores the role of family functioning in therapeutic change in focused individual psychodynamic psychotherapy (FIPP) and time‐limited systems integrative family therapy (SIFT) for depressed children and adolescents. After a screening process, 72 participants aged 8 to 15 were randomized to either FIPP or time‐limited SIFT. Assessments took place prior to, at the end of, and 6 months after treatment. Families in both SIFT and FIPP showed a small but significant and sustained improvement in family functioning by the end of treatment in both mothers' self‐reports and family therapists' assessments. Better family functioning at baseline in mothers' self‐reports and improved family functioning during SIFT, as assessed by family therapists, predicted a sustained decrease in self‐reported depressive symptoms. Results indicated that time‐limited SIFT may be more effective with younger children and in patients without a diagnosis of double depression than adolescents.     

Patient preference as a predictor of outcomes in a pilot trial of person-centred counselling versus low-intensity cognitive behavioural therapy for persistent sub-threshold and mild depression

The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centred counselling (PCC) compared with low-intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analysed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < .05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyses preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g. guided self-help vs. face-to-face).