Counsellors' responses to clients' non-attendance at counselling sessions

Although there has been some study of clients who miss psychotherapy appointments, very little attention has been given to therapists' responses in such circumstances. A questionnaire survey of student counsellors working in British higher education institutions invited them to consider whether or not they would initiate any further contact with each of eight hypothetical non-attenders, described in case vignettes. It was predicted that responses would be influenced both by the subjects' theoretical approach to counselling and by their level of interpersonal dependency, as measured with the Interpersonal Dependency Inventory (Hirschfeld et al., 1977). It was found that the majority of counsellors were not subject to institutional guidelines about contacting non-attenders, and that responses ranged from contacting none to contacting all of the clients. Psychodynamic counsellors were found to be significantly more likely to initiate contact than were humanistic counsellors. There were no significant correlations between contact scores and intepersonal dependency scores but women were significantly more likely to initiate contact than were men. Many of the psychodynamic subjects had commented on their therapeutic use of written communications to interpret non-attendance to their clients.     

Globalising counselling: humanistic counselling in Kenya

This paper explores the application of a Western, psychologically-based model of counselling and counselling training in contexts where the social and cultural conditions differ from mainstream Western societies. A group of Kenyan trainee counsellors following such a course are interviewed about their experience of training. The interview data are analysed to provide a tentative answer to the question of the appropriateness in a Kenyan cultural milieu of a humanistic counselling training model developed in the UK. It is concluded that such application is possible and desirable, if it is undertaken as shared and respectful learning between trainers and trainees.     

Perceptions of stress and stress interventions in finance organizations: Overcoming resistance towards counselling

This paper presents the findings from a qualitative study conducted to gain further insight into the attitudes of finance organizations towards workplace stress and stress interventions. Semi-structured interviews were used and seven individuals, each representing their organization, participated in the study. Interpretative Phenomenological Analysis (IPA) (Smith, J., Jaraman, M., & Osborn, M. 1999 Smith J Jaraman M Osborn M 1999 Doing interpretative phenomenological analysis In M. Murray & K. Chamberlain (Eds) Qualitative Health Psychology London Sage [Crossref] [Google Scholar] was used to analyse the data. In M. Murray & K. Chamberlain (Eds), Qualitative Health Psychology. London: Sage.) was used to analyse the data. One main theme that emerged was “resistance towards counselling for stress”. This theme and several related sub-themes are discussed, and suggestions to reduce resistance to counselling for stress are presented in a model.     

Gambling counselling in Australia: focus on cognitive counselling techniques

A number of specialised counselling services are now available to assist individuals who experience difficulties as a result of problem gambling behaviour. Clinicians within these services may utilise one or a number of counselling approaches depending on their own preferences and their assessment of the counselling style suitable for use with particular clients. The purpose of this paper is twofold. The first is to describe the range of specialised gambling counselling services now available in Australia. The second aim is to provide clinicians in the field with a range of practical cognitive counselling strategies that may be used to good effect to assist clients to reassess their attitudes towards and thoughts about gambling.     

Towards networking in counselling: a follow-up study of Finnish school counselling

A follow-up study (1990-1997) and in-depth interviews on school counselling practices and problems in Finland showed that in the last 10 years the work of the school counsellor has extended and become more diversified. This article analyses this change in school counselling in terms of the problems and core tasks of counselling and the new challenges faced by Finnish counsellors, such as dismantling the traditional gender divisions in working life and counselling for immigrants. In addition, the article examines how school counsellors have attempted to solve the problems related to their work, for example, by establishing counselling networks inside and outside the school.     

Reducing skin picking via competing activities

This study examined the outcomes of a competing activities intervention to decrease skin picking exhibited by a 9-year-old student with comorbid diagnoses. Results of an ABCBAB design revealed that the use of student-selected manipulatives resulted in reduced skin picking.     

The counselling interview: First impressions

This paper examines the nature of a counselling interview. It concerns itself with the first interview between the counsellor and the client, when both, the client and the counsellor are attempting to form their first impressions of one another. The paper discusses three major problems that arise in the process of forming impressions, viz., 1) maintaining neutrality and objectivity, 2) exercising cognitive control, and 3) expressing empathy. It is the contention of this paper that the above problems have not been clearly understood from their historical, philosophical, and psychological perspectives, and as a result, they have not been satisfactorily resolved. As a result, they have not been given sufficient consideration by counsellors and psychotherapists. The article considers the three problems and discusses ways and means by which they can be clearly understood and hopefully 'taken on board' by professionals working in the area.     

Genetic counselling: Predicting patient outcomes

Abstract

With the rapid development of genetic testing, the demand for genetic counselling is increasing. Yet there is little known about what makes for effective or efficient genetic counselling. The aim of the current study is to determine the main factors influencing outcomes of genetic consultations. One hundred and thirty one routine consultations conducted in a regional genetics centre were audiotaped, transcribed and coded. The main predictors of outcome tested were pre-interview patient and counsellor expectations; pre-interview patient concerns; length of consultations; counsellor directiveness; and the extent to which social and emotional issues are addressed in the consultation. The main outcomes were the patient's view of the extent to which their expectations were met, their satisfaction with information provided, and concern about the problem they were referred with.

Although there were six significant correlations between the process of consultation and outcome variables, multivariate analyses revealed no significant predictors of any of the outcomes. Using multiple regression analyses, small amounts of variance in patient outcomes were predicted by patient and counsellor variables assessed before the consultation, but none was predicted by any of the process measures made of the consultation. Various explanations are considered to explain the lack of influence of process variables upon outcomes. One possible explanation for these findings is that the consultation has a minimal effect upon patient outcomes. Alternatively, the study, in design or analysis, was not sufficiently sensitive to detect the influential aspects of the consultation.     

Pastoral counselling: an American perspective

While pastoral counselling is a function of pastoral ministry in religious communities, it is also a specialised ministry requiring professional training that extends well beyond a pastoral/ theological education for ministry, as well as beyond the confines of religious communities. This article is an American perspective on Certified Pastoral Counsellors as mental health care providers for individuals, couples, and families, generally on a fee-for-service basis, with many qualifying for reimbursement by private and federal third party payers. It demonstrates that pastoral counselling as practised in the USA is spiritually integrated counselling and psychotherapy, requiring graduate academic and clinical work in these disciplines as well as graduate education in religious studies. It offers an American perspective on this specialised ministry of mental and relational health and discusses its identity and function, methodology, supervision requirements, and the clinical use of religious resources, including a case illustration.     

Finger tapping: effects of trials and sessions

18 normal, self-reported dextral subjects (9 men, 9 women) were assessed with a Halstead Manual Finger Tapping device, with 10 trials per hand for 10 consecutive wk. The test-retest reliability of the 10-trial average between the 10 sessions averaged .94 for men and .86 for women, for both preferred and nonpreferred hands. There were no statistically significant effects of increases in performance over sessions or effects of fatigue over trials for either sex or hand. There were, however, significant increases over trials for men for both preferred and nonpreferred hands.     

Punishment shock intensity and basal skin resistance

The relationship between punishment shock intensity and basal skin resistance (BSR) was investigated in two sessions with human females selected for their ability to maintain a fairly substantial operant rate under a wide range of shock intensities. In both sessions each button-pressing response was reinforced with a counter tally. Subjects were paid one cent for each 20 counts. In session 1, punishment followed each response during alternate 4-min periods; in session 2 punishment was programmed in all 4-min periods. Shock intensities were presented randomly among the 4-min shock periods, with the restriction that the first three presentations occurred in ascending order. Operant responding showed some suppression at higher shock intensities in session 1, with substantial recovery in most subjects during session 2. Respondent behavior was characterized by greater activity at successively higher intensities, with recovery at all shock levels, especially the lowest levels, apparent during the second session.     

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.     

Internationalizing counselling: A Southeast Asian perspective

To learn about our Southeast Asian colleagues’ views on internationalizing counselling psychology to Asian cultures, we interviewed eight counselling psychologists who had received their doctoral training in the United States. Four of the participants were currently practicing and teaching in their native countries and four in the United States. Using the basic principles of Grounded Theory [Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Chicago, IL: Aldine.], we derived two themes from the data: (1) major assumptions in US counselling psychology that may limit its transferability to Southeast Asian cultures and (2) practices in learning, training, and cultural adjusting for future development and internationalization of counselling psychology. The participants emphasized the need for indigenization and knowledge sharing in the efforts to internationalize counselling psychology.