Clients talk about their experience of the process of counselling

The purpose of this study was to ascertain clients’ experiences of their counselling. This was done through use of a questionnaire and follow-up, semi-structured interviews with 20 counselling clients who were seen at a walk-in agency located in a mid-sized city in New Zealand. Several themes were identified and discussed in relation to the literature on clients’ perceptions of their own counselling. Specifically, clients were asked to comment on whether their counselling was effective, how much of their improvement was due to counselling versus other factors, the quality of the relationship with their counsellor, specific in-counselling events that were helpful or unhelpful, and how their counselling was terminated. Implications for practice were suggested.     

Young adults talk about their problems

This study aims to explore how young adults in psychotherapy and young adults in general describe their problems and how their problem formulations change over time. Two matched samples from longitudinal prospective studies were compared using thematic analysis. Semi-structured, in-depth interviews were conducted at baseline, 1.5 years after termination of psychotherapy (N=12) in the clinical sample and 3 years after baseline in the non clinical sample (N=12). Inductive thematic analysis revealed six themes: problems associated with oneself, family, intimate relationships, sense of belonging, occupation, and social roles. The psychotherapy sample was characterized by problems with oneself closely related to other problematic areas, at both pre-treatment and at follow-up 1.5 years after termination, while problematic sense of belonging was a general theme only prior to psychotherapy. However, they were less troubled by their problems after psychotherapy. Problems with oneself decreased considerably in the non-clinical sample, while problems with intimate relationships were twice as frequent at follow-up. In the psychotherapy sample, the initial experience of being passively trapped within their problems was transformed into an experience of being an active agent in their own life. However, considerable differences between the psychotherapy sample and non-clinical sample still persisted at follow-up.     

Theorising about counselling

The process of counselling differs from other helping processes not only in its aims and methods but also in the nature of the relationships established between the two participants. Clearer definition of these various processes in terms of the 'primary task' and the role relationship which each task involves would avoid role-confusion when individual helpers are called upon to switch from one job to another. An agreed definition of the nature of counselling would also be beneficial on theoretical grounds since many so-called 'theories of counselling' deal not with counselling per se but with varying approaches to the study of human development. The relation between theory and practice in the training of counsellors is discussed in the context of the work of Argyle, Goffman and the learning theorists, as well as Rogers.     

What we talk about when we talk about pediatric suffering

Theoretical Medicine and Bioethics - In this paper I aim to show why pediatric suffering must be understood as a judgment or evaluation, rather than a mental state. To accomplish this task, first I...     

Gender differences in loneliness and depression of university students seeking counselling

Gender differences in loneliness and depression were examined among university students seeking counselling. The short-form UCLA Loneliness Scale (ULS-8) and the Beck Depression Inventory (BDI) were completed by 325 counselling seekers (107 males and 218 females) in Israel. Males were significantly higher in loneliness than females, while females were significantly higher in depression than males. The greater loneliness of male counselling-seekers than that of females is discussed, as well as the possibility of a response set. Implications for assessment and counselling are suggested.     

Children talk about work

To provide background for an elementary-level program of occupational information, 180 children in grades 3 through 8 were individually interviewed to learn their concepts of the world of work. The children disclosed their knowledge, interests, and attitudes related to various occupations and reasons for working. Some children were well informed and had specific vocational goals, while others were quite unaware of work. The data from the study were used to develop telecasts and other modes of presentation for occupational information.     

Willingness to seek counselling, and factors that facilitate and inhibit the seeking of counselling in Indonesian undergraduate students

This paper describes a study designed to investigate Indonesian undergraduates' attitudes to counselling. It focuses on the results derived from data analyses of a questionnaire measuring the level of willingness to seek counselling, factors inhibiting and facilitating the seeking of counselling in Indonesian students. The exploration was differentiated into professional counselling outside the university and the university counselling services. The self-administered questionnaire was distributed among 1,279 students. The results indicated that the level of willingness to seek counselling was low. The use of social networks was the most important discouraging factor. Wide dissemination of information about counselling services, efforts to enhance confidentiality in counselling and counsellors' understanding of students' world and ways of thinking were strongly suggested to encourage students to seek counselling.     

Struggling with self: The personal projects of students seeking psychological counselling

Personal projects can be described as self-articulated goals and related sequences of actions. In order to investigate what kind of personal projects people with psychological problems have, and how they work on them, 28 counselling client students, 44 students of psychology, and 45 students of technology completed a Finnish version of Little's (1987) Personal Project Inventory. The results showed that the clients scored lower on project accomplishment than other groups. Their personal projects were frequently self-related, while those of the technology students were often task-related. The higher their sense of coherence, self-esteem, mental health and life satisfaction, the more subjects expected to accomplish their projects, the more frequently they described task-related projects, the less negative affect they reported, and the less frequently they described self-related projects. These results suggest that psychologically distressed individuals struggle with self-related projects and have problems in accomplishing their projects.     

Some ethical concerns about counselling research

The whole approach of counselling researchers to ethics may be assumed to have been improving in recent years, especially with the BACP research guidelines (Bond, 2004 Bond, T. 2004. Ethical guidelines for researching counselling and psychotherapy. Counselling and Psychotherapy Research, 4(2): 4–9. [Taylor & Francis Online] [Google Scholar]), with its focus on trustworthiness and on the researcher engaging with ethical issues. In this paper we share our concerns about the background to ethical decision making for researchers today followed by our specific concerns for counselling researchers namely: why do counselling research at all?; research that hurts participants; the impact of research on the therapeutic process; restrictive notions around what is data; the politics of funding and informed consent revisited.     

Talking about science interests: the importance of social recognition when students talk about their interests in STEM

Although interest development is often conceptualized as a process that occurs within an individual, interest can be developed through various social mechanisms. Messages that suggest that one is or is not welcome within a context may serve to bolster or attenuate interest in those contexts. In a sample of first semester freshmen undergraduate science students, we tested whether or not talking with close others about one’s interests, and receiving social recognition during those conversations, was related to having a greater science career interest over time. Our findings suggest that the way in which students perceive others’ reactions to their scientific interests (social recognition) during these conversations may have the greatest impact on students that face greater external barriers to persisting. We found that positive social recognition appraisals that convey that a listener understands and encourages one’s interest in science predicted a greater science career interest over time for women, but not men. The impact of positive social recognition appraisals on interest in a science career was greatest among women with relatively low or average science identities, but not for women with a relatively high science identity. The implications for the development of students’ interest and for broadening participation in science are discussed.

     

The stresses of learning counselling: Six recent graduates comment on their personal experience of learning counselling and what can be done to reduce associated harm

This paper presents research that examines the negative and stressful aspects of learning counselling and methods for harm reduction. Using an in-depth semi-structured interviewing approach, six people who recently graduated from a UK university counselling programme have commented on their negative experiences of learning counselling and what helped or would have helped to reduce the harmful effects. This research has produced information which indicates that counselling trainees experience significant disruptions in their relationships with their family and friends; that a sizeable number of trainees report feelings of depression and or stress; and that counselling trainers have not addressed these issues effectively. The study concludes with a suggestion that an extra training component could be built into existing training frameworks that focus on the process of 'becoming a counsellor'.     

Remembering without a past: individuals with anterograde memory impairment talk about their lives

This paper describes the linguistic resources people with anterograde amnesia draw on in conversational narratives. Because of their problems in recollecting post-morbid memories, it is particularly challenging for such individuals to refer to personal experiences. Seven patients with anterograde memory impairments due to neurotrauma were interviewed one year post-event. Among other topics, they were asked to talk about their new lives and selves, which was expected to be a precarious affair given that they did not have many or any autobiographical memories. Microanalyses of their narratives identified three readily available linguistic resources that participants used to facilitate their storytelling. These were categorized as "memory importation" (transplanting a past memory into the present), "memory appropriation" (taking another's memory as one's own), and "memory compensation" (searching for memories). It is argued that although these resources were not always efficiently used by participants and their use often violated conversational expectations, these linguistic techniques provided a helpful means to sustain the production of personal narratives, even in the absence of autobiographical memory.     

The Concerns about Counseling Racial Minority Clients scale

The purpose of this study was to develop and validate the Concerns about Counseling Racial Minority Clients (CCRMC) scale among counselor trainees. Sample 1 was used for an exploratory factor analysis and confirmatory factor analysis. Four factors were identified, Managing Cultural Differences (α = .82), Offending or Hurting Clients (α = .87), Biased Thoughts and Behaviors (α = .81), and Client Perceptions (α = .77). The coefficient alpha for the CCRMC was .90. The results support the validity of the scale. The scores on the CCRMC and its subscales have positive associations with fear of negative evaluation from others (r = .19 to .40) and negative associations with general counseling self-efficacy (r = -.30 to -.46) and multicultural intervention self-efficacy (r = -.30 to -.64). The CCRMC significantly predicted fear of negative evaluation, session management self-efficacy, and multicultural intervention self-efficacy over and above multicultural social desirability. The validity evidence was not different between White and minority graduate trainees. In Sample 2, the estimated 1-week test-retest reliabilities ranged from .75 to .96 for the CCRMC and its four subscales.     

Clients Helping Therapists Find Solutions to their Therapy

This paper is offered as a beginning toward including client perspectives on treatment and client participation in supervision. Rather than see therapists as technical experts who do things to people, many of us now see therapists as nonexperts who create conversations with people (Goolishian & Anderson, 1992). This new shift challenges the traditional training positions of supervisor and supervisee, respectively. Including clients' voices the supervisor participate from a nonexpert position.