Integrating theory and practice in counsellor training

A training programme for counsellors, based on the principle that counselling is a behavioural skill, is described. The programme aimed to improve client-centred skills, though the methods used could also be applied to other approaches to counselling. The pre- and post-course measures of skill were based on (a) a 45-minute recorded interview with a client, and (b) recorded responses to simulated clients, using a language laboratory. During the programme the skills were practised, with feedback on progress, using a behaviour category language. This enabled trainees to become more sensitively aware of others, to become aware of the discrepancies between their intentions and their actions, and to monitor their own progress in learning the skills. Striking changes were observed between the pre- and post-course measures. The results are discussed in relation to counselling training.     

It's prime time for rational emotive behavior therapy: Current theory and practice,research recommendations,and predictions

This article identifies the current rational emotive behavior therapy (REBT) playing field as we head towards the 21st century. Some of the important refinements, embellishments and clarifications of REBT theory and practice as described in the Ellis' 1994 revision ofReason and Emotion in Psychotherapy are reviewed. The second section of the paper presents a variety of recommendations concerning ways in which future REBT research can help bolster its scientific status. Finally, predictions by REBT experts concerning the longevity of REBT and whether it can maintain its distinctive identity within the cognitive behavior therapy movement are revealed.     

Cognitive theory,cognitive impairment and clinical practice

The aim of this paper is to present a practical model for investigating cognitive impairment which integrates the experimental-cogaitive-information processing-theory and the psychometric-intellectual-abilities-tradition in psychology to understanding cognitive functioning. It reviews developments in cognitive theory in terms of Processes, complex and simple, such as Intelligence and Information Processing, and Factors of attained Level and Learning ability in the Verbal and Performance modalities. The Savage Cognitive Impairment Model (SCIM) is outlined and types of cognitive impairment defined. Measures of cognitive impairment relevant to clinical practice and research are presented.     

Rhetorical theory and family therapy practice

The study found that a connection exists between rhetoric and therapy because both fields are interested in using language as a tool for generating change. Persuasion is viewed as inherent in human communication, even though people do not necessarily intentionally attempt to persuade others. Following a brief (but detailed) explanation of the theoretical stance which informs the implementation of rhetorical techniques in therapy, three pragmatic exemplars are offered to demonstrate the employment of two classical rhetorical concepts, the parastasis catalogue and syncrisis.The authors are grateful to Sandra Kodner, MS for her participation in the development of this project.     

Links among theory, research, and practice: cornerstones of clinical scientific progress

Discusses how explicit links among clinical theory, research, and practice are necessary if a clinical discipline is to survive in the managed care marketplace of today. Robust links among theory, research, and practice enable the elaboration of a systematic body of clinical knowledge that is practical in its deployment, effective in its methods, and compelling in its rationale. Moreover, theoretical advances are increasingly necessary, in that they allow scientists to categorize and prioritize the growing amount of empirically derived information, determine how pieces of multilevel data fit together, identify knowledge gaps, and set priorities for future studies. As shown by some of the articles in this special section, evolving theories of behavior have several characteristics in common; namely that they are developmental, transactional, contextual, adaptational, multilevel, and multidetermined. Concerns may be raised, however, as to whether current research methods are fully adequate to test these newer, more complex, multilevel theories or the clinical phenomena they seek to characterize. To address these difficulties, as well as to increase the pace of scientific advances that may result from propitious links among theory, research, and practice, I offer several recommendations to clinical psychology in general and to clinical child psychological research in particular.     

Counselling for women: The contribution of feminist theory and practice

Much of the literature on the theory and practice of counselling is gender-blind, the assumption being that the emotional worlds of women and men are the same. This view is challenged, the author reviewing the work of feminist theorists and practitioners. Central to this discourse is the argument that to understand the internal psychic structures of women, her concepts of se& we have to acknowledge the effect of external and oppressive structures on her psychological development. This can assist us in our understanding of how the therapeutic relationship might address women's needs and provide the ‘space’ for her to grow and change.     

Bridging between basic theory and clinical practice

This paper articulates and discusses the parts played by different processes and representations in the overall conduct of applied clinical science. It distinguishes two sorts of representation, theories in the science base and bridging representations needed to map from real world behaviour to basic theory and from theory back to the real world. It is then argued that macro-theories of the "normal" human mental architecture could help synthesise basic theoretical accounts of diverse psychopathologies, without recourse to special purpose clinical cognitive theories of particular psychopathologies or even specific symptoms. Using the Interacting Cognitive Subsystems model [Affect, Cognition and Change: Re-modelling Depressive Thought, Lawrence Erlbaum Associates, Hove, 1993], some specific macro-theoretic variables are identified. Concrete illustrations are given of how the essence of quite complex basic theory can be translated into a simpler representational format to help clinicians conceptualise a psychopathological state and pinpoint relevant variables that might be changed by therapeutic interventions. Some suggestions are also offered about how the inevitable problem of complexity in multiple component theories might be directly confronted.