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.     

Boundaries in the practice of humanistic counselling

The multifaceted concept of boundary is used to describe the ground rules, quality and type of therapeutic relationship in a humanistic form of counselling that develops some of the principles of Carl Rogers and blends them with principles from psychodynamic practice. The concept of boundaries is first discussed in relation to its usages and practical consequences. An analysis of some core principles and assumptions about boundaries that guide the communicative psychotherapy approach of Robert Langs leads into a comparison with person-centred counselling. The aim is to develop a middle path for humanistic practice along more formal lines, involving a more fluid understanding of relationships and precise use of counselling principles. This also involves finding aspects of agreement between the psychodynamic and humanistic styles of working, by omitting some concepts and practices and identifying areas of common ground. Several comments on practice are made by comparing the two perspectives. The concept of boundary enables counsellors of all schools to think about points of similarity and difference. Finally, the notion of boundary itself is critiqued, and intersubjectivity is proposed as a potentially more meaningful term.     

A cognitive developmental perspective on counselling adolescents

Although developmental perspectives on counselling are increasingly popular, difficulties inherent in these perspectives impede their actual use in practice. In this paper, individual counselling is situated within a cognitive developmental (Piagetian) framework. Its major constructs — structure and function, assimilation and accommodation, and equilibration — can profitably be applied to the counselling of adolescents. The implications of these constructs for use by counsellors are presented in the light of the traditional responsive and initiative conditions required of the helping relationship. Thus, a perspective on actual counselling intervention founded on a major direction in developmental psychology is provided.     

A systems approach to AIDS counselling

The initial tasks of a systemic AIDS Counsellor in accepting a referral are described. These include: (a) describing the context of the problem; (b) obtaining a clear definition of the problem; (c) responding to changing views of the problem over time; and (d) identifying whom the problem affects. Failure to consider these issues can give rise to extraneous difficulties in counselling sessions,     

Towards a social model approach to counselling disabled clients

The social model of disability has emerged over the past 30 years in Britain to challenge the dominant individual, particularly medical and tragedy, models. This social model is borne from the experiences of disabled people and essentially defines disability as the discrimination faced by people with impairments. This paper explores the possible conflicts between some counselling approaches that can individualise and personalise problems and disability as a political issue. Drawing on research with counsellors and disabled clients, we illustrate the social construction of disability as an individualised problem within the counselling process. Considering the implications for counselling practice, we argue for an approach to counselling which recognises the social model of disability as the basis for social change.     

On exploring meanings: Combining humanistic and career psychology theories in counselling

The notion of meaning is considered a significant construct in both humanistic psychology and vocational psychology. These two psychological disciplines appear to share some philosophical common ground with respect to the role of meaning making and meaning interpretation in people's life career experiences. This paper intends to take a look at such shared conceptual foundation, and examine the feasibility in incorporating the humanistic meaning construct into career psychology. Career counselling implications are discussed.     

Long-term family therapy: A developmental approach

The emphasis in family therapy literature on brief therapy has given a false sense of what family therapy can accomplish. While it has helped to develop different theories of change and refine techniques to deal with resistance, it has caused many clinicians to mistake technique for treatment. A long term developmental approach is advocated in which the family therapist is the general practitioner rather than the specialist. This paper is the result of a 30-year caseload in which there was a group of multi-therapy families.     

Marital counselling: Teaching an eclectic approach

Limited opportunities for training combined with misperceptions about the nature of marital counselling lead to many professionals conducting consultations with couples without training. Where training exists, generally a specific ‘pure’ approach, or a definite brand of eclecticism is taught. The Sheffield Marital and Sexual Difficulties Clinic training course currently aims to give trainees the building blocks for evolving their own brand of eclecticism, or the opportunity to follow a particular approach. Psychodynamic, behavioural and systems theories are highlighted, and the various ways to which these (and other theories) can be used together are examined.     

A model of short-term counselling in primary care

Counselling in prima y care settings has received much interest throughout Britain. Many surgeries employ counsellors or psychologists as part of the primay health care team. This paper describes a model of primary care counselling using an example of a case encountered in general practice. It emphasizes the advantages of offering on-site counselling services, such as better possibilities of liaison with the referring doctor and coordination of patient care. Progress was made in seven sessions of short-term cognitive-behavioural treatment and a more stigmatizing referral (for example, to psychiatric services) was avoided. The case can be seen as an appropriate referral in the context of primay care counselling and illustrates the benefit of this approach to the treatment of psychological and social problems in general practice. Names and details have been changed to preserve confidentiality.     

Psychodynamic counselling with parents of children with developmental disabilities

A joint treatment of parents and child can be the treatment of choice when dealing with developmental disabilities. In our clinical experience, we have observed that psychoanalytically oriented support (developmental guidance), which involves the child and the parents together, answers the needs and addresses the difficult dynamics that are characteristic of developmental disabilities.     

Neurocognitive outcomes following pediatric brain injury: A developmental approach

Developmental neuropsychologists postulate that “immaturity” of the cerebral cortex should no longer be perceived as a protective factor. They argue that injury to the young brain may affect new learning by disrupting the skills in the midst of being acquired and skills that are yet to be developed. Cognitive deficits or weaknesses that are not detectable in the acute phase following a traumatic brain injury (TBI) may emerge over development as more complex skills are needed, thereby creating a developmental lag between children who sustained a pediatric TBI and typical age peers. This literature review was conducted to evaluate the developmental perspective on neurocognitive recovery/development following a TBI. Overall, the described findings support a developmental view and suggest that predictions of prognosis should be based on the child's remaining ability to learn.     

Residential mobility and the family context: A developmental approach

The goal of this study was to examine the links between residential mobility and the family context, whether these links varied across developmental periods (early childhood, middle childhood, or adolescence), and how they were associated with children's achievement and behavioral outcomes. Longitudinal data from a diverse sample of over 1000 U.S. children were used to explore family structure (marital and employment change), process (quality of the home and maternal sensitivity and depression), and residential mobility. Results of structural equation models indicated that associations between residential mobility and family structure and process varied across developmental periods, with significant links found for family process in early childhood and structure in middle childhood and adolescence. We found evidence of indirect associations between residential mobility and children's outcomes through family process in early childhood and of a direct association with internalizing behaviors in adolescence. We provide implications for programs and policies for residentially mobile children.     

Noun animacy and the passive voice: A developmental approach

Line drawings of simple situations, in which the animacy of both actor and acted-upon was systematically varied, were presented to children aged between five and 10 years and to adults. Their task was to describe what was happening in each picture. When the actor was more animate than the acted-upon the pictures were invariably described in the active voice whereas pictures in which the acted-upon was more animate than the actor were frequently described using a passive. When the animacy of the two elements was equal a smaller number of passives was produced mainly in response to pictures depicting two inanimates. The size of the animacy difference between actor and acted-upon was also found to influence passive production. In the more animate acted-upon condition most passives were produced to describe pictures of an inanimate actor and human acted-upon. This pattern of responses is seen as providing support for a view of the passive as a syntactic form which allows thematisation of an acted-upon when it is of greater importance to the speaker than the actor.     

An approach to time-limited humanistic-dynamic counselling

Some of the difficulties, dilemmas and opportunities afforded by working within a time-limited counselling framework are explored. The author's range of work, and the relative importance of time-limited work in it, are briefly described. A brief outline of the change process is then given, which includes a discussion of the author's 'philosophy of the person'—i.e. our fundamental beliefs and assumptions about what we believe a 'person' to be (for example, a mechanistic, soul-less collection of matter, or an indissolubly whole organism with a 'soul' or 'spirit'). This discussion provides the backdrop for some reflections on the extent to which time-limited working is consistent with, and adaptable to, a humanistic-dynamic conception of the person, and on the nature of the 'therapeutic' change process.     

A developmental approach to treating dual-career couples

Abstract

While skills development may help some dual-career couples, for others such methods may result in feelings of frustration until certain developmental difficulties are resolved. This article: 1) addresses some problem areas that dual-career couples encounter; 2) reviews proposed solutions for these problems; 3) specifies the necessary personal requirements for mastering these solutions; and 4) suggests some of the unresolved developmental conflicts that can interfere with such mastery. The list of conflicts, proposed solutions, and typical impeding developmental difficulties is not meant to be exhaustive. Rather, this article is intended to convey a way of conceptualizing “problems surrounding problem solving” for dual-career couples.