Interpersonal counsellor qualities: Their effect on client improvement

Recent analyses of client improvement suggest that it is related to three inter-personal counsellor qualities: (a) empathy — the ability of the counsellor to grasp the meanings, needs and hierarchies of the client's world as if it were his own; (b) genuineness — honesty and openness; and (c) non-possessive warmth — a care for and valuing of the client, functioning to preserve the client's dignity. These three core conditions are examined, and their implications for counselling research and practice are discussed.     

Career Indecision: A Summary of the Research and Implications for Counselling

The vocationally-indecisive individual presents a major counselling problem. The theory and research behind career indecision is discussed and a counselling approach based on identity formation is outlined. Four identity statuses — Identity Achievements, Foreclosures, Identity Diffusions, and Moratoriums — are described and counselling approaches for each are explored.     

Measuring the quality of residential care

Administrative personnel require objective, reliable and valid information in order to monitor the effects of allocating resources to different components of the service that they are providing. The initial problem is to define and measure the dependent variable—the ‘quality of care’ —against which the effects of changing various independent variables can be evaluated. The paper describes an attempt to use the operant conditioning model as a basis for constructing such a measure of the quality of care provided in residential settings for severely mentally handicapped people. The rationale for adopting this model is described, against a background of other studies in which the same problem has been addressed. The hypothesis, the tasks generated, and the methodological problems encountered, are outlined and discussed.

A subsequent paper will present the results obtained when using the method to measure the quality of care, so defined, in two residential units for severely mentally handicapped children.     

Attitudes of school counsellors to some counselling issues

A questionnaire was constructed to ascertain the attitudes of school counsellors to guidance issues. 16 school counsellors in an urban area in the Midlands were asked to complete the questionnaire. The results show a wide area of agreement among the counsellors, particularly on issues concerned with practical and professional matters. Differences of opinion occur with respect to some of the other issues — including those concerned with the relationship of guidance and counselling to society — and possible implications of this lack of unanimity are discussed.     

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.     

Effects of three methods of career counselling on vocational maturity and vocational preference

Three types of career counselling — Individual Career Counselling, the Vocational Exploration Group, and the Future Group — were compared to a placebo group and a no-treatment control group. All groups were evaluated in terms of changes in pre- and post-test scores on the Attitude scale of Crites' Career Maturity Inventory and on the ten scales of the Kuder Preference Record. The study showed the Future Group as compared to the no-treatment control to have a significant increase on the Musical Preference scale. The Future Group also had a significant increase on the Literary Preference scale as compared to the no-treatment control and individual counselling groups. The Future Group participants significantly increased in career maturity compared to participants from the no-treatment control and individual career counselling groups. The implications for career counselling as well as for additional research investigations are discussed.     

Explanation and Causality in Counselling: Consequences and Alternatives

Despite calls for counselling to take greater cognizance of the social context in which we live, it remains primarily monadic in its approach, focusing on individual pathology rather than on contextual links. This is explored in a discussion of behavioural, cognitive, and humanistic approaches to counselling which — despite their differences — exhibit remarkably similar features when viewed from a perspective outlining patterns of causality. A systemic approach is presented which attempts to provide a framework for describing human behaviour that acknowledges the interaction between intrapsychic dynamics and patterns of communication. The likely consequences of the traditional and systemic approaches are then discussed within a framework of 'self-fulfilling prophecies' .     

Simulation and counselling

Simulations are basically models of social and physical situations. Their educational value and the problems involved in using simulation techniques are analysed, and some possible applications of these techniques in counselling are outlined: these include applications in counsellor training, in one-to-one and three-person counselling situations, and in preparing pupils for such experiences as job interviews. But dangers of “faddishness” have to be avoided, and more rigorous research into the effectiveness of simulation techniques is still needed.     

How effective is workplace counselling? A review of the research literature

The provision of counselling for work‐related problems has expanded in recent years, as organisations have recognised the value of this approach to staff support. However, there has been relatively little research into the outcomes of workplace counselling, and no systematic reviews have been conducted into the effectiveness of counselling in this setting. This paper presents the results of a preliminary review of evidence in this area. 34 studies of the effectiveness of workplace counselling were identified, of which 16 were sufficiently well designed to be considered as comprising reliable findings. The results of these studies suggest that, in general, workplace counselling is effective for clients for a wide variety of type and severity of presenting problems, employed across a range of different organisational contexts. The paper includes discussion of methodological issues associated with this research, recommendations for further research, and implications for practice.     

Counselling and careers education in the united states: Some current trends

The author visited the United States in May/June 1972 with a grant from the US Department of State under their Leaders and Specialists Programme. He visited nine major cities and met nearly a hundred people in the guidance and counselling field, including some of the leading figures. This paper identifies some of the main current trends in American guidance work — notably the reevaluation of the counsellor's role and the push for “career education” — and examines their implications for guidance work in Britain.     

Pupils as consumers: Perceptions of guidance and counselling in a scottish school

Pupils' perceptions' of the effectiveness of counselling services were investigated within a school with a high degree of commitment to guidance and counselling. Pupils were asked to read eight problems: four were school-based, and four were personal/familial problems. Half the sample were given a list of possible sources of assistance (including counselling staff); half were unprompted On personal and familial problems, the unprompted group were as likely to cite counsellors as being sources of assistance as were the group prompted with the names of counselling staff. This was taken as an indication that counselling staff were spontaneously seen as sources of help on these matters. In addition, respondents completed semantic-differential protocols, analyses of which indicated that counselling staff were seen in more pastoral terms than were other teaching staff. These results are discussed within a perspective that sees the school's guidance and counselling system as interacting with its general ethos.     

Beyond resolution of presenting issues: Clients' experiences of an in‐house police counselling service

The availability of counselling services for employees has expanded significantly in recent years. However, despite an increase in appreciation of the value of counselling within the police service, there has been little research into the effectiveness of counselling with police personnel. The present study assesses an in‐house counselling service provided by the welfare and counselling department of a Scottish police force. Thirteen former clients (including both police officers and civilian support staff) were interviewed about their views on four areas of the counselling provision: how they entered counselling, the issues they brought, their experiences during counselling, and their assessment of the impact of counselling on their lives. Interviews were analysed using a grounded theory approach, which identified four main categories: initial engagement, learning by participating, experiencing moments of deep self‐examination, and moving beyond resolution of presenting problems. All of those who were interviewed appreciated the provision of a counselling service within their employment, and the majority reported that they had not only been helped to resolve their presenting problems, but had also made important gains in self‐awareness and work effectiveness. Findings are discussed in terms of implications for service delivery and future research.     

Stress counselling in the Post Office

This paper highlights a unique experiment in stress counselling in industry. It will provide the background to an in-house stress counselling service for postal employees in the north-west and north-east of England. The structure of the counselling service, its location within the organization, the problems of setting it up, the terms of reference, the client base and many more issues will be discussed. In addition, systematic evaluation of the effectiveness of the service has also been independently undertaken and will be discussed. Preliminary findings on the impact of stress counselling on sickness absence and psychosocial measures of job stress are presented and discussed.     

An appraisal of abortion counselling

Abortion counselling is examined on the basis of 306 cases seen in a pregnancy advisory service. Its aims and process are compared with other forms of counselling; problems of ambivalence, pressure from others, economic reasons and patient fears are discussed. Because of the many clients who presented with these problems and with relationship difficulties, it is suggested that a more broadly-based 'watershed counselling' service be established. Such counselling could provide full information about abortion and its alternative, and could also provide useful aftercare.     

Counselling children and young people: A review of the evidence for its effectiveness

This paper summarises and presents the results of a BACP commissioned systematic scoping review on the research evidence on counselling children and young people. The methodology was based on a structured, hierarchical, systematic approach to searching and reviewing the research literature. Inclusion criteria defined the scope of the review in relation to a range of issues in counselling children and young people: behavioural problems and conduct disorders; emotional problems including anxiety, depression and post‐traumatic stress; medical illness; school‐related issues; self‐harming practices and sexual abuse. Four groups of counselling approaches were examined: cognitive‐behavioural; psychoanalytic; humanistic; and creative therapies. The findings indicate that the four therapeutic approaches are effective to a greater or lesser degree in relation to the range of issues. Although the findings show that there is little or no evidence for the effectiveness of some therapies for particular issues, this may not reflect the lived experience of children and young people engaged in counselling in a range of community and institutional settings. Instead, the absence of evidence is likely to reflect a lack of published studies that fit the inclusion criteria for this review.     

The Cognitive, Learned-Helplessness and Hopelessness Theories of Depression: A Review with Implications for Counsellors

Four theories of depression and the Attributional Style Questionnaire (ASQ) are described and their implications for counselling discussed. Recent research has focused upon the testing of the diathesis-stress component of the reformulated learned-helplessness theory of depression, and in particular upon the role which a hypothesised depressogenic causal attributional style towards events in general, and/or 'depressive attributions' towards specific events, play in the development of depression. It is suggested that the recently revised version of this theory — the hopelessness theory of depression — is both a more fruitful area of future research and of more interest to the counsellor, since it emphasises the role which attributions and other cognitive factors play in the maintenance and prevention of depression, rather than concentrating on a continued search for a cause.     

The effectiveness of workplace counselling: A systematic review

Background: In response to the stresses of the contemporary workplace, the challenges of maintaining satisfactory work-life balance, and the costs to business of employee mental health problems, many organisations have contracted to make counselling services available to their staff. It is essential to evaluate the effectiveness of workplace counselling, in order to maintain standards, and to identify examples of good practice. Objectives: This paper presents a comprehensive, systematic review of the effectiveness of workplace counselling. Findings are analysed in terms of client satisfaction, psychological functioning, the meaning of work, work behaviour, and negative outcomes. Findings: Taken as a whole, the results of research suggest that counselling is generally effective in alleviating psychological problems, has a significant impact on sickness absence, and has a moderate effect on attitudes to work. Discussion: Methodological issues are discussed, and it is recommended that more high-quality research is required in order to reinforce the evidence base for workplace counselling in relation to a number of key questions.     

Counselling and well-being: on the road to realities

This article aims to discuss the rationale and some guiding principles for the realm of counselling in the fostering of well-being. After some brief observations of a theoretical nature, the principles analysed are: the revitalisation of counselling; the reflection on the concept of dialogue, including the notion of context; the perspective of counselling as social activity; understanding counselling and how it adjusts on the road to realities. From this perspective, practitioners view counselling as a social activity aimed at self-construction and life designing. In following that view, the idea of counselling as being socially produced is also examined. At the end, some considerations on the future of counselling are discussed.     

Explorations of the effectiveness of a voluntary sector psychodynamic counselling service

This paper reports two studies of individual psychodynamic counselling provided by a voluntary sector service. The first study examines evidence of the effectiveness of counselling, as evaluated by the General Health Questionnaire and Personal Opinion Survey. Measures of the process of counselling indicated the improvements that clients attributed to counselling, the changes that occurred during it, and the factors that were most beneficial, as well as the approaches used by counsellors. The second study, using the CORE Outcome Measure and ratings of problem severity, found counselling to be equally effective with disadvantaged and non‐disadvantaged clients, as defined by British Department of Health criteria, but these clients differed somewhat in their perceptions of helpful aspects of counselling. Both studies also indicated predictors of positive outcome of counselling. The studies are used to illustrate some of the methodological issues around research in this area.