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.     

Both group peer counselling and individual counselling reduce anxiety and depression,and increase self-esteem and overall life satisfaction in palliative cancer care

This study compared group peer counselling and individual counselling in relation to quality of life, well-being and perceived control in individuals receiving palliative cancer care. The study utilized a quasi-experimental pretest-posttest design to assess the effectiveness of counselling type, in a sample of individuals diagnosed with breast, bowel or lung cancer. Nine females underwent group peer counselling and nine underwent individual counselling. Individuals were administered self-report questionnaires which included standardized subscales that measure quality of life in terms of psychological well-being and perceived locus of control before and after counselling. Both group peer counselling and individual counselling significantly increased self-esteem, self-reported levels of overall life satisfaction, and reduced anxiety and depression. Self-esteem, overall life satisfaction, and anxiety and depression were comparable in the two counselling types, both at outset and after counselling, however, individuals with internal locii of control scored higher for self-esteem on post-test, and lower for depression and anxiety, irrespective of type of counselling.     

SEVERE CLASSROOM BEHAVIOR PROBLEMS: TEACHERS OR COUNSELLORS

This experiment was designed to determine the relative effectiveness of teacher and counselling approaches in the reduction of disruptive or inappropriate classroom behavior. Inappropriate classroom behavior frequencies of 12 academically low achieving, seventh-grade, black male students, with a reported high rate of inappropriate classroom behavior, were recorded. Three groups, with nearly equal mean inappropriate behaviors, were randomly assigned to one of three treatment conditions: behavioral counselling, client-centered counselling, or no counselling. Each counselling group received fifteen 30-minute counselling sessions, at a rate of two to three times a week. In addition to counselling, all students subsequently received teacher approval within the classroom. Results indicated that the teacher was able to reduce inappropriate behavior more than any counselling group. There were also indications that behavioral counselling, but not client-centered counselling, was moderately helpful in reducing inappropriate classroom behavior.     

Working for free: A fundamental value of counselling

This paper challenges two myths about voluntary sector counselling, namely (a) that volunteer counsellors and voluntary sector counselling are the same thing, and (b) that standards of practice in the voluntary sector are significantly different from those elsewhere. The paper also argues that voluntary sector counselling nurtures a deeply felt commitment to respond to human need without monetary recompense. Drawing on evidence from a study of voluntary sector counselling in Scotland, we show that a substantial proportion of voluntary sector counselling is undertaken by paid workers, and that many counsellors who volunteer in one setting undertake paid counselling work in another setting. We demonstrate that the majority of voluntary sector counselling agencies in Scotland work within ethical frameworks developed by the professional bodies for counselling, and we argue that these agencies have been at the forefront of efforts to enhance the quality and safety of counselling services available to the public. We identify and illustrate three overlapping reasons why large numbers of highly qualified counsellors give their time and expertise for free: because of their desire to support the work of agencies through which the accessibility of counselling is extended; because volunteer counselling constitutes personally rewarding and meaningful work; and as an expression of their commitment to give freely of themselves. In conclusion we argue that voluntarism is central to counselling, but that parts of the counselling world are at risk of forgetting this core value.     

A follow‐up study of the long‐term effects of counselling in a primary care counselling psychology service

Despite much recent work examining the short‐term effect of counselling in primary healthcare settings, to date relatively little research has examined the effectiveness of such treatment programmes over the longer term. In this study, 58 participants underwent brief, time‐limited integrative counselling sessions, with symptoms being measured using the CORE‐OM immediately before, immediately after, and 30 months after counselling. It was found that in addition to participants reporting significantly lower levels of psychological distress immediately post‐counselling, a further significant improvement at 30‐month follow‐up was also apparent, indicating that the benefit from counselling was maintained. In addition to this reduction in symptoms post‐counselling, a significant reduction in GP visits was also detected in the 12 months following counselling when compared with the 12 months prior to counselling, indicating a lower reliance on the primary healthcare team after counselling.     

A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

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.     

Telephone counselling in Australia: applications and considerations for use

This paper describes Australian counselling services which use the telephone as the medium for counselling delivery. It provides a background to telephone counselling and describes its uses as reported in the research and clinical literature. Special considerations in utilising the telephone to provide counselling are discussed. The paper also reviews the clinical and research literature to determine which counselling techniques are most applicable for use over the telephone.     

A comparison of perceptions of counselling in Ireland and the United States

The present study compared 50 Irish and 50 US graduate and undergraduate psychology and counselling students on the ways they rated counsellors, counselling, and group counselling on a semantic differential. Males were also contrasted to females on these concepts. A 2 2 2 2 2 MANOVA was used for the data analysis where the independent variables were country, class, and gender, and the dependent variables were the evaluative and potency scales of the semantic differential for counsellors, counselling, and group counselling. The Irish sample rated the potency of counselling significantly higher as did women. Counselling graduates evaluated group counselling and counsellors significantly higher than psychology undergraduates.     

Informal situated counselling in a school context†

The institutional regulation of counselling conversations does not always provide optimal conditions for counselling. Many teachers experience that some “normal” conversations develop into conversations which are of a counselling nature. Conversations which resemble counselling can be optimal counselling opportunities. In this paper we describe and develop these counselling conversations, which we call Informal Situated Counselling.     

Carers’ beliefs about counselling: a community participatory study in Wales

This interpretivist community participatory study explores carers’ beliefs about the potential usefulness of counselling in relation to the caring role. Twenty semi-structured interviews with carers were transcribed and analysed thematically. All participants thought counselling could potentially be helpful to carers, but their ideas about the ways in which it would help varied according to whether or not they had personal experience of counselling. Only carers with counselling experience had an awareness of counselling as focussing on changing feelings, thoughts, attitudes and behaviours. The implications of the findings for the provision of counselling services are discussed.     

Action: a bridge between vocational and mental health counselling*

A theory of goal-directed action is proposed as a conceptual link between vocational and mental health counselling. Originally emerging from the vocational counselling field, contextual action theory is presented as a critical conceptual link not only between mental health and occupational life but also between counselling practices in these domains. This specific application of goal-directed action to vocational and mental health counselling is addressed by describing counselling as goal-directed action, the five tasks of counselling it invites, and tools for supporting client goals, such as the self-confrontation interview.     

Counselling in primary care: a systematic review of the research evidence

Counselling in primary care in the UK is expanding rapidly, and its evidence base needs to be established. We present the rationale for conducting controlled trials of counselling in primary care, and suggest that a systematic review of controlled trials of counselling in primary care is timely. We describe the process of conducting the review in accordance with Cochrane Collaboration guidelines. The review aimed to assess the effectiveness and cost-effectiveness of counselling in primary care, by systematically reviewing cost and outcome data from randomised controlled trials and controlled patient preference trials of counselling interventions, for patients with psychological and psychosocial problems considered suitable for counselling. The search strategy, inclusion and exclusion criteria, data collection and data analysis are described. The results of the review are presented. The review included only controlled trials of counselling in which counsellors accredited by the British Association for Counselling (or equivalent) provided non-directive counselling in primary care. Four trials met the inclusion criteria. Results indicated that patients who receive counselling show a modest but significant improvement in symptom levels compared with those who receive GP care. Levels of satisfaction with counselling are high. There is very tentative evidence to suggest that counselled patients are more likely to be considered recovered than usual GP care patients. There is limited information about the cost-effectiveness of counselling. We conclude by reflecting upon the results of the review and their implications for counselling research.     

Research in pastoral counselling: Retrospect and prospect

The emergence of counselling as a specialism practised by a number of different professions has had a marked effect on the understanding of the pastoral role of the clergy. Attention has been focussed on the nature of pastoral counsel-ling and a wide range of courses in 'clinical pastoral education' have been developed in Britain and in the USA. Examination of research to date suggests that boundaries between pastoral counselling and other areas of counselling are ill-defined, that personality variables may be a potent influence on the clergyman's understanding of his counselling role, and that training courses in counselling result in modified personality change. Suggestions about priorities in research in this area in Britain are offered, with a view to clarifying the relevance of pastoral counselling to the counselling services in the community as a whole.     

Development and current status of counselling psychology in Taiwan

This article details the three stages of counselling psychology’s development in Taiwan, including pre-legislation, legislation and post-legislation. In pre-legislation stage, a brief historical review of the growth of counselling and guidance is introduced, which is the root of the contemporary counselling psychology. The process of the Psychology Act’s legislation is described in legislation stage and the relationships between counselling teachers and clinical psychologist are also discussed. In the post-legislation stage, the licensure system, training programmes, main professional organizations, work settings, and the major opportunities and challenges for the counselling psychology field are presented. In addition, the article refers to data from a national survey of 124 counselling psychologists to provide a profile of the counselling psychologists in Taiwan.     

Boot night shelter

This article is an outline of the author's work as a volunteer counsellor, and describes some of the methods used and insights obtained in dealing with the special problems of counselling in non-institutionalised and unstructured settings. The general background of this type of counselling and the counselling methods used are illustrated with reference to a case study; there is also an overall evaluation of the contribution that this kind of counselling offers in contrast to more formal and institutionalised counselling methods.     

Clients talk about their experience of seeking counselling

The purpose of this study was to explore the help-seeking behaviour of a sample of counselling clients using a questionnaire and follow-up, semi-structured interviews with 20 counselling clients who were seen at a walk-in, affordable counselling agency located in a mid-sized city in New Zealand. Specifically, clients were asked if they had received counselling previously, what efforts they had made to solve their problems before seeking counselling and with what success, why they chose this particular agency, their initial impression of their relationship with their counsellor, and their reactions to participating in the research. The data were analysed to ascertain themes associated with their decision-making and choices. Findings were discussed in relation to the literature on seeking counselling, how clients determine their need for counselling and the process they go through in deciding when and where to get it. Implications for counsellors are discussed.     

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.     

多元文化的心理咨询与治疗理论刍议

随着西方社会人口比例的改变,以及后现代文化思潮的冲击,西方传统心理咨询与治疗理论的局限性日益凸显。多元文化的咨询与治疗理论(MCT理论)就是在这种条件下产生的,它试图弥补传统咨询与治疗理论忽视文化因素的不足。MCT理论认为,应修正传统理论中的文化偏见,在咨询过程中增强文化敏感性。