The Cypriot Community in the United Kingdom: Two Family Case Studies

The United Kingdom has the largest concentration of Cypriots outside Cyprus, equivalent to one-third of the island's population. The London Borough of Haringey has the largest concentration, 16% of its population being of Cypriot origin. Two cases are described of outreach work in an area lacking culturally appropriate services, where individuals suffer the stresses of being Cypriot in London, and the isolation and breakdown of communication within and between generations.     

International Registry of Counsellor Education Programs: CACREP's Contribution to the Development of Counseling as a Global Profession

This article addresses the issues and challenges involved in the development of the counseling profession internationally and the role that quality assurance plays in its development. It chronicles the development of the International Registry for Counsellor Education Programs and its contributions, a critical analysis of the strengths and weaknesses of current developments, and hopes for the future of international counselling.     

Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom

Genetic counselling is not routinely offered for psychiatric disorders in the United Kingdom through NHS regional clinical genetics departments. However, recent genomic advances, confirming a genetic contribution to mental illness, are anticipated to increase demand for psychiatric genetic counselling. This is the first study of its kind to employ qualitative methods of research to explore accounts of psychiatric health professionals regarding the prospects for genetic counselling services within clinical psychiatry in the UK. Data were collected from 32 questionnaire participants, and 9 subsequent interviewees. Data analysis revealed that although participants had not encountered patients explicitly demanding psychiatric genetic counselling, psychiatric health professionals believe that such a service would be useful and desirable. Genomic advances may have significant implications for genetic counselling in clinical psychiatry even if these discoveries do not lead to genetic testing. Psychiatric health professionals describe clinical genetics as a skilled profession capable of combining complex risk communication with much needed psychosocial support. However, participants noted barriers to the implementation of psychiatric genetic counselling services including, but not limited to, the complexities of uncertainty in psychiatric diagnoses, patient engagement and ethical concerns regarding limited capacity.     

Communication of Genetic Information by Other Health Professionals: The Role of the Genetic Counsellor in Specialist Clinics

Many children with chronic genetic diseases are followed by specialty clinics that provide genetic information as part of the care. Health services restrictions in the Republic of Ireland (ROI) can make the wait for an appointment with a genetic counsellor long. We examined whether genetic information was being adequately understood when presented by medical, but non-genetics staff to long term patients, using our national metabolic service as an example. The aim was to inform health professionals about the need or role of a genetic counsellor in a specialist setting. A questionnaire was used to assess knowledge among parents and patients affected by galactosaemia and Maple Syrup Urine Disease (MSUD). Twenty seven families with galactosemia and 10 with MSUD were interviewed in clinic. Comparative analysis showed significant differences in knowledge between parents of children with galactosemia and adult patients (p = 0.001) and between ethnicities (p > 0.05). While parents are well informed, the majority expressed a wish for more information about the condition and its transmission. Adult patients with galactosemia and parents from certain ethnic backgrounds could especially benefit from genetic counselling. This study highlights the need for a genetic counsellor in specialist clinics.     

Counselling psychology in the United Kingdom

Counselling psychology within the UK has grown over the last three decades, adapting to many changes in the field of applied psychology, whilst remaining true to its core values and humanistic origins. The identity of counselling psychology is strongly rooted in a relational stance and applied psychology, where attention to psychological formulation is given to improve psychological functioning and well-being. This article outlines a brief history of counselling psychology in the UK, the training process, credentialing and looks at some important challenges and future directions for counselling psychology in the UK. A proportion of the members from the British Psychological Society’s division of counselling psychology (DCoP, N = 148) took part in the study. Participants provided demographic, training, employment, workplace and career pathway information obtained through an online questionnaire distributed to all DCoP members. On the whole, DCoP members are working in a variety of areas within the UK and the findings of this article contribute to the international study comparing counselling psychology across the globe.     

Group Work in Counsellor Training: Research and Development in One Programme

Group work as an integral part of counsellor training appears to have been under-utilised. Certainly it is the case that empirical evaluations of such group work appear rarely in guidance and counselling journals. An attempt is made to remedy these deficiencies by reviewing studies relevant to counsellor training and to report on 17 years of research and experience with group work within a counsellor training programme at a New Zealand university.     

Cancer counselling in the United Kingdom

Abstract

A national survey of 289 people from a variety of professions (nurses, social workers, clinical psychologists, psychiatrists, etc) involved in counselling cancer patients and their families within the United Kingdom obtained a response rate of 82%. The primary findings discussed in this paper cover a range of issues, including the working conditions and responsibilities of the counsellors, what professional qualifications they possess, the extent and availability of supervision and support, as well as the types of counselling intervention employed. Particularly disturbing was the fact that only 25% of our sample had any recognised formal counselling qualification and that 75% did not belong to any professional counselling organisation. In view of the wide diversity of qualifications, salary scales, responsibilities and working conditions and practices amongst the respondents, we propose that the National Health Service (NHS) should establish clearer guidelines as to the minimum acceptable qualifications for people employed as oncology counsellors, and that more adequate provision and resources are made available for training and supervision.     

Forensic telepsychiatry in the United Kingdom

Forensic telepsychiatry remains in its infancy in the United Kingdom. This article sets out to describe how it can be used within a community forensic service, and the future challenges ahead in the United Kingdom. It looks at relevant academic, governmental, and legal resources and is designed as a scholarly reflection by clinicians rather than as a formal literature review.     

The Development of Systemic Family Therapy for Changing Times in the United Kingdom

In sketching the position of couples and family therapy and systemic practice in the United Kingdom of Great Britain and Northern Ireland (the UK) we have provided what we can of the development of the contexts of training and practice; the content of some of the theories and their applications; and the external realities within which we currently operate. The UK has a well developed structure for training and practice in systemic couples and family therapy. The history is of enthusiastic adoption of therapies from international sources which are generally then incorporated into an overarching systemic framework. Family therapy in the UK is currently subjected to a variety of pressures but is well regulated and is in a strong position to continue making its contribution to the welfare of families.     

Philosophy of medicine in the United Kingdom

This report explores the relationship between philosophy and medicine in the U.K. We note that medical training involves very little formal instruction in philosophy and ethics, and that, with few exceptions, philosophers in the U.K. do not contribute to the instruction of physicians or the philosophy of medicine. However, reviewing the problems arising out of recent developments within scientific medicine we find a pressing need for future philosophical analysis in the following areas: psychiatry, organ transplantation, abortion, euthanasia, experiments on living subjects, consent, confidentiality, the relationship between medicine and political authority, and the provisions for social justice in medicine.     

Psychotherapy in the United Kingdom: past, present and future

The 20th century, perhaps 'the age of Freud', has seen the development and growth of psychological therapies. The first half of the century was virtually the province of the psychoanalytic approaches, with the last three decades marking the flowering of many other approaches, and a gradual and general rapprochement between nearly all the major therapies. This history is traced, identifying the major players, including behaviour therapy and humanistic therapies challenging the initially dominant model. The rapid expansion in practitioners and training courses has led to questions of organisation, registration, and relationship between the therapies. The development of UKCP and BCP is examined, examining the size of the constituent elements within these major groupings, their relationship to each other and to counselling and the Independent Practitioners Network. Other developments such as psychotherapeutic studies within universities and the subsequent linking of some psychotherapy trainings to academic qualifications are referred to, while the relationship of British psychotherapy to the European and world scene is briefly described before the author hazards a prediction that it is integrative psychotherapy that will probably expand most in the new century, with counselling asserting its right to be an equal partner in the therapeutic endeavour.     

Guidance in the United Kingdom: past, present and future

The turn of the century is an apposite time to review the development of guidance in the United Kingdom. The concept of guidance, in the terms in which it is now understood, is very much a 20th-century notion. It draws on two distinct but related traditions: the development of the practice of career guidance; and the development of guidance as an educational concept. The history of these two developments, and the relationship between them, are briefly outlined. Some of the conceptual issues they raise are examined, including the important but somewhat problematic interface with counselling. Challenges for guidance in the new millennium are discussed, in relation both to policy and practice and to theory and research.     

Counselling in the United Kingdom: past, present and future

We chart the development of counselling in Britain since the Second World War through to the present and speculate about possible directions counselling may take in the future. Our major, but not exclusive, focus is on counselling as a developing profession and the particular role that the British Association for Counselling has played in this development. To this end, we consider some of the professional issues that have preoccupied practitioners in the field and those that may do so in the future. Thus, amongst others, we consider the relationship between counselling and psychotherapy, the costs and benefits of counselling's increasing visibility in British society, the role that supervision has come to play in the maintenance of professional standards, the debate that has surrounded the issue of counsellor accreditation/registration, the development of standards and ethics and the tension that exists between the relational and technical aspects of counselling. Counselling does not exist in a vacuum, and this is seen most strikingly in the speculations that we make about future developments of counselling. Thus, for example, we argue that counselling will have to grapple with the increasing emphasis that society places on the accountability of human services and with the inexorable progress occurring in the area of technological development. We note that counselling's response to these significant trends will have to be made against the backdrop of the continuing dissolution of barriers between previously distinct areas of human knowledge .     

Gender Comparisons of Fat Talk in the United Kingdom and the United States

This study compared different forms of body talk, including ??fat talk,?? among 231 university men and women in central England (UK; n?=?93) and the southeastern United States (US; n?=?138). A 2 (gender) by 2 (country) repeated measures ANOVA across types of body talk (negative, self-accepting, positive) and additional Chi-square analyses revealed that there were differences across gender and between the UK and US cultures. Specifically, UK and US women were more likely to report frequently hearing or perceiving pressure to engage in fat talk than men. US women and men were also more likely to report pressure to join in self-accepting body talk than UK women and men.     

Dating violence in the United Kingdom: A preliminary study

A small-scale study of “dating violence” in a sample of UK college students is described. Methodology involved the rating-scale used in existing US studies, with the addition of an assessment of inter-respondent reliability, which was found to be high. A high incidence of some form of violence was found, with women showing higher levels than men, thus replicating previous US findings based on victim reports. Violence in the present relationship was found to be unrelated to violence in past relationships.