A naturalistic study of the effectiveness of time-limited counselling with low-income clients

The role of counselling and psychotherapy services in relation to the needs of economically disadvantaged individuals has been largely neglected in the recent research literature. Although a small number of theoretical papers and case analyses have been published, there is an absence of studies that examine the effectiveness of counselling with this client group. The present paper reports on a naturalistic outcome study of the effectiveness of time-limited counselling (seven sessions) with low-income clients. Analysis of pre-counselling, postcounselling and follow-up measures of mental health and problem ratings indicated levels of change equivalent to those achieved in controlled studies of counselling and psychotherapy with other client groups. Factors influencing the effectiveness of counselling included gender and employment status. Qualitative client reports suggested that the main benefits experienced by clients were in the areas of self-understanding and self-belief. For illustrative purposes, data from low-income clients are compared with results from employee counselling clients receiving a similar service. The implications of these findings for further research are discussed.     

Counsellor interpretations and the occurrence of in-session client change moments in non-dynamic psychotherapies

This study explored the relationship between therapist interpretations and optimal in-session client processes in 20 sessions conducted by exemplary psychotherapists of three different theoretical orientations: Client-Centred Therapy (CCT), Rational-Emotive Behaviour Therapy (REBT), and Gestalt/Existential Therapy (GT). The results indicated that interpretations were used with similar frequency across therapeutic approaches, but they were neither superior nor inferior to other interventions in relation to the occurrence of optimal in-session client processes. The results support the notion that interpretation is a commonly used therapist intervention and that different therapies accentuate different aspects of interpretation. Implications for psychotherapy integration are offered and the findings are discussed with reference to theory and clinical practice.     

Helping the reluctant client to engage in counselling

The reluctant or resistant counselling client is a common though frustrating client for many school counsellors. A number of techniques designed to aid reluctant clients to engage in the process of counselling are described.     

Clinical and demographic features of the online counselling client population

The purpose of this research was to determine the demographics and characteristics of clients seeking online counselling over an eight‐month period of clinical online practice. Two hundred and seventeen clients seeking Internet counselling completed a Counselling Application and a Life History Questionnaire. The characteristics of the relatively new client population include the following categories: gender, age groups, martial status, education, primary reason for seeking online therapy, secondary issues, frequency of email exchanges, and online vs. face‐to‐face counselling preferences. Implications for online counselling practice are discussed.     

Interviewee perceptions of an organisational careers guidance scheme

A study was carried out during the early stages of the introduction of a career development scheme in a large government department. Information relating to aspects of various careers counselling issues was gathered from staff who had received such counselling and from personnel staff responsible for its provision. The study shows, amongst other things, that the interviewers were perceived to use some counselling skills, that the interviewers claimed they experienced few problems of role conflict, but that the staff tended to identify the interviewers with management. The findings are discussed relation to the appropriateness of interviewing style and to the broader context of how individuals might influence their career development within the opportunities provided by the organisation.     

A qualitative evaluation of an employee counselling service from the perspective of client,counsellor and organization

An evaluation of a Fire Brigade counselling service examined the viewpoints of all three stakeholders (clients, counsellors and organization), using a multi-method approach using interviews, questionnaires and staff records. All parties expressed satisfaction with the provision, but noted the need for better communication and marketing. The counselling service was demonstrated to be needed and effective in both human and fiscal terms.     

The client as expert: Researching hindering experiences in counselling

This paper identifies the importance of valuing clients’ experiences when seeking to understand hindering experiences in counselling. Since the research literature reports that client perceptions of counselling are better predictors of outcome than counsellor ratings, client viewpoints are critical to furthering understanding of hindering experiences. Clients are generally reluctant to share negative experiences and a discussion regarding the difficulty in soliciting these experiences is presented. Examples of the process of conducting a client-oriented investigation into hindering experiences convey some of these difficulties. Several implications for counselling practice are addressed: (1) the need for counsellors to notice and repair hindering experiences, (2) the value of attending to the quality of the relationship, (3) the need for counsellors to cultivate flexibility and responsiveness, and (4) the use of methods to encourage clients to share their unspoken experiences.     

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.     

Counsellor role perceptions and preferences of Zimbabwe teachers of a Shona cultural background

Thurstone's Case V paired comparisons procedure was used to investigate the perceived role status and preferences of counsellor for a sample of Zimbabwe teachers of a Shona cultural backgroud (n = 312) in relation to type of presenting problem (personal; educational; employment) and as the teachers varied by gender, age, level of formal educationa and marital status. Counsellor expertise contrasted those of modern status (psychologist; church pastor; work supervisor) and traditional status (family members; traditional healer; friend). The teachers seemed to have an undifferentiated perception of counselling needs as measured by preferences for helper. Age jand level of formal education were significantly related to counsellor prefernces, with the older and less schooled teachers tending to endorse counsellors of a traditional status. The results are considered with respect to the provision as well as public image of counselling services in an African culture.     

Pupil perceptions of counselling: A case study

Using a case-study school with a highly-developed counselling service employing three trained school counsellors, pupil perceptions of counsellors are examined in terms of their duties within the school and their potential helpfulness. Despite the fact that many of the features of the school were ideally adapted to the effective development of counselling, the counsellors were broadly perceived as senior teachers with a great deal of administrative responsibility. Few of the pupils indicated a willingness to approach any of the counsellors voluntarily with a personal problem.     

The effectiveness of UK student counselling services: an analysis using the CORE System

Despite concern surrounding the mental health of students, brought about by the government's policy of widening participation and increasing demands upon students, the effectiveness of student counselling has been a neglected research area. This study examines data from seven UK student counselling services using the CORE System in the routine evaluation of their services. Results indicate that counselling is effective, with 70% (service range 67% to 83%) of clients with outcome measures available showing reliable improvement on the CORE-OM from pre- to post-therapy. However, students who complete a course of counselling show significantly greater improvement, according to practitioner pre- and post-therapy severity ratings of depression and anxiety, than those clients who drop out or have an unplanned therapy ending (effect size 1.03, 0.85, respectively). The stage at which students drop out of therapy is important, with those students dropping out of therapy before the third session being the most vulnerable. The implications of these findings are discussed.     

Psychodynamic counselling for the borderline personality disordered client: A case study

Psychodynamic counselling for clients with borderline personality disorder is difficult and challenging because there are problems with the validity of the concept, diagnosing the disorder, managing disturbed behaviour and maintaining the treatment to successful completion. Nevertheless, counsellors are frequently called upon to provide assessment, management and treatment for this group. This article explores the application of psychodynamic principles of counselling to clients with borderline personality disorder, examines the history of the concept, the diagnostic process, and employs a case presentation to help describe aspects of character structure and treatment.     

The impact of waiting-list times on client attendance for relationship counselling

The impact of waiting-list times on subsequent attendance for appointments has received extensive attention within the area of health, but hitherto has received relatively little interest from counselling services. Given the current pressure on all welfare agencies for accountability and efficient use of resources, counselling organisations need to consider resource usage and barriers to efficiency. A study was therefore made of one aspect of this issue: the impact of short v. long time-delays between initial referral and first appointment for relationship counselling. It was found that clients offered appointments within two weeks of referral were significandy more likely to attend for first appointment than were clients whose appointment came between 4 and 12 weeks post-referral. The implications of these results for organisational policy are discussed.     

Children's perceptions of occupational sex stereotypes

Female and male children ranging in age from 21/2 to 8 years were asked to indicate for each of 10 occupations whether a male or a female adult would be most likely to engage in the occupation. Five traditionally male and five traditionally female occupations were presented in random orders. The results indicated that the children at each age level made a significant distinction between the two occupational groupings, with the extent of the distinction increasing with age level. There were no significant effects involving the sex of the children. The results were interpreted as indicating the learning of adult stereotypes concerning the sex appropriateness of occupations by children as young as 21/2; years old. The potential implications of this sex stereotype for actual career decisions and aspirations were discussed.The authors would like to express their appreciation to the principal, M. Brady Thomas, and the teachers at Hickory Grove Elementary School for their help during the study. The order of authorship was randomly determined.     

Exploring counsellor perceptions of the impact of counselling supervision on clients

This qualitative study explores counsellors' experiences and perceptions of how counselling supervision impacts their clients. The literature review highlights little research in this area. Data collection combined open-ended questionnaires and semi-structured interviews. Analysis was phenomenological incorporating participant validation. The findings indicate that supervision impacts client work both helpfully and unhelpfully. Areas that emerged as having the most direct impact on client work were: exploration of client-counsellor dynamics and raising counsellor self awareness, professional development, emotional support and the quality of the supervisory relationship. Benefits and dangers for clients not taken to supervision were highlighted. Congruence and confidence were the most direct link between supervision and client work.     

Sex differences in perceptions of familial and occupational roles

Women's lower achievement level in the professions is explained by the Multiple Role Negotiation perspective as resulting from the difficulty in balancing the “active” or demanding roles of wife/mother and a high level professional role. The Value Difference perspective, on the other hand, explains this differential achievement as resulting from differences in degree to which women value professional roles and their familial role, with perceptions of “demand” serving only as “excuses” to mask values. To explore the assumptions of each position three research questions are posed and 33 first-year students in a professional program are surveyed. The findings reveal that neither males nor females perceive the female familial role as the “more active” one; females, however do anticipate less career advancement, value the higher level role less, and also perceive it as a more demanding role than the lower level role.     

Pupil perceptions of counselling: A response to Murgatroyd

Counselling has usually been thought of as client-centred. Recent studies suggest that many counsellors are perceived as senior teachers and are not approached by pupils on a personal basis. An example is given of a client-centred counsellor who appears to command the personal confidence of pupils, as evidenced by pupils' recorded perceptions of his role. Questions are posed regarding the future of counselling in schools.     

Evaluating the effectiveness of counselling intervention with final year undergraduates

This study explores the effectiveness of a short-term counselling intervention model, with final year students, in reducing psychological distress and increasing students' ability to complete their degree programmes successfully. A clinical sample (final year students who consulted he counselling Service) was monitored before and after intervention using the psychometric instrument Symptom Checklist-90-Revised (SCL-90-R) (Derogatis, 1977). A significant reduction in levels of psychological distress was demonstrated with this sample. In contrast a parallel control sample (final year students who did not consult the Counselling Service but whose initial SCL scores were in the same range) showed no significant change in levels of psychological distress over the same time period. The clinical and educational implications of these findings are discussed.     

Experiences and perceptions of multicultural counselling scholars: a qualitative examination

This study explored the experiences and perceptions of 12 multicultural counselling scholars with regard to the field of multicultural counselling. Based on a qualitative analysis, many of our participants noted that aspects of being a multiculturally competent counsellor included open-mindedness, flexibility, a commitment to the field, active listening, knowledge and awareness of cultural issues, skillfulness in making cultural interventions, commitment to social justice issues, self-awareness, and exposure to broad and diverse life experiences. Most of the participants also stated that a challenge associated with being a multicultural psychologist was colleagues’, institutions’, and others’ resistance toward and lack of support for multicultural counselling issues. Moreover, many participants indicated that the multicultural counselling movement has had good to great impact on the larger field of applied psychology. Future research directions for the area of multicultural counselling are discussed.