The construction of counselling psychology in Britain: A discourse analysis of counselling psychology texts

Counselling psychology is a relatively recent arrival on the professional psychological scene in Britain. This paper examines the ways in which this new branch of professional psychology has been constructed by the counselling psychology community. Articles which embodied this construction process from the 1990 and 1996 volumes of the journal Counselling Psychology Review were subjected to discourse analysis. The main themes of the 1990 articles concerned the construction of identity and legitimation, achieved largely through representations of similarity with and difference from related professions at a general level, whereas in the 1996 articles, the emphasis was on more fine-grained constructions of similarity and difference. Implications for the future construction of counselling psychology are considered.     

The development of counselling psychology in a clinical psychology service

This paper will describe one Clinical Psychology department's efforts to incorporate Counselling Psychology into the service. It is written from the experience of the Chartered Counselling Psychologist.     

The future of Canadian counselling psychology: Doctoral students

Little is known about the overall characteristics and beliefs of Canadian counselling psychology doctoral students. An online survey was administered to 43 doctoral students across all Canadian counselling psychology programmes, representing an approximate 26% response rate. Results indicated that the average age of doctoral students in the sample was about 32 years and that the majority were women (about 77% in the sample). Additionally, findings can be taken to suggest that participants were satisfied with their choice of counselling psychology as a career. The doctoral students sampled primarily practised from an integrationist theoretical standpoint and spent very little of their practice time providing formal psychological assessment services or career counselling. Participants generally intervened through individual counselling or psychotherapy and were focused on disorder treatment rather than preventative or developmental services. Curriculum changes that should be considered from the results of this study pertain to the topics of assessment, career counselling, advocacy/media skills, professional identity development and prevention/developmental interventions. The results of this study can also be taken to predict characteristics of the next generation of Canadian counselling psychologists and the future practice of counselling psychology in Canada.     

Theory and Practice: Ernest Becker: a vital resource for counselling psychology

In this article we highlight the work of Ernest Becker for counselling psychology professionals and provide a brief overview of Becker's contributions. Several important themes from his writings relevant to counselling psychology are reviewed, including: the uniqueness of man, socialization and self-esteem, culture and heroism, the relativity of heroism, the fear of death, and the dynamics of evil. We also discuss some of the implications of Becker's work for counselling psychology and counselling psychology professionals, including: providing an integrative perspective on human behaviour and development, implications for multicultural counselling, understanding the hero system, the centrality of death in life, and helping people make meaning. We consider Ernest Becker's work a vital resource for counselling psychology.     

An evaluation of a hospital-based trainee counselling psychology practitioner's service

Counselling psychology is in its infancy in the National Health Service. There is a professional need to evaluate what its practitioners do and with what outcomes. This study is of the work of a trainee counselling psychologist, in a clinical psychology department, and covers his work over 30 months from first appointment. Numerical data were accessed from historical records relating to the author's three working areas: a psychiatric hospital's outpatient department; a university's student health service; and a short-contact primary care counselling clinic. A sample of closed-case clients from the hospital outpatients and the student health service was contacted, and sent questionnaires to elicit their views on the service received. Primary care clients were excluded from this part of the study because of service dissimilarity to the other working domains and access problems. Case loads, case types, frequencies and distributions of client attendances and non-attendances were examined, compared and contrasted using tables, graphs and statistical methods. Clients’ questionnaire responses were tabulated and commented on. It was apparent that although the same general pattern of anxiety-clustered cases predominated in each working area, in other respects the service demands were different. The data have relevance for service design, staffing and management.     

Critical incidents for psychology students in a refugee camp: Implications for counselling

Malawi is host to over one million refugees from the Mozambican war. Although there are no recognized positions for professional counsellors in Malawi, the need for counselling war affected refugees has been recognized. The experience of two psychology students who worked with war affected children is investigated, using the technique of Critical Incidents Analysis. Key characteristics of this work are identified as a means to creating a training curriculum to prepare students for future placement in refugee camps.     

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

A significant proportion of the counselling that people receive takes place within informal, situated encounters between service users and practitioners in fields such as nursing, medicine, teaching and social work. However, almost all of the research that has been carried out into the process and outcomes of counselling consists of studies of formal, contracted counselling and psychotherapy based in therapy clinics and offices. The competent and effective delivery of counselling that is embedded in a primary professional role, such as that of nurse, teacher or social worker, presents considerable challenges for practitioners. Research evidence around the process and outcomes of embedded counselling represents a valuable resource that has the potential to enhance the quality of counselling conversations enacted by practitioners in health, education, social work and other professions. An overview is provided of different types of research that has been carried out into informal and embedded counselling, and of the main themes that have emerged from these studies. Suggestions are made for the further development of this field.     

Promotion of empirically validated psychotherapies in counselling psychology

The extent to which psychotherapies have empirical support is a long-standing and controversial issue in counselling psychology. Recently, the American Psychological Association Division of Clinical Psychology (Division 12) established a task force on Promotion and Dissemination of Psychological Procedures. The role of the task force was to define empirically validated treatment and make recommendations in relation to methods for educating mental health professionals, third party payers and the public about effective psychotherapies. The findings and recommendations of the task force are brought to the attention of readers. We believe that counselling psychologists should be proactive in the promotion of empirically validated psychotherapies.     

On the margins: a psychoanalytic perspective on the location of counselling, psychotherapy and counselling psychology training programmes within universities

Despite the continuing expansion of psychotherapeutic training programmes within universities in the UK, very little has been written about the psychological strains which may be experienced by teams working within the context of higher education. This theoretical paper offers a psychoanalytic perspective on the location of such teams, drawing on Kleinian conceptualisations of anxiety and projective identification, as well as Menzies-Lyth's concept of social defence systems. The paper explores the way in which psychotherapeutic teams in general and counselling psychology teams in particular may be at risk of becoming the locus of unconsciously split-off emotional aspects of the institution. The role of such teaching teams within universities is discussed and brief suggestions for future practice outlined.     

The effectiveness of counselling with older people: Results of a systematic review

In 2003 the British Association for Counselling and Psychotherapy (BACP) commissioned a systematic review of the research evidence relating to counselling older people. This paper reports on some of the findings of this review, particularly those which address the effectiveness of counselling with this population. Electronic searches of the research literature spanned six databases and were supplemented by hand‐searches of reference lists and key journals, along with an extensive search of the “grey” literature. The location of papers testing interventions which fall within a definition of counselling set out by the BACP, with samples aged 50 years of age or above resulted in the inclusion of 47 relevant studies. Studies investigated a variety of mental health problems in older people, particularly depression, anxiety, dementia and the psychological impact of physical conditions such as chronic obstructive pulmonary disease. Of the 47 studies, eight tested counselling as a generic treatment, 15 tested cognitive behavioural therapy, 13 tested reminiscence therapy, and 11 tested various other specific approaches. The review concluded that counselling is efficacious with older people, particularly in the treatment of anxiety and depression and outcomes are consistent with those found in younger populations. Evidence as to the efficacy of counselling interventions in the treatment of dementia is weak.     

Coping repertoire: Integrating a new conceptualization of coping with transactional theory

This research develops the construct of coping repertoire, a new trait-based conceptualization of coping based on the number of strategies consumers use in coping with consumer stress. We posit that the number of strategies consumers use is an important determinant of consumers' coping confidence appraisals, a key determinant of consumers' ability to effectively manage stress. In five studies, we establish the importance of this construct and the mechanism through which it influences appraisal. These studies establish the theoretical importance of coping repertoire as an important moderator, and we conclude with a discussion of future research related to this coping perspective.     

Group psychology and the structural theory: a revised psychoanalytic model of group psychology.

It has been my aim in this paper to revise the existing psychoanalytic theory of group psychology in accordance with current structural concepts. The need for fundamental revision in the existing theory of group organization is demonstrated by its restriction to an oedipal paradigm, which cannot account for the regression to an oral paradigm of group organization during group formation. Freud's explanation of regression in crowds is reviewed. The limitations inherent in Freud's topographic and narcisistic models are demonstrated; irreconcilable contradictions are shown to exist between the two theories. A structural model of group psychology that is free from internal contradictions and provides a unifying explanation for both regression and merging in the crowd is developed. As a consequence of these revisions it is possible to conceptualize preoedipal organizations of group structure in addition to the oedipal paradigm proposed by Freud.     

Financial and practical implications of counselling psychology training: A student survey

It is common knowledge that students make considerable sacrifices in order to pursue a course of study, and there is no reason to belive that counselling psychology trainees are any differnt in this regrd. The results are presented of a survey of 56 postgraduate students in the greater London area which addressed some of the practical and financial implications of counselling psychology training. While none of the respondents was registered on a BPS recognised course, the majority intended to become Chartered Counselling Psychologists. Many t rainees had considerable debts as a consequence of having to pay tution fees, for personal psychological counselling and in some cases to for the supervision of their practical work with clients. Most trainees found that they had to set up their own practice placements, which were unpaid, and had difficulty doing so. The majority of respondents devoted, on average, 30 hours per week to their studies while nearly 60% had a paid job (not related to counselling) to help them cover their expenses. Inplications are discussed for conunselling psychology training in the 1990's and beyond.     

The mentorship of undergraduate students in counselling psychology research

In recent years, there has been an increased interest in engaging undergraduate students in psychology research through a mentorship relationship with psychology faculty members. For students, faculty members, and universities committed to undergraduate research mentorship, the potential rewards may be considerable. Yet, the mentorship of undergraduates in research is not without significant challenges. This article examines the benefits and challenges of mentoring undergraduate students in research, both generally and in the specific discipline of counselling psychology. Suggestions for promoting research mentorship relationships between faculty and undergraduate students in counselling psychology and overcoming obstacles are discussed.     

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.     

Some thoughts about a scientist-practitioner approach to assessment training in counselling psychology

Training effective scientist-practitioners has long been an issue of concern in counselling psychology. In a recent paper, Friedlander (1992) developed a useful prototype to foster science-practice integration in a counselling seminar. Drawing on Friedlander's prototype, the question of “how to foster science-practice integration in assessment” is considered. Some assessment reading lists and class exercises designed to illustrate such integration are proposed. These teaching materials are presented: (a) in hopes that they might prove useful for some assessment instruction purposes; and (6) in hopes that they might stimulate further thinking about how to best foster science-practice integration in counselling psychology assessment courses.     

Letting the baby out with the bathwater: Reflections on counselling,counselling psychology and psychotherapy in Britain

This paper responds to key points raised in Launagani's article (this issue). In particular, it focuses on the effectiveness of therapy and questions whether or not therapy is dangerous. Also it considers the future of counselling, counseling psychology and psychotherapy and predicts that therapies that do not adapt to brief or time-limited settings may become relegated to private practice. Treatment manuals based on techniques and strategies and not particular therapies will be developed which may include recommendations for the type of interpersonal approach required for different clients. It concludes that due to pressure of work, members of the therapeutic professions will have less time to sit on committess in support of their professional bodies.