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.     

Client attendance measures in counselling psychology trainees

Counselling supervisors and educators have yet to reach a consensus about standard measures for evaluating the performance of graduate student therapists. Compared to self‐reports and rater judgements, client attendance records provide low‐inference behavioural data partially reflective of clients’ engagement with therapists. This naturalistic study evaluates client attendance data using archival records of 92 doctoral students in beginning and advanced counselling practica who produced data for 771 clients, 3,949 scheduled sessions and 3,186 attended sessions. Providing evidence of the sample representativeness for clinicians, results indicated that the mean number of sessions attended per client for student therapists (5.65) was very similar to that reported in the literature for outpatient therapists (<6). As expected because of structural differences in client assignment, beginning and advanced students evidenced statistically significant differences on attendance variables such as number of clients and scheduled sessions. In contrast, attendance ratios were equivalent across counsellor experience, suggesting that these individual difference variables could be useful for evaluation of therapist competencies related to client engagement.     

Rational and irrational beliefs in counselling psychology

Rational-emotive therapy (RET) holds that people largely make themselves neurotically anxious, depressed, hostile, and self-denigrating by strongly holding major dogmatic, absolutist, musturbatory beliefs and that they can use several cognitive, emotive and behavioral methods to modify these beliefs and increase their emotional health. This paper presents some evidence supporting this hypothesis and outlines the counseling advantages and disadvantages of active-directive cognitive restructuring.Invited address to British Psychological Association, Leeds, England, April 16, 1988.     

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.     

The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials

This article provides a critical review of the assumptions and findings of studies used to establish psychotherapies as empirically supported. The attempt to identify empirically supported therapies (ESTs) imposes particular assumptions on the use of randomized controlled trial (RCT) methodology that appear to be valid for some disorders and treatments (notably exposure-based treatments of specific anxiety symptoms) but substantially violated for others. Meta-analytic studies support a more nuanced view of treatment efficacy than implied by a dichotomous judgment of supported versus unsupported. The authors recommend changes in reporting practices to maximize the clinical utility of RCTs, describe alternative methodologies that may be useful when the assumptions underlying EST methodology are violated, and suggest a shift from validating treatment packages to testing intervention strategies and theories of change that clinicians can integrate into empirically informed therapies.     

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.     

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.     

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.     

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.     

On exploring meanings: Combining humanistic and career psychology theories in counselling

The notion of meaning is considered a significant construct in both humanistic psychology and vocational psychology. These two psychological disciplines appear to share some philosophical common ground with respect to the role of meaning making and meaning interpretation in people's life career experiences. This paper intends to take a look at such shared conceptual foundation, and examine the feasibility in incorporating the humanistic meaning construct into career psychology. Career counselling implications are discussed.     

Young people generating a repertoire of counselling psychology: Talking theory

This paper is concerned with how young people, who are trained as peer supporters in British secondary schools, construct a counselling repertoire. Issues of identity, boundaries and the dilemma of advice giving are all raised when pupils aged 14-17 talk about their roles in peer support. It becomes evident that young people's constructions of themselves and their schemes reflect the assimilation of both traditional psychological theories and contemporary counselling culture. In essence, their scheme may be marketed as a counselling/advising service, which could lead the young people to take on the role of 'counsellors'. On the other hand, their scheme may be promoted as a listening and/or support service and this will lead to young people questioning their role in the scheme. This paper will introduce these issues. This research is taken from an ongoing PhD project which uses language based research as its methodology.     

The relevance of previous knowledge of psychology to training in basic counselling skills

The relative effectiveness of counsellor skills training for trainees with and without traditional undergraduate backgrounds in psychology was assessed during a simulated counselling interview following a five-week training programme based upon micro-skills and a systematic model. Trainees with backgrounds in psychology were significantly superior to trainees without a similar background.     

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.     

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.