Student counsellors’ experiences of mindfulness as a component of their person-centred counselling training: An interpretative phenomenological analysis

Aim

Mindfulness is increasingly integrated into counselling and psychotherapy practices, as well as being introduced to students in academic institutes with the aim of supporting them to balance the responsibilities of academic study, placements and other commitments alongside university life. Despite mindfulness routinely finding its way into counselling settings and being incorporated into counsellor training, there has yet to be any research conducted to explore the experience of student counsellors who have received mindfulness as a part of their undergraduate person-centred training. This study explored the reflections of counsellors who had attended a mindfulness module during the first year of a counselling degree.

Design

Six students completing a university-based undergraduate degree in Counselling and Psychotherapy in the North-West of England, in the UK, participated in the research. The study consisted of two students from each of the three years of the programme. Participants individually attended a semi-structured interview to explore their experiences of mindfulness as a mandatory module of their training in person-centred counselling. Interpretative phenomenological analysis (IPA) was used to analyse the generated data.

Findings

Four superordinate themes were generated: 1) becoming a counsellor, 2) person-centred mindfulness, 3) time, and 4) learning and development.

Discussion

Experiential themes were explored including the process of professionalism, vulnerability, embodiment of person-centred theory and the core conditions and the conflict of approach.

Conclusion

Recommendations are made for mindfulness to be included in counselling training programmes with a person-centred focus. Suggestions for further research include longitudinal studies to follow the development of trainees over time.     

Exploring female dancer’s emotions and coping experiences following deselection: An interpretative phenomenological analysis

ObjectivesThe purpose of this study was to (a) explore female dancers’ experiences of emotions following deselection and (b) examine the coping mechanisms used by dancers to overcome these emotions.MethodsTwo one-on-one semi-structured interviews were conducted with ten female dancers (aged 20–26, average career length M = 6 years) from dance forms including ballet, jazz, commercial, and contemporary. Data were collected and analysed using interpretative phenomenological analysis by Smith (2009).ResultsDancers experienced a rollercoaster of emotions including disappointment, confidence impacts, and embarrassment, as well as changes in their feelings towards dance. To deal with these emotions the dancers often avoided their emotions, used dance as therapy, and sought social support as coping mechanisms.ConclusionsDancers’ emotional experiences of deselection seem to negatively influence the social identities of the dancer and the levels of motivation they held towards dance. Findings highlighted the importance of coping with these emotions, and suggested future sport psychologists should apply interventions to assist with this and the regulation of emotions to prevent dancers from dropping out.     

“I Don’t feel like melting butter”: An interpretative phenomenological analysis of the experience of ‘inorgasmia’

Inorgasmia is under-studied in the domain of sexual health psychology. This study explores women's experiences of inorgasmia and the meanings giving to this experience. Interviews with six inorgasmic women were analysed using interpretative phenomenological analysis (IPA). The analysis showed that the absence of orgasm was experienced as problematic and disturbing. A search for reasons for their condition, and its effects on self-image and self-confidence underpinned the experience of inorgasmia as a problem. The spectrum of meanings surrounding female orgasm demonstrates that, far from being perceived as a merely physical experience, the moment of orgasm takes on relational significance and it has implications for the women's identities. The paper identifies areas for future research and theorising.     

Men’s strategies for preserving emotional well-being in advanced prostate cancer: An interpretative phenomenological analysis

Objective: This study explores men with advanced prostate cancers’ own practices for promoting and maintaining emotional well-being using Interpretative Phenomenological Analysis.

Design: Five men with advanced prostate cancer participated in face-to-face, semi-structured, in-depth interviews.

Results: Within rich narratives of lost and regained well-being, two super-ordinate themes emerged – ‘living with an imminent and uncertain death’ and ‘holding on to life.’ Well-being was threatened by reduced sense of the future, isolation and uncertainty. Yet, the men pursued well-being by managing their emotions, striving for the future whilst enjoying life in the present, taking care of their families and renegotiating purpose. Running through participant’s accounts was a preference for taking action and problem-solving. Sense of purpose, social connectedness, and life engagement were revealed as concepts central to improving well-being, indicating areas which practitioners could explore with men to help them re-establish personal goals and life purpose.

Conclusions: The findings also add weight to the evidence base for the potential value of psychological interventions such as cognitive behaviour therapy and mindfulness in men with prostate cancer.     

“Not a little Mickey Mouse thing”: How experienced counselling psychologists describe the significance of personal therapy in clinical practice and training. Some results from an interpretative phenomenological analysis

The British Psychological Society's Division of Counselling Psychology currently specifies a mandatory period of personal therapy for trainees. However, evidence for the role of personal therapy in developing practitioner competence is sparse. This paper presents part of a wider ongoing interpretative phenomenological analysis exploring how counselling psychologists describe the meaning and significance of personal therapy in clinical practice and training. Detailed examination of a subset of data from this study suggests that personal therapy is valued as a vehicle for a genuine, often extremely intense relationship with the therapist, through which participants become able to establish authentic emotional contact with themselves and their clients. Whilst most participants felt that personal therapy should remain an obligatory part of the training curriculum, they were ambivalent about specifying its aims or evaluating its outcomes. Results are discussed in terms of the importance of establishing a sense of integrity and authenticity within the personal therapy experience and are tentatively situated within a possible theoretical framework drawing on current developmental literature.     

Counsellors’ and psychologists’ experience of working with male survivors of sexual trauma: a pilot study

A qualitative study was undertaken to enhance awareness of the therapeutic needs of the male survivor of sexual trauma through exploration of counsellors’ and psychologists’ experience of working with this client group. The participants were 32 counsellors and psychologists who work for an NHS Trust department. Interpretative Phenomenological Analysis was used to analyse the data which was gathered by means of a postal questionnaire. Six categories emerged from the analysis that highlighted prevalent experience. These were: (a) that the therapist's gender was important, (b) professional concerns, (c) the importance of the relationship, (d) transference/counter transference, (e) that male and female abusive experiences are the same and (f) attention to client's presenting problems. The main conclusions derived from these results and implications for practice are considered.     

A global portrait of counselling psychologists’ characteristics,perspectives, and professional behaviors

Counseling psychologists in eight countries (Australia, Canada, New Zealand, South Africa, South Korea, Taiwan, the United Kingdom, and the United States) responded to survey questions that focused on their demographics as well as their professional identities, roles, settings, and activities. As well, they were asked about satisfaction with the specialty and the extent to which they endorsed 10 core counseling psychology values. This article reports those results, focusing both on areas in which there were between-country similarities as well as on those for which there were differences. These data provide a snapshot of counseling psychology globally and establish a foundation for the other articles in this special issue of the journal.     

Fetal behavioral responses to the touch of the mother’s abdomen: A Frame-by-frame analysis

The aim of the present study was to examine whether fetuses respond to the touching of the mother’s abdomen, and if they do, whether they differentiate based on familiarity and the source of the touch, utilizing 3D real-time (4D) sonography.Behavioral responses of 28 fetuses (20th to 33rd week of gestation; N = 15 in the 2nd and N = 13 in the 3rd trimester) were frame-by-frame coded using a coding system comprising 20 codes and were analyzed in four conditions, during the touch of the (1) mother, (2) the father, (3) the stranger and in a (4) no-touch, control condition.Fetuses showed differential responses to the touch, in particular in the duration of their reaching out to touch the uterus wall in the four conditions, and self-touch, dependent on the gestational age of the fetus. Fetuses in the 3rd trimester touched the uterus wall significantly longer than fetuses in the 2nd trimester did, when the mother touched compared to the control condition. At the same time, fetuses in the 3rd trimester also touched themselves less during the mother’s touch, compared when the stranger touched and also compared to the control condition.This differential response of the older fetuses might be due to the maturation of the central nervous system, and may indicate the emergence of a proprioceptive self-awareness by the 3rd trimester.     

“It’s like a charge – either fuses you or burns you out”: an interpretative phenomenological analysis of extreme mental states in meditation context

Meditation, an ancient Eastern spiritual practice, is increasingly being practised in the West where its benefits for mental and physical health have been established. Extreme mental states that can be encountered in the context of meditation have also been reported and often have been labelled as psychosis or spiritual emergency. This study aimed for more nuanced understanding of the phenomena. Interpretative phenomenological analysis was employed to explore the meaning-making of three meditation teachers from different philosophical traditions. The teachers described phenomenology of various extreme mental states, explained their nature according to their traditions and discussed ways of helping persons who experience these. Significance was given to having a spiritual teacher to provide guidance and support. The study highlights the importance of acknowledging the diverse understandings of the phenomena and cultivating a non-judgemental attitude towards it, which could help clinicians and meditation teachers work together to support persons experiencing these.     

Assessing competencies of trainee sport psychologists: An examination of the ‘structured case presentation’ assessment method

ObjectivesThere is virtually no literature on how to assess competencies of applied sport psychologists. We assessed casework of applied sport psychology students and compared written case report assessment (WCRA) with structured case presentation assessment (SCPA) on reliability and acceptability (e.g., validity, transparency, feedback function and preference of methods, as perceived by students and assessors).DesignA quantitative, comparative study of two assessment methods.MethodParticipants were 11 students, nine supervisors and three exam committee members. A number of 18 cases were evaluated with both WCRA by the supervisor and SCPA by two exam committee members. Ten of these cases were also evaluated with WCRA by exam committee members. Interrater reliability measures were calculated and compared for the different assessment methods. Participants' perception of the validity, transparency, and feedback function of the methods, and the preferences for assessment methods were surveyed with a brief questionnaire.ResultsSCPA by the exam committee resulted in higher interrater reliability than WCRA by supervisor and exam committee. The feedback function of SCPA seemed superior to WCRA by either supervisor or exam committee. For assessment by the exam committee, the perceived validity and transparency of SCPA seemed higher than of WCRA. Students and exam committee had the highest preference for SCPA by supervisor and exam committee.ConclusionsOverall it can be concluded that, for assessment by the exam committee, structured case presentations provided a more reliable and acceptable method of assessment than written case reports only.     

Teachers’ reactions to experiences of violence: an attributional analysis

Violence perpetrated against teachers is prevalent and has the potential to adversely affect teachers’ well-being, efficacy, and longevity in the profession. In this study, we examined teachers’ reactions after having experienced violence, specifically examining the roles of attributional processes. In collaboration with the American Psychological Association, National Education Association, and American Federation of Teachers, data were collected via a survey instrument from teachers across the United States. We examined responses from 2505 participants who described the most upsetting incident of violence that had been perpetrated against them in their roles as teachers. We examined predictors of (1) communicating with others after the incident and (2) implementing intervention strategies with the perpetrators of violence. Emotions were tested as mediators of the relations between attributions and outcomes. Results indicated that characterological and behavioral self-blame were predictive of negative affect, which in turn predicted the majority of outcomes. Study limitations and implications for research and practice are discussed.     

Linking spirituality to workplace benefits: An analysis of the Brazilian Candomblé

Spirituality has been an influential force for many people. Although often ignored in business settings, it has recently been a topic of heightened interest to managers and scholars worldwide. In Bahia, Brazil, the fundamentals of spirituality for some have existed through Candomblé and have been an integral part of the community including the workplace. Candomblé encompasses a variety of African religious traditions established in Brazil during the nineteenth century. This study examines the positive influences of the Brazilian Candomblé on workers and business life in Bahia. Through qualitative analysis, it offers organisational insights and managerial reflections that can be adapted and used in workplaces worldwide.     

The pregnant therapist and the psychotic client: A phenomenological understanding of the impact of the therapist’s pregnancy on the therapeutic process

This original paper examines the underresearched area of therapist pregnancy. It explores the impact of psychosis as an additional complicating factor to the therapeutic process and the experience of one British counselling psychologist working in the National Health Service whilst pregnant. Five brief client summaries/clinical examples are presented to explore the common themes of anger, rejection, abandonment and envy that often emerge following the disclosure of a therapist’s pregnancy or the opposite reactions of over-protectiveness and an unwillingness to engage in therapy for fear of harming the therapist. Recommendations are made for further research within this neglected area and the need to incorporate the themes within training for therapists and training for supervisors.     

Duns Scotus’ univocity: applied to the debate on phenomenological theology

Scotus’ theory of univocity is described: his exact definition of univocity and his view of transcendental concepts that are ‘simply simple’. These concepts are said to be univocally applied to God and creatures. Next, we describe Scotus’ views on univocity in ‘being’ and the precise meaning of the infinite and finite ‘mode’ of being. Finally, we apply these results to work of Heidegger and Marion. It appears that they had an insufficient grasp of the intricacies of Scotus’ theory of univocity and that Marion’s religious phenomenology could have benefitted from these scotistic tools.     

An existential-phenomenological perspective on the concept of ‘resistance’ in counselling and psychotherapy

The various phenomena that are categrised under the label of ‘Resistance’ are of central concern to most models of counselling and psychotherapy. The manner in which resistance is conceptualised has vital implications for therapists approach to the therapeutic relationship. The theory of resistance in classical Psychoanalysis and Cognitive Behavioural Therapy (and particularly Rational Emotive Behaviour Therapy) is examined and then compared to the radical reinterpretation possible in an Existential-Phenomenoogical perspective which promotes the rejection of the role of ‘therapist as expert change agent’.     

Noah’s Ark: technical and theoretical implications concerning the use of metaphor in the treatment of trauma1

In this paper, using my clinical work with a 3-year-old boy who lost his hearing when he was between 9 and 12 months old, and whose disability was only discovered when he was 22 months old, I will explore two issues of paramount technical importance when working with trauma. Firstly, it is crucial to create a boundary around the traumatic event, so that life before, during and after the trauma can be circumscribed and the traumatic event explored and hopefully understood and integrated. Secondly, it is of paramount importance to establish the level of developmental organization at the time of the trauma, especially in relation to the capacity to integrate bodily affects into mind. I will show how trauma and its vicissitudes are directly dependent on the person’s capacity to resolve the splitting that trauma creates in the mind, and also the key role played by the use of metaphors in the process whereby trauma becomes thinkable and can therefore be integrated into the self.     

Traffic safety in bus transport: An analysis of Norway’s largest transit authority’s contract requirements to bus companies

The main objective of the study is to evaluate direct and indirect traffic safety consequences of the requirements that Norway’s largest transit authority (Ruter) sets in the contracts with bus companies. To assess the representativity of Ruter’s requirements and its consequences, the data focuses both on Ruter and transit authorities from other areas in Norway, serving a mix of urban and rural areas. The study is based on qualitative interviews (N = 18), a workshop, reviews of documents and a quantitative survey (N = 1012). The study indicates that transit authorities may have direct influence on traffic safety, especially if they set requirements that exceeds (inter) national legislation. Ruter does that when it comes to driver collision protection and blind zone warning systems. We also find indications of indirect impact on traffic safety through the contracts. This is firstly related to the requirements for punctuality and regularity, which we find to be related to drivers’ stress, driving style and accident involvement in our quantitative analysis. It is secondly related to environmental concerns, which motivate maintaining (and increasing) a high level of passengers. Interviewees said that this influences the types of buses specified in contracts (e.g. large high capacity buses), and their routes (e.g. in narrow streets, “where people live”). They also emphasized that roads and infrastructure, for example in Oslo, are poorly adapted to bus transport. In our quantitative analysis, we found that buses that are poorly adapted to the roads they are used on, and roads that are poorly adapted to bus transport were related to bus drivers’ reported stress and time pressure, which were related to risky driving style, which in turn was related to accidents. Based on the study, we developed several policy implications, that we believe also can be relevant for, and inspire other transit authorities. Ruter has applied several of these changes after our study (e.g. requiring ISO:39001 certification from the bus operators in the contracts, starting to develop a system to learn from accidents), and may thus stand out as a transit authority that other may learn from when it comes to management of traffic safety.