Counselling effectiveness: A critical discussion

Studies of counselling effectiveness are examined critically with respect to the measures they use, their methodological weaknesses, and problems of interpretation. The deficiencies of various measuring devices — including unstructured accounts, structured questionnaires, pre- and post-counselling ratings, physiological indicators, experimental investigations, and social actions effects — are discussed. Many of the experiments are criticised for poor design and over-interpretation of findings. Fundamental methodological problems are also discussed, including the extent to which the effectiveness of counselling can appropriately be examined by existing scientific methods. More knowledge of counselling processes is required before there can be any satisfactory measurement of counselling effects.     

Counselling with Biofeedback: A Review

Biofeedback increasingly appears to be used as an aid to specified counselling goals. A typical counselling situation using galvanic skin reflex (skin biofeedback) is analysed. The ethical and practical challenges involved in biofeedback-aided counselling are considered.     

Pastoral Counselling

The beginnings of the modern pastoral-care and counselling movement in the 1960s are reviewed, in particular, the attempt to integrate theology with the behavioural sciences, and the theories born of that integration with the practice of pastors and religious leaders. The developments of the last ten years are explored and the tensions of the movement analysed. Pastoral counsellors' contribution to counselling in general in the United Kingdom, and to pastoral ministry both here and overseas, is assessed.     

Counselling in general practice: A review

The development of counselling has brought enthusiastic attempts to pioneer its application to a diversity of fields. One obvious target has been primary-care and the general practitioner's surgery, where there has been an increase in demand for help with 'life-problems' and a growing reluctance to prescribe drugs of doubtful benefit. The need for both time and expertise to respond appropriately has made counsellors welcome additions to many surgery teams. However, different professions and volunteer groups compete for the role; each cites evidence of its own appropriateness, rarely acknowledging, and never assessing, the contributions of others. Hence this attempt to bring together the findings of these disparate groups to demonstrate their undoubted similarities and to assess the value of 'counselling' intervention in general practice.     

Computer-Assisted Careers Counselling: A New Approach

This paper describes the outcome of a research and development project concerned to construct a computer aid for careers advisers and career decision-makers which differs in basic philosophy and design from others currentiy in the field. The resulting Careers Decision Aiding System (CDAS) is principally concerned with improving the quality of the decision-making strategy employed by clients by raising their awareness of the way in which their career choice is made, ratherthan with employing computer technology to attempt to match people to careers. The use of the CDAS by clients and careers advisers is illustrated by two case-studies.     

A personal view: Counselling and women

This personal view explores a number of gender issues relating to counselling and women clients. Attention is drawn to the lack of content of many training courses in the psychology, sociology and biology of women. Links are drawn between a woman's position in society and mental health. It is argued that counsellors need to be alert and sensitive to women's special needs and to avoid an emphasis on intra-psychic aspects at the expense of acknowledgment of societal pressures.     

Youth Counselling

Youth counselling and advisory work takes various forms in various settings. Against a background of key trends affecting the lives of young people, the range of such services is outlined. Particular attention is paid to generalist youth counselling and advisory agencies, to guidance and support in the Youth Training Scheme, and to relevant work in the Youth Service. The importance of promoting autonomy, and at the same time responding to wider social and political influences on individuals and services, is emphasised.     

Counselling studies

It is proposed that a discipline of 'counselling studies' be considered as an extension of counselling and a contribution to social guidance. Likely features of such a discipline are suggested, including a focus on the individual person, interdisciplinarity, humanistic values, applied and theoretical dialectic, critical attitude and dynamic nature. Questions of suitable name, location and goals are considered. Some indication of possible contents is given in the article.     

Counselling foreign students: A review of strategies

This article focuses on the unique counselling needs of foreign students as reflected from a review of the literature. As more and more students from developing countries opt to further their education in the West, knowledge about counselling foreign students is of increasing interest. Distinctive aspects of foreign student clients and the typical problems faced by them are described. The issues which need to be addressed and the competencies which need to be developed in order to effectively counsel foreign students are discussed. Finally, specific strategies for counselling foreign students are suggested in the context of general guidelines for cross-cultural counselling.     

Counselling in dyslexia

This paper is basically a report of personal experiences. In Part one I shall describe and comment on some of the things which are said and done when parents bring their children to me to be assessed for dyslexia; in Part Two I shall consider what conclusions, if any, can be drawn which are relevant to counselling in general.     

Buddhism and Counselling

The relevance of the principles and practices of Buddhism to the field of counselling is discussed. Buddhist techniques have already been used by the helping professions in many settings (e.g. Japan, Sri Lanka). The extension of their use to a wider range of settings, and to a wider group of clients, is both feasible and desirable. In addition to the obvious relevance of Buddhist techniques to clients who have a Buddhist background, it is argued that they have a wider applicability. As Buddhism espouses the notion of a productive and healthy lay life, it offers ways not only of dealing with problems and difficulties, but also of improving psychological well-being in general. Examples are cited of relevant Buddhist techniques and their application. It is argued that, once systematically evaluated, many of these could profitably be incorporated into the repertoire of techniques used in present-day counselling and therapy.     

Counselling for Tolerance

Tolerance is not neutrality, nor should tolerance in counselling be equated with a spiritual and emotional vacuum. Tolerance applies to style rather than stance, and a counsellor needs a conception of the ideal — broadly speaking, a moral position.
Originally proclaimed against religious and political tyranny, the political ideal of tolerance has in the twentieth century become confused with permissiveness, and is thus sometimes charged with generating many of the ills of modern society, including crime and family breakdown. Counselling has become the universal remedy, replacing punishment and compulsion.
The counsellor needs
(a) a view of human nature
(b) a conception of what is good for those possessing that nature.
Constants in the first mean there cannot be too much variation in the second. Society is varied and plural, so the counsellor must be non-judgemental, but while this means accepting the person , it does not necessarily mean endorsing the conduct.
A distinction is drawn between therapeutic and philosophical counselling; the latter considers a problem , where the former focusses on the client , but both may fall short of offering a holistic view. Counselling may also exacerbate some of the problems of modern life by too readily accepting the conditions which cause them. Some ethical problems raised by confidentiality and informed consent are discussed. It is concluded that the counsellor must be tolerant, but not morally ambivalent, nor a relativist.     

Executive Career Counselling

Executive career counselling is relatively new. Some of its implications are examined and a three-tiered approach by organisations is advocated. Executives are verbally fluent, and this highlights the importance of the 'opening paragraph' of words they use in counselling. Neuro-linguistic programming offers a useful set of tools to the executive career counsellor. Left-handedness, probably overlooked in most types of counselling, is briefly considered. However, counselling is not only about problems, but also offers executives a welcome chance to review their lives and careers.     

Transformation in Counselling

The view is put forward that counselling appears to be undergoing a transformation which renders the old distinction between counselling and therapy no longer meaningful or practical. This transformation reflects the psychic backdrop of our times; it has come about because the needs of people seeking help, as well as the needs of those counselling, have altered and developed. Increasingly, clients are acknowledging the need for radical change which involves exploration of all levels of their being. This transformative work, a moving across inner barriers and coming into wholeness, necessarily involves active awareness of spirit. Thus it is no longer possible to be a client-centred counsellor without being willing to address the spiritual dimension ofhuman-beingness.     

Counselling psychology in primary health care: A review

This paper reviews the development of counselling psychology within the field of primary health care. Issues discussed include liaison between counselling psychologists and other professionals, evaluation of treatment in primary care, family therapy in general practice and general practitioners’ skills in counselling. The need for training and evaluation of counselling are discussed and suggestions are made for further research.     

Counselling breast cancer patients: A specialist nurse service

The evaluation of a specialist nurse-counselling service is described. Forty newly diagnosed breast cancer patients, treated by mastectomy, were randomised to receive either routine care or routine care plus counselling by a nurse. Psychological morbidity was assessed at one week, 3 months and 12 months postoperatively to determine the efficacy of this service. Comparisons between the groups indicated that counselled patients were significantly less depressed at 3 months postoperatively and reported more beliefs in personal control over health. At 12 months postoperatively there were no significant differences between the groups. Although both groups continued to adjust throughout the year following surgery, this adjustment occurred more rapidly if patients were counselled. The results suggest that a nurse-counselling service can be of value in helping to reduce the amount of distress experienced as a result of the diagnosis and treatment of breast cancer.     

Counselling adolescents of immigrant parents: A transcultural approach

Adolescence is a difficult time for most children, but even more complex for the adolescents coming from immigrant families. Immigrant is a vague, broad concept and is difficult to define. Not all immigrants experience financial, psychological and social adjustment in the same way. In this paper it refers to the ones who experience ‘cultural misunderstanding’ characterized by social isolation, social confusion and deep general uncertainty. The paper focuses on some of the general aspects of the lack of appropriate support that the offspring of immigrant parents experience. A brief outline is given to show the attempt made by the Intercultural Therapy Centre (NAFSIYAT) to provide a transcultural therapeutic milieu for the adolescents from immigrant parents.