A review of: “Challenges to counselling and psychotherapy”

Alex Howard (1996) Challenges to Counselling and Psychotherapy, London: Macmillan, $11.99     

Value for money?: Issues of fees in counselling and psychotherapy

Drawing on literature from different psychotherapeutic traditions, the meaning of money is reviewed, and the psychological and practical issues which arise from the setting, changing and payment of fees in counselling and psychotherapy are discussed. A person-centred approach is offered as a framework for the counsellor's understanding of fees in the therapeutic relationship.     

A review of: “Implausible professions: Arguments for pluralism and autonomy in psychotherapy and counselling”

R. House and N. Totton (eds) (1997) Implausible Professions: Arguments for Pluralism and Autonomy in Psychotherapy and Counselling, Ross-on-Wye: PCCS Books, pp. 348, $14.00 (pb) (8% discount direct from publishers)     

Research and the organization of knowledge: where do psychotherapy and counselling fit in?

In order to clarify the place of research in psychotherapy and counselling, I look at the interrelationship of two ‘organizations of knowledge’. Organization can represent a process or an institution. My thesis is that there are particular characteristics of psychotherapy and counselling, considered as an intellectual discipline, that mean it organizes knowledge in peculiar ways that are reflected in the difficulty of reconciling them within the organization of the modern university. I shall propose that a different conception of research, based upon a third ‘organization of knowledge’, is necessary to resolve these tensions. Once psychotherapy/counselling finds more cohesion as a discipline, it is more likely to establish an independent niche within the university.     

Therapists’ self-reported chronic strategies of disconnection in everyday life and in counselling and psychotherapy: an exploratory study

The aim of this study was to explore how therapists believe they may relationally disconnect from other people and their clients, with an overall objective of developing methods for enhancing relational depth in counselling and psychotherapy. Participants were 168 trainee and practicing therapists, who listed their chronic strategies of disconnections (CSoDs) in everyday relationships, and then rated the presence of these CSoDs in their therapeutic work. Thirty-nine categories of self-reported everyday CSoDs emerged, organised into seven domains. Most prevalent were behavioural, passive and intrapsychic strategies. Over half of the CSoDs were rated as being present in therapy to a minimal extent, most commonly passive CSoDs, disingenuous CSoDs and humour. Male therapists, and trainee therapists, were most likely to identify their CSoDs as present in therapy.     

“That reminds me of a story...”: The therapeutic use of cautionary tales

This story about stories illustrates two kinds of cautionary tales and attempts to account for why and how they are useful in therapy.     

Discussion of “time and timekeeping in psychoanalysis and psychotherapy”

The American Journal of Psychoanalysis -     

A review of: “Philosophy and psychotherapy”

E. Erwin (1997) Philosophy and Psychotherapy, London: Sage, pp. 192, $37.50 (hb), $12.95 (pb)     

The Survey of European Psychotherapy Training 3: what psychotherapy is available in Europe?

Information provided in interview with key informantsin twenty-one European countries showed that there is a wide-range of different modalities of psychotherapy in Europe. Some are limited to their country of development but others are more wide-spread. Only four modalities are practised in the majority of countries. Psychodynamic (in every country), systemic family, gestalt.     

Multi(ple) cultural voices speaking “Outside the Sentence” of counselling and psychotherapy

This paper examines the notion that marginalized clients through their socio-cultural and geo-political histories are positioned “outside” the masculine cultural metaphors and conventional theoretical epistemologies of counselling, psychology and psychotherapy. In other words, these minoritized clients are “outside the sentence” of the texts and contexts of therapy. The discursive practice of therapeutic reconstitution and restoration produces a particular set of vocabularies and sentences that facilitate transformation and psychic equilibrium consistent with the process of individuation and self actualization. However, for marginalized groups, such as black and other visible minority, women, deaf, gay and lesbian clients the hegemonic masculine narratives of counselling psychology and psychotherapy only make it possible for these clients to be “outside the sentence”, not just grammatically and metaphorically of the therapeutic project, but in the external reality of how the practice is clinically governed. In other words, the social and cultural marginalization outside the clinic room is in a dialectical relationship with the therapy dyad. For the minoritized client being “outside the sentence” produces the effect of being “inside” another process, i.e., the history of subjugation, domination, diaspora, and displacement. This paper explores this issue and argues that the only way for counselling, psychology and psychotherapy to bring the diversity client “within the sentence” of therapy is to assign and re-inscribe the history, memory and pain of “the Other” voices to the “inside” of the therapeutic space, to interrupt and disrupt the hegemonic masculine narratives, thus transforming “non-sentences” into sentences and paragraphs, and eventually into essays of the discursive subject.     

Researching the “therapeutic relationship” in psychoanalysis,counselling psychology and psychotherapy—a qualitative inquiry

This paper reports the methodology of a research project based on and including a review of almost 1000 texts and more than 20 years of learning and supervised practice as clinician and supervisor in the psychotherapeutic professions on the nature of the therapeutic relationship. Following a pilot study by five years, the findings were reported in a 165,000 word document which encompasses poetry, personal experience, many textual extracts of theory or therapeutic dialogue, other research reports, theoretical considerations, clinical reflections, syllabus constructions—a postmodernist assemblage which nonetheless attempts coherence, validity and reliability. The findings have also been tested in the field for example by: (a) providing the framework for at least one four-year psychotherapy training course from which the first students have recently graduated by external assessment and (b) an independent psychotherapy accreditation process by a case study submission. It is argued that clinical practice or supervision should be inseparable from research—Particularly qualitative research in psychology.     

“To Name or Not to Name: That is the Question”: The Role of Response Inhibition in Reading

Reading is a complex process that includes the integration of information about letters (graphemes) and sounds (phonemes). In many circumstances, such as noisy environments, response inhibition is an additional factor that plays a marked role in successful oral reading. Response inhibition can take the form of task relevant inhibition (i.e., foils in a go/no-go task) and task irrelevant inhibition (i.e., distractor information). Here we investigated task relevant inhibition by having participants (N?=?30) take part in two tasks: go/no-go naming with nonwords foils (GNG-NW) and go/no-go naming with pseudohomophones foils (GNG-PH). Also, we investigated the addition of task irrelevant inhibition by having participants (N?=?28) take part in two tasks: GNG-NW?+?information masking and GNG-PH?+?information masking. We provide evidence that during a task relevant inhibition task, sub-word sound level information can be successfully inhibited, as evidenced by comparable response times for regular words and exception words, provided the foils do not contain familiar sound-based information (GNG-NW). In contrast, regular words were read aloud faster than exception words in a GNG-PH task, indicating that sub-word level interference occurs when the foils contain familiar sound-based information. The addition of task irrelevant inhibition (i.e., information masking at the phoneme level), served to increase response time overall, but did not impact the pattern of response times between regular words and exception words. Together these findings provide useful information regarding the role of response inhibition in word recognition and may be useful in computational models of word recognition and future work may benefit from accounting for the effects outlined in this paper.     

Supervision as oversight: A new era in the history of psychoanalytic practice and training?

Taking its cue from Ekstein's analysis of the history of supervision (1960), this article proposes that there is a new historical era emerging in Britain, a phase that could be characterised as the ‘regulatory phase’. It is argued that in the future the clinical supervisor of psychoanalytic work will be positioned as ‘overseer’, with the consequence that what might be overlooked/not seen in the new regulatory climate is the notion of a psychoanalytically informed practice as a practice of the questioning of knowledge and its effects. Further, it considers how the effect of the proposed regulatory framework for psy-practice in the UK elides the current distinction between ‘practitioner/analyst’ and ‘trainee/candidate’. Thus psychoanalytically informed practitioners are re-positioned as candidates for authorisation as state licensed psy-practitioners. A clinical example, based loosely on Freud's account of his analysis of the young female homosexual, draws attention to the specifics and problematics of the competencies for analytic work and its supervision proposed by the Health Professions Council, Skills for Health and research for University College London, which envisages a future role of supervisors as the overseers of standardised interventions.     

Manager–salesperson congruence in customer orientation and job outcomes: The bright and dark sides of leadership in aligning values

To create customer-oriented organizations, managers are often asked to promote a values-based vision. Yet, many managers struggle with transferring their values to employees making strategic value changes difficult. Despite this challenge, research has yet to demonstrate how managers effectively align values within the sales force, or the impact alignment has on job outcomes. Therefore, we develop and empirically test a conceptual framework to examine the role of transformational leadership in aligning salesperson customer orientation (CO) values. We find that transformational leadership is a strong mechanism in creating perceived value congruence, yet may have a surprising dark side. Results suggest that transformational managers achieve congruence by raising or, contrary to conventional wisdom, lowering salesperson CO values to meet the perceived values of the manager. Response surface modelling results support the importance of perceived manager values. Customer-oriented salespeople have higher job satisfaction and sales performance when they perceive their manager to also have high CO. When values are misaligned, job satisfaction increases more for low CO salespeople as perceptions of manager CO increase. Exploratory findings show that performance was higher under situations of perfect alignment but also under severe misalignment suggesting that values generate performance under complementary or supplementary conditions.     

“My big sister the town supervisor”: Family leadership training is not just for boys

This study investigates gender similarity in the effects of birth order upon political leadership. Town supervisors were the leaders studied as there are a considerable number of women who attain this level of leadership. Questionnaires about birth order and family size were gained from 66 women who were town supervisors in New York State in 1992, and compared to a randomly selected sample of 57 male town supervisors. It was found that women as well as men town supervisors were more likely to have been first born in their families. However, whereas gender does not apparently influence the relevance of birth order for leadership, it clearly does exert an influence on the level of political leadership attained. Women town supervisors gained their positions in towns that were considerably smaller than the towns led by the male supervisors. Discussion concerned the nature of family experiences that contribute to leadership training, including those that may be different for girls and boys. Further research is needed to clarify barriers to female assertion of political leadership at more senior levels, because as this study shows, female leadership is being trained in families.     

“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.     

A review of: “Feminism and psychotherapy: Reflections on contemporary theories and practices”

I. Bruna Seu and M. Colleen Heenan (eds) (1988) Feminism and Psychotherapy: Reflections on Contemporary Theories and Practices, London: Sage, $14.99 (pb)     

The use of artificial neural networks and multiple linear regression in modelling work–health relationships: Translating theory into analytical practice

Although psychological theory acknowledges the existence of complex systems and the importance of nonlinear effects, linear statistical models have been traditionally used to examine relationships between environmental stimuli and outcomes. The way we analyse these relationships does not seem to reflect the way we conceptualize them. The present study investigated the application of connectionism (artificial neural networks) to modelling the relationships between work characteristics and employee health by comparing it with a more conventional statistical linear approach (multiple linear regression) on a sample of 1003 individuals in employment. Comparisons of performance metrics indicated differences in model fit, with neural networks to some extent outperforming the linear regression models, such that R ² for worn-out and job satisfaction were significantly higher in the neural networks. Most importantly, comparisons revealed that the predictors in the two approaches differed in their relative importance for predicting outcomes. The improvement is attributed to the ability of the neural networks to model complex nonlinear relationships. Being unconstrained by assumptions of linearity, they can provide a better approximation of such psychosocial phenomena. Nonlinear approaches are often better fitted for purpose, as they conform to the need for correspondence between theory, method, and data.