The importance of case discussion in counsellor training

Case discussion is viewed as a central and integrating core of counsellor training, in that it brings together the 'theoretical', 'practical' and 'personal' components which form the basis of the training process. The aim of the trainer in case discussion is to help the trainee gain therapeutic understanding of the counselling relationship. This can be done at both micro and macro levels of analysis. An example is provided where a trainee was helped to view from a different perspective a counselling relationship that had become 'stuck'.     

Becoming a client, becoming a practitioner: student narratives of a dance movement therapy group

This paper documents one of several themes arising from a larger research study which invited trainees' views on their experience in a weekly, 2 year, dance movement therapy (DMT) personal development group. This group formed part of their post-graduate training. The study used a phenomenological, grounded theory and collaborative methodology followed by an interpretive framework. The research sought to discover participants' views on the experience of this personal development group in relation to their clinical practice with DMT groups during and following their training (the latter is not the subject of this paper). The study identifies a gap in the literature on trainee experience, particularly in relation to group process. Following a brief introduction and overview of methodology employed, the theme entitled 'becoming a client, becoming a practitioner' is presented, as it manifested for the students in the DMT group over time. The personal development component of therapists' training is directly relevant to most counselling/psychotherapy and arts therapies practitioners; consequently, the study has broader implications.     

“Out on the edge of my comfort”: Trainee counsellor/psychotherapists' experiences of spirituality in therapy—A qualitative exploration

The integration of spirituality into counselling and psychotherapy poses complex challenges. Personal spirituality, professional competency and ethical considerations may impact on trainees' experiences of integrating spirituality into therapy. This study adopted an inductive, qualitative approach to explore trainee counsellor/psychotherapists' experiences and perceptions of integrating spirituality into therapy. Six trainee counsellors and psychotherapists were recruited using purposive sampling from a professional counsellor and psychotherapist training institution in the UK. In‐depth, semi‐structured interviews were conducted, audio‐recorded and transcribed verbatim. Thematic analysis of the interviews revealed two overarching themes: spirituality provides support but needs a warning; and spirituality is relevant but undervalued. These themes encompass a wide range of trainee concerns associated with integrating spirituality into therapy. Participants reported that they felt unprepared to work therapeutically with clients' spiritual beliefs. However, the value of spirituality in providing support to both the trainee and their clients was highlighted by several participants. Some participants described integrating clients' spirituality as having a positive impact on the therapeutic relationship, but often felt threatening to the trainee. This research has implications that are important for counselling and psychotherapy training and developing enhanced consideration of client spirituality and the interpersonal environment in which therapy is delivered.     

Some ethical dilemmas in counselling and counselling research

This paper raises a number of dilemmas in relation to the ethical practice of counselling, counsellor training and research and evaluation of counselling which reflect the author's increasing concerns about therapeutic ethics. A number of relevant issues are explored to develop awareness and understanding of ethical matters, though this is in the spirit of exploration and inquiry rather than having definitive answers to offer. These issues include: use of training videos of therapists with real clients; informed consent; how research and evaluation changes the therapeutic process; how sensitive and ongoing consent for counselling and counselling research could be best obtained; publication of research in ways that respect the research participant; and the value and implications of the new British Association for Counselling and Psychotherapy ethical framework. Finally, the concept of 'ethical mindfulness' is considered as a creative, if demanding, response to a concern to be ethical in research and practice.     

Utilising discursive positioning in counselling

Foucault's concern with the production of subjectivity has led to the development of positioning theory, as it has been called by Bronwyn Davies, Rom Harré and Luk van Langenhøve. The concept of discursive positioning has particular value for counselling because it shows how people are positioned in discourse in particular moments by their own and by others’ utterances. Positioning theory also points to the efforts people make to resist and refuse discursive positions they are called into in conversation. This article demonstrates how listening to the nuances of discursive positioning in a conversation can enrich professional practice. I shall use several examples from narrative counselling conversations in order to demonstrate these principles in action.     

Some thoughts on counsellor training

The main object of counsellor training is to help trainees to offer an effective counselling relationship. It is suggested that this requires three main training elements: personal, practical, and academic. Ways in which the personal development of trainees may be fostered include individual support counselling and a weekly encounter group session. While constructive feedback is necessary, a minimum of evaluation is suggested so that the trainee can feel safe and free to explore himself. Pre-placement training focused on empathic understanding is considered essential before the trainee is allowed to embark upon supervised placement, and a programme of practical work training is outlined. Reasons for including academic work are also discussed, and appropriate academic content is suggested. Finally, the problem of obtaining suitably qualified trainers is considered, along with the desirability of trainers continuing to counsel, and the need for adequate administrative support for training programmes.     

An examination of the structure and nomological network of trainee reactions: a closer look at "smile sheets"

Although D. L. Kirkpatrick (1959, 1996) popularized the concept of trainee reactions over 40 years ago, few studies have critically examined trainees' reactions to learning events. In this article, research on mood and emotion is used to develop a theoretical framework for research on trainee reactions. Two studies examine the factor structure of reactions and their nomological network. In Study 1, 178 undergraduate and 101 graduate students listened to a computer-delivered multimedia lecture. Results suggest that (a) reactions can be conceptualized as hierarchical, with overall satisfaction explaining associations among distinct reaction facets (enjoyment, relevance, and technology satisfaction), and (b) reactions are predicted by trainee characteristics. In Study 2, 97 undergraduates experienced the same lecture in 1 of 3 randomly assigned delivery technologies. Reactions were influenced by technology and were related to learning process (engagement) and outcomes (intentions regarding delivery technology, content, and learning). Both studies support the theoretical framework proposed.     

Counselling the (self?) diagnosed client: generative and reflective conversations

In this paper, we address the phenomenon of clients who present their concerns in the medicalised discourse of the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5). We contextualise this phenomenon, highlighting how a ‘diagnose-and-treat’ logic increasingly pervades everyday understandings and informs people's efforts to make sense of their concerns. We relate these cultural ways of sense-making to discursive counselling practice, noting possibilities for circumventing ‘discursive capture’ through reflective and generative dialogues. We then turn to two common ways in which clients present their concerns in counselling: (1) arriving self-diagnosed or diagnosed by another professional and (2) as a family in which parents present a child as having a mental disorder. We suggest ways of moving beyond medicalised discourse via resourceful and critically reflective conversations with clients.     

Teaching counselling in universities: Match or mismatch?

University courses in counsellor training have mushroomed over the past decade. Questions are raised about the match between the culture of counselling and the culture of universities. A comparison is drawn between traditional university styles of pedagogy and the learning requirements of trainee counsellors. Issues relating to teaching methods and assessment procedures are examined. Kolb's model of experiential learning is offered as a framework for this comparison. Attention is drawn to the effect of moves towards the accreditation of prior learning upon the cohesion of student groups, and to the changes in curriculum occasioned by the move towards credit rating of university courses. On the other side of the coin, the niche which counselling has forged for itself in universities is seen as a vehicle for professional legitimation. It is concluded that the challenge faced by university counselling teachers is to find ways to resolve the tension between the two cultures     

A pluralistic framework for counselling and psychotherapy: Implications for research

Historically, training, research and practice in counselling and psychotherapy have been dominated by unitary theoretical models. Although integrative and eclectic positions have been developed as alternatives, these have not been successful in generating research and have resulted in a further proliferation of competing models. In this paper we introduce a ‘pluralistic’ framework for counselling and psychotherapy and discuss the implications of this framework for research. The basic principle of this pluralistic framework is that psychological difficulties may have multiple causes and that there is unlikely to be one, ‘right’ therapeutic method that will be appropriate in all situations—different people are helped by different processes at different times. This pluralistic framework operates as a meta‐theory within which it is possible to utilise concepts, strategies and specific interventions from a range of therapeutic orientations. The framework is structured around three domains—goals, task and methods—by which therapeutic processes can be conceptualised, critically examined and empirically investigated. These domains, and the relationships between them, are outlined and the collaborative relationship at the heart of the pluralistic framework is discussed. The pluralistic framework provides a means for empirical research directly to inform practice and potential lines of empirical inquiry are outlined, along with findings from a recent study of counselling in schools.     

Saudi therapists' lived experience of self-awareness

Self-awareness and self-reflection in psychotherapeutic processes have been critical components for effective counselling and psychotherapy. However, little qualitative research in Saudi Arabia has been conducted that aims to explore the therapist's subjective experiences of the self in their professional work. Therefore, the purpose of this phenomenological study was to understand the therapist's self-awareness within psychotherapy, by focusing on the therapist's lived experience of self-awareness and exploring how therapists recognise themselves as an integral component of the therapeutic relationship. Semi-structured interviews were conducted with six experienced and accredited psychologists with at least three years of clinical experience, and the qualitative data were analysed using interpretative phenomenological analysis (IPA). Five superordinate themes emerged from the data; that is, development of the professional self, use of self, self-oriented, supervision and experience. This study provides an understanding of the therapist's self in psychotherapy, as it shows that self-awareness is important for therapists to manage their feelings, thoughts and behaviours in meeting with clients and that it is a valuable resource for a therapist to become aware of and reflect upon the process within oneself. This understanding is integrated into the training programmes in counselling psychology, especially in the areas of self-awareness and personal development.     

Primitive Drivers: Racial Science and Citizenship in the Motor Age

Lay participation in the deliberation of techno-scientific issues has become an important objective of policy making in many countries. Using the example of a series of Round Table discussions dealing with genome research allows us to analyse the ways in which the participants of this event construct their arguments during the discussion. Explaining the observed discursive strategies we focus on performative aspects of the deliberation process. In such a way it is taken into account how the setting of a given participatory process influences the ways in which participants are enrolled and enact their participation accordingly. In the analysed case, the setting was not taken as a given, but public participation and its discursive framework became itself subject to negotiation during the process. Hence, the discursive power of individual experiences and the legitimacy of personal interests as the argumentative basis were negotiated during the Round Table discussions. The participants only rarely grounded their statements in practical knowledge and individual experiences. Instead we saw them performing other discursive repertoires, e.g. drawing on societal benefits. Individual perspectives were often transcended and articulated in the form of super-individual arguments which endowed participants' statements with substantial discursive power and provided an alternative rationale for contributing to the deliberation without explicit reference to personal experiences. More broadly, the observed reluctance of the participants to speak-up for their personal interests can be seen as a result of a political culture that favours the advancement of de-individualised perspectives in public deliberation.     

The Counselling Interview Rating Form: a teaching and evaluation tool for counsellor education

The Counselling Interview Rating Form (CIRF) was developed to evaluate trainee counsellors' use of microskills and other aspects of the counselling session. The CIRF provides a structured format for evaluation that enhances the teaching and learning of interviewing skills by supervisors and trainee counsellors respectively. Uses of the CIRF in educational and clinical settings are described.     

Children's understanding of belief as a normative concept

The variety of accounts of theory of mind development, arising from distinct theoretical perspectives, have focused on children's causal-explanatory views on the mind and have not developed accounts of children's normative judgments of the mental domain. This review maintains that such a focus is unfortunate and leaves our understanding of belief as a concept incomplete. First, by presenting an alternative framework that treats belief as a normative concept, this account discusses the central importance of children's understanding of epistemic justification and their appreciation of the normative significance of others’ reasons for belief. Next, this review of the relevant theory of mind literature proposes a new way of thinking about the findings of various domains in this field and gives particular attention to prior work on false belief, origins or sources of belief, and the distinctions between fantastical and epistemic states. On the basis of this review, it is concluded that in order to accurately assess the development of the concept of belief, further research is required on children's views of how beliefs ought to be formed, their evaluation of justified and unjustified believers, and the notions of duty or responsibility they associate with epistemic agents.     

A trans-disciplinary study of the therapist's self

Participation in personal therapy during training is required by British accreditation bodies for counselling psychology as well as by most psychotherapy trainings. By contrast, trainee clinical psychologists are not required to undertake personal therapy, although they may elect to. Prior research in Britain and the US suggests that practitioners have a wide range of motives for entering therapy as well as motives for not doing so (Norcross &; Connor, 2005). This study addresses the fact that no research to date has specifically explored what individuals beginning their counselling psychology, clinical psychology and counselling training think and feel about participation in personal therapy during training. Data from open-ended questionnaires was analysed using inductive thematic analysis. Two main themes were identified. These consisted of: ‘Personal therapy helps me to be a better practitioner’, and ‘Personal therapy costs me’. The study results are considered in light of the limited prior research and recommendations for training are made.     

Qualitative Grids,the Relationality Corollary and the Levels of Interpersonal Construing

Qualitative grids are powerful tools for mapping interpersonal construing and provide a new method of interviewing, research and intervention into social situations. This article introduces some of their forms after discussing the theoretical framework from which they are derived. Although they are based within personal and relational construct psychology, they can be used within any theoretical approach interested in the study of and intervention in human relationships. Kelly's sociality corollary is a deeply heuristic formulation that presages many similar concepts in contemporary use, such as theory of mind and mentalization. But the corollary is open to critique and further elaboration. As originally stated, it is restricted to the construing of one other person or position in a relationship. This enables us to elaborate the relationality corollary that includes a person's construing of relationships and interactions with two or more others, giving us a deeper understanding of group situations. This involves developing a conception of different levels of interpersonal construing. These can be nicely captured using qualitative grids, and an understanding of this helps the interviewer in designing the grid form suitable for the task in hand.     

A critique of the microcounselling approach to problem understanding

Microcounselling approaches involve teaching the component behaviours of effective counselling or interviewing within a problem-solving framework. Egan, Ivey and Carkhuff, as proponents of this view, stress that later action stages of the problem-solving cycle should be based on an adequate understanding of the client's problem. The relationship between the skills which comprise the microcounselling approach and the goal of problem understanding is examined. It is argued that the approach lacks any explanation of how problem understanding is reached, and that it concentrates instead on the communication techniques involved in the discovery and modification of the client's understanding. This omission leaves counsellors without a rationale for the modification of their clients' views and without a means to regulate their use of the various microskills. Information theory and recent research on complex problem-solving are introduced to explain the skills involved in reaching a high-quality understanding of a client's problem. Given that these complex cognitive processes are not addressed in the microcounselling approach, suggestions are made for its modification.     

Physical framework for a counselling environment in India: Thematic analysis of counsellors' perceptions

The influence of the physical environment on the counselling process is an inevitable part of a counselling session. However, there is little insight in Indian research into the desirable elements of the physical environment of the counselling room that helps facilitate a counselling session. Interviews were conducted with 10 professional counsellors in India. Thematic analysis of the data brought out various Basic and Organising themes under the following three Global themes: (a) Elements of the physical framework; (b) Counsellor's perspectives about the physical framework in counselling; and (c) Motivation to build a framework. The findings show how counsellors can systematise the physical framework to help construct the counselling session effectively.