Collectivize social support? Elements for reconsidering the social dimension in the study of social support

Psychological models of mental disorders play an important role in the explanation of psychological deterioration. Researchers from this area usually study several cognitive and behavioral variables to account for the onset and maintenance of depression. However, many authors have detected the need to include a "social dimension" in the explanation of deterioration. In this sense, social support has become a crucial aspect in the study of mental health, and the psychological literature on this topic has generated an intense debate about several facets of the positive impact of social networks on psychological well-being. In this article, the author defends that this increasing centrality of the concept has been accompanied by a psychological reductionism that is making the role of "social aspects" to explain psychological well-being more problematic. Implications of this reductionism are discussed, and an alternative proposal is made to overcome some theoretical and empirical problems related to social support research.     

Client experiences of counselling and treatment interventions: A qualitative study of family views of family therapy

The case is made that personal experience and social life are inherently meaningful. The presence of meaning in human affairs requires all participants to develop interpretive skills if they are to understand what is happening. Researching social life is greatly helped by methods which acknowledge the hermeneutical quality of interpersonal experience. The use of qualitative research methods to investigate all aspects of counselling is therefore highly appropriate. To illustrate the use of qualitative research designs and methods of analysis, a study of family members' views of family therapy is briefly described.     

论心理学中的还原论

心理学中的还原论主要指方法论意义上的“理论的还原论”,可分为心理学理论向物理学、生理学与生物学理论还原等三种还原论类型。它并不像其攻击者所误解的那样,就是本体论的还原论、必然导致决定论、与整体论截然对立或者仅仅就是还原方法。相反地,还原论是研究心理现象的重要途径,与方法论的多元主义并行不悖,符合人类进行认识的规律。只要使用者注意其适用的边界条件,还原论还是不失为心理学研究的一种不错的“没有选择的选择”。     

Making a difference for young people with learning disabilities: A model for inclusive counselling practice

The prevalence of mental health problems in young people with learning disabilities and the disability rights movement provide the background to this paper. The aims are to investigate the inclusivity of counselling; gain insight into inclusive practices; and put forward a model for inclusive counselling practice. Mixed methodology provides quantitative and qualitative data through a survey of counsellors (n = 396) and a series of semi‐structured interviews (n = 15). The results produce six indicators of inclusive counselling, which are used to build a model for inclusive counselling practice: proactive approach to inclusion; focus on building relationships; operationalising equal opportunities policies; inclusive initial assessments; adopting flexible and creative approaches to counselling; and training and awareness raising. The implications for research and practice are to acknowledge the exclusive nature of the profession and address the issue of inclusion through training, professional development and further research in the field. The model for inclusive counselling practice is put forward as a tool for auditing existing counselling provision and as guidance for counsellors and policy makers in increasing inclustion of young people with learning disabilities in mainstream counselling.     

The sexual and mental health problems of street children: a transcultural preventative approach in counselling psychology

Sexual and mental health problems are on the increase world-wide especially among street children. A high proportion of vulnerable children who live in the street suffer exploitation, poor quality of life that often lead to sexual and mental health problems. Evidence is needed on the theoretical perspectives taken to address the existing gaps in counselling psychology research and practice on the plight of street children. It is also important to identify interventions that could be implemented to prevent the expansion of sexual and mental health problems among street children. Because of paucity of evidence in counselling psychology, an attempt has been made to highlight the risks factors associated with street children such as sexual exploitation, engaging in unsafe sex at an early age, promiscuity, unplanned pregnancy which tend to lead to mental health problems. Case studies are presented that illustrate the importance of a preventative transcultural approach in counselling psychology.     

Addressing Urgent Community Mental Health Needs in Rwanda: Culturally Sensitive Training Interventions

Rwandan leaders in the health and educational sectors have begun to discuss the necessity for establishing culturally appropriate community-based mental health counselling services in Rwanda, especially trauma counselling. The need for a community psychology approach is anchored in the lingering effects of the genocide and the continuing post-traumatic stress symptoms suffered by many in the population. Capacity building in an effort like this would require the design of multi-level counselling curricula that are sensitive to the social structures within Rwandan culture. These curricular endeavours call for the development of a National Counselling Centre to serve as a structural mechanism for organizing community-based counselling initiatives. We consider the community health services needs in Rwanda here, along with associated challenges and strategies for effective mental health services in a country with a recent history of genocide. A community psychology approach to mental health would benefit Rwandan society by making trauma counselling and recovery services available and accessible to citizens throughout the country.     

Counselling and the social construction of self

The specific and Comparatively narrow nature of selfhood which counselling suggests is examined. It is argued that the discourse of counselling is directly and powerfully related to the social construction of self. The social consequences of two central notions of this constructed self—authenticity and autonomy—are debated. It is proposed that, far from being necessarily socially desirable, the propagation of these notions within selfhood may have some derogative consequences to social relations, within communities and within society. It is suggested that counsellors need to develop much more awareness of the sociological perspective of their profession before enthusiastically propagating the authentic, autonomous self.     

Discourse analysis: Rich pickings for counsellors and therapists

Aim: It is only relatively recently that discourse analysis has begun to rise to prominence in the fields of counselling and psychotherapy. This paper briefly explains ways of understanding discourse analysis, discussing what the approach can offer counselling research and practice. Approach: An initial categorisation of recent discourse analysis studies is offered, to demonstrate diverse ways in which this type of research can address issues relevant to counselling practice. The five categories proposed range from the examination of language use in therapy to analyses that focus on the social structures, meanings and power relations related to therapy. Implications: The paper demonstrates that through the critical analysis of counselling sessions, research interviews, written texts and other materials, discourse analysis can provide insight into ways in which counselling operates as a social practice, and so help counsellors to contextualise their work within broader social structures and processes.     

Social Dominance Theory: Its Agenda and Method

The theory has been misconstrued in four primary ways, which are often expressed as the claims of psychological reductionism, conceptual redundancy, biological reductionism, and hierarchy justification. This paper addresses these claims and suggests how social dominance theory builds on and moves beyond social identity theory and system justification theory.     

认知神经科学的心理学理论价值

从认知神经科学面临的三个挑战--(1)神经科学是“还原” 的,不能完全解释一个人的心理活动过程;（2）认知神经科学无法真正解释人的心理与行为;（3）认知神经科学只能揭示出神经事件与认知活动或行为活动的相关性--入手来讨论其心理学理论价值,阐明认知神经科学在心理学研究中的重要地位及主流趋势。同时指出,认知神经科学只是心理学学科门类中的一种,它能解决的问题也只限于特定的范围,对它要有科学理性的认识和定位。     

Personal responsibility,empowerment and medical utilization: a theoretical framework for considering counselling and offset costs

The problem of effectively managing patients with functional somatic symptoms remains huge in both primary and hospital care, although the potential benefits of mental health interventions such as counselling or psychotherapy are still not widely accepted. Unfortunately, the cost-effective evaluation of counselling has been beset by methodological problems, which stem from attempting to make comparisons between counsellors with different types of training, therapeutic approach and case mix. Since these real-world variations in counselling practice are likely to remain, it is proposed that a different approach to the evaluation of cost-effectiveness should be adopted in the hope of accelerating acceptance of the value of psychological interventions for the army of patients who are currently labelled as ‘difficult’ or ‘heartsink’ and who do not receive the treatment they deserve from the health-care services. It is proposed that, since the common aim of almost all mental health interventions is to engender or enhance a sense of ‘personal responsibility’ in patients/clients, this core objective should form an agreed ‘yardstick’ against which to evaluate the impact of various mental health interventions. Furthermore, since personal responsibility and future health-care utilization (and associated costs) can be assumed to be directly causally related, it is proposed that offset costs should form the basis for future cost-effectiveness evaluations.     

Agency: Let's mind what's fundamental1

The standard event-causal theory of action says that an intentional action is caused in the right way by the right mental states. This view requires reductionism about agency. The causal role of the agent must be nothing over and above the causal contribution of the relevant mental event-causal processes. But commonsense finds this reductive solution to the “agent-mind problem”, the problem of explaining the relationship between agents and the mind, incredible. Where did the agent go? This paper suggests that this challenge against event-causal reductionism is importantly related to debates about fundamentality. It also suggests that extant event-causal answers to the agent-mind problem, ones that suggest that part of an agent's mind can stand proxy for the agent herself, fail against the challenge. It sketches an alternative reductive view that appeals to entity grounding. This view resolves the commonsense challenge and promises to be theoretically fruitful with respect to other longstanding problems with the event-casual view. The paper concludes with a burden-shifting argument against emergentist agent-causal theories and non-reductive event-causal theories of agency.     

Action: a bridge between vocational and mental health counselling*

A theory of goal-directed action is proposed as a conceptual link between vocational and mental health counselling. Originally emerging from the vocational counselling field, contextual action theory is presented as a critical conceptual link not only between mental health and occupational life but also between counselling practices in these domains. This specific application of goal-directed action to vocational and mental health counselling is addressed by describing counselling as goal-directed action, the five tasks of counselling it invites, and tools for supporting client goals, such as the self-confrontation interview.     

No logic of cogency: Reply to Oakley

Despite the fact that the nature of the properties of causation is rarely discussed within the mental causation debate, the implicit assumption is that they are universals as opposed to tropes. However, in recent literature on the problem of mental causation, a new solution has emerged which aims to address the problem by appealing to tropes. It is argued that if the properties of causation are tropes rather than universals, then a psychophysical reductionism can be advanced which does not face the problem of multiple realizability. However, the 'trope solution' rests upon the assumption that one can combine a trope monism with a type dualism. I argue that such a combination cannot be allowed. Given a plausible interpretation of types within a trope ontology, trope monism in fact entails type monism. Consequently, if one identifies mental tropes with physical tropes, one must also identify mental and physical types and in doing so face a modified version of the multiple realizability argument.     

Gender and power in counselling and supervision

The need to reflect on how the dynamics of gender and power can articulate together and adversely affect counselling and supervision relationships is addressed. It is suggested that automatically incorporating a social analysis into supervision will help the counsellor clarify the political nature of some of the therapeutic issues and result in the addressing of gender stereotypes which otherwise might contaminate the process of counselling. It is further argued that using a feminist approach, in which there is a commitment to facilitating equality and personal power between women and men, is helpful in establishing a constructive and facilitating supervisory style.     

Working with differences: Issues for research and counselling practice

This paper considers our experience within a group researching domestic violence in minoritised groups and the implications for counselling practice. Issues of race, gender and power were significant within the research team. These issues are intrinsic to minoritised women's experiences of service responses and are also a powerful, yet often unexplored, dynamic in counselling practice. We reflect on issues of ‘outsiders’ and ‘insiders’ in terms of the research process and findings, and the impact and influence of these power roles on counselling practice. We acknowledge that it is only by retrospectively engaging with each other and our differences that we have been able to explore our parallel processes and consider their implications for counselling practice.     

Mental health and education: Counselling as prophylaxis

Though school counselling is concerned primarily with prevention rather than cure, in practice the urgent needs of the wayward and the sick leave little time for genuinely preventive work. Furthermore, effective prophylaxis in the strong sense of laying foundations of robust mental health, competence and well-being in all children must involve the whole school to some degree, and particularly a team of willing and able teachers working along with the school counsellor on curriculum development in personal and social education. Though the needs of the few can be met by one-to-one counselling, the needs of the many will be answered only through group work. Trained counsellors must take the initiative in such work. They will retard the mental health movement if they permit their colleagues to feel complacently that the appointment of a school counsellor is an ample school contribution to the objectives of preventive psychiatry. Mental health is every teacher's business.     

“We don't Talk about that Around Here”: religion,Spirituality and Mental Health in Northern Ireland

Since the early 1970s, Northern Ireland has experienced violent conflict, the boundaries of which are shaped by religious identification. Although the violence has significantly decreased since the late 1990s, its legacy remains. Research evidences a complex relationship between religious and spiritual beliefs and mental well-being, there is a lack of research about how political conflict, in which religion plays a dominant role, may shape how beliefs may shape the impact of faith on mental health. This article draws upon the views and experiences of mental health service users’ from a qualitative study about religion, spirituality, mental health and social work practice. Participants’ accounts state that while the role of religion and spirituality within mental health was recognised, its exploration was marked with questions of legitimacy. This article proposes that support is needed for service users to both acknowledge this aspect of their mental well-being and promote their having choice about its inclusion in their mental health care.     

Leibnizian Soft Reduction of Extrinsic Denominations and Relations

Leibniz, it seems, wishes to reduce statements involving relations or extrinsic denominations to ones solely in terms of individual accidents or, respectively, intrinsic denominations. His reasons for this appear to be that relations are merely mental things (since they cannot be individual accidents) and that extrinsic denominations do not represent substances as they are on their own. Three interpretations of Leibniz's reductionism may be distinguished: First, he allowed only monadic predicates in reducing statements (hard reductionism); second, he allowed also `implicitly relational predicates' such as `loves somebody' (soft reductionism); third, he allowed also `explicitly relational predicates' such as `loves Helen' (nonreductionism). Hard reductionism is problematic with respect to Leibniz's doctrines of universal expression and incompossibility (among other things). Nonreductionism, in turn, faces insurmountable problems with Leibniz's doctrine of self-sufficiency and internal identification of substances, as well as with that of individual accidents. The remaining option, soft reductionism, standing between the other two interpretations, arguably avoids at least some of their problems.     

The use of leisure counselling as a therapeutic technique

If leisure is defined as free or unobligated time, then leisure is clearly the category of time expenditure that has the greatest potential for making people healthy and happy but it also has the greatest potential for creating problems. Therefore, educating and counselling people on how to make best use of their free time can have a great impact on the physical and mental health of individuals. The intent of this paper is to explain how leisure counselling can be implemented as a therapeutic technique for the benefit of many different types of people. It is also the intent of this paper to provide those who work as counsellors with information about leisure and leisure counselling so that they can help their clients to improve their lives through leisure. Therefore, this paper examines the contributions that both leisure counselling and leisure education can make in promoting maximal physical and psychological well-being, although the main focus is on leisure counselling. The overall conclusion is that effective leisure counselling services can significantly help to improve the physical and mental well-being of individuals and society in general.