Counselling in general practice: Issues and opportunities

The results are reported of a survey of GP counsellors and primary health care teams concerning the role and contribution of counsellors in primary care. Most of the literature argues the value of this service, which has been growing very quickly. This survey identified the principal tasks of GP counsellors, their relationship with the host team, and some of the organisational and professional dilemmas which need to be addressed. A great deal of variation wasfound in ail of these areas, which suggests the value of a protocol for GP counselling to establish minimum standards and promote best practice.     

Art in existential psychotherapy with couples and families

The authors describe and outline how art can be used in existential psychotherapy to help a couple or family uncover, discover, and make use of the meanings and meaning potentials to be found in marital and family life. In existential psychotherapy with couples and families, art can be used to help the members of the relationship notice meaning potentials in the future, honor meaning potentials that have been actualized and deposited in the past, and discover new ways to actualize meaning potentials in the here and now.     

Heterosexual Therapists Leading Lesbian and Gay Therapy Groups: Therapeutic and Political Realities

The authors describe the thought processes, plans, and reflections of two heterosexual therapists who decided to lead gay and lesbian therapy groups in a university counseling center. The debate regarding the viability of the heterosexual counselor and the gay and lesbian client pair is discussed, as are the practical issues informing and maintaining thegroups. Campus political issues regarding the groups and counselor homophobia are explored.     

Organizational and extraorganizational factors affecting stress,employee well-being,and absenteeism for males and females

The purpose of this research is to examine separately for males and females, the effects of different sources of job and life stress on the emotional and physical well-being of those individuals, and in turn on absenteeism. Results using a sample of 170 males and 204 females indicated that females experienced higher levels of job stress, absenteeism, and poorer emotional well-being. Patterns of relationships for males and females were similar, however, the data suggest that sex moderates the effects of different sources of stress on emotional and physical well-being and absenteeism. The model developed as a part of this research was more complicated for females than for males.     

Primary and secondary reflection in existential family therapy

The author uses Gabriel Marcel's topology of primary and secondary thought to clarify and outline the process of reflection in Existential Family Therapy. Clinical material is used to illustrate the differences between primary and secondary reflection during the practice of Existential Family Therapy.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

Object recognition contributions to figure-ground organization: Operations on outlines and subjective contours

In previous research, replicated here, we found that some object recognition processes influence figure-ground organization. We have proposed that these object recognition processes operate on edges (or contours)detected early in visual processing, rather than on regions. Consistent with this proposal, influences from object recognition on figure-ground organization were previously observed in both pictures and stereograms depicting regions of different luminance, but not in randomdot stereograms, where edges arise late in processing (Peterson & Gibson, 1993). In the present experiments, we examined whether or not two other types of contours—outlines and subjective contours—enable object recognition influences on figure-ground organization. For both types of contours we observed a pattern of effects similar to that originally obtained with luminance edges. The results of these experiments are valuable for distinguishing between alternative views of the mechanisms mediating object recognition influences on figure-ground organization. In addition, in both Experiments 1 and 2, fixated regions were seen as figure longer than nonfixated regions, suggesting that fixation location must be included among the variables relevant to figure-ground organization.     

Improving our understanding of therapeutic failure: A review

This paper argues the need to consider carefully the phenomenon of therapeutic failure in counselling and psychotherapy. The scant literature on therapeutic failure is reviewed, this literature suggests that there are large individual differences in therapists' overall effectiveness. A conceptual model of therapeutic failure is proposed, organized around the assumption that failure results from a therapist's inability to meet the needs of a particular client. Suggestions aimed at reducing the likelihood of therapeutic failure are offered.