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.     

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.     

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.     

The development of therapeutic consultations in child-focused family work

This paper outlines the theoretical influences that have led to our use of a consultation approach to work with children and families. Winnicott's notion of therapeutic consultation, the narrative approach in family therapy, the use of letters in therapeutic work and the two-plus-one model of therapeutic contact are discussed. A model of the consultation interview and process is presented together with examples of consultation letters responding to typical client expectations of the process.     

Formal and Informal Counselling Help: Students' Experiences

The experiences reported by students who sought help from formal counselling sources were compared with those reported by students who sought assistance from informal helpers. The two groups of students had similar types of problems, but the counselling clients reported (a) higher levels of problem seriousness, (b) lower levels of comfort with the interaction, and (c) higher levels of satisfaction with the help offered.