Exploring counsellor perceptions of the impact of counselling supervision on clients

This qualitative study explores counsellors' experiences and perceptions of how counselling supervision impacts their clients. The literature review highlights little research in this area. Data collection combined open-ended questionnaires and semi-structured interviews. Analysis was phenomenological incorporating participant validation. The findings indicate that supervision impacts client work both helpfully and unhelpfully. Areas that emerged as having the most direct impact on client work were: exploration of client-counsellor dynamics and raising counsellor self awareness, professional development, emotional support and the quality of the supervisory relationship. Benefits and dangers for clients not taken to supervision were highlighted. Congruence and confidence were the most direct link between supervision and client work.     

On Versus Off the Pitch: The Transiency of Body Satisfaction Among Female Rugby Players, Cricketers, and Netballers

In this study I investigated the development of body satisfaction among women rugby players, cricketers, and netballers. I also sought to assess the impact of sport participation on both athletic and “feminin” identity. Semistructured interviews were conducted with 10 rugby players, 10 cricketers, and 10 netballers. The interviews focused on the experience of playing sport and the impact sport had made on respondents' perceptions of their bodies. Using Interpretative Phenomenological Analysis to explore the interview data it was found that, although sport participation did lead to positive perceptions of their bodies, this effect was transient. Once placed in a social environment body satisfaction decreased, and women's perceptions of their bodies changed because of a perceived demand to conform to socially accepted and expected norms of (heterosexual) physical attractiveness. Fear of being perceived as lesbian and the perceived naturalness of body concern were also identified.     

Dissonant emotions,divergent outcomes: Constructing space for emotional methodologies in development

Movimento para a liberdade das mulheres na prostituição (Movimento) and União para a protecção dos direitos dos trabalhadores (União) are mobilising for human rights around sex work and prostitution in Latin America. After a year of working with both groups, my relationship with Movimento broke down; meanwhile the relationship with União flourished and from it emerged intensive and productive ethnographic experiences and a large and rich dataset. The paper asks why this happened and why the two groups responded so differently to the same research proposal. The paper contributes to understandings of emotional methodologies in three related ways. Firstly, it emphasises the importance of considering collective emotion, emotional hues and identities at the organisational scale when designing and implementing research projects. Secondly, it demonstrates how affective ties based on these emotional hues produce space. Thirdly, it argues that incorporating emotions into both our analyses and methodologies can challenge orthodox constructions of subjects in development as rationalistic and atomistic actors.     

In the beginning: role of autonomy support on the motivation, mental health and intentions of participants entering an exercise referral scheme

Self-determination theory (Deci & Ryan, 2000, Intrinsic motivation and self-determination in human behaviour. New York: Plenum Publishing) highlights the impact autonomy supportive environments can have on exercise motivation and positive health outcomes. Yet little is known about whether differential effects occur as a function of which significant other is providing this support. Further, no research has examined the relationship between motivation and the social environment with participants' mental health and intentions to be physically active before entering an exercise intervention. Study participants were 347 British adults who were about to start an exercise referral scheme. Regression analyses revealed that the effects of autonomy support on mental health and physical activity intentions differed as a function of who provided the support (offspring, partner or physician), with the offspring having the weakest effects. A structural model was supported, indicating that autonomy support and more autonomous regulations led to more positive mental health outcomes and stronger intentions to be physically active. Knowledge of the social environmental and personal motivation of those about to commence an exercise programme can provide important insights for professionals supporting such efforts.     

Predictors of interest in direct-to-consumer genetic testing

Direct-to-consumer (DTC) genetic testing is an increasingly available option among individuals searching for information about their health risk factors and ancestry. This study is one of the first to examine predictors of interest in DTC genetic testing. Participants read one of the three types of information about DTC genetic testing (positive only, negative only or both) and reported perceptions of and intentions to pursue testing. The information which people read, their perceptions of the benefits of testing, their perceptions of the barriers to testing and anticipated regret predicted intentions to undergo testing. Interestingly, people who read both positive and negative information did not differ from people who read only negative information in their intentions to pursue testing. We discuss the implications of these findings for predicting interest in this relatively new type of genetic testing and for designing interventions to encourage (or discourage) testing.     

Emotional Functioning in Children and Adolescents with Elevated Depressive Symptoms

Difficulties with emotion and its regulation are of central importance to the etiology and course of depression. The current study investigated these constructs in relation to childhood and adolescence by comparing the emotional functioning of 170 9- to 15-year-olds reporting high levels of depressive symptoms (HD) to a matched sample of 170 children and adolescents reporting low levels of depressive symptoms (LD). Compared to LD, HD participants reported significantly greater shame proneness, poorer functioning on emotion regulation competencies (emotional control, self-awareness and situational responsiveness), less healthy emotion regulation strategy use (less reappraisal and greater suppression), and lower levels of guilt proneness. Empathic concern did not differ between the two groups. The findings enhance current knowledge by providing a more comprehensive profile of the emotional difficulties experienced by children and adolescents with elevated depressive symptoms.     

Legal briefing: Healthcare ethics committees

This issue's "Legal Briefing" column covers recent legal developments involving institutional healthcare ethics committees. This topic has been the subject of recent articles in JCE. Healthcare ethics committees have also recently been the subject of significant public policy attention. Disturbingly, Bobby Schindler and others have described ethics committees as "death panels." But most of the recent attention has been positive. Over the past several months, legislatures and courts have expanded the use of ethics committees and clarified their roles concerning both end-of-life treatment and other issues. These developments are usefully grouped into the following eight categories: 1. Existence and availability. 2. Membership and composition. 3. Operating procedures. 4. Advisory roles. 5. Decision-making and gate-keeping roles. 6. Confidentiality. 7. Immunity. 8. Litigation and court cases.     

Legal briefing: futile or non-beneficial treatment

This issue's "Legal Briefing" column covers recent legal developments involving futile or non-beneficial medical treatment. This topic has been the subject of recent articles in JCE. Indeed, it was the subject of a "Legal Briefing" in fall 2009. Accordingly, this column focuses on legal developments from the past two years. These developments are usefully grouped into the following 11 categories: 1. Texas Advance Directives Act, 2. Ontario Consent and Capacity Board, 3. Surrogate selection, 4. Ex post cases for damages, 5. Ex ante cases for injunctions, 6. Coercion and duress, 7. Assent and transparency, 8. Brain-death cases, 9. Criminal and administrative sanctions, 10. Conscientious objection, 11. Penalties for providing futile treatment.     

Treatment Effects for Common Outcomes of Child Sexual Abuse: A Current Meta-Analysis

The present meta-analysis examined the effects of psychosocial treatments at reducing deleterious outcomes of sexual abuse. The meta-analysis included a total of 35 published and unpublished studies written in English, focusing on youth under the age of 18, and evaluating the effectiveness of treatments for the most common negative outcomes of sexual abuse: PTSD symptoms, externalizing problems, and internalizing problems. Results revealed medium effect sizes for PTSD symptoms, externalizing problems, and internalizing problems following treatment for sexual abuse. This study also examined the potential moderating effects of treatment (e.g., modality, duration, inclusion of caregiver) and participant (e.g., age, gender, ethnicity) characteristics. Results indicated that longer interventions were associated with greater treatment gains while group and individual treatments were equally effective. These findings shed new light on treatment effectiveness and provide useful information regarding the conditions under which treatment may be most effective. Future directions for research in this area are discussed.