The effectiveness of workplace counselling: A systematic review

Background: In response to the stresses of the contemporary workplace, the challenges of maintaining satisfactory work-life balance, and the costs to business of employee mental health problems, many organisations have contracted to make counselling services available to their staff. It is essential to evaluate the effectiveness of workplace counselling, in order to maintain standards, and to identify examples of good practice. Objectives: This paper presents a comprehensive, systematic review of the effectiveness of workplace counselling. Findings are analysed in terms of client satisfaction, psychological functioning, the meaning of work, work behaviour, and negative outcomes. Findings: Taken as a whole, the results of research suggest that counselling is generally effective in alleviating psychological problems, has a significant impact on sickness absence, and has a moderate effect on attitudes to work. Discussion: Methodological issues are discussed, and it is recommended that more high-quality research is required in order to reinforce the evidence base for workplace counselling in relation to a number of key questions.     

Attractor dynamics in word recognition: converging evidence from errors by normal subjects, dyslexic patients and a connectionist model

People make both semantic and visual errors when trying to recognise the meaning of degraded words. This result mirrors the finding that deep dyslexic patients make both semantic and visual errors when reading aloud. We link the results with the demonstration that a recurrent connectionist network which produces the meaning of words in response to their spelling pattern produces this distinctive combination of errors both when its input is degraded and when it is lesioned. The reason why the network can simulate the errors of both normal subjects and patients lies in the nature of the attractors which it develops as it learns to map orthography to semantics. The key role of attractor structure in the successful simulation suggests that the normal adult semantic reading route may involve attractor dynamics.     

Theoretical orientation and reported practice: A survey of eclecticism among counsellors in Britain

There is an increasing trend for counsellors to report that their practice is based on a combination of methods and approaches, rather than being grounded in a 'pure' model. However, there has been a lack of research on the proportion of counsellors in Britain who define themselves as eclectic or integrative in orientation. This study reports on a survey of eclecticism and integrationism in counsellors and other therapists in Britain. Results indicate that as many as 87% of counsellors can be regarded as taking a 'non-pure-form' approach of some kind. Issues in interpreting data on counsellors' self-reports of orientation are discussed, and implications for training and further research are outlined.     

The effects of S-R uncertainty in the PRP paradigm: A reply to Kantowitz

Karlin and Kestenbaum (1968) reported a series of apparently complex interactions between S-R uncertainty and RT in an experiment using the psychological refractory period paradigm. McLeod (1977) showed that these effects could be predicted by a parallel processing limited capacity model. Kantowitz (1978) criticised that paper on the grounds that it paid insufficient attention to the predictions of response conflict theory and made no mention of errors.It will be shown (a) that response conflict theory, as described by Kantowitz, fails to predict the effects found by Karlin and Kestenbaum (b) that the comments about errors miss the point of McLeod (1977) (c) that in his final section Kantowitz falls into an old trap which awaits the unwary analyser of PRP data.     

Motor performance under three levels of trait anxiety and stress

In general, the interactive effects of trait anxiety and stress on motor performance have been neglected in assessing the viability of the inverted-U hypothesis. The present investigation tested the inverted-U hypothesis using three levels of trait anxiety and psychological stress. Performance results produced an inverted-U curve for the three levels of stress, with subjects in the moderate-stress condition displaying the highest performance. In addition, a significant trait anxiety x stress interaction indicated that high trait-anxious subjects performed best in the low-stress condition, while low trait-anxious subjects performed best in the high-stressed condition. The discussion concerns theories attempting to explain the relationship between anxiety and motor performance.     

Therapeutic Factors Experienced by Members of an Out-Patient Therapy Group for Older Women

The Yalom curative factors Q-sort was administered to eight members of an out-patient therapy group for older women (average age 55 years), who were also interviewed on the group experiences they had viewed as helpful. Results indicated that Existential Awareness was seen as the most important curative or therapeutic mechanism by members of this group. This finding stands in contrast to other studies of out-patient groups, in which interpersonal factors have been widely reported as most helpful. The reasons for this distinctive finding are examined. Results also exhibited striking individual differences between members of the group in terms of the group processes they each found most therapeutic. The significance of these findings is discussed, both in relation to working with older women, and also with respect to methodological issues concerned with the use of the Yalom Q-sort technique.     

The relationship between personal philosophy and effectiveness in counsellors

This study investigates the relationship between the effectiveness of counsellors and their personal philosophy, beliefs and attitudes. There is a review of the relevant literature concerning the qualities and attributes of effective counsellors, with a detailed examination of studies of counsellor philosophy. Two groups (n = 14 and n = 19) of counsellors on training courses were studied. Each participant wrote an account of a ‘Helping Relationship Incident’ which was rated on the 12 dimensions of counsellor ‘perceptual organization’ developed by Combs & Soper (1963). Course tutors gave ratings of the counselling effectiveness of their students. Rank order correlations between judgements of counsellor effectiveness and ratings of perceptual organization/philosophy were made. In both groups statistically significant results were found, adding weight to the hypothesis that a ‘person-centred’ perceptual organization or belief system is an important factor in counsellor effectiveness. The implications for counsellor selection and training are discussed, and suggestions are made for further research on this topic.     

Connectionist Modelling of Word Recognition

Connectionist models offer concretemechanisms for cognitive processes. When these modelsmimic the performance of human subjects theycan offer insights into the computationswhich might underlie human cognition. We illustratethis with the performance of a recurrentconnectionist network which produces the meaningof words in response to their spellingpattern. It mimics a paradoxical pattern oferrors produced by people trying to read degradedwords. The reason why the network produces thesurprising error pattern lies in the nature ofthe attractors which it develops as it learns tomap spelling patterns to semantics. The keyrole of attractor structure in the successfulsimulation suggests that the normal adult semanticreading route may involve attractor dynamics, andthus the paradoxical error pattern isexplained.