Facilitating the client's experience of relational depth in counselling and psychotherapy: A thematic review

Aim

There is increasing interest in relational depth and its relevance and benefits for clients receiving therapy in a number of different therapeutic orientations. This research set out to draw together the available evidence from a wide range of therapies about clients' experiences of relational depth. The aim was to identify approaches that create the conditions where relational depth is more likely to be facilitated. The research focused on clients' views, given the increasing emphasis on their experiences in therapy.

Methodology

A systematic search of papers published in English between January 1996 and September 2022 was conducted using EBSCO Host, Google Scholar and citation chaining. Twenty-seven papers met the inclusion criteria, and a thematic analysis was conducted on these papers.

Findings

Six themes were identified: (1) establishing dialogue with the client's inner world, (2) working with attachment in therapy, (3) responding sensitively to the client's beliefs and values, (4) deepening the client's understanding of the therapist, (5) addressing ruptures in therapy and (6) the client's role in meeting at relational depth.

Conclusion

Facilitating the client's experience of relational depth can support and enhance many aspects of therapeutic practice and in itself may contribute to healing. Therapists who offer warmth and genuine engagement are more able to build confidence and trust, as long as these conditions are received by their clients. It is the clients who ultimately decide whether or not to share their deepest feelings.     

Intracerebroventricular Administration of Mineralocorticoid Receptor Antisense Oligonucleotides Attenuates Salt Appetite in the Rat

The anterior ventral third ventricle (AV3V) region of the brain contains high concentrations of mineralocorticoid receptors (MR) and glucocorticoid receptors (GR) that are important in the maintenance of body fluid and electrolyte balance as well as other physiological processes. Daily intracerebroventricular pulse injections of MR antisense oligonucleotides significantly suppressed deoxycorticosterone acetate (DOCA) induced salt appetite in a dose-related manner. Similar administration of GR antisense or scrambled/sense oligonucleotide into the third ventricle failed to inhibit salt appetite. Salt appetite aroused after adrenalectomy was not suppressed by MR antisense oligonucleotide treatments but was suppressed by an antisense oligonucleotide directed against the angiotensin II AT1 receptor subtype. Receptor binding analysis demonstrated that MR and GR oligonucleotide treatments each reduced their respective receptor subtypes. Finally, although GR antisense oligonucleotide treatment was ineffective in suppressing DOCA-induced salt appetite, this treatment did increase stress induced corticosterone release as well as delayed the recovery of corticosterone to basal levels after stress.     

Inhibition and aging: similarities between younger and older adults as revealed by the processing of unattended auditory information

The ability to selectively attend to an auditory stimulus appears to decline with age and may result from losses in the ability to inhibit the processing of irrelevant stimuli (i.e., the inhibitory deficit hypothesis; L. Hasher & R. T. Zacks, 1988). It is also possible that declines in the ability to selectively attend are a result of age-related hearing losses. Three experiments examined whether older and younger adults differed in their ability to inhibit the processing of distracting stimuli when the listening situation was adjusted to correct for individual differences in hearing. In all 3 experiments, younger and older adults were equally affected by irrelevant stimuli, unattended stimuli, or both. The implications for auditory attention research and for possible differences between auditory and visual processing are discussed.     

Managing data entry of a large-scale interview project with optical scanning hardware and software

A hardware and software system for the cost-effective preparation of interview data is described. Scantron optical scanning hardware and DataBlocks software were used to prepare ASCII data files from structured interviews and questionnaires. These data were then edited for analysis with SPSS-X Data Entry software. Three different processes for preparing interview data were compared. Time, personnel, hardware, and software costs were projected for each process, as well as comparative risks to the integrity of data. A scanning procedure saves time and money, and it reduces the risk of errors.     

The structure and function of social support networks in families with handicapped children

Three structural characteristics of social support networks (size, density, and boundary density) and two relationship characteristics (reciprocity and dimensionality) were assessed in a sample of 56 families with a child with spina bifida and 53 matched comparison families. The results indicate that social networks of families with handicapped children tended to be smaller than the networks of comparison families, particularly with regard to mothers' total and friendship networks. The networks of families with handicapped children were more dense as well. As predicted, there was greater boundary density in spousal networks in families with handicapped children. Differences in network reciprocity were inconclusive while the results indicate that families with handicapped children tended to rely more heavily upon multidimensional network contacts than did comparison families. The results are discussed in light of our understanding of stress, social support, and the social ecological context of families.     

Energetic Cost and Stability During Human Walking at the Preferred Stride Velocity

The possibility that preferred modes of locomotion emerge from dynamical and optimality constraints and the energetic and dynamical constraints on preferred and predicted walking frequency are explored in this article. Participants were required to walk on a treadmill at their preferred frequency, at a frequency predicted as the resonance of a hybrid pendulum-spring model of the legs, and at frequencies +/-15%, +/-25%, +/-35% of the predicted frequency. Walking at the preferred and predicted frequencies resulted in minimal metabolic costs and maximal stability of the head and joint actions. Mechanical energy conservation was constant across conditions. The head was more stable than the joints. The joints appeared to be in service of the head in maintaining a stable trajectory. The major findings of this study suggest a complementary relationship between energetic (physiological) and stability constraints in the adoption of a preferred frequency of walking. Multiple subsystems may be involved in constraining observed macroscopic behavior in intact biological systems. The approach and results of the study imply that a useful tack in understanding how dynamical control structures arise is to study the potential criteria that serve to act as constraints on skilled movement patterns in unimpaired and impaired populations.     

College Freshman Performance: Summer Entrants vs. Fall Entrants

Entering college students and their advisors—high school and college personnel—frequently assert that the student will do better academically by entering college during the summer term rather than during the fall term with its many extracurricular activities. Comparing the academic performances over the first two quarters of 320 summer quarter entrants with 320 fall quarter entrants at the University of Tennessee yielded no significant differences for season entered. The ACT composite score for each student was held constant by using analysis of covariance. Significant differences for year entered—1962 or 1963—were apparently a function of the lack of reliability in grading practices. The academic performance of entering students did not benefit from summer quarter entrance.     

Comparing dependent correlations

In a recent article in The Journal of General Psychology, J. B. Hittner, K. May, and N. C. Silver (2003) described their investigation of several methods for comparing dependent correlations and found that all can be unsatisfactory, in terms of Type I errors, even with a sample size of 300. More precisely, when researchers test at the .05 level, the actual Type I error probability can exceed .10. The authors of this article extended J. B. Hittner et al.'s research by considering a variety of alternative methods. They found 3 that avoid inflating the Type I error rate above the nominal level. However, a Monte Carlo simulation demonstrated that when the underlying distribution of scores violated the assumption of normality, 2 of these methods had relatively low power and had actual Type I error rates well below the nominal level. The authors report comparisons with E. J. Williams' (1959) method.     

Social Movements and Party Politics: The Case of the Christian Right

This paper explores the uneasy relationship between social movements and major political parties by considering the case of the Christian Right and the Republican Party in the 1994 elections. We look at four states where the movement was active in party politics and where Republican electoral fortunes varied from failure to success. We found that the degree of intraparty division generated by the Christian Right seemed to hurt Republicans at the polls, but the level of movement activity in itself apparently helped the Republicans. Most factors associated with support for the Christian Right did not help account for electoral outcomes across the states. Instead, the accessibility of the political party nomination processes to the movement best accounted for the election results: greater party openness was associated with poor results and more limited access with greater success for the GOP.