An initial study of transgender people's experiences of seeking and receiving counselling or psychotherapy in the UK

Background: There are no published empirical research studies exploring transgender people's experiences of seeking and receiving counselling or psychotherapy outside of gender identity clinics within the UK. As a result, counsellors know little about why transgender people seek counselling, who they seek counselling from, and what their experiences are of receiving counselling. Aim: To address this gap in the literature, this study investigated transgender people's experiences of seeking and receiving counselling or psychotherapy outside of gender identity clinics within the UK. Funding for this study was provided by a BACP Seedcorn grant. Method: A mixed method small‐scale qualitative research design was employed, comprising an online survey and five semi‐structured interviews. Findings: Participants tended to seek counselling on two or more occasions and received between 2 and 12 sessions. Participants sought counselling for common psychological concerns as well as gender identity and coming out issues. A fear of being discriminated against and exploring gender for the first time were significant barriers in seeking help. Participants reported mixed experiences of counselling but valued a therapeutic relationship in which they felt affirmed, listened to and understood. Discussion: The findings from this study mirror aspects of previous research conducted in the USA concerning transgender clients' experiences of counselling. However, these findings point to the importance of recognising the potential vulnerability transgender clients experience when seeking counselling and the need for therapists to develop greater awareness, knowledge and competence regarding working with transgender clients.     

Sleep experiences,dissociation, imaginal experiences,and schizotypy: The role of context

Watson (2001) reported moderate correlations between the Iowa Sleep Experience Survey (ISES) and self-report measures of dissociation and schizotypy. Subsequent investigations (Fassler, Knox, & Lynn, 2003; Watson, 2003) reported similar, although somewhat more modest, correlations between the ISES and measures of dissociation and schizotypy, as well as with measures of absorption and negative affect. The present study tested subjects in conditions in which the measures of sleep experiences were administered with other measures in either the same (N = 86) or a different (N = 87) test context. We determined that sleep experiences were associated with measures of dissociation, absorption, and schizotypy. We closely replicated Watson (2001) and found that the ISES correlations with other measures were not affected by the test context. We suggest that Watson’s (2001) hypothesized common domain of unusual cognitive and perceptual experiences (e.g., sleep experiences) may be underpinned by common ties to imaginative experiences.     

儿童的同伴交往与孤独感:一项2年纵向研究

用提名法和问卷法对小学的3、4年级274名儿童进行两年追踪调查,采用交叉滞后设计,考察了同伴交往4个特征水平上的变量与孤独感的相互预测关系。结果发现：（1）自我报告的同伴交往变量——友谊质量和社交自我知觉与孤独感之间的交叉滞后效应显著;而同伴评定的同伴交往变量——积极提名、消极提名、受同伴欺负、消极退缩与孤独感之间的交叉滞后效应不显著;另外,前测的互选朋友数能显著负向预测后测的孤独感,前测的孤独感不能显著预测后测的互选朋友数。（2）在排除了早期其它变量的效应之后,积极提名分、消极提名分、受同伴欺负得分、消极退缩得分、互选朋友数在两年之间仍然呈现出高度的稳定性;友谊质量和社交自我知觉以及孤独感则表现出中等程度的稳定性     

A qualitative study of client experiences of working with novice counsellors

Aims: This paper reports on a qualitative analysis of written accounts by clients who participated in a counselling relationship with beginning-level trainees. The purpose of the study was to explore how clients experience the process of counselling with novice practitioners. Method: Consensual qualitative research was used for data analysis. Findings: Three general thematic categories were identified – client perceptions of self in counselling; client perceptions of the counsellor; and client perception of the counselling process. Conclusions: Overall, the findings suggest that these clients saw the interpersonal qualities and skills of the counsellor as major contributors to their experience. Implications: Clinical training of novices should start by developing the interpersonal and collaborative skills of trainees.     

Revelation,delusion or disillusion: subjective interpretation of religious and spiritual experiences in bipolar disorder

The objective of this study is to explore the interpretation of religious and spiritual experiences during mania, depression and recovery, from the perspective of bipolar clients and to inquire into their expectations of treatment in relation to these experiences. For this purpose, a qualitative pilot study is designed, which includes interviews with 10 outpatients of Altrecht, a Dutch mental health institution. The meaning of religious and spiritual experiences and the question of their authenticity proved to be an important theme for the participants. The support of spirituality for illness management was brought to the fore, as well as the temporary lack of this support during depression by some participants. Participants considered it desirable that more attention be paid to the topic during treatment, and to establish better cooperation between spiritual counsellors of the institution and other professionals. Thus, a more existential or hermeneutical approach towards religious experiences in relation to bipolar disorder would be a desirable contribution to standard treatment. The exact outlines of such an approach demand more empirical research.     

Qualitative Exploration of the Experiences and Challenges of Adolescents during Pregnancy

This study explores and describes the experiences and challenges of pregnant adolescents (N = 9, mean age = 16.33 years, SD = 1.58 years) by focusing on their thoughts and feelings about their pregnancies and future prospects. The expectant mothers were in their in their second and third trimester of pregnancy. All participants were poor working-class Black South Africans from different ethnic groups. Two were Tsonga, three Zulu and four Tswana speakers. Data were collected using semistructured interviews and analysed using thematic content analysis. Findings suggest that family relationships after disclosure of the pregnancy were strained, particularly the father-daughter relationship. The teens expressed unpreparedness for the challenges of motherhood, uncertainty about the future and feelings of anger, regret and anxiety.     

Cancer Patients' Illness Experiences During a Group Intervention

The study used secondary data analysis to explore cancer patients' illness experiences during a listening group intervention. Participants were 12 patients (age range 22 to 62 years in age; males = 4; females = 8). Data were analysed using qualitative content analysis. Analysis of the data yielded twelve prevalent themes namely, support, perspectives and experiences in medical context, perspectives on life and death, emotional experiences, religiosity, role of knowledge and information pertaining to cancer, finances, concern for others, loss, desire for survival, humour, and physical symptoms. A framework suggesting possible moderating factors that could influence cancer patients' illness experiences and outcomes are proposed. The results of the study emphasise how stressful and complex living with cancer can be. However, many cancer patients developed alternative perspectives on life which also seem to bring about personal growth. It is suggested that further research regarding the development of a survivorship care programme within the South African context be undertaken.     

Narrative-Based Responses: Discrepant Experiences in Research among the ‡Khomani San

In this article data on narrative-based responses by two female ?Khomani San community members were used to explore the presence of life design issues contained in that data. Data were analyzed thematically for discrepant experiences (Said, 2001). Findings suggest the ?Khomani San members used small stories to construct relevant aspects of their lives. The small stories converged into a larger identity narrative. Narrative-based approaches are useful with interviews with historically disadvantaged indigenous people.     

Sense of agency over speech and proneness to auditory hallucinations: The reality-monitoring paradigm

This study investigated the effects of imagining speaking aloud, sensorimotor feedback, and auditory feedback on respondents' reports of having spoken aloud and examined the relationship between responses to “spoken aloud” in the reality-monitoring task and the sense of agency over speech. After speaking aloud, lip-synching, or imagining speaking, participants were asked whether each word had actually been spoken. The number of endorsements of “spoken aloud” was higher for words spoken aloud than for those lip-synched and higher for words lip-synched than for those imagined as having been spoken aloud. When participants were prevented by white noise from receiving auditory feedback, the discriminability of words spoken aloud decreased, and when auditory feedback was altered, reports of having spoken aloud decreased even though participants had actually done so. It was also found that those who have had auditory hallucination-like experiences were less able than were those without such experiences to discriminate the words spoken aloud, suggesting that endorsements of having “spoken aloud” in the reality-monitoring task reflected a sense of agency over speech. These results were explained in terms of the source-monitoring framework, and we proposed a revised forward model of speech in order to investigate auditory hallucinations.     

Licking and liking: The assessment of hedonic responses in rodents

Affective processes are a key determinant of behaviour: At its simplest, liked stimuli are approached while disliked stimuli are avoided. Although assessing hedonic responses in nonverbal animals can be difficult, one relatively tractable approach relies on detailed analyses of rodents' consummatory behaviour. Rodents typically produce rhythmic sets of licks that can be grouped into clusters on the basis of the intervals between licks. The mean number of licks in a cluster (cluster size) is directly related to the concentration of palatable and unpalatable solutions. These relationships suggest that lick cluster size might be a useful index of an animal's hedonic reaction to the solution being consumed. I begin by reviewing studies of conditioned flavour preference and aversion that support the idea that lick cluster size can provide useful information about rats' hedonic reactions. I then describe how this methodology has been used to address previously intractable issues in the investigation of contrast effects as well as revealing an analogue of effort justification effects that, in humans, are commonly explained in terms of cognitive dissonance reduction. Finally, I consider how lick analysis might provide information about hedonic responses in animal models of human psychiatric disorders. In all these cases, how an animal did something was particularly informative about why it was doing it.