An extraordinary ordinariness

Counselling psychology in the UK has evolved from the disciplines of psychology, sociology and philosophy, but more slowly than its counterpart in the USA. Counselling psychologists, it is argued, have the skills and training to integrate good practice with rigorous research. Expertise in rigorous research methods, both quantitative and qualitative, and skill in identifying new paradigms, make the interface between practice and research in counselling psychology an especially fruitful area for study.     

Progressive triangulation in psychotherapy and the spiritual journey

Relationship triangles are usually considered symptomatic of family dysfunction in systems-oriented therapy, but they may also serve a progressive, transitional role in relationships. The author examines the phenomenon and function of “progressive” triangles in East and West spiritual traditions, and suggests that triangles comprising seeker, mediator, and higher power are common in both traditions, regardless of differing views of human nature. A progressive triangle in the therapeutic setting can be seen as a function of teleological transference, in which a seeker's spiritual aspirations are projected onto a mediator, who provides support and direction for its further realization. The implications of progressive triangulation and teleological transference in contemporary practice are discussed.     

Infertility: Couples' experiences and the use of counselling in treatment centres

Abstract

Infertility can have profound effects on couples, who may spend years in an increasingly stressful quest for conception; by law, counselling must be offered to those undergoing licensed treatments. This study found that such couples relied on their own partnership as their main resource for managing stress. Predominantly the partnership was organized in a psychological division of labour -the woman experiencing emotional pain, the man supporting and seeking positive solutions. Normally a functional joint defence, this could become a dysfunctional split under excessive stress. Where counselling was offered directly, with a couple approach, couples who took it up were enabled to re-establish their own defences more adaptively. However, where access to counselling was by clinical referral - often of a distressed woman partner alone - the couple approach was more difficult to apply though apparently no less relevant. The counsellor-clinician partnership could mirror the ‘division of labour’, with a similar tendency towards dysfunctional splitting under stress.     

A Relational Psychoanalytic Model for Case Management: A Literature Review

Abstract

Relationship building is critical in case management with the seriously mentally ill. A theoretical framework, such as relational psychoanalytic theory, with a strong integrative emphasis provides a structure for the complex interplay of internal and external factors/forces in case management. The purpose of this paper is to provide a literature review in the area of case management: relational psychoanalytic theory, relationship building and psychodynamic theory. The review concludes outlining the appropriateness of this theoretical framework for case management.     

Conscious and Unconscious Use of Self: The Evolution of a Process

Recent emphasis has been placed on the central role of the therapeutic relationship in successful treatment. One aspect of the development of an effective relationship is the clinical social worker's use of self. We argue that the use of self happens both consciously and unconsciously and is a dynamic and evolving process in psychotherapy. This evolution can result in the clinical social worker shifting from a stance of doing to being. Drawing from a Japanese tradition of learning, three stages of learning provide a framework for understanding how therapists may transition from a state of doing to being in the therapy. Through this process, the conscious use of self may develop into unconscious use of self. Two case examples demonstrate how expanding and using one's self-awareness and the new knowledge through meaningful learning experiences can shift a clinical social worker's ability to develop and enhance his or her use of self, inviting therapeutic presence and depth.     

Talking about Spirituality in the Clinical Setting: Can Being Professional Require Being Personal?

Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients and their families to productively engage in the decision-making process. First, patient-centered interviewing techniques can be employed to explore the patient's religious or spiritual beliefs and successfully translate them into choices. Second, and more radically, I suggest that in some more recalcitrant conflicts regarding treatment plans, resolution may require that clinicians become more involved, personally engaging in discussion and disclosure of religious and spiritual worldviews. I believe that both these approaches are supported by rich models of informed consent such as the transparency model and identify considerations and circumstances that can justify such personal disclosures. I conclude by offering some considerations for curbing potential unprofessional excesses or abuses in discussing spirituality and religion with patients.     

Cognitive Performance in Adolescence: Links With Early Maternal Stimulation and Children’s Anxious Behaviors

Abstract

This study tested a developmental model of cognitive performance in adolescence and explored potential mechanisms explaining the relations of early maternal stimulation and children’s anxious behaviors with adolescents’ cognitive performance. We utilized the NICHD SECCYD dataset (n?=?1,112). Measures included questionnaires, coded observations, and self-report measures from infancy to adolescence. Results revealed that children who experienced greater early maternal stimulation and less anxious behaviors had better cognitive performance at age 15. Children’s English self-efficacy, the quality of child–teacher relationships, and children’s behavioral classroom engagement in middle childhood mediated the relation between early maternal stimulation and adolescent cognitive performance. Identifying pathways from earlier maternal and children’s characteristics to children’s later cognitive performance is an important step toward further understanding why early precursors have a long lasting impact on cognitive performance, and has implications for educational settings.     

Johannes Scotus Erigena on Imagination

This study attempted to check, in an authoritarian culture, Ray's hypothesis that there is no relationship between authoritarian behavior and authoritarian attitudes. Scales measuring these two variables were administered to 38 white Afrikaans-speaking South African college men and women (average age 20.74 years). The correlation between the two scales was -.21 which is not significant. The results were therefore seen as a confirmation of Ray's hypothesis.     

When One Plus One Equals Three: The Role of Relationships and Context in Community Research

This paper explores the role of relationships within and between the community of the researchers and the community of the research participants, as they relate to qualitative, community psychology research. Although relationships are salient to all research, their role is particularly prominent in qualitative research, in which a closer rapport is established between researcher and research participant than in quantitative research, and the impact of both sides of this interaction on the research process is acknowledged. Instead of merely looking at the community and relationships of the participants, the usual focus of research, this paper also explores the often-overlooked community and relationships of the researchers and then goes on to look at the impact on the research process of the interaction of these two separate communities. This inside story, while seldom explicitly explored or articulated, has implications for community research in general and particularly for applied research.