Information search and presentation in advisor–client interactions

When making a decision, people often search for more information supporting than conflicting with their preferred alternative. This can be counterproductive because potential risks and liabilities of the intended decision may be overlooked. However, when confronted with a decision problem, people often turn to advisors for help. We examined what kind of information advisors search for when confronted with a client’s decision problem and what information they present to their clients. Experiment 1 suggested that advisors (participants in the role of travel agents or friends) conducted a more balanced information search than personal decision-makers. However, when presenting information to their client, mock travel agents passed on more information supporting their recommendation than conflicting with it, whereas friends presented information in a balanced way. Experiment 2 replicated the balanced information search of advisors and suggested that this effect was partly mediated by the advisors’ increased accuracy motivation. Practical and theoretical implications are discussed.     

Life space mapping: Preliminary results from the development of a new method for investigating counselling outcomes

Counselling outcomes are often measured in terms of standardised questionnaires. Though efficient for large numbers of participants, this method cannot capture the unique and subtle ‘shifts’ that clients often report when qualitative methods are utilised. Further, such questionnaires usually focus on the individual, missing the wider social implications of therapy. This paper presents the preliminary findings from a study that utilises the client's own perceptions of changes in their “Life Space” to establish the significance of their change process. These results are compared and contrasted with a standard outcome questionnaire and the participant's experiences of using the two methods are explored.     

Promising New Developments in the Therapist–Client Relationship: A Philosophy of Science Review and Preview

Two questions were central: What are the current and what were the past new developments in the therapist–client relationship? By means of a “philosophy of science analysis,” what principles may be taken as helping to account for these new developments? Nine principles were identified in a review, including the articles in the present theme issue of the journal. The proposal and invitation are to use these nine principles to generate further, future, promising new developments in the therapist–client relationship.     

Beyond beliefs: Challenging obsessive thoughts and compulsive behaviours within a collaborative counselling relationship

Three clients with obsessive‐compulsive disorder were studied using a multiple case study approach. Clients' experiences of cognitive‐behavioural therapy, in particular the impact of having their beliefs challenged, and their responses to self‐monitoring tasks and behavioural experiments were investigated. Data included case notes made during therapy, pre‐ and post‐therapy questionnaires, and post‐therapy semi‐structured interviews. Qualitative analysis of the data identified clients' obsessive beliefs, general negative beliefs and meta‐cognitive beliefs, and explored any post‐therapy changes in these beliefs. The results demonstrated similarities between cases in obsessive beliefs (e.g. inflated responsibility for harm), general negative beliefs (e.g. feelings of failure), meta‐cognitive beliefs (e.g. the need to control thoughts) and affect (e.g. guilt). Questionnaire data from all three clients suggested no clinically significant post‐therapy changes in general negative beliefs and meta‐cognitive beliefs. However, idiosyncratic changes in obsessive beliefs were reported during therapy and at post‐therapy interview, and clients reported improved functioning and decreased levels of distress during therapy and at interview. Responses to challenge were uniformly positive, but reactions to self‐monitoring and behavioural experiments varied across cases. The implications of these findings for the treatment of obsessive‐compulsive disorder using cognitive behavioural techniques are discussed.     

An investigation into the client at the heart of therapy

This paper reports on an exploration of the experience of the client at the heart of therapy. A grounded theory analysis of clients' experiences of therapy provided through a voluntary sector counselling service was undertaken, and generated four main categories: permission, engagement, transparency and restructuring. The results of the study are presented in a way that hopefully retains much of the richness of what people have reported about their experience of counselling. The findings of the study are discussed in terms of the idea that counselling can provide a setting where people can have common therapeutic requirements met.     

Beyond resolution of presenting issues: Clients' experiences of an in‐house police counselling service

The availability of counselling services for employees has expanded significantly in recent years. However, despite an increase in appreciation of the value of counselling within the police service, there has been little research into the effectiveness of counselling with police personnel. The present study assesses an in‐house counselling service provided by the welfare and counselling department of a Scottish police force. Thirteen former clients (including both police officers and civilian support staff) were interviewed about their views on four areas of the counselling provision: how they entered counselling, the issues they brought, their experiences during counselling, and their assessment of the impact of counselling on their lives. Interviews were analysed using a grounded theory approach, which identified four main categories: initial engagement, learning by participating, experiencing moments of deep self‐examination, and moving beyond resolution of presenting problems. All of those who were interviewed appreciated the provision of a counselling service within their employment, and the majority reported that they had not only been helped to resolve their presenting problems, but had also made important gains in self‐awareness and work effectiveness. Findings are discussed in terms of implications for service delivery and future research.     

咨访关系中的客观与主观

咨访关系是种特殊的、动态的、治疗性的人际关系,咨访双方互为主体.其间,咨访双方探求的"客观真实",因时空情境、历史文化、价值观念和个体经验不同而各异.建构主义认为真实是多元的,而在涉及心理现象,尤其是心理咨询与治疗的咨访互动的人际关系过程时,实证主义也显得力不从心,使咨访关系中的主观与客观成为很有争议、有价值的探讨点.     

Potential negative consequences of mindfulness in the moral domain

Mindfulness is a state of paying conscious and nonjudgmental attention to present-moment experiences. Previous research relates this state to more effective emotion regulation and less emotion reactivity. We therefore hypothesized an attenuating effect of a mindfulness exercise on moral reactions that usually results from a bad conscience when having caused harm. Across five studies, we experimentally induced mindfulness via a short breathing exercise and then assessed harm-based moral reactions. As hypothesized, participants in the mindfulness (vs. control) exercise condition showed (i) attenuated repair intentions after having read a scenario in which participants caused harm to a friend (Study 3) and (ii) attenuated intentions to change harm-causing eating habits (Study 4). Results of Studies 1, 2 and 5 did not provide evidence for our hypothesis. A following meta-analysis across all five studies yielded an overall significant effect of mindfulness in the harm-condition, providing preliminary evidence for a potential downside to mindfulness.     

Trainee psychotherapy effectiveness at a psychodynamic training clinic: a practice-based study

The degree to which clinical experience is a significant factor in predicting positive psychotherapeutic outcomes is an open question. Empirical studies comparing experienced and beginning practitioners on differences in client outcomes have yielded mixed results. While multiple sources have indicated that trainees are generally effective therapists, few of these studies have examined the effectiveness of graduate-level therapists in a psychodynamic training program. In this study, conducted in the United States, we use a practice-based research approach to examine the outcomes of clients working with trainees at a community mental health clinic in the northeast United States. The theoretical orientation identified by the clinic and training program is psychodynamic with an interpersonal and/or relational emphasis. Results indicated that clients working with trainees at this clinic demonstrated improvement across several indicators of symptoms and psychosocial functioning over the time they received treatment. Implications for training and service reimbursement are discussed.