Examining the role and functions of self-development in healthcare therapy trainings: A review of the literature with a modest proposal for the use of learning agreements

Many healthcare trainings with a psychodynamic orientation encourage or require students to commit to a process of personal development, such as provided through attending individual psychotherapy and/or an experiential ‘as if therapy’ group. This paper reviews recent literature about training in psychodynamically oriented practices within counselling psychotherapy, psychiatry, the creative arts therapies and clinical psychology. The results indicate that the mandatory personal development dimension of therapy training needs urgent reassessment. Results of studies consistently call for further research about the direct benefits of personal development on students’ development of skills for therapy practice. There is minimal evidence to indicate what self-development through individual psychotherapy can specifically deliver in terms of eventual professional competence. To address some aspects of the current lacuna, this paper summarises the recommendations for training programmes available from the current research, and makes a modest proposal for the use of learning agreements, rather than only mandated hurdle requirements, to ensure that the incremental steps by which the student attains expected requirements is negotiated and agreed within regularised, and widely accepted university course procedures.     

Book Review

Experienced military air traffic controllers (25 respondents, males = 15, females = 10, years of experience = less than one year = 5 respondents, more than one year but less than three years = 11 respondents and more than three years = 9 respondents) participated in this study to determine whether self-directed team learning exists within their air traffic control teams and to understand the impact of self-directed team learning on the air traffic control work environment. Data on self-directed team learning and learning approaches were collected using a Self-directed Team Learning Questionnaire (SDTLQ) and a Learning Approaches Questionnaire (LAQ). These data were analysed using an inductive reasoning mode for qualitative data analysis and quantitative data analysis followed a supporting deductive reasoning mode. Triangulation as a technique was used to determine whether multiple sources of data agreed and to obtain better, cross-checked insights (Burgess, 1985). Results revealed that these air traffic controllers and air traffic control teams investigated in the study do indeed function within self-directed working, training and learning environments. The quality of team performance was influenced by self-directed team learning initiatives. Furthermore, the quality of self-directed team learning relied upon the effectiveness of air traffic control team performances.     

A Rogerian Perspective on Empathic Patterns in Southern African Healing

This article offers a reflective comment on the topics presented in this special issue. These topics address the concept of community psychology from various perspectives presented in three thematic categories: The states and form of community psychology; the application of community psychology to vulnerable groups and the concept of service delivery and methodologies. The author highlights trends gleaned from the articles, implicitly or explicitly—that of the efficacy of community psychology as a credible branch of psychology, changes needed in training programmes and the idea of the circularity that is community which exists because of the individual who exists because of community.     

Make the manikin move: Symbolic approach–avoidance responses affect implicit and explicit face evaluations

The present research aimed to replicate and extend findings of Huijding, Muris, Lester, Field, and Joosse (2011), investigating whether symbolic approach–avoidance responses can induce implicit and explicit evaluation biases. Faces with a neutral expression were shown on a computer screen, and participants were instructed to repeatedly move a manikin towards some faces (approach) and away from other faces (avoidance). An affective priming task and a face rating task were used to assess training-compatible differences in implicit and explicit face evaluations, respectively. Results showed that the manikin training was successful: The priming task revealed more positive implicit evaluations of approached than avoided faces, and approached faces were rated more positively than avoided ones in the face rating task. These findings replicate those of Huijding and colleagues by demonstrating training effects on explicit evaluations, and they extend them by demonstrating effects on implicit evaluations.     

Transformations in Therapeutic Practice

In her training of therapists, Virginia Satir sought to change the way her trainees perceived themselves, their clients, and the therapeutic endeavor. The change she sought was a movement from hierarchical models of therapy where clients were diagnosed in terms of paradigms of how they ought to be to an organic model where the therapist attempts to understand the client by entering the client's internal context. Contemporary training in the Satir model attempts to bring about the same change. Research indicates that the trainers are succeeding.     

Drivers’ illusions––no more risk

In this invited address to the International Congress of Applied Psychology, it is argued that traffic psychology has not had a major impact on accident prevention. The factors that have determined this are discussed. A review of the theories and models pertinent to drivers’ risk taking and road user behaviour in general is presented. It is argued that both risk-homeostasis theories and task capability model are not sufficiently precise to be used as a basis for preventive measures. Attitude–behaviour models derived from social psychology have proved to be powerful in identifying motivational factors influencing road user behaviour, but the majority of empirical evidence is based on self-reported rather than observed behaviour. It is argued that individual differences can provide a basis for accident prevention, in particular driver training.     

培训迁移效果影响因素的初步研究

本研究通过访谈、问卷调查和现场研究等多种方法,考察了中学教师在接受一种新的教学方法培训后。组织气氛和个人特征对其迁移行为的影响。如果发现：(1)受训者对迁移气氛的知觉直接影响迁移行为发生的次数。(2)受训者对训练内容实用性的看法是影响迁移行为发生的重要环境因素,而受训者对训练内容实用性的看法会受到零反馈、自己的灵活性和自我效能的影响。(3)领导有无反馈、时间支持和同事支持等因素是区分培训迁移气氛类型的关键指标。     

Double bind: An essay on counselling training

Gerard Egan's problem management and opportunity development model is currently in use training prospective counsellors, social workers, nurses, managers, etc. the skills of helping. This essay attempts, experimentally, to depict in three different ways Egan's work and its relationship to operations of power: (1) from a relatively uncritical stance, (2) from a personal experience stance, and (3) from a social constructionist perspective. The whole piece, taken together, attempts to tackle the issue of theory as practice — to ground/unmask/make present the ways in which we are socialised into a profession and the problems inherent in that process. Two themes run through the work: the double bind created for a student on a counselling course which makes some claim to train around Rogers' core conditions, and which is also assessed/accredited; the connections between theory, training and practices.     

Mind, Self, and Personality: Dynamic Interactions from Late Childhood to Early Adulthood

This paper aims to integrate research on mind, personality, and self-development using a general model which hypothesizes that mind and personality are organized in 3 levels. The first level includes environment-oriented, domain-specific systems that specialize in the representation of and interaction with particular types of relationships in the environment in both the cognitive and the social realms. The second level comprises self-oriented monitoring and representation processes that build maps of the environment-oriented systems. Self and identity derive from the interaction between these 2 levels, which is subject to the constraints and the system's processing capacity at the successive ages. These constraints may be taken as the third level of the self. Efficiency in overcoming these constraints is determined by the self-oriented processes, generating feelings and self-representations of self-worth. These feelings are idiosyncratic, and function as a personal constant, which is applied on self-evaluation and self-representations. This constant is rescaled and differentiated with development. Thus, we have simultaneously both modular and transmodular constructs in the mind and the self, which change with relative independence of each other under the constraints of the general processing capabilities and the personal constant. A series of studies are presented to support this model, and its implications for life-span theories of development are discussed.     

How do counsellors make client assessments?

This paper reports on a consultation exercise undertaken with 18 experienced counsellors on how they make client assessments. These practitioners expressed a high degree of consensus on the purposes of assessment making (to reach a shared understanding with the client about their willingness and ability to undertake a shared therapeutic journey) but the way in which they approached the task varied according to the theoretical orientation they acquired during training. Although most had developed their counselling skills and techniques considerably since initial training, not all had integrated the assessment implications of later experience into their formulation making. The implications of combining single model assessment with eclectic practice are discussed, particularly in relation to making a decision to continue working with a client or to refer a client to a colleague. The authors call for further debate on how counsellors find meaning in what their clients say, why they ask the questions they do at the assessment stage, and how they achieve coherence in relation to ideas and skills accrued through ongoing training and practice. The implications of such a debate for training and supervision are discussed.