A thematic analysis of young people's experience of counselling in five secondary schools in the UK

Aim: To investigate young people's views on the effects of school‐based counselling, and what they found helpful and unhelpful. Method: Eleven semi‐structured interviews were conducted and thematically analysed. Findings: Participants expressed predominantly positive views of school‐based counselling with changes in three main domains: emotional, interpersonal and behavioural. Participants viewed these changes as having had an important effect on their lives. The most commonly cited helpful aspects of counselling were related to talking or getting things out, and counsellor qualities. Conclusions: School‐based counselling is viewed positively by those who have experienced it, and appears to be an appropriate and valuable intervention for young people.     

The uses of humor in life,neurosis and in psychotherapy: Part 2

Abstract

The first part of the paper focused on the dynamics of wit in life, literature, and psychoanalysis; the second part of this paper is devoted to the use of humor in therapy. The central concept is Freud's psychoanalytic method, as distinguished from Freud's various theories of disorder, or neurosis, with a further elaboration of Freud's inherently interpersonal conception of the analytic process, already present in the cathartic phase of the therapeutic technique. The cathartic, or discharge, function of humor is connected to reciprocal free association (a term coined by the author) to define the mutual and reciprocal free association in analysand and analyst, playing an essential role in the genesis of insight and interpretation. Humor has its role in loosening repression, facilitating the emergence of unconscious emotions and ideas, bringing to light character defenses, and thus driving the process of analysis.     

Recovering Selves

SUMMARY

This is an ethnographic study of a therapeutic-community drug treatment program comprised of mostly court-mandated clients. It explores how women interact with treatment practices and the language of recovery. I argue that deep and inherent contradictions exist between treatment practice and the needs of drug-using women. In particular I investigate the gender and race implications of drug treatment as a moral project aimed at self-reinvention. I also examine tensions between normalizing power and punishment in the therapeutic community. Treatment is analyzed in the therapeutic community as reflective of broader cultural and neoliberal values that privilege notions of family, community, and responsibility. I claim that the treatment ideal of the self-reliant, active citizen is profoundly problematic for women and mothers     

The way of authenticity and the quest for personal integrity1,2

The author reviews the respective conceptions of authenticity proposed by the existentialist philosophers, Fredrich Nietzsche and Martin Heidegger, each of whom situate it in the inherent difficulty of resisting the herd instinct in one's interpersonal relationships, then sets out to show how, despite the absence of authenticity as a technical term in the psychoanalytic lexicon, the technical principles of psychoanalysis enumerated by Freud are compatible with the views of both Nietzsche and Heidegger. The author then gives examples of other psychoanalytic authors who similarly embrace the spirit of authentic relating in their conception of the clinical situation, including the work of D. W. Winnicott, Wilfred Bion, and Jacques Lacan. The author concludes that in the psychoanalytic context the imposition and experience of suffering are invaluable components of authenticity and therapeutic change.     

Book Review

This article is based on Ulkuniemi's key-note lecture in the Congress of Photo Therapy and Therapeutic Photography. The lecture dealt mainly with the history of family photography and the uses of family photographs in art education. Here Ulkuniemi has put her ideas in dialogue with some of the themes presented in the Special Issue (11.1) of European Journal of Psychotherapy and Counselling. Thus this article also serves as a commentary to some of the texts in this journal. The main approach of this article is to offer some hints about possibilities for using photographs in therapy by giving practical examples from the field of art education and art – Ulkuniemi's own visual-pedagogical installations. Another aim is to offer a general view of how a family photograph is constructed. Ulkuniemi will ‘break the frames’ by showing the various factors existing outside the frames that have influence on the outcome of the picture.     

The fieldwork model: An anthropological perspective on the process of change in long-term psychoanalytic psychotherapy

The question of what takes place in the psychoanalytic consulting room, and whether it has any therapeutic effect on the patient, has consistently been behind various criticisms of the long-term psychoanalytically informed therapies. When it comes to goal-oriented talking therapies –the only ones favoured by the state mechanism – statistical proof of their efficacy is thought of as proof of their scientific value. However, disciplines such as social anthropology have consistently based their complex understanding of social phenomena in qualitative data. This article draws upon the anthropological fieldwork model. It also looks at how anthropological theory has evolved as a result of the increasing centrality of the fieldwork model and a gradual acceptance of the inter-subjective process. It aims to highlight how lived experience, the paradigm on which the fieldwork model is based, constitutes a highly effective way of understanding in depth the patient and the patient's history. Such understanding is in turn the main factor behind profound and lasting psychological change. It is argued here that psychotherapy research and practice could be enhanced by following the example of anthropological qualitative research.     

Multiple intelligences and the therapeutic alliance: Incorporating multiple intelligence theory and practice into counselling

Many of the main theoretical traditions in the sociology of the emotions have limitations in their explanations of the institutionalized styles of emotional work, of the menu of emotions available to be felt in particular settings, and of the causal processes by which particular emotions are elicited in those settings. A promising way forward is to apply neo-Durkheimian institutional theory, which also overcomes some of the limitations of Durkheim's own theory of the emotions. Central to this approach is the distinguishing of affect styles and the identification of styles of social organization that elicit these affect styles. The theory puts great weight on ritual, understood in the post-Goffman sense which encompasses quotidian everyday forms as well as grand public ceremonial, as the principal causal process by which forms of social organization produce certain emotions and styles of managing those emotions within ‘affect styles’. The latent social function, in this tradition, of the elicitation of affect is to be understood in terms of the conflictual and rival mobilization of accountability. The theory meets, the article argues, the four key criteria by which sociological theories of affect should be judged.     

The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed-eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.     

Action across emptiness

This paper examines how autism may affect the processing and containing of emotions and sensations. At the beginning of life we can hypothesise that the baby develops two means of processing experience: containment that involves a sensory and mimetic trace of relational experience (proto-containment) and containment which, through the α function and projective and introjective functions translates feelings into meaning (♀/♂). Both these means of processing emotional experience remain active throughout life but oscillate the one with the other. The main hypothesis of this work is that the autistic child is not able to oscillate between real containment (♀/♂) and a primitive form of proto-containment. The author aims to explore, through clinical material, the factors which may promote this oscillation. Autistic children often use non-verbal communication. The author examines how a particular type of action can cross the relational void in the therapeutic relationship through a process that can transform feelings of great distress in the analyst via acts that can be described as an Act of Faith, as described by Bion. This form of action that can cross the void is like an artistic performance.     

‘Only connect’ – a sexually abused girl's rediscovery of memory and meaning as she works towards the transition from a therapeutic community to a foster-family

This paper looks at the role of individual psychotherapy with a severely sexually abused girl in a therapeutic community, and the place of this work as she makes the transition into foster-care. It emphasizes the importance, not only of the individual work, but also of the drawing together of the work around the child, particularly at such a critical time. There is discussion of the ideas of ‘deadness’ versus ‘aliveness’ in the therapy, and detailed case material is used.