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.     

Process or protocol,hearts or minds?

This paper looks at the split between affective/experiential and cognitive/theoretical learning in therapeutic trainings and how trainings linked to either educational or independent institutes are in danger of not only mirroring this split, but acting it out. It is suggested that this dichotomy goes to the heart of the profession not least in the issue of how therapeutic change comes about. It is suggested that an integration of ‘knowledge’ and ‘experience’ is required in the training of reflective practitioners and that this can only be achieved through an ongoing dialogue between those involved in training clinicians.     

Relational spirituality,differentiation of self,and virtue as predictors of intercultural development

The present study tested the relationships between spirituality, differentiation of self (DoS), virtue (gratitude and forgiveness), and intercultural development among graduate trainees in the helping professions. A relational model of spiritual dwelling and seeking and the Developmental Model of Intercultural Sensitivity were used to conceptualise the study. Data were collected in a sample (N?=?174) of graduate students in counselling psychology, marriage and family therapy, ministry professions, and theology at a Protestant-affiliated university. Results supported the hypotheses that quest religiosity, DoS, and gratitude would be positively associated with intercultural development and spiritual grandiosity would be negatively associated with intercultural development. Intrinsic religiosity was not related to intercultural development. DoS mediated the relationship between gratitude and intercultural development. Contrary to hypotheses, forgiveness was largely uncorrelated with intercultural development. Implications are considered for training in intercultural competence, particularly with highly religious trainees.     

Merging Professional Training and Community Engagement Agendas: A Case Study

This case study explored the emancipatory foundations of community work through a schools-based peer support intervention. We use a case study approach to describe the context in which the intervention was developed, its emancipatory theoretical foundations, and the project's implementation components and process. The findings suggest that reflexivity is a useful tool for community engagement and for articulating tensions that arise in the enactment of community participation, empowerment and conscientisation. The intervention presented a unique opportunity to reflect on the operationalisation of theoretical concepts in community psychology, and to train professional psychologists for reflexive community work.     

Structural Effects of Poverty on Children

This paper evaluates the perceived benefit to a group of thirty caring professionals of a brief training in Child-centred play therapy. Play therapy enables a child to create fictional worlds and in this way make sense of the real world. By playing in the presence of the therapist, who provides a trusting relationship and at times shares the play, the child is able to obtain relief from the negative effects of distress, sadness, anger or shame. All course participants had adult counsellor qualifications and worked with vulnerable children (n= 25, age range = 56, mean years of experience = 10). The course was delivered in Nairobi, Kenya, East Africa via theory presentations; case presentations; practical skills demonstrations and instruction with tutor feedback and self-development awareness group teaching methods. Questionnaires provided qualitative data for consideration and analysis. Key findings included: pre-training prevalent feelings of inadequacy to meet the therapeutic needs of vulnerable children using adult style counselling; post-training perceived raised awareness of the therapeutic power of play with positive impact on professional and personal lives; perceived increase in therapeutic play skills and increased ease in establishing therapeutic rapport. Training was largely beneficial increasing the confidence, knowledge and skills of the course participants.     

Community Psychology Doctoral Theses: A South African University Case Study

The present investigation analysed the Community Psychology doctoral thesis trends with respect to student demographics, thesis topics, research methodology, research participant demographics, rural/urban focus, community empowerment focus, and programme development and evaluation at one institution. Of the 51 students who completed the course, 45.1% were Educational Psychologists, 33.3% Clinical Psychologists and 21.6% Counselling Psychologists. Self-help programmes, school-based programmes and non-professional-help programmes predominated. Of the 51 theses, seven addressed HIV and AIDS and one studied sexual violence. The majority used qualitative methodologies, and focused on adults. Only 11.8% focused specifically on rural communities, while 74.5% included community empowerment, 62.7% were programme evaluations.     

Internal state of emergency – working with an international student suffering from trauma in a student counselling service

In this paper I look at the suicidal state of mind of an international student who comes from a country at war and has been traumatized by a violent event. The student is tortured by an internal dilemma surrounding unbearable feelings of guilt and shame that arise when she leaves her home country to study abroad. Her dilemma or survivor guilt triggers an internal contract with herself, whereby she is internally persecuted when she makes an attachment to the university and her course. I suggest that an individual in this state of mind, suffering from post-traumatic stress, has regressed to a primary state of unintegration where the self is at the mercy of psychotic anxieties and the student is at risk of suicide. It is suggested that a safety net made up of the student services and the wider health service can provide a symbolic or mental space and containment for the student's state of mind until she can function as a student.     

Time-limited counselling

Abstract

This paper introduces a new synthesis of approaches to time-limited psychodynamic counselling, giving an account of some of its antecedents and of some of the values which underlie therapeutic effectiveness.

It offers a discussion of the impetus which may be obtained by facilitating the client in working towards a positive outcome which is clearly identifiable. Two time-limited counsellings are then described, in which the underlying conflicts, surrounding loss in the first and impaired trust in the second, are seen to emerge. Finally, some ethical issues are raised and the effects of the planned ending on the client's unconscious process are described.

Mental health, in the humanistic sense, is characterized by the ability to love and to create, by the emergence from the incestuous ties to family and to nature, by a sense of identity based on one's experience of self as the subject and agent of one's powers, by the grasp of reality inside and outside of ourselves, that is by the development of objectivity and reason.     

Psychoanalysis and Social Work

Abstract

This paper traces the close relationship between psychoanalysis and social work after Freudian theory's dramatic impact on social work practice in the 1920s. It shows how revisions and expansion of psychoanalytic theory beyond its traditional base influenced clinical work during later decades until the 1960s, when society turned its attention to macrosystems intervention and other theoretical frameworks and practice models. The paper considers the impact of this change in emphasis on clinicians, direct practice, and schools of social work. Although it describes the resurgence of direct practice that occurred in the 1970s and 1980s, it discusses the reasons for the greatly diminished role of psychoanalytic theories in social work curricula. It concludes that there is little reason for optimism about psychoanalysis regaining a prominent position within the profession at the present time and comments on some implications of this state of affairs for those committed to advanced clinical training.     

Minimum Competency Testing of the Handicapped: A Review of Legal Challenges

The article reviews recent litigation involving minimum competency testing of the handicapped with regard to both constitutional and statutory challenges. Court decisions indicate that handicapped students will be required to pass state mandated competency tests as long as adequate notice of the test as a graduation requirement is provided. The importance of the Individualized Education Program, as well as implications for education and counseling of the handicapped, are discussed.