Psychologists' and counsellors' perspectives on prolonged grief disorder and its inclusion in diagnostic manuals

Introduction: In this research, proposed criteria for what has been termed ‘Prolonged Grief Disorder’ (PGD) (more recently termed, ‘Persistent Complex Bereavement‐Related Disorder’ (PCB‐RD) in the proposed DSM‐V), were presented to psychologists and counsellors. Method: Participants were asked about their views on the ‘disorder’ and whether they considered its inclusion in diagnostic manuals was justified. A total of 185 participants, (147 psychologists, specialist and general, and 38 counsellors) responded to an online survey (part of a larger research project), concerning their attitudes, choices and activities regarding bereavement therapy. In this part of the research, therapists’ perspectives about pathological grief, the recognition of PGD and its inclusion in diagnostic manuals were explored. Fifty‐nine participants took the option of adding written remarks to the survey to expand on their opinions regarding PGD. Results/Conclusions: Tentative support for the inclusion of PGD in diagnostic manuals was given; however many therapists indicated considerable reservations about potential negative repercussions of using such a diagnosis. One‐way between‐groups analysis of variance was undertaken to determine whether participants' opinions varied according to main occupation or specialism; however, no significant difference was found. This research was conducted prior to the latest update to the proposed revision and diagnostic category concerning bereavement in the DSM‐5 of April 2012, but many observations and recommendations concerning PGD made by the therapists participating in this research can be seen to be applicable to PCB‐RD. Implications: The implications of this research for assessing and diagnosing grief, and ways of working with bereaved clients, are discussed.     

The effects of counsellor gender and problem type on help-seeking attitudes among Turkish high school students

The present study explores gender differences in help-seeking attitudes and the effects of counsellor gender and problem type on those attitudes among Turkish high school students. The Attitudes towards Seeking Help Scale and a survey instrument concerning related factors were administered to 342 adolescents. ANOVAs show that male and female students displayed different help-seeking attitudes. Females held much more positive help-seeking attitudes than did males. For females, neither counsellor gender, problem type nor their interaction affected help-seeking attitudes. By contrast, among males, the interaction of counsellor gender and problem type influenced total help-seeking attitudes as well as two of the subscales – psychological distress and confidence in mental health professionals. Limitations, suggestions for further research and implications are discussed.     

Does teaching a solution-focused model of counselling work? A follow-up of graduates

Objective: To explore the ways in which graduates of a university counsellor-education programme reflected on their career development, retained the programme's distinctive theoretical counselling model in their counselling practice and engaged in continuing professional development. The main aim was to discover whether or not teaching a solution-focused model of counselling was worthwhile. Method: A questionnaire, using primarily solution-focused type questions, was distributed to all graduates. Interest was focused on specific events, both inside and outside the training programme and beyond, that contributed to graduates' sense of development as counsellors. Results: Thirty four graduates (response rate 62%) provided responses indicating their recognition that their sense of competence and identification as professional counsellors develops over time, and is assisted by relevant feedback and supervision from lecturers and practical counselling experience. Graduates also indicated that their favoured working model was solution-focused and that, as a framework, it provided them with opportunities to integrate other counselling models and add complementary professional development education. Conclusion: The graduates' continued use of a solution-focused model supports the view that teaching the solution-focused model is working. The findings are considered alongside four models of counsellor development and implications for counsellor-education programmes are explored.     

The challenge of becoming an integrative counsellor: The trainee's perspective

Aim: Integrative therapeutic practice is commonplace within the UK. Counsellors and psychotherapists increasingly report working in this way and numerous training courses have developed which advocate such practice. Despite its popularity, researchers have paid little attention to the impact that such training has upon students. This study therefore explores newly qualified counsellors' reflections of undertaking professional training in integrative counselling. Design: Newly qualified counsellors were invited to take part in a focus group to discuss their training experiences. Two groups were held involving a total of seven people. The data generated was analysed using Grounded Theory. Findings: The core-category ‘The challenge of becoming an integrative counsellor’ was identified. Embedded within this were four sub-categories: (1) ‘training issues’, (2) ‘applied issues’, (3) ‘the development of an integrative theory and identity’, and (4) ‘the impact of integrative training post qualification’. Key findings include the willingness of trainees to tolerate theoretical ambiguity and the discomfort that surrounded not belonging to a pure paradigm community. Discussion: Recommendations are made that trainers and practice supervisors are mindful of the distinct struggles that integrative trainees encounter. Additionally, in response to the isolation that some trainees report, greater use of peer support networks is encouraged.     

Nonlinearity of healing: Healing narratives of Filipino therapists-in-training who self-identify as wounded healers

Due to the stigma therapists-in-training face within the field owing to their woundedness, and the dearth of psychological literature on the healing of wounded healers (WHs), this study examined the healing journeys of nine Filipino therapists-in-training who self-identify as WHs. Narrative Identity framework was utilized to analyse the healing narratives gathered from nine semi-structured interviews with therapists-in-training. Results focussed on the healing narratives and how these shaped the identity and development of these future practitioners. The healing narratives of therapists-in-training were generally composed of four chapters: (a) identifying the wounded-client identity and its wounds, (b) entering the counselling field brings the emergence of the healer-therapist identity, (c) nonlinearity of healing transforms into a fluid WH, and (d) continuing the healing journey. These never-ending and nonlinear journeys shaped how therapists-in-training perceived and constructed or deconstructed their identification, with their dual identities influencing their practice. Additionally, their healing journeys contributed to their development as therapists who continue to heal from their woundedness. This study contributes to the literature regarding therapists-in-training who self-identify as WHs through the emphasised healing process. Moreover, this study may both lessen the stigma surrounding therapists-in-training's woundedness and help colleagues, educators, mentors and supervisors within the counselling field to better help trainees through the creation of open spaces, classes and training programmes that may help in enhancing their well-being and utilising their woundedness to increase, rather than impair, their therapeutic ability.     

Islamophobia and the therapeutic dialogue: Some reflections

In the atmosphere of fear and controversy that surrounds Muslims at this moment in time it is hardly surprising that they feel unable to voice their fears and concerns openly. Added to this is the fact that Muslims already underutilize mental health services (Patel et al., 2000 Patel, N, Bennett, E, Dennis, M, Dosanjh, N, Matitani, A, Miller, A and Nadirshaw, Z. 2000. Clinical Psychology: ‘Race’ and ‘Culture’: A training manual, Leicester: The British Psychological Society.  [Google Scholar]). In the counselling arena four distinct aspects of the counselling relationship are affected. First, the therapeutic alliance, second, the socio-political context in which counselling occurs, third, the awareness of personal characteristics and competencies that facilitate multicultural counselling and, finally, the training requirements of multicultural counsellors. This paper seeks to consider each of these aspects of the therapeutic encounter with regard to Muslim clients.