The nature space. A reflexive thematic analysis of therapists' experiences of 1:1 nature-based counselling and psychotherapy with children and young people: Exploring perspectives on the influence of nature within the therapeutic process

Nature-based therapy is an emerging and rapidly developing field within counselling and psychotherapy, yet there is little published empirical research, or integrated models relating to its practice with Children and Young People (CYP). The present study aimed to explore therapists’ experiences of one-to-one nature-based counselling and psychotherapy with CYP, eliciting perspectives on the interaction between nature and the therapeutic process. A reflexive thematic analysis provides preliminary insights into possible mechanisms of action with the potential to inform a longer-term exploration of whether nature-based therapy is effective, for whom and why. The study highlights the need to better explore and understand how nature-based therapy supports relational and intrapsychic change in interaction with developmental processes, to inform construction of coherent and consolidated theory and models for practice.     

Ten principles of counselling: Grounded theory in a mixed methods research project

This grounded theory (GT) study is part of an extensive mixed methods research project to develop general principles for counselling. Nine hundred counselling protocols were examined. The material is characterised by a quantitative amount of data with a qualitative character. The research is based on the systemic-constructivist research paradigm. The variety of perspectives is an important aspect of the work. Therefore, it is important that the entire research process with GT takes place in exchange with other research settings in order to minimise the limitations caused by the perspective of the researchers. During the research process, there was an intensive examination of GT in order to adapt it to the research project. By using the GT to analyse the extensive qualitative material, the actions of the counsellors were observed and 10 counselling principles were developed. This article presents the research process and the findings.     

SEVERE CLASSROOM BEHAVIOR PROBLEMS: TEACHERS OR COUNSELLORS

This experiment was designed to determine the relative effectiveness of teacher and counselling approaches in the reduction of disruptive or inappropriate classroom behavior. Inappropriate classroom behavior frequencies of 12 academically low achieving, seventh-grade, black male students, with a reported high rate of inappropriate classroom behavior, were recorded. Three groups, with nearly equal mean inappropriate behaviors, were randomly assigned to one of three treatment conditions: behavioral counselling, client-centered counselling, or no counselling. Each counselling group received fifteen 30-minute counselling sessions, at a rate of two to three times a week. In addition to counselling, all students subsequently received teacher approval within the classroom. Results indicated that the teacher was able to reduce inappropriate behavior more than any counselling group. There were also indications that behavioral counselling, but not client-centered counselling, was moderately helpful in reducing inappropriate classroom behavior.     

Reducing residential electrical energy use: payments, information, and feedback

Monetary payments, energy information, and daily feedback on consumption were employed to reduce electricity use in four units of a university student housing complex. A combined multiple-baseline and withdrawal design permitted both within- and between-unit comparisons. Payments produced immediate and substantial reductions in consumption in all units, even when the magnitude of the payments was reduced considerably. Feedback also produced reductions, but information about ways to conserve and about the cost of using various appliances did not. It was also found that, in general, payments combined with either information or feedback produced no greater effect than payments alone.     

SHORT- AND LONG-TERM EFFECTS OF CONTINGENCY MANAGED INSTRUCTION ON LOW,MEDIUM, AND HIGH GPA STUDENTS1

Undergraduate students had been assigned to a contingency managed course or a conventional lecture course (Du Nann and Fernald, Journal of Applied Behavior Analysis, 1976, 9 , 373–374). Two years later, some 35% (N = 86) of the original classes responded to a letter offering them $2.00 to participate in a study of their educational experiences. These students completed a multiple-choice test on material from the course, and answered questions about activities and attitudes that might have been affected by the experience in Introductory Psychology. In the contingency management course 2 yr past, students were tested each week on a chapter of textbook material with 10-item multiple-choice quizzes. The course employed a modified “Doomsday Contingency”, requiring each student to achieve 80% mastery on one of the four weekly quizzes or drop the course. Quizzes were given in small groups and scored individually, while the student stood near, by an undergraduate proctor assigned to that group. The proctor was asked to show interest in the students' quiz performances, help clear up difficult areas, and develop a friendly working relationship with each student. While many students passed the quiz on the first attempt, others were given individual tutoring, so that no one was in fact forced to drop the course. In addition to the weekly quiz assignment, students in the contingency managed group were asked to attend one lecture each week. While the contingency management course procedures had much in common with PSI (Keller, Journal of Applied Behavior Analysis, 1968, 1 , 79–89), several departures made them unique. First, self-pacing was curtailed because students were required to master one unit per week or drop the course. Second, proctors met with students in small groups, usually giving individual tutoring only to those students who did not pass the quiz on the first attempt. Finally, students were asked to attend one lecture per week. Students in the conventional lecture group were not asked to pass weekly quizzes, but instead attended three 50-min lectures each week. Two of these lectures followed the textbook material closely, while the third, which was also attended by students from the contingency management course, covered material only indirectly related to the text. This partition of lecture content allowed material to be similar across the two instructional groups. Although students in the lecture condition were told they could obtain copies of the quizzes, few of them did so. Course grades were determined by scores on two 45-item multiple-choice hourly exams, each covering half the semester material (each worth 25%), and by a 90-item final exam, which served as a measure of short-term retention. Before analyzing the follow-up data, several characteristics of the returning students were compared to determine the comparability of the sample from the two original classes. Most important, both attrition and the current mean GPAs of students from the two classes were very similar. These considerations, and others, suggested there was no systematic sampling bias to confound comparisons of student performance. A 2 (contingency management versus traditional lecture) by 3 (high, medium, and low GPA) analysis of variance was computed on the course final-exam scores and the follow-up measures. Instructional procedure and GPA interacted on the final exam such that low and medium GPA students performed significantly better under contingency management, but there was no significant effect of instructional procedure with high GPA students. On the 2-yr retention measures, students from the contingency management course performed significantly (p < 0.01) better on items drawn from quizzes used in their original course, and marginally better (p < 0.10) on items drawn from the final exams, but no interactions with GPA appeared. Furthermore, instructional method produced no significant main effects or interaction with how many students became majors or minors in psychology, how many psychology courses were later taken, how many books in psychology were reported to have been read, or on students' evaluation of the interest and importance of psychology.     

The effects of instructions, incentive, and feedback on a community problem: dormitory noise

A reinforcement system utilizing instructions, modelling, feedback, and group reinforcement was employed in an attempt to reduce disruptive noise on three university residence halls. A fourth hall received the same treatment program without the reinforcement component. Noise scores were determined by recording the number of discrete noise occurrences over a criterion decibel level. On all four residential floors, noise scores during treatment conditions were lower than initial and final baseline levels. Additionally, periods of noise reduction corresponded to the changing criterion multiple-baseline and reversal designs utilized. Pre- and posttreatment questionnaire responses from the three reinforcement floors paralleled changes in objective noise data. At posttreatment, residents reported less noise disturbance of study and sleep and more control over the noise situation and floor problems in general. These results indicated that a comprehensive behavior-modification treatment package was effective in reducing disruptive noise in university residence halls. Difficulties in data collection and anomalies in the data are discussed. Future directions for field-based behavior-modification research are outlined.     

Facilitating paper recycling: effects of prompts, raffles, and contests

The effects of prompts and reinforcement to promote paper recycling were compared in six university dormitories. For a Prompt condition, residents were urged to recycle paper for ecological reasons via flyers distributed to each room. For a Raffle contingency, residents were given one raffle ticket for every pound of paper brought to a collection center. For a Contest contingency, two dorms were paired and the dorm whose residents delivered the most paper won $15 for its treasury. Contingency awareness was strengthened via a flyer placed under the door of each resident's room. Flyers alone had little effect in increasing paper-recycling behaviors, but the raffle (substantially) and the contest (somewhat) increased the amount of paper brought to a dorm's recycling center. Students whose rooms were closest to the collection center showed the greatest participation. Removal of the reinforcement contingencies resulted in a return to baseline levels.     

A descriptive study of e-counsellor attitudes,ethics, and practice

Introduction: The purpose of this study was to examine questions related to the process, perceived outcomes, and ethics of therapists who provide counselling and therapy online. Method: An online survey was conducted (N=93) with identified e-counsellors with at least a Master's Degree. Questions included demographic information and Likert-type scales related to extent of practice, theoretical orientation, training and supervision, attitudes about appropriate practice, referral, legal and ethical issues, practice difficulties, and therapist satisfaction. Results: Overall, e-counsellors are satisfied with their practice and believe it is effective. They generally do not have formal training or supervision in online practice. Current e-counselling appears to be a part-time, supplemental practice with little overlap to FTF practice. There was little agreement among respondents on attitudes, practice, ethical issues, and knowledge of regulations related to e-counselling. Discussion: Lack of consensus about ethical obligations and practice suggest the need for formal training in e-counselling by professional programmes and international cooperation in formulating practice ethics. Areas for further research are discussed.     

Who drops-out? Do measures of risk to self and to others predict unplanned endings in primary care counselling?

Aims: Unplanned endings, where clients unilaterally end therapy, are of concern for psychological therapy services generally as they raise questions about the appropriateness of the treatment and it's delivery for some clients. Limited available data indicates that those who drop-out often have more severe symptoms at entry, and have poorer clinical outcomes. This raises further questions about risk to self and others for those clients who leave therapy prematurely and how these clients might be identified and kept engaged. Method: This paper uses a large dataset of CORE data collected routinely in a primary care counselling service between 2000 and 2003. Logistic regression was utilised to consider different measures of risk and other client characteristics recorded at assessment to predict drop-out from the service. Results: These indicate that younger age, greater psychological distress at assessment, an addiction problem and greater risk to others, are associated with an unplanned ending. However, no reliable logistic regression model could be produced. This may be partly due to data quality issues or important characteristics not being available in the data. Implications for practice: The paper concludes that counsellors should actively seek to minimise unplanned endings, as amongst them may be represented the more distressed and risky clients referred to primary care counselling.     

Research in counselling and psychotherapy Post‐COVID‐19

The COVID‐19 pandemic brings to light many areas the field of counselling and psychotherapy may need to address in future research. We outline several issues stemming from or exacerbated by the pandemic and offer suggestions for future research to address the mental health needs of those impacted. Our suggestions focus on five domains: (a) the health and well‐being of helping professionals, (b) the infodemic, (c) discrimination and minority stress, (d) spiritual and existential dynamics in mental health and (e) couple and family stress and resilience. We aim to provide a multi‐systemic perspective of mental health and well‐being in the time of COVID‐19, as well as encourage current and future studies to incorporate these suggestions to advance the health and well‐being of our communities through evidence‐based treatment approaches.