{"title":"There Is no Magic Wand but There Is Ability: The Benefits of Counselling for Persons With Intellectual Disability","authors":"Noel Zammit Pawley, Anne-Marie Callus","doi":"10.1002/capr.70016","DOIUrl":"https://doi.org/10.1002/capr.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This article presents research about counselling for persons with intellectual disability (ID) through analysing the experiences of counsellors when offering therapy to these persons and of persons with ID when receiving counselling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Semi-structed interviews (SSI) were carried out with six professionals and four persons with ID in Malta. Reflexive thematic analysis was used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The professional participants affirmed that counselling affects positively, and in different ways, individuals with ID. They stated that the ID and the presenting issues determine the counselling approach. Many issues mentioned by the counsellors apply to the general population, but some are specific to persons with ID. Interestingly, the persons with ID declared that, when need be and according to their issues, they do seek help from professionals. They voiced the importance of having counsellors who are able to listen to and understand them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Considering the findings and analysis, it is suggested that further research, directly involving individuals with ID, is pursued to counter the knowledge dearth on this subject.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Parker, Lamprini Mangiorou, Chelsea Slater
{"title":"A Thematic Analysis of the Impact of Therapist Attachment on Intersubjectivity When Working With Clients With Complex Trauma","authors":"Elizabeth Parker, Lamprini Mangiorou, Chelsea Slater","doi":"10.1002/capr.12897","DOIUrl":"https://doi.org/10.1002/capr.12897","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The current study explored the influence of therapists' self-reported attachment strategies on their therapeutic relationships with clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve therapists working with individuals with complex trauma were interviewed and Thematic Analysis was used to generate themes from the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key findings identified a distinction between the therapeutic alliance and a secure attachment, based on the relationship's capacity to tolerate rupture. The study found that therapists' own attachment strategies affected empathy towards clients and how the underlying process may be related to identification, where over-identification was unhelpful. The study also identified, how therapists responded to client anger was related to their attachment strategies. Whilst avoidant/dismissive therapists were better able to contain client anger, this had the potential to impact upon attunement. Findings challenged the widely accepted view of therapists needing a secure attachment, rather warmth and proximity elicited negative responses from some clients. An unexpected finding was therapists' motivations and identified the therapeutic relationship as meeting the needs of some therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings reinforce the premise of counselling psychology for reflective functioning and recommend that therapists acknowledge their own attachment strategies and wounds. A better understanding into these processes may enhance the therapeutic relationship and improve treatment outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emotion-Focused Therapy for Resolving Emotional Injuries in Older Adults: A Hermeneutic Single-Case Efficacy Design Study","authors":"Bernardo Almeida, Sara Silva, Carla Cunha","doi":"10.1002/capr.70014","DOIUrl":"https://doi.org/10.1002/capr.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Recent years have seen significant growth in the psychological study of forgiveness in aging, with evidence indicating that forgiveness has the potential to facilitate a more positive aging process. Emotion-Focused Therapy (EFT) has emerged as a therapeutic approach with positive outcomes in treating various psychological issues, such as the resolution of emotional injuries. Yet, up until now, there are no preestablished EFT intervention protocols specifically designed to address the resolution of emotional injuries in older adults (above 65 years old).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Method</h3>\u0000 \u0000 <p>This study seeks to evaluate the effectiveness of an EFT protocol for resolving emotional injuries reported by an older adult. To conduct this evaluation, we employed the interpretive approach of the Hermeneutic Single-Case Efficacy Design. Both quantitative and qualitative data were collected at different times during the therapy and at two follow-up points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From the beginning of therapy to the second follow-up, the client's level of forgiveness and letting go improved. The quality of life score improved, and the depression score decreased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results corroborated significant changes regarding the resolution of client's emotional injuries throughout the psychotherapy sessions. This pioneering case study on EFT, aging, and forgiveness is discussed concerning its potential contributions for future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predicting the Altruism of Counsellor Candidates in Terms of Cultural Sensitivity, Social Desirability and Emotional İntelligence","authors":"Gözde Şakar, Şerife Gonca Zeren","doi":"10.1002/capr.70017","DOIUrl":"https://doi.org/10.1002/capr.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Altruism, which is the subject of this research, generally means helping someone else without expecting anything in return. Counsellors assist other people as part of their jobs. This study examined the altruism of counsellor candidates in the context of cultural sensitivity, social desirability and emotional intelligence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The research included a total of 542 undergraduate students, 416 women and 126 men, studying in the Guidance and Psychological Counselling Department at foundation and state universities in Istanbul. The data for the study were collected with the Altruism Scale, Intercultural Sensitivity Scale, Good Impression Scale and Emotional Intelligence Trait Scale-Short Form. Multiple linear regression analysis, hierarchical regression analysis and structural equation modelling mediation analysis were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The research concluded that the variables of cultural sensitivity, social desirability and emotional intelligence predicted the altruism of counsellor candidates. It was understood that the variance in altruism was explained most by cultural sensitivity, followed by social desirability and least by emotional intelligence. Psychological and social factors, particularly cultural sensitivity and social desirability, were found to be more effective than demographic variables in explaining altruism. Additionally, the SEM analysis indicated that cultural sensitivity mediated the relationship between emotional intelligence and altruism, while social desirability had a strong direct effect on altruism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In line with the results of research, it is recommended to increase the number and amount of content of courses in which students will have more comprehensive knowledge about cultural infrastructure related to their awareness, empathy levels, realistic perspectives and interactions with different individuals. It is suggested that social responsibility projects, club activities and Erasmus opportunities that will support the aims mentioned, in addition to course achievements, are supported by both lecturers and the university administration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Insights From Roleplays With Standardised Patients and Live Supervision for Psychotherapy and Counselling Training—A Qualitative Study","authors":"Jule Räuchle, Franziska Kühne, Antonia Zacharias, Greta Große, Florian Weck, Ulrike Maaß","doi":"10.1002/capr.70018","DOIUrl":"https://doi.org/10.1002/capr.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Live supervision (i.e., providing corrective feedback during therapeutic sessions) as well as roleplays are effective methods used to improve therapeutic skills in counselling and psychotherapy training. Importantly, substantial learning occurs beyond objective skill improvement. For this reason, the aim of the present study was to investigate <i>subjective</i> learning outcomes from roleplays with standardised patients with or without additional live supervision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a content-structuring qualitative approach, semi-structured interviews with 36 psychology students (91.9% female, <i>M</i> = 26.7 years old, 81.0% bachelor's degree) who had previously participated in a randomised-controlled study comparing two training groups (roleplay, <i>n</i> = 18 vs. roleplay + live supervision, <i>n</i> = 18) were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The students in the present study reported having learned basic communication and alliance skills, as well as conceptual knowledge. Training groups did not differ substantially in their main learning outcomes, yet the live supervision group uniquely reported learnings regarding <i>summarising</i>, <i>ensuring the patient's understanding</i>, and <i>balancing spontaneity and structuring</i>. The students endorsed live supervision for university teaching, and almost half of them felt that the feedback had a greater impact on their learning outcomes than the roleplays themselves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, the study highlights that students generated extensive knowledge about basic therapeutic skills from roleplays that were still salient up to 2 weeks later. However, only live supervision helped to put the subjectively acquired knowledge into observable skill improvement, as a comparison with the results of the randomised controlled study shows. Regarding the effectiveness of roleplays alone, it is important to offer students the opportunity for self-reflection between roleplay sessions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tolerance of Ambiguity, Perfectionism, and Counselling Self-Efficacy Among Trainee Counsellors in India","authors":"Pooja Raju, N. T. Sudhesh","doi":"10.1002/capr.70013","DOIUrl":"https://doi.org/10.1002/capr.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The presence of a wide gap between the need and availability of mental health counsellors has been a constant challenge in the Indian mental healthcare system. Considering the inherent complexity within the counselling profession and with literature evidence indicating that the fear stemming from the ambiguity of the counselling process, professional requirements, and internship experiences influences counsellors’ career decisions, it becomes crucial to focus on important factors at play.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This research aimed to investigate the relationships between tolerance of ambiguity, perfectionism, and counselling self-efficacy among trainee counsellors in India. A quantitative correlational cross-sectional design is employed. The participants constitute post-graduate students pursuing their final year of master's in counselling psychology, counselling specialization or applied psychology programmes. Participants were recruited using a purposive sampling technique (<i>N</i> = 435). The scales administered are as follows: (i) Multiple Stimulus Types Ambiguity Tolerance Scale-II (MSTAT-II), (ii) Multidimensional Perfectionism Scale (MPS) and (iii) Counsellor Activity Self-Efficacy Scale (CASES).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The findings indicate that intolerance of ambiguity significantly correlates negatively with counselling self-efficacy, as demonstrated by Pearson correlation analysis (<i>r</i> = −0.254, <i>p</i> < 0.001). Regression results showed that tolerance of ambiguity significantly predicted 6% of counselling self-efficacy. Furthermore, an independent samples <i>t</i>-test indicated gender differences, with female trainee counsellors (<i>M</i> = 37.6; SD = 6.84) having a higher tolerance of ambiguity than males (<i>M</i> = 34.9; SD = 6.85); and male trainee counsellors (<i>M</i> = 256.3; SD = 47.36) having higher counselling self-efficacy than females (<i>M</i> = 219.2; SD = 55.11), with a medium to large effect size.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study has implications for counsellor training and allows for a deeper understanding of counsellor self-efficacy, providing insight into the current status of counselling trainees in India. Efforts should be taken to reduce ambiguity in educational and training experiences and improve tolerance and self-efficacy among male and female trainees.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrícia Oliveira Lima, Aline Nogueira de Lira, Ananda Reis Tavares, Normanda Araujo de Morais
{"title":"Factors Associated With Marital Satisfaction of Lesbian, Gay, and Bisexual People During the COVID-19 Pandemic","authors":"Patrícia Oliveira Lima, Aline Nogueira de Lira, Ananda Reis Tavares, Normanda Araujo de Morais","doi":"10.1002/capr.70010","DOIUrl":"https://doi.org/10.1002/capr.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study investigated the factors associated with the marital satisfaction of lesbian, gay, and bisexual (LGB) individuals during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Study participants were 268 people (<i>M</i> = 31.63 years of age; SD = 8.33), who self-reported as lesbian (<i>n</i> = 112; 41.8%), gay (<i>n</i> = 85; 31.7%) or bisexual (<i>n</i> = 71; 26.5%). Of these, 124 (46.3%) reported being cisgender men, and 144 (53.7%) were cisgender women. Participants completed the following online instruments: a sociodemographic questionnaire, the Internalised Homophobia Scale, the COVID-19 Family Environment Scale (CHES) the Distress Scale, and the Golombok Rust Inventory of Marital State.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results demonstrated that experiencing pre-pandemic contextual and individual vulnerabilities (internalised homophobia, psychological distress, being male, gay, or non-white), coupled with pandemic-related external stressors (working from home) and (un)adaptive processes during the pandemic (conflict and cohesion), negatively impacted the marital satisfaction of LGB individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Policy Implications</h3>\u0000 \u0000 <p>This study provides a broader view of how LGB individuals experienced marital relationships during the pandemic, highlighting aspects that may either exacerbate or mitigate the potential adverse effects of the pandemic crisis on relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Flora Logoz, Lukas Eggenberger, Michèle Schneeberger, Andreas Walther
{"title":"Psychotherapists' Endorsement of Traditional Masculinity Ideologies and Their Assessment of Gender Differences in the Treatment of Depressive Disorders","authors":"Flora Logoz, Lukas Eggenberger, Michèle Schneeberger, Andreas Walther","doi":"10.1002/capr.70008","DOIUrl":"https://doi.org/10.1002/capr.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychotherapists differ in their treatment success depending on the patient's gender, with men being a challenging patient group for many psychotherapists. On the patient's side, traditional masculinity ideologies (TMI) have been linked to atypical symptom presentation in depression, reduced psychotherapy use, poorer therapy engagement and increased risk for psychotherapy dropout. However, the association between therapists' endorsement of TMI and their assessment of gender differences in the treatment of depressive disorders has never been investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 438 therapists (psychological psychotherapists or psychiatrists) from Switzerland, Germany and Austria completed an online questionnaire about their endorsement of TMI and their perceived differences in psychotherapy success in female and male depression patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most therapists reported no difference in their perceived treatment success for depression therapy between men and women (<i>n</i> = 283, 65%). However, the vast majority of the 155 (35%) psychotherapists who reported a difference in treatment success disfavoured men (<i>n</i> = 118, 27%) as compared to women (<i>n</i> = 37, 8%). Psychotherapists who disfavoured men also reported stronger endorsement of TMI as compared to psychotherapists who reported no perceived gender differences in psychotherapy success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our results reveal a group of psychotherapists (high in TMI) that perceive men with depression as harder to treat than female patients with depression. Previous findings on therapist effects suggest that this bias has a negative impact on psychotherapy outcomes in male patients. Therefore, it is important that clinicians recognise how their endorsement of TMI may bias their assessment, potentially disadvantaging male patients with depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte O'Brien, Aisha Akeel, Grace McCormick, Scott Cole, Divine Charura
{"title":"Global Approaches to Supporting Mental Health and Resettlement for Veterans With Embodied Trauma: A Comprehensive Scoping Review","authors":"Charlotte O'Brien, Aisha Akeel, Grace McCormick, Scott Cole, Divine Charura","doi":"10.1002/capr.70011","DOIUrl":"https://doi.org/10.1002/capr.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Military veterans face significant holistic challenges when leaving military services and resettling back into the community. Recent research has shown that veterans experience higher rates of mental health difficulties than the general population and experience poorer treatment outcomes. The aim of this comprehensive scoping review was to map out the current therapeutic interventions used to support mental health care and resettlement for veterans across the globe, proposing key themes, noting any gaps and limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We followed a five-staged scoping review protocol to map the existing landscape of the veteran mental health research literature regarding therapeutic and resettlement interventions, identifying key themes by: (1) identifying the research question, (2) identifying the relevant literature, (3) selecting the studies, (4) charting the data and (5) collating, summarising, and reporting the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results show a decline in publications regarding veteran mental health and resettlement interventions since 2018, the Americentric, ‘WEIRD’ nature of the research base, and preference for individualised, technology-based psychological interventions, with a lack of culturally-informed, community-focused, relational research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This work highlights an urgent need for further non-Westernised research into holistic psychological interventions which relationally support the culturally diverse needs of veterans resettling back into their communities across the globe. It also advocates for a holistic bio-psycho-social-sexual-spiritual-existential approach to the needs of each veteran, using a culturally-informed, relational and community-based assessment, formulation, and treatment plan for embodied trauma, moving beyond the pathologisation of <i>dis-ease</i>, and mobilising the traumatised self back into the body, relationship and community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application and Analysis of the Effectiveness of the STEPPS Programme in Patients With BPD, Extended to Their Families Through the Family Connections Programme: Study Protocol of a Randomised Controlled Trial","authors":"Christian López-Cruz, Heliodoro Marco, Jorge Grimaldos, Paz García, Verónica Guillén, Patricia Montejano, Soledad Quero","doi":"10.1002/capr.12905","DOIUrl":"https://doi.org/10.1002/capr.12905","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study investigates Borderline Personality Disorder (BPD), one of the main challenges in mental health care. The main objectives are to determine whether the combined use of established treatments for patients with BPD and their families leads to significant improvement in both groups. In addition, the acceptance and implementation of both programmes, as well as their feasibility, will be evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants will be randomly assigned to two treatment conditions: (1) STEPPS programme for patients and Family Connections programme (FC) for relatives; and (2) only STEPPS for patients. Qualified professionals from the University Hospital of La Ribera will perform the diagnosis of BPD, based on the DSM-5 criteria, using the SCID-II interview. The instruments used as primary outcome measures for participants will be: the Borderline Symptom List 23 (BSL-23), the Acquired Capability with Rehearsal for Suicide Scale (ACWRSS), and a critical incident registry. The main outcome measures for the family members will be: the Burden Assessment Scale (BAS), the Family Empowerment Scale (FES), and a critical incident registry. The protocol will include pre- and post-treatment evaluations and follow-up after 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This approach responds to the need found in scientific literature to involve families in the treatment of BPD to improve the quality of the intervention and represent an advancement in the treatment of the disorder. This study will be the first randomised controlled trial (RCT) designed to intervene simultaneously in both populations, patients and relatives, and demonstrate the effectiveness and feasibility of the treatment in a real clinical setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}