Counselling & Psychotherapy Research最新文献

{"title":"Incorporating a deep-learning client outcome prediction tool as feedback in supported internet-delivered cognitive behavioural therapy for depression and anxiety: A randomised controlled trial within routine clinical practice","authors":"Garrett C. Hisler,&nbsp;Katherine S. Young,&nbsp;Diana Catalina Cumpanasoiu,&nbsp;Jorge E. Palacios,&nbsp;Daniel Duffy,&nbsp;Angel Enrique,&nbsp;Dessie Keegan,&nbsp;Derek Richards","doi":"10.1002/capr.12771","DOIUrl":"10.1002/capr.12771","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Machine learning techniques have been leveraged to predict client psychological treatment outcomes. Few studies, however, have tested whether providing such model predictions as feedback to therapists improves client outcomes. This randomised controlled trial examined (1) the effects of implementing therapist feedback via a deep-learning model (DLM) tool that predicts client treatment response (i.e., reliable improvement on the Patient Health Questionnaire-9 [PHQ-9] or Generalized Anxiety Disorder-7 [GAD-7]) to internet-delivered cognitive behavioural therapy (iCBT) in routine clinical care and (2) therapist acceptability of this prediction tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-one therapists were randomly assigned to access the DLM tool (vs. treatment as usual [TAU]) and oversaw the care of 2394 clients who completed repeated PHQ-9 and GAD-7 assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Multilevel growth curve models revealed no overall differences between the DLM tool vs. TAU conditions in client clinical outcomes. However, clients of therapists with the DLM tool used more tools, completed more activities and visited more platform pages. In subgroup analyses, clients predicted to be ‘not-on-track’ were statistically significantly more likely to have reliable improvement on the PHQ-9 in the DLM vs. TAU group. Therapists with access to the DLM tool reported that it was acceptable for use, they had positive attitudes towards it, and reported it prompted greater examination and discussion of clients, particularly those predicted not to improve.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Altogether, the DLM tool was acceptable for therapists, and clients engaged more with the platform, with clinical benefits specific to reliable improvement on the PHQ-9 for not-on-track clients. Future applications and considerations for implementing machine learning predictions as feedback tools within iCBT are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12771","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121804","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":"Ethical considerations in the use of artificial intelligence in counselling and psychotherapy training: A student stakeholder perspective—A pilot study","authors":"Stuart Gore,&nbsp;Emily Dove","doi":"10.1002/capr.12770","DOIUrl":"10.1002/capr.12770","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study delves into the ethical considerations of artificial intelligence (AI) use in higher education, focusing on counselling and psychotherapy students' perspectives. Amidst growing interest in AI across educational sectors, this research aimed to highlight student views on the benefits, risks and ethical challenges posed by AI tools in their training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Employing a qualitative approach, this scoping study gathered data from seven counselling and psychotherapy students through an online survey, which were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four main themes were constructed: (1) guidelines, (2) concerns about the use of AI with highly sensitive information, (3) acceptable and unacceptable uses, and (4) risk of AI compromising the quality of knowledge and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research underscores the necessity for collaborative guideline development that addresses ethical AI use, the protection of sensitive information, and the delineation of AI's appropriate roles in education and practice. It advocates for ongoing discussion amongst educational institutions, professional bodies and students to create dynamic, ethical standards that evolve with AI advancements, ensuring technology enhances learning outcomes, upholds integrity and respects privacy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12770","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973628","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":"Client deception in therapy is associated with worse therapeutic relationships and perceived therapeutic outcomes","authors":"Christian L. Hart,&nbsp;Mykala Barnett,&nbsp;Drew A. Curtis","doi":"10.1002/capr.12767","DOIUrl":"10.1002/capr.12767","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>In psychotherapy, clients and therapists work together to forge a path towards better mental health. Key to this process is genuine and honest communication. However, much previous research suggests that clients are not always fully truthful with their therapists. In this study, we make a preliminary examination of the relationship between client deception in therapy, the quality of the therapeutic relationship and therapeutic outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants who had been involved in psychotherapy completed a variety of measures that assessed their use of dishonesty in therapy. They also completed measures of the quality of the client–therapist relationship and measures of their perceived therapeutic outcomes. We hypothesised that client dishonesty would negatively correlate with the perceived quality of the therapeutic relationship and the therapeutic outcomes. Furthermore, we predicted that the quality of the therapeutic relationship would mediate the relationship between client dishonesty and perceived therapeutic outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of correlation and mediation analyses supported these hypotheses. Client dishonesty was associated with poorer therapeutic relationships and worse perceived therapeutic outcomes. Additionally, therapeutic relationship quality partially mediated the relationship between client dishonesty and therapeutic outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This initial study provides important tentative insights into the possible negative correlates of client dishonesty in the therapeutic environment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"1014-1020"},"PeriodicalIF":1.2,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140994770","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":"When the therapist's and the client's woundedness meet: Dialogical selves of Filipino self-identified wounded healers","authors":"Anne Marie D. Topacio,&nbsp;Mira Alexis P. Ofreneo","doi":"10.1002/capr.12768","DOIUrl":"10.1002/capr.12768","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The dominant literature on wounded healers assumes that the healer must be healed of one's wounds to be an effective therapist and that countertransference, moments in therapy when a healer's wounds are activated, must be successfully managed. Lacking in the literature is an understanding of the internal dynamics of wounded healers as they navigate moments of countertransference. Veering away from a unitary and static view of the self, we argue for a shift in how we understand wounded healers using the lens of a multiple and dynamic self. Through Herman's dialogical self-theory, we conceptualise the wounded healer as having multiple selves—the wounded self (WS) and the therapist self (TS). Each self is an I-position with its own unique voices and narratives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Through in-depth interviews with Filipino self-identified wounded healers, we examine the internal voices of the WS and TS during moments of countertransference, as the WS meets the client's wounded self.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Results show that the participants' characterisation of their WS, or where they are in their journey of healing or recovery, shapes their countertransference experience. Participants with recovered WS channelled the voices of calm recognition and differentiation. Voices of identification, re-experiencing and differentiation surfaced among participants with recovering WS. Participants with emerging WS transitioned from a voice of not knowing to a voice of identification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Being aware of and listening to the voices of the WS alongside the TS is key in navigating countertransference. The implications of a dialogical understanding of wounded healers in clinical practice are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1393-1403"},"PeriodicalIF":1.2,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001012","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":"‘My recovery is in English’: Clients' language choices in multilingual psychotherapy","authors":"Leila Verkerk,&nbsp;Janet M. Fuller,&nbsp;Mike Huiskes,&nbsp;Anja Schüppert","doi":"10.1002/capr.12769","DOIUrl":"10.1002/capr.12769","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychotherapy is constituted through language. Due to voluntary migration or forced mobility, many people do not have access to therapy in their first language (L1). How multilingual clients manage their languages in therapy is an issue many therapists need to address in their practice. Psychotherapy is about trauma, emotions and identity, and when a multilingual client chooses a particular language, it may influence their emotional expression, cause a cultural misunderstanding, and a distorted presentation of who they are.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>In this study, we investigated how clients perceive psychotherapy in a foreign language (LX). We also aimed to provide psychotherapists with more insights into the effect of language choices on the course and outcome of therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted 30 semi-structured interviews with multilingual clients who had experience with therapy in LX. The data were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The data revealed that there is not one correlation between language and emotion, and that different backgrounds may lead to different preferences for the language of therapy; for some, LX may be preferred because it provides emotional distance necessary for discussing past trauma; for others, LX feels inadequate for expressing themselves fully.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our data suggest that there is a need for multilingual psychotherapists to learn more about their clients' linguistic and cultural profiles and how they play a role in emotion communication to facilitate a smoother therapeutic process and a more beneficial outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"949-961"},"PeriodicalIF":1.2,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002805","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":"Pluralistic psychotherapists' and counsellors' experiences of working with actively suicidal clients: A qualitative interpretative phenomenological analysis","authors":"Leo Muckley","doi":"10.1002/capr.12760","DOIUrl":"10.1002/capr.12760","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clients presenting as suicidal have been widely recognised as one of the most challenging presenting issues for psychotherapists and counsellors. There is a wealth of literature exploring risk assessment, collaboration, goals, tasks, methods, shared decision making and client preferences employed in therapy with this presenting issue. Yet, no literature explicitly explores combining these approaches or provides a framework that integrates them. Working with actively suicidal clients as a pluralistic psychotherapist and counsellor (PCP) has not been thoroughly examined to date, even though this framework and philosophy for therapy combines many of the aforementioned approaches. Therefore, it is imperative that ways of working safely with this presenting issue, for both the client and the practitioner, are explored and researched through the lens of PCP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To interpret and explore pluralistic psychotherapists' and counsellors' experiences of working with actively suicidal clients to find what might be added to the body of knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative interpretative phenomenological analysis of PCP with actively suicidal clients was conducted via four semi-structured recorded interviews. Four participants were recruited purposively. Four themes and two subthemes were identified and explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings showed PCP to be a robust holistic approach to actively suicidal clients that is safe for both client and practitioner. Furthermore, the results point towards the need for further research into the idea that PCP is useful when working with actively suicidal clients in line with recommended best practice from the client's perspective.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1380-1392"},"PeriodicalIF":1.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011501","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":"eXplainable AI for routine outcome monitoring and clinical feedback","authors":"Hans Jacob Westbye,&nbsp;Christian Moltu,&nbsp;Andrew A. McAleavey","doi":"10.1002/capr.12764","DOIUrl":"10.1002/capr.12764","url":null,"abstract":"<p>Artificial intelligence (AI), specifically machine learning (ML), is adept at identifying patterns and insights from vast amounts of data from routine outcome monitoring (ROM) and clinical feedback during treatment. When applied to patient feedback data, AI/ML models can assist clinicians in predicting treatment outcomes. Common reasons for clinician resistance to integrating data-driven decision-support tools in clinical practice include concerns about the reliability, relevance and usefulness of the technology coupled with perceived conflicts between data-driven recommendations and clinical judgement. While AI/ML-based tools might be precise in guiding treatment decisions, it might not be possible to realise their potential at present, due to implementation, acceptability and ethical concerns. In this article, we will outline the concept of eXplainable AI (XAI), a potential solution to these concerns. XAI refers to a form of AI designed to articulate its purpose, rationale and decision-making process in a manner that is comprehensible to humans. The key to this approach is that end-users see a clear and understandable pathway from input data to recommendations. We use real Norse Feedback data to present an AI/ML example demonstrating one use case for XAI. Furthermore, we discuss key learning points that we will employ in future XAI implementations.</p>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018395","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":"Effects of virtual reality exposure therapy on anxiety symptoms and physiological measures among individuals experiencing claustrophobia","authors":"Fuad El-Qirem,&nbsp;Malakeh Z. Malak,&nbsp;Hasan Abualruz,&nbsp;Suhaib Abuhazeem,&nbsp;Ahlam Amro","doi":"10.1002/capr.12765","DOIUrl":"https://doi.org/10.1002/capr.12765","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Innovative technologies, including virtual reality (VR), can be used for conducting VR exposure therapy (VRET) for individuals with psychiatric disorders, including claustrophobia. Unfortunately, there is a lack of studies on the effect of VR in treating claustrophobia in Arab countries, including Jordan. Therefore, this study aimed to evaluate the effect of VRET on minimising anxiety symptoms at 1 week post-therapy and the physiological arousal measures (heart rate, O₂ saturation and mean arterial pressure) of participants before and following therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A pre-/post-test one-group design was used, and participants (<i>N</i> = 44) who suffered from claustrophobia from Al-Zaytoonah University of Jordan were recruited. VRET was conducted using the Cave experience, which consists of four stages and was carried out in 4 to 6 sessions during the period from April to September 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed a significant difference between pre- and post-VR simulation intervention for anxiety symptoms and physiological measures; in addition, the participants perceived the usability of VR therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study suggested that VRET was effective in managing claustrophobia, particularly in minimising anxiety symptoms. Therefore, VRET can be integrated into the therapeutic methods for individuals with claustrophobia. Also, healthcare professionals, including mental health counsellors, can adopt such therapy in their management and treatment plan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"1098-1106"},"PeriodicalIF":1.2,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536878","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":"Assessing the use of ChatGPT as a psychoeducational tool for mental health practice","authors":"Rakesh K. Maurya,&nbsp;Steven Montesinos,&nbsp;Mikhail Bogomaz,&nbsp;Amanda C. DeDiego","doi":"10.1002/capr.12759","DOIUrl":"https://doi.org/10.1002/capr.12759","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychoeducation is an important part of mental health services offered by counsellors. This study used qualitative content analysis to explore ChatGPT, a generative artificial intelligence (AI) tool, as a resource for psychoeducation in the context of mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Researchers created carefully crafted prompts based on common psychoeducational themes provided to clients, covering seven critical areas: depression, anxiety, general health, substance abuse, religious/spiritual issues, lifestyle, routine health habits and interpersonal matters. A coding manual was developed encompassing six criteria to assess the quality of psychoeducational responses of ChatGPT: accuracy, clarity, relevance, empathy, engagement and ethical considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The reviewers assessed ChatGPT's responses to 21 psychoeducational prompts as accurate, clear and relevant, with an empathic tone in responses to emotionally challenging queries. ChatGPT engages users by offering actionable steps and suggestions. The tool consistently demonstrated ethical considerations by advising users to consult qualified professionals when necessary. The findings suggested ChatGPT's potential as a reliable source of psychoeducation, particularly for individuals with very limited access to mental health resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research underscores ChatGPT's potential as a valuable psychoeducational resource for mental health concerns while emphasising the need for ongoing assessment and user feedback to address its limitations and ensure responsible practice in the dynamic field of AI-powered mental health support. Future studies should explore user experiences and incorporate diverse perspectives to further enhance our understanding of ChatGPT's utility in real-world mental health contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862002","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":"What would an existential approach bring to research supervision in postgraduate psychotherapy and counselling psychology education?","authors":"Simon Wharne,&nbsp;Claire Arnold-Baker,&nbsp;Nancy Hakim-Dowek","doi":"10.1002/capr.12763","DOIUrl":"10.1002/capr.12763","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Qualitative/phenomenological research approaches are popular in counselling psychology and psychotherapy post-graduate training. This article attends to the experience of research supervision in this setting, where there is a need for containment, compassion, clarity and empathy (<i>Counselling and Psychotherapy Research</i>, 2021a, <i>22</i>, 689).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This article aims to bring the philosophical development of qualitative/phenomenological research back into focus. It asks what extra value would be brought to the supervision of trainees through existential awareness and phenomenological exploration. The authors offer ways in which existential awareness can be developed and utilised in research supervision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The results of a small survey into the experiences of students are used to ground our observations in practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A relational tension is implied, where trust and good communication are essential. An existential anxiety could be prompted, when a trainee's world shifts from being homely, to uncanny and strange. In these experiences of groundlessness, the world no longer provides a sense of certainty about one's possibilities, and one feels estranged and uncomfortably self-aware. Fostering this awareness can mean that teaching and supervisory relationships are experienced in their intersubjective, free and creative dynamics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Attending to Threshold Concepts can support the transformational nature of professional training, which is often an experience of uncertainty. Likewise, Socratic Questioning and irony contribute to the development of critical thinking, reflexivity and the harnessing of assumptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Existential awareness will enable the development of more authentic relationships across the therapeutic and educational encounters of training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12763","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665860","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}