Counselling & Psychotherapy Research最新文献

{"title":"Self-care in prevention of burnout amongst counselling professionals: A systematic literature review","authors":"Malini Turner,&nbsp;Robynne Rankine","doi":"10.1002/capr.12837","DOIUrl":"https://doi.org/10.1002/capr.12837","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper sought to examine current application of self-care to reduction and prevention of burnout amongst counselling professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A systematic approach to the literature across CINAHL, EBSCO, PsycInfo, PsycArticles, PubMed, Scopus and Google Scholar was conducted, adhering to PRISMA 2020 guidelines. Population, Intervention, Comparison, Outcome (PICO) and Sample, Phenomenon of Interest, Design, Evaluation and Research type (SPIDER) were applied as strategic tools to paper inclusion. After the completion of selection process, Critical Appraisal Skills Programme (CASP) was used to examine the included papers and to narrow the study down to a total of 16 journal articles. Furthermore, thematic analysis revealed two superordinate themes: Factors contributing to burnout with total of five subthemes and actions contributing to self-care with total of six subthemes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The factors contributing to burnout had both personal and organisational origin, primarily based on lack of knowledge of burnout symptoms and reduced resources for applied self-care. Furthermore, access to clinical supervision was not readily available, and self-care concepts were not adequately implemented within the organisational context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite the extensive research regarding the serious occupational repercussions of burnout amongst counselling professionals, the role of timely and appropriately applied self-care has not been clearly established. Many counselling professionals were not aware of burnout signs and symptoms while self-care was seen as optional exercise, applied either minimally or not at all. Holistic education on the effects of cognitive, emotional, physical and spiritual self-care needs amongst the counselling professionals is necessary in prevention and reduction of burnout and should be further examined.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786742","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":"School staff perceptions of the impact of school counselling on young people, the school and integration into the school system","authors":"Jennifer O'Donnell,&nbsp;Amy Louise Sumner,&nbsp;Stephanie Smith,&nbsp;Jon Eilenberg,&nbsp;Charlie Duncan,&nbsp;Mick Cooper","doi":"10.1002/capr.12845","DOIUrl":"https://doi.org/10.1002/capr.12845","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This research explored the views of staff in secondary schools on school counselling for young people. Data were drawn from the Effectiveness and Cost Effectiveness Trial of Humanistic Counselling in Schools (ETHOS) study, an RCT of school counselling across 18 state-funded secondary schools in London.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative semi-structured interviews were held with school staff (<i>n</i> = 16) from a sub-sample of 10 participating schools from the RCT. The interviews explored the perceived impact of school counselling on the school and students. Thematic analysis was conducted using the NVivo qualitative data analysis software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three key themes were identified: (1) school context: rising mental health need and varying provision for mental health; (2) school staff perspectives on the impact of counselling: increased openness and improvements in mood, dedicated space to open up, putting skills into practice, one size does not fit all, and role of personal connection; and (3) long-term impact of counselling in schools: integration as central to success and counselling as a stepping stone for further support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research provides insights into school staff views of secondary school counselling in the context of delivery through a research trial. Effective ways of integrating counselling services into schools are identified.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786743","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":"Lessons to learn from pilot studies in clinical trials: The example of a trauma-focused treatment for female survivors of intimate partner violence","authors":"Silvia Sánchez-Ferrer,&nbsp;Ana A. Antón,&nbsp;Alejandro Miguel-Alvaro,&nbsp;María Crespo","doi":"10.1002/capr.12843","DOIUrl":"https://doi.org/10.1002/capr.12843","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research on pilot studies is scarce, despite their importance for the development of effective clinical trials. There is a lack of work addressing the process, limitations and strategies derived from these studies. This gap is even more evident in research studying targeted populations, such as victims of intimate partner violence (IPV), who present specific difficulties, such as high dropout rates, or require the application of challenging treatments, such as trauma-focussed exposure therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper describes a pilot study (PS) implemented as a preliminary step in the development of a clinical trial (CT), in which a trauma-focussed treatment for survivors of IPV with post-traumatic symptomatology was applied. The problems identified in the PS and the solutions that were implemented in the CT are described. Additionally, comparisons between the PS and CT with respect to participant adherence to treatment and satisfaction, as perceived by the participants and the therapist, are analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicate that satisfaction with the treatment was high in both studies; dropouts showed a significant decrease in the CT (25% in CT vs. 75% in the PS; <i>p</i> = .028), while group cohesion increased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is concluded that conducting pilot studies allows adapting treatments to the study population, which seems to increase the quality of clinical trials, subsequently improving the evidence of psychological interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787290","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":"Psychotherapist personal therapy as a pathway towards relationally oriented practice","authors":"Marit Råbu,&nbsp;John McLeod,&nbsp;Christian Moltu","doi":"10.1002/capr.12844","DOIUrl":"https://doi.org/10.1002/capr.12844","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The experience of being a patient has been regarded as one of the principal means through which psychotherapists' skills and personal qualities have been nurtured. While it has been hard to demonstrate the effects of therapist personal therapy on patient outcomes, qualitative studies suggest that many practitioners regard personal therapy as highly valuable. The aim of this study was to explore the meaning of personal therapy in relation to a broader contextual understanding of therapist life experience and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In-depth qualitative interviews were conducted with 15 mid-career therapists and analysed using a hermeneutic, phenomenologically informed thematic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants typically reported that they had received therapy prior to entering training in order to address symptoms and/or life problems. In addition, many had been in therapy at later points in their life, as part of training programmes. The experience of an accepting and authentic therapy relationship has helped them to become more generous towards others and more able to set boundaries. Expressing vulnerability in a patient role made them feel safer in prioritising presence with their own patients. They also reflected that their therapist became a useful internalised point of reference and that disappointments in their therapies had sensitised them to what can be hurtful for patients. These themes are examined in relation to findings from analyses of how these therapists interacted with their own patients. Implications are discussed for understanding the contribution of personal therapy to therapist development, and in relation to the conduct of therapy outcome research as a whole.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12844","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741334","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":"Social anxiety in culturally diverse young people: An insight into lived experiences","authors":"Tatiana Zegrean","doi":"10.1002/capr.12836","DOIUrl":"https://doi.org/10.1002/capr.12836","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>There is little research exploring the subthreshold social anxiety (SSA) in culturally diverse young people. This study addresses this gap and provides an insight into the vivid world of this ‘hidden’ population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Four participants from England were interviewed using semi-structured interviews. Four superordinate themes and their corresponding subordinate themes emerged from the transcripts: Excessive self-consciousness—The inner critic and Feeling judged by others; Influences of social and cultural norms—The impact of dress-code rules and The pressure of high expectations; Embracing a false reality—Patterns of avoidance and The public self; and Coping strategies—Breaking the wall of cultural norms, Pushing the bubble out and Know that you are not alone. Due to the vastness of the data, this study presents only the first two superordinate themes and their corresponding subordinate themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The author chose interpretative phenomenological analysis (IPA). This allowed the participants to describe thoroughly their lived experiences and enabled the researcher to adopt a scientific approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results revealed that the socio-cultural background of this population played a pivotal role in the prevalence and expression of SSA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The participants' experiences were significantly influenced by the social and cultural norms of their country of origin as well as the characteristics of modern society in England. The predominant factors were the pressure of high expectations from family and society, transgenerational trauma, socio-cultural norms, uncertainty about the future and lack of opportunities to secure employment. Future research could examine the socio-cultural influences shaping contemporary British society and their impact on youth's mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740998","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":"Sources of meaning and hope and associated well-being among psychotherapy clients: A practice-based mixed method study","authors":"Laura E. Captari,&nbsp;Karley Guterres,&nbsp;Dottie Oleson,&nbsp;Nancy Devor,&nbsp;Steven J. Sandage","doi":"10.1002/capr.12838","DOIUrl":"https://doi.org/10.1002/capr.12838","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the recognition of meaning and hope as salient for many individuals in mental health treatment, little empirical attention has been given to patient perspectives. Research has primarily looked at the presence—or absence—of meaning and hope, and associations with symptom distress and suicidality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>These constructs are multi-faceted and influenced by social, cultural and spiritual/religious contexts. Understanding where clients draw meaning and hope from can provide valuable information to inform case formulation, treatment planning and intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This mixed method practice-based study (<i>N</i> = 233) in an outpatient community clinic (a) elucidated key areas that fuel clients' sense of meaning and hope and (b) explored associations with well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Qualitatively, we identified six domains through thematic analysis: interpersonal, action-based, transcendent, intrapersonal, environmental/contextual and lacking/searching. A sub-set of clients also emerged who were lacking in and/or searching for meaning or hope. Quantitatively, one-way ANOVA results indicated that source diversity was associated with greater well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings illustrate that patients draw from culturally and spiritually embedded sources to construct meaning and hope in their lives, with distinctions between areas most salient for meaning, hope and both. Furthermore, having fewer sources of meaning and/or hope may represent a well-being liability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Therapists should pro-actively explore and consider ways to bolster patients' sources of meaning and hope, considering evidence of implications for well-being outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740965","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":"The supervision of experienced secondary school-based counsellors: A situational analysis constructivist grounded theory exploration of best practice","authors":"Imogen Harries","doi":"10.1002/capr.12842","DOIUrl":"https://doi.org/10.1002/capr.12842","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Aims</h3>\u0000 \u0000 <p>Secondary school-based counselling (SSBC) is used widely throughout the United Kingdom (UK) as an early mental health intervention, and clinical supervision is necessary for its safe and effective practice. Currently, there does not exist a body of research to inform best practice in this area of supervision. The purpose of this study was to explore the supervisory requirements of the experienced secondary school-based counsellor and what best practice looks like.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study used situational analysis constructivist grounded theory methodology to explore and develop a grounded theory of best practice in supervising the experienced secondary school counsellor in the UK. The descriptions of best practice were examined from the interviews of 17 experienced secondary school counsellors and/or supervisors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>From the data emerged one core category (‘a good fit’) which encapsulated four theoretical categories (‘the supervisory relationship’, ‘understanding the working context’, ‘safeguarding’ and ‘the shared supervisory journey’). The study indicates that the supervisor needs an understanding of the unique context of the secondary school as a therapist's working environment in order to support the supervisee with often complex work. There needs to be an awareness of how elements from within the school and/or counselling agency can impact on the supervision regarding boundaries, trust and containment so they do not impact the supervision in a detrimental way.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Supervisor and supervisee need a shared understanding of the nature of supervision within this context for it to be a ‘good fit’ for both. This has implications for supervision training and the externality of supervision within this context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740999","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":"Evaluating the impact the Self-Compassion App has on levels of compassion, psychological distress and well-being","authors":"Elaine Beaumont,&nbsp;Neil Dagnall,&nbsp;Sue Massey,&nbsp;Chris Irons","doi":"10.1002/capr.12841","DOIUrl":"https://doi.org/10.1002/capr.12841","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Self-Compassion App is the first commercially available, smartphone app based upon the ideas and practices of Compassion-Focused Therapy. Through 28 sessions, the app supports individuals to develop compassionate minds and, in doing so, promotes well-being and reduces psychological distress (e.g. self-criticism and shame).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated the impact the app had on participants' levels of compassion, well-being, self-criticism and psychological distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Fifty-two participants—consisting of staff and students at the University of Salford—took part in this study. Pre-, post- and follow-up measures were collected to explore changes in levels of compassion, self-criticism, emotion regulation, well-being and psychological distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Statistically significant increases were observed in levels of self-compassion, self-reassurance, emotion regulation skills and well-being. Significant reductions were found in self-criticism, anxiety and stress, and post-study, participants became more open to receiving compassion from others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Results from this study are promising and suggest that using the Self-Compassion App reduces psychological distress and enhances psychological well-being. Considering interventions that utilise technology with the aim of boosting well-being, levels of compassion and reducing self-criticism are potentially important given the difficulties that many students and educators experience, and the current waitlist times for psychological help and support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Further Research</h3>\u0000 \u0000 <p>A randomised control trial and longitudinal study would be beneficial to explore the long-term benefits of using the app. Further studies, in clinical and non-clinical populations, will clarify how the app might benefit people and what type of engagement is necessary to derive change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741176","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":"To understand the experiences of autistic counsellors: A United Kingdom phenomenological study","authors":"Jade Rita Taylor,&nbsp;Michael Sims","doi":"10.1002/capr.12839","DOIUrl":"https://doi.org/10.1002/capr.12839","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study was designed to explore the experiences of autistic counsellors living and working in the United Kingdom (UK). The research question was split into four aims: exploring presenting differences, strategies and modalities preferences, challenges and barriers, and training and support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Seven autistic counsellors, either self-identified or diagnosed, completed semi-structured questionnaires. Patterns and themes were then extracted from the data using a thematic analysis procedure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The data analysis identified four themes: the practical differences of working as an autistic counsellor, working with a similar neurotype, understanding and accommodation within the counselling profession, and representation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Participants felt that being autistic brings unique strengths to the counselling process, and it was identified that while they have been trained to work with allistic (non-autistic) clients, they found strength in supporting and being supported by those of a similar neurotype. Participants challenged the deficit depiction of autism and, subsequently, the lack of recognition, understanding, accommodation and representation of autistic counsellors within the profession. The participants called for a change in training, within professional bodies, counselling organisations, workplaces and colleagues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Counselling training needs to include autistic trainers, represent and accommodate autistic trainees, as well as support the needs of autistic clients.</p>\u0000 \u0000 <p>Counselling bodies need to create safe spaces for autistic counsellors, including the ability to advertise within directories and support the endorsement of neurological differences as strengths. These spaces need to challenge the archaic beliefs around autism through lived experience and the hiring of autistic professionals. Inclusivity should be encouraged within organisations and workplaces, consequently filtering to allistic colleagues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740995","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":"The effects of cultural humility on therapeutic alliance and psychotherapy outcomes: A systematic review and meta-analysis","authors":"Edmund W. Orlowski,&nbsp;Mariola Moeyaert,&nbsp;Corey Monley,&nbsp;Clare Redden","doi":"10.1002/capr.12835","DOIUrl":"https://doi.org/10.1002/capr.12835","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The present review and meta-analysis sought to synthesise previous findings of studies examining the correlation between therapist cultural humility, the quality of the therapeutic alliance and psychotherapy outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Three databases were searched for relevant citations, yielding 548 records for review. After the systematic review of these articles, a final sample of 13 citations was submitted for coding and analysis. A random-effects meta-regression model was used to synthesise correlations collected from the final sample of studies. Heterogeneity was assessed using Cochran's <i>Q</i>, <i>I</i>² and <i>τ</i>². Publication bias was assessed using contour-enhanced funnel plots and Egger's test for asymmetry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a statistically significant, positive correlation between cultural humility and alliance quality (<i>r</i> = .66, 95% CI = [0.64, 0.68]). Similarly, a smaller, yet still statistically significant and positive association between cultural humility and psychotherapy outcomes was also found (<i>r</i> = .39, 95% CI = [0.36, 0.42]). Moderators related to client race, gender and lesbian, gay and bisexual (LGB) status were also examined though nonsignificant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Such results suggest that therapist cultural humility is an important part of a strong working relationship and eventual positive outcomes in psychotherapy regardless of race, gender or LGB status. Thus, efforts should be made to foster cultural humility among therapists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740993","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}