Counselling & Psychotherapy Research最新文献

{"title":"Classical Adlerian Mentorship: Cultivating Adlerian Practitioners' Professional Identity Through Mentorship","authors":"Xiaoxuan Qu,&nbsp;Derek X. Seward,&nbsp;Caroline L. O'Hara","doi":"10.1002/capr.70089","DOIUrl":"https://doi.org/10.1002/capr.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The population of classical Adlerian practitioners represents one theoretical branch of Adlerian psychology, but little empirical research has been conducted within this population. The classical Adlerian approach features a 12-stage depth psychotherapy model that targets the dissolving of the style of life and fictional final goal and paves the emergence of the self, other, and task actualisation. Individuals study the classical Adlerian approach through postgraduate professional training in a one-on-one mentorship style in which a trainee is matched with a training analyst.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This qualitative research aimed to explore how classical Adlerian practitioners navigate developing their professional identity in the context of the classical Adlerian mentorship training style. The research question of this study was: What are the lived experiences of developing professional identity through a mentorship-style training among classical Adlerian practitioners?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We employed purposive sampling and interviewed five classical Adlerian practitioners, each of whom took part in two semi-structured interviews. We adopted interpretative phenomenological analysis to explore these classical Adlerian practitioners' experiences developing professional identity through mentorship-style psychotherapy training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Our analysis revealed four themes. Findings revealed that, first, all contributing participants recognised their mentors' influence on who they were as professionals. Second, the classical Adlerian practitioners who participated in this study reported that their experiences in classical Adlerian mentorship fostered a mentor spirit and a joy in mentoring. Third, the one-on-one mentoring relationship was underscored by participants, each presenting a unique descriptive account. Fourth, participants emphasised the value of a learning process in a mentorship-style training and highlighted the integration of learning and application for learning theory and becoming Adlerian practitioners.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197025","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":"‘Difficult Bedfellows’: Relate Supervisors' Experiences of Synthesising the Functions in Their Roles","authors":"Belinda Ford","doi":"10.1002/capr.70087","DOIUrl":"https://doi.org/10.1002/capr.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The lived experience of clinical supervisors is under researched. To help fill this gap, the researcher completed a doctoral study into the lived experience of Relate supervisors. Relate was, at the time of the research, a UK charity which provides counselling. The article draws on this doctoral research and presents findings around one of the research questions: supervisors' lived experience of role tension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The research was completed from an insider researcher perspective as the researcher was a Relate supervisor when she undertook it. A mixed method qualitative/quantitative approach was taken and the research was underpinned by a phenomenological methodology. Firstly, a qualitative/quantitative survey was completed by Relate supervisors and analysed through reflexive thematic analysis. Secondly, semi-structured interviews were undertaken with ten RIelate supervisors and analysed via interpretative phenomenological analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Findings from the survey reveal a discrepancy in the expectations of supervisors, supervisees and managers around the supervisor role, which causes supervisors tension. Whilst delivering support comes naturally to supervisors and they believe that supervisees require support, they are uncomfortable delivering the enforcement function. Equally, they recognise that the priority for managers is the management of risk and the enforcement of policy and procedures. Interview findings similarly demonstrate this role tension. Themes include the discomfort of being the ‘policeman’, and tension caused by synthesising functions and being pulled into line management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>By bringing an empirical, phenomenological perspective to the supervisor role, this research expands our understanding. It has the potential to raise awareness and build knowledge, resulting in changes to the way supervision is delivered through supervisor and supervisee training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193642","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":"Transitioning in and out of Autistic Flow: A Qualitative Study Presenting a Non-Pathologising Approach to Autistic Well-Being and Conceptualising Autistic Ways of Being in Clinical and Therapeutic Settings","authors":"Daniella Wain,&nbsp;Gemma Williams,&nbsp;Divine Charura,&nbsp;Lorna G. Hamilton,&nbsp;Damian Milton,&nbsp;Deborah Wortman,&nbsp;Brett Heasman","doi":"10.1002/capr.70073","DOIUrl":"https://doi.org/10.1002/capr.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Autistic flow is a term that has been used to describe the autistic experience of being deeply immersed in an activity. Autistic flow theory proposes that autistic people may be uniquely positioned to access and manage flow states. However, more research is needed to understand the facilitative conditions that support autistic people transitioning into and out of flow states, particularly given the complex interplay of sensory needs, monotropic focus and environmental factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were used alongside Interpretative Phenomenological Analysis (IPA) to explore the qualitative experiences of ten autistic people transitioning in and out of flow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis highlighted three themes: (1) Flow is enjoyable and essential for autistic well-being, playing a regulatory role in everyday experiences across sensory, emotional and cognitive facets; (2) autistic ways of being (i.e., monotropic attention, sensory sensitivity and repetitive behaviours) can amplify experiences in and out of flow; and (3) predictability is important for feeling safe to enter flow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>We discuss the wealth of expertise autistic people possess about their own flow experiences and how this can be harnessed to build enabling environments for well-being. The findings contribute to a non-pathologising reconceptualisation of autistic ways of being through the approach of autistic flow theory.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196984","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":"An Evaluation of the Use of Automated Chatbots Within One Psychological Therapy and Counselling Service","authors":"Gabriella Mutale,&nbsp;Maria Karanika-Murray,&nbsp;Di Bailey,&nbsp;Steven Brown,&nbsp;Dean Repper,&nbsp;Tim Anstiss","doi":"10.1002/capr.70085","DOIUrl":"https://doi.org/10.1002/capr.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study evaluated the effectiveness of the use of automated chatbots within one NHS Talking Therapies provider. Two chatbots were designed and piloted: (1) to help prepare patients for therapy and (2) to provide solution-based coaching to patients regarding a problem or concern. This study aimed to evaluate the effectiveness of the use of these chatbots in the NHS Talking Therapies service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The chatbots were made available to patients (<i>N</i> = 4329) who had been referred for therapy and were waiting for their first assessment. Data from a control group of patients (<i>N</i> = 4333) who did not use a chatbot were also analysed. The evaluation adopted a mixed methods approach to capture data relating to the conversations had by patients with the chatbot, feedback regarding satisfaction with its use, data relating to patient attendance and standardised outcome measures relating to patients' improvements in anxiety and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Qualitative data showed that the chatbots were received positively by patients who gave feedback. Quantitative data showed non-attendance was significantly lower in the control group (<i>p</i> ≤ 0.001), cancellations were significantly lower in the control group (<i>p</i> ≤ 0.001), but days spent in therapy were significantly higher in the chatbot groups (<i>p</i> ≤ 0.001). All groups saw significant improvements in their GAD-7 (<i>p</i> = 0.000) and PHQ-9 (<i>p</i> = 0.000) scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In NHS Talking Therapy services, waiting times have been problematic; thus, chatbots can be a useful tool to assist patient engagement while they wait for their appointment. Therefore, they have the potential to reduce anxiety, frustration or disappointment in patients who are unable to wait for too long and may drop out before they start therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193596","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":"Neurodiversity-Affirming Emotion-Focused Group Therapy: An Exploratory Outcome Study","authors":"Anna Robinson,&nbsp;Robert Elliott","doi":"10.1002/capr.70075","DOIUrl":"https://doi.org/10.1002/capr.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Autistic adults experience high levels of mental health conditions, such as depression and anxiety. Autism has been associated with difficulties in emotional processing, which may reflect co-occurring alexithymia. Although other psychological approaches have been developed, emotion-Focussed Group Therapy might also be a relevant intervention for helping autistic adults develop their emotional processing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Nine autistic adults were offered a nine-week group neurodiversity-affirming emotion-focussed therapy (neuro-EFGT). An observer measure was used to track change across therapy in emotional processing for affective empathy for self (emotion regulation) and other (empathy), and in cognitive empathy for self (self-reflection) and other (mental representation).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant pre-/postoutcome differences were found, for both modality (therapy vs Interpersonal Process Recall; <i>d</i> = 2.20) and time (<i>d</i> = 5.68), with seven of the nine participants showing significant reliable change in emotional processing by the end of therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>This is the first outcome study of neuro-EFGT that offers an initial account of autistic adults' experiences of the intervention. Neuro-EFGT may be a useful alternative therapy for autistic adults who report emotional processing difficulties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193595","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":"Developing a Counselling and Psychotherapy Competency Framework for Addictions: A Systematic Review","authors":"Faisal Mahmood,&nbsp;Wayne Full,&nbsp;George Salaminios,&nbsp;Jo Pybis,&nbsp;Susan Critchley,&nbsp;Traci Postings,&nbsp;Phaedra Longhurst,&nbsp;Keri Johnson,&nbsp;Gabriel Wynn","doi":"10.1002/capr.70083","DOIUrl":"https://doi.org/10.1002/capr.70083","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Adults with addictions may turn to professional counsellors and psychotherapists for help. Addictions work comprises a specialist counselling skillset. This article summarises the literature review and analysis that underpins the British Association for Counselling and Psychotherapy's (BACP) Addictions Competence Framework.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to identify the specialist knowledge, skills and experience associated with effective counselling for adults seeking help with addictions, whether active or in recovery.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We systematically reviewed empirical research and wider literature. The EBSCO database was searched following the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines, using a range of search terms and appropriate inclusion and exclusion criteria. Relevant data were extracted, reviewed and thematically synthesised.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Forty-seven relevant articles were identified. Five superordinate themes were developed: (1) specialist addiction knowledge; (2) assessment and treatment planning; (3) training, supervision and professional practice; (4) client-focused approach; (5) specific therapeutic techniques. Findings from this study indicate that addictions counselling work is enhanced when therapists have knowledge of different addiction models and are able to offer suitable interventions for the pre-treatment phase, relapse prevention and for supporting the recovery process.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective therapy adopts an integrative, client-focused approach that fosters safety and collaboration. It focuses on managing cravings/urges, addressing emotional concerns and helping clients challenge self-defeating thoughts and beliefs. Techniques associated with effective addictions counselling include psychoeducation, motivational interviewing and mindfulness-based strategies. Delivery style is characterised by empathy and a non-confrontational stance.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review identifies specialist knowledge, skills and experience associated with effective counselling for adults seeking help with addictions and provides evidence to underpin the BACP's Addictions Competence Framework.&lt;/p&gt;\u0000 ","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099368","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":"Statistical Relations Among the CORE-10, PHQ-9 and GAD-7 in an English Urban Community Counselling and Psychotherapy Clinic","authors":"Joel Vos,&nbsp;Emma Broglia,&nbsp;Biljana van Rijn,&nbsp;Maritina Peristeri,&nbsp;Michael Barkham,&nbsp;William B. Stiles","doi":"10.1002/capr.70067","DOIUrl":"https://doi.org/10.1002/capr.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Three widely used brief self-report symptom intensity measures used to assess clients seeking psychological therapy are the Patient Health Questionnaire-9 (PHQ-9), which focuses on depression, the Generalised Anxiety Disorder-7 (GAD-7), which focuses on anxiety, and the Clinical Outcomes in Routine Evaluation-10 (CORE-10), which focuses on general distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the statistical relations among the PHQ-9, GAD-7 and CORE-10, their level of inter-agreement and ability to predict clinical caseness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>All three measures were administered contemporaneously to 1103 clients seeking psychological therapy at a community clinic in England. Data were anonymised and analysed following ethical guidelines. The data analysis plan was preregistered via the Open Science Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Correlations among the three measures ranged from <i>r</i> = 0.71 to 0.78, <i>p</i> &lt; 0.001. The percent of clients meeting caseness criteria was highest for the CORE-10 (87.3%), followed by the GAD-7 (74.8%) and the PHQ-9 (71.0%). Agreement between pairs of measures ranged from fair to moderate (<i>κ</i> = 0.45 to 0.59), with the 3-way agreement also moderate (<i>κ</i> = 0.58). Structural Equation Modelling indicated these scales measured a common latent construct of psychological distress. The GAD-7 showed a modest ceiling effect, whereas the CORE-10 and PHQ-9 did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The high level of overlap among the three measures suggests they may not distinguish sharply among types of distress. Pending future repeated-measures research on the instruments' sensitivity to change, these findings suggest a single measure may suffice as a baseline measure of distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091154","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":"Emotion-Focused Therapy's Empty-Chair Task for Complicated Grief: How to Make It Work","authors":"José Gamoneda,&nbsp;Rafael Jódar,&nbsp;Ladislav Timulak","doi":"10.1002/capr.70084","DOIUrl":"https://doi.org/10.1002/capr.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Empty-Chair Task for Unfinished Business has been studied in relation to various issues, such as interpersonal conflicts or trauma. Despite having been proposed as a way to address grief, it has not been sufficiently studied in relation to clients' emotional processes which facilitate therapeutic changes in grief.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>In this regard, this qualitative study aimed to track clients' emotional processes related to therapeutic change in an intervention based on the Empty-Chair Task for complicated grief.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study analysed a sample of 12 participants with complicated grief, of whom seven showed clinically significant improvement in grief symptoms. Additionally, observer-based measures were utilised to triangulate qualitative observations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>It was observed that, in cases with successful outcomes, clients were able to address and transform core emotional pain (e.g., chronic loneliness) by fully experiencing it and, subsequently, embracing adaptive experiences (e.g., connection with the deceased). In contrast, unsuccessful outcomes appeared to be associated with difficulties in engaging with core emotional pain and accessing adaptive emotional states, such as compassion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study underscores the transformative potential of the task for complicated grief, with implications for clinical practice and training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091164","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":"Climate Change-Related Thoughts and Cognitive Styles in Psychotherapy—A Qualitative Analysis of Therapists' Reports","authors":"Katharina Trost,&nbsp;Madina Farani,&nbsp;Verena Ertl,&nbsp;Julia König,&nbsp;Rita Rosner,&nbsp;Hannah Comtesse","doi":"10.1002/capr.70082","DOIUrl":"https://doi.org/10.1002/capr.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although several studies have examined climate change-related concerns affecting mental health, it remains unclear what specific cognitions are present in clinical samples. The present study examines (1) the thought content of patients with climate change-related concerns and (2) their cognitive styles, as reported by therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is a secondary analysis of a nationwide survey of German therapists on climate change-related concerns in their patients. We qualitatively analysed reports from a subgroup of <i>N</i> = 214 therapists regarding patients' thought content and cognitive styles with structural content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapists' reports revealed diverse themes of thought content as outlined in the literature, with the most prevalent categories reported by approximately half of therapists being <i>the deadly threat posed by climate change</i> (54.2%) and <i>helplessness in face of collective inaction and individual inability</i> (52.8%) as well as <i>the paralysis and disengagement from life goals</i> (48.1%) and <i>the immediacy, celerity, and irreversibility of climate change</i> (46.7%). The most commonly identified cognitive styles in the therapists' reports were <i>rumination</i> (50.0%), <i>catastrophising</i> (44.9%), and <i>self- and other-blame</i> (32.2%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate that recurring climate change-related cognitions in therapy correspond with established cognitive patterns and overarching themes such as loss and danger, commonly linked to depression and generalised anxiety. Preliminary associations with disorders like panic and adjustment disorder require further empirical validation. Clinically, assessing these cognitions may guide intervention adaptation and inform targeted psychotherapist training using relevant cognitive content.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146058010","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":"Bridging Barriers: Volunteer and User Perspectives on Delivery of a Multi-Channel Digital Mental Health Helpline for Young People","authors":"Rishika Dhariwal,&nbsp;Marie Song,&nbsp;Nastasija Vukmanovic,&nbsp;Rachel Perowne,&nbsp;Leslie Morrison Gutman","doi":"10.1002/capr.70080","DOIUrl":"https://doi.org/10.1002/capr.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>As demand for accessible youth mental health support grows, digital helplines delivered across multiple communication modes offer promising reach and flexibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explores the barriers and enablers to delivering a multi-channel mental health helpline for young people, incorporating both volunteer and service user perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the Behaviour Change Wheel (BCW) and Capability-Opportunity-Motivation-Behaviour (COM-B) model, qualitative interviews were conducted with eight volunteers and five service users of a UK-based helpline. Thematic analysis identified key influences on delivery, which were mapped to relevant Behaviour Change Techniques (BCTs) for potential service optimisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven themes were identified across COM-B domains. Physical Opportunity barriers included inflexible protocols and access limitations, while Reflective and Automatic Motivation enabled delivery through positive emotions and digital familiarity. Each delivery mode brought particular strengths and limitations: phone fostered a deeper emotional connection but demanded high cognitive effort and posed confidentiality concerns; webchat was familiar and enabled fluid expression; email allowed time to reflect but was slower and more impersonal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore that empathy and human connection remain fundamental, even within digital spaces. For practitioners, training volunteers in mode-specific communication skills is essential to ensure these qualities are maintained. Rigid templates, which may hinder rapport, could be adapted to allow greater flexibility while safeguarding staff and service users. At a policy level, the study highlights the importance of multi-channel delivery to maximise accessibility and user choice in helpline provision.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"26 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146002271","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}