Counselling & Psychotherapy Research最新文献

{"title":"A duoethnographic exploration of relational psychotraumatology: Research, training and practice considerations","authors":"Divine Charura,&nbsp;Penn Smith","doi":"10.1002/capr.12749","DOIUrl":"10.1002/capr.12749","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Using a duoethnological approach, supported by relational trauma theories, this paper synthesises idiosyncratic formulations and perspectives of working with relational trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Initially, focus is centred on reflecting on the authors' research with different and diverse groups. These include in-reach rehabilitation and recovery services for people with profound and enduring mental health needs, as well as experiences of trauma, loss, grief and post-traumatic growth of sanctuary seekers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Duoethnography, which is a collaborative research methodology that promotes introspection and critical reflexivity in researchers, was followed for over a year, and this provided rich data, which were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Duoethnological dialogue offered rich data, which was conceptualised into four themes, which are presented and elaborated on: (i) the importance of the therapists acknowledging and witnessing meaning-making with those who present with relational trauma and engaging with the evolving process of remembering, repeating and working through their trauma; (ii) the importance of therapists clarifying the aim or function of therapy from their modality; (iii) the importance of the idiosyncratic experiencing and processing of relational trauma; and (iv) the importance of the dynamic process and diversity of possible stages in working through relational trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These themes support an argument for a praxis of relational trauma and exploration of different approaches that may be helpful in therapeutic practice, training and psychotraumatology research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The paper concludes with reflections on how a human rights trauma-informed approach entails facilitating hope in trauma work and offers recommendations for psychotraumatology therapeutic practice and trauma-informed training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"972-981"},"PeriodicalIF":1.2,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140078615","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":"Exploring women's experiences of healing from sexual trauma through engagement in mind–body practices: A systematic review","authors":"Molly Ann Nixon","doi":"10.1002/capr.12747","DOIUrl":"10.1002/capr.12747","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review is the first to consolidate qualitative findings exploring women's healing experiences from sexual trauma through engagement in mind–body practices. This review aimed to expand our knowledge regarding the healing processes for sexual trauma and to help move towards further integration of holistic practices in trauma therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A methodical literature search was conducted using four databases: PsycINFO, Medline, CINAHL Plus and Scopus. After the initial search, 2392 records were assessed for eligibility. After screening, 11 articles remained and were analysed using thematic synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Data synthesis led to the conceptualisation of five main themes and three subthemes: (1) Integrating Mind and Body—(a) Reconnecting to the Body and (b) Processing Emotions; (2) Self-compassion; (3) Trauma-Sensitive Approach; (4) Connection—(a) Relationships Within the Group, (b) Safety in Relationships and (c) Spiritual Connection; and (5) Fun and Spontaneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the potential healing processes of body-based practices for women subjected to sexual violence. The review provides evidence for body-based practices focussing on holistic growth to be used in adjunction to therapy for sexual trauma. Limitations and future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"884-896"},"PeriodicalIF":1.2,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12747","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420550","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":"‘Don't just magically assume you're going to get better as a therapist as time goes on’: An exploration of the use of deliberate practice","authors":"Daryl Mahon","doi":"10.1002/capr.12746","DOIUrl":"10.1002/capr.12746","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Deliberate practice (DP) is an emerging concept in counselling and psychotherapy research that can be used to effectively help practitioners develop a host of therapy skills and processes. However, to date, no studies have examined its use in naturalistic settings with professionally qualified practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive approach using content analysis was employed with a purposive sample of international practitioners who were using DP in naturalistic settings. The sample consisted of therapists (<i>N</i> = 6) from five different countries, identifying as male (<i>N</i> = 5) and female (<i>N</i> = 1).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six categories were developed from qualitative interviews: (1) motivation for engaging in DP; (2) the impact of definition and operationalisation; (3) what to practice; (4) how to practice DP; (5) use of supports to develop DP; and (6) the emotional impact of DP. Deliberate practice is still in its infancy, and its definition may not translate into psychotherapy without modification. Participants described using DP to develop a host of psychotherapy skills and processes, and found support structures such as supervision and peers as helpful in the DP process. However, DP was also described as challenging to practice and it can cause those engaging in it to feel vulnerable and distressed. Implications are discussed for practice and future research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Deliberate practice is an emerging method used by practitioners to improve their skill acquisition. However, a lack of consensus on its key features may limit the extent of its dissemination and utility to practitioners in naturalistic settings. Further research should seek to provide a definition of DP more consistent with the practice of psychotherapy, and how to operationalise DP using methods that are inclusive for all practitioners whilst acknowledging the potential impact it can have on their sense of self.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"913-924"},"PeriodicalIF":1.2,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419065","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":"Improved self- and relational regulation: The relationship with the client changes the therapist","authors":"Olivia Rodrigues da Cunha,&nbsp;Luc Vandenberghe","doi":"10.1002/capr.12745","DOIUrl":"10.1002/capr.12745","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Several contemporary models of psychotherapy demand psychotherapists and counsellors to navigate an intensely personal involvement with clients. This study considers how this personal involvement impacts the clinician as a person.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We interviewed practitioners about how working with clients in a one-on-one therapeutic setting changed them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A grounded theory analysis of interviews with behavioural and cognitive therapists (<i>N</i> = 14; 9 women, 5 men) was carried out.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Working with clients may improve practitioners' self-regulation by generating a clearer view of themselves, providing strategies for effective living and facilitating self-compassion. These changes are often either clinical work's unavoidable effects or gains from accidental exposure to clients' contents. Clinical work may also improve practitioners' relationships by demonstrating the value of and providing strategies for managing one's input in crucial relationships and non-judgemental acceptance. Improved relational regulation often occurs as unavoidable learning or results from intentional emulation. Both self-regulation and relational regulation may contribute to clinical competency. Professionals can also unintentionally reproduce client quirks and accidentally learn practical tips. Possible implications are discussed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clients' influence on counsellors and psychotherapists deserves attention in psychotherapy research, training and supervision.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1280-1287"},"PeriodicalIF":1.2,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779180","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":"Exploring experiences of online ‘pro-ana’ networks: An interpretative phenomenological analysis approach","authors":"Jessica Sharman,&nbsp;Alison Rolfe,&nbsp;Tara Morrey","doi":"10.1002/capr.12744","DOIUrl":"10.1002/capr.12744","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Online pro-ana communities encourage, rather than denounce, eating disorder (ED) behaviours. Most research analyses online pro-ana content. Fewer studies have interviewed bloggers directly. To the authors' knowledge, no previous studies have analysed both posts and interview data from pro-ana bloggers. This study aimed to explore bloggers' experiences of online pro-ana communities, analysing posts and interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Five pro-ana bloggers participated in semi-structured interviews over Skype or Telegram. Bloggers' posts and interview data were analysed using interpretative phenomenological analysis, a qualitative method of analysis that emphasises the detailed exploration of participants' individual experiences and how they make sense of these experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five superordinate themes were identified: ambivalence towards pro-ana; social support; ‘Ana’ way of life; body/weight desperation; and hidden ED identity. Participants reported hiding their pro-ana blog, for fear of judgement from offline others. In contrast, participants experienced online pro-ana communities as a source of understanding, connection and solidarity that counteracted stigma experienced in the offline world. All participants idealised ‘Ana’ (anorexia), either as an admirable lifestyle or as the idealised, personification of anorexia, named ‘Ana’. Simultaneously, participants experienced pro-ana communities as deceptive and/or harmful, demonstrating ambivalence towards pro-ana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that community and shared understanding are important to individuals accessing pro-ana content. Therapists may explore this further with clients, alongside any ambivalence towards pro-ana and/or alternative supportive environments, such as online support groups. This may reduce isolation, without idealising ED behaviours. Future research could explore bloggers' relationships with the personified ‘Ana’ and experiences of non-Western and male users.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"1107-1119"},"PeriodicalIF":1.2,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139847190","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":"A multifamily group for adolescents with emotion regulation difficulties: Adolescent, parent and clinician experiences","authors":"Ruth Cleary,&nbsp;Sharon Houghton,&nbsp;Claire O’Driscoll Lawrie,&nbsp;Clodagh Dowling,&nbsp;Kevin O'Hanrahan,&nbsp;Susan Devoy","doi":"10.1002/capr.12737","DOIUrl":"10.1002/capr.12737","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dialectical behaviour therapy (DBT) has been successfully adapted for use with adolescents experiencing difficulties associated with the maladaptive undercontrol of emotion. However, clinical observation and research findings suggest that adolescents may exhibit traits of both undercontrol and overcontrol—where over-regulation of emotion predominates. In the adult population, distinct groups of individuals with under- and overcontrolled regulation styles can be identified, and treatments such as Group Radical Openness (GRO) have shown promise in treating difficulties associated with the latter. However, there are difficulties identifying distinct groups of under- and overcontrolled adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study therefore sought to qualitatively explore the experiences of participants (adolescents and parents) and facilitators of an intervention integrating DBT for adolescents’ skills training with GRO.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Six adolescents, seven parents and six clinicians completed semi-structured interviews. Data were analysed using thematic analysis. Nine themes and six subthemes were generated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Findings suggested that an intervention of this type may have particular utility for adolescents with emotion regulation difficulties in the context of both overcontrol and undercontrol. Participants described improvements in symptoms and relational functioning, which they attributed to the development of a shared language for communicating about emotion and the multifamily group context within which the intervention was delivered. Findings also emphasised the utility of rolling groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Further research investigating the efficacy of this intervention is warranted. Strengths, limitations, future directions and implications for practice are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"982-993"},"PeriodicalIF":1.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479856","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":"Dissatisfied dropout from school-based humanistic counselling: A theory-building case series","authors":"Emily Pattison,&nbsp;Mick Cooper","doi":"10.1002/capr.12743","DOIUrl":"10.1002/capr.12743","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dissatisfied dropout costs services financially and impacts client well-being. Research is limited on reasons for dissatisfied dropout in adolescents. Preliminary research suggests it may be due to feeling uncomfortable with silences, not knowing what to talk about, or unresolved ruptures. This study aimed to understand and refine the theory about the reasons for adolescent dissatisfied dropout from school-based humanistic counselling (SBHC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A theory-building series of case studies was conducted with three dissatisfied dropout adolescent cases who received SBHC during a randomised controlled trial. Gaps in the theory were established by exploring the themes in one case. Testing and developing the theory with additional cases involved comparing themes and theory statements to case data. The final theory integrated data across the three cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapeutic relationship difficulties and client factors were the principal, overlapping reasons for dissatisfied dropout. Relationship difficulties included a poor therapeutic alliance, the counsellor persisting with their own agenda, repetitive client/counsellor interactions with silences, the client not feeling able to trust the counsellor with a risk issue and a lack of knowledge about humanistic counselling. Client factors included the client's hesitancy and ambivalence to talk about their feelings in the counselling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results fitted with, but elaborated on and extended, the theory that a poor alliance, silences and misconceptions about counselling may lead to dissatisfied dropout. Emerging findings suggest the client's negative perception about disclosing their feelings and a lack of metacommunication about any difficulties in the therapeutic relationship may lead to dissatisfied dropout from SBHC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 3","pages":"1076-1086"},"PeriodicalIF":1.2,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12743","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140494114","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":"Investigating the academic attainment and progress of children in receipt of individual counselling: A matched comparison study of primary school age children in England","authors":"Katalin Toth,&nbsp;Sarah Golden,&nbsp;Pam Sammons","doi":"10.1002/capr.12741","DOIUrl":"10.1002/capr.12741","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In 2016, the UK government identified the need for counselling services in schools to be evidence-based (Department for Education, 2016). While there is more empirical evidence on counselling and improvement in mental health (Daniunaite et al., <i>Counselling and Psychotherapy Research</i>, 2015, 15, 251; Finning et al., <i>European Child &amp; Adolescent Psychiatry</i>, 2022, 31, 1591), less is known about the associations of counselling with children's academic attainment and progress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The aim of the paper was to provide more pieces of evidence on the possible associations between school-based individual counselling and the academic attainment and progress of primary school–aged children. The academic outcomes of children receiving one-to-one counselling were compared with those of children who did not receive counselling, but who had similar background characteristics. Coarsened exact matching method was used to match similar children for these comparisons based on national data sets available in England. Data were analysed with inferential statistics and multilinear regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Before matching the samples, analyses revealed children attending Place2Be's counselling services were significantly more likely to be boys (56.6% vs. 51.1%), of ethnic minority origin (46.4% vs. 21.5%), eligible for free school meals (FSM; 52.7% vs. 16.9%) and have special educational needs and disabilities (SEND) status (43.1% vs. 21.1%) than the comparison group. They also had lower academic attainment than children who were not in counselling. However, after a coarsened exact matching on relevant background characteristics, the Place2Be sample was found to have similar levels of academic progress to the matched national sample, suggesting they did not fall behind similar children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings indicate that individual school-based counselling may be helpful as a potential intervention for supporting vulnerable children's (defined as those identified by schools or parents as in need of individual counselling) academic progress in primary schools, as well as socio-emotional outcomes; however, further research is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1269-1279"},"PeriodicalIF":1.2,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139532438","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":"Accessibility and affirmation in counselling: An exploration into neurodivergent clients' experiences","authors":"Faith Jones,&nbsp;Jenny Hamilton,&nbsp;Niko Kargas","doi":"10.1002/capr.12742","DOIUrl":"10.1002/capr.12742","url":null,"abstract":"<p>Neurodivergence is having ‘a mind that functions in ways which diverge significantly from the dominant societal standards of “normal”’ (Walker, 2021, p. 33; Neuroqueer Heresies: Notes on the Neurodiversity Paradigm, Autistic Empowerment, and Postnormal Possibilities). The neurodiversity paradigm reframes the medical model of neurodivergence within the social context of disability (den Houting, 2018 [Autism, 23, 171]; Dwyer, 2022 [Human Development, 66, 73]). Research converges counselling and neurodiversity in a disorder-specific context, for example, the wide range of barriers of access to counselling that autistic individuals face (Hallett &amp; Kerr, 2020 [You need support, validation, good coping skills. You need and deserve acceptance]). More recent literature points towards the need for a flexible, clear approach to neurodivergence-informed counselling (Bolton, 2023b [Three ideas in person-centered, neurodivergent-affirming therapy]; Chapman &amp; Botha, 2022 [Developmental Medicine &amp; Child Neurology, 65, 310]; Pantazakos, 2023 [Counselling and Psychotherapy Research]). This research aimed to explore whether lived experiences of neurodivergent individuals within counselling were accessible, validating and affirming, in particular, regarding reasonable adjustments, communication and environment. An inductive, qualitative approach was adopted. Five individuals participated in semi-structured interviews, which were analysed following a six-phase approach to thematic analysis. Six main themes were found: (1) Feelings of frustration and confusion at language used in counselling; (2) Feelings of clarity and validation in language; (3) Feelings of overwhelm due to uncertainty and masking; (4) Feeling understood, heard and able to self-advocate; (5) The need for a safe, secure sensory environment and accommodations made; and (6) General accessibility and practicalities. Recommendations for practice include amending the counselling contracting process and sensitivity to the communication and sensory needs of each individual client. Further research may wish to explore specific details of the present, and other emergent, neurodiversity research in more detail.</p>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12742","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439373","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":"Practitioner psychologists' perspectives on working with clients with psychosis in a South-East Asian city-state: A qualitative investigation","authors":"Siying Wen,&nbsp;Pawel D. Mankiewicz","doi":"10.1002/capr.12739","DOIUrl":"10.1002/capr.12739","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Previous qualitative studies have investigated the experiences of undergoing an evidence-based psychotherapy for psychosis among individuals affected by such condition. However, the literature investigating the perspectives, experiences and needs of psychological practitioners providing the treatment remains considerably underrepresented. In the context of Asian cultures, where pervasive stigma towards psychosis and mental health services exists and interferes with proactive help-seeking, such research appears even more pertinent. To address the gap in the existing literature, this study utilised qualitative methodology to investigate the experiences of practitioner psychologists working with clients with psychosis in a South-East Asian city-state.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Six fully qualified participants were recruited from the local mental health services via convenience sampling. Semi-structured qualitative interviews were conducted. Transcribed verbatim data were then subjected to inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four superordinate themes emerged, as follows: therapeutic alliance, cognitive behavioural therapy for psychosis (CBTp) as primary approach, cultural influences and needs of practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results indicated that both practitioner psychologists and their clients contributed collaboratively to the establishment of therapeutic alliance. Although CBTp was utilised as a principal psychotherapeutic approach, acceptance and commitment therapy (ACT) was also valued. Necessary adaptations in the treatment were reflected on to address the specificity of local cultures, including the use of language and addressing pervasive public stigma. The necessity of multidisciplinary collaboration, localised training and supervision was also expressed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"24 4","pages":"1243-1256"},"PeriodicalIF":1.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139452666","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}