{"title":"调查实习生和合格的咨询师如何处理在临终关怀机构工作的心理负担","authors":"Olivia Jones, Teresa Garrod","doi":"10.1002/capr.70037","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Existing psychological literature regarding how counsellors navigate the mental toll of working in a hospice setting signifies that there are substantial gaps in empirical knowledge and understanding. To address this, the study aimed to explore lived experiences of counsellors working in a hospice, including how they experienced and responded to the mental toll and how they were supported.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>An inductive, qualitative approach was adopted to discover counsellors' unique lived experiences from the frame of reference of the experiencing persons. Six individuals participated in semi-structured interviews, which were analysed using the heuristic framework. Through immersion, incubation, illumination, explication and reflexivity, significant findings between interview transcripts were determined.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Four themes were identified: (1) Emotional intensity of counselling in a hospice setting; (2) Self-care considerations in navigating the mental toll; (3) The importance of reflection in processing counselling in a hospice setting; and (4) The significance of counsellors feeling supported mentally when working in a hospice setting.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Participants were able to recognise the significant emotional burden of working in a hospice setting and had identified self-care and reflection techniques to manage their own emotional health and well-being. However, participants felt that more could be done to support them in this work, and called for changes in training, hospice settings and professional bodies, and from colleagues to provide the support they need.</p>\n </section>\n \n <section>\n \n <h3> Recommendations</h3>\n \n <p>Core counselling training needs to embed self-care and reflection as an integral part of their programmes, to ensure trainees are equipped to face the emotional demands of working in placement settings. Strong networks of open communication in these settings is vital to promote open dialogue regarding counsellors' mental well-being. The introduction of peer support systems between novice and more experienced counsellors could assist in encouraging openness in how the work impacts personal mental health and well-being.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 3","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70037","citationCount":"0","resultStr":"{\"title\":\"Investigating How Trainee and Qualified Counsellors Navigate the Mental Toll of Working in a Hospice Setting\",\"authors\":\"Olivia Jones, Teresa Garrod\",\"doi\":\"10.1002/capr.70037\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Existing psychological literature regarding how counsellors navigate the mental toll of working in a hospice setting signifies that there are substantial gaps in empirical knowledge and understanding. To address this, the study aimed to explore lived experiences of counsellors working in a hospice, including how they experienced and responded to the mental toll and how they were supported.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>An inductive, qualitative approach was adopted to discover counsellors' unique lived experiences from the frame of reference of the experiencing persons. Six individuals participated in semi-structured interviews, which were analysed using the heuristic framework. Through immersion, incubation, illumination, explication and reflexivity, significant findings between interview transcripts were determined.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Findings</h3>\\n \\n <p>Four themes were identified: (1) Emotional intensity of counselling in a hospice setting; (2) Self-care considerations in navigating the mental toll; (3) The importance of reflection in processing counselling in a hospice setting; and (4) The significance of counsellors feeling supported mentally when working in a hospice setting.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Participants were able to recognise the significant emotional burden of working in a hospice setting and had identified self-care and reflection techniques to manage their own emotional health and well-being. However, participants felt that more could be done to support them in this work, and called for changes in training, hospice settings and professional bodies, and from colleagues to provide the support they need.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Recommendations</h3>\\n \\n <p>Core counselling training needs to embed self-care and reflection as an integral part of their programmes, to ensure trainees are equipped to face the emotional demands of working in placement settings. Strong networks of open communication in these settings is vital to promote open dialogue regarding counsellors' mental well-being. The introduction of peer support systems between novice and more experienced counsellors could assist in encouraging openness in how the work impacts personal mental health and well-being.</p>\\n </section>\\n </div>\",\"PeriodicalId\":46997,\"journal\":{\"name\":\"Counselling & Psychotherapy Research\",\"volume\":\"25 3\",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-08-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70037\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Counselling & Psychotherapy Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/capr.70037\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.70037","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Investigating How Trainee and Qualified Counsellors Navigate the Mental Toll of Working in a Hospice Setting
Aim
Existing psychological literature regarding how counsellors navigate the mental toll of working in a hospice setting signifies that there are substantial gaps in empirical knowledge and understanding. To address this, the study aimed to explore lived experiences of counsellors working in a hospice, including how they experienced and responded to the mental toll and how they were supported.
Method
An inductive, qualitative approach was adopted to discover counsellors' unique lived experiences from the frame of reference of the experiencing persons. Six individuals participated in semi-structured interviews, which were analysed using the heuristic framework. Through immersion, incubation, illumination, explication and reflexivity, significant findings between interview transcripts were determined.
Findings
Four themes were identified: (1) Emotional intensity of counselling in a hospice setting; (2) Self-care considerations in navigating the mental toll; (3) The importance of reflection in processing counselling in a hospice setting; and (4) The significance of counsellors feeling supported mentally when working in a hospice setting.
Conclusion
Participants were able to recognise the significant emotional burden of working in a hospice setting and had identified self-care and reflection techniques to manage their own emotional health and well-being. However, participants felt that more could be done to support them in this work, and called for changes in training, hospice settings and professional bodies, and from colleagues to provide the support they need.
Recommendations
Core counselling training needs to embed self-care and reflection as an integral part of their programmes, to ensure trainees are equipped to face the emotional demands of working in placement settings. Strong networks of open communication in these settings is vital to promote open dialogue regarding counsellors' mental well-being. The introduction of peer support systems between novice and more experienced counsellors could assist in encouraging openness in how the work impacts personal mental health and well-being.
期刊介绍：
Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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