bluuebunny/crossref_metadata_2025 huggingface dataset:
A real-time study of psychologists’ work activities in the Republic of Ireland
Authors: Murphy Síle , Sarma Kiran , Byrne Michael
Published: January 2023

This real-time study indicated a move towards a consultancy model by clinical psychologists. A comparison with data collected using retrospective survey methods suggested concordance between results, thus providing support for the use of retrospective methodology in surveying work practices.
Compassionate care post Francis: How relevant is staff experience?
Authors: Beck Alison
Published: January 2023

This paper discusses what works in terms of building a compassionate culture within an organisation and shows that building a compassionate culture depends on being compassionate with ourselves and each other.
The process of diagnosing Asperger’s syndrome
Authors: Sharp Jonathan , Lewis Samantha
Published: January 2023

This article reflects on the process and impact of diagnosing Asperger’s syndrome in adults from the perspective of two clinical psychologists.
First step on the ladder? The varying roles and experiences of the support worker
Authors: Acum Michelle , Maher John , Stocks Greg
Published: January 2023

Michelle Acum, John Maher & Greg Stocks discuss their experiences working as support workers, including their reasons for taking on the role, details of work undertaken, the skills required to carry out the role, the most frustrating and enjoyable aspects and what they learnt.
Containing powerful emotions on an inpatient ward: Issues, understandings and some practical steps
Authors: Channer Kerrie , Kemp Ryan
Published: January 2023

Psychoanalytic theory supports the understanding of interactions taking place in stressful environments where strong emotions are felt but poorly expressed. Budgetary reductions and increased workloads make this issue central in the current NHS. We suggest ways to deal with this.
Celebrating 15 years of providing specialist therapeutic interventions
Authors: Pond Rebecca , Rushbrook Sophie , Clarke Sue
Published: January 2023

The Intensive Psychological Therapies Service (IPTS) was one of the first specialist personality disorder (PD) services of its kind in the country and this year it is celebrating 15 years of providing successful therapeutic interventions to a hard-to-reach client population. This article describes the specialist service and why we should continue to value it. It discusses the key areas that have contributed to the services survival, and describes the difficulties associated with running a specialist PD service under the current financial pressures being felt in mental health trusts.
The prevalence of anxiety and depression symptoms in people attending colorectal clinics under the ’two week rule’ for suspected cancer
Authors: Jenkins Kate , Cole Simon , King Lydia , Branagan Graham
Published: January 2023

It has been hypothesised that the rapid referral system for suspected cancers could produce high levels of distress (Al-Shakhli et al., 2006). This study examines levels of symptoms of anxiety and depression in people referred for suspected colorectal cancer under the two week wait rule. Significant anxiety levels were found and recommendations are made and the implications for communication discussed.
Carer support in young onset dementia: Research and planning of a group intervention
Authors: Green Laura , MacDonald Helen , Keddie Gayl , Raine Carol , Phillips Aidan
Published: January 2023

The strategic and clinical literature relating to group interventions with carers of younger people with dementia is reviewed by the Newcastle Younger People with Dementia team. Results of a tailored questionnaire based on this review are outlined and discussed. The service outlines plans to implement a group for family carers based on the results gathered.
Developing indirect working skills as a trainee: Learning to conduct a training workshop for a multidisciplinary team
Authors: Zhao-O’Brien Jane
Published: January 2023

This case study illustrates how I learned to conduct a training workshop on eating disorders for a multidisciplinary team at a Child and Adolescent Mental Health Service. The report follows the ‘teaching cycle’ as summarised by Milne and Noone (1996), progressing through stages of needs assessment, objective setting, designing, delivery and outcome evaluation, concluding with a critical reflection.
Volunteering with NHS psychological services: Costs, benefits and personal perspectives
Authors: Stuart Simon , Ross Michael Killoran , Alexander Laura , Ross Kerry
Published: January 2023

Traditional routes into clinical training appear to be narrowing as competition is increasing. Volunteering can have benefits for prospective trainees and services alike, though it is not a straightforward solution. This paper offers both objective and personal perspectives.
Faculty of the Psychology of Older People
Authors: Dow Becci
Published: January 2023

As this is a special issue, this month’s news is supplied by commentators from a social-materialist perspective. Next month will be back to the usual format. I hope you find these pieces thought provoking, regardless of whether you agree with the content.
Working globally, thinking locally: Providing psychosocial intervention training in Sierra Leone
Authors: White Ross , Ebert Beate
Published: January 2023

This article reflects on the work of a project that brings clinical psychologists from Europe and the United States to Sierra Leone to train local workers in psychosocial interventions. Strengths, weaknesses and opportunities associated with this work are highlighted.
The quest to adhere to the NICE guidelines for eating disorders in an adult community eating disorders service
Authors: Viljoen David , Kelly Brid
Published: January 2023

This article describes and reflects on a full audit cycle that was conducted in an adult community eating disorders service in search of compliance with the National Institute for Health and Clinical Excellence (NICE, 2004) guidelines for eating disorders.
Trainees’ experiences of dealing with clients’ religious/spiritual issues
Authors: Begum Nicola , Baker Martyn , Fawcett Graham
Published: January 2023

Two super-ordinate dimensions are presented of trainee clinical psychologists’ experience of the religious and spiritual issues of their clients. This account of their data, worthy of careful consideration in its own right, also provides a couple of possible training directions.
Military metaphors and mental health – Francis and psychiatric systems
Authors: Hider Andrew
Published: January 2023

‘The vast majority of front-line staff, who are consistently hard-working, conscientious and compassionate, have to understand that criticism of poor and unacceptable practice is not aimed at them but is part of a struggle to support everything they stand for.’Robert Francis QC, The Francis Report: One year on – The response of acute trusts in England, February 2014, p.4

‘…what we need now, to fight the health problems that threaten the future of the NHS, is an army that’s fit to fight a war’.Christina Patterson, The Guardian, August 2014
Minding the margins: An innovation to integrate psychology in a homeless hostel environment
Authors: Williamson Emma , Taylor Kathy
Published: January 2023

Addressing exclusion effectively means not only reaching out into the spaces occupied by homeless people, but also actually ‘living’ life alongside them, becoming integrated into their home environment, so that a psychological perspective can become accessible to them, and transformational.
Bridging the gap: A model for facilitating mainstream psychological and mental health service provision for socially excluded people with complex needs
Authors: O’Neill Tara , Wells Barney
Published: January 2023

This paper describes the implementation of a service model which provides a multidisciplinary mental health assessment service to a range of homeless services across London. The paper predominantly focuses on the development of the psychological aspects of the service.
When it comes to working with people without homes, where is clinical psychology?
Authors: Brown Rachel
Published: January 2023

Homelessness can be seen as the extreme of social exclusion – so where are the clinical psychologists? I shall reflect upon my impression of clinical psychology’s current engagement in working with people without homes, formulate the current picture and discuss ideas for moving forward.
The ethics of national routine outcomes monitoring policies: A case for taking action
Authors: Fugard Andy
Published: January 2023

Service users hope that psychological therapies will help them to feel better. Though challenging and controversial, there are signs that routine outcomes monitoring can be used to evaluate and improve therapy effectiveness. In this article, I briefly introduce three national policies in England which I think are ethically problematic and could be damaging to outcomes monitoring. I conclude with ideas for what might be done in response. The guiding principle is simple: outcomes monitoring should be focused on helping achieve its central aim, to learn about and improve care.
The development of a mindfulness group for stroke patients: A pilot study
Authors: Merriman Juanita , Walker-Bircham Sarah , Easton Simon , Maddicks Richard
Published: January 2023

A mindfulness based cognitive therapy (MBCT) group was run for stroke patients. Interviews and questionnaires enabled our understanding of the patients’ experience to inform practitioners of the strengths, difficulties and adaptations to consider for such a group.
Working with survivors of childhood sexual abuse from South Asian communities: Reflections and practice points to consider
Authors: Walji Irram , Smith Ian
Published: January 2023

Ethnically dissimilar and similar therapeutic dyads can present different challenges to practice. Reflections (from a case study) are offered on cultural dynamics that can potentially influence developing therapeutic relationships, facilitating disclosure of childhood sexual abuse and choice of psychotherapeutic interventions.
Are we delivering recovery-based mental health care? An example of ‘co-produced’ service evaluation
Authors: Taylor Katherine Newman , Herbert Lesley , Woodfine Chris , Shepherd Geoff
Published: January 2023

This paper describes a co-produced pilot evaluation of secondary care services. The study was designed and run jointly by people with expertise through experience, and expertise though training. The results support the feasibility of co-production in such governance procedures in the NHS, which we suggest should now be expected as routine good practice.
The new ‘C word’ and death anxiety: A trainee’s experience of cancer psychology
Authors: Harenwall Sari
Published: January 2023

This short article shares some reflections and experiences in psycho-oncology as a trainee clinical psychologist. My reflections are focused around the topic of death as this has become strongly associated with the word ‘cancer’.
Dealing with diversity: Reflections from supervisory conversations
Authors: Helps Sarah , Mulla Aayesha
Published: January 2023

This article offers reflections from two perspectives on the challenges of dealing with prejudice and of keeping awareness of diversity central to one’s development, both as a clinical psychologist and as a supervisor.
Service user involvement on clinical placement
Authors: Barker Hazel , Waites Benna
Published: January 2023

This is a reflection from three perspectives on the process of involving a service user in the evaluation of a trainee’s competence development on clinical placement.
Parenting children with disabilities is challenging: Does parenting style contribute to experience of parental stress in parents of children with disabilities?
Authors: Shedden Fiona , Taylor Vikki , Pajak Rosanna , Lopez Paula Corredor
Published: January 2023

This study explores whether parenting style is associated with parents/caregivers experience of stress when parenting children with disabilities. We looked at a cross-section of parents involved with the Disabled Childrens’ Outreach Service (DCOS) in East London.
Sexuality and diversity training in clinical psychology courses in the UK
Authors: Montenegro Miguel
Published: January 2023

A brief survey revealed that out of 12 clinical psychology doctoral courses in the UK only 10 courses were delivering sexuality and diversity training across the three years of their programmes. Inconsistencies in topic variety and length of training also emerged.
Why bother with ‘lean’? Experiences of a lean-trained head of psychological services
Authors: Cohen-Tovée Esther
Published: January 2023

This paper considers the relevance of lean to the working lives of clinical psychologists and the potential benefits to service users. Service improvement initiatives before and after lean training are described, and the impact on services and the wider organisation noted.
Keeping it real: Debunking ‘lean and clinical psychology’
Authors: Lucas Rachel
Published: January 2023

As a clinical psychologist who has recently completed the Virginia Mason Lean certified leader training, this paper reflects upon that journey, the lessons learned, and challenges some potential assumptions regarding clinical psychology and lean.
Prevalence of offending in a community sample of individuals who have suffered a moderate-severe traumatic brain injury
Authors: Friedland Daniel , Schultz Joerg
Published: January 2023

This study looked at the prevalence of offending rates in a community sample of individuals who had suffered a moderate-severe traumatic brain injury. The prevalence of offending in the sample in the first nine months following their moderate-severe traumatic brain injury was in keeping with the normal population, and was lower than rates of offending in the prison population.
Eligibility assessment for learning disability services: A multidisciplinary, stepped-care approach
Authors: Zimbelman Kirk , MacMahon Ken , Halley Lisa , Johnston Lucy
Published: January 2023

Eligibility assessments for learning disability services have far-reaching consequences for individuals and services. Clinical psychology has typically been responsible for this role, leading to significant workloads and potential delays in outcome. NHS Lanarkshire Adult Learning Disability Service has developed a multidisciplinary protocol to ensure comprehensive and rapid assesment.
Developing a cultural consultancy service
Authors: Fatimilehin Iyabo , Pilkington Aneela , van Silfhout Kim , McCann Martha
Published: January 2023

This article describes the development of a cultural consultancy service in the context of a community psychology approach. It outlines the issues the cultural consultancy service is designed to address, the processes involved in setting it up and the challenges that were encountered in the process.
Clinical Psychology in Britain: Historical perspectives
Authors: Hall John
Published: January 2023

This is the second of three short pieces about the Society’s forthcoming bookClinical Psychology in Britain: Historical perspectives, sponsored by the DCP and the History of Psychology Centre.
To assess or not to assess? Making decisions in neuropsychological contexts
Authors: Walji Irram
Published: January 2023

Decisions around whether to complete cognitive assessments within neuropsychology contexts need to be considered on a case-by-case basis rather than based on routine practices. Factors that may shape this decision making are explored, using a case study to illustrate this process.
Developing an outcome questionnaire for crisis teams: A pilot study
Authors: Wright Mary , Chester Ruth , Jacobsen Pamela , Middlewood Laura
Published: January 2023

A brief questionnaire was developed to evaluate crisis services. Results showed that it could be used within standard clinical practice and that there was a statistically significant change for participants on the majority of the items.
Integration of formulation in adult multidisciplinary services across a large NHS foundation trust – Phases 1 and 2: Training and integration
Authors: Casares Philippa , Johnstone Lucy
Published: January 2023

This article summarises an ambitious project to embed formulation into the care pathway of a redesigned adult and later life secondary care community service. We describe the initial training package and follow-up, and reflect on further areas for development.
What do people need to be resilient in the current NHS?
Authors: Andrews Stephanie , Thorne Fiona
Published: January 2023

The challenges in defining, identifying and increasing resilience are discussed with regards to psychologists, teams and the NHS as a whole.
The past, present and future of clinical psychology training
Authors: Methley Abigail , Sawer Francesca , Randall-James James , Persson Joanne K.
Published: January 2023

This article reflects on the past and present of the clinical psychology doctorate training programme, and looks ahead to the future in the context of the changes within the wider NHS.
In case of emergency, take the (12) Steps: A clinical psychologist’s view of Alcoholics Anonymous
Authors: Mehdikhani Mani
Published: January 2023

This paper considers Alcoholics Anonymous and its 12 Steps approach from a psychologist’s perspective. The terms and intervention components can be construed in language more familiar to psychologists; an overview of how the approach may help is given, followed by a consideration of overcoming some of the potential barriers to service users referring themselves to a group.
Reflections on implementing an enhanced psychosocial treatment package to opiate users in the community
Authors: Noronha Louise , Sweetman Isabel
Published: January 2023

This article reflects on our experience of delivering a psychosocial treatment package as part of a randomised controlled trial within a community drug and alcohol service.
Inanimate attachments, dangerous desires: A psychodynamic view of addiction
Authors: Weegmann Martin
Published: January 2023

A puzzling absence at the heart of the psychology of addiction is the (relative) absence of contemporary psychodynamic perspectives. This paper gives an overview of the ways addiction can be conceptualised psychodynamically and outlines some of the advantages of psychodynamic understandings in formulation and treatment.
Substance misuse and older people
Authors: Randall-James James , Edwards Kim
Published: January 2023

Substance misuse in older adult populations is a significant social and health issue. This area requires urgent attention from researchers, clinicians, commissioners, and society as a whole. This article provides a discussion of the literature and important aspects of clinical practice.
Health locus of control and wellbeing of individuals experiencing acute mental health problems
Authors: Isaia Natalie , Nath Nadezda
Published: January 2023

This study investigated health locus of control and wellbeing of individuals experiencing acute mental health problems in an inpatient ward. No direct relationship was found between these variables; however, differences by demographic variables such as age and ethnicity were identified.
Promoting clinician engagement in research in a community learning disability service
Authors: Tomlins Rose , Bancroft Ann
Published: January 2023

Delivery of high quality clinical research is an essential part of service development, but barriers exist that can limit clinicians’ involvement in research. The efforts that we have made within our community learning disability service to support the development, promotion and dissemination of research are described here.
Not backing away: How our values may help us to persevere in challenging clinical situations
Authors: Stewart Jessica
Published: January 2023

This is a reflective article that draws on the acceptance and commitment therapy model to explore how our values help us in challenging situations when we might otherwise back away.
From unconsciousness to consciousness: Reflections on a clinical case
Authors: Lilley Catherine
Published: January 2023

This is the story of how a man I worked with learnt to cope with his own issues, and how he consequently taught me how to overcome barriers to working effectively as an assistant psychologist.
Participation: Everybody brings something to the table
Authors: McElwee Jennifer
Published: January 2023

This article considers the role of ‘participation’ in challenging disabling discourses and cultures within the NHS. It introduces ideas about working with parent and young people participation groups linked with a child and adolescent mental health service (CAMHS) for young people with a learning disability.
Teaching of philosophy of science on clinical psychology training courses
Authors: Lofgren Axel , Nair Roshan das , Rennoldson Mike
Published: January 2023

This article reports the results of an evaluation of the teaching of philosophy of science on clinical psychology training programmes. The implications of the evaluation for engagement with philosophy of science on training courses are discussed and specific recommendations made.
Working with women in secure care: A gender informed model
Authors: Sneider Stephanie , Townson Caron
Published: January 2023

This paper aims to give an overview of the gender-informed model of care developed by the Women’s Service Governance Group (2013) at Guild Lodge medium secure hospital in Preston. The key areas of the model are described, some of the challenges of maintaining this model discussed and finally a case example described.
Mindfulness group for men in a low secure forensic setting: A pilot study
Authors: McMullan Elaine , Kennedy Emma
Published: January 2023

This article presents an evaluation of an eight week mindfulness group facilitated for men accessing a low secure inpatient service in the north of England. Service user feedback on the group is presented and recommendations for future practice are considered.
‘There is something about working together’: Improving talking therapies provision to the Orthodox Jewish communities of North London
Authors: Galloway Anna , Byrne Angela
Published: January 2023

This qualitative study explored changing opinions within Orthodox Jewish communities towards talking therapies. Community members and workers reported greater acceptance of talking therapies, increased knowledge of psychological difficulties and reduced stigma, but with much more still to be done.
Feminine and masculine personality traits: Reflections on opportunities and challenges to a career in clinical psychology
Authors: Melia Yvonne
Published: January 2023

In this paper I will reflect on traditional ‘masculine’ and ‘feminine’ traits. I will discuss the potential import of such traits to the profession of clinical psychology, considering the opportunities and challenges masculinity and femininity present across the career pathway, including entry to the profession and progression into leadership positions.
NHS staff members’ experiences of participating in an eight-week mindfulness programme: A service evaluation of a pilot programme
Authors: Black Peter N. , Carroll Emma
Published: January 2023

The Belfast Trust Health and Social Care (BHSCT) employs approximately 22,000 members of staff. Within the Occupational Health Service (OHS), clinical psychology has a specific role in relation to promotion, maintenance and restoration of mental health for members of staff. At the levels of ‘promotion’ and ‘maintenance’, an eight-week mindfulness programme was implemented. Findings from a follow-up focus group support the implementation of the intervention at this level and suggest potential benefits of implementation at a ‘restoration’ level.
A service evaluation of a psychological skills group for people diagnosed with multiple sclerosis
Authors: King Lorraine , Hampson Natalie , Flint Alice , Speake Georgina
Published: January 2023

A psychological skills group was run for people diagnosed with multiple sclerosis (MS) living in the community. Questionnaire data and group discussion evaluated the beneficial impact this type of therapeutic approach had on patients with MS.
Is access to clinical psychology training in the UK fair? The impact of educational history on application success
Authors: Scior Katrina , Williams Janice , King John
Published: January 2023

Whether social and not just ethnic diversity within the profession needs increasing is hard to judge without solid evidence. This study investigated whether access to clinical psychology training is ‘fair’ with regard to the potential effect of educational advantage.
The road less travelled? An attempt to understand why families consult independent clinical psychologists
Authors: Hipkin Lynne
Published: January 2023

The media often vilifies both practitioners and their clients in the private health sector, suggesting that this is the world of the wealthy and privileged. When I was training in the 1990s NHS teams often expressed suspicion of private therapists, whereas now there are increasing numbers of psychologists choosing independent practice (the British Psychological Society’s cross-divisional Special Group for independent practitioners has over 600 members and there is now an Independent Practitioner Network in the Faculty for Children, Young People and their Families). There are still, perhaps understandably, mixed views among my psychologist colleagues about the morality of working outside the public organisation that trained us. However, there are also concerns that access to psychologist-led interventions is becoming more limited in NHS settings (MIND, 2013) and NHS Choices (seewww.nhs.uk/conditions/Counselling/Pages/Introduction.aspx) now references ‘private therapy’ as an option for their users. This small scale survey attempted to explore clients’ perspectives on their route to private practice, and the results suggest that ordinary families are concerned and determined to access direct psychological support, and often make financial sacrifices to do so. It carries potentially important messages for psychologists in both public and private practice.
The Health Sector Small Partnerships Scheme for Russia: Notes of Guidance for Applicants
Authors: Forrester Christine
Published: January 2023

Reviews ofCounselling in Obstetrics and Gynaecologyby Myra Hunter,Counselling People with Diabetesby Richard Shillitoe,Patients As Victims: Sexual abuse in psychotherapy and counsellingby Derek Jehu andDaring to Be Myself: A case study in Rational-Emotive Therapyby Windy Dryden and Joseph Yankura.
Social Skills Training and Counselling in a Clinical Setting: Evaluation of a Schizophrenic Patient in a Psychiatric Hospital
Authors: Marshall Jerome , Brand Hendré J.
Published: January 2023

Ongoing clinical counselling was provided for a schizophrenic patient during a 12-week programme of social skills training. Changes in the patient’s behaviour were evaluated on an Adult Training Instrument, his own reports of his symptoms of anxiety, scores on the Social Behaviour Schedule, and frequency of nocturnal enuresis. Supportive clinical counselling was provided in the ward and outside of the ward. While his functioning continued to deteriorate generally, hospital staff reported that the trend of deteriorating behaviour appeared to have slowed down during the phase when he was exposed to activities outside the ward.
National Vocational Qualifications, Continuing Professional Development and The Future Practice of Applied PsychologyIn The BeginningLooking towards the future for Continuing Professional Development for PsychologistsNational Vocational Qualifications and Professional Development
Authors: Bartram Dave , James Ian , Lindley Patricia A. , Bartram Dave , Lindley Patricia A. , James Ian
Published: January 2023

Members of the Society, including members from our Division, have spent the last year or so working hard to develop occupational standards for applied psychology (Clinical, Counselling, Educational, Forensic, Health, Neuro and Occupational). A major benefit of this exercise has been to find a substantive area of commonality of practice across the Divisions.

This activity has been performed as an exemplar project for the Department of Employment into developing National Vocational Qualifications (NVQs) in the professional areas (at Level 5). This has not been tackled, however, with a necessary commitment to developing NVQs by the Society, as a route, to Chartering post-GBR (Graduate Basis for Registration). The first task, which is now coming to a close, has been to develop acceptable occupational standards to all the Divisions.
Counselling in Sport: A Paradigm for Performance Development
Authors: Cockerill Ian M.
Published: January 2023

The British Psychological Society’s definition of the overall aim of the counselling psychologist is “to help people to improve their sense of well being, alleviate their distress, resolve their crises and increase their ability to solve problems and make decisions for themselves”. This introduction to counselling in sport will present a paradigm of interventions for athletes and coaches. Given the pressures placed upon today’s sportsmen and sportswomen, it is clear that counselling has a major role to play in sport, which is a multi-million pound business that can place considerable stress upon individuals in their quest for success. This is true of not only the competitive athlete, but also of the so-called recreational participant whose principal endeavour may be to attain, and then maintain, an “ideal” body image or level of self esteem.
Legal Aspects of Occupational Stress
Authors: Palmer Stephen
Published: January 2023

John Walker’s successful claim (now awaiting a Court of Appeal ruling) against his employer, Northumberland County Council, for occupational stress has led some employers to reassess their employee liability. It is possible that the £200,000 damages award has focused their attention on to this issue (Palmer, 1995).

Although employers are responsible for the health, safety and welfare of their staff, many have chosen not to take the subject of stress seriously. In recent years some employers have decided to deal with organizational stress by offering stress counselling or by running stress seminars or stress management workshops. However, only a minority have focused their interventions on removing the primary causes of stress such as role conflict, role overload or poor working conditions. Worst still, downsizing, delayering and redundancy (often reframed to the employee as “releasing”) has led to increased work overload during this decade. This has been in the pursuit of increased profits. In Britain employees are now working longer hours than their European Union counterparts. Although the average of 43 hours per week has been quoted for British employees, this figure hides the fact that many individuals are working far longer hours and are not necessarily taking their full holiday entitlement.

This brief article focuses on the John Walker vs Northumberland County Council case, key issues relating to occupational stress, guidance for employers, and possible implications and resource materials for counselling psychologists who wish to work in the growing field of stress management.
Eros and Hermes: The Twin Pillars of the New Paradigm of Qualitative Research in Psychology
Authors: Moran Jamie
Published: January 2023

My thesis in this article is that the New Paradigm of qualitative methods of research is a recovery of Greek categories of thought, and a rejection of Latin and Anglo-Saxon categories. My claim is that the New Paradigm not only sees the primary phenomenon of human psychology as that of “meaning”, but, more importantly, conceives of this meaning in a fashion that is Greek. The difference in world view can be evoked in the contrast between terms like “intuitive”, “insightful”, “tacit”,, “interior depth”, “empathic” and “metaphorical”, which are all part of the workings of the Greek “reason”, and terms like ‘logical”, “inferential”, “explicit”, “exterior surface”, “analytical” and “literal”, which are all part of the workings of the Latin and Anglo-Saxon “intellect”. What, then, is this Greek approach?
Adlerian psychology, counselling and hypnosis
Authors: Jones Philip R.
Published: January 2023

This article gives an outline of ‘Individual Psychology’ and the typical framework ofAdlerian counselling. It further describes how hypnosis can be utilised within this framework in a diagnostic and therapeutic capacity.
A year in the life of a trainee counselling psychologist in the NHS
Authors: Smallwood J.A.
Published: January 2023

Paper presented at a Conference on Counselling held in South Ayr Hospital on 22 November 1995
Trials, tribulations and tentative triumphs
Authors: Wilkinson Jill D. , Campbell Elizabeth A. , Coyle Adrian , Jordan Ruth , Milton Martin , Palmer Stephen
Published: January 2023

The three year post-graduate practitioner doctorate (PsychD) in Psychotherapeutic and Counselling Psychology at Surrey is now in its third year.
Assessment of trainee counsellors
Authors: Williams D.I. , Irving J.A.
Published: January 2023

Assessment which is practical, reliable and valid is an essential component of the development and evaluation of counsellor training. Current practice, we argue could be and needs to be improved. Ways of defining and evaluating counselling skills (competences) are now available, but more work is needed to identify competency in the management of process.
Personal construct contributions to conceptualizing and treating Post Traumatic Stress Disorder
Authors: Cross Malcolm C. , Mary H.Watts
Published: January 2023

Once the exclusive domain of psychiatry (Horowitz, 1986) and clinical psychology (Fairbank & Nicholson, 1987), Counselling Psychologists are increasingly being asked to provide assessment and treatment services to people diagnosed with Post Traumatic Stress Disorder (PTSD) (American Psychological Association, 1994). The present paper seeks to answer the call from Hall and Henderson (1996, p.361) and others who believe that: not only is it important to modify various efficacious treatments to fit different client populations and to demonstrate the effectiveness of these treatments with treatment-outcome studies, but it is also helpful to elucidate the treatment process itself, including the means by which positive outcomes result. In this way practitioners can gain an understanding not only that particular treatments work, but how … [original emphasis] … they work as well (p.361).
School–based prevention and counselling psychology
Authors: Morrisroe J. , Millward L.
Published: January 2023

This paper offers a rationale for prevention of psychosocial and mental health problems with children in nurseries, primary, and secondary schools. To this end, the prevention literature is integrated into a model of emotional and social literacy. The review begins by defining and assessing the need for prevention and examining the development of prevention strategy using the concept of socio–emotional competence. Next, critical consideration is given to the mechanisms and processes believed to promote socio–emotional competence and that underpin school–based prevention programs. The paper concludes by articulating some of the challenges facing those working in the field of school–based prevention.
Helping trainee counselling psychologists: Answers to some common questions
Authors: Cross Malcolm C. , Papadopoulos Linda
Published: January 2023

In 1998 we were asked to contribute a chapter to The Trainee Handbook, a text which as fast become an indispensable resource for trainee Counselling Psychologists, Counsellors and Psychotherapists (Bor and Watts, 1999). Our chapter constituted an attempt to report on and respond to some commonly expressed anxieties experienced by trainees as they move toward independent practice. Following a request by the editor of Counselling Psychology Review (CPR) we have sought to reproduce a sub-set of the material presented in the original chapter in the hope that it is of interest to the broader readership of the review.
Development of a CPD policy
Authors: Tanner Gary
Published: January 2023

Continuing Professional Development (CPD) is an ethical requirement of members of the British Psychological Society. As the Division of Counselling Psychology develops its own guidelines on CPD, it is vital that members play an active role. The Society’s January 1999 CPD policy statement has been reproduced in this paper.
The Diploma in Counselling Psychology by the independent route: Thoughts from a candidate in free fall
Authors: Bartlett Sarah
Published: January 2023

I have been wondering why I have found undertaking the BPS Diploma so difficult: I was familiar with studying on my own. I had done my degree through the Open University and most of that time I had been working full time and long hours. Much of the problem with the BPS Diploma was that it did not and does not feel as if I am following anything. I feel as though my efforts are taking place in a vacuum.

As counselling psychologists, or aspiring counselling psychologists, many of us will be familiar with the concept of the frame as an essential part of the therapeutic process. I think that it is also an important part of a learning process and it is missing from the independent route. The other concept that I would like to draw upon in order to explore my difficulty is that of identity.
Ethical practice in therapeutic settings: Whose responsibility is it?
Authors: Jenkins Mary
Published: January 2023

Ethical practice relating to clients in therapeutic situations is a given. Yet little is known about events in therapeutic settings and how we as counselling psychologists ensure an ethical environment. This paper examines the principles of beneficence, non-maleficence. autonomy, justice and fidelity and these same principles in practice. It aims at stimulating debate around the subject.

The argument is forwarded that ethical practice goes beyond events in therapy and is to an extent grounded within the structures of our work practices. There is thus both an individual and a collective ethical requisite.

This work concludes with looking at a hybrid ethical framework at the centre of which is an ethic of care.
Adult Community Psychology Services: Tiering and its seams
Authors: Willoughby Roger , Ashdown Leanne
Published: January 2023

Stratification and hierarchical arrangements are ubiquitous aspects of societal organisation, sometimes welcome, sometimes less so. They may both facilitate a good life and psychological well-being and contribute to human unhappiness and everyday psychological problems. As counselling psychologists this is familiar to us, both from our everyday work with people in distress and closer to home in struggling for our own professional recognition and a niche within the market, especially the NHS. Tiering, as one form of stratification, has served to order services, supposedly distinguishing clients according to needs and marshalling human resources in turn, through skillmix for example. Knowledge of such boundaries, together with an informed view on their validity or otherwise, is important in attempting to match specific clients to the most appropriate workers and in clarifying and developing professional roles.
Butterflies in possibility land: An example of the miracle question when counselling briefly
Authors: Hurn Russell
Published: January 2023

This report features the use of a solution-focused intervention (miracle question, see de Shazer, 1988), to try to define workable goals within, time limited, one to one therapy with a depressed single mother. The work was conducted as part of a multidisciplinary team approach to advise and manage the referral, which in this case had originally been for the woman’s eleven year-old daughter.
A question of dependency: A study of a client suffering from panic disorder with agoraphobia
Authors: Wood Joanna
Published: January 2023

I have chosen to write about one of the first clients I saw for individual counselling at my placement in a Community Mental Health Team (CMHT). This choice is partly pragmatic. My client, Rita, was kind enough to give her consent to use all her therapeutic material. I found that the 13 sessions of therapy so far undertaken have posed a number of questions and issues around the concept of ‘dependency’, which I feel may be of interest to other counselling psychologists in training. Whilst attempting to manage the therapeutic relationship and process with a dependent and needy client, paradoxically I have also been forced to consider these types of issues in relation to myself within the supervisory relationship. I will discuss how these factors affected my work in the later sections of this report.
The functions of case studies: Representation or persuasive construction?
Authors: Davy John
Published: January 2023

This paper presents a deconstructive analysis of a narrative therapy case study originally written by the author while training as a counselling psychologist. This critical reading illustrates how writing about clients can be seen as a constructive and constitutive activity, with potentially oppressive or progressive consequences, rather than a merely representational process. The paper concludes by suggesting that therapists’ training and professional development should include an emphasis on critical and creative reading and writing skills.
Critical Incident Stress Debriefing in a County police force: Lessons learned for future practice
Authors: Murphy David , Sullivan Judith
Published: January 2023

Formal training in Psychological Debriefing (PD) was introduced into a County police service in the UK in 2002 in order to enhance the existing critical incident stress management programme. Prior to this, debriefing was carried out by a Welfare Officer or external psychologists were employed. Shortly after the introduction of the Critical Incident Stress Management (CISM) programme a major incident occurred that provided the opportunity to try out the previously untested method. This paper discusses the events that ensued following the tragic deaths of two police officers in the line of duty. By means of a semi-structured interview using the format of an After Action Review, the debriefers deployed following the incident produced a wealth of data that has informed the development of CISM with the particular police service. The lessons learned focus on current PD practice, the structure and selection process for the debriefings and the useful combination of paraprofessional debriefers with the support of trained mental health professionals.
An interpretative phenomenological analysis of maternal identity following child suicide: Abridged
Authors: Thrift Olivia , Coyle Adrian
Published: January 2023

There has been an absence of research into identity issues associated with mothers who have lost a child through suicide. This paper attempts to bridge this gap by reporting findings from a qualitative study of six mothers who lost one child and one mother who lost two children, over the age of 16, to suicide. Participants were interviewed about important components of their maternal identity, the psychological and social implications of losing their child to suicide and strategies for managing the difficulties associated with this. The use of interpretative phenomenological analysis provided insight into and understanding of the participants’ accounts. Much of the data could be readily interpreted in terms of identity dynamics, including identity threat. Participants consistently reported feelings of failure, stigmatisation and negative distinctiveness. Various strategies were reportedly used by participants to manage identity threat. These included trying to find an explanation for the suicide that did not implicate themselves as a potential cause and joining groups with others bereaved by suicide. From the insights gained, recommendations are offered for psychological interventions which might help mothers who have lost a child through suicide to manage identity threat.
Going Counselling: Aspects of the therapeutic relationship in young people’s experiences of their counselling at a drop-in centre
Authors: Vogel Sue
Published: January 2023

Eight young people were interviewed at a drop-in centre in a large city, about their experiences of the therapeutic relationship with their counsellors there. Semi-structured, counselling-style interviews and thematic analysis were employed to assess the extent to which Clarkson’s Five Relationships (Clarkson, 1995) were present in the young peoples’ accounts, and ipso facto in the relationships themselves. The person-to-person, reparative and developmentally-needed modalities were most evident. Where these were obvious, the working alliance developed well and participants conveyed positive experiences of their counselling. It was difficult to access the transferential or to gain any clear idea of the transpersonal from the young people’s accounts and explanation is offered as to why this might have been the case. Implications of these findings for counselling young people are also discussed.
‛Elephant’ in the Consulting Room (Summary)
Authors: Miller Donna C , Draghi-Lorenz Ricardo
Published: January 2023

This paper examines therapists’ experiences of their own shame activated during client work – a littlestudied phenomenon with important implications for the therapeutic relationship. Interviews exploring therapists’ retrospective accounts of specific shame experiences were conducted with seven practicing therapists with differing levels of experience and working from various theoretical orientations. These were qualitatively analysed using interpretative phenomenological analysis, yielding nine themes grouped into two domains: (1) Shame ‛coming alive’ in a session – disorientation and misalignment; (2) Managing shame – reorienting and realigning. Results highlight the importance of therapists’ capacity to recognise, tolerate, and process their own shame experiences undefensively, and the need for a training and supervision culture that supports therapists in developing self-awareness of their own shame cues and skills for making use of them therapeutically.
Working with a client suffering from workplace stress in a primary care setting: A cognitive behavioural case study
Authors: Gyllensten Kristina , Palmer Stephen
Published: January 2023

Workplace stress is a serious problem in the UK and counselling is an intervention frequently used to tackle this problem (Health and Safety Executive, 2003). There is a vast amount of literature focusing on the topic of workplace stress. Nevertheless, there appears to be a lack of literature focusing on clients suffering from workplace stress seeking help in a primary care setting. The purpose of this case study is to outline the therapy with a client suffering from workplace stress in primary care, highlighting specific related issues. A cognitive behavioural approach (Beck, 1976, 1995) was used, and, accordingly, the therapeutic interventions focused on the client’s cognitions, moods, behaviour and physiology. In addition, the client’s work situation was explored and organisational stressors were identified.
What! Life after Counselling Psychology: Isn't retirement the end of the affair?
Authors: Tholstrup Margaret , Carol Shillito-Clarke
Published: January 2023

Part of a Special Edition of Counselling Psychology Review on the theme of ‘The First Ten Years. Personal memoirs and a number of reflections and articles from people who have helped to shape Counselling Psychology.
Psychological change: What changes and how does it occur? A critical review
Authors: Carey Timothy A , Carey Margaret , Mullan Richard J , Murray Lindsey K , Spratt Margaret B
Published: January 2023

Psychological change is the endeavour of psychotherapy. To better understand the principles of change, a literature review was undertaken and revealed that, in general, principles of change are not commonly discussed. Our review helped us identify some of the gaps that need to be filled in the literature if a thorough conceptualisation of change is to emerge. Specifically we discovered that the change process is not adequately defined, confusion exists regarding the conceptual distinction between the change process and the psychotherapy process, and clients’ perceptions regarding change are often disregarded in change research. We provide our ideas for future research at the end of the paper.