bluuebunny/crossref_metadata_2025 huggingface dataset:
The concept of folie à deux in adolescents
Authors: Welsh Patrick , Common Stephanie
Published: January 2023

The following paper provides an introduction and selective review of the literature relating to the concept of folie à deux or shared psychosis in adolescents. An example from our own clinical practice is examined, whilst implications for professionals working with young people who report shared psychotic symptoms are discussed.
Client disengagement from substance misuse treatment – Referral Agent perspectives
Authors: McDevitt Aimée , Curran David
Published: January 2023

Length of time in treatment for substance misuse problems reliably predicts post-treatment outcomes. The reasons why people prematurely drop out of treatment remain poorly understood. This article explored client disengagement from the perspective of the referral agent. Implications for service provision are discussed.
TheBritish Journal of Clinical Psychology:More of the same, or time for a change?
Authors: Nel Pieter W.
Published: January 2023

This article reports on a study investigating the kinds of papers that have been published over a seven year period (2004–2011) in theBritish Journal of Clinical Psychology.The results show that papers from a narrow range of clinical psychology have been accepted for publication in this period. It is therefore concluded that this journal can currently not be regarded a generic journal of clinical psychology.
An evaluation of a group therapy programme with young people with eating disorders
Authors: Rhind Charlotte , Bowman Nicola , Nesbitt Sophie
Published: January 2023

This paper evaluates group therapy in a specialised in-patient eating disorder hospital. Twelve young people completed a questionnaire following the intervention. The group was well received, and the potential value of carrying out therapy in a group setting is highlighted.
Service user views of acceptability of different therapy locations
Authors: Drury Helena , Samson Gabrielle , Craig Ellen , Deale Alicia
Published: January 2023

Service users were surveyed on satisfaction with different therapy sites, expectations about sites and suggestions for possible alternative locations. The findings indicate actions that services can take to promote satisfaction with therapy locations, and implications for service development.
Providing advice and consultation in learning disability teams
Authors: Green Samantha , Potter Rachel , Wilcox Mariёlle
Published: January 2023

Consultancy is an increasingly important skill for clinical psychologists to develop. This paper describes the use and evaluation of ‘advice and consultation’ sessions within a South East Wales learning disabilities service.
‘They’re all going to die…’ Our reflections on the myths and realities of relocations within in-patient Specialist Older Adult Services
Authors: Joddrell Phil , Smith Danielle
Published: January 2023

This article reflects on the process of incorporating an evidence base into clinical practice. What began as an arbitrary comment from a staff member developed into a multi-level piece of work with a lasting impression on the procedures of our organisation.
The development of PIECE-dem: Focusing on the experience of care for people with living with advanced dementia
Authors: Brooker Dawn , Fontaine Jenny La , De Vries Kay , Latham Isabelle
Published: January 2023

PIECE-dem is an observational process for researchers reflecting on the lived experience of people with advanced dementia in care homes. The development utilised literature review, discussions with people with dementia, families and practitioners. It was refined over successive practice trials.
An evaluation of the relationship between dependency and ward atmosphere in an Adolescent In-patient Mental Health Service
Authors: Besani Chiara , Kavanagh Michele
Published: January 2023

The relationship between the dependency levels of adolescent in-patients and the ward atmosphere was measured using a cross-sectional-design. A statistically significant correlation was found, indicating an inverse relationship between level of dependency and ward atmosphere; as dependency increases ward atmosphere decreases.
Offering IAPT to people with learning disabilities: Partnership working and an innovative approach
Authors: Salmon Becca , Gibson Sarah , Nagel Britta , Roscoe Sharon , Vidalaki Vicky , Ubhi Herj
Published: January 2023

This article discusses the setting up, management and experiences of partnership working to develop an IAPT service for people with learning disabilities.
The DCP conference, York, 4–6 December 2013: A place where interesting, quality research was shared
Authors: Whomsley Stuart
Published: January 2023

This year’s DCP conference was again a great success. There were so many presentations of equally high standard that it was hard to chose just a few to report on, but in the end we chose the five below as a good representation of what was covered.
Enhancing the integration of psychological services for stroke patients through the development of a protocol for neuropsychology and IAPT services
Authors: King Nigel , Pimm John , Tyerman Andy
Published: January 2023

The provision of psychological interventions to people with stroke in non-specialist (e.g. IAPT) services is becoming increasingly pertinent. This protocol guides best practice in providing such between specialist neuropsychology and more generic providers for these patients, who often have very complex needs.
The transition between CAMHS and AMHS for looked after children: Mind the gap
Authors: Ellis Kate , South Rebecca , Jones Fergal
Published: January 2023

This project sought to identify the challenges encountered in the transition between CAMHS and AMHS for Looked After Children and consider what mental health and social care services can do to ensure it is a safe and successful transition.
The Health of the Nation Outcome Scale Payment by Results (HoNOS PbR): Clinician and service user perspectives on the tool
Authors: Shead Jennifer , Priest Penny
Published: January 2023

The following is a small scale evaluation of the use of the Health of the Nation Outcome Scale Payment by Results (HoNOS PbR) in a community mental health setting from both service user and clinician perspectives.
As a ‘NASTY’ clinical psychologist, am I statistically (professionally) insignificant?
Authors: Kapur Raman
Published: January 2023

NICE Guidelines are everywhere for everything. However, are they missing deeper emotional ‘NASTY’ psychological processes? These could be Negative, Aggressive, Sexualised Transferences (NASTY) to do with you as a clinical psychologist.
A response: From ideology to good sense psychology
Authors:   East Midlands Critical and Community Psychology Group
Published: January 2023

In this paper we consider what in our view marginalises ‘good sense psychology’ and maintains the dominant ideology within the mental health field of individuals with deficits. We also explore how psychology could start to apply in practice some of the concepts discussed in the Midlands Psychology Group’s manifesto.
The Draft Manifesto
Authors:   The Midlands Psychology Group
Published: January 2023

The Midlands Psychology Group are a group of clinical, counselling and academic psychologists. This manifesto begins to show what it might mean to consider distress from a social-materialist perspective. It is an attempt to address what we feel is a growing crisis in psychological explanation, to begin devising a robust psychology adequate to the major issues and concerns of our time.

This paper is a shortened version of a longer one published in the Journal of Critical Psychology, Counselling and Psychotherapy, 12(2), June 2012. The original article is available from the Midlands Psychology Group website (www.midpsy.org/draft_manifesto.htm).
Post-concussion syndrome and the role of the clinical psychologist
Authors: Moore Phil S.
Published: January 2023

This article is a discussion of the role of the clinical psychologist at all stages when working with post-concussion syndrome (PCS). Up-to-date PCS literature is discussed and a commentary on best practice is provided.
IAPT, Downing Street and an imperative for change
Authors: Pemberton Richard
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.
Hamlet or omelette? Debates in the field of interventions for war-affected children
Authors: O’Callaghan Paul , McMullen John , Shannon Ciarán
Published: January 2023

This paper outlines some of the debates in the field of providing psychological interventions for war-affected children. It draws heavily from our recent experience of providing and researching such interventions. In the past three years the Doctorate in Educational Child and Adolescent Psychology and the Doctorate in Clinical Psychology in Queen’s University, Belfast have collaborated on five mental health and psychosocial interventions with war-affected communities, child soldiers and victims of gender-based violence in Uganda and the Democratic Republic of Congo.
A trainee abroad: Reflections on a long-term clinical psychology placement in a developing world context
Authors: Jones Theresa
Published: January 2023

This article reflects on a four month clinical psychology training placement in Uganda. It raises important questions concerning Western professionals working overseas and evaluates the placement as a training experience.
Growing international relationships: Some reflections and implications for our training community
Authors: Davies Jenny
Published: January 2023

Reflections on developing international links between Lancaster clinical psychology training course and Ugandan communities and services.
Resilience in the face of adversity: Case studies in Sierra Leone and eastern Congo
Authors: Liebling Helen , Winter David , Ruratotoye Benoit , Slegh Henny , Brown Rachel
Published: January 2023

This article gives a brief overview of recent research carried out in the aftermath of brutal conflict in eastern Congo and Sierra Leone.
Magic trees on common ground: Reflections on a brief trip to Kampala, Uganda in October 2012
Authors: Oakes Peter
Published: January 2023

A reflective piece following a visit to Uganda to deliver supervision training for clinical psychologists. It describes current research and mental health services in Uganda as a context for some reflections on the common ground between our two professional communities.
What can psychologists do to help to prevent abuse of people with a learning disability? A response to Chamberlain and Davies (2013)
Authors: Berry Ruth
Published: January 2023

I argue that we need to avoid generalisations when we talk about the support needs of people with a learning disability. Rather, we need to take a genuinely individualised approach that attends to the whole person.
Compassion, organisations and leadership
Authors: Whomsley Stuart
Published: January 2023

Caring for others in an organised way requires practitioners of all disciplines to be compassionate, organisations to be efficient, and leaders to be both. This is complex and many thousands of words have been written about the issues connected to these requirements, particularly over the last two years. The following is an attempt to distil some of the main issues into a summary of psychologically relevant points.
Innovation: Another case for widening access to clinical psychology?
Authors: Kinouani Guilaine , Tserpeli Evangelia , Stamatopoulou Vasiliki , Barnet Jennifer Nicholas
Published: January 2023

Equality and diversity remain key issues for the profession. In this article, the authors consider some of the ways increasing diversity within the profession could support clinical psychology to meet the challenges of innovation and better serve the UK population.
Pole to Pole I: The collaborative development of an approach for exploration in bipolar
Authors: Fagan Stephanie , Sevier-Guy Lindsay-Jo , Walton Laura , Mitchell Gordon
Published: January 2023

This article provides an introduction to Pole to Pole and its collaborative development.
How should we define practice, client and professional conduct?
Authors: Hallam Richard S.
Published: January 2023

Regulation of psychologists is discussed and considered unsatisfactory. Key concepts are poorly defined. Innocent practitioners are caught up in unfounded allegations. Psychological practice is being defined largely by non-psychologists. An audit of fitness to practice hearings is needed.
Team formulation within a learning disabilities setting
Authors: Ingham Barry
Published: January 2023

In recent years team formulation has played an increasing role within services for people with learning disabilities. The following paper outlines the initial development of an evidence base in this area and how this may be built upon further.
Developing the use of a formulation session reflection tool in mental health services for older people
Authors: Marshall Joanna , Craven-Staines Sarah
Published: January 2023

This article describes the development of a reflection tool to promote good practice for staff experienced in facilitating team formulation (regardless of model) and to support the development of staff new to this role.
Developing clinical leadership: Trainees’ experiences and the supervisor’s role
Authors: Mason Barbara , Bowers Hannah , Ononaiye Margo
Published: January 2023

This paper describes the findings of research exploring factors which may help or hinder the development of clinical leadership among trainee clinical psychologists, and the extent to which trainees gain experience consistent with the Leadership Development Framework.
Incidents in inpatient CAMHS: How can we reduce aggression and absconsions?
Authors: Stagg Megan , Salmond Claire Helen
Published: January 2023

This audit explored the impact of a new therapeutic programme and reward scheme on incidents of aggression and absconsions in a Tier 4 child and adolescent mental health service (CAMHS) unit. The results highlight the importance of implementing a reward scheme alongside interventions aimed at improving activity levels.
Women and leadership in clinical psychology: Time for action and solutions?
Authors: Islam Nargis , Schlösser Annette
Published: January 2023

This article highlights the continuing issue of the underrepresentation of women in senior positions in the NHS and in particular the profession of clinical psychology. The paper suggests some ideas about why this might be and puts forward recommendations to address these inequalities, specifically in the context of recruiting and training future clinical psychologists.
Reducing male suicide
Authors: Seager Martin , Sullivan Luke
Published: January 2023

Male suicide is a major and longstanding gender inequality that is only now beginning to be recognised. New initiatives for addressing male suicide are described and the importance of this area for psychological research and practice is highlighted.
Effectiveness of a multidisciplinary relaxation group alongside inpatient neurorehabilitation
Authors: Brookmann Frieda , Poveda Blanca
Published: January 2023

A multidisciplinary relaxation group has found to be effective in reducing tension levels in inpatients undergoing neurorehabilitation. This paper describes a model that could be implemented into routine care.
How accurate are modern IQ tests at categorising people as having an intellectual disability or not?
Authors: Whitaker Simon
Published: January 2023

The accuracy with which current IQ tests appear to be able to categorise people as having a true intellectual ability below 70 depends on the assumptions that are made about how this accuracy should be assessed.
The Supervision of Counsellors
Authors: Breese James
Published: January 2023

(This paper is based on a talk given at the Section’s Eastern Region meeting at Cambridge in October 1986. The author is also grateful to John Allen, Editor of the Review, for his comments on an earlier draft.)

The counsellor can be a major influence within a client’s life for good or harm.’ This sentence from the Report of the Section’s Working Party on Training (1986) caused me to stop and reflect. How can counselling actually harm anyone? I can see that clients may sometimes have negative feelings about counselling: ‘It did not do me much good’; or ‘It was useful just to talk, but talking never really led to any changes’; or even ‘Talking about it, brought it all back to me and made me feel more depressed’; but actual harm?

I progressed a little further in considering the nature of harm which the counsellor might do by consulting the article to which the Working Party referred (Urbano, 1984). In this Urbano discussed briefly the importance of professional values and the need to minimize the danger to clients. He also stressed the need for a code of ethics ‘on such things as the use of psychological tests and the protection of client welfare’.
One Model for the Training of Supervisors
Authors: Clarkson Petruska , Gilbert Maria
Published: January 2023

Nationally and internationally there is a growing interest in models, standards and accreditation procedures pertaining to the supervision of counselling and psychotherapy. In our contact with other professionals we have often been asked to explain the examination process for Teaching Membership (Level II) of the International Transactional Analysis Association. Transactional analysts have always overtly and categorically acknowledged that good and competent qualified clinicians are not automatically skilled teachers or effective supervisors. Therefore the issue of the assessment of trainer and supervisor competency has been an ongoing challenge to Training Standards Committees for more than 20 years. An effective and elegant process has resulted from these efforts. It does, of course, still have room for improvement and remains under ongoing review.
Special Issues in Counselung Families of People with Aids
Authors: Dickson Joan F.
Published: January 2023

The social, emotional and psychological impacts of AIDS are not confined to the people with AIDS but have immediate consequences for their families. Counselling families of persons with AIDS is different from other kinds of family or bereavement counselling because of several factors specific to the AIDS experience itself. First, there is the stigma of the disease. Those who have AIDS, or are associated in any way with people who have AIDS, are exposed to humiliating stigma and abuse. Attempts to avoid the stigma of AIDS lead to desperate efforts on the part of the families to cope with the situation in secret, which in turn means isolation of the families. They do not believe they have the freedom to turn to customary support sources such as the extended family, friends or organizations like CRUSE. Second, the characteristics of AIDS now are its unpredictable course and the lack of a cure. The families have no time frame in which to try to come to terms with the death of a relative from a socially unacceptable illness. This paper will identify characteristic AIDS bereavement issues and family emotional states and will suggest some ways of meeting the needs of families.
What is all this CPD About? Continuing Professional Development and Counselling Psychology
Authors: James Ian
Published: January 2023

In this article on Continuing Professional Development (CPD), 1 hope to provide a more complete view of the issue for counselling psychologists: from what it entails to where it is going. We have just attained Divisional status, generating a specialized group of Chartered Psychologists. Now, more than before, there is an onus on the Division to encourage and support members on CPD.

Below I hope to build a greater awareness of CPD: what it means to you the member and what is expected from you. I hope this will generate discussion and lead to you bringing your views to my attention.
Standards for Training and Practice in Primary Care Counselling
Authors: Watts Mary , Bor Robert
Published: January 2023

This paper looks at issues relating to standards for training and practice in primary care counselling, drawing attention also to the wider issues of continuing professional development, limitations of competence and the development and use of referral systems. Skills and competencies central to the development and practice of primary care counsellors are identified, and it is suggested that professional identity and recognition for primary care counsellors is important to ensure that basic minimum standards of service are met; training occurs at initial and continuing professional development level and employment conditions of practitioners are attended to.
Occupational Stress Counselling for Black Employees Experiencing Racism and Discrimination
Authors: Banks Nick
Published: January 2023

This article seeks to raise the awareness of counsellors who may be offering stress counselling to Black (both African-Caribbean and South Asian) client groups in an occupational setting where the stress is a result of discrimination or racism through an organization’s or individual’s practice. In this context raising awareness means enabling the counselling psychologist with less understanding of the discussed issues to be able to identify difficulties related to discrimination and racism that may otherwise be inaccurately located within “dysfunctions” within the oppressed individual.
Bullying Within Organizations
Authors: Rennie-Peyton Pauline
Published: January 2023

It is by no means certain that the number of incidents of bullying within organizations is rising. However, we can be sure that there has been a marked increase in the level of awareness about it throughout organizations. This change could be attributable both to the popularity of Employee Assistance Programmes (EAPs) and to the increase in publicity given to the rights of employees.

For the past two years I have worked as a counsellor for some of the major EAP providers in the City, and have heard of instances of bullying at first hand and, therefore, have drawn many conclusions based on experience rather than statistically based evidence.

Certain organizations are guilty of creating a bullying culture, where more and more is expected of individuals for less and less. There are many examples of employees being treated badly and unfairly during company reorganization - some being made redundant, others being redeployed to lower-status positions (with corresponding pay cuts). Sometimes, employers will create a job specification which, because it makes unrealistic demands on an individual, will eventually lead to failure and a resultant dismissal or resignation. Another way of placing undue pressure on an individual is by “freezing them out” by giving them too little to do or by giving them menial tasks which could lead them to consider resignation. For example, a woman employee had all of her work taken away from her without explanation and the whole team was instructed not to speak to her.
Explaining What Counselling Psychology is and What it Can Offer to GPs in Primary Health Care Settings
Authors: Knight Lucie
Published: January 2023

There is a growing interest in developing counselling services in general practice throughout Britain. More and more surgeries employ counsellors as part of their primary health care teams. Unfortunately, little effort has been made to identify the skills, qualifications and training needed to provide a good counselling service. It will be argued that counselling psychology is a profession well suited to meet the psychological needs emerging in general practice.
Discourse Analysis: A Possible Solution
Authors: Dickerson Paul
Published: January 2023

One of the joys of exploring the interview data outlined above is the range of different perspectives which can be brought to bear upon them. Thus unlike experimental results, whose interpretation is constrained by the initial guiding hypothesis, the interview transcripts are amenable to a variety of analyses which may address, develop or challenge the concerns which prompted the research. The particular discourse analytic approach which I seek to outline may well develop and challenge some of the initial interests behind the research, in particular it questions the notion of using the interview transcripts to “get at” or refer to something outside of the text itself, such as inner mental states. Instead, discourse analysis encourages us to pay close attention to the detail and context of the discourse and to be sensitive to the constructive and functional aspects of the interview dialogue.
Counselling psychology research in health care settings
Authors: Bor Robert , du Plessis Peter
Published: January 2023

It is the tradition in the UK National Health Service to provide evidence-based and time-limited services. Mental health service and in particular, psychological treatments, are no exception.
Book Reviews
Authors: Neenan Michael , McMahon Gladeana , Szymanska Kasia , McMahon Gladeana
Published: January 2023

Reviews ofThe Theory and Practice of Counselling by Richard Nelson-Jones, George Kelly: Key figures in counselling and psychotherapy by Fay Fransella, Clinician's guide to mind over moodby Dennis Greenberger and Christine A. Padesky and Managing death and bereavement, a framework for caring organizations by Samia al Qadhi.
Reflection on reflections
Authors: Miller Meg , Watts Mary
Published: January 2023

This study is based upon an experiential learning group for student teachers of health care, which is used as a means of developing the skills of reflective practice.
Some thoughts on the role of Co-ordinator of Training
Authors: Didsbury Pat
Published: January 2023

For anyone wishing to take the Independent Route to the Diploma in Counselling Psychology finding a suitable Co-ordinator of Training is the first step.
A tale of excitement and confusion
Authors: Gaskins Sandy
Published: January 2023

My relationship with the Society causes me both great excitement and confusion. These emotions result from my experiences as a student for the Diploma in Counselling Psychology, following the ‘portfolio’ route.
Reflective practice and the Diploma in Counselling Psychology
Authors: Strawbridge Sheelagh
Published: January 2023

The Diploma in Counselling Psychology is up and running and, as the first trainees approach qualification, it is perhaps time to consider the development of the Diploma in relation to the developing identity of ‘Counselling Psychology’, its roots in mainstream academic psychology have been acknowledged and value placed on the training that counselling psychologists have in research, assessment and evaluation.
Human sexuality and existential-phenomenological inquiry
Authors: Spinelli Ernesto
Published: January 2023

Three crucial assumptions: the link between sexuality and biology (and reproduction in particular), the contrast between ’normal’ and ’perverted’ sexual practices, and the connection between sexual expression and identity, to which serious attention and reconsidertion is required. The aim of this paper will be to suggest that each of these assumptions is significantly challenged by existential-phenomenological theory and that, via this challenge, a novel means to examine and understand the sexual concerns that our clients bring to counselling psychology, or which we ourselves may be experiencing, can be initiated.
Confidentiality and the law
Authors: Scoggins Mark , Litton Roger , Palmer Stephen
Published: January 2023

When a Society member, Dr Stephen Palmer, was recently obliged to reveal his client notes and audio tapes in court Smithson Mason Group (SMG), who administer the Society members’ Professional Liability Insurance Scheme, were one of the parties involved in advising him. SMG therefore thought that it would be helpful to promote a wider discussion and understanding of the issues involved so commissioned a review of the law relating to confidentiality from the Scheme Insurer’s appointed solicitors, Davies Arnold Cooper, who have many years experience in the psychology and counselling fields. Also included in the article are a first-hand account of Dr Palmer’s experiences and SMG’s comments on the insurance position.
Organizational stress and employee well-being: New perspectives
Authors: Smith Jennifer
Published: January 2023

This article draws on some of the material from an original conference report written by Jennifer Smith for Stress News, journal of the International Stress Management Association, April 1998: Vol. 10 No.2.
What I wished I’d learned during counsellor training
Authors: Dryden Windy
Published: January 2023

I want to take a look at my main professional training as a counsellor and consider four things: (i) what I wished I had learned from this training experience; (ii) what I am glad I did learn; (iii) what I am glad I did not learn; and (iv) what I’m sorry that I learnt. In reviewing my training, I came to the disconcerting conclusion that I am something of an old timer in the counselling field. I don’t ‘feel’ like an old timer; in fact, I ‘feel’ like a spring chicken. However, reluctantly, I have to admit that I am an old timer; after all I first trained professionally as a counsellor in 1974, almost 24 years ago.
Report from the working party on parity of pay and working conditions for counselling psychologists in the NHS
Authors: Jordan Ruth , Tholstrup Margaret
Published: January 2023

This group has a very successful meeting with representatives of the MSF Trade Union in November, and they have agreed to help us establish grading criteria for counselling psychologists in the NE’s.
Professional registration: a contentious debate
Authors: Tholstrup Margaret
Published: January 2023

I will describe the history of the increasing professionalisation of these careers or avocations which will include a description of the three validating bodies (British Association for Counselling, British Psychological Society and the United Kingdom Council for Psychotherapy) before discussing issues regarding the registration of counselling practitioners. For simplicity’s sake I will use ‘counselling’ as the overarching term to incorporate all three types of practitioners (counsellors, counselling psychologists and psychotherapists) unless I am describing one particular entity.
On becoming counselling psychology in the BPS: establishing the Counselling Psychology Section
Authors: Nelson-Jones Richard
Published: January 2023

In his letter from the Chair, Alan Frankland states that counselling psychology is now the second largest division in the British Psychological Society (Frankland, 1998). This was not always the case, so please join me on a brief trip down memory lane. In this article I chronicle the process from conception to birth of counselling psychology within the Society.
A challenge for Counselling Psychology: Engaging with the political in client's material
Authors: Milton Martin , Legg Charles
Published: January 2023

This paper considers the challenge that political material poses to counselling psychologists in their efforts to respond ethically and effectively in their therapeutic encounters with clients. To do this it explores traditional models of psychological therapy and more contemporary approaches in an effort to explore how different models advocate engagement with the political.
Working at cross purposes? Using different theoretical perspectives in supervision to promote learning: A case study
Authors: Mackay Helen , Cross Malcolm C.
Published: January 2023

The focus of this case study is the implication for practice of therapist and supervisor working within different theoretical orientations. This client study in particular illustrates both the drawbacks and learning potential of working across approaches. This case study is presented from the perspective of the first author who is a counselling psychologist in training.
Psychological treatment of a fear of flying
Authors: Bor Robert , Parker Justin , Papadopoulos Linda
Published: January 2023

Air travel is the world’s largest industry. The number of people worldwide who use air transport increases annually. Research suggests that up to one in five air travellers suffers with some form of anxiety relating to air travel and as many as one in ten may feel incapacitated by their anxiety. This has resulted in an increase in the number of referrals received by psychologists working in both primary care settings and travel clinics. The present paper provides a framework through which a client’s fear of flying can be adequately assessed and treated, broadly based
Developing a policy on drugs and alcohol for a psychotherapeutic service
Authors: Hammersley Diane
Published: January 2023

This paper raises some of the issues that need to be considered in developing a policy rather than offering a template for one, since each service is unique in its combination of resources of personnel, range of psychotherapies available and setting. Psychotropic drugs whether prescribed, illegal, self-medication, social drugs or alcohol all affect the individual cognitively and emotionally in ways which might impinge on psychotherapy in helpful or unhelpful ways. Psychotherapy may also affect a person’s use of drugs, assisting reduction or withdrawal, but if ignored may precipitate an increase in drug or alcohol use.

The implications of a policy are explored in terms of the service’s referral policy whether open or closed, how it might affect assessment and contracting with the client, in the light of the fact that such a service must operate within an ethical framework. The psychodynamic issues which occur within a three-way relationship of doctor, patient and therapist are brought into awareness, so that they may be acknowledged. The rationale for the policy includes allowing for the effects of drugs in research, evaluation and audit of the service at an organisational level, as well as the importance of not ignoring an issue that might undermine the therapy. Communicating the policy encourages realistic expectations, greater trust in the partnership between psychotherapists and doctors and may lead to better clinical outcomes.
Designing and disseminating research in counselling psychology
Authors: Cowie Helen , Glachan Martin
Published: January 2023

Counselling psychology involves the application of systematic knowledge to the practice of counselling. Counselling psychologists, it is often argued, have the skills and training to evaluate good practice through rigorous research. The availability of a range of quantitative and qualitative methods in the social sciences makes this an especially fruitful area for study. However, the task of writing up research findings for journals remains a daunting task for many. In this article, some guidelines are presented to help practitioners disseminate their research.
Does workplace counselling have an organisational function?
Authors: Hill Catherine
Published: January 2023

The moral, legal and economic implications of stress in the workplace are of increasing concern to employers, employees and government policy makers alike (see Our Healthier Nation Green Paper). Employee Assistance Programmes and Workplace Counselling Services of various types are becoming an increasingly common feature of working life, and one that psychologists, in particular counselling and occupational psychologists, have been involved in evaluating, recommending, criticising and implementing. There is plenty of evidence showing that workplace counselling is effective in reducing the symptoms of stress in individual clients, Far less research has been reported that studies the nature of the workplace counselling process, and in particular its relationship with its host organisation.

Workplace counselling, as an intervention aimed at tackling the problem of ‘stress’ has been imported from the medical world into the organisational environment.

In this paper the author provides illustrations of the relationship between individual change in the context of workplace counselling, and change and development within the organisational context. Some possible directions for the development of theory in this area are explored.

The paper comprises of three case examples. The case material is descriptive of process and is presented in the absence of theory. A theoretical discussion follows each example.
Book reviews
Authors: Moon Lyndsey , Farrell Bill , Bury Dennis
Published: January 2023

Reviews of Introduction to counselling and psychotherapy: The essential guideedited by Stephen Palmer,The therapeutic use of self: Counselling, practice, research and supervision byVal Wosket andConstructions of disorder: Meaning-making frameworks for psychotherapyedited by Robert A. Neimeyer and Jonathan D. Raskin.
Putting the scientist practitioner metaphor to the test: A trainee therapist’s leap of good faith in the treatment of PTSD
Authors: MacKay Helen , Cross Malcolm
Published: January 2023

This client study presents the work of a trainee therapist with a client experiencing PTSD. Rather than a focus on outcome, this case seeks to highlight the real-life challenges imbued in applying theory to practice for both the trainee and the client. This case has encouraged the authors to conclude that in addition to a knowledge of the literature, and practitioner skill, courage, and good faith are also fundamental to the application of the scientist practitioner metaphor.

We have chosen to present this case to illustrate how empirical research and reports of practice-based methods with proven effective results may be used to address a discrete psychological problem. Despite incorporating this approach within the context of the therapeutic relationship, it is a focus on an established treatment procedure that is outside the primary therapist’s usual orientation that produced results for the client in the current case. This case touches on therapist anxiety and issues of good faith in the literature (reported efficacy) in the face of significant client distress, arising as a consequence of the treatment protocol. Although this case study was conceptualised and written collaboratively, it is expressed from the perspective of the first author.
Ethical issues encountered in qualitative research: Reflections on interviewing adolescent in-patients engaging in self-injurious behaviours
Authors: Bowen Arabella C.L. , John Alexandra M.H.
Published: January 2023

Qualitative research is a fast developing and innovative field of enquiry. The most commonly used method of collecting qualitative data is the research interview. Interviewing participants for psychological research can be difficult at the best of times, let alone with a particularly challenging and vulnerable client group. There are a number of ethical implications that must be considered in this situation. Guided by The British Psychological Society codes of conduct and ethical principles, researchers may not only have to fulfil their University or Institution’s expectations for undertaking ethical research, but also negotiate approval with one or more NHS ethical committees. The theoretical requirements however, are not always adequate preparation for the actual practical experience.

This article addresses some of the practical and ethical problems that were encountered in a qualitative research study. It describes and reflects on some of the difficulties faced by a trainee counselling psychologist undertaking interview-based research with a particularly vulnerable client population: young people engaging in self-injurious and/or suicidal behaviours.
Book reviews
Authors: Moon Lynz , Grbcic Stefania , McMahon Gladeana , Bury Dennis
Published: January 2023

Reviews ofPathology and the Postmodern: Mental Illness as Discourse and Experienceedited by Dwight Fee,Resolving Childhood Trauma: A Long-Term Study of Abuse Survivorsby Catherine Cameron,Six Key Approaches to Counselling and Therapyby Richard Nelson-Jones andPsychological Approaches to Dermatologyby Linda Papadopoulos and Robert Bor.
Counselling psychology: A hesitant hybrid or a tantalising innovation?
Authors: Spinelli Ernesto
Published: January 2023

Last year there began a fascinating dialogue on the Division of Counselling Psychology List website surrounding the theme: ‘how we define ourselves’. Much of the discussion focused upon the term scientist-practitioner. Is the term ‘scientist-practitioner’ an accurate expression of the aims and stances of this Division? Or, is it the case that if we wish to maintain this term it will require some degree of modification? And if the term is unyielding to such modification, are we able to adopt an alternative definition?
Book reviews
Authors: Shillito-Clarke Carol , O’Neill Mary
Published: January 2023

Reviews ofIntegrative therapy: A practitioner’s guideby Maja O’Brien & Gaie Houston andProfessional counselling and psychotherapy: Guidelines and protocolsby The Association of Counsellors and Psychotherapists in Primary Care.
Treatments of choice, quality and integration
Authors: Owen Ian
Published: January 2023

In light of the position paper ‘treatment choice in psychological therapies and counselling,’ NHS staff who practice the psychological therapies are recommended to work in specific ways with specific client needs or ‘disorders’ (Department of Health, 2001). This recommendation exemplifies one aspect of the scientist-practitioner model stated in the aim of outcome research as: ‘What treatment, by whom, is most effective for this individual, with that specific problem, and under which set of circumstances,’ (Paul, 1967, p.111). The apparent clarity of this aim begs a number of questions. It requires precision concerning treatment, therapist and client types, disorders and the social contexts of clients. But, setting such questions aside, because it is a requirement for staff to follow these recommendations, the aim of the paper is to explore the issues that enable evidence-based practice. Thus, links are made to the adjacent concerns of working in a general role, offering clients a treatment of choice suggested by the evidence-base and the role and nature of quality assurance. It ends by suggesting that integrative practice is a likely orientation for many who are practising skills from more than one orientation.
Brief, solution-focused initial treatment sessions for clients with a fear of flying
Authors: Bor Robert , Parker Justin , Papadopoulos Linda
Published: January 2023

Cognitive behaviour therapy (CBT) for clients with a fear of flying is widely accepted as the most effective psychological treatment for this problem. Evidence from published research, however, suggests that this treatment approach is typically applied inflexibly to most clients who seek treatment. The authors conservatively estimate from their own practice that approximately 50 per cent of clients who seek psychological treatment for a fear of flying do not require the full complement of standard CBT interventions (e.g. desensitisation, simulated or actual flights) and benefit sufficiently from core interventions (e.g. cognitive re-structuring, realistic threat appraisal and coping strategies for dealing with symptoms of anxiety and panic disorder). This paper outlines a brief approach to psychological treatment that may benefit a sizeable proportion of fearful flyers, and that is not unduly costly or demanding on resources, and can be offered in busy settings such as travel health clinics and GP surgeries, and by counselling psychologists and air crew.
Trainee expectations in counselling psychology as compared to the reality of training experiences
Authors: Szymanska Kasia
Published: January 2023

To be accepted on an accredited course in counselling psychology can engender a wide range of feelings from excitement, tenacity, optimism to apprehension and a feeling of dread. These feelings coupled with expectations of the course and personal achievement can contribute to disillusionment with the experience of training. Often, the expectations trainees have on starting their courses are unrealistic and they may serve to hinder the trainees’ personal and professional development.

To address this issue, drawing on my experience as a trainer and on feedback from trainees and tutors, this paper will consider some of the more common views trainees have on commencing training in counselling psychology and how these match the realities of training. Also included will be a section on what trainees’ can do to prepare for training and to ensure their courses run smoothly.
Book Reviews
Authors: Grbcic Stephanie , Wyatt Mike
Published: January 2023

Reviews ofSplintered innocence: an intuitive approach to treating war traumaby Peter Heinl andBuilding a culture of respect – managing bullying at workedited by Noreen Tehrani.
The importance of developing a ‘culture of belief’ amongst counselling psychologists working with asylum seekers
Authors: Harris Kate
Published: January 2023

This article seeks to explore issues of belief in relation to counselling work with adult asylum seeking clients. It argues that counselling psychologists are uniquely placed to engage in such work because they combine a scientific knowledge of human functioning with a humanistic and holistic approach towards understanding others. As Woolfe (2001) notes: ‘what matters is the approach or attitude or intentionality that any psychologist or any helper brings to the helping relationship’. It will be argued here that the stance taken by counselling psychologists and their liberty to choose particular attitudes towards clients frees them to work very effectively. More specifically, it will be suggested that adopting a believing stance towards those who are often disbelieved can make for a very powerful therapeutic encounter.
Book Review
Authors: Clarke Peter , Lavallee David
Published: January 2023

Review ofCounselling Athletes: Applying Reversal Theoryby John H. Kerr.
Working with perfectionism:Towards identifying the needs of an emerging client group
Authors: Corrie Sarah
Published: January 2023

In recent years, the relationship between perfectionism and emotional distress has become increasingly well-documented. Both the therapeutic and research literatures have implicated perfectionism in a wide range of mental health problems and have also identified that it can represent a significant problem in its own right. This suggests that working with perfectionism may require specifically tailored approaches to conceptualisation and intervention.

The developments in the literature raise a number of questions for counselling psychologists. For example, given the emphasis on construing problems as normative human experiences rather than as evidence of psychopathology (Woolfe, 1996), how should counselling psycho-logists attempt to understand the nature of perfectionism? When should it become a direct focus of therapeutic intervention? What issues does perfectionism raise for therapeutic practice and what represents an effective outcome?

The aim of this paper is to explore ways in which we might usefully understand and respond to perfectionism, as it presents in our therapeutic work with clients. In particular, through reviewing recent developments in the literature, the paper identifies some key questions which can provide a heuristic framework for thinking about the needs of what may be an emerging client group.