22 research outputs found
âJust like talking to someone about like shit in your life and stuff, and they help youâ: hopes and expectations for therapy among depressed adolescents
Objective: To explore hopes and expectations for therapy among a clinical population of depressed adolescents. Method: As part of a randomised clinical trial, 77 adolescents aged 11 to 17, with moderate to severe depression, were interviewed using a semi-structured interview schedule. The interviews were analysed qualitatively, using Framework Analysis. Results: The findings are reported around five themes: âThe difficulty of imagining what will happen in therapyâ, "the 'talking cure'"; âthe therapist as doctorâ, âtherapy as a relationshipâ and âregaining the old self or developing new capacitiesâ. Conclusions: Differing expectations are likely to have implications for the way young people engage with treatment, and failure to identify these expectations may lead to a risk of treatment breakdown
The relationship between expected engagement and talking therapy outcome
The aim of the study was to investigate whether client-reported expected engagement with therapy predicted therapy outcome. It was hypothesized that higher expected engagement with cognitive behavioural therapy (CBT) or person-centred experiential therapy (PCET) would predict more symptomatic improvement following therapy and higher likelihood of therapy completion. The Sheffield Expected Engagement with Therapy Scale was administered to 96 clients at pre-therapy assessment with all meeting a diagnosis of moderate or severe depression with 53 receiving CBT and 43 receiving PCET. Higher expected engagement predicted more symptomatic improvement in CBT but not PCET. Expected engagement only predicted improvement in CBT when clients rated the credibility of CBT as low or moderate. Expected engagement did not predict therapy completion in either therapy. Assessment of expected engagement could be a useful tool in prediction of symptomatic improvement in CBT
Hong Kong and Western people have different expectations of counselling: a Hong Kong study of the Expectations about Counselling â Brief Form
Generating Expectations: What Pediatric Rehabilitation Can Learn From Mental Health Literature
The good, the bad and the uncertainty: Trainees' perceptions of the personal development group
Background: Views about the purpose and role of personal development groups (PD group) in the counsellor training process are varied. Some argue they enhance self-awareness, self-exploration, the ability to be congruent and, ultimately, that they make for better practitioners. Others argue there is no clear evidence for such benefits and that they can actually be damaging to trainees. Aims: This study aimed to explore the beliefs of 25 trainees enrolled on counselling diploma or counselling psychology doctoral courses. It looked in particular at their perceptions of the purpose of PD groups and their expectations regarding support, difficulties and the scope of their participation. Method: Data was collected using open-ended questions in an anonymous survey and was subjected to a thematic analysis. Results: Trainees appeared to hold mixed â and sometimes conflicting â views about the PD group. For some it was a positive endeavour that facilitated learning about self and clients, and helped in the processes of developing counselling skills and keeping the training group healthy. For others it was a feared space which could elicit negative emotional experiences, and impact negatively on both learning outside of the PD group and the health of the group itself. Still others were unclear about its purpose. Hope/idealisation (of the process, the facilitator and course tutors) were also evident in the traineesâ responses. Implications: Implications of these findings for counselling training are discussed