Regrettably, evidence-based practice is often reduced to the provision of empirically-supported treatments, which mostly means CBT. While this may suit government bodies and others who want simple guides to legitimate practice, it has little correspondence with reality. In fact the evidence suggests that the form of therapeutic intervention plays a minor role in client outcome. Some have argued non-specific or common factors such as therapeutic alliance are the key to client outcome but it is far from clear that such factors are under the control of the therapist. A practice-based evidence approach whereby the therapist receives, and makes use of, feedback on how the client is progressing has also been advocated. This paper argues that it is not good enough to simply insist that practitioners adopt evidence-based practice. Rather we must ensure practitioners have a clear and nuanced understanding of the evidence to make appropriate clinical decisions and, where necessary, defend those decisions. The presentation reviews the current state of the evidence and explores how it might be used in clinical decision-making that is consistent with the tenets of evidence-based practice.
The counselling and psychotherapy fields are now at a point in their evolution where they are being challenged to produce evidence to demonstrate their effectiveness for clients, in order to raise the profile of the profession with governments and the community. Yildiz presents a study of the modality of Systemic Family Constellations which has been found to be effective in improving relationships and also the relationship-with-Self, thereby improving self-esteem and mental health.
Search for supplies in the work of envy, greed, gluttony, anger, lust and pride, is explored in the current melding of theological and psychological theories. The benefits and destructiveness of basic elements of our psychic structure will be addressed, coupled with approaches in the therapeutic encounter. Our propensity to anthropomorphize God, projecting these passions, is questioned. The impact on our clients' capacity for hope and gratitude, and on the therapeutic relationship, is explored. Liberated gratitude fills the soul with supplies, softening the needy, damaged, ravenous and endlessly seeking psyche.
An addictive personality is the psyche of the person who has not yet resolved past trauma, and who has found a means to escape from that trauma by being able to zone out in some way, or in the case
Perception and what influences perception lies at the heart of a holistic approach. In assessing the effectiveness of an approach to counselling and psychotherapy, the question “what constitutes effectiveness and how is this seen” must be considered. This raises the question of the lens used for looking. In this presentation I will show how we live in the tiparadigm, which focuses on process, on an unfolding stream of awareness that recognizes both the subtle unseen forces of the universe as well as manifest reality. It sees the human being as an incarnating spirit infusing every aspect of the physical substance (body) with consciousness and mediated by soul/psyche.
Personal growth, increased self-awareness, and inter and intrapersonal maturation have long been seen as important training dimensions for those involved in counselling. The current study aimed to build on existing knowledge in this area through use of empirically validated measures of three well-described developmentally-orientated psychological constructs Bowen's Differentiation of Self (DoS), Batson's Religious Quest (Quest) and Perry's Epistemological Development (ED) to evaluate the effectiveness of the training programs in facilitating the interpersonal, intrapersonal, spiritual and epistemological maturation of counselling students.
Mental illness is the single largest cause of disability in Australia, accounting for nearly 30 per cent of the burden of non-fatal disease; while one in five Australians will experience symptoms of mental illness at some stage in their lives. These quite alarming statistics have given rise to the National Health and Medical Research Council (NHMRC) listing mental health as one of the top eight national health priority areas in Australia; and the Commonwealth Government identifying increasing proportions of the health budget to progress mental health reform.
This paper describes the experience of residents in a time limited counselling programme who had recently entered residential care. The program was An Aged Care Access Initiative Psychological Support Program for Low Care Residents. The group met for one hour each week for six weeks. Through the sharing of their own narratives the residents forged a communication link with each other whilst maintaining their own identity. Through sharing their collective narratives the group participants were able to hear how other members were adjusting and gain some solace that their individual experiences were similar to others.