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Purpose: In 2021, an opportunity arose to place four counselling and psychotherapy (C&P) students in three care homes across Greater Manchester as part of a 6‐week interprofessional education (IPE) care home scheme. Whilst, due to ethical concerns around confidentiality, the C&P students could not participate in interprofessional activities as intended, they still undertook their clinical placement in the home to provide accessible therapy support for care home staff. This paper aims at reporting on the varied factors that influenced the implementation of C&P student placements in care homes. Methods: At the start and end of their placement, four C&P students were interviewed about their experiences. We draw on data from these eight interviews and two reflective vignettes: one from a C&P student and the other from the C&P programme coordinator (C&PPC). Results: The data were thematically analysed, and two key themes and six subthemes were constructed. They broadly unpack the factors that facilitate and challenge the implementation of C&P student placements in care homes. Conclusion: This paper highlights the value of utilising care homes as placement sites for C&P students. We propose four key recommendations for future practice: (1) it is important to establish clear lines of communication, support and collaboration; (2) a dual‐space supervisory approach supports student learning in this "new" placement environment; (3) preplacement supportive frameworks are important to clarify initial role uncertainties within the care home; and (4) opportunities to provide therapy services should be well defined and referral processes put in place before the student arrives. [ABSTRACT FROM AUTHOR]

The topic of language as power (LaP) in individual therapeutic encounters has thus far been overlooked, and as bilingual therapists have the ability to use more than one language in the therapy room, their experience of LaP is a compelling research area that this paper attempts to explore. This qualitative, inductive, phenomenological study used interviews and interpretative phenomenological analysis to explore five bilingual Arabic–English‐speaking therapists' experiences of LaP in the therapeutic encounter. The study identifies two overarching themes: (a) the emergence of identity and power from language and (b) comparisons of power in the English and Arabic languages. Within these themes, the study finds that therapists experience LaP through multiple avenues: self‐disclosure, intersectionality, being transported to different identities and expressions of power and power of expression in Arabic–English. These multiple avenues illustrate the complexity of LaP in the therapeutic encounter. The study sheds light on an underexplored area in psychotherapy, illuminating an important area for psychotherapists and training institutions to consider when working with clients. [ABSTRACT FROM AUTHOR]

Grounded theory (GT) is a popular research methodology that has been used in various fields and disciplines. Its researchers face the paradox of their method being grounded in both data and theory, potentially resulting in researcher ambivalence towards existing knowledge and constructing "thin" or "descriptive" theory as a result. In this reflective paper, the researcher uses a case example of theorising the category "improvisation," to explore the deliberate decolonial use of literature in GT. They share detailed examples of inductive coding, analytic memoing and abduction of the category. They describe a paradigm‐changing moment of realisation when they discovered their own colonial thinking towards this category and the subsequent perspective change that occurred when they attempted to "de‐link" from their colonial thinking and apply a decolonialised lens to their category. The work of Black and Indigenous authors enabled the researcher to theorise "improvisation" as a valid, transdisciplinary practice that lies at the heart of both therapy and art making. The researcher concludes that researchers intending to decolonialise their knowledge production should take a critical‐reflexive stance towards existing theory, deliberately seeking out alternate, decolonial ways of knowing, in order to construct more vital, convivial and emancipatory theories. They also offer a decolonial reimagining of therapy as a grounded, responsive, intentional and social improvisational practice, which is co‐created between client and therapist. [ABSTRACT FROM AUTHOR]

Therapy process research focuses on understanding how therapy is conducted by professionals in the field. It is a nascent field of psychotherapy enquiry in India. This paper explores how novice therapists in India perceive their clients, and how this influences the process of therapy. In depth interviews were conducted with ten novice therapists, with less than six years of practice experience, from Mumbai, India. The data was thematically analysed. The data revealed that therapists' perceptions of their clients were defined by socio‐demographic features of age and gender, along with presenting complaints and personal attributes. Participants had defined beliefs about good clients as contrasted with difficult ones. Distinct preferences for particular client types were identified. The antecedents to these beliefs were attributed to the therapist's worldview, their training and the supervision received. These views, and the conceptualisation of the client, influenced the choice of client, the process of therapy and how they proceeded with sessions, and their methods of referral. The data from the study has implications for therapist training, supervision and further research. [ABSTRACT FROM AUTHOR]

Global estimates suggest 5% to 10% of men report experience of childhood sexual abuse (CSA). However, male CSA is significantly underreported, with men being reluctant to disclose due to vulnerability, stigmatisation, homophobic responses and fearing a loss of masculinity. A lack of research and service provision targeted towards men suggests male survivors of CSA are marginalised. This qualitative study, using a narrative approach, focussed on four adult male survivors of CSA. The aim of the study was to explore their experiences of engaging in counselling and support services for CSA from nonstatutory and voluntary organisations. Face‐to‐face narrative interviews were audio‐recorded and transcribed verbatim. Analysis was undertaken using a two‐phase approach; first, each narrative was analysed as a whole; second, an across‐transcripts analysis was carried out to identify shared themes and divergences that emerged from the individual stories. In this paper, findings from the second phase of the analysis are presented. Three themes regarding male survivors' experiences of specialist counselling services were identified: "Trust Me, I'm a Doctor," "Trust me, I'm a Counsellor" and "Counsellor or Mother?" This is the first academic study focussing specifically on men's experience of support for CSA in the UK from a service user perspective. Making an original contribution to the knowledge base regarding counselling experiences and the effectiveness of therapy for male CSA survivors, it will help to inform professional counselling services which are likely to come into contact with male survivors of CSA. [ABSTRACT FROM AUTHOR]

Interpersonal processes are a key target in counselling and psychotherapy. It is of paramount importance to sharpen their assessment using integrated methods. Hence, this methodological paper describes how fields of research in psychotherapy and neuroimaging can be integrated into one novel complementary neurobehavioural paradigm that can be applied to enhance our understanding of interpersonal processes in psychotherapy. To illustrate this integration, we present selected data from a pre–post pilot study where the authors assessed interpersonal processes in brief treatment for borderline personality disorder using the core conflictual relationship theme, functional magnetic resonance imaging (fMRI) and outcome questionnaires. To do so, they measured individual changes in neural activity using an fMRI task pre‐ and post‐treatment where clients gave feedback on the emotional valence of sentences extracted from their own Relationship Anecdotes Paradigm interviews mixed with neutral ones. In this paper, using data from two participants of said study, we discuss how to implement this methodology and what can be achieved in terms of results. [ABSTRACT FROM AUTHOR]

Purpose: First identified and codified in the late 1980s by Dr Francine Shapiro, eye movement desensitisation and reprocessing (EMDR) therapy is increasingly recommended as a front‐line response to post‐traumatic stress disorder (PTSD). As PTSD is itself becoming understood as a consequence not just of single potentially traumatic events (PTEs) but also of experiences of dysfunctional attachment with primary caregivers in earlier childhood, EMDR therapy is starting to embrace attachment theory, and the need to factor an awareness of developmental trauma into therapeutic treatment. A development of the Standard EMDR Protocol, which builds on this understanding, has become known as Attachment‐Focused EMDR (AF‐EMDR). Although increasingly widely used by EMDR therapists, to date there has indeed been no published research into how AF‐EMDR is experienced in practice by qualified and accredited AF‐EMDR‐trained therapists. This paper aims to begin to fill that gap. Methods: A qualitative approach was employed, analysing semi‐structured online interviews with eight experienced and AF‐EMDR‐trained UK‐based therapists accredited at Consultant level with the EMDR Europe Association. Data were analysed using reflexive thematic analysis. Results: Three broad themes were generated from thematic analysis, namely perceptions of AF‐EMDR; it is not versus, it is with; and EMDR itself as an innovative approach. Conclusions: The study found AF‐EMDR to be highly appreciated by therapists trained and experienced in this approach. Considering the nature of developmental trauma, the authors propose that core training and supervision in EMDR should allow more room for an explicit focus, in both case conceptualisation and treatment, on clients' early‐childhood attachment histories. [ABSTRACT FROM AUTHOR]

The COVID‐19 pandemic presents a threat to physical and psychosocial health of individuals. In lieu of the subsequent lockdown and containment measures, helpline counselling becomes a viable method of accessing psychosocial services during the pandemic. The present paper describes experiences of counsellors working with a special COVID‐19 counselling helpline initiated by iCALL, a national‐level technology‐assisted counselling service of the Tata Institute of Social Sciences, India, which aims to address the psychosocial impact of the pandemic and the lockdown. The paper is based on two focus group interviews held with 11 counsellors during the initial two months of the helpline's functioning. Findings of the study highlight the diverse profile of the callers, with individuals belonging to different strata of society and to marginalised communities. The nature of concerns presented by the callers were often a mix of psychological, relational and practical issues. The resultant distress emanated from an interplay of these factors with the relational contexts, their social locations and social structures the individuals were embedded in. This highlighted the need for conceptualising and responding from a psychosocial lens, whereby interventions involved traditional counselling approaches and strategies for addressing determinants of distress by connecting callers to required ground‐level resources. Counsellors' engagement with this process impacted their professional and personal selves, necessitating the need for structured and continuous training, supervision and support. At a larger level, the counsellors' narratives asserted the need for adopting a psychosocial paradigm for conceptualising and addressing mental health concerns in India. [ABSTRACT FROM AUTHOR]

This paper presents the concerns of a client diagnosed with autism spectrum disorder about completing outcome measures. He was asked to complete CORE‐10 each time he attended a therapy session with the first author. This paper takes an epistemological position of co‐production, and written in response to the client's concerns, but this is limited by the client's wish and capacity to be involved in the writing up of this article. Implications of his experiences are drawn out for both clients with this diagnosis and more generally for all clients. Recommendations are made to recognise the limitations of measures and how to use outcome measures with more validity. [ABSTRACT FROM AUTHOR]

Personal development (PD) groups are routinely used in the training of counsellors and psychotherapists. Experiences during such group processes are thought to contribute to the development of self‐awareness, a quality seen as crucial for good practice in many therapeutic approaches. However, evidence from trainees suggests that the PD group experience may not be a positive or facilitative one for many. We also do not know how trainees, once qualified, process their PD group experiences over time. This paper reports findings from a qualitative study in which 12 experienced therapists were invited to reflect back upon their PD group experiences during their training. Their experiences of PD groups were invited through semi‐structured interviews and the data analysed using interpretative phenomenological analysis (IPA). The findings show that most participants found their PD group experiences to be challenging, and that for some participants this was a welcome and facilitative experience. However, a significant number of participants had negative experiences in their PD groups, which at the time they felt to be damaging and which remained so in their view at the time of interview. Such experiences included feeling re‐traumatised by recalling and sharing old traumas, feeling afraid of the volatility and punitiveness in their group and feeling overlooked or abandoned by the group facilitator. Nevertheless, all participants had made persistent efforts to process these experiences and had drawn from them what they regarded as valuable learning. Recommendations for counselling and psychotherapy training are put forward in the light of these findings. [ABSTRACT FROM AUTHOR]

This paper illuminates some of the journey taken by me, the researcher, whilst completing my doctoral research into the lived experience of epiphanies. The research journey is conceptualised as one of the discoveries into the task of qualitative research to "carry forward" the meaning of human experience, that is, considered "more than words can say." Six participants took part in an unstructured interview aimed at exploring how they made sense of their epiphanic experiences. Following the application of an interpretative phenomenological analysis, an arts‐based representation of the research findings, in the form of found poetry, was chosen to supplement the emerging interpretation. Six found poems are dispersed throughout the paper. The aim is to offer the reader the crucial opportunity to simultaneously engage responsively and rationally with an exploration of the value of found poetry. Moreover, this style of presentation may offer the reader more space and time to notice, observe and reflect on the impact of research poetry as they move through the paper. An evaluation of the utility of found poetry is also offered. By providing an insight into the process of constructing found poetry, it is intended that the merits of its integration within qualitative enquiry are highlighted as successfully being able to bring the meaning of exceptional human experience alive to the reader. Furthermore, the experiential knowledge offered here is considered particularly relevant to professionals working in caring or therapeutic roles. [ABSTRACT FROM AUTHOR]

Marte Meo is a video‐based counselling method founded by Maria Aarts in the Netherlands and now in worldwide use (Aarts, Aarts Production, 2008). Marte Meo has been adopted and put into practice by a large and diverse network of trained and certified counsellors across the world. It was invented, developed and spread by a vanguard of practising counsellors who have adapted it to a variety of contexts. This is a classic example of research and theory emerging from and following practice; we first need to synthesise the lessons the practitioners and families have learned. We need to better understand how it is implemented; how it is viewed by its practitioners and recipients; and the extent to which variability in implementation may be an asset or a drawback in the continuing evolution of the programme, and in any eventual attempt to document its effects. Therefore, the present article aimed to address this important and hitherto unexplored research topic of the Marte Meo method in counselling and to describe the current state of use of Marte Meo. How is Marte Meo used and applied in a counselling and therapeutic context? Who uses Marte Meo in professional practice? Which function and which meaning does Marte Meo have in general practice and especially in counselling and therapy? What are typical concerns, goals or areas of application? We report on an ongoing mixed methods research project which began in 2015. This paper focuses on the research methods. We will explain why an integrated exploratory sequential design (Cresswell, 2017) is best suited to our purposes. The exploratory sequential design of the Marte Meo project has five phases: as the first phase, we conducted a systematic literature review, analysing the status of existing research. The staged qualitative research consisted of designing, conducting and analysing semi‐structured interviews with parents and Marte Meo counsellors (phase 2), and then using that analysis to inform the design, the conduct and the analysis of videotaped observations of everyday situations in day‐care centres to examine the process and effects of Marte Meo interaction elements on children (phase 3). Combining these qualitative analyses then became the basis for the development of an online questionnaire that could enable us to collect quantitative data on the current use of Marte Meo in practice by experts (phase 4). This builds into the fifth phase in the final interpretation. One of the key findings of the qualitative parts is that Marte Meo is perceived as advantageous. The experts reported more joy and success in their work. In particular, in the pedagogical context, the daily, resource‐oriented 'Marte Meo view', which was sharpened by the training, seems to be essential, as it enables an awareness of the needs of the interaction partners and the beneficial interaction elements. Moreover, for some interviewees the use of Marte Meo does not seem to be limited to professional practice, but is expressed in a general humanistic attitude towards interpersonal relationships of all kinds. The quantitative survey has confirmed and supplemented these results. On the other hand, we found that Marte Meo is most often used in addition to the systemic approach. A later article will focus more on the findings. This article will conclude with a discussion of the advantages and disadvantages of the research design—concerning this special research project and concerning counselling research in general. [ABSTRACT FROM AUTHOR]

Background: Multilingual clients can benefit from expressing themselves in more than one language in psychotherapy. Yet, research suggests that language switching is typically instigated by clients, although some do not feel empowered to negotiate the language(s). Methods: This paper addresses how language options, from the main therapy language(s) to language switching, were negotiated between client and therapist, as reported by 109 multilingual clients. All participants completed a web survey and five participated in follow‐on interviews. In addition, we reflect on the advantages of the mixed methods approach—particularly with regard to ethics and the explanatory sequential design. Analyses combine descriptive statistics and thematic analysis to elaborate on the trends identified in this international sample. Key Results: Whereas some multilingual clients did not feel inhibited about using languages other than the main therapy language, for others the therapist played an important role in promoting multilingualism in the therapy room. Indeed, a lack of discussion surrounding language use—beyond such technical aspects as agreeing the main therapy language—was found to lead to assumptions about therapists' proficiency or the (non‐)acceptability of multilingual language practices. By contrast, metalinguistic discussions which explored process and meaning were welcomed by clients and typically opened up ways to use languages; the study itself was a catalyst for self‐reflection and productive discussions for one interviewee. Conclusions & Inferences: Thus, the research provides further evidence, from clients, that developing therapists' metalinguistic awareness and competence and empowering multilingual clients to share their insights has therapeutic benefits. [ABSTRACT FROM AUTHOR]

Background: The research presented in this paper aimed to explain how psychotherapists in New Zealand attended to religion and/or spirituality (RS) in the therapeutic process. Thirty‐three in‐depth interviews were conducted with 28 psychotherapists throughout New Zealand, exploring their thoughts about RS in psychotherapy. Method and Methodology: Grounded dimensional analysis (a variant of grounded theory), underpinned by symbolic interactionism, was used to collect and analyse data. Findings: The study found that participants made decisions about what belonged to psychotherapy regarding RS based on three perspectives; that psychotherapy is secular, that psychotherapy and RS are inextricably connected, and that psychotherapy and RS intersect episodically. Participants' perspectives influenced their level of engagement of RS material when working with clients. The professional and personal outcomes of this process included expanding practice, maintaining the status quo and being seen to present as "legitimate." Discussion: Deciding what belongs is an iterative process and many participants adjusted their responses when faced with changing contexts and conditions. Implications: This study was significant since it found that it was participants, namely the psychotherapists themselves, who actually decided what belonged at all stages of the process of attending to RS in therapeutic engagement. [ABSTRACT FROM AUTHOR]

Background The researcher's reflexive use of self forms part of a well-established tradition in counselling and psychotherapy research. This paper reviews that tradition briefly, with particular reference to an approach known as 'practitioner-based research' that has developed from it. In this approach, researcher-practitioners use their therapeutic skills and judgement and thereby enrich their understanding of research participants, themselves and their relationship. Aim The paper aims to contribute to the practitioner-based approach by showing how it can impact on data collection, using an example from a qualitative interview. Methodology A moment of interaction between a participant and a therapy researcher in a qualitative interview is examined, framed within psychotherapeutic intersubjectivity theory. The researcher's reflexive awareness of micro-aspects of the relationship with the participant is reviewed, captured in their language and the split-second daydreams or reveries that arose as they interacted. Findings The authors argue that the approach enhanced this small-scale study by intensifying the researcher's engagement with the participant and enriching her understanding of their relationship and the subject under investigation. Implications The paper highlights the unique value and contribution that this approach offers to therapy research and practice. [ABSTRACT FROM AUTHOR]

Background:While counsellor education becomes increasingly culturally diverse, little is known about international trainees' experiences of training.Objective:The present study explores one aspect of training, namely clinical practice from the perspective of international, non-native speaking trainees. In particular, this paper focuses on the challenges this group encounters when practicing in a second language.Methodology:Semi-structured interviews with four non-native English-speaking trainees were conducted and analysed following the principles of interpretative phenomenological analysis (IPA).Results:Findings suggest that participants encounter practical difficulties related to their non-native/foreign identity in practice, such as problems with articulate self-expression and understanding the client's speech. These difficulties generate anxiety and impact on the trainees' confidence.Conclusions and implications for counsellor training:This study elucidates language as a fundamental aspect of culture, and identifies second language use as a significant source of difference in counselling practice. This paper highlights the need for attention to linguistic diversity and for appropriate support during counsellor education. This will improve international trainees' experiences of training, but also enhance all trainees' understanding of difference, resulting in better service provision for the community. [ABSTRACT FROM AUTHOR]

Aim: Counsellors who work with young people in a range of contexts know that they are not engaging with ‘mini‐adults’. The issues young people bring to counselling are often complex, challenging and wide‐ranging, as adolescents are experiencing times of turbulence and change in their physical, emotional, social and psychological development. This paper focuses on a research project undertaken with five counsellors who work with young people, and asks the question: ‘What works?’ Method: The research project is an in‐depth qualitative study into the counsellor's experience of counselling young people, using a narrative approach. Findings: Four key shared themes emerged: the significance of ‘safety’ in the relationship; building the therapeutic alliance; flexibility and integration relating to theoretical orientation; and the use of creativity. Outcomes: This paper offers counsellors the opportunity to reflect on ‘what works’ and consider the professional knowledge, which underpins their own counselling practice with young people. [ABSTRACT FROM AUTHOR]

Objective:Contemporary psychotherapy research has focused mainly on practitioners' training and education. The impact of training on professional development and the application of therapeutic skills have been the primary foci of the empirical literature. The aim of this paper is to present the experiences of seven family therapy trainees regarding their personal paths toward the development of professional identity as they underwent training in systemic psychotherapy.Method:In-depth interviews were conducted and analysed using Interpretative Phenomenological Analysis.Results & Conclusions:Seven themes were identified: The Quest, Developing by Relating, Learnings, Personification of Training, Use of Self, Self-Care and Empowerment, and Reflecting on the Role of the Therapist. The findings are discussed with regard to the development of the ‘therapist as a person’, gaining acknowledgement and autonomy, and the development of a community of therapeutic practice. [ABSTRACT FROM AUTHOR]

Introduction: This paper describes a qualitative study focusing on counsellors' perceptions of client progression when working with clients who intentionally self‐harm and the impact this has on the therapist. Method: Semi‐structured interviews were employed and the constant comparative method utilised to analyse the data. Findings: Findings indicate that counsellors experience intense emotions in response to self‐harm including: shock; sadness; anxiety; anger; and frustration. Counsellors also struggled to manage the tension between multiple dualities, corresponding to professional opinions of a seemingly polar opposite nature. Although participants indicated a requirement to work in a client‐led way, they all had either an explicit or implicit agenda for change. These two conflicting states create a tension for a counsellor that is difficult to resolve. In addition there were various views of client progression, yet all participants agreed that progression was not simply about stopping self‐harm. Conclusion: There is a significant impact on the counsellor when working with clients who intentionally self‐harm and the complexity of the phenomenon appears to exacerbate their anxiety. Implications: Further research within the counselling field focusing on the ambiguous nature of the subject may increase understanding, which in turn may contribute to greater therapist efficacy when working with this client group. [ABSTRACT FROM AUTHOR]

Background: Few published studies have addressed the male experience of alcohol dependency. Aim: This paper seeks to address this deficiency and to highlight aspects of the male experience relevant to the counselling and psychotherapy profession. Methods: Six men in recovery from alcohol dependency participated in semi‐structured interviews. Findings: A grounded theory analysis elicited five core categories, Beginning to Drink, Paying for Gain with Pain, Reaching Rock Bottom, Struggling to Recover and Leading a New Life. Despite the pain they had experienced, participants' narratives were matter‐of‐fact and goal‐oriented. Low self‐esteem was expressed indirectly. Conclusions: These findings are consistent with socialisation models of alcoholism. Counsellors, and the wider profession, must be alert for the male under‐reporting of emotional distress. [ABSTRACT FROM AUTHOR]

Objectives: In psychotherapy research we have often neglected to examine the impact of research procedures on therapy process and outcome. Such information is extremely important in helping us evaluate the validity of our findings, increase relevance of research for practice, and choose appropriate methods for future projects. The aim of this paper is to share the experience of six person‐centered therapists, who participated in a longitudinal, systematic study, and present their reflections about the impact of research on therapy process, therapeutic engagement and professional development. Methods: The findings have emerged from semi‐structured interviews that took place after the first, sixth (middle) and last therapy session. In total 18 interviews were conducted. These data were part of a much larger research protocol that included a number of outcome and process measures. Results & Conclusions: The analysis of therapist narratives revealed important benefits for those participating in systematic case study research. The use of Brief Structured Recall methods and qualitative interviewing was an important factor in promoting therapist reflexivity and professional development. The importance of a strong research alliance and the active involvement of the client in the research process is discussed. [ABSTRACT FROM AUTHOR]

Aim: To explore therapeutic activities and psychological interventions used by experienced cognitive behavioural and psychodynamic therapists to treat clients with medically unexplained symptoms (MUS). Method: Twelve in‐depth, semi‐structured, qualitative interviews with psychotherapists, recruited from two British National Health Service (NHS) Departments were conducted. Interview transcripts were analysed using grounded theory. Findings: Therapists from two modalities share the following therapeutic activities and psychological interventions in their work with MUS clients: working together with clients, sensitive, empathic responding and building trust, being flexible with techniques, keeping an open mind and multi‐disciplinary cooperation. They also use modality specific interventions discussed in this paper. Even though participants experienced difficulties in forming alliances with MUS clients early on in their work, they expressed the importance of nurturing hope, empowering and engaging clients in jointly constructing understandings, which helps symptom management. [ABSTRACT FROM AUTHOR]

Aims: This paper proposes that ethnography and auto‐ethnography can make important contributions to counselling and psychotherapy research. Auto‐ethnography is a recent methodological approach that focuses on the subjective experiences of the researcher. It is informed by anthropology, which encourages the researcher to journey alongside the persons being observed and to make meaning of complex symbolic systems in their lives. Method: Examples from a study of therapeutic processes in a mental health setting for women are examined. Discussion: If auto‐ethnography situates the researcher with the insider's perspective and ethnography is from the outsider's perspective, the researcher is caught 'in‐between' these two approaches. Acknowledging the concept of 'in‐between‐ness' can both cause discomfort and transform the experience of all who engage in the process and enhance the quality of the research. [ABSTRACT FROM AUTHOR]

Context: This paper reports on a qualitative study looking at the perceptions of clients who use drugs and are on low income. Research suggests that counselling services can experience difficulties in reaching and retaining such clients, and outcomes of counselling can be disappointing. Aim: To learn from clients who had engaged in counselling for over six months what difference it had made to their lives. Method: Grounded theory methodology was used to analyse semi-structured interviews with six participants. Findings: Findings included changes in the clients' internal world, their connectedness with society, their familiarity with counselling, and their perception of the relationship with the counsellor. Factors within the counselling process which helped and hindered change were identified. The study documents how participants were able to use counselling to improve their lives. [ABSTRACT FROM AUTHOR]

Background: Adventure therapy is a short-term experiential psychotherapeutic approach that utilises adventurous activities and being in natural environments in order to facilitate therapeutic change in clients. The present paper examines how students with self-reported anxiety and depression experienced participating in an innovative intervention that combined individual therapy with an adventurous outdoor experience. Clients participating in the Adventure Therapy Project received between 10-15 one-to-one counselling sessions prior to the outdoor experience, as well as ongoing counselling following it. Method: Interpretative Phenomenological Analysis was used in order to record and analyse the experiences of three male and three female students who presented at a major UK university student counselling service with self-reported depression and anxiety. Findings: Twelve themes emerged which were categorised into four major domains: enhancing intrapersonal relationships; improving interpersonal relationships; providing an experiential outdoor venue for achieving therapeutic change; offering a secure, personal place for achieving inner healing. The intervention was perceived to improve the ways in which interviewees related towards themselves and other people. Interviewees perceived the counselling sessions as offering a safe therapeutic space within which they could unveil their anxieties and achieve inner healing. Conclusions: Outdoor experiences offer an experiential venue for achieving personal change and, it appears enhance the therapeutic process. Prior and subsequent individual therapy increases the benefits of such experiences. [ABSTRACT FROM AUTHOR]