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Despite evidence of the importance of self-of-the-therapist factors for positive clinical outcomes, supervisors interested in helping their supervisees enhance their therapeutic effectiveness by honing their use of self may not have the framework to guide this process. In this article, we present the Person-of-the-Therapist Training (POTT) as a model that offers a clear philosophical perspective and specific tools to incorporate self of the therapist work in supervision. We start with a general introduction to POTT, its philosophical underpinnings, and its main concepts. Then, we describe the POTT supervision goals and specific emphasis. Subsequently, we present two POTT instruments (signature theme and case presentations and papers). With a vignette, we illustrate the use of the two instruments and show how this work on the person of the supervisee translates into the supervisee's clinical work with their clients. Specific recommendations about the implementation of POTT supervision are also included. [ABSTRACT FROM AUTHOR]

Little is known about the relationship between treatment organization characteristics and client outcomes or drug-related harms in community opiate substitution therapy. In the absence of sufficient scientific evidence, the organizational configuration of addiction treatment services is often decided on an ad hoc and sometimes politically motivated basis as the evaluation of the impact of policies or practices on clients at the organizational level is limited. The objective of this multi-site cross-sectional study was to identify and understand how client characteristics and staff perceptions of organizational functioning related to client engagement in community-based opiate substitution therapy services in Ireland. This paper reports on a cross-sectional survey of clients (n = 262) and staff (n = 132) questionnaires across 12 discrete community-based prescribing service providers (organizations) in Ireland. Measures of client engagement in treatment were shown to be higher in organizations with more positive staff ratings of organizational functioning. In particular, in organizations where staff reported having greater job autonomy, clients reported better overall engagement. Specifically, greater staff autonomy in organizations related to greater levels of treatment participation (p = 0.034), treatment satisfaction (p < 0.001), and better rapport with staff (p < 0.001). Clients who were the longest in treatment expressed significantly poorer rapport with staff (p = 0.44) and were less likely to seek out support from peers (p = 0.023), while those in stable accommodation reported greater participation in treatment (p = 0.009). Levels of peer support were not related to organizational characteristics, but clients with lower levels of education (p = 0.002) and those in early treatment (p = 0.017) were more likely to seek support from peers. The findings establish the importance of assessing organizational and client attributes as part of an overall strategy for enhancing the quality of treatment. This paper provides valuable information for policymakers and provides an ample basis for further exploration of how treatment organizations work, and not just that they work. Policymakers and planners need to consider introducing specific interventions for clients or staff in the context of a 'whole systems' approach. From an organizational and planning perspective, this should involve further consideration of measures that relate to increasing staff's sense of autonomy. This paper provides further evidence that the success of policy-making or planning relating to treatment organizations can be successfully measured at the client and organizational levels. [ABSTRACT FROM AUTHOR]

In Western culture, "hearing voices" is often considered a symptom of mental illness. After reinterpreting this phenomenon from perspectives that emphasise the socio-cultural aspects of the construction of these voices, this paper describes a case report involving a psychological intervention divided into six phases. The aim is to challenge the dominant narratives that stigmatise the experience of hearing voices, and propose alternative meanings that can improve the hearer's ability to manage the voices by converting them from a disease into a personal and relational resource. Using the metaphor of an "inner dialogue", we show how changes in the client's interpretation of the voices, and way of relating to them, can be co-constructed by the client and the therapist. The paper concludes with some critical reflections on the medicalisation of mental distress, highlighting the importance of expanding our understanding of the experience of hearing voices, not only in clinical terms, but also on a social and cultural level. [ABSTRACT FROM AUTHOR]

Single session therapy (SST) is an increasingly popular approach to mental health treatment that aims to address clients' presenting difficulties in a single appointment. However, experiential approaches to SST are limited. In this paper I describe the theory and practice of "chairwork" – an integrative, action-focused method of intervention centred on the concept of self-multiplicity – and outline how these procedures can be coherently applied in a single-session format. A preliminary protocol for delivering single-session chairwork (SSC) or "brief dialogical psychotherapy" is presented, alongside a case illustration that demonstrates features of this approach. Finally, directions for future research and the continued development of chairwork as a psychotherapeutic modality are considered. [ABSTRACT FROM AUTHOR]

While recognition that some service users do not want social work involvement has grown in recent years, little research has explored what relationships between social workers and 'involuntary clients' look and feel like in practice and how they are conducted in real time. This paper draws from research that observed long-term social work practice in child protection and shows how relationships based on mutual suspicion and even hate were sustained over the course of a year, or broke down. Drawing on a range of psycho-social theories, the paper adds to the literature on relationship-based practice by developing the concept of a 'hostile relationship'. The findings show how hostile relationships were enacted through conflict and resistance – especially on home visits – and how anxiety and other intense feelings were often avoided by individuals and organisations. Much more needs to be done to help social workers recognise and tolerate hostility and hate, to not retaliate and to enact compassion and care towards service users. [ABSTRACT FROM AUTHOR]

This paper wishes to help heal the lack of trans people's representation in art therapy research that coincides with the lack of art therapy literature theorising body tracing. Supervisor, art psychotherapist and service user have come together to offer a research process that questions power dynamics and uses lived experience to explore an approach of body tracing that differs from body mapping and so contributes a further approach in this field for working with people whose identities question the status quo of power. Specifically, we wish to demonstrate the relevance of body tracing as a tool for facilitating the gender transitioning process. We explore how it offers a lived experience in the here and now that promotes agency and an internal locus of control over what is to be modified and what is to be maintained. It creates an embodied space for a new identity to be shaped. We examine how the contextualisation of creative process modalities (sensory experience, formal decision-making and symbolic meaning) within the resulting body-space aids the integration of states of self and bodily awareness and connectedness. We hope to inspire further research in this field that can support an institutionalised adoption of body tracing within an art therapy setting for gender transitioning service users. Art therapists have only written a little about working with trans people. The same is true of the technique of body tracing. This paper speaks about both of these areas. The service user has taken the role of lived experience author in order to work together with the art therapist and her supervisor, so that all three voices can talk on equal terms about their experiences in these areas and explore a way of using body tracing that they believe can empower people who are gender transitioning. A technique called body mapping already uses body tracing to help people who feel disadvantaged because of their identity (for example, their sexual orientation, the colour of their skin, religion, nationality etc.). Our research offers an additional approach with some distinct features. The lived experience author describes how the act of drawing around the body and then being able to modify this outline promoted a sense of control over his body, leading to a feeling of greater control over his life. This helped him reclaim ownership of his body at a time when other people were deciding the hormones he took and the options available. Our method integrates bottom-up and top-down processes to help a person feel more connected with their body. Working on the body tracing involves many physical sensations that vary for each of the four stages of the process. Memories and thoughts may also come to mind connected with lived experiences and fantasies. The physical feelings in the body can be filtered thanks to the images and colours in the representation of the body on the paper. We hope that other people will join our research so that institutions supporting trans people can offer this service to their users. [ABSTRACT FROM AUTHOR]

There are growing numbers of young children with complex life-limiting conditions as well as varying degrees of physical, sensory and cognitive limitations currently surviving birth. As a trainee art therapist, I needed to clarify exactly what art therapy actually was and how to implement it with this clientele, which initially looked the least likely of the creative therapies to be practical. This article offers an account of my journey providing art therapy to a ten year-old girl during my final year trainee placement within a children's hospice and what she contributed in terms of my development and understanding. Neurobiological studies of sufferers of trauma (who can display similar restricted sensory, emotional and cognitive processing capacity) suggest that art can function in a direct manner on the brain, enabling expression and communication. Art therapy becomes feasible with these children if their anger and frustration is seen as embodied very much like trauma as generally understood. Initial sessions concentrated on creating routines and structures without expectation of an art product even though these could be mistaken for sensory or messy play. Finally, my client engaged with art materials and was able to employ controlled gestures resulting in making marks on paper. A noticeable positive change over my client's attitude occurred. By not focussing on expectations around the marks produced in terms of art, a therapeutic relationship developed. Neurobiological studies involving these children as a specific group and art therapy are recommended. This article offers an account of providing art therapy to a ten year-old girl who has the cognitive facility of someone much younger, is registered blind, has limited fine-motor skills, and has a life-limiting degenerative neurological condition. That she could engage in any form of making art (an often assumed prerequisite of art therapy) may seem improbable. As a result, children with similar abilities are more likely to be offered sensory or messy play, as these might appear immediately more directly accessible. Nevertheless, art materials do feature in messy/sensory play, and though the end result may, indeed, present as a mess, drawing on neurological theory I reason this could still result in therapeutic value as a mode of expression/communication. Part of the initial difficulty for me involved issues around what art therapy was. Consequently, I struggled with the idea of whether what I was doing with my client was art therapy. Although, at times, I felt I was offering sensory or messy play, I was finally able to accept that I had done so in the service of art therapy. A key factor was to do with the role of the art therapist as 'container' for the client's emotions. The art therapist's role is therefore upheld as essential to defining whether it was art therapy or not. Much of the time, what took place did not necessarily emulate what I thought of as 'normative' art therapy practice. However, these sessions were necessary to build up trust, and eventually, my client constructively engaged with art materials. The results were not pictorial, but they were controlled rather than random and were accompanied by a marked change of behaviour. I concluded that art therapy specifically was possible in this situation, and affirm that this client group should not be denied the opportunity because of potentially preconceived expectations. [ABSTRACT FROM AUTHOR]

Trauma- and violence-informed care (TVIC) has become an important lens to guide health and social services. TVIC emphasizes service providers' understanding of trauma and its impact, including structural aspects of victimization. Emotionally and physically safe environments, service user opportunities for choice, collaboration and connection, and the use of strengths-based and capacity-building approaches are prioritized. The majority of writing on TVIC has focused on its application to services for survivors of trauma and abuse. In this paper, we argue that a modified trauma-and violence-informed lens has the potential to improve our work with men who perpetrate violence in interpersonal relationships, and even more importantly, that without such a lens, we are likely to miss very important opportunities to act in ways that enhance the safety of potential victims of abuse. Using examples drawn from practice, we explore specific examples of how applying TVIC principles may increase service providers' ability to recognize and respond to potentially dangerous situations, thereby improving services to perpetrators and enhancing safety for potential victims of abuse. [ABSTRACT FROM AUTHOR]

Drawing on findings from a psycho-social qualitative doctoral study, this paper considers the intimate and extraordinary emotional intensity, ambivalence and pain associated with the experience of mother social workers engaging with mothers and their infants in the context of child protection work. In this yearlong study undertaken with a group of female Irish child protection social workers, their role as mothers was an unanticipated emergent theme and was found to be inextricably linked to their work and their capacity for realistic decision-making. We consider the wider contexts of societal ambivalence about motherhood, mothering and social work itself, as a way of locating these experiences as fully psycho-social. The work discussion seminars offered as part of the research study afforded a rare opportunity for workers to talk about predicaments, failures and worries, in conditions of containment for anxiety, support for their learning, and a confidential reflective setting. [ABSTRACT FROM AUTHOR]

This paper explores isomorphic patterns in social work group supervision and social work practice through the lens of the psychoanalytical concept of parallel process and Bion's theory of learning from experience. Empirical data from group supervision sessions are presented, and a link is theorised between sessions characterised by high levels of anxiety and the presence of parallel process, whereby 'unthought' anxiety provoking phenomena described in social workers' practice appear to be repeated in supervision. Implications for supervision practice and social work more broadly are then discussed. [ABSTRACT FROM AUTHOR]

For relational therapists who are acutely aware of male privilege, working with male clients may be challenging, including in (but not limited to) couple and family therapy. This challenge may be particularly true for beginning therapists. This paper outlines a guide to working in relational therapy with male clients from a gender-critical and socio-culturally attuned perspective. To this aim, the paper first summarizes a framework for gender-critical therapists to work with male clients. It then outlines recommendations based on the clients' level of endorsement or relationship to gender-normative masculinity (i.e., stereotypical, challenged, and disempowered relationship to masculinity). In the final sections, clinical vignettes show the application of some of these recommendations. This guide will benefit relational therapists who are questioning their ability to work with male clients in an inclusive fashion while remaining truthful to their gender-critical views. [ABSTRACT FROM AUTHOR]

The importance of reflective practice in psychotherapy has long been acknowledged. However, there is a paucity of work that elucidates the process of reflection in the context of therapist development. The current study employs reflexive action research for a supervised group-work in a tertiary mental health hospital carried out by two trainee therapists. Group-work intervention was chosen because it was viewed as a cost-effective method given the client-clinician ratio. It also provided a richer context to boost reflective practices in various interactions- with the participants, the supervisor and the co-facilitator. Reflective notes and discussions among trainees, supervisor, as well as verbatim feedback from clients were the sources of information. The paper describes this process of reflection as well as the critical events in the process that posed a challenge for the therapists and opportunities for reflection in these interactions during the course of therapy. The paper, with its reflective stance, has implications for promoting and documenting reflective practice in psychotherapy training using different methods and modalities. [ABSTRACT FROM AUTHOR]

Many music therapists propose that chaos, such as destructiveness and disintegration, could thwart music therapy group processes and should be minimised or resolved. From a paradoxical approach, however, chaos is understood as a transformative complement to ordered, formative music therapy experiences. The research in this paper explored how music therapists and adolescents could engage with chaos as a resource in music therapy groups. From a paradoxical approach, the music therapist--researcher facilitated two short-term group music therapy processes with nine young South Africans from under-resourced and often violent communities, referred for committing offences. The researcher utilised crystallisation, including constructivist grounded theory, participatory action research, and abduction, to analyse how group members could engage with chaotic group experiences. Findings, constructed through a cyclical process of data collection, analysis, and inclusion of group feedback, are presented in a matrix. The matrix shows how groups could utilise chaos to explore multiple possibilities for responding to challenges. They expressed themselves courageously and played unconventional group roles through their musicking and participation. They juggled paradoxical tensions between observational and active, integrative and disintegrative, engagement styles. This supported their transformation in the group, and potentially within the chaotic South African context. Music therapists can use the matrix to support adolescents in music therapy groups to engage with chaos as a transformative resource. They can accompany young people through offering holding, resources and collaborative support. When it is safe, music therapists may allow or encourage chaos that empowers adolescents to cope with challenges independently. [ABSTRACT FROM AUTHOR]

In this paper, we present our development of a previously articulated approach to counselling education of transformational learning through a relational dynamic approach (Macaskie et al., 2013). We replace the idea of integration with a values-based approach and supplement the notion of transformational relational learning with a not-knowing attitude. This perspective on education and learning in counselling parallels the attitude within psychotherapy that we teach our students. We argue that this unites relational approaches to learning and psychotherapy across modalities and offers a trans-theoretical approach that could explain the common factors research in psychotherapy. [ABSTRACT FROM AUTHOR]

This article presents an attempt to analyze the specifics of ethical norms in the work of psychologists in Ukraine, with an analysis of historical preconditions, current challenges and cultural characteristics. Ukraine, as a modern developing country striving for integration into the European space, is intensively developing psychology and trying to overcome the problems that it has today. Having well-trained psychologists, psychology in Ukraine has many vulnerabilities, such as the lack of legislation in this field and licensing. Professional communities, by virtue of their competencies, strengthen psychology in Ukraine through an attempt to implement ethical standards and highlight problematic topics. The article contains a review of Ukrainian psychologists' understandings of confidentiality, informed consent and multiple relationships. This paper is an analysis and attempt to explain to the reader potential areas of growth and the unique cultural formations that we have in our practical work today. This exploration includes factors such as the features of importance in the relationship between a psychologist and a client in the Ukrainian context, and the historical, social, economic, cultural, and political factors that influence the perception of ethical standards among Ukrainian psychologists. [ABSTRACT FROM AUTHOR]

Belonging is a human need, one that is particularly difficult for children of immigrants to achieve. The Second-generation youth hangs in a balance between the culture of their parents and that of their friends and peers. Often these youth feel that they are not heard or seen by those around them, enhancing the feeling of not belonging in their communities, or even in their country. Therapeutic interventions could potentially create a "third space" in which they feel a sense of belonging. This paper explores the complexity in the experience of belonging in second-generation Latinx youth through a review of the literature, psychodynamic theories, a composite clinical case example and the reflections and implications to and from Second-generation Latina therapist. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Municipal youth protection work has become infused with digital technology, and yet there is still limited research on how to assess the impact of digital technology on municipal youth social work. This article reviews a range of misconceptions regarding the assessment of digital technology for youth social work in municipal contexts. This review was generated in connection with the development of an app system for communication between young clients and their municipal social workers in Denmark. The misconceptions relate to: variations in technologies and contexts; the impact of digital technologies on the relationship; social justice; differentiating between the user and the digital technology; digitalization and standardization; stakeholder and functional models of municipal social work. The paper concludes that the relationship between municipal social work and digital technology is complex and that thus complex comprehensions of municipal social work practice are needed if the relationship between technologies and practice is to be grasped adequately. The paper argues that given the complexity of the field and the speed of technological and legal changes, external support with regard to assessing how to use, develop and incorporate digital technology needs to be made available to municipalities and social workers. [ABSTRACT FROM AUTHOR]

This phenomenological reflection aims to chronicle the author's journey from social worker to yoga teacher over a 10-year period as the first yoga teacher at a large inpatient psychiatric hospital. The paper describes the transition from teaching small therapeutic process-oriented groups to movement and breath-based groups. Highlighted are the common practices used and how they were received. Key influences in the literature that are woven into the unique story have guided the experience and confirmed the author's observations and lived experience of teaching therapeutic yoga in an inpatient setting. The paper concludes that there is room for more research regarding the application of gentle yoga-like postures and breathing practices as it relates to clinical social work practice. Pinpointing a "minimum dose response" (of practice) would be helpful. In the meantime, available data suggest that daily practice is where upstream work—such as yoga—shines. Even small doses of breath and movement, done often enough, provide a simple way for social workers to connect to themselves and to their clients in a more embodied manner and may improve client outcomes. IMPLICATIONS The time has come for bringing the wisdom of the body and the reflectiveness of social workers and their clients into their work (and social work education). Emotion regulation happens when both top-down and bottom-up approaches are included in treatment. Breathing exercises provide direct access to the nervous system. Therefore, making space to introduce these simple practices in social work should be a consideration. Considering how social workers might incorporate movement into their sessions or interactions with clients (walking and talking, small arm movements, gestures, intentional breathing practices) is a worthwhile pursuit for both social worker and client wellbeing. [ABSTRACT FROM AUTHOR]

Yoga is increasing in popularity. As a holistic practice, it is being applied and researched as a healing modality for physical ailments, assisting with mental health issues, and addressing traumatic symptoms. However, little is known about how social workers understand and include Yoga in their personal lives or professional practice. As part of a larger narrative study, practitioners in an Australian regional centre were asked: "What, if any, impact do embodied practices like Yoga have on your experience and your clients' experience?" This paper explores the stories told by three of the practitioners interviewed both individually and in focus groups. The dominant themes that emerged highlight that: a personal Yoga practice can be varied; the impact it has on professional outcomes is difficult to quantify; there is a lack of theoretical discussion about the body and embodied experience in social work; the challenges associated with introducing Yoga into social work practice are complex. Embodied practices such as Yoga provide social workers opportunities to increase self-awareness, their capacity to engage with clients and self-care. Theoretical understandings of the body and embodiment need to be better articulated in social work if embodied practices like Yoga are to be included in the professional conversation. [ABSTRACT FROM AUTHOR]

This paper reports findings from a qualitative study on the triggers of hospital social workers' moral distress at a large southern U.S. health system. Moral distress occurs when ethical conflict cannot be resolved in a way that aligns with an individual's personal and professional values and ethics. Participants indicated that moral distress derives from both individual interactions and the culture and climate of health systems. For example, participants expressed how sources of moral distress derived from client-centered decisions, such as end-of-life care and patient autonomy; interpersonal dynamics, including team or supervisory conflict; structural issues, such as insurance barriers or internal hospital policies; and organizational values, such as perceptions of institutional support and validation. Implications of this research suggest that health systems need to foster positive ethical environments that nurture clinicians' health and mental health through programs that aim to increase moral resilience, promote empowerment, and foster wellness. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

From their earliest inquiries on sex, researchers have noted the connection between religion and sexual repression. However, because many see religion as beyond reproach, secularly trained professionals are often frustrated over ways to help their clients heal from problematic religious teachings without damaging their faith. This paper offers concrete ways to reframe the issues to assist clients in extricating themselves from problematic beliefs. By setting science in dialogue with religion, this strategy is based on some of Christianity's basic principles. From this stance, the client can be led to both understand the nature of traditional Christianity's obedience framework and to entertain an alternative spiritual discernment framework with multiple sources of spiritual authority. Professionals do this by (1) affirming the client's faith experiences that undergird their religious experience, (2) identifying their beliefs and their sources, (3) providing information of other church-recognized sources of spiritual authority and noting where individual discernment is applauded, and (4) offering scientific evidence relative to the presenting sexual issue. This approach is not dependent upon the personal religious background or faith stance of the professional. Further, clients may choose to retain their faith while aligning new religious understandings that are more congruent with sexual health. [ABSTRACT FROM AUTHOR]

In 2020, almost 46,000 individuals in the United States died from suicide, 1.2 million adults made a suicide attempt, and 12.2 million had serious suicidal thoughts. Clinicians in diverse practice settings will work with clients experiencing suicidal thoughts and behaviors. Due to a strong association between trauma and suicidality, suicidology experts have recommended the use of trauma-informed practice when working with clients with suicidal thoughts and behaviors. However, although there are guidelines for trauma-informed care and for working with clients with suicidality, there are no models, explanations, or discussions about how clinicians can provide trauma-informed care in their work with individuals with suicidal thoughts and behaviors. This conceptual paper describes examples of the application of the Substance Abuse and Mental Health Services Administration (SAMHSA)'s trauma-informed care principles to clinical work with individuals with suicidal thoughts and behaviors. Strategies are provided for each of the guiding principles, and case examples used to illustrate strategies, barriers, and potential pitfalls. [ABSTRACT FROM AUTHOR]

According to the theory of predictive processing, understanding in the present involves non-consciously representing the immediate future, based on probabilistic inference shaped by learning from the past. This paper suggests links between this neuroscientific theory and the psychoanalytic concept of reverie – an empathic, containing attentional state – and considers implications for the ways therapists intuit implicit material in their clients. Using findings from a study about therapists' experiences of this state, we propose that reverie can offer practitioners from diverse theoretical backgrounds a means to enter the predictive moment deeply, making use of its subtle contents to connect with clients. [ABSTRACT FROM AUTHOR]

Even though emotions are central in many counselling modalities, how best to work with emotions has not often been clearly articulated or practically presented for counsellors. In this paper I outline a brief history of the science of emotion, highlighting the role of emotional regulation in the counsellor-client attachment and present a five-step model of working with emotions in therapy, adapted from the work of Canadian developmental psychologist, Gordon Neufeld. The paper provides a theoretical and practical framework for understanding the crucial importance of a corrective emotional experience for client healing. [ABSTRACT FROM AUTHOR]

Every healer works within a culture of healing. Healing cultures may work well when "clients" understand and accept their place in the healing culture. But a healing culture can create challenges for clients whose cultural background is remote from it. This paper explores how the culture of grief counseling and grief therapy may create difficulties for clients who are cultural outsiders. The paper offers advice to culturally other clients, to help them and all readers to understand the culture of grief professionals and to help to overcome, where possible, problems cultural outsiders may encounter when seeking help from grief professionals. [ABSTRACT FROM AUTHOR]

This paper examines what harm reveals about psychoactive power in the arts therapies. A 20-year sample of fitness-to-practise cases brought to the UK statutory regulator (the Health and Care and Professions Council) was examined to establish the prevalence of practitioners who cause harm which was low (0.165%). Transcripts of sanctioned cases were used to construct a grounded theory of how harm is mediated in arts therapies practice. This revealed service users enter arts therapies with damaged self-trust in the expectation that they can trust the professional. In non-harmful therapy, trust in the professional is then used to boost self-trust in the service user. In arts therapies practice, the arts create powerfully emotionally salient elements to aid therapy which can affect both service user and arts therapists' attachment systems to fulfil this task. Harm was enacted when the arts therapist used the power of that trust to isolate the relationship and introduce their own needs through arts therapies practices. This increased service user dependency on the arts therapist and further decreased their self-trust resulting in harm. Harm was only possible where the arts therapist's self-reflection failed and they distorted theory to self-justify their actions and refute all feedback to the contrary. Plain language summary This paper examines harm in the arts therapies (art, drama and music therapies as regulated by the Health and Care Professions Council (HCPC)). Harm is understudied but important because it tells us how things can go wrong and also indicates where areas of strong psychoactive power may operate in therapy which can also help people. Arts therapies have been regulated by the HCPC for 20 years and we found there were 77 cases brought against arts therapies practitioners with a total of 16 cases that led to HCPC sanction. We used a grounded theory method of analysis to try to understand how harm was mediated in those harmful arts therapy practices because it is an established form of qualitative research used to construct a theory of social action using examples drawn from real-world examples. We found that service users enter arts therapies with damaged self-trust in the expectation that they can trust the professional. In non-harmful therapy, trust in the professional is then used to boost self-trust in the service user. Within arts therapies, the arts support access to powerful emotions which underpins the building of trust, an element essential to good therapy. However, harm happened when the arts therapist used the power of that trust to isolate the relationship, introduced personal issues and used the service user for their own needs. This increased service user dependency on the arts therapist, detrimentally affecting their sense of self-trust and resulting in harm. Harm was only possible where the arts therapists' self-reflection failed and they distorted theory to self-justify their actions and refute all feedback to the contrary. [ABSTRACT FROM AUTHOR]

This paper describes a study analysing eye care professional students' written reflections following their engagement with clients with low vision conditions. By embedding a reflective practice model (Schon's reflection-in-action and reflection-on-action) within a higher education curriculum, students' assumptions and beliefs were challenged. Analysis of fifty-two reflective essays were analysed using the Braun and Clarke's 6-phase process for inductive thematic analysis. This generated three themes: (i) Students' perceptions that visual limitations do not necessarily equate to a poorer quality of life; (ii) Extrinsic and intrinsic influences affect patient care; and (iii) Eye care professionals' role expands to holistic care. An additional outcome of this study supports embedding reflective practice activities within the curriculum. By providing students with a platform to reflect and challenge their assumptions, may have the potential to enhance their understanding and improve future practice. [ABSTRACT FROM AUTHOR]

Many mental health practitioners have had or will have the opportunity to work with clients who engage in sex work (CSW). Sex work stigma is pervasive in the general population, and among mental health professionals, including sex and relationship therapists. Such stigma may lead to differential, unfair, and even unethical treatment of CSW. Although there is a clear need for best practice guidelines for mental health practice with CSW, no guidelines have been developed thus far. Therefore, drawing on feminist, multicultural, and sex-positive philosophies, this paper presents ten guidelines that are designed to: (1) address and increase mental health professionals' self-awareness of their own bias about sex work; (2) provide useful information about the multifaceted lived experience of CSW; and (3) offer culturally-appropriate counseling skills and intervention strategies in working with CSW. Acknowledging that multicultural competence is a professional process, rather than an outcome or an end, the guidelines included in this paper are developed with the underlying assumption that all mental health professionals are committed to be sex work-affirming and competent in working with CSW, regardless of therapeutic orientation. The guidelines discussed in this paper are informed by current literature about sex work and people who engage in it. [ABSTRACT FROM AUTHOR]

Enactment is primarily conceptualized as a phenomenon occurring in the therapeutic dyad. This paper presents a relational construct of enactment as it manifests in the individual, interpersonal and organizational matrix of a clinical system. System enactments are ubiquitous phenomena that emerge with clients and staff in the relational field of a system that involves multiple participants with mutual and intersecting subjectivities; yet, there is little information about this type of enactment in the literature. This phenomenon often occurs in the context of power struggles and ruptures in the alliance with the client, and difficulties in the working relationships between treatment staff, which if not engaged, can result in negative therapeutic outcomes. A fictionalized case example demonstrates how this construct guides systems-based clinical practice. Implications for social work education, practice and training, and suggestions for future research are discussed. [ABSTRACT FROM AUTHOR]

People who are seeking asylum often have lived experience of their personal boundaries and human rights being violated. For this reason, it is especially important that we consider the impact of boundaries in therapeutic work with this population. This paper explores work with a woman with a severe trauma history who was seeking asylum in England. Examples of perceived boundary crossings in the therapeutic relationship are examined. Considerations for other clinicians working with asylum seekers are discussed. These include: addressing socio-political factors; being sensitive to cultural differences; the importance of supervision and reflective practice; the personal impact of such work; and using critical thinking and warmth to manage boundaries rather than rigidly following rules. [ABSTRACT FROM AUTHOR]

Recovery and desistance in mentally ill offenders can be more complicated than in respectively general psychiatric or offender populations due to factors and processes on individual, contextual and structural levels. In this paper we focus on a specific element of the interplay between the individual and the contextual level; the working alliance. Beneficial working alliances during (quasi-)compulsory treatment and offender supervision can facilitate recovery and desistance in mentally ill offenders. These alliances are however characterized by a tension between care and control and further complicated by mentally ill offenders' experiences of trauma and stigma. To our opinion, a procedurally just approach can counterbalance these two difficulties by setting a sound rehabilitative climate in which recovery and desistance can be facilitated in mentally ill offenders. We support our argument by a critical review of findings from theoretical papers and empirical research studies from psychological-psychiatric and legal-criminological scientific domains on the subjects of recovery, desistance, (quasi-)compulsory treatment processes, and procedural justice. A procedurally just approach can be valuable for policy, treatment as well as future research regarding recovery and desistance in mentally ill offenders. [ABSTRACT FROM AUTHOR]

The Person-of-the-Therapist Training (POTT) has grown and been refined, from its origins in the 1980s to its more formal articulation and implementation in recent years. After this process of development, it makes sense to look at the current state of this training model, and ponder about the directions in which POTT can continue to grow. In this paper, we take a look at the different ways POTT is currently being implemented in various settings and modalities, a testament to the versatility of POTT’s philosophy and methods. We also present a summary of the available research on POTT’s effects on the clinical and personal development of trainees. We conclude this paper by offering suggestions for POTT’s growth and expansion, including recommendations for ways in which trainers, students, clinicians and supervisors who are interested in this model can remain connected, and exchange ideas and experiences. [ABSTRACT FROM AUTHOR]

This paper aims to explore and understand the social issues that sex workers face as mothers and to improve social work practices with high stigmatized persons. This study has adopted a qualitative methodology. Data were collected through 12 semi-structured interviews and thematic analysis was performed. Despite several constraints, including socioeconomic issues and stigma, having children is central for sex workers' lives and they considered themselves as good mothers, whose self-sacrifice on their children's behalf is not socially recognized or approved. Social representation of sex work undermines sex workers' self-perception as mothers and their relationship with social workers. We suggest a non-judgmental and holistic approach to address the special needs of sex workers who are also mothers. Furthermore, it is important to raise awareness on social representations that support social workers' everyday practices. [ABSTRACT FROM AUTHOR]

This paper uses a proprietary panel dataset to categorize and quantify the activities that sell-side brokerage analysts use to build and sustain their network of buy-side client relations. We then examine the marginal impact of these activities on key analyst outcome metrics identified by prior literature. Our findings highlight the importance of two previously unstudied client-service activities – high-touch phone calls and non-deal road shows – and suggest that analysts may face a tradeoff between producing accurate earnings research and increasing the values of key performance measures that gauge the strength of their network of client relations. [ABSTRACT FROM AUTHOR]

Copyright of International Journal of Clinical & Experimental Hypnosis is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

An introduction to the journal is presented wherein the editor discusses various articles published within the issue on topics including strategic human resources management (HRM), strategic human capital and strategic HRM, and attraction, development, and retention of client.

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Based on an ethnographic analysis of religious healing rituals in Israel, this paper addresses the question of how healer–client relations are structured on these rituals. An examination of what takes place at the rallies held by Rabbi Amnon Yitzhak indicates that, apart from the regular blessings, which can be referred to as ordinary healing, there are some ritual events that can be referred to as ‘deep healing’. The current paper demonstrates how deep healing rituals are generally conducted in severe cases through give-and-take between the rabbi and the person upon whom the blessing is bestowed, and that they are linked to relationships between people and the ethic of mutual support. [ABSTRACT FROM PUBLISHER]

Service users were interviewed as part of a multi-method evaluation of an alcohol and drug social work service in Scotland. This paper explores service user interviews that were conducted in the evaluation, addressing the following questions: What did the service users feel about the service itself? Leading on from this, what did they see as helpful in facilitating their recovery in general? The research will be contextualised in Scotland’s culture of problematic drug and alcohol use, Scottish drug and alcohol policy and the emerging recovery-orientated approach. The methodology of the evaluation will be explained and findings from the service user interviews will be outlined under the headings: therapeutic relationships, outreach, timeframe, and holistic approach and joint working. The paper demonstrates the importance of service user accounts not only for providing general feedback on social work services, but also for giving specific insight into what is helpful for individuals seeking to recover from substance use problems. [ABSTRACT FROM AUTHOR]

Recent social work literature has stressed the importance of considering culture when working with individuals with mental health problems. This paper presents my personal experience, journaling, reflections, and research as a mental health social work practitioner and researcher working with refugee clients with mental health problems from a Muslim background. It also draws on my research experience in cross-cultural mental health. The paper emphasizes the significance of building rapport especially in the earlier stages of the professional relationship. [ABSTRACT FROM AUTHOR]

The article discusses a paper by Bernard Robbins about psychoanalysis. Topics mentioned include the role of psychic trauma in the development of neurotic symptom, the theory of repetition compulsion, the association of libido theory to same-sex desire, and the evolving ideas about psychoanalysis such as narcissism, intersubjectivity, and interpersonal unconscious.

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Somatic psychology is a powerful tool to address clinical dissociative disorders. Somatic modalities offer interventions to manage intense effect, offer corrective experience and build a coherent self-narrative. Using physical movement helps facilitate safety, strength and connection in dissociative disorder treatment. Clinicians can facilitate somatic regulation of dissociated experience by using somatic-based interventions with clients, therefore helping patients to re-pattern traumatic experiences and maladaptive coping strategies. Using case study examples from this author's in-office experience treating patients with dissociative disorders using movement, this paper will address how bringing movement interventions into the treatment room addresses integration of psychological and physical systems. It will also discuss the foundations of somatic psychology and outline how somatic processing is important to the integration of insight and reconnection with the client's sense of self as a whole. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper illustrates the beneficial effect of a positive benevolent transference in the development of an internalized representation of the therapist/analyst in a variety of patients in psychodynamic treatments ranging from consultation to psychoanalysis itself. This is described in patient presentations. In those who have had substantial early nurturant life experience and now find themselves in a dysphoric state due to crisis, the effect lies in the transference reactivation of these positive object relations that relieve their distress. In those who have been deprived of such early experience, the positive transference may emerge during the intensive work of psychoanalysis and may lead to the internalization of a new positive object representation of the analyst generated in the transference that persists after termination of treatment. In both of these situations, the patient discovers a sense of greater harmony with self and the world. The special conditions that permit and facilitate this process are described since this does not occur in all psychodynamic interventions. [ABSTRACT FROM AUTHOR]

This paper reviews various factors that interplay in the counselling sessions within the cultural milieu of African society, especially Nigeria and particularly within the context of school-based counselling provision. These factors, which were found to be both sociological and cultural, hamper effective client self-disclosure during counselling encounters, based on empirical findings in the literature. The paper therefore postulates a customised form of counselling practice that incorporates some of these issues in dispensing counselling services in Africa, to enhance effective counselling outcome. The absence of such practice has, in the view of the authors, hindered the positive patronage and practice of counselling in Nigerian society. [ABSTRACT FROM AUTHOR]