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Jan 1, 2013 · This volume is an essential companion for every practising psychiatrist, clinical psychologist, psychotherapy counsellor, mental health nurse, psychotherapist, and mental health...
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Mental health nursing is essentially about the therapeutic relationship between nurse and patient, and that is also what counselling is. An awareness of counselling theories and skills is an invaluable part of the mental health nurses’ role. Counselling skills can enhance the quality of the relationship with
- Maggie Hadland
- 2004
Mental health nurses must practise in a way that focuses on the therapeutic use of self. They must draw on a range of methods of engaging with people of all ages experiencing mental health problems, and those important to them, to develop and maintain therapeutic rela-tionships.
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Mental health nursing is a specialty that provides holistic care to individuals at risk of or experiencing mental health conditions and substance use disorders or behavioural problems, to promote their physical and psychosocial well-being.
- CHAPTER OVERVIEW
- So much change in so little time
- Counselling and psychotherapy: from theory to practice
- The book as a whole: what’s in store
- Chapter 1: Introduction to Counselling and Psychotherapy
- Chapter 2: Becoming a Counsellor or Psychotherapist: The Training Journey
- Chapter 4: Professional Settings and Organisations
- Chapter 5: Law, Policy, Values and Ethics
- Chapter 6: Clients and Presenting Issues
- Chapter 7: Managing Aspects of the Therapeutic Relationship
- Chapter 8: Challenges in the Therapeutic Relationship
- Chapter 9: Working with Diversity and Difference
- Chapter 10: Managing Professional Responsibilities
- Chapter 11: Supervision and Consultation
- Chapter 12: Counselling, Psychotherapy and Research
- Chapter 13: Endings and the Next Steps
- SECTION OUTLINE
- The nature of the activity: medical or social?
- Duration of intervention: short or long term
- Depth of intervention
- DISCUSSION QUESTIONS
- SECTION OUTLINE
- DISCUSSION QUESTIONS
Counselling and psychotherapy, following their initial emergence, have moved from the periphery into the mainstream. This chapter considers key definitions of counselling and psychotherapy and outlines the debate on the relationship (in terms of differences and similarities) between the two. In addition, the position of counselling and psychotherap...
It is difficult to imagine when thinking of counselling and psychotherapy in today’s context that, not too long ago, it was quite different. The proliferation of therapy across a range of settings and the subsequent embedding of therapy as viable choices for proportions of the population would be almost unheard of just a few decades ago. Indeed, I ...
There is so much for new trainees to discover that it is quite impossible for courses, however hard they try, to cover all that is needed. The place of supervision is important here in helping new practitioners to make the link from theory to practice in both contextualising and understanding the lessons from direct work with clients. The responsib...
Here I want to offer a pen picture of each chapter so you can quickly see how the book is structured, ‘signposting’ you to sections most relevant for your stage on the journey into practice. The book is structured over three parts: Setting the Context (in which we will look at training, theories, settings, law and ethics); The Therapeu-tic Relation...
Well, you’re here already! This first chapter outlines definitions of counselling and psychotherapy and how they are different and similar (and, trust me, that is no easy task!), before moving on to an overview of their development. The process of tracing this emergence provides a helpful overview in locating today’s practice in a wider historical ...
The next chapter examines all the factors that inform, shape, support and chal-lenge the process of becoming a counsellor or psychotherapist, starting right at the very beginning of training. While it is, without doubt, a fascinating and life-changing process, it can also bring difficult challenges that you need to consider before you begin. Likewi...
The sheer scope of working contexts and settings in which counselling and psy-chotherapy are found can be overwhelming. This chapter considers why and how the setting in which counselling and psychotherapy take place is so important in shaping the form and nature of the therapy on offer, as well as how counselling and psychotherapy ‘sit’ within a p...
Counselling and psychotherapy operate within a legal framework and are informed by policy, yet are fundamentally rooted in strong values and ethics. This chapter looks at how law and policy define what we do, but also how our values and ethics as counsellors and psychotherapists shape and structure our thinking and approach to practice. Here we wil...
Clients present with a wide range of problems in counselling and psychotherapy, from struggles with worry and wellbeing, through to complex and long-standing mental health problems. Some clients will have a formal diagnosis of mental health distress, while others will not. Before we can critically reflect on diagnostic struc-tures and labels (or re...
Counselling and psychotherapy are about beginning, structuring, contracting, maintaining and ending, and managing all aspects in between; the therapeutic pro-cess begins before the client ever enters the room. Here we will outline and explore all these factors so that you can support your learning and offer your clients a safe, respectful and appro...
There are a number of important areas integral to the therapeutic process that can also present particular challenges to it, including: transference and countertransference; dependency; missed appointments and cancellations; clients who are resistant to therapy; self-disclosure; and getting ‘stuck’. While the chapter won’t be able to offer a bluepr...
It is important that we acknowledge the diversity in human experience and how that will be presented in counselling and psychotherapy sessions, including through sexual orientation, gender, faith and spirituality, culture and disability. We must challenge the idea that there is a ‘one size fits all’ approach to therapy and reflect on and adapt our ...
There are a number of important skills and boundaries for us to consider that not only facilitate the therapeutic relationship, but can also be important aspects of it. How we communicate with clients outside of sessions, keep our relationships appropriate and manage dual relationships (where we may have contact with clients in other settings or ro...
Supervision is an integral part of what we do as counsellors and psychotherapists and, in the UK, is an ethical requirement of practice. Here we will look at what is meant by the term, offering definitions that help explore the different components of a successful supervisory relationship. The process begins with finding the right supervisor, and t...
We have already highlighted how, in moving from the periphery to the mainstream, counselling and psychotherapy need to demonstrate their efficacy not only to funders and commissioners, but also (and most importantly perhaps) to those accessing help at times of distress. We need to become at least a research-aware profession, if not a research-activ...
Like all journeys, this one has an ending. This chapter will aim to prompt reflection to help you consider the process you have been through and look forward to what may be next. When we finish our training we step out into the world as qualified practitioners and are tasked with making important decisions about our personal and professional future...
There is much debate over the differences and similarities between ‘counselling’ and ‘psychotherapy’ and this has vexed theorists, academics, practitioners and researchers for some considerable time. This section explores the question of whether counselling and psychotherapy are discrete disciplines or, in contrast, whether the overlap is sufficien...
The Oxford English Dictionary (OED, 2012) states that counselling is ‘the provision of professional assistance and guidance in resolving personal or psychological prob-lems’, while psychotherapy is ‘the treatment of mental disorder by psychological rather than medical means’. Even though they are the simplest, perhaps the OED definitions are also t...
Another point of differentiation often made is that counselling typically offers shorter-term or brief interventions, while psychotherapy offers longer-term inter-ventions. Psychotherapy has often been linked with longer-term approaches, and while this may be true historically, over recent years, and with funding restrictions hitting therapy servic...
According to McLeod, some have argued that ‘although there is a certain amount of overlap between the theories and methods of counsellors and psychotherapists, and the types of clients they see, there is nevertheless a fundamental difference between the two, with psychotherapy representing a deeper, more fundamental level of work over a longer peri...
How would you define counselling? How would you define psychotherapy? What do you consider to be the key similarities and differences between counselling and psychotherapy? In what ways do you feel current debates around counselling and psychotherapy (a) help inform the development of the profession and (b) hinder it?
It is best to understand the nature and scope of counselling and psychotherapy as practised today by placing them within the context of their history. The historical development of counselling and psychotherapy has influenced the shape of current theories and ideas, as well as the contexts in which they operate. This section outlines key milestones...
What is your understanding of the history of the setting in which you work? How is the setting in which you work influenced by its history? What do you consider to be the main factors currently influencing counselling and psychotherapy? In your working context, how do you see the services provided developing in the future?
Counselling provides a regular time and space for people to talk about their troubles and explore difficult feelings, in an environment that is dependable, free from intrusion and confidential.
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Counselling for Effective Practice. Owen Barr. INTRODUCTION. Fundamental to successful nursing interventions is the community nurses' ability to communicate effectively with the people they come in contact with during the course of their work.