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research conference 2000
6th Annual Counselling and Psychotherapy Research Conference

index of presentations | abstracts | evaluation


Evaluation Report

The following feedback, prepared by the Counselling Research Training Group at the University of Manchester, is the result of evaluation forms completed by 53% of the conference delegates. All rating scores were on a scale from 1 (poor) to 10 (excellent).

Overall satisfaction, quality and structure

Overall the delegates were very satisfied with the conference with an average satisfaction score of 8.4 out of 10. The quality of the venue received an encouraging average rating of 8.5 out of 10, and the average score for the structure of the conference was 8.1 out of 10. These scores were all up from last year. (More details in Table 1. below).

Presentations

(Five parallel presentation-strands were running throughout the four sessions of the day)

The paper-presentations (two papers in each session) and the workshops (one in each session) were very well received with all but two of the days 20 different sessions being rated with an average score above 7.0 out of 10. On average the overall score for all the presentations was higher than last year. (More details in Table 1. below).

Most helpful part of the conference (open ended questions)

When asked what was most helpful and why, the delegates replied with comments like:

"Networking" (13)

"Meeting other researchers and practitioners€ getting a feel of different research approaches and increasing [my] knowledge base"

"Sense of collaboration"

"Well presented, thoughtful and thought provoking papers made all sessions interesting and useful"

"The diversity of styles, agendas and positions taken up by presenters/participants"

"Very well constructed and put together, well done"

"Excellent services from BACP staff"

Suggestions for the research conference 2001

There were a few suggestions for improvements: A few delegates wanted a more critical discussion of papers but others welcomed the opportunity offered for those new to research to present as well. Several wanted more time in between papers, including tea breaks and more time for discussion, networking, and a number wanted the abstracts in advance of the conference. Nearly all agreed that May was a good month to hold the conference. However, many wanted more time for the conference including a majority (41/32) that thought the next conference should be a 2-day event.

NB: It has now been decided that Research Conference in Bristol next year is going to be a two-day event to be held on the 18 and 19 May 2001.

Conclusion

This was the sixth and largest BACP Counselling Research Conference held so far with over 140 people attending. The 35 papers and 3 workshops presented were rated fairly high and overall very high satisfaction with the conference was expressed. The BACP Research and Evaluation Committee will carefully consider the feedback on the conference as part of its planning for next years event.

Evaluation of 2000 Research Conference (satisfaction scores on a scale from 1 to 10)

 

 

N

Range

Mean

Mean 1999

The structure of the conference programme

72

4-10

8.1

7.1

The quality of the venue (Weston Conference Centre, Uni of Manchester)

73

6-10

8.5

8.1

Overall satisfaction with the conference

72

5-10

8.4

7.7

PAPERS (two presented in each parallel session): overall average

-

-

7.6

7.0

Medical Issues and Client concerns I

7

6-10

7.6

-

Medical Issues and Client concerns II

8

8-10

9.1

-

Processes and Developments I

28

1-10

7.1

-

Processes and Developments II

25

3-10

7.2

-

Theoretical Issues and Communications I

25

4-10

7.8

-

Theoretical Issues and Communications II

15

5-10

7.7

-

Counselling Training I

13

6-10

8.1

-

Counselling Training II

11

6-10

8.1

-

Children and Young People I

10

4-10

6.4

-

Primary Care Issues and Practice Bared Research III

22

4-10

7.2

-

Primary Care Issues and Practice Based Research IV

17

1-10

6.6

-

Spirituality III

17

6-10

7.9

-

Spirituality IV

11

6-10

7.7

-

Cultural and Gender Issues III

16

6-10

8.3

-

Cultural and Gender Issues IV

20

5-10

7.4

-

Ethical Issues and Counselling Relationships III

17

4-10

7.5

-

Ethical Issues and Counselling Relationships IV

21

5-10

8.4

-

WORKSHOPS: overall average

-

-

7.6

6.7

Quality Evaluation for Continuing Professional Development and Practice Based Evidence: Opportunities and Challenges

20

1-10

7.6

-

First Clients - A Further Step in Exploring the Potential of Self Study CD- ROMs in Learning Counselling Skills

4

4-8

7.3

-

Using Writing Therapy: Pen and Paper or Keyboard and Cyberspace

14

4-10

7.8

-


Participants' Reports

The following report, written by Gill Leach, was first published in the AUCC Newsletter and Journal, Issue 3, August 2000.

Report on the BACP Research Conference 20 May 2000

Gill Leach, Thurrock College
gleach@thurrock.ac.uk

Introduction

This year the BACP Research Conference was held in the excellent new conference centre at UMIST, Manchester.

The programme was a very full one, with a wide range of topics. I chose papers with four different themes, as follows:

Session 1 Theme: Theoretical issues and communication

Royston Flude (University of Manchester) gave a paper on Psychology v counselling - different sides of the same coin? Royston focused mainly on his view of the relationship between psychological therapies and counselling, but he also touched briefly on research which has compared the effectiveness of different therapeutic approaches.

I liked the way his theoretical model integrates the two approaches. I agree with his view that, in reality, there can be a considerable overlap in the style of both: any perceived differences tend to stem from their historical origins and both counsellors and psychotherapists are likely to work at a range of levels with their clients, whatever their model.

Royston discussed the pyramid of physical, emotional, mental and spiritual needs/aspects of personality, and pondered whether in the past counsellors may have focused more on the spiritual and emotional, 'humanistic' aspects, whereas psychotherapists may have focused more on the mental and physical aspects, (matching the medical, structured, time-limited approach). His emphasis on the therapeutic goal of aligning the therapy to the client's preferred style of decision-making resonates with the educational goal of aligning teaching to the student's preferred style of learning.

This was a reflective, philosophical presentation.

David Lane (Professional Development Foundation, London) was a charismatic speaker on Does counselling research have anything to contribute to the major issues facing society?

David has a highly effective way of engaging the listener, and offered persuasive arguments for his team's approach to research. He suggested the traditional trawl of the literature, to find a gap in the 'market', could lead to an enquiry that was too theoretically based, and that a more effective and energizing route could be to start at the grassroots: assemble a group of practitioners working in the field; ask them what issues concern them; discuss how to research these issues; then carry out a literature search.

David's particular concern is for socially excluded, disaffected youngsters and his team's research is driven by their shared concern for the needs of these clients. I liked his reframing of the question schools ask, from: "How can we be safe if this troubled youngster comes into school?" to "How can the troubled youngster be enabled to feel safe to come back into school?" He observed that the fear which underlies aggressive behaviour is easily overlooked by people as they try to deal with the aggressive behaviour itself

David's team identified key factors which staff and students need to make them feel safe. I particularly liked one factor he focused on - being able to identify one's need for support without blame (for staff as well as students). His research suggests that in an effective environment people are more able to say what they are not doing well.

This was quite a 'political' presentation which demonstrated very well how entwined social and counselling issues can be.

Session 2 Theme: Processes and developments

The first speaker was Brenda Mallon, (counsellor in private practice) whose title was Dreams, counselling and healing. Brenda is a relaxed communicator, who conveyed her enthusiasm for listening to dreams very well. She has collated material on 900 dreams recounted by women.

Brenda compared the 'commonsense' understanding we have of dreams with possible deeper explorations. She often asks people to draw dreams, and sometimes they will bring a sequence of dream drawings which chart their developmental journey. She described dreams as an 'inner knowingness', a source of healing, and sometimes a significant part of the preparation for dying (at which point a companion may appear in the dream).

This was a thoughtful case presentation.

Nigel Hamilton (Centre for Counselling and Psychotherapy Education, London) followed with a talk called Dreams as an indication of spiritual/personal growth: exploring a new model. He had some interesting things to say about dreams presenting measurable aspects of personality change and the significance of different colours in dreams (relating them to different levels of self): turning within (dark, earthy colours), subtle self (pastels), transcendent state (gold), awake in life (red).

Nigel described the seven levels of self, linking dream quality to the instinctual self, alive self, introverted self, masculine/feminine self, religious self, 'white' self and transcendent self.

It was an interesting talk but I wondered whether it focused a little too much on his interpretation of the meaning of one person's dreams? Session 3 Theme: Workshop 2

After lunch I went to the workshop run by Richard Evans (The Metanoia Institute), on the use of CD Roms: First clients - a further step in exploring the potential of self study CD Roms in learning counselling skills.

Richard and his colleague showed us how his group have made CD Roms to assist the teaching of counselling skills. Their research has focused on how people develop the working alliance. We had the chance to use the CD Roms ourselves, and watched a new client working with a therapist, either with the therapist's voice-over discussing the process, or with the research group's voice-over and bullet points on the screen. He made the point that the session could have a number of different voice-overs from different theoretical orientations.

Richard's system has the acronym Devski (Developing observational skills). He described a current research project where a group of student counsellors were divided into a) the Devski group and b) control group. The latter just watched clips of client and counsellor and were asked to rate the process as they saw it happening (with no prior training). The Devski group were shown a demo CD Rom with the voice-overs first and then asked to observe the same process. Their responses were rated and compared. The results showed a significance difference between the two groups. The Devski group were very positive about the increased awareness they developed.

He focused on the development of his team's research technique and the application of the CD Rom method in some detail. This was the presentation which most closely matched my expectation of the purpose of a research conference because Richard allowed interactive discussion about his team's methods during the presentation, rather than asking for questions only at the end. (One participant picked up this point in the plenary and asked for a more vigorous debate of papers).

Session 4 Theme: Ethical issues and counsellor relationships

There were two eye-catching titles on this theme. David Tune (freelance counsellor, Wivenhoe) talked about his current research project on The therapeutic use of touch in counselling and psychotherapy.

He said some interesting things about how counsellors responded to his questionnaire on their use of touch. Some were initially very reticent, but upon probing revealed quite a lot of touching. This was a brave topic to choose in a fairly taboo area for 'mainstream' counsellors (who almost always told him that their training had actively discouraged touching, for the obvious safety reasons).

I liked his presentation, which combined sensitivity with searching analysis of what was really going on, based on his analysis of the responses to his questionnaires.

The final paper, presented by Susan Sussman (Centre for Counselling and Psychotherapy Education) was on The significance of psycho-peristalsis and tears within the context of transpersonal counselling and psychotherapy.

Susan's research is qualitative - a series of case studies and self study, where she focused on the messages received from the activity of the gut. She talked about the discovery of neurotransmitters in the gut wall, which have been labelled as a second 'brain'. She also explored what she called 'sacred weeping' and described its transformative function and its relationship with the gut responses.

Susan described her work as an enquiry about inner revelation - involving processes of engagement, immersion, incubation, illumination, exploration and creative synthesis.

Her paper was very well received, and the relevance of somatic difficulties to the well-being of the psyche attracted active discussion, as something which counsellors could use more in their work.

Conclusion

In summary, things I gained from this day were:

a) listening to an interesting and very varied collection of presentations
b) an opportunity to network

My only criticisms were:

a) not enough focus on research methodology for newcomers
b) not enough time for everything (the organisers are considering expanding the conference to two days)
c) not enough discussion/criticism of research design

This was a useful and enjoyable day. I hope this brief outline will encourage other counsellors who are wondering about starting a research project to attend future research conferences organized by BACP and AUCC.


The following report, was written by Shane Buckeridge, a member of the Faculty of Healthcare Counsellors and Psychotherapists Executive Committee.

Report of the 6th Annual BACP Research Conference at University of Manchester

20 May 2000

By Shane Buckeridge

The Conference was opened by Stephen Goss (Chair of BACP Research Committee) who welcomed the 140 delegates and presenters. Craig McDevitt, Chair of BACP gave a welcome address in which he said that the Conference was one of the highlights of the BACP calendar. He went on to say that our ability to research marks our maturity as a profession. He also said that research should not only evaluate the quality of what we do but also to push forward the boundaries of what we do. He highlighted the importance of sharing our research findings with our members as well as our clients.

Professor Mel Ainscow, Research Dean of Education, University of Manchester discussed the importance of linking theory with practice and maintaining an interface between the two. Reflective Practitioners, he said, are crucial in constantly developing better ways of working. He went on to discuss a new kind of research that needs different methodology as there is a danger that research may become too narrowly defined.

Stephen Goss then discussed the importance of the conference and of people joining the research network that aims to provide a forum for Counsellors to link with others interested in the same areas.

Following this there was a brief poster presentation in which the following speakers used one minute to discuss their work:

  • Professor John McLeod - A systematic review of the research literature on 'Counselling in the Workplace'
  • Colin Kirkwood - Professional and Socio-cultural issues arising from a Study of the Development of Counselling in the Shetland Island
  • Christina Birtwistle - Clients Perception of Effectiveness of Counselling Service within the GP setting in West Wirral
  • Helen Castle and Maureen Tomney - Are Clients, Process and Counsellor factors related to a good outcome?
  • Maria Lever - Can the concept of Professional Development reconcile the diverse world of Counselling and Nursing
  • Christine Sherlock - Experiences of coping with Usher syndrome
  • Malcolm Firth - 'Not just broken willies'; a generic perspective on Psychosexual Therapy

Following this there were presentations in smaller groups in which 34 papers were presented over the course of the day.

As representative for FHCP I chose to attend more Primary-Care based papers:

(a) Psychology vs. Counselling - "different sides of the same coin" were presented by Royston Flude in which essentially he purported that the major differences is approach related to the aspects of functioning. Psychology related more to the mental and physical sides of people whereas Counselling related more to the spiritual and emotional. Both emphasise personal responsibility as the pathway to growth. He argued that as Counselling develops a research base then both areas would converge. There then followed some lively debate about the differences.

(b) David Lane's presentation entitled "Does Counselling Research have anything to contribute to the major issues facing society?" In this he discussed how the interesting and exciting aspects of Counselling are not being found in the research literature. He went on to illustrate this through a study he had been involved in concerning Juvenile Delinquency and how a range of stakeholders had come together to address the problem in a specific school. Amongst the findings were that it makes a difference when individuals feel that:

  • They belong as part of a safe, valued working environment
  • There is a clear process to prioritise and address shared concerns
  • Agreed agenda for action
  • Citizenship is promoted
  • Staff feel confident to manage disruptive behaviour
  • Resources are adequate and deployed

Furthermore regarding creating a successful environment for pupils with behavioural difficulties should include the following:

An environment in which:

  • individuals feel safe to identify their own needs for personal support without blame
  • there are clear consistent and shared boundaries there is a commitment to focus on learning as our purpose and to celebrate success
  • there is a process of shared analysis of problems (reflective practice)

    there is a physical, moral and spiritual relevant shared environment which encourages well-being

    c) Following this I attended a workshop presented by John Mellor-Clark and Sally Aldridge entitled "Quality Evaluation for Continuing Professional Development and Practice-based Evidence: Opportunities and Challenges". In this workshop John discussed the challenges facing counselling in the light of the National Service Frameworks and the National Institute for Clinical Excellence and how this would impact on our individual practices through Clinical Governance, professional self register and lifelong learning. Both he and Sally suggested that the current arrangements for accreditation and supervision are not enough for the forthcoming rigorous challenges facing the profession. He said "Counsellors need to adopt the skills and attitudes for routine audit and evaluation of practice" He went on to discuss how CORE (Clinical Outcomes in Routine Evaluation) tool could play a part in this.

    (d) Following a short, hectic and networking lunch I went to a presentation by James O'Shea on "A small scale audit of time-limited Psychotherapy within a GP setting" He discussed how he had carried out a study based on 65 patients who were given 12 sessions of brief Psychotherapy. The tool used to measure the outcomes was SCL90 (Derogatis 1983) a symptom check list and the results were processed by the SPSS package.

He found that:

  • Women patients were significantly less likely to see their GPs post therapy
  • Men improve significantly in symptom categories, women do not in all
  • The surgery is prescribing him anti-depressants

Following this Nancy Rowland discussed the Cochrane Review on Counselling in which a number of researchers attempted a systematic search of Counselling studies that would fulfil the rigours of Cochrane criteria. In the end there were just four that fulfilled them covering approximately 500 patients. The common findings in all four were that:

  • Patient satisfaction was high
  • Cost neutral
  • There was symptom reduction which was statistically significant & improved recovery

(e) In the final session, David Mair discussed a Qualitative study he had carried out entitled "Gay men's' Experience of Counselling" in which he noticed that there was a danger that heterosexual Counsellors could overlook important aspects of gay men's' lives, notably issues of sexuality and different cultural norms. He highlighted the importance of having a substantial input into these issues as part of Counsellor training if attitudes and beliefs were to change.

Jan Hordern presented a paper entitled "Inner Masculine and Feminine in relation to Soul, Spirit and Living creatively. In this she explored Jungian archetypes of the inner male and female side based upon qualitative research of eight people.

The Conference was closed with a plenary session in which feedback was taken from the floor about the day and ways forward for future conferences. Stephen Goss also mentioned that BACP are hoping to offer bursaries for Counselling research and details of this will be made available at a later date. Mention was also made about a new publication, Counselling Research which will be published quarterly. After a hectic and exhausting day I went home with many good intentions.

Shane Buckeridge
21 May 2000


Report by Gill Carding

This report first appeared in The Association for Pastoral and Spiritual Care and Counselling Journal.

I was impressed by the way the organisers structured a large number of diverse papers into a clear but fluid menu. I particularly enjoyed the juxta-position of seasoned authors with those fresh from their first sally into the academic world of research. Papers were grouped under eight headings, each comprising four papers. 'Spirituality' was one of the eight categories. There were also two papers from another section which included aspects of spirituality, one as a central theme and the other incidentally. I will briefly review these six papers.

Dreams, counselling and healing by Brenda Mallon

This research developed out of a long-term interest and an initial large scale study of women's dreams. It explores the beneficial effects of dreams and a full account of it is due to be published, in a book of the same title as the paper, in September 2000. The women found dreams helpful in a number of ways, one of which was classed as spiritual healing. There appeared to be two main types of experience in the spiritual area. One concerned being forgiven in a dream which led to a later sense of the person being able to 'let go' of past hurts and guilt and move on with their life. The other was almost the opposite process of moving on into death. Here the content of the dream was deceased loved ones appearing with elements of inviting, beckoning and waiting. Afterwards the person retained a lasting sense of reassurance, peace and reconnectedness with a beyond.

Dreams as an indicator of spiritual/personal growth: exploring a new model by Nigel Hamilton

This research originated in a study of the nature and content of dreams of people on spiritual retreat. From this a new transpersonal model of consciousness was postulated and published last year. A comparative study has since been completed with clients in a therapeutic setting.

Four stages of transition were identified during the course of a retreat:

i) Turning within (letting go of external, everyday concerns and preoccupations)
ii) Subtle self (experiencing the core of one's being)
iii) Transcendent state (a connecting with a higher being)
iv) Awake in life (a return to the stuff of our material existence, but enriched by the experience of the previous states)

It was found that certain colours and images were characteristic of each stage. Seven levels of consciousness were identified across both groups moving from a physical/instinctual self through mental/emotional, loving/idealistic to religious and transcendent levels. The levels were probably more clearly identifiable on retreat due to reduced environmental and external influences.

Spirituality in a secular profession by Deborah Short

The researcher was primarily interested in exploring 'what is spirituality?' but secondarily, if and how the client's and counsellor's perception and experience of spirituality enter into and affect the therapeutic process. From the literature search spirituality, according to different authors, was about becoming fully human, wholeness and meaning as well as values, connectedness with self and other and self-transcendence. The methodology was qualitative using grounded theory techniques with descriptive data gathered from interviews with four co-researchers. Key themes that emerged were around the areas of mystery, relationship and suffering. Woven together these three stands suggest that the more in-depth therapy becomes, the larger its spiritual component. In conclusion, a number of questions were posed for future consideration:

  • How do we manage the centrality of spirituality in a profession that is generally regarded as secular?
  • What value might there be in developing collaboration between psychotherapeutic and religious committees?
  • What are the implications of developing and making more explicit the interface of spirituality and psychotherapy?
  • Given the indication that the process of psychotherapy involves the spirituality of both therapists and client, what are the implications for training and continuing professional development?

Prayer and psychotherapy - an exploration of the therapeutic nature of Christian prayer and its possible use with Christian clients in secular psychotherapy by Peter Gubi

This research approached some controversial topics in a direct but balanced manner. The research was carried out by qualitative interviews with seven counselling trainers. The psychological implications of prayer, both benefits and dangers, were looked at in terms of attachment therory, eg, on the positive side, belief in a communication with God as an absolute attachment figure serves as an antidote to anxiety; on the negative side, such faith in an omnipotent spiritual entity can be used as a defence to avoid resolving internal conflicts.

There were two ways in which prayer was used in counselling: i) COVERTLY where the counsellor prayed for the client before and after counselling sessions; ii) OVERTLY where verbal prayer was used between counsellor and client within the counselling session. This is more problematic because of the potential for abuse. Gubi concluded that prayer can be 'powerfully therapeutic' with certain clients, but a 'risky intervention'. Further investigation is needed into the methodology and ethical implications of using overt prayer in counselling.


Towards a Pagan/Magickal approach to counselling by Estelle Seymour

A lively and enlightening presentation in which the presenter started by challenging the audience's prejudices about the word 'Pagan'. She lamented the frequent, inaccurate association between paganism and evils such as satanic abuse. She went on to explain that paganism is a nature religion in which self-realisation is a central tenet. She described the original meaning of the word 'magickal' (note the spelling) as 'the art of causing changes to occur in consciousness'. Seymour contended that as spirituality begins to be acknowledged within the therapeutic encounter and there is a growth in respect for indigenous traditions within the helping professions, the Pagan world-view needs to be given validity alongside that of Christianity and other religions.

The research was a small-scale ethnographic enquiry amongst the pagan/magickal community to assess the need for a pagan approach to therapy. There was evidence of some discrepancy between counsellors' and clients' opinions. The counsellors wished to, and believed they could, work generically. Clients however, were more likely to express a preference for a counsellor whom they know to be a pagan, thus holding a similar belief system to themselves. The study argued for the inclusion of the pagan viewpoint within a consideration of spirituality on counsellor training courses.


A phenomenological study of client's experiences of counselling in a pastoral setting
by Barbara Edge

This was undertaken as part of an MA in person-centred counselling. The researcher was particularly interested in gaining the client's perception of counselling once therapy was completed. The pastoral setting in question was a therapeutic counselling service run by an Anglican diocese for church members. Four ex-clients took part in semi-structured interviews exploring the following questions:

  • Why did you choose this particular service?
  • What did you find helpful about the counselling?
  • What did you find unhelpful about the counselling?
  • What has been the impact of counselling for you?

Three of the four had previously had counselling with a secular agency and contrasted the two experiences. In accordance with established research, the qualities of the counsellor and of the therapeutic relationship established was paramount in the benefit the client deprived from counselling. Several common perceptions regarding the specific setting emerged:

i) Clients felt able to bring their 'whole self' to the counselling, including their spirituality. Some had felt unable to speak about their Christian beliefs within a secular setting
ii) Clients felt they needed counsellors who could understand issues such as anger, resentment and guilt from a Christian perspective, which counsellors in a pastoral setting were able to do
iii) Mention was made of the positive effect of prayer within the counselling sessions
iv) The mutual knowledge of, and occasional reference to, Scripture was identified as useful
v) The interwoven-ness of spiritual and religious issues together with immediate, human situations was cited as helpful

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