Psychotherapists' Experience of Working with Suicidal Clients

Psychotherapists' Experience of Working with Suicidal Clients PDF Author: Tina Podlogar
Publisher:
ISBN:
Category :
Languages : en
Pages : 253

Get Book

Book Description
Suicidality does not fit into the traditional medical illness model. Working with suicidal clients requires unique therapeutic approaches and is frequently referred to as one of the most demanding aspects of therapeutic work. Providing effective treatment and care for help-seeking suicidal individuals is of crucial importance. However, it cannot be automatically assumed that all mental health professionals feel competent to work with clients who are suicidal. Intriguingly, specific training in suicidality is frequently overlooked by psychological and medical study programs, even though such training has the potential to improve suicide intervention skills. Mental health professionals encounter different difficulties and challenges when faced with clients that experience suicidal ideation and/or have engaged in suicidal behaviour before or during treatment. We believe that it is essential to study professionals' experiences both from the point of view of providing high-quality care for the clients, as well as from the point of view of professionals' own well-being and mental health. With the aim to gain an overview and at the same time and in-depth understanding of their experiences, we conducted a study with a combination of quantitative and qualitative methods. Participants of the quantitative part of the study were 106 professionals (19 men and 87 women) with an educational background in psychology, medicine or other fields, who are working in the field of mental health. They reported having at least one experience of treatment of a suicidal client. The collection of data with the questionnaires took place between October 2017 and January 2019. The questionnaires inquired about participants' socio-demographic and professional characteristics, difficulties experienced in working with suicidal clients, attitudes toward suicide prevention, and coping strategies (constructive and avoidant) used under challenging situations in therapeutic or counselling work. The analysis of quantitative data was carried out with the SPSS program. Eleven psychotherapists (four men and seven women) participated in the qualitative part of the study. Semi-structured individual interviews that lasted approximately one hour were conducted between January and November 2018. The interviews focused primarily on topics of therapeutic alliance, therapists' experiences of suicidality peak in the clients, therapists' suicidality-related attitudes, knowledge and understanding, therapists' emotions, difficulties experienced in practice with suicidal clients and resources, and crisis management. The qualitative data was analysed by the principles of grounded theory with the use of ATLAS.ti program. On average, participants are relatively confident in their competence for working with suicidal clients. On the other hand, they also experience a certain level of difficulties with regards to working with suicidal clients. Importantly, participants that received a suicidality-related training feel more competent than those who did not receive such training. Higher self-assessed competence is, in turn, related to a lower frequency of experiencing different types of difficulties in practice with suicidal clients. While other factors, related to experiencing difficulties (e.g. attitudes), were also identified, confidence in own competence seems to be a strong predictor of most types of difficulties. Analysis of qualitative data resulted in identification of nine themes and 32 subthemes. The themes are grounded on 919 quotations, coded with 261 codes and 18 smart codes. On the basis of the findings, we developed a model of dynamic balance in therapists' experiences and views on working with suicidal clients. The model includes six core themes, each of them representing an aspect of therapists' experience and views where a dynamic balance is needed between two different poles. The core themes are: (i) understanding of suicidality: the general vs. specific; (ii) the role of alliance: protective factor vs. no guarantees; (iii) attitudes: acceptant vs. life oriented; (iv) emotional response: worry vs. trust; (v) responsibility: therapist's professionality vs. client's autonomy; and (vi) focus: suicidality vs. individual as a person. The model also takes into account other variables that may be relevant to the process and outcomes of the therapy: contextual factors (variables related to system regulations and therapeutic setting) and variables, related to the therapist in a general sense and the client (including the client's family). Finally, the model considers the outcomes of the process for the therapist and the client. The findings have the potential to be useful for mental health professionals and psychotherapists in understanding different aspects of their experience and difficulties that they may encounter when working with suicidal clients. We believe that adequate suicidality-related training should be provided to professionals who are working with suicidal clients. Further on, the findings (especially the model) may also aid the therapists in identifying aspects of their experience that should be considered and worked on, e.g. in different forms of professional support.

Psychotherapists' Experience of Working with Suicidal Clients

Psychotherapists' Experience of Working with Suicidal Clients PDF Author: Tina Podlogar
Publisher:
ISBN:
Category :
Languages : en
Pages : 253

View

Book Description
Suicidality does not fit into the traditional medical illness model. Working with suicidal clients requires unique therapeutic approaches and is frequently referred to as one of the most demanding aspects of therapeutic work. Providing effective treatment and care for help-seeking suicidal individuals is of crucial importance. However, it cannot be automatically assumed that all mental health professionals feel competent to work with clients who are suicidal. Intriguingly, specific training in suicidality is frequently overlooked by psychological and medical study programs, even though such training has the potential to improve suicide intervention skills. Mental health professionals encounter different difficulties and challenges when faced with clients that experience suicidal ideation and/or have engaged in suicidal behaviour before or during treatment. We believe that it is essential to study professionals' experiences both from the point of view of providing high-quality care for the clients, as well as from the point of view of professionals' own well-being and mental health. With the aim to gain an overview and at the same time and in-depth understanding of their experiences, we conducted a study with a combination of quantitative and qualitative methods. Participants of the quantitative part of the study were 106 professionals (19 men and 87 women) with an educational background in psychology, medicine or other fields, who are working in the field of mental health. They reported having at least one experience of treatment of a suicidal client. The collection of data with the questionnaires took place between October 2017 and January 2019. The questionnaires inquired about participants' socio-demographic and professional characteristics, difficulties experienced in working with suicidal clients, attitudes toward suicide prevention, and coping strategies (constructive and avoidant) used under challenging situations in therapeutic or counselling work. The analysis of quantitative data was carried out with the SPSS program. Eleven psychotherapists (four men and seven women) participated in the qualitative part of the study. Semi-structured individual interviews that lasted approximately one hour were conducted between January and November 2018. The interviews focused primarily on topics of therapeutic alliance, therapists' experiences of suicidality peak in the clients, therapists' suicidality-related attitudes, knowledge and understanding, therapists' emotions, difficulties experienced in practice with suicidal clients and resources, and crisis management. The qualitative data was analysed by the principles of grounded theory with the use of ATLAS.ti program. On average, participants are relatively confident in their competence for working with suicidal clients. On the other hand, they also experience a certain level of difficulties with regards to working with suicidal clients. Importantly, participants that received a suicidality-related training feel more competent than those who did not receive such training. Higher self-assessed competence is, in turn, related to a lower frequency of experiencing different types of difficulties in practice with suicidal clients. While other factors, related to experiencing difficulties (e.g. attitudes), were also identified, confidence in own competence seems to be a strong predictor of most types of difficulties. Analysis of qualitative data resulted in identification of nine themes and 32 subthemes. The themes are grounded on 919 quotations, coded with 261 codes and 18 smart codes. On the basis of the findings, we developed a model of dynamic balance in therapists' experiences and views on working with suicidal clients. The model includes six core themes, each of them representing an aspect of therapists' experience and views where a dynamic balance is needed between two different poles. The core themes are: (i) understanding of suicidality: the general vs. specific; (ii) the role of alliance: protective factor vs. no guarantees; (iii) attitudes: acceptant vs. life oriented; (iv) emotional response: worry vs. trust; (v) responsibility: therapist's professionality vs. client's autonomy; and (vi) focus: suicidality vs. individual as a person. The model also takes into account other variables that may be relevant to the process and outcomes of the therapy: contextual factors (variables related to system regulations and therapeutic setting) and variables, related to the therapist in a general sense and the client (including the client's family). Finally, the model considers the outcomes of the process for the therapist and the client. The findings have the potential to be useful for mental health professionals and psychotherapists in understanding different aspects of their experience and difficulties that they may encounter when working with suicidal clients. We believe that adequate suicidality-related training should be provided to professionals who are working with suicidal clients. Further on, the findings (especially the model) may also aid the therapists in identifying aspects of their experience that should be considered and worked on, e.g. in different forms of professional support.

Counselling Suicidal Clients

Counselling Suicidal Clients PDF Author: Andrew Reeves
Publisher: SAGE
ISBN: 1412946352
Category : Psychology
Languages : en
Pages : 200

View

Book Description
Counselling Suicidal Clients addresses the important professional considerations when working with clients who are suicidal. The ‘bigger picture’, including legal and ethical considerations and organizational policy and procedures is explored, as is to how practitioners can work with the dynamics of suicide potential in the therapeutic process. The book is divided into six main parts: The changing context of suicide The prediction-prevention model, policy and ethics The influence of the organization The client process The practitioner process The practice of counseling with suicidal clients

The Counselling and Psychotherapy Research Handbook

The Counselling and Psychotherapy Research Handbook PDF Author: Andreas Vossler
Publisher: SAGE
ISBN: 147390868X
Category : Social Science
Languages : en
Pages : 320

View

Book Description
Research is a vital and often daunting component of many counselling and psychotherapy courses. As well as completing their own research projects, trainees across modalities must understand the research in the field – what it tells them and how to do it. Breaking down this seemingly mountainous task into easy to swallow pieces, this book will navigate your students through each stage of the research process, from choosing a research question, through the pros and cons of different methods, to data analysis and writing up their findings. Written by leading contributors from the field including John McLeod, Mick Cooper and Tim Bond, each chapter features points for reflection, engaging activities and suggestions for further reading, helping students to engage with all aspects of research. An original graphic narrative runs throughout the book, bringing this complex topic to life in a unique way. Whether embarking on research for the first time or already a little familiar with research and research methods, this unique guide is something counselling and psychotherapy students will turn to continually throughout their research projects.

Handbook of Professional and Ethical Practice for Psychologists, Counsellors and Psychotherapists

Handbook of Professional and Ethical Practice for Psychologists, Counsellors and Psychotherapists PDF Author: Rachel Tribe
Publisher: Routledge
ISBN: 131760279X
Category : Psychology
Languages : en
Pages : 342

View

Book Description
Closer regulation of psychological counselling means that an awareness of the professional, legal and ethical considerations is vital. The second edition of Handbook of Professional and Ethical Practice offers a clear, stimulating, and structured introduction to a number of contemporary issues of professional and ethical practice. Rachel Tribe and Jean Morrissey have brought together updated, re-written and new contributions from professionals in the interrelated fields of psychology, psychotherapy and counselling, which illustrate the professional and ethical dilemmas involved in mental health practice. Academic and clinical experiences are skilfully combined with personal reflection to produce a comprehensive resource that addresses challenges that therapeutic practitioners are faced with on a daily basis. Each chapter places particular emphasis on the current codes of practice and ethical principles underpinning safe ethical practice and the implications for practitioners. Comprehensive coverage of the legal, clinical and ethical considerations involved in research and training is provided and the reflective questions at the end of every chapter serve to prompt further discussion of the issues. Chapters are enhanced by clinical vignettes that illustrate the particular issues at hand, as well as detailed bibliographies that point the reader towards the latest literature on the subject. The book is divided into 5 sections: Professional practice and ethical considerations Legal considerations and responsibilities Clinical considerations and responsibilities Working with diversity – professional practice and ethical considerations Research Supervision and Training This new, updated edition reflects the changes in the environment in which therapists and psychologists work. Covering a wide range of perspectives, clinical settings and client populations, Handbook of Professional and Ethical Practice 2nd edition will be an invaluable source of both information and inspiration to psychologists, counsellors, psychotherapists and practitioners of diverse orientations and stages of professional development and to those interested in a contemporary, multi-disciplinary approach to best practice in mental health.

Countertransference and Related Experiences of Psychologists Serving Suicidal Patients: Implications for Training and Supervision

Countertransference and Related Experiences of Psychologists Serving Suicidal Patients: Implications for Training and Supervision PDF Author: Perry A. Staltaro
Publisher: Universal-Publishers
ISBN: 1599423006
Category :
Languages : en
Pages :

View

Book Description
This study examined countertransference and other experiences of therapists serving suicidal patients. A survey was constructed to assess for aversion, narcissistic injury and similar iatrogenic constructs. Participants offered both Likert scale responses and spontaneous unstructured comments. Likert data were analyzed quantitatively. Content and phenomenological analyses were applied to the comments. The findings suggest that a substantial number of therapists treating suicidal patients experience negative countertransferences. The implications for training, treatment and supervision are discussed.

Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide

Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide PDF Author: Kayla Weiner
Publisher: Routledge
ISBN: 1317825225
Category : Psychology
Languages : en
Pages : 130

View

Book Description
The death of a patient is every therapist’s worst nightmare. Even more frightening is the debilitating silence that surrounds a therapist after the death of a client. What do you do? How do you proceed with your personal and professional life? Until now, advice on surviving a patient’s suicide has been scarce. This book examines this much-overlooked topic to help you continue to live and practice confidently. The authors of this courageous book mix first-person narratives with professional strategies to help therapists deal with the emotional and legal consequences that follow the loss of a client. Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide provides you with: models of coping strategies for clinicians after a client completes a suicide an examination of factors that compound the trauma for the therapist survivor examples for dealing with a client’s family suggestions for developing curricula for training institutions recommendations for supervisory guidelines explanations of—and means of mitigating—legal liability This practical book describes various ways of dealing with clinician and supervisory responsibilities after a client’s self-inflicted death. It will show you how to minimize the legal risks of working with suicidal clients and help you regain your sense of professional competence if a suicide occurs. New methods of screening and treatment assistance are offered. With about 30,000 suicides occuring the the United States annually, and many of those people in treatment at or near the time they commit suicide, thousands of clinicians face this trauma yearly. The clear, specific, therapeutic and legal guidelines you’ll find in the book, as well as the philosophical discussions, make it a vital read for therapists, counselors, social workers, nurses, supervisors, and educators in mental health training institutions.

Assessment and Case Formulation in Counselling and Psychotherapy

Assessment and Case Formulation in Counselling and Psychotherapy PDF Author: Biljana van Rijn
Publisher: SAGE
ISBN: 1473911648
Category : Social Science
Languages : en
Pages : 160

View

Book Description
This is a thorough and well-structured piece of work, which brings in the recent work of excellent authorities such as Barbara Ingram. It is well arranged, with many examples and case vignettes, which bring the material to life in an engaging way. I enjoyed reading it, and would recommend it unreservedly.’ John Rowan, humanistic therapist, private practice ‘This is a must-read book for students on courses in counselling, psychotherapy, clinical psychology and psychiatry.’ Heather Fowlie, Head of the Transactional Analysis Department, Metanoia Institute, London Conducting a competent assessment and case formulation can be a daunting task for trainee therapists engaging in clinical assessment for the first time. This book is designed to help, by unpicking the many aspects involved in assessment and case formulation across modalities, practice settings and client groups. The book: · Explores key elements of clinical assessment including diagnosis, risk assessment, ethical considerations and accounting for difference. · Highlights the necessary skills, techniques and legal requirements at each stage of the process. · Takes into account the impact of culture, context and theoretical and practical considerations. · Uses case studies and reflective questions to illustrate difficult concepts in context. Equipping you with the knowledge and tools to make successful assessments and case formulations, this is an essential read for trainees and for qualified practitioners wishing to brush up on their understanding. Dr Biljana van Rijn, Faculty Head of Applied Research and Clinical Practice, Metanoia Institute.

ǂThe ǂmodel of Dynamic Balance in Therapists' Experiences and Views on Working with Suicidal Clients

ǂThe ǂmodel of Dynamic Balance in Therapists' Experiences and Views on Working with Suicidal Clients PDF Author: Tina Podlogar
Publisher:
ISBN:
Category :
Languages : en
Pages : 11

View

Book Description
Working with suicidal clients is frequently referred to as one of the most demanding and anxiety-provoking aspects of therapeutic work. The aim of this study was to obtain an in-depth understanding of therapists' experience in treating suicidal individuals and develop a theoretical model of it. Eleven psychotherapists (4 men and 7 women) participated in individual semi-structured interviews. The interviews were audiotaped, transcribed and analyzed by the principles of grounded theory. We developed a model of dynamic balance in therapists' experiences and views on working with suicidal clients. The model includes six core themes, which represent aspects of therapists' experience and views where a dynamic balance is needed between two different poles. The core themes are: (i) understanding of suicidality: the general vs. specific; (ii) the role of alliance: protective factor vs. no guarantees; (iii) attitudes: acceptant vs. life-oriented; (iv) emotional response: worry vs. trust; (v) responsibility: therapist's professionality vs. client's autonomy; and (vi) focus: suicidality vs. individual as a person. The model takes into account other variables that are relevant to the process and outcomes of the therapy: factors, related to the therapist and the client, as well as system regulations and therapeutic setting. The presented model may be helpful for mental health professionals in reflecting on their experiences of working with suicidal clients, describing the relevant topics and the way they relate to each other.

Working Through Setbacks in Psychotherapy

Working Through Setbacks in Psychotherapy PDF Author: Rob Leiper
Publisher: SAGE
ISBN: 9780761953159
Category : Psychology
Languages : en
Pages : 244

View

Book Description
Counsellors and psychotherapists often encounter difficult situations with clients for which they feel ill prepared. At any stage in the process a client may experience a crisis or set back in their progress or simply be unable to move beyond a certain point. Working through Setbacks in Psychotherapy is therefore intended to help therapists respond to such events which form major obstacles to the successful development and maintenance of the therapeutic relationship. The authors present a framework for understanding the problems that arise and offers effective guidance for working through difficult situations which test the skills of even the most experienced practitioners. Until now little has been written about the

Pluralistic Counselling and Psychotherapy

Pluralistic Counselling and Psychotherapy PDF Author: Mick Cooper
Publisher: SAGE
ISBN: 9781446259818
Category : Psychology
Languages : en
Pages : 208

View

Book Description
Mick Cooper and John McLeod pioneer a major new framework for counselling theory, practice and research - the 'pluralistic' approach. This model breaks away from the orientation-specific way in which counselling has traditionally been taught, reflecting and responding to shifts in counselling and psychotherapy training. As accessible and engaging as ever, Cooper and McLeod argue that there is no one right way of doing therapy and that different clients need different things at different times. By identifying and demonstrating the application of a range of therapeutic methods, the book outlines a flexible framework for practice within which appropriate methods can be selected depending on the client's individual needs and the therapist's knowledge and experience. This is a must-read for anybody training or practising in the counselling or helping professions - it should not be missed!