Дисертації: "Behaviour counselling"

1

Lane, Claire Alice. "The measurement and acquisition of skills in behaviour change counselling." Thesis, Cardiff University, 2006. http://orca.cf.ac.uk/55423/.

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There was no significant difference in BECCI scores or ratings of practice sessions between practitioners who practiced skills with simulated patients in comparison to those who performed role-play. There may be a relationship between participants' feelings regarding the practice sessions and BCC skill acquisition, but results were inconclusive.

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2

Schedin, Gunnar. "Expectations and experiences of career counselling : an exploration of interpersonal behaviour." Doctoral thesis, Umeå : Department of Psychology, Umeå University, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1155.

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3

Yahya, Sawsan. "Improving students' behaviour and academic achievement through a counselling intervention programme." Thesis, University of Derby, 2018. http://hdl.handle.net/10545/622776.

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In the cultural context of low achievement in Arab Israeli schools, this work-based study describes and evaluates a successful counselling intervention in one Israeli Arab elementary school. The intervention took place over six months and involved twenty activities. A mixed methods approach was adopted to evaluate the intervention. The use of both qualitative and quantitative methods provided an informative evaluation of the perceptions of students, teachers and parents about the effectiveness of the intervention. Students, parents and teachers reported that from their point of view, student behaviour, student/teacher/parent relationships and learning improved during the intervention. This positive analysis of perceptions was qualified by the possibility that other factors that were not analysed might be influential. The lessons learned from the intervention, such as the need for creating a teacher – parent strategic alliance, renouncing the use of aversive control and the adaptation of teaching styles to student learning styles, may prove to be a transformative approach to the education of Arab Israeli students.

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4

Geldard, Kathryn Mary. "Adolescent Peer Counselling." Thesis, Queensland University of Technology, 2005. https://eprints.qut.edu.au/16155/1/Kathryn_Geldard_Thesis.pdf.

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Adolescent peer counselling as a social support strategy to assist adolescents to cope with stress in their peer group provides the focus for the present thesis. The prosocial behaviour of providing emotional and psychological support through the use of helping conversations by young people is examined. Current programs for training adolescent peer counsellors have failed to discover what skills adolescents bring to the helping conversation. They ignore, actively discourage, and censor, some typical adolescent conversational helping behaviours and idiosyncratic communication processes. Current programs for training adolescent peer counsellors rely on teaching microcounselling skills from adult counselling models. When using this approach, the adolescent peer helper training literature reports skill implementation, role attribution and status differences as being problematic for trained adolescent peer counsellors (Carr, 1984; de Rosenroll, 1988; Morey & Miller, 1993). For example Carr (1984) recognised that once core counselling skills have been reasonably mastered that young people " may feel awkward, mechanical or phoney" (p. 11) when trying to implement the new skills. Problematic issues with regard to role attribution and status differences appear to relate to the term 'peer counsellor' and its professional expectations, including training and duties (Anderson, 1976; Jacobs, Masson & Vass, 1976; Myrick, 1976). A particular concern of Peavy (1977) was that for too many people counselling was an acceptable label for advice giving and that the role of counsellor could imply professional status. De Rosenroll (1988) cautioned against creating miniature mirror images of counselling and therapeutic professionals in young people. However, he described a process whereby status difference is implied when a group of adolescent peer counsellors is trained and invited to participate in activities that require appropriate ethical guidelines including competencies, training, confidentiality and supervision. While Carr and Saunders (1981) suggest, "student resentment of the peer counsellor is not a problem" they go on to say, "this is not to say that the problem does not exist" (p. 21). The authors suggest that as a concern the problem can be minimised by making sure the peer counsellors are not 'forced' on the student body and by providing opportunities for peer counsellors to develop ways of managing resentment. De Rosenroll (1988) acknowledges that the adolescent peer counsellor relationship may fall within a paraprofessional framework in that a difference in status may be inferred from the differing life experiences of the peer counsellor when compared with their student peers. The current project aimed to discover whether the issues of skill implementation, role attribution and status differences could be addressed so that adolescent peer counselling, a valuable social support resource, could be made more attractive to, and useful for adolescents. The researcher's goal was to discover what young people typically do when they help each other conversationally, what they want to learn that would enhance their conversational helping behaviour, and how they experience and respond to their role as peer counsellor, and then to use the information obtained in the development of an adolescent-friendly peer counsellor training program. By doing this, the expectation was that the problematic issues cited in the literature could be addressed. Guided by an ethnographic framework the project also examined the influence of an adolescent-friendly peer counsellor training program on the non-peer counsellor students in the wider adolescent community of the high school. Three sequential studies were undertaken. In Study 1, the typical adolescent conversational and communications skills that young people use when helping each other were identified. In addition, those microcounselling skills that young people found useful and compatible with their typical communication processes were identified. In Study 2, an intervention research process was used to develop, deliver, and evaluate an adolescent-friendly peer counsellor training program which combined typical adolescent helping behaviours with preferred counselling microskills selected by participants in Study 1. The intervention research paradigm was selected as the most appropriate methodology for this study because it is designed to provide an integrated perspective for understanding, developing, and examining the feasibility and effectiveness of innovative human services interventions (Bailey-Dempsey & Reid, 1996; Rothman & Thomas, 1994). Intervention research is typically conducted in a field setting in which researchers and practitioners work together to design and assess interventions. When applying intervention research methodology researchers and practitioners begin by selecting the problem they want to remedy, reviewing the literature, identifying criteria for appropriate and effective intervention, integrating the information into plans for the intervention and then testing the intervention to reveal the intervention's strengths and flaws. Researchers then suggest modifications to make the intervention more effective, and satisfying for participants. In the final stage of intervention research, researchers disseminate information about the intervention and make available manuals and other training materials developed along the way (Comer, Meier, & Galinsky, 2004). In Study 2 an adolescent-friendly peer counsellor training manual was developed. Study 3 evaluated the impact of the peer counsellor training longitudinally on the wider school community. In particular, the project was interested in whether exposure to trained peer counsellors influenced students who were not peer counsellors with regard to their perceptions of self-concept, the degree of use of specific coping strategies and on their perceptions of the school climate. Study three included the development of A School Climate Survey which focused on the psychosocial aspects of school climate from the student's perspective. Two factors which were significantly correlated (p<.01) were identified. Factor 1 measured students' perceptions of student relationships, and Factor 2 measured students' perceptions of teachers' relationships with students. The present project provides confirmation of a number of findings that other studies have identified regarding the idiosyncratic nature of adolescent communication, and the conversational and relational behaviours of young people (Chan, 2001; Noller, Feeney, & Peterson, 2001; Papini & Farmer, 1990; Rafaelli & Duckett, 1989; Readdick & Mullis, 1997; Rotenberg, 1995; Turkstra, 2001; Worcel et al., 1999; Young et al., 1999). It extends this research by identifying the specific conversational characteristics that young people use in helping conversations. The project confirmed the researcher's expectation that some counselling microskills currently used in training adolescent peer counsellors are not easy to use by adolescents and are considered by adolescents to be unhelpful. It also confirmed that some typical adolescent conversational helping behaviours which have been proscribed for use in other adolescent peer counsellor training programs are useful in adolescent peer counselling. The project conclusively demonstrated that the adolescent-friendly peer counsellor training program developed in the project overcame the difficulties of skill implementation identified in the adolescent peer counselling literature (Carr, 1984). The project identified for the first time the process used by adolescent peer counsellors to deal with issues related to role attribution and status difference. The current project contributes new information to the peer counselling literature through the discovery of important differences between early adolescent and late adolescent peer counsellors with regard to acquiring and mastering counselling skills, and their response to role attribution and status difference issues among their peers following counsellor training. As a result of the substantive findings the current project makes a significant contribution to social support theory and prosocial theory and to the adolescent peer counselling literature. It extends the range of prosocial behaviours addressed in published research by specifically examining the conversational helping behaviour of adolescents from a relational perspective. The current project provides new information that contributes to knowledge of social support in the form of conversational behaviour among adolescents identifying the interactive, collaborative, reciprocal and idiosyncratic nature of helping conversations in adolescents. Tindall (1989) suggests that peer counsellor trainers explore a variety of ways to approach a single training model that can augment and supplement the training process to meet specific group needs. The current project responded to this suggestion by investigating which counselling skills and behaviours adolescent peer counsellor trainees preferred, were easy to use by them, and were familiar to them, and then by using an intervention research process, devised a training program which incorporated these skills and behaviours into a typical adolescent helping conversation. A mixed method longitudinal design was used in an ecologically valid setting. The longitudinal nature of the design enabled statements about the process of the peer counsellors' experience to be made. The project combined qualitative and quantitative methods of data gathering. Qualitative data reflects the phenomenological experience of the adolescent peer counsellor and the researcher and quantitative data provides an additional platform from which to view the findings. The intervention research paradigm provided a developmental research method that is appropriate for practice research. The intervention research model is more flexible than conventional experimental designs, capitalises on the availability of small samples, accommodates the dynamism and variation in practice conditions and diverse populations, and explicitly values the insights of the researcher as a practitioner. The project combines intervention research with involvement of the researcher in the project thus enabling the researcher to view and report the findings through her own professional and practice lens.

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5

Geldard, Kathryn Mary. "Adolescent Peer Counselling." Queensland University of Technology, 2005. http://eprints.qut.edu.au/16155/.

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Adolescent peer counselling as a social support strategy to assist adolescents to cope with stress in their peer group provides the focus for the present thesis. The prosocial behaviour of providing emotional and psychological support through the use of helping conversations by young people is examined. Current programs for training adolescent peer counsellors have failed to discover what skills adolescents bring to the helping conversation. They ignore, actively discourage, and censor, some typical adolescent conversational helping behaviours and idiosyncratic communication processes. Current programs for training adolescent peer counsellors rely on teaching microcounselling skills from adult counselling models. When using this approach, the adolescent peer helper training literature reports skill implementation, role attribution and status differences as being problematic for trained adolescent peer counsellors (Carr, 1984; de Rosenroll, 1988; Morey & Miller, 1993). For example Carr (1984) recognised that once core counselling skills have been reasonably mastered that young people " may feel awkward, mechanical or phoney" (p. 11) when trying to implement the new skills. Problematic issues with regard to role attribution and status differences appear to relate to the term 'peer counsellor' and its professional expectations, including training and duties (Anderson, 1976; Jacobs, Masson & Vass, 1976; Myrick, 1976). A particular concern of Peavy (1977) was that for too many people counselling was an acceptable label for advice giving and that the role of counsellor could imply professional status. De Rosenroll (1988) cautioned against creating miniature mirror images of counselling and therapeutic professionals in young people. However, he described a process whereby status difference is implied when a group of adolescent peer counsellors is trained and invited to participate in activities that require appropriate ethical guidelines including competencies, training, confidentiality and supervision. While Carr and Saunders (1981) suggest, "student resentment of the peer counsellor is not a problem" they go on to say, "this is not to say that the problem does not exist" (p. 21). The authors suggest that as a concern the problem can be minimised by making sure the peer counsellors are not 'forced' on the student body and by providing opportunities for peer counsellors to develop ways of managing resentment. De Rosenroll (1988) acknowledges that the adolescent peer counsellor relationship may fall within a paraprofessional framework in that a difference in status may be inferred from the differing life experiences of the peer counsellor when compared with their student peers. The current project aimed to discover whether the issues of skill implementation, role attribution and status differences could be addressed so that adolescent peer counselling, a valuable social support resource, could be made more attractive to, and useful for adolescents. The researcher's goal was to discover what young people typically do when they help each other conversationally, what they want to learn that would enhance their conversational helping behaviour, and how they experience and respond to their role as peer counsellor, and then to use the information obtained in the development of an adolescent-friendly peer counsellor training program. By doing this, the expectation was that the problematic issues cited in the literature could be addressed. Guided by an ethnographic framework the project also examined the influence of an adolescent-friendly peer counsellor training program on the non-peer counsellor students in the wider adolescent community of the high school. Three sequential studies were undertaken. In Study 1, the typical adolescent conversational and communications skills that young people use when helping each other were identified. In addition, those microcounselling skills that young people found useful and compatible with their typical communication processes were identified. In Study 2, an intervention research process was used to develop, deliver, and evaluate an adolescent-friendly peer counsellor training program which combined typical adolescent helping behaviours with preferred counselling microskills selected by participants in Study 1. The intervention research paradigm was selected as the most appropriate methodology for this study because it is designed to provide an integrated perspective for understanding, developing, and examining the feasibility and effectiveness of innovative human services interventions (Bailey-Dempsey & Reid, 1996; Rothman & Thomas, 1994). Intervention research is typically conducted in a field setting in which researchers and practitioners work together to design and assess interventions. When applying intervention research methodology researchers and practitioners begin by selecting the problem they want to remedy, reviewing the literature, identifying criteria for appropriate and effective intervention, integrating the information into plans for the intervention and then testing the intervention to reveal the intervention's strengths and flaws. Researchers then suggest modifications to make the intervention more effective, and satisfying for participants. In the final stage of intervention research, researchers disseminate information about the intervention and make available manuals and other training materials developed along the way (Comer, Meier, & Galinsky, 2004). In Study 2 an adolescent-friendly peer counsellor training manual was developed. Study 3 evaluated the impact of the peer counsellor training longitudinally on the wider school community. In particular, the project was interested in whether exposure to trained peer counsellors influenced students who were not peer counsellors with regard to their perceptions of self-concept, the degree of use of specific coping strategies and on their perceptions of the school climate. Study three included the development of A School Climate Survey which focused on the psychosocial aspects of school climate from the student's perspective. Two factors which were significantly correlated (p<.01) were identified. Factor 1 measured students' perceptions of student relationships, and Factor 2 measured students' perceptions of teachers' relationships with students. The present project provides confirmation of a number of findings that other studies have identified regarding the idiosyncratic nature of adolescent communication, and the conversational and relational behaviours of young people (Chan, 2001; Noller, Feeney, & Peterson, 2001; Papini & Farmer, 1990; Rafaelli & Duckett, 1989; Readdick & Mullis, 1997; Rotenberg, 1995; Turkstra, 2001; Worcel et al., 1999; Young et al., 1999). It extends this research by identifying the specific conversational characteristics that young people use in helping conversations. The project confirmed the researcher's expectation that some counselling microskills currently used in training adolescent peer counsellors are not easy to use by adolescents and are considered by adolescents to be unhelpful. It also confirmed that some typical adolescent conversational helping behaviours which have been proscribed for use in other adolescent peer counsellor training programs are useful in adolescent peer counselling. The project conclusively demonstrated that the adolescent-friendly peer counsellor training program developed in the project overcame the difficulties of skill implementation identified in the adolescent peer counselling literature (Carr, 1984). The project identified for the first time the process used by adolescent peer counsellors to deal with issues related to role attribution and status difference. The current project contributes new information to the peer counselling literature through the discovery of important differences between early adolescent and late adolescent peer counsellors with regard to acquiring and mastering counselling skills, and their response to role attribution and status difference issues among their peers following counsellor training. As a result of the substantive findings the current project makes a significant contribution to social support theory and prosocial theory and to the adolescent peer counselling literature. It extends the range of prosocial behaviours addressed in published research by specifically examining the conversational helping behaviour of adolescents from a relational perspective. The current project provides new information that contributes to knowledge of social support in the form of conversational behaviour among adolescents identifying the interactive, collaborative, reciprocal and idiosyncratic nature of helping conversations in adolescents. Tindall (1989) suggests that peer counsellor trainers explore a variety of ways to approach a single training model that can augment and supplement the training process to meet specific group needs. The current project responded to this suggestion by investigating which counselling skills and behaviours adolescent peer counsellor trainees preferred, were easy to use by them, and were familiar to them, and then by using an intervention research process, devised a training program which incorporated these skills and behaviours into a typical adolescent helping conversation. A mixed method longitudinal design was used in an ecologically valid setting. The longitudinal nature of the design enabled statements about the process of the peer counsellors' experience to be made. The project combined qualitative and quantitative methods of data gathering. Qualitative data reflects the phenomenological experience of the adolescent peer counsellor and the researcher and quantitative data provides an additional platform from which to view the findings. The intervention research paradigm provided a developmental research method that is appropriate for practice research. The intervention research model is more flexible than conventional experimental designs, capitalises on the availability of small samples, accommodates the dynamism and variation in practice conditions and diverse populations, and explicitly values the insights of the researcher as a practitioner. The project combines intervention research with involvement of the researcher in the project thus enabling the researcher to view and report the findings through her own professional and practice lens.

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6

Gonzalez, J. A. Leon. "The role of voluntary counselling and testing in modifying risky sexual behaviour for HIV infection : cross-sectional study from the ‘Wellness Clinic’ of a District Hospital in rural Limpopo, South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97242.

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Background: Voluntary HIV counselling and testing (VCT) is considered one of the key strategies in the prevention and control of HIV/AIDS in South Africa. However its role in modifying risky sexual behaviour among patients tested as HIV-negative (primary prevention) is controversial. Objective: This study was intended to demonstrate the likelihood of VCT reducing risky sexual practices among patients testing sero-negative for HIV infection. Methods: This is a quantitative cross-sectional survey that took place over a period of 3½ months in a district hospital in rural South Africa. A self-administered questionnaire was completed by 54 patients who had VCT and tested sero-negative for HIV infection during the previous 12 months (Study Group). The same questionnaire was filled in by 61 patients who had never received VCT before (Control Group). Both groups consisted of women and men aged 18 years or older. Socio-demographic information, sexual behaviour, willingness to disclose the HIV sero-status with the sexual partner, and readiness to have VCT were asked in the survey. To compare differences between two independent proportions the Pearson Chi-square test was used. Significant results were regarded as a p-value of less than 0, 05, which was taken as an indication of association between VCT and the variable being measured. Results: The median age of our sample was 29 years (Interquartile Range 24-40), with most of the respondents (38 %) between the ages of 26 and 35 years. More than 90 % of patients in both groups reported being sexually active. Sexual intercourse with more than one partner was significantly lower in the Study group (p=0,003). Those who had never received VCT before had a higher (although not significant) incidence of episodes of unprotected sexual intercourse and symptoms of sexually transmitted infections (STIs) (81, 9 % and 42, 6 % respectively) when compared to the study group (77, 7 % and 35, 1 %). Most of the participants in both groups did not consider the disclosing of their sero-status an issue of concern for their sexual partner(s). Readiness to receive VCT was significantly higher in the study group (p=0, 02). Conclusions: In this study, people who tested sero-negative for HIV through VCT showed a significant decrease in the number of sexual partners as compared to the control group who did not undergo VCT. The VCT group had less unprotected sexual intercourse and less symptoms of STIs than the control group.

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7

Gagnon, Jean-Christian. "Investigating the Behaviour Change Techniques and Motivational Interviewing Techniques In Physical Activity Counselling Sessions." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36474.

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Background: In Canada, only 15% of adults meet the physical activity guidelines (Colley et al., 2011). As regular physical activity has been demonstrated to substantially improve physical and mental health (Naci & Ioannidis, 2013; Schuch et al., 2016), a wealth of physical activity promoting interventions have been developed and evaluated (Kahn et al., 2002; Prince et al., 2014). Physical Activity Counselling (PAC) is one of these and has been shown effective in increasing physical activity motivation and behaviour (Fortier et al., 2011). However, the active ingredients of PAC have never been reported in detail, thus limiting our potential for understanding its effectiveness and to allow for its replication. Recently, taxonomies have been published for characterizing behaviour change techniques (BCTs) and Motivational Interviewing (MI) techniques in interventions (Hardcastle et al., 2017; Michie et al., 2013). Due to its novelty, no studies to date have used the MI technique taxonomy to report interventions. Purpose: To investigate the behaviour change techniques (BCTs) and Motivational Interviewing (MI) techniques applied in PAC sessions delivered by student-counsellors. Methods: PAC 1 and PAC 2 sessions delivered by 11 student-counsellors were double coded for identification of BCTs and MI techniques, for a total of 22 video recorded sessions. Two trained coders rated the presence of BCTs and MI techniques using the Behaviour Change Technique Taxonomy v1 (BCTTv1) and the table of MI techniques. Inter coder agreement was assessed using Cohen’s kappa and the prevalence- and bias-adjusted kappa (PABAK) statistic. Results: Overall, 29 BCTs (on 93) and 27 MI techniques (on 38) were reliably coded across the sampled PAC sessions (Cohen’s k =.81, PABAK=.91). Popular BCTs included 3.1 Social support (unspecified), 1.1 Goal setting (behaviour), 1.4 Action planning, whereas OARS skills (i.e., open-ended questions, affirmations, reflective and summary statements) and 24. Emphasize autonomy were the predominating MI techniques. On average, 5.7 BCTs and 9.5 MI techniques were recorded per session. Conclusions: Findings of this study provide a first detailed report of a PAC intervention and have important implications for PAC training and replication. Future research in this area specifically looking at the quality of application of the techniques and the influence of use and quality on physical activity behaviour over time is recommended.

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8

Keogh, Sarah Carrodus. "Postpartum reproductive behaviour in Northern Tanzania : impacts of antenatal HIV diagnosis and family planning counselling, and opportunities for integrating FP into routine antenatal HIV counselling." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.550384.

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9

Larsson, Birgitta. "Treatment for childbirth fear with a focus on midwife-led counselling : A national overview, women’s birth preferences and experiences of counselling." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-326007.

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Background: Many women experience childbirth fear to such an extent that it seriously interferes with the woman’s daily life and affects her mental well-being. Aim: The overall aim was to conduct an overview of the midwife-led counselling for childbirth fear in Sweden, to investigate women’s birth preferences and to describe their experiences of treatment on childbirth fear, with focus on midwife-led counselling. Methods: Study I is a cross-sectional study where 43 out of 45 maternity clinics responded to a questionnaire regarding midwife-led counselling. Study II is a longitudinal survey where 889 women participated of whom 70 received counselling. Data were collected by questionnaires in mid-pregnancy, two months and finally, one year after birth. Study III is a randomised controlled study with 258 participating women assessed with childbirth fear. It compares Internet-based cognitive behaviour therapy (ICBT) with midwife-led counselling. Data were collected by questionnaires twice during pregnancy and two months after birth. Study IV is a qualitative interview study using thematic analysis, including 27 women who received midwife-led counselling during pregnancy. Results: Overall, midwife-led counselling was perceived as empowering by the women and increased their confidence when facing birth. The preference for a caesarean section decreased during pregnancy and the majority had a normal vaginal birth but an increase in preference for caesarean section appeared after birth. Half of the women who received treatment for childbirth fear experienced a less than positive birth. Women who had a positive birth experience voiced that the contributing factors were the self-confidence received from counselling and the support from the midwife during birth. Decreased or manageable fear was expressed by the women after counselling and birth, which in turn brought a strengthened confidence for a future pregnancy and birth. Furthermore, major differences exist in counselling for childbirth fear throughout the clinics in Sweden. Conclusion: Midwife-led counselling improved women’s confidence toward giving birth and fear was perceived as manageable. Continuous support is crucial to experience birth as positive. Although women’s preferences for caesarean section did not change over time, few women gave birth with a caesarean section without medial reason.

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10

Doherty, Ingrid Eve. "A controlled evaluation of the effects of cognitive behavioural counselling on psychological adjustment following an abnormal cervical smear result." Thesis, King's College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267846.

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11

Fredericks, Brenton Grant. "A model for behaviour modification programmes to improve discipline and learner achievement : a communicative approach." Thesis, Bloemfontein : Central University of Technology, Free State, 2007. http://hdl.handle.net/11462/93.

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12

Mantica, Valentina. "The impact of the experience of working with CBT on counselling psychologists' professional identity." Thesis, University of Roehampton, 2012. https://pure.roehampton.ac.uk/portal/en/studentthesis/the-impact-of-the-experience-of-working-with-cbt-on-counselling-psychologists’-professional-identity(a1d88072-5759-40e1-855b-10770bdd1c28).html.

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Cognitive behaviour therapy (CBT) is a therapeutic modality which is commonly argued to be oriented to a medical model, and so to diverge significantly in theory and practice from the traditional relational and humanistic roots of counselling psychology. A large body of literature and research exists which examines counselling psychologists’ professional identity in medical settings, but there appears to be a significant gap in the extant literature relating to how counselling psychologists experience professional identity specifically in the practice of CBT, a therapeutic modality which presently provides a considerable amount of employment for counselling psychologists. To address this gap, the present study sought to explore qualitatively whether counselling psychologists’ experience of their professional identity is affected by the inclusion of CBT in their practice. A sample of eight counselling psychologists who worked with CBT and had been qualified for at least five years were interviewed. Data gathered from the semistructured interviews were transcribed and analysed using interpretative phenomenological analysis (IPA), a method selected because it is concerned with the detailed examination of personal lived experience and the meaning of experience to participants. The methodology was approached within the contextual constructionist epistemological framework. Three superordinate themes, each containing four subordinate themes, emerged from participants’ accounts: (i) components of professional identity; (ii) the contribution of CBT to the professional self; and (iii) how CBT compromises the professional self. The findings are discussed in relation to the relevant literature, and lines of enquiry that have emerged have been located in current postmodern literature, arguments and debates. One main conclusion of the present study is that feeling comfortable with CBT can CBT, Counselling Psychology and Professional Identity 3 depend upon practitioners’ initial training, personal experience, cultural background, personal characteristics and personal beliefs – that is, the professional self as emerging from the personal self. Clinical implications, methodological limitations, directions for future research and reflections upon the researcher’s reflexivity are presented.

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13

Malan, Johanna Elizabeth. "The development, implementation and evaluation of a training intervention for primary health care providers on brief behaviour change counselling, and assessment of the provider’s competency in delivering this counselling intervention." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97977.

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Thesis (PhD)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: Unhealthy behaviour is a key modifiable factor that underlies much of the South African (SA) burden of disease and primary care morbidity. Chronic diseases such as heart disease, type 2 diabetes, lung diseases and some cancers are linked to underlying behavioural issues such as tobacco smoking, alcohol abuse, physical inactivity and unhealthy eating. Evidence shows that brief behaviour change counselling by primary care providers can be effective in helping patients to change risky lifestyle behaviours. However, the capacity of South African primary care providers to educate and counsel patients on lifestyle modification is generally poor. The need for primary care provider training in lifestyle counselling, is stated as a critical objective in ‘re-orientating’ the primary health care system to effectively address NCDs in the National Strategic Plan for the Prevention and Control of NCDs and their risk factors in SA. The overall aim of this research was to develop, implement and evaluate the effectiveness of a training intervention for primary care providers in the South African setting, which is based on teaching best practice, behaviour change counselling (BBCC) methods that can be used for patients with risky lifestyle behaviours associated with non-communicable diseases (NCDs). “Effectiveness” relates to the effect of the training on PCPs adoption of a patient centred approach, and skills acquisition after the training, and not the effectiveness in changing, or improving patient outcomes. The sequence of the abstracts of the four articles that were published from this research, gives an overview of the process.
AFRIKAANSE OPSOMMING: Ongesonde lewenstyl kan gekoppel word aan die meeste chroniese siektes wereldwyd, en dra grootliks by tot die las van primere sorg morbiditeit, asook in Suid Afrika. Rook, ongesonde dieet, fisiese onaktiwiteit, en alkohol misbruik word beskou as die onderliggende risiko faktore wat verantwoordelik is vir die ontwikkeling van kardiovaskulere siektes, tipe 2 diabetes, respiratoriese siektes, sowel as sommige kankers. Navorsing het bewys dat primere gesondheidsorg werkers effektief kan wees om pasiente te help om hierdie gewoontes te bekamp. Nieteenstaande hierdie bewyse, is die huidige kapasiteit van primere sorg dokters en verpleegsters in Suid-Afrika nie voldoende om sodanige diens te verskaf nie. In die Nationale Strategiese Plan vir die beheer van chroniese siektes, word opleiding vir primere gesondheidsorg werkers geprioritiseer as n kritiese uitkomste vir die beheer van chroniese siektes, en die onderliggende risiko faktore. Dit is dus duidelik dat daar n behoefte is om sodanige opleidingprogramme te ontwikkel. Die doel van hierdie navorsing was om n bewysgebaseerde opleidingsprogram te ontwikkel, te implementeer, en die effektiwiteit daarvan te evalueer in ons unieke primere gesondheidsorg sisteem in Suid-Afrika. Die opleidingsprogram moes ontwikkel word, vir beide primere sorg dokters en verpleegsters, sodat dit hulle in staat kan stel om pasiente te beraad oor enige van die vier risiko faktore.

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14

Gilley, Elizabeth. "An examination of the relationship between working alliance and outcome in Cognitive Behaviour Therapy and Counselling for Depression." Thesis, University of Sheffield, 2018. http://etheses.whiterose.ac.uk/19784/.

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15

Hepker, Natalie. "A qualitative investigation into the determinants of perceived stress by intern clinical/counselling psychologists in consultation with a non-fatal suicidal client." http://hdl.handle.net/10413/2355, 2007. http://hdl.handle.net/10413/2355.

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Aim: This study aims to investigate the experience of stress and the factors that impact on the intern psychologist in relation to first consultation with a non-fatal suicidal client. Intra and interpersonal factors, as well as institutional/environmental factors that influence/impact on intern clinical/counselling psychologist level of stress when assessing and managing a non-fatal suicidal client were identified. Methodology: The research methodology chosen for this study is based on the aim of the study, which is to investigate the experience of stress perceived by intern clinical/counselling psychologists in relation to consultation with a non-fatal suicidal client. A qualitative methodological approach will be used in this study as it allows for greater in-depth investigation and understanding of the experiences of intern clinical/counselling psychologists towards suicidal clients than would be generated by quantitative research methods. Five intern clinical/counseling psychologists were used in this qualitative study. They were interviewed using a semi-structured in- depth interview. The data was transcribed and analysed using thematic analysis. Findings: A variety of stressors were identified by the interns, but the majority described common variables. The main sources of stress for the interns was first contact with suicidal clients and lack of practical training and experience. The working environment, which included work load, administrative work and academic and competency based requirements, was also deemed stressful. In terms of personal stress, interns reported family and friends to be a source of stress at times. Personality also contributed to the interns levels of stress. Socio-cultural factors which impacted on the interns experience of stress in relation to consultation with non-fatal suicidal clients included, language difficulties and cultural differences. Recommendations: The internship was generally described as stressful. Recommendations included more practical experience and training prior to the commencement of the internship. This will equip interns with the skills and abilities necessary in successfully assessing and managing high risk clients. Organisational and professional factors can also be modified and include support as well as an understanding of the policies and procedures of the institution in which the internship is being done.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

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Akpabio, Alma. "Attitude, perceptions and behaviour towards family planning amongst women attending PMTCT services at Oshakati Intermediate Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9300_1362391815.

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Background: About 22.4 million people were living with HIV/AIDS in 2008 out of which women constitute approximately 57%. Namibia is one of the highly affected countries with a national HIV prevalence of 17.8% among women attending antenatal clinics. Antiretroviral medications have become available in Namibia since 2002 and presently all district hospitals and some health centres provide ARVs to those in need. Namibia is rated as one of the few countries in sub-Sahara Africa with a high coverage of ART, with 80% of those in need of ART receiving the treatment. An increasing trend has been observed whereby HIV+ women on ARV are becoming pregnant. Little is known about the attitude, knowledge and behavior of these women towards family planning and use of contraceptives and what barriers they may be facing in accessing these services.Aim: To determine the factors affecting the utilization of family planning services by HIV+ pregnant women receiving PMTCT services. Methodology: The study was a cross sectional study using both quantitative and qualitative methods to assess the critical elements of knowledge, attitude and perceptions of the study participants towards family planning services. The study also assessed the health system and other factors that impact on the use of contraceptives by HIV+ women. It was conducted in northern Namibia at Oshakati Health centre among randomly selected pregnant HIV+ women attending for PMTCT services.Results: Among the 113 respondents, who participated in the study, 97.3% knew at least one method of family planning but only 53.6% actually used any method of contraception prior to current pregnancy. Among the 46.4% who did not use any contraception, the reasons often cited for non-use were because they wanted a baby (52%), spouse objection (10%), being afraid of the effects (14%) and other reasons such as belief, culture and distance to travel to the health facility. 88% of the respondents indicated a willingness to use contraceptives after current pregnancy and expressed general satisfaction with services at the health centre while asking for more information on family planning services.Conclusion: HIV+ women have high awareness on some contraceptives but use of contraceptives is not as high as many of them have a desire to have children for self esteem and leave a legacy for the future. Knowledge of the risks of pregnancy on HIV+ woman may be limited and there is a need to improve educational intervention in this regard as well as integrate family planning services into all HIV/AIDS services.

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Keränen, A. M. (Anna-Maria). "Lifestyle interventions in treatment of obese adults:eating behaviour and other factors affecting weight loss and maintenance." Doctoral thesis, Oulun yliopisto, 2011. http://urn.fi/urn:isbn:9789514294457.

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Abstract The prevalence of working-aged weight losers is high because of high prevalence of obesity. Unfortunately, the loss of weight is often temporary. The aim of the present study was to investigate the effect of intensive counselling on maintained weight loss and eating behaviour (cognitive restraint, emotional eating, uncontrolled eating and binge eating). Additionally, the associations of eating behaviour with maintained weight loss, discontinuation, dietary intake and anhedonia were studied. Eighty-two overweight or obese subjects (body mass index >27) participated in either intensive (n=35) or short-term (n=47) weight loss counselling (based on the Finnish Current Care guidelines) in a randomized weight loss follow-up study lasting 18 months. The subjects in the intensive counselling group lost more weight than those in the short-term counselling group at the 6 months follow-up (5.0±5.7kg, 2.4±2.5kg, respectively). The weight loss results were not maintained in either of the groups. The cognitive restraint increased and the emotional eating, uncontrolled eating and binge eating symptoms decreased in both groups. There were subjects in both counselling groups who succeeded in weight loss (weight loss result 9.3±6.3%) and those who failed (gained 3.3±1.7% of body weight). Those who succeeded had the highest score for cognitive restraint and lowest for uncontrolled eating, binge eating and emotional eating. In failure group, the scores for uncontrolled eating and binge eating were the highest already at the beginning of study. Those with the highest cognitive restraint at 18 months reported low intake of energy and fat while their intake of carbohydrates and fibre was high. Anhedonia existed in 24.4% of the participants at least once during the study period. They had higher binge eating scores continously, more uncontrolled eating and emotional eating at 6 months and they lost less weight than those without anhedonia. Thirty-two participants (39%) discontinued the study. Discontinuation was independently associated with a lack of free-time and a high weight loss goal. The association of eating behaviour with weight loss and dietary intake suggest that enhancing eating behaviour could be a target for improving the success of weight loss. The assessment and then the treatment of psychological factors (such as anhedonia), focus on setting realistic weight loss targets as well as emphasizing the fact that counselling visits and lifestyle changes are time consuming processes should be included in weight loss counselling
Tiivistelmä Lihavuuden lisääntyessä myös työikäisten laihduttajien määrä kasvaa. Laihdutustulos jää valitettavan usein väliaikaiseksi. Tämän työn tavoitteena oli tutkia tehostetun ohjauksen vaikutusta laihtumistulokseen ja syömiskäyttäytymiseen (tietoinen syömisen hillintä, tunnesyöminen, impulsiivinen syöminen ja ahmimistaipumus). Lisäksi tutkittiin syömiskäyttäymisen yhteyksiä laihtumistulokseen, tutkimuksen keskeyttämiseen, energiaravintoaineiden saantiin sekä anhedoniaan. Tutkimukseen osallistui 82 ylipainoista tai lihavaa henkilöä (painoindeksi >27kg/m2). Heidät satunnaistettiin kahteen tutkimusryhmään: tehostetun ohjauksen (n=35) ja lyhytohjauksen ryhmään (n=47). Ohjaus perustui aikuisten lihavuuden Käypä hoito -suositukseen. Tutkimuksen kesto ohjaus- ja seurantajakson kanssa oli 18 kuukautta. Tehostetun ohjauksen ryhmässä henkilöt laihtuivat ensimmäisen kuuden kuukauden aikana enemmän kuin lyhytohjausryhmässä (5.0±5.7kg ja 2.4±2.5kg). Laihtumistulos ei kuitenkaan ollut pysyvä. Syömiskäyttäytymisessä tapahtui pysyvä muutos kummassakin tutkimusryhmässä; tietoinen hillintä lisääntyi, ja samanaikaisesti tunnesyöminen, impulsiivinen syöminen ja ahmiminen vähenivät. Kummassakin ryhmässä oli laihtumisessa onnistuneita (laihtumistulos 9.3±6.3 %) sekä epäonnistuneita (paino nousi 3.3±1.7 %). Onnistujilla esiintyi enemmän tietoista syömisen hillintää ja samanaikaisesti vähiten tunnesyömistä, impulsiivistä syömistä ja ahmimistaipumusta. Epäonnistujat söivät jo alkutilanteessa impulsiivivisemmin, ja heillä oli enemmän ahmimistaipumusta kuin onnistujilla. Henkilöt, joilla oli korkein tietoinen syömisen hillintä, saivat vähiten energiaa ja rasvaa mutta eniten hiilihydraatteja ja kuitua. Anhedoniaa esiintyi 24.4 %:lla tutkituista ainakin kerran tutkimuksen kuluessa. Anhedoniaan yhdistyi myös muita korkeammat ahmimistaipumuspisteet koko tutkimuksen ajan, eniten impulsiivista syömistä ja tunnesyömistä kuuden kuukauden seurannassa ja vähäisempi laihtuminen kuin henkilöillä, joilla ei esiintynyt anhedoniaa. Tutkimuksen keskeytti 39 % mukaan lähteneistä. Keskeyttämisen itsenäisiä riskitekjöitä olivat vapaa-ajan puute ja suuri laihtumistavoite. Syömiskäyttäytymisen yhteys sekä laihtumiseen että energiaravintoaineiden saantiin osoittaa, että syömiskäyttäytymisen ohjaus tulisi olla keskeinen osa laihdutusohjausta. Myös ahedonian arviointi ja hoito sekä keskustelu realistisesta painotavoiteesta ja elämäntilanteen kuorimittavuudesta voisivat tehostaa laihdutuksen onnistumista

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Sikasote, Janet Precious Banda. "Effect of voluntary counselling and testing and a negative HIV result on risk behaviour : a qualitative longitudinal study in a Zambian mining community." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4441.

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Background: Countries in sub-Saharan Africa are scaling up access to Voluntary Counselling and Testing (VCT) services as a strategy for HIV prevention, treatment, care and support. The international and national push to achieve targets for anti-retroviral therapy scale up has emphasised VCT as an entry point to treatment, with follow-up mostly directed at those who test positive. Yet over 60% of those testing are HIV negative. Limited understanding of how HIV voluntary counselling and testing, and receipt of a negative result impact on sexual behaviour has resulted in underdeveloped support for those testing HIV negative. Aims: To gain the perspective of those who have tested HIV-negative on the following: (1) the decision making process that precedes attendance for voluntary counselling and testing; (2) how voluntary counselling and a negative test result influence sexual behavioural intentions and reported subsequent behaviour; and (3) support systems and networks that would enhance the respondent’s ability to remain HIV negative. Method: Qualitative longitudinal study utilising semi-structured interviews, six months apart, with people who have tested negative and three one-off focus group discussions with counsellors. Participants were purposively sampled from VCT centres in two mining towns in Zambia. Interviews were digitally recorded, transcribed verbatim and analysed thematically with the aid of the qualitative data analysis software, Nvivo7. Cross-sectional analysis of all data sets was conducted and paired transcripts were analysed longitudinally to assess change over time. Results: Forty-two HIV-negative people were interviewed, with thirty-one returning for the follow-up interview (74% return rate). VCT was perceived as ‚testing for HIV‛. Before attending VCT most participants had gone through a protracted period of angst, resulting in a resolution to reduce number of partners, use condoms or abstain from sex. Counselling affirmed life choices, rather than initiating them. Although perception of the risk of HIV increased, misconceptions about HIV transmission persisted post-counselling. The negative test result provided impetus and resolve to implement or maintain life change. Themes identified were: (1) recognising personal susceptibility to HIV infection; (2) emotional and cognitive engagement with the problem of testing; (3) a driving need to know status (regardless of test result); and (4) empowerment and being in control providing the ability to plan for the future. Analysis of post-test support needs revealed two further themes: (1) reinforcement of behaviour change through additional knowledge, supportive networks, and life-skills training; and (2) access to recreational activities. There was no reported post-test increase in unsafe sexual behaviour among those that returned for the follow-up interview. Focus group findings reinforced those from interviews. Conclusions: This study has shown that in this population of people who tested HIV-negative: 1. the majority made life changes before attending VCT and used VCT to know their status 2. counselling consolidated pre-test decisions about risk behaviour and testing provided motivation to adopt safer behaviour and to maintain previous low- or no-risk behaviour and 3. there is a felt need for post-testing recreational activities, further HIV/AIDS education and participation in HIV prevention activities. Recommendations include: (1) the promotion of community-based interactive one-to-one and group information, education and communication (IEC) (to aid understanding and progression to the point where testing appears to be of optimum benefit) ; (2) referral to post-test support options such as support groups and inclusion on a text messaging list should be made available; and (3) post-test intervention strategies, for example, provision of result-specific IEC materials and active involvement in prevention activities should be developed and evaluated.

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Namale, Phiona Enid. "Effect of counselling and condom provision on sexual behaviour of heterosexual HIV discordant couples as part of an HIV prevention trial South Africa." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11368.

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Includes abstract.
Includes bibliographical references.
South Africa as a country has a high HIV prevalence. Due to the fact that HIV transmission is predominantly heterosexual, HIV discordant couples are a high risk group for HIV. A number of HIV prevention interventions have been targeted at HIV discordant couples including HIV testing and counselling. An HIV prevention trial assessing the efficacy of daily acyclovir on HIV transmission among heterosexual HIV discordant couples was undertaken in South Africa. We conducted a before and after study with the aim of evaluating the effect of HIV counselling and condom provision on sexual behaviour of the heterosexual HIV discordant couples enrolled in this prevention trial.

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Godfrey, Emma Louise. "Treating chronic fatigue in primary care : a trial of cognitive behaviour therapy versus counselling and an investigation of the 'active ingredients' of successful therapy." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411494.

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Mohaleni, Mamabolo Promise. "Pre-and post-HIV diagnosis help-seeking behaviour by patients receiving antiretroviral treatment at Witbank Hospital in Mpumalanga Province." Thesis, University of Limpopo (Turfloop Campus), 2013. http://hdl.handle.net/10386/1049.

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Thesis (M.A. (Clinical Psychology)) --University of Limpopo, 2013
Studies have indicated that help-seeking behaviour of people living with HIV is not predictable and linear and may entail the utilization of western medicine, traditional medicine and/or complementary medicine. The aim of this study was to explore pre- and post- HIV diagnosis help-seeking behaviour by patients receiving antiretroviral treatment at Witbank Hospital in Mpumalanga Province (South Africa).A qualitative, descriptive phenomenological approach was utilized in the study. Ten participants (male = 5; female = 5, and aged between 30 and 50 years)diagnosed with HIV and who came to the hospital to collect their treatment and for medical review were interviewed using semi-structured interviews. Interpretive analysis method was used to analyse the data. The results suggest the preference for western medicine pre-and post-HIV diagnosis. The results further suggest that help-seeking behaviour is a dynamic process embedded mainly in the conceptualization of the health problem, perception of its severity, the treatment given, and social support experienced.

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Sahel, Rashed Ali. "Group counselling/therapy as a technique to modify the undesirable school behaviour (school phobia) of children at elementary school level in the State of Kuwait." Thesis, Bangor University, 1989. https://research.bangor.ac.uk/portal/en/theses/group-counsellingtherapy-as-a-technique-to-modify-the-undesirable-school-behaviour-school-phobia-of-children-at-elementary-school-level-in-the-state-of-kuwait(d7c8bc44-31c7-46af-afa8-25a5d27f773a).html.

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School phobia is seen as one of the most common problems amongst children at elementary school. It affects children's behaviour, feelings and attitudes towards school. Children suffering from a school phobic problem usually show negative feelings and behaviour against school. School phobic children avoid attending school. They tend to use different techniques every morning in order to gain their parents' support for not attending school. These children feel that something frightening will happen to them if they attend school, but actually there is no basis for their feelings. This research attempted to introduce Rogerian group counselling in treatment of the problem of school phobia. The sample comprised 76 school phobic children. They were divided randomly into two groups: an experimental group in which there were 37 school phobic children, and a control group in which there were 39 school phobic children. The experimental group children experienced 14 counselling sessions. There were three main aims of this research. First, to assess the use of Rogerian group counselling with young children who suffered from school phobia. This study tried to investigate whether or not Rogerian group counselling can help elementary school children to eliminate their undesirable behaviours. The second goal of this study was to examine the relationship between school phobia and children's school achievement and absence. Thirdly, the research attempted to examine children's ability to take responsibility for their own behaviour and their ability to make their own decisions for self-direction. The results of this study showed that the majority of school phobic children who joined the experimental group improved their school achievement and decreased their absences from school. In addition, such children developed their skills and abilities in school (e. g. taking responsibility and participating in school activities). The results revealed that the group counselling technique was a suitable method for school phobic children in reducing their school phobia problem and related undesirable behaviours in school (e.g. absence, poor social relationship).

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Gustafsson, Tilde, and Paulina Eriksdotter. "Clients’ and counsellors’ experiences with HIV - A Ugandan example." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26140.

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Uppsatsen baseras på en åtta veckor lång fältstudie i Jinja, Uganda och behandlar socialt arbete med fokus på HIV-rådgivning. Syftet är att beskriva HIV- rådgivning och hur det utförs. Detta genom frågeställningar om interaktionens natur mellan klient och rådgivare utifrån en ugandisk kontext, vad respektive parter har för upplevelser av rådgivning samt vilka utmaningar som kan identifieras gällande såväl HIV- prevention som HIV- rådgivning. Studien är kvalitativ och den insamlade empirin består av semistrukturerade intervjuer med sammanlagt nio informanter, varav fyra är eller har varit aktiva rådgivare, fyra är HIV- positiva klienter som får rådgivning och en är aktiv både som rådgivare och som klient. Vi har valt att spegla vår empiri mot teorier om stigma, sexuella skript och pastoralmakt. Ur resultatdelen har det mellan klienter och rådgivare framträtt en bild som visar på en samstämmighet såväl som diskrepans gällande relationens natur och innehåll såväl som utmaningar kopplat till HIV- rådgivning och preventionsarbete. Relationen bygger på vänskap såväl som professionalism och det tycks finnas en förväntan på rådgivaren som räddare som understöds av såväl klienterna som rådgivarna själva. Det framkommer att stigma fortfarande framträder kopplat till HIV, men i mindre utsträckning än förut och i högre utsträckning bland män och barn än bland kvinnor. Sedan ARV, bromsmediciner, kommit HIV- smittade till del, talar de klienter vi intervjuat om hur HIV numera inte behöver ses som värre än vilken annan sjukdom som helst, vilket rådgivarna menar på också är en risk, då minskad respekt för sjukdomen också kan leda till ett ökat riskbeteende. I de rådgivande samtalen låg fokus på beteendeförändringar baserade på ett hälsofrämjande tänkande och handlande, så kallat positive living. Vidare framgår att religionens framträdande roll i det ugandiska samhället även tar sin plats genom ord eller handling i mötet mellan rådgivare och klient.
This study is based on a minor field study that took place during eight weeks in Jinja, Uganda. It discusses the aspect of social work in HIV counselling, with the object to describe HIV counselling and how it is conducted. The study attempts to answer questions about the nature of the interaction between the client and the counsellor from a Ugandan context, what experiences that lies between them, as well as what challenges can be identified when it comes to HIV prevention as well as HIV counselling. The study’s research strategy has a qualitative approach and the collected data is derived from semi-structural interviews with four HIV positive women who receive counselling, four counsellors and one woman who is both a client and a counsellor. We have chosen to understand our empirical findings through theories of stigma, sexual scripts and pastoral power. From our findings, we were able to conclude that there is consensus as well as discrepancies between the clients’ and the counsellors’ perceptions of their relationship, the counselling content as well as the challenges that is connected with HIV counselling. The relationship is the result of an intertwining of friendship and professionalism and there seem to be an expectation on the counsellor as a savior, which is supported by both clients and counsellors. It appears that stigma still appears in relation to HIV, but to a lesser extent than before and more so among men and children than among women. Since the introduction of ARV’s, many of our interviewed clients seem to view HIV as any other disease, which is regarded as something of a risk by many of our interviewed counsellors, as it may lead to increased risky behavior when it comes to HIV transmission. In the counselling session, the focus seems to be on behavioral change through the concept of positive living, which revolves around the idea of physical and mental well-being. Furthermore, religion has a great impact on the Ugandan society, which can be seen in the words and actions in the meeting between counsellor and client.

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Haarhoff, Beverly Ann. ""The map, the navigator, and the explorer": evaluating the content and quality of CBT case conceptualization and the role of self-practice/self-reflection as a training intervention : a thesis presented in partial fulfillment of the requirements of the Doctor of Philosophy in Psychology at Massey University, Albany, New Zealand." Massey University, 2008. http://hdl.handle.net/10179/1077.

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Cognitive Behaviour Therapy (CBT) leads the way as an evidenced based psychotherapy, and the evaluation of CBT training programs is increasingly seen as important if this position is to be maintained. In this dissertation, CBT case conceptualization, as a core psychotherapeutic competency, acquired in training, is evaluated. Case conceptualization, integrates precipitating, predisposing, maintaining, and protective factors, functioning as an explanatory and prescriptive roadmap for therapy. Gaining self-knowledge through exposure to some form of personal therapy is cited as important in gaining psychotherapeutic competency. Self-practice/ self-reflection, show promise as a form of personal therapy compatible with the principles of CBT. This study evaluates the content and quality of CBT case conceptualizations produced by a sample of 26 participants who have completed the Massey University Post Graduate Diploma, using three case conceptualization rating scales. In addition, the impact of a self-practice/self-reflection manualised training intervention designed to improve the quality of case conceptualization in trainee cognitive behaviour therapists, is explored using thematic analysis. The evaluation of the CBT conceptualizations showed predisposing factors and psychological mechanisms as receiving the most attention from participants. However, the majority of participants failed to pay attention to socio-cultural, biological, protective factors and factors pertaining to the therapeutic relationship. The majority of the participants were able to produce a 'good enough' CBT case conceptualization, however the ‘problem list’ was not well developed, and the conceptually relevant aspects of the therapeutic relationship and protective factors were given less attention. The effect of a self-practice/self-reflection training intervention on the quality of CBT case conceptualizations produced by the intervention group (n = 16) drawn from the main participant sample, was qualitatively evaluated using thematic analysis. Theoretical understanding of the model, self awareness, empathy, conceptualization of the therapeutic relationship, adaptation of clinical interventions, and clinical practice were all subjectively perceived by participants to have increased as a result of the intervention. An inferential analysis compared the performance of the intervention group (n=16) that of a comparison group (n=10), made up of the remainder of the larger sample described in the context of the first question. The comparison group had not been exposed to the manualised intervention. The comparison was both within, and between the two groups. The quality of the intervention group showed an improvement on one of the rating scales, indicating a possible link between the training intervention and case conceptualization competency, however, the improvement was not replicated by the other two rating scales. The findings are discussed in the context of improving CBT training with regard to case conceptualization.

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Stevens, C. P. "The influence of staff' attitudes and behaviour on the generalisation of skills by severely mentally handicapped children : Implications for the training and counselling of parents and staff." Thesis, University of Reading, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370856.

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Tedenljung, Edit, and Hellström Ingrid Olofsson. "En intervjustudie om betydelsefulla faktorer för ordinerad fysisk aktivitet." Thesis, Mälardalen University, School of Health, Care and Social Welfare, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-819.

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Bakgrund: Varje individ rekommenderas att ägna sig åt någon form av fysisk aktivitet minst en halvtimme varje dag. Ett nytt arbetssätt är att skriva ut fysisk aktivitet på recept och en arbetsform för utskrivning kallas ordinerad fysisk aktivitet (OFA). Patientföljsamheten ökar genom personlig kommunikation mellan vårdgivare och patient, vårdpersonalens initiativ att kontakta patienten och patientens möjlighet till att aktivt deltaga i sin sjukdomsbehandling. Individens sjukdom eller skada, sociala intresse, personliga uppfattningar och omgivningens tillgänglighet för träning har betydelse för fysisk aktivitet enligt tidigare forskning.

Syfte: Studiens syfte var att studera vilka faktorer som möjliggjorde för personer som har fått OFA i Västmanland att följa sin ordination.

Metod: Studien var en kvalitativ intervjustudie med explorativ design. Kvalitativ innehållsanalys användes för bearbetning av intervjuerna.

Resultat och slutsats: Personalens betydelse för illtro till egen förmåga att träna framträder som ett centralt tema i informanternas berättelse enligt författarnas tolkning. Temat uttrycks i olika koder, underkategorier och kategorier. Fysiska faktorer som är betydelsefulla är kroppen och hälsan. Psykologiska faktorer är individens organisatoriska förmåga, tankar, känslor och erfarenheter samt personliga förhållningssätt. Närstående, personalen och deras insatser samt den fysiska miljön är betydelsefulla omgivningsfaktorer. Den sociala gemenskapen med familj och träningskamrater beskrivs också som betydelsefulla för att komma igång med OFA.

Background: Every individual are recommended to spend at least thirty minutes per day with some form of physical activity. Writing prescription of physical activity is a new approach and one form of prescription is called prescribed physical activity (OFA). Patient compliance increases through personal communication between health care professionals and patients, initiative from health care professionals and patients’ possibility to take active part in their own treatment. A person’s injury or illness, social interest, personal preferences and exercise possibilities in the environment has importance for physical activity according to previous research.

Purpose: The aim was to study what factors that made it possible for persons that have been prescribed physical activity (OFA) in Västmanland to follow their prescription.

Method: The study was a qualitative interview study with explorative design. Qualitative content analysis was used for analysing the interviews.

Results and Conclusion: Personnel’s importance for confidence in the ability to exercise appears as a central theme in the informants’ statement according to the authors’ interpretation. The theme is expressed in different codes, subcategories and categories. Important physical factors are body and health. Psychological factors are a person’s organizational ability, thoughts, feelings and experiences as well as personal adaptive attitude. Family, personnel and their contribution and the physical surroundings are important environmental factors. The social fellowship with family and exercise partners is also described as important in order to get started with OFA.

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Günther, Julia Katharina [Verfasser], Johann J. [Akademischer Betreuer] Hauner, Johann J. [Gutachter] Hauner, and Regina [Gutachter] Ensenauer. "Effects of lifestyle counselling in the antenatal routine care setting on dietary behaviour and maternal and offspring weight development / Julia Katharina Günther ; Gutachter: Johann J. Hauner, Regina Ensenauer ; Betreuer: Johann J. Hauner." München : Universitätsbibliothek der TU München, 2020. http://d-nb.info/1216626219/34.

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Mahoney, Janine, and N/A. "A cognitive-behavioural therapeutic approach to anger management in adolescent males." University of Canberra. Education, 1993. http://erl.canberra.edu.au./public/adt-AUC20050816.090756.

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The present investigation evaluated the efficacy of a Cognitive-Behavioural Therapeutic Approach for the anger management of three adolescent males. The study is noteworthy because it utilised essential features of Beck's Cognitive Therapy in the cognitive restructuring phase of treatment. Previous studies have commonly employed Rational Emotive Therapy's disputation of irrational beliefs for this phase. For this reason it is considered to be an original contribution to the literature. A multiple (three) single-case study research design was employed. The three adolescents, aged 13 to 17 years, attended seven to nine one-hour counselling sessions over a two to three month period. Pre-, post-treatment and long-term followup psychometric measures of aggression and anecdotal reports of anger-control were obtained from parents and teachers. Self-reports in the affective and cognitive domain, progress in therapy, psychometric measures (aggressive behaviour subscale of the Child Behaviour Checklist, Adapted Novaco Anger Inventory and Piers-Harris Children's Self-Concept Scale) and continuous (including pre-, post-treatment and long-term follow-up) assessments of the frequency of angry outbursts were obtained. Counsellor assessments of cognitive homework and behaviour in therapy were also made. Results reveal marked reductions in the average daily frequencies of angry outbursts in all cases by post-treatment and treatment effects were maintained throughout the three-month follow-up period. It was concluded that the cognitive-behavioural therapeutic approach warrants further investigation as it is proposed that it is a comprehensive and efficacious treatment for male adolescent anger problems.

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Ingemarsson, Charlotta, and Jonathan Hellgren. "I chatten kan ingen höra mig skrika : En litteraturstudie om aspekter som påverkar ungdomars hjälpsökande via internetbaserad stödchatt." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för socialt arbete, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49400.

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Råd och stöd via internetbaserad stödchatt har blivit en kontaktväg för ungdomar som vill söka hjälp. Tjänsten innebär att ungdomarna från mobil och dator kan skriva med professionella eller volontärer som ger dem stöd och råd kring olika problem. Denna studie ämnar ge en översikt av forskningsläget de senaste tio åren kring varför ungdomar, 13 – 25 år, väljer att använda sig av internetbaserad stödchatt. Genom en litteraturstudie har 13 artiklar mött kriterierna för att inkluderas i översikten. Tre stycken teman identifierades i resultatet. 1) Användaren som rör vilken typ av person, vilken typ av problem och attityder användaren har, 2) Anonymitet och Kontroll och 3) Svararen som handlar om rollen som svararen har. De tre teman ger en översikt på forskningsläget och visar att användarna har en annan typ av problem och att det finns andra aspekter av makt och kontroll än i ett fysiskt möte.
Counselling through online chat has become a source of contact for youths who wants to seek help. Through the service youths can from their cell phones and computer chat with professionals and peers who can give them support to various problems. This study wants to give an overview on the research on the subject made the last ten years on why youths, 13 – 25 years, choose to use counselling through online chat. With a literature review 13 studies matched the inclusion criteria. Three themes were identified in the result. 1) The user, which revolves around what kind of person, problem and attitudes the user has, 2) Anonymity and control and 3) The Answerer, which revolves around the answerer's role. The three themes give an overview on the current research and shows that the users have a different kind of problems and that there are different dimensions of control compared to a physical session.

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Greenridge, Sonia. "An analysis of Christians constructions of counselling and councellor seeking behaviours." Thesis, University of East London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536616.

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Research has shown that many Christians' hold a preference for seeking help from other Christian people, and counselling specifically with counsellors who are Christian when experiencing psychological distress. The current study aimed to broaden understanding of how Christian clients' constructions of help seeking and counselling affected their constructed experiences of seeking and working with counsellors who are Christian. Semi structured interviews were conducted with six Christian participants followed by a thematic analysis and a discourse analysis of the transcripts produced. The four main themes and three discourses are presented. The analysis demonstrated the importance of God and faith culture for Christian clients and how this significantly affected their help seeking and counselling constructions. It also offered insights in regards to power issues that are present between Christian clients and their counsellors. Gaining a broader understanding of how Christian clients' constructions of counselling affected their constructed experiences of help seeking was important to identify ways of increasing access to psychological therapies to increase the number of Christian clients that gain access to counselling, as well as increasing the efficacy of counselling experiences for this sociocultural group. This provided implications for practice which highlight the importance of counsellors deepening their understandings of clients' religiosity and individual expectations and preferences during their counselling experiences.

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Westwood, Caroline Ann. "Counselling children with behavior problems in a specialized social learning classroom." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/31219.

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In order to measure counselling effectiveness on three male primary school-aged children with behavior problems, an interrupted time-series analysis was done on each child's daily classroom behavior scores for a time period of three months. Three experimental subjects received 20 bi-weekly individual counselling sessions, while three primary-aged control male subjects (ages 7 and 8) from the same social learning classroom received no counselling intervention. The experimental subjects showed significant gradual increases in daily behavior point scores. This result indicated they made significant gains in displaying more appropriate school behaviors while the control subjects did not. Pre and post scores on the Piers-Harris Children's Self-Concept Scale (1969) and the Joseph Pre-School and Primary Self-Concept Screening Test (1979) indicated that the experimental subjects' self-concept scores decreased after three months of counselling; while the control subjects' self-concept scores slightly increased. Explanations for these results are discussed.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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關愛媚 and Oi-mai Maggie Kwan. "Perception of counselling service and help-seeked behavior of college students." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31249449.

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Kwan, Oi-mai Maggie. "Perception of counselling service and help-seeked behavior of college students /." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13744513.

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34

Glasheen, Kevin John. "Can synchronous online counselling increase uptake of counselling services in secondary schools and what can promote or inhibit implementation?" Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/79629/1/Kevin_Glasheen_Thesis.pdf.

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This research showed that online counselling has the potential to increase the help-seeking of secondary school students - especially those who suffer from high levels of psychological distress. An investigation of why school counsellors are currently reluctant to provide an online counselling service identified a number of barriers to implementing such a potentially vital service. Response to focus groups and surveys completed by students and school counsellors indicated that more distressed students prefer to use online counselling and they would use it for sensitive topics. School counsellors remain concerned about effectiveness, ethical, legal and privacy issues as well as potential misuse of the service. Recommendations for implementation are made.

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Hill, Mary. "Attachment and mentalizing in counselling psychologists and psychotherapists : an exploration using self-report, behavioural and eye-tracking measures." Thesis, University of Roehampton, 2013. https://pure.roehampton.ac.uk/portal/en/studentthesis/attachment-and-mentalizing-in-counselling-psychologists-and-psychotherapists(f5989e32-78b0-4d1a-883f-94167af2e588).html.

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In recent years, the psychotherapeutic world has become increasingly interested in the characteristics of the relationship between client and therapist. Two key influences on this relationship are the therapist’s ability to mentalize and the therapist’s attachment style (or the degree to which they are securely or insecurely attached). The main aim of this study was to evaluate mentalizing abilities and attachment orientation in therapists, but in particular to explore the relationship between the two. A group of 20 therapists and a matched group of 21 nontherapists undertook a battery of self-report, behavioural and eye-tracking mentalising tasks, and a self-report attachment questionnaire. Mentalizing tasks were designed to measure various aspects of mentalizing including not only mental state comprehension but also the proclivity to use mentalizing skills. In terms of group differences, therapists showed a greater proclivity to use elaborative mental state language and a greater focus on social cues when visually scanning the same situations. Therapists also demonstrated a self-reported higher level of affective and cognitive empathic ability than non-therapists. However, in behavioural terms, therapists did not evidence a significantly enhanced ability in traditional Theory of Mind tasks, emotion understanding, or visual perspective taking tasks. Thus, therapists generally exhibited a greater tendency to process some but not all aspects of social and emotional information more thoroughly. The influence of attachment orientation on the mentalizing skills of both the therapist and the non-therapist group was complex. Non-therapists tended to behave according to the expectations of previous attachment related research. For example, attachment anxiety was associated with poorer perspective taking and a preoccupation with the use of mental state words. Avoidant attachment correlated with a significant reduction in the first-fix looking time at social information. In the therapist group however, only two significant associations between attachment and mentalization were seen: avoidance and the proclivity to use mentalization skills as measured by the use of elaborative mental state language, and avoidance and self-reported empathy. No other significant influences of attachment on therapist mentalization appeared to exist. Thus, therapists who reported an insecure attachment orientation still generally managed to behave as though they were more secure. Some suggestions are made as to the underlying reasons for this phenomenon, and the clinical implications are discussed.

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Lawrence, Michelle. "Exploring attitudes of University students towards seeking psychological counselling." Thesis, University of the Western Cape, 2009. http://hdl.handle.net/11394/3327.

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Magister Psychologiae - MPsych
Student counselling services, typically located within a holistic developmental approach, aim to render comprehensive student services to service users in relation to their psychological, social,educational and spiritual well-being. However, a number of cognitive and affective barriers reportedly reduce the likelihood of young people at universities seeking professional psychological help for personal-emotional problems. Accordingly, the aim of this study, which is located within the Theory of Reasoned Action, was to explore students’ attitudes towards utilising student counselling services, as well as their interpretations of the influence of age, gender and education on their attitudes and self-rated knowledge regarding seeking psychological help. The study thereby attempts to provide an understanding of the factors that influence help-seeking behaviours in university students. The research sample consisted of twenty nine students from the Cape Peninsula University of Technology. The data was collected through focus group discussions, which were conducted using an open-ended and participantcentred approach to the discussion. The qualitative approach of the study was informed by the theory of social phenomenology. Data gathered from the focus group discussions was thematically analysed. The results suggest that attitudes have a potentially important influence on intentions to seek out psychological counselling. Findings show that students feel shame and guilt when they are struggling psychologically and as a result avoid seeking psychological intervention for fear of being negatively stigmatised. The study revealed that education around mental health disorders and the management thereof was crucial in order for them to be demystified and de-stigmatised, and to facilitate openness in the sharing of these problems, and society’s understanding and acceptance of people experiencing psychological disorders. Results also indicate that there is a shift taking place in these attitudes, and suggest ways in which this change can be further facilitated, such as the utilisation of peer helpers who could play a key role in facilitating and reinforcing help seeking behaviour. The outcomes of the study may further contribute to informing universities’ goal to provide accessible, quality and effective development and support services to its students.

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Collins, Ronan. "'Client choice' : how some CBT therapists construct collaboration : implications for CBT and counselling psychology practice." Thesis, University of Roehampton, 2016. https://pure.roehampton.ac.uk/portal/en/studentthesis/client-choice-how-some-cbt-therapists-construct-collaboration--implications-for-cbt-and-counselling-psychology-practice(db45cd83-20bf-4c12-a917-256c04221ed1).html.

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Collaboration between therapist and client has been put forward as a core element of successful therapeutic encounters. There has been debate as to the nature of collaboration in cognitive behavioural therapy. In the UK this debate has intensified since the introduction of Increasing Access to Psychological Therapies (IAPT) in 2008 as CBT is the favoured therapeutic modality within IAPT. Collaboration in CBT has been conceptualised in dichotomous ways. From one perspective it is constructed in positivistic terms, in which the therapist implements manualised protocols with little consideration for the therapeutic relationship; from the other perspective collaboration is constructed in dialogic terms, in which therapist and client use CBT interventions to consider new meanings that the client deems to be relevant. The current study used a discourse analytic methodology to investigate how CBT therapists construct collaboration in their therapeutic practices. The aim was to explicate interpretive repertories that participants used in the construction of collaboration. Semi-structured interviews were used with 8 CBT therapists. Questions related to the arguments for and against the nature of collaboration in CBT. A client choice interpretive repertoire was used by all participants. It was constructed in various ways in line with either positivistic or dialogic perspectives or elements of both. Individual participants constructed client choice from both perspectives suggesting that the dichotomy in perspectives on collaboration in CBT may not be clear-cut. There is an implication for counselling psychology practitioners to reflect on their use of dichotomous perspectives to conceptualise their professional identities.

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Ranceford-Hadley, Pamela Jane Spurr. "A study of the effects of parent counselling in relation to pre-school children with emotional/behavioural problems." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267739.

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39

Donadone, Juliana Cristina. "Análise de contingências de orientações e auto-orientações em intervenções clínicas comportamentais." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-22022010-101949/.

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Há debates sobre quais são os mecanismos responsáveis por mudanças ocorridas em psicoterapias. Pergunta-se se são as técnicas específicas ou as variáveis da relação terapêutica que propiciam os efeitos da terapia. Também tem sido questionado se mudanças comportamentais produzidas pela terapia são modeladas por contingências da relação terapêutica ou são governadas por novas regras produzidas na terapia. Nas pesquisas sobre emissão de regras (orientação) e autorregras (auto-orientação) anteriores a esta pesquisa não foram encontradas variáveis responsáveis por sua emissão. A determinação da utilização da estratégia de orientação ora parecia ser o cliente, ora o terapeuta, ora nenhum deles, ora o tema abordado, e possivelmente uma complexa combinação destas e de outras variáveis. O estudo detalhado das orientações e auto-orientações de 81 sessões de terapia analítico-comportamental foi realizado nesta pesquisa com o objetivo de verificar quais as variáveis responsáveis pela emissão de orientação e auto-orientação em intervenções clínicas comportamentais. Os resultados indicaram que a maioria dos terapeutas emitiu de 40 a 60 orientações nas nove sessões analisadas. Os clientes dos terapeutas independente da experiência apresentaram poucas auto-orientações. O número de orientações diminuiu para menos da metade quando se contaram apenas orientações com conteúdos e funções diferentes, indicando que os terapeutas tendem a \'repetir\' funcionalmente a orientação. Para as auto-orientações houve diminuição de um quarto ao se contarem aquelas com conteúdo e função diferente. O conjunto de terapeutas emitiu mais orientações para ação específica e genérica; e de forma similar os clientes estes terapeutas emitiram mais auto- orientações para ação específica e auto-orientações para ação genérica. Episódios de orientação/auto-orientação foram identificados nas 81 sessões, ocupando em média um terço das sessões dos terapeutas experientes e um quarto das sessões dos terapeutas pouco experientes. E nesses episódios havia diversos tipos de intervenção do terapeuta além da orientação. Orientações são emitidas de modo geral no seguinte contexto: clientes relatam uma situação vivenciada e algumas intervenções do terapeuta ocorrem. Quando clientes mostram dificuldade em assumir responsabilidade, enfrentar e avaliar seus comportamentos há fornecimento de regras pelo terapeuta. Os clientes na maioria das vezes concordam com as orientações recebidas, em um quarto das ocasiões se opõem a ela e em um sexto recebem novas orientações. Dois terços das auto-orientações foram seguidos de aprovação do terapeuta, mas ocorreram também reprovações. As variáveis intervenientes \"temas\", \"motivação\" e \"escolaridade\" foram consideradas e correlacionadas: existe pouca relação entre tema abordado e presença de orientação/auto-orientação; clientes motivados receberam mais orientações que os desmotivados e resistentes; quanto maior a escolaridade do cliente maior o número de auto-orientações. 10% da amostra foram avaliados por um juiz, com índices de concordância juiz-pesquisador satisfatórios indicando validade externa. Futuras pesquisas devem ser realizadas para correlacionar o uso de regras e os resultados das intervenções clínicas comportamentais.
Mechanisms responsible for changes that occur in psychotherapy are subject to debate. The question is whether specific techniques or variables of the therapeutic relationship promote the effects of the therapy. Another question is whether behavioral changesproduced by therapy are shaped by contingencies of the therapeutic relationship or ifthey are governed by new rules produced in therapy. In researches about emission of rules (orientation) and self emitted rules (self-orientation) prior to this research, novariables responsible for their emission were found. The use of the orientation strategy seemed to be determined either by the client, or by the therapist, sometimes by neither, and at times by the theme, and possibly by a complex combination of these and other variables. A detailed study of orientations and self-orientations in 81 sessions of behavior analytic therapy was carried out in this research to ascertain which variables were responsible for the emission of orientation and self-orientation in behavioralclinical interventions. The findings indicated that each therapist issued an average of 40to 60 orientations during their nine sessions. The clients of both experienced and inexperienced therapists presented few self-orientations. The number of orientationsdecreased to less than half when only rules with different contents and functions were counted, indicating that therapists tend to functionally \'repeat\' the rule. The self-orientations decreased one quarter when those with different content and function were considered. The group of therapists issued more orientations for specific and generic action; similarly, the clients of these therapists issued more self-orientations for specific and generic action. Episodes of orientation/self-orientation were identified in the 81 sessions, occupying an average of one third of the sessions of experienced therapists, and one quarter of the sessions of inexperienced therapists. These episodes involved several types of intervention by the therapist besides orientation. Orientations were generally issued within the following context: clients report a situation they have experienced and the therapist makes some interventions. When clients show difficulty in assuming responsibility, facing and evaluating their behavior, the therapist providesrules. Clients usually agree with the rules they receive, but on one quarter of occasions they oppose them and, and in one sixth of occasions they receive new orientations. Two thirds of self-orientations were approved by the therapist, but there were alsodisapprovals. There was little correlation between the theme and the presence of orientation/self-orientation. Motivated clients received more orientation than unmotivated and resistant clients; the higher the client\'s level of education the greaterthe number of self-orientation. Ten percent of the sessions were evaluated by a judge, with satisfactory indices of judge-researcher agreement indicating external validity. Future researches should be conducted to correlate the use of rules and the results of behavioral clinical interventions.

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Pack, Sylvia. "New Zealand counsellors talk about ritual abuse: A discourse analysis." Massey University, 2009. http://hdl.handle.net/10179/1098.

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Research indicates that in the last five decades, claims of Satanic ritual abuse (RA), and the numbers of clients receiving counselling for RA, have increased in all Western countries. This has resulted in an increased corpus of related literature overseas, which includes studies in which facticity as well as aetiology, symptomology and treatment are debated. This present study focuses on a New Zealand context, and examines the talk of New Zealand counsellors in relation to their views regarding RA and the counselling of RA clients. Social constructionist and positivist epistemologies were evaluated in terms of their suitability for this research, and the discourse analytic method developed by Potter and Wetherell (1987) chosen as the means by which participants’ talk might be analysed in such a way as to allow the inclusion of multiple constructions and the emergence of the many discourses and conflicting ideas which occur in overseas literature. A broad selection of the literature was first critically analysed to give an understanding of the topic. Nine counsellors gave interviews, eight women and one man, all Pakeha, six of whom were ACC-registered (Accident Compensation Commission, 2009). The participants constructed RA as a physical reality, which was justified by the use of the credible client discourse. A traditional linguistic repertoire furnished a discourse of government backing, which was employed to warrant voice. A moral stake in counselling, named concern for the client, was shown to be present in all arguments. The participants constructed three truths relative to context: a legal truth, the counsellor’s truth, and the client’s truth. Recovered memories were given a dual construction which legitimised correct and incorrect recall. DSM-IV (American Psychiatric Association, 2000) labelling was debated in a discourse of ambivalence. Finally in a discourse of preparedness, the participants constructed the therapeutic skills needed to treat RA clients. The thesis concludes by highlighting the participants’ comments regarding the need for openness and awareness, and specialised literature and training for counsellors treating RA clients.

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Tang, Qing. "Acceptability of alternative treatments for problematic gambling." Thesis, University of Canterbury. Psychology, 2011. http://hdl.handle.net/10092/5300.

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Background & objective Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) have been the treatment of choice for problem or pathological gambling in the field in Western countries, and their efficacy has been supported by a considerable empirical research. Alternative treatments are little known; and such treatments for minority ethnic populations have been scarce. This study adopted Kazdin‘s procedures for assessing the acceptability of treatments (Kazdin, 1980a, 1980b, 1981) to test alternative treatments of problem or pathological gambling as a part of the broadening of treatment choices. This thesis presented 2009 survey results from counselling service providers in New Zealand on the acceptability of alternative treatments to problem or pathological gambling. The thesis, therefore, reports the responses of counsellors to counselling vignette case examples, not the views of actual clients viewing counselling. Methods The survey pack was distributed to counselling service providers in New Zealand. The survey included descriptions of sixteen vignettes of case examples of counselling treatments. Categories of clients in the vignette case examples included two genders (male, female) and three ethnicities (Pakeha, Maori, and Asian). Four counselling treatment conditions were selected from Solution-Focused Brief Counselling (SFBC), SFBC+Multicultural Counselling (SFBC+MC), Cognitive-Behavioural Therapy (CBT), and Motivational Interviewing (MI). CBT and MI were only administered to Pakeha clients for the purpose of comparison of the alternatives. Two measurements were used. The first a modified Problem Gambling Treatment Evaluation Inventory (TEI) was used to measure the acceptability levels of the alternative treatments for problem or pathological gambling. The Cross-Cultural Counselling Inventory-Revised (CCCI-R) was used for measuring the perceived cross-cultural competency of counsellors depicted in the vignette case examples. Findings Counsellors‘ ratings of the vignette case examples revealed the following findings: Measurement 1: Problem Gambling Treatment Evaluation Inventory (TEI). Overall, 1) The survey results of TEI questionnaires showed significant main effects across the four treatment conditions and the three client ethnicities, and there was no difference according to client genders. 1.1) SFBC+MC and SFBC were slightly more acceptable than CBT, and much more acceptable than MI. 1.2) The TEI scores for Pakeha clients were much higher than for Maori clients, and the scores for the Asian clients were in between. 2) There was a significant interaction effect between the four treatments and the three client ethnicities. 2.1) For Maori clients: SFBC+MC was much more acceptable than SFBC; for Pakeha clients: SFBC+MC was the most acceptable, closely followed by SFBC, CBT, then MI; and for Asian clients: SFBC was more acceptable than SFBC+MC. 2.2) SFBC+MC was most acceptable to Maori clients across all treatments and ethnic groups. 2.3) The variation in acceptability ratings for SFBC was larger than for SFBC+MC in Maori and Asian clients, and less variable in Pakeha. 2.4) Maori clients had the largest mean variation between SFBC and SFBC+MC, and Pakeha clients had the smallest mean variation. Measurement 2: Cross-Cultural Counselling Inventory-Revised (CCCI-R). The survey results of the CCCI-R showed significant main effects across the four treatment conditions and the three ethnicities. 1) The counsellors depicted in the vignette case examples under the SFBC+MC treatment condition were rated with the highest mean competence score and least variability across all the treatments and the ethnicities, the MI treatment condition were rated with the lowest mean score, CBT and SFBC were in between. 2) The counsellors described in the vignette case examples were rated more culturally competent with Pakeha clients and Maori clients than with Asian clients in the vignette case examples, the rating levels for both Pakeha and Maori were similar. 3) The Maori client in the vignette case examples had the largest mean gap between SFBC and SFBC+MC, and Pakeha client in the vignette case examples had the smallest mean gap. Clinical implications The tests of the acceptability of alternative treatment for problem or pathological gambling could provide useful information about 1) whether the above alternatives would be recommended or selected by the counselling service providers in their clinical practice, 2) which treatment would be more/less preferred by which ethnic group, 3) whether it would work or be worth the efforts to introduce or promote the above alternatives to the counselling service providers, 4) what needs to be explored for increasing levels of the acceptability of alternative treatment to problem or pathological gambling, 5) adding training in the techniques to counsellors training programme and curricula. The limitation of this study was discussed and future research was suggested.

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Hauraki, Jennifer. "A model minority?: Chinese youth and mental health services in New Zealand." Thesis, University of Auckland, 2005. http://hdl.handle.net/2292/1876.

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The 'model minority' label given to Chinese populations in New Zealand and other Western countries have made it difficult to truly comprehend the difficulties faced by some Chinese ethnic minorities. Despite comparable rates and types of mental health problems to their European counterparts, identifiable barriers have led to Chinese ethnic minorities underutilising mental health services. The present study investigated the mental health service utilisation in native- and foreign-born Chinese youth in New Zealand, paying particular attention to barriers to service utilisation and viable solutions for these difficulties. It consisted of three individual projects and explored the views of Chinese community and mental health professionals and Chinese university students, comparing their perspectives to university students of other ethnicities. Findings showed that despite a willingness to seek help from their family and mental health professionals (e.g., psychologists, school counsellors), respondents identified a myriad of obstacles to the help seeking of Chinese youth. These included physical barriers (e.g., financial and transport constraints), personal barriers (e.g., stigma, problems accepting their difficulties), service barriers (e.g., paucity of knowledge regarding mental health problems and available services) and family barriers (e.g., obstruction from family members). Family and service barriers distinguished the difficulties faced by Chinese in comparison to European youth, particularly with regards to the adherence of professionals to stereotypes of Chinese youth, a unique finding of this study. In order to reduce such barriers, the Chinese university students and professionals advocated for greater education regarding mental health problems and services in the Chinese community, education for Chinese parents regarding adolescent issues, an increase in the number of practicing Chinese professionals that is coupled with improved cross-cultural training for non-Chinese professionals, as well as individual assessment and treatment approaches with Chinese youth and their families.
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Woodfield, Melanie Joslyn. "Exploring the relationship between family involvement and outcome in residential interventions for children." Thesis, University of Auckland, 2005. http://hdl.handle.net/2292/3193.

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Family participation in residential interventions for children has been reliably shown to enhance children’s adaptation to the community following discharge. This finding, however, had predominantly been observed in long-term residential programmes in North America. This thesis examines the influence of family involvement on outcome for children in a short-term residential intervention - the Children’s Health Camp, in Auckland, New Zealand. This service offers children and families, who may be experiencing social, emotional, physical and/or behavioural challenges, individualised interventions that often include a five-week residential stay. A ‘high family involvement’ condition, a community-based programme that followed a residential intervention, was compared with a ‘low family involvement’ condition (the traditional residential programme). No statistically significant differences were observed between the groups on parent-report measures of child behaviour and parenting practices, although significant improvements in children’s behaviour (including emotional, social and conduct aspects) for both groups were found. Reasons for the lack of difference between the groups, and the difficulties inherent in conducting outcome research in a residential facility for children are highlighted. Other influences on outcome for children and families, such as residential staff members’ attitudes toward family involvement were also examined. The optimal conditions for successful short-term residential interventions for children are proposed.

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44

Bosch, Iréne. "Die spiritualiteitsdimensie by gelowige vroue in 'n mede-afhanklike konteks : 'n pastorale studie / Iréne Bosch." Thesis, North-West University, 2008. http://hdl.handle.net/10394/3634.

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The supreme aim of pastoral counselling is to facilitate the process of spiritual growth, sanctification and spiritual maturity in order for the counselee (in this instance a woman) to fulfil her purpose for which she has been created. For the co-dependent woman believer, dysfunctional and sinful behavioural patterns form a hindrance in this spiritual process. The central theoretical argument of this study is that pastoral counselling can be used effectively to guide women believers who experience co-dependent spiritual and emotional problems, to healing, transformation and spiritual growth. The aim is to determine the effect of co-dependency on the spiritual dimension of the woman believer and to establish pastoral guidelines for her spiritual growth and maturity. With a view to a better understanding of the nature and the extent of co-dependency, this study moved from the context to the text and the first objective was to explore related disciplines before biblical perspectives on co-dependency could be revealed. According to this meta-theoretical research, co-dependency mainly originates from dysfunctional families and entails one or more addictive conditions. These behavioural patterns mostly result in developing a false identity and is characterised by denial, worthlessness, unhealthy boundaries, defective self-assertion and dependence on others for acceptance to the detriment of self. Women believers often incorrectly justify their co-dependent behaviour from Scripture, which is indicative of a distorted understanding of God and possible pathology of belief. The second objective was to establish Scriptural perspectives with regard to co-dependency and subsequent influences on the spiritual dimension of women believers. Co-dependency appears intergenerationally and is rooted in sinful behavioural patterns. According to the Bible this sinful behaviour indicates an independency from God which is part of the effect of the fall of man. The family of David is a good example of the influence of the sin of parents on their children to the third and succeeding generations. For the purpose of this study the co-dependent behaviour of the women descendants of Sara were explored, The results of the empirical study confirmed the basic and meta-theoretical research which established that co-dependency negatively affects the spiritual dimension of women believers. The third objective was attained with the integration of the basic and meta-theoretical information in a hermeneutical way, in order to establish, among others, the following pastoral guidelines for the counselling of co-dependent women believers: - to identify intergenerational co-dependence behavioural patterns, distorted concepts of God and pathology of belief; - to establish healthy boundaries; and - to establish their new identity in Christ Jesus.
Thesis (M.A. (Pastoral))--North-West University, Potchefstroom Campus, 2009.

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45

Mace, Janet-Lee. "An inquiry into the meaning of Guillain-Barré syndrome : a thesis submitted in partial fulfillment of the requirements for the degree of Master of Arts." Massey University, 2001. http://hdl.handle.net/10179/1180.

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Guillain-Barré Syndrome (GBS) is an autoimmune syndrome characterized by a severe and rapid onset of paralysis that ascends without warning. It has an unknown aetiology and is generally unknown by most people, including medical professionals. When a person who has had GBS is asked to speak about their experience, they are likely to talk about aspects of it that are personally meaningful. Their account can be likened to a story in that it collates seemingly unconnected facts, episodes of activity and emotional attributions into a sequence that provides knowledge and understanding. A story is a powerful form for expressing suffering and experiences and so is particularly suitable for the study of trauma and illness. The actual process of creating the story, plus its presentational and organisational forms, provides sources for uncovering the identities authors choose to create and present of themselves. Six people who have had GBS were interviewed about their experience, and their stories were analysed using a narrative inquiry to discern the meanings attributed to GBS from the participants’ own understandings and perspectives. The intended focus of the research was holistic and content based. The result of the narrative inquiry was a plot common to all six narratives. Namely, GBS is an inexplicable condition, during which horrendous things happen, but people do recover with time and it is likely their life view will be changed in the process. Four fundamental issues, identity, meaning, making sense and meaningfulness were drawn from the stories and configured into a narrative of the researcher’s making. What the participants chose to speak about became the meanings, or themes, major and minor, of their stories. No event has meaning in itself, however traumatic events can precipitate crises of meaning. When these crises are viewed within the context of other events, and are perceived to add value to life, then they have meaningfulness. In the telling of meanings and meaningfulness, the purpose for storying and the audience to whom the story is directed are the criteria for which the storylines are chosen. Both the story and the storying provide opportunities for the authors to create and offer images of themselves, that are then open to interpretation by an audience. As a traumatic experience, GBS enabled six people to tell their stories. In doing so they were able to make sense of important issues for themselves, and re-examine the way they saw themselves and the world.

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46

Andrae, Daniela. ""Diabetes? I can live with it" : a qualitative evaluation of a diabetes self-management programme : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University, Palmerston North, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1199.

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Self-management programmes provide one form of education for people with diabetes. Evaluations of these programmes allow for a better understanding in regard to their impact and whether outcomes are met. Very little research has used qualitative methods to capture participants’ experiences of these programmes and their perception of psychological outcomes. This is the first qualitative evaluation of the Type 2 Diabetes Self-Management Programme in Whangarei. It has adopted an interpretative-phenomenological approach to explore participants’ experiences of the programme and participants’ perceptions in regard to their self-efficacy and quality of life after attending a course. A sample of 7 participants with diabetes provided data via interviews 4 weeks and 3 months after attending the course. The themes that emerged from the initial interview were separated into three evaluation components. In “6 weeks sounded very long but it was worth the time”, participants discussed enrolment, benefits of the course and suggestions for future participants. In “I know what I need to do and I’m confident to do it”, participants linked the gained knowledge from the course to improvements in their self-efficacy regarding self-management behaviours, education and control of own life. In “Life is good, diabetes is just another thing to handle”, participants reflected on the impact of living with diabetes and changes to their life. An overarching theme of settling into a comfortable routine emerged from the follow-up interview. Participants reflected positively on their course and research participation. The programme was perceived to be beneficial to participants, impacting positively on increasing knowledge, self-efficacy development, behaviour changes and quality of life. The participants maintained these benefits in the short-term. These results are discussed in terms of the need for further research to evaluate if benefits are maintained in the long-term, referral process to the programme, decision-making process in regard to enrolment and impact of a support person attending the programme. Practice implications for the programme are discussed in regard to incorporating a follow-up phone call to participants after they attended a course and offering follow-up sessions with the latest information on diabetes care.

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Moxon, Alicia M. "The effectiveness of a brief psychoeducational intervention for people with schizophrenia and their families : a dissertation presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University, Palmerston North, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1143.

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In an attempt to replicate and extend previous research, the present study conducted a brief psychoeducational intervention through community organisations designed to overcome methodological shortcomings of past studies. The two session intervention (one session with follow-up phone call) sought to establish if a brief community intervention was effective in both improving family members’ knowledge about schizophrenia and various other indicators linked to improved client functioning. People with schizophrenia and their family members (N = 50) were recruited into a controlled trial of a brief educational intervention. Clients and their corresponding key family members were randomly allocated to a treatment group or a wait-list control group. Measures included those reflecting knowledge about schizophrenia, expressed emotion, perceived coping ability, burden of care and distress. Analyses showed that knowledge increased significantly after the intervention and not after the control condition and was maintained at a nine-month follow-up. Family members’ and clients’ expressed emotion ratings significantly decreased from pre- to post-test with changes in total expressed emotion scores improving across treatment by over twice the magnitude compared to the control condition. All gains were maintained at the nine-month follow-up, with continuing improvement seen in family members’ intrusiveness ratings. A similar pattern of findings was reflected on other indices, with significant improvements in burden of care, coping and distress that were more a function of intervention than the control condition. All gains were maintained at the nine-month follow-up. Additionally, assessment of relapse rates at this follow-up interval indicated that no client had relapsed. Overall the results suggested that although knowledge increased as a result of education, the improvements in all indicators other than knowledge appeared to be due to education combined with some non-specific factors. These non-specific factors may have included expectancy effects, setting effects, sampling bias and other possibilities. These issues are considered in terms of implementation of brief programs in supportive community settings and in terms of future research.

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48

Rifshana, Fathimath. "Outcome evaluation of the Massey University Concussion Clinic: a pilot study : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology at Massey University, Palmerston North, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1165.

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The primary aim of the present study was to evaluate the effectiveness of the intervention provided by Massey University Concussion Clinic for individuals following Mild Traumatic Brain Injury (MTBI). Concussion Clinics were set up across New Zealand to provide early intervention and assessment for individuals with MTBI to prevent long term complaints. Treatment outcomes at these clinics have not been empirically examined before. The current study compared the levels of post concussion symptoms, anxiety, depression, and psychosocial functioning between an intervention and a control group using a quasi-experimental design. In addition, reasons for nonattendance to the clinic, and participants’ perceptions of their recovery were also explored. The main outcome measures used were the Rivermead Postconcussion Symptoms Questionnaire, the Hospital Anxiety and Depression Scale, and the Sydney Psychosocial Reintegration Scale-2. Outcomes were initially assessed soon after injury or referral to the clinic and then three months later. Participants were recruited from the Palmerston North Hospital Emergency Department and the Massey University Concussion Clinic. With 20 participants in the intervention group and 15 in the control group, the main results showed that the Concussion Clinic intervention significantly decreased the level of anxiety and depression reported by participants in the intervention group over the control group. Greater improvements in post concussion symptoms and psychosocial functioning were also indicated in the intervention group. Additional findings suggest difficulty with transportation as a reason for nonattendance, which could be a potential barrier to recovery. Furthermore, participants highlighted the benefits of attending the service and its role in their recovery. Important issues relating to the referral processes were also identified. Findings of the current study suggest that the Concussion Clinic intervention is effective in improving recovery for those accessing the service. Nevertheless, these results must be interpreted with caution due to the small sample size. Further research is warranted to examine the effectiveness of the Concussion Clinics with larger samples, and the current study may serve as a valuable pilot for these future investigations.

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49

Naeck, Ashveena. "Stress factors inside and outside the workplace and their effects on behaviour." Thesis, 2003. http://hdl.handle.net/10413/2326.

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Stress is a condition which causes the body to react in response to a threat or a challenge, and where the outcome is important to the individual. Stress can be both physical and psychological. Physical stress can be the result of having too much to do, and psychological stress can be the result of an emotionally disturbing or devastating event. There are several origins of these causes of stress, and this dissertation has attempted to explore the main and most common ones: the various possible factors (stressors) which can arise from the workplace and factors outside the workplace. Everyone experiences stress differently because of various reasons and reacts differently to stress in face of the same stressor. Stressors produce different stress levels in different people: combined with the external factors of stress (potential stressors) it has been found that how one is affected by that stressor depends on how one perceive this stressor, based on its relative importance to the person and the traits and characteristics of the person e.g. reactions in face of a challenge or threat. As an effect of stress, the one reacts physically, psychologically and behaviourally, and has negative consequences rather than positive consequences, which affect both physical and mental well-being and performance at work. These have serious implications for businesses, especially in this highly competitive and dynamic environment. In a research carried out in, it has been found that there is relatively low incidence of stress the airline industry in Durban but some recommendations for stress management have been made to bring knowledge about the problem and to be proactive in face of an otherwise increasing problem.
Thesis (MBA)-University of Natal, 2003.

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50

Fosu-Ayarkwah, Charles. "Counselling as a critical tool in managing ill-discipline behaviour in colleges of education in Ghana." Thesis, 2020. http://hdl.handle.net/10500/27248.

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Ill-discipline behaviour has become a canker that threatens the moral fibre of institutions. The purpose of this study was to explore how discipline measures and practices were viewed by teacher trainees and college managers alike. Furthermore, to determine what comprehensive counselling approaches were in place to manage ill-discipline behaviour acts in colleges of education in Ghana. A qualitative discourse analysis study design was employed in the study. In all, 25 participants were purposively selected from five colleges of education for the study using a semi-structured interview guide. Data collected was transcribed, coded, categorized and qualitatively analysed under themes that emerged from the analysis using the thematic approach. The study revealed that several illdiscipline behaviour acts exist in colleges of education, with perversion being the most prevailing ill-discipline behaviour act. The study also revealed that tertiarization of colleges is the major cause of ill-discipline behaviour among students in the colleges of education and poor academic performance being the major negative effect of ill-discipline behaviour in the colleges of education. The study recommended that the college council and management should put adequate measures in place to strengthen Guidance and Counselling units in the colleges of education. The study also recommended that college counsellors should be equipped to use appropriate counselling approaches and techniques to counsel students to desist from indulging in ill-discipline behaviour acts.
Educational Management and Leadership
D. Phil. (Education Management)

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