COUNSELLING PT_gk 16/12/09 12:16 Page i WHAT IS COUNSELLING & PSYCHOTHERAPY? COUNSELLING PT_gk 16/12/09 12:16 Page ii 1 2 3 4 5 61 7 8 9 101 2 3 4 5 6 7 8 9 20 1 2 3 4 5 6 7 8 9 30 1 Other books in this series 2 3 Reflective Practice in Counselling and 4 Psychotherapy by Sofie Bager-Charleson ISBN 978 1 84445 360 3 5 Creating the Therapeutic Relationship in 6 Counselling and Psychotherapy by Judith Green ISBN 978 1 84445 463 1 7 8 Counselling and Psychotherapy in Organisational Settings by Ruth Roberts and Judy Moore ISBN 978 1 84445 614 7 9 40 1 2 To order, please contact our distributor: BEBC Distribution, Albion Close, 3 Parkstone, Poole, BH12 3LL. Telephone 0845 230 9000, 4 email: [email protected]. You can also find more 5 information on each of these titles and our other learning resources at 6 www.learningmatters.co.uk 71 COUNSELLING PT_gk 16/12/09 12:16 Page iii WHAT IS COUNSELLING & PSYCHOTHERAPY? Norman Claringbull Series editor: Norman Claringbull COUNSELLING PT_gk 16/12/09 12:16 Page iv 1 2 3 4 5 61 7 8 9 101 2 First published in 2010 by Learning Matters Ltd 3 All rights reserved. No part of this publication may be reproduced, stored in 4 a retrieval system, or transmitted in any form or by any means, electronic, 5 mechanical, photocopying, recording, or otherwise, without prior 6 permission in writing from Learning Matters. 7 © Norman Claringbull 2010 8 British Library Cataloguing in Publication Data A CIP record for this book is available from the British Library. 9 ISBN: 978 1 84445 361 0 20 The right of Norman Claringbull to be identified as the Author of this 1 Work has been asserted by him in accordance with the Copyright, Designs 2 and Patents Act 1988. 3 Cover design by Code 5 Design Associates Project management by Diana Chambers 4 Typeset by Kelly Winter 5 Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall 6 Learning Matters Ltd 7 33 Southernhay East Exeter EX1 1NX 8 Tel: 01392 215560 9 [email protected] www.learningmatters .co.uk 30 1 2 3 4 5 6 7 8 9 40 1 2 3 4 5 6 71 COUNSELLING PT_gk 16/12/09 12:16 Page v Contents Preface and Acknowledgements vii Part 1 Where has counselling & psychotherapy come from? 1 Chapter 1 Counselling & psychotherapy – the opening story 3 Part 2 What do therapists do? 27 Introduction 28 Chapter 2 Repairing people – the tales begin 33 Chapter 3 The psychodynamic story 45 Chapter 4 The cognitive-behavioural story 65 Chapter 5 The humanistic story 86 Chapter 6 Pers onality and therapy – today’s story 105 Part 3 Where do therapists work? 119 Introduction 120 Chapter 7 Working in the commercial sector 123 Chapter 8 Working in the educational sector 137 Chapter 9 Working in the National Health Service 149 Part 4 Where is counselling & psychotherapy going? 165 Chapter 10 Counselling & psychotherapy – the next story 167 References 188 Index 197 v This page intentionally left blank COUNSELLING PT_gk 16/12/09 12:16 Page vii Preface and Acknowledgements It is an exciting time to be a counsellor. It is a great time to be a psycho- therapist. Times they are a-changing and never more so than in the talking therapies. Counselling and psychotherapy in the UK are at a crossroads in terms of their professional and academic development. Nowhere is this more evident than in the intense debate that is taking place about the possible futures of all the ‘talking therapies’. No one attending counselling or psychotherapy seminars or conferences, reading professional journals, or simply talking to therapist colleagues, can fail to be aware of the passion- ately advanced arguments and counter-arguments. Much of the debate is centred on therapist regulation and its likely ongoing impact on practitioner education and professional practice. It feels like the end of an era. Counselling and psychotherapy’s ‘greats’ are being ruthlessly reappraised and its long-accepted orthodoxies are being irreverently challenged. The old certainties of the therapeutic craft are fading and radical changes in therapist training and practice seem inevitable. All of us who are in any way involved in the talking therapies are now being compelled to take a fresh look at our calling and at ourselves. In 1966, Robert Kennedy famously (and erroneously) claimed that a Chinese curse condemns enemies to ‘liv e in interesting times’. It seems more likely that, for all psychological therapists, from trainees to advanced practitioners, our own ‘interesting times’ could prove to be a blessing rather than a curse if we use them to properly shape our professional tomorrow. So, anyone concerned with the talking therapies, at any level, will inevitably be affected by these developments and might even want to contribute towards them. This is especially so in the case of the rapidly emerging, new genre of graduate and postgraduate trainees and practi- tioners who will be at the forefront as personal therapy practice increasingly evolves into being a mainly university-educated profession. It will help the therapy profession’s ‘new thinkers’ to better consider their future if they first critically and reflectively examine their ideas about counselling and psychotherapy’s past (its history). They will then be better placed to examine what counselling and psychotherapy is currently about (its present), and then they can productively explore how counselling and psychotherapy vii COUNSELLING PT_gk 16/12/09 12:16 Page viii PREFACE AND ACKNOWLEDGEMENTS might evolve (its future). Put simply, the overall question is: Therapy – 1 what’s the story there then? 2 3 The story of the personal therapies is, of course, just that. It is a story; it is 4 at best an approximation; it is not a matter of absolute fact. All tales are 5 inevitably dependent on the partialities of their tellers and the preferences 61 of their listeners. Similarly, therapy’s tales are also based on an ever-varying 7 selection of interpreted personal, social and academic histories. Like the 8 process of personal therapy itself, counselling and psychotherapy’s various 9 stories depend on who is doing the telling. Just as therapists try to interpret 101 their clients’ stories and make guesses about their future needs, so too must 2 therapists interpret their own stories about the therapeutic profession and 3 make some guesses about its future directions. Sensible practitioners will 4 evaluate the tales told in this book in the same way, it is hoped, that they 5 evaluate the tales told to them by their trainers, their teachers and their 6 clients. That is to say, to value these stories as essentially being attempts to 7 be truthful but always open to critical questioning. At the end of the day, 8 the best tales that therapists can tell are their own and it might be that some 9 of their stories are more credible than others. The trick is to find out which 20 is which. That is what this book is all about. 1 2 3 FOUR CORE QUESTIONS TO THINK ABOUT 4 5 1. Where have counselling and psychotherapy come from? 6 2. What do therapists do? 7 8 3. Where do therapists work? 9 4. Where are counselling and psychotherapy going? 30 1 2 3 ACKNOWLEDGEMENTS 4 With thanks to Di Page, Luke Block, Lauren Simpson and all their colleagues 5 at Learning Matters for all their help, advice and encouragement. 6 7 8 Thanks also to Paula Biles-Garvey, Tina Graham, Barbara Allen and Alex 9 Bossman for all their contributions to Practitioner Reflections. 40 1 2 3 4 5 6 71 viii COUNSELLING PT_gk 16/12/09 12:16 Page 1 part 1 WHERE HAS COUNSELLING & PSYCHOTHERAPY COME FROM?