Working with Goals in Psychotherapy and Counselling PDF
Preview Working with Goals in Psychotherapy and Counselling
Working with Goals in Psychotherapy and Counselling Working with Goals in Psychotherapy and Counselling Edited by Mick Cooper and Duncan Law 1 1 Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries © Oxford University Press 2018 The moral rights of the author have been asserted First Edition published in 2018 Impression: 1 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this work in any other form and you must impose this same condition on any acquirer Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016, United States of America British Library Cataloguing in Publication Data Data available Library of Congress Control Number: 2017959063 ISBN 978– 0– 19– 879368– 7 Printed and bound by CPI Group (UK) Ltd, Croydon, CR0 4YY Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up- to- date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non- pregnant adult who is not breast- feeding Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work. Contents List of contributors vii 1 Introduction 1 Mick Cooper and Duncan Law 2 Philosophical, conceptual, and ethical perspectives on working with goals in therapy 15 John McLeod and Thomas Mackrill 3 The psychology of goals: A practice- friendly review 35 Mick Cooper 4 Using goals in therapy: The perspective of people with lived experience 73 Amy Feltham, Kate Martin, Leanne Walker, and Lydia Harris 5 Goals and psychotherapy research 87 Georgiana Shick Tryon 6 Measuring outcomes using goals 111 Jenna Jacob, Julian Edbrooke- Childs, Christopher Lloyd, Daniel Hayes, Isabelle Whelan, Miranda Wolpert, and Duncan Law Appendix 6.1. Goal- based outcome measures for children and adults 128 7 From problems to goals: Identifying ‘good’ goals in psychotherapy and counselling 139 Windy Dryden 8 Goal-oriented practice 161 Duncan Law 9 Goal- oriented practice across therapies 181 Nick Grey, Suzanne Byrne, Tracey Taylor, Avi Shmueli, Cathy Troupp, Peter Stratton, Aaron Sefi, Roslyn Law, and Mick Cooper 10 Conclusion 205 Duncan Law and Mick Cooper Index 209 List of contributors Suzanne Byrne Roslyn Law Institute of Psychiatry, Psychology Anna Freud National Centre for and Neuroscience, Kings College Children and Families, UK London, UK Christopher Lloyd Mick Cooper London Metropolitan University, UK Department of Psychology, Thomas Mackrill University of Roehampton, UK Institute for Social Work, Windy Dryden Metropolitan University College, Goldsmiths University of Frederiksberg, Denmark London, UK Kate Martin Julian Edbrooke- Childs Common Room, UK Anna Freud National Centre for John McLeod Children and Families, UK Department of Psychology, Faculty Amy Feltham of Social Sciences, The University of Common Room, UK Oslo, Norway Nick Grey Aaron Sefi Sussex Partnership NHS Foundation XenZone, UK Trust, UK Avi Shmueli Lydia Harris University College London, UK Expert by Experience, UK Peter Stratton Daniel Hayes University of Leeds, UK Evidence Based Practice Unit, UCL Tracey Taylor and Anna Freud National Centre for Centre for Anxiety Disorders & Children and Families, UK Trauma, South London & Maudley Jenna Jacob NHS Foundation Trust, UK Child Outcomes Research Cathy Troupp Consortium (CORC), UK Eating Disorders Service, Great Duncan Law Ormond Street Hospital, UK Anna Freud National Centre Georgiana Shick Tryon for Children and Families, and The Graduate Center of the City MindMonkey Associates, UK University of New York, USA viii List of Contributors Leanne Walker Miranda Wolpert Expert by Experience, UK Evidence Based Practice Unit, UCL and Anna Freud National Centre for Isabelle Whelan Children and Families, UK Evidence Based Practice Unit, UCL and Anna Freud National Centre for Children and Families, UK Chapter 1 Introduction Mick Cooper and Duncan Law The goals of this chapter are to: ◆ Present the rationale for developing this book. ◆ Define goals and key goal- related terms. ◆ Discuss the development of working with goals in counselling and psychotherapy. ◆ Review the arguments for working with goals. ◆ Review the challenges and limitations of working with goals. ◆ Outline the style and structure of the book. Gita is a 42-y ear- old woman who seeks therapy after a divorce. In her first meet- ing with her therapist, Sonia, she speaks of her overwhelming feeling since her divorce three years ago. She feels she cannot live with the feelings that range from despair to anxiety through guilt and shame. Sonia listens to her story patiently and with humanity. Gita is distressed by the telling and feels she will burst with the strength of her feelings, but she tells her story, spurred on by the interest and compassion of her listener. After a while, Sonia gently enquires about her hopes for engaging in therapy. Gita is unsure— she knows she does not want to feel as she does but cannot see beyond the emotions, she wants them gone. Over the next two sessions, Sonia listens to more of Gita’s story of her life and her divorce. Together, they begin to construct a shared narrative that weaves together Gita’s life story, recent events, and the strong thoughts and feelings she experiences. They begin, tentatively, to shape ideas together about what they might helpfully focus on. Gita wants to find a way of moving on: she wants to get past her feel- ings of loss, and she wants to prepare herself for thinking about a new relation- ship. This shaping moves the narrative from what has been to what could be— it shifts from the unbearable past to the hoped- for future. Gita and Sonia work together, moving from listening to shaping to listening— constructing and refining. Eventually they have a shared understanding and agreement of what the forthcoming work should be—t hey write the agreement down. Gita feels listened to and understood, she feels that Sonia is on her side
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