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CPR 19.1, February 2004 Counselling Psychology Review The Journal of The British Psychological Society Division of Counselling Psychology Special issue on Case Studies Volume 19 Number 1 February 2004 Counselling Psychology Review Editor: Alan Bellamy Pembrokeshire and Derwen NHS Trust Reference Library Editor Waseem Alladin Hull University, Centre for Couple, Marital & Sex Therapy and and Consulting Editor: Hull & East Riding Health NHS Trust Book Reviews Editor: Kasia Szymanska Centre for Stress Management Consulting Editors: Malcolm C. Cross City University Nicky Hart Wolverhampton University Ruth Jordan Surrey University Martin Milton Surrey University Stephen Palmer Centre for Stress Management and City University Linda Papadopoulos London Guildhall University John Rowan The Minster Centre Mary Watts City University Editorial Advisory Board: Alan Frankland APSI Nottingham Heather Sequeira St. George’s Medical School Sheelagh Strawbridge Independent Practitioner and Kairos Counselling and Training Services, Hessle, East Yorkshire Subscriptions Counselling Psychology Review is published quarterly by the Division of Counselling Psychology, and is distributed free of charge to members. It is available to non–members (Individuals £12 per volume; Institutions £20 per volume) from: Division of Counselling Psychology The British Psychological Society St Andrews House 48 Princess Road East Leicester LE1 7DR. Tel: 0116 254 9568 Advertising Advertising space is subject to availability, and is accepted at the discretion of the Editor.The cost is: Division Members Others Full Page £50 £100 Half Page £30 £60 High-quality camera-ready artwork and the remittance must be sent together to the Editor: Dr Alan Bellamy, Brynmair Clinic, Goring Road, Llanelli, Carmarthenshire SA15 3HF. Tel: 01554 772768. Fax: 01554 770489. Cheques should be made payable to: Division of Counselling Psychology. Disclaimer Views expressed in Counselling Psychology Review are those of individual contributors and not necessarily of the Division of Counselling Psychology or The British Psychological Society. Publication of conferences, events, courses, organisations and advertisements does not necessarily imply approval or endorsement by the Division of Counselling Psychology. Any subsequent promotional piece or advertisement must not indicate that an advertisement has previously appeared in Counselling Psychology Review. Situations vacant cannot be accepted. It is the Society’s policy that job vacancies are published in the Appointments Memorandum.For details, contact the Society’s office. Copyright Copyright for published material rests with the Division of Counselling Psychology and The British Psychological Society unless otherwise stated. With agreement, an author will be allowed to republish an article elsewhere as long as a note is included stating: first published in Counselling Psychology Review,volume no. and date. Counselling psychologists and teachers of psychology may use material contained in this publication in any way that may help their teaching of counselling psychology. Permission should be obtained from the Society for any other use. The British Psychological Society Counselling Psychology Review Volume 19 ● Number 1 ● February 2004 Editorial 2 Alan Bellamy Guest Editorial: An introduction to the 3 Special Issue on Case Studies Malcolm Cross, John Davy & Rachel Tribe The experience of silence: A client case study 5 Angela Harris A question of dependency: A study of a client suffering from 13 panic disorder with agoraphobia Joanna Wood The functions of case studies: Representation or 22 persuasive construction? John Davy Book Reviews 39 Newsletter Section Letter from the Chair 42 Divisional News The BPS Qualification in Counselling Psychology – A major revision 43 Diane Hammersley Training Workshops 45 Division website 45 News from the Surrey course, 2003 46 Martin Milton Agenda for change – a reminder 46 Events Diary 48 Talking Point 50 Ray Woolfe Counselling Psychology Review, Vol. 19, No. 1, February 2004 Editorial Alan Bellamy ELCOME TO THE first CPR of In the Newsletter Section you will find an 2004. This special issue is on case article by Diane Hammersley in which she Wstudies, and has been guest edited describes and explains the significant changes by Malcolm Cross, John Davy and Rachel that have been made to what is now known as Tribe. The guest editors introduce the papers, the BPS Qualification in Counselling and we hope that you will find them stimu- Psychology. A great amount of work has been lating and thought-provoking. The case study done by Diane and her colleagues to bring as a form really begins with Freud and Breuer’s about these changes, resulting in a qualification Studies on Hysteria, published in 1895, and that is simpler to understand, is more acces- remains a fascinating and essential tool for sible, has wider appeal and is bang up-to-date. teaching and learning and reflection. But part Finally, let me take this opportunity to of the value of case studies lies in what the remind you that the Division’s Annual author leaves out: what is not noticed, what is Conference will be taking place in York in May. not reported. There is perhaps no better You might like to think about submitting a example of this than the Fragment of an Analysis paper, poster or workshop idea; or you might of a Case of Hysteria, Freud’s account of his like to just come along, to hear about what is attempted therapy with Ida Bauer, better going on in the profession, to network, and to known to us as Dora. John Davy, in his paper meet old and new friends. ‘The functions of case studies: Representation or persuasive construction?’ explores this and other themes with reference to a case study of his own. This is preceded by papers by Angela Harris and Joanna Wood in which they present their own case studies, one illustrating a person-centred approach and the other a cognitive-behavioural model. 2 Counselling Psychology Review, Vol. 19, No. 1, February 2004 Guest Editorial: An introduction to the Special Issue on Case Studies Malcolm Cross, City University, John Davy,Brookside Family Consultation Clinic Rachel Tribe, University of East London NE PRINCIPLE AIM of client case studies the development of therapy and its impact on is to allow the therapist to exhibit the client. These papers reflect the openness of Otheir capacity to link theory to prac- the authors, discussing moments of confusion tice (Papadopopoulos, Cross & Bor, 2003). This and uncertainty as they experience the push of is, however, just one aim. Client case studies professional training requirements with the can be used as vehicles though which to pull of supervision, combined with the unique instruct the reader (Yalom, 2002) to highlight opportunities and limitations afforded by the ethical tensions imbued in the execution of client and therapist in their particular thera- professional practice (Cottone & Tarvydos, peutic settings (Papadopopoulos, Cross & Bor, 1998), or a means of evaluating and reporting 2003). Although the client, contexts and upon efficacy, as in single case design (Morley, reporting style of Harris and Wood vary Turpin & Adams, 2003). Client case studies significantly they share a capacity to stay with may also be used as a vehicle for learning uncertainty and to engage in the iterative about one’s self (Cross & Papadopoulos, 2001) formulation and reformulation that is so and as is emerging more recently, as a context fundamental to genuine engagement with the for critically evaluating the impact of social client and self-as-therapist. discourses on conceptualisation of the client, The final paper within the issue by Davy, their difficulties, and the practice of coun- however, stands in stark contrast to conven- selling and therapy in its broadest sense tional presentations of client studies. It is (Davy, 2000). unique as it is in fact two accounts. Davy’s The work presented in this special issue paper presents a deconstructive analysis of a brushes against all of the aims outlined above. narrative therapy case study, which was Rather than seek to identify exemplary originally written in order to satisfy a course accounts of practice, as if there was only one requirement as part of an accredited training as right way to conduct the business of therapy, a counselling psychologist. In the work Davy we have chosen to present material that high- engages in a critical re-reading of his original light some of the challenges and opportunities text in an attempt to illustrate how writing involved in writing and reading accounts of about clients can be seen as a constructive and therapeutic practice. The work of Harris and of constitutive activity, with potentially oppres- Wood were originally written in order to sive or progressive consequences. Davy makes satisfy course requirements and are, therefore, the point plainly through his work that writing somewhat familiar in the style of presentation. about our work with clients is much more than Their voice is sometimes passive and rightly a merely representational process. His paper assumes a willing audience that is interested in concludes by suggesting that therapists’ them as developing practitioners, as much as training and professional development could Counselling Psychology Review, Vol. 19, No. 1, February 2004 3 fruitfully include an emphasis on critical and References creative reading and writing skills. Cross, M.C. & Papadopoulos, L. (2001). We sincerely hope that you enjoy and find Becoming a therapist: A manual for personal rewarding
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