Narrative case study research: On endings and six session reviews

Etherington, Kim; Bridges, Nell

doi:10.1080/14733145.2011.546072

Cited by 52 publications

(41 citation statements)

References 24 publications

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“…Bringing the process to an end involved discussing what support they would need, allowing the participant to reflect on how far they had come and to recognise that they were ready to leave. Being free to return at a future date was valued by all of the participants, fitting with other findings recently published (Etherington & Bridges, ), even though they were aware they may not see the same therapist.…”

Section: Discussionsupporting

confidence: 85%

Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Roddy

2013

Couns and Psychother Res

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Aims: This qualitative pilot study explored the perceptions of four female domestic violence clients regarding counselling they had concluded in order to identify a preliminary client-preferred domestic violence counselling approach. Method: Semi-structured interviews asking about significant events during counselling were held. An adapted grounded theory and narrative methodology was used. Results from the analysis were reviewed with two of the participants. Participants were offered additional counselling support if required after the research interview. Results/Findings: Domestic violence clients found starting counselling particularly difficult after years of keeping the abuse to themselves. Participants actively withheld and managed information for several sessions and needed to know they had time to explore their experiences. The counsellor being consistent and non-judgemental, and understanding domestic violence and its effects was helpful. Having a clear ending was appreciated by the participants. Discussion: The initial development of the therapeutic relationship benefited from active discussion of how domestic violence could affect behaviour and emotions. Good early therapeutic relationships showed elements of the three main psychological schools. Participants benefited from a pro-active discussion of endings. A key limitation of this research is the small sample size. Implications for practice: The research suggests that counsellors would benefit from knowledge and skills from different psychological schools and specific training in domestic violence. Allowing flexibility on the number of sessions available to clients may be helpful. Conclusions: Further work is required to explore these preliminary findings. However, early indications suggest that domestic abuse clients may benefit from non-time-limited specialist counselling services.

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Section: Discussionsupporting

confidence: 85%

Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Roddy

2013

Couns and Psychother Res

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“…To receive such an invitation seems, for most clients, to be experienced as a relief, which contributes to making them feel safe and personally affirmed, and reduces their fear of relapse. This is in line with Etherington and Bridges' (2011) findings of clients' valuing mutuality and negotiation in decision making about endings.…”

Section: Discussionsupporting

confidence: 75%

“…Knox et al (2011) found that clients with experience of a positive termination reported a strong therapeutic relationship and positive outcomes of therapy. In a qualitative study of clients' experiences of ending therapy, Etherington and Bridges (2011) recognized the therapeutic importance of mutuality and negotiation in decision making about endings. A qualitative study of the termination of open-ended and publicly funded psychotherapy found that clients and therapists seemed to share an ideal of reaching a concerted decision to end therapy (anonymized reference); through careful negotiation of when and how to end, they seemed to regulate their own and each other's mixed emotions about terminating and the upcoming separation.…”

mentioning

confidence: 99%

Coming to terms: Client subjective experience of ending psychotherapy

Råbu

Haavind

2017

Counselling Psychology Quarterly

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How do clients consider their own contribution and that of their therapist in the last phase of therapy when they are moving towards the end? Thirty-seven clients who had received therapy from highly experienced clinicians were interviewed. Since the time for ending had not been decided at the onset, clients in both short and long term therapies were included.Thematic case-by-case analyses were carried out. Clients actively engaged in looking back and looking ahead, as means of reflecting on their capability to handle issues on their own.The majority of clients were satisfied with what they perceived as a reciprocal engagement that enabled them to come to terms with emotionally charged issues in life and in therapy. For some clients unresolved issues remained: wondering whether a therapist with another approach could have helped more; feeling pushed away by the therapist; having to take the lead in ending therapy; the fear of being an "unworthy" client; or wanting to end without the therapist's approval. Coming to terms with the ending of therapy was highly personally meaningful and loaded with affective tensions, in ways that were not always shared with their therapist.

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“…Maroda believes that an important skill for therapists to acquire is the careful listening to and tracking of the client's responses. While regular client reviews can be helpful (Etherington & Bridges, 2011) Maroda has in mind the therapist's careful examination of what they actually said, including the tone, the pace and the feelings associated with this. Therapists only need to listen to a recording (sound or vision) of their work to see how often we miss a client and how vital an empathic attunement that unconsciously matches early attachment patterns can be (McCluskey, 2005).…”

Section: Book Review Essaysmentioning

confidence: 99%

Psychodynamic insights: Working with emotion in the therapeutic relationship

Ross

2012

Psychodynamic Practice

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Narrative case study research: On endings and six session reviews

Cited by 52 publications

References 24 publications

Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Coming to terms: Client subjective experience of ending psychotherapy

Psychodynamic insights: Working with emotion in the therapeutic relationship

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