‘Rarely discussed but always present’: Exploring therapists’ accounts of the relationship between social class, mental health and therapy

McEvoy, Charlotte; Clarke, Victoria; Thomas, Zoë

doi:10.1002/capr.12382

Cited by 6 publications

(4 citation statements)

References 46 publications

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“…To achieve this, a cross‐sectional, qualitative online survey was conducted. This method allows shared patterns of meaning to be generated across a diversity of therapists' experiences, perspectives and geographical locations (Braun & Clarke, 2021; McEvoy et al., 2021). The survey was first piloted with mental health practitioners (four psychologists, two counsellors and one social worker) to confirm that the survey questions were understandable and relevant to their practice (Braun et al., 2021).…”

Section: Methodsmentioning

confidence: 99%

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‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy

Boerma,

Beel,

Jeffries

et al. 2023

Couns and Psychother Res

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ObjectiveWhat are the recommendations provided by Australian therapists to engage and retain adolescent males in psychotherapy? This question is considered in response to research highlighting low engagement and high premature dropout in psychological treatment among adolescent males in both Australia and other Western nations.MethodParticipants were 67 Australian mental health practitioners (35 psychologists, 20 social workers, eight counsellors, three psychiatrists and one occupational therapist) recruited through purposive sampling via professional association websites, publications and social media. Participants completed an open‐question, web‐based qualitative survey. Responses were analysed using inductive reflexive thematic analysis.ResultsThree themes and 10 subthemes were developed, including the following: (1) creating a context of safety; (2) undertaking practices that develop rapport and engagement; and (3) undertaking masculinity‐aware adaptions to the therapy process.ConclusionThe recommendations provided by Australian therapists align with the broader literature tasked with developing male‐friendly interventions applicable and appealing to young men. Therapeutic relationships underpinned by masculinity‐informed trust, commitment and collaboration may be a part of the remedy to young men's limited engagement and retention in therapy.

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Section: Methodsmentioning

confidence: 99%

“…To achieve this, a cross-sectional, qualitative online survey was conducted. This method allows shared patterns of meaning to be generated across a diversity of therapists' experiences, perspectives and geographical locations McEvoy et al, 2021).…”

Section: Designmentioning

confidence: 99%

‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy

Boerma,

Beel,

Jeffries

et al. 2023

Couns and Psychother Res

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“…Other evidence that a class may be involved is suggested by implicit class biases, presumably stemming from counselors’ and therapists’ own class prerogatives and worldviews, that are a persistent feature of the clinical and counseling landscape. Beginning at least with the coinage of “YAVIS” (young/affluent/verbal/intelligent/successful) in William Schofield’s (1964) Psychotherapy: The Purchase of Friendship , anxieties about discrimination based on class have never been far from the surface in counseling and psychotherapy (Smith & DeJoie-Smith, 1984; Kugelmass, 2016; McEvoy, 2020).…”

Section: Class Inclusion I: Historical and Sociological Approachesmentioning

confidence: 99%

Middle class sprawl: Locating the psychologesque in the history of psychology.

Devonis¹

2021

History of Psychology

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To add to the system of classes already present in the recent historiography of psychology, a new and broader class is proposed, the psychologesque. This class includes, along with a central core of master's-and PhD-level psychologists, surrounding belts of cognate professionals in other fields who are, to a greater or lesser degree, tinged with psychology. Advantages to including this broad class, in some ways similar to the U.S. middle class, in the history of psychology are advanced.

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“…Psychotherapists often chart their journey into the profession through personalised experiences of otherness, marginalisation, and immigration wounds; translated into imperatives towards social justice and community (Bager-Charleson, 2010; Hilman & Rosenblatt, 2018). Yet the profession continues to grapple with the question as to what extent social contexts should be invoked in making sense of personal and intersubjective experiences in the consulting room (Borges & Goodman, 2020; Winter, 2021; McEvoy et al, 2021). Here we present a duoethnographic study as three psychotherapists, also academics at different universities in the United Kingdom, reflecting on our experiences of difference, power and privilege in the therapeutic space.…”

Section: Introductionmentioning

confidence: 99%

A Duoethnographic Study of Power and Privilege in the Psychotherapeutic Space: Dialogical Research as Professional Development

Hills,

Christodoulidi,

Charura

2023

International Journal of Qualitative Methods

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We are three psychotherapists, also trainers at different universities in the United Kingdom, who came together to explore the application of duoethnography as a research method in the context of counselling and psychotherapy. The focus of our dialogues was on privilege and power as experienced between client and therapist in the therapeutic relationship, mirroring the social worlds we each come from and return to. The article presented here is written largely in the form of ‘speaking turns,’ reflecting the dialogical nature through which data were generated. We met periodically through Microsoft Teams to record our dialogues and furthered our exchange via email communications and other text messages. We came together explicitly mindful of and valuing our differences – one woman and two men; our ethnocultural heritages being Greek, African, and English, with different trajectories towards our professional positions; and we highlight differentials in privilege emerging along lines of gender, race, and class. Emergent themes include: ‘the visible – invisible spectrum of privilege,’ ‘the historic present,’ and ‘power with versus power over.’ As an ongoing, highly relational form of encounter, this project highlighted the benefits this approach can bring in the ongoing development of therapists. Participation facilitated the revelation of more unconscious or unarticulated material. We found the duoethnography depended upon our mutual negotiation of trust and preparedness to be vulnerable in the encounter. Recognising that each dialogue brings unique configurations of similarity and difference, we thus argue for greater uptake of duoethnography methods in counselling and psychotherapy training and research.

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‘Rarely discussed but always present’: Exploring therapists’ accounts of the relationship between social class, mental health and therapy

Abstract: inequalities are related to higher levels of psychosocial problems and have been shown to have a substantial effect on the most economi-

Cited by 6 publications

References 46 publications

‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy

‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy

Middle class sprawl: Locating the psychologesque in the history of psychology.

A Duoethnographic Study of Power and Privilege in the Psychotherapeutic Space: Dialogical Research as Professional Development

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