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Home in on the common problems and anxieties your students are likely to encounter in this notoriously difficult area of counselling. Working as a counsellor carries a high likelihood of working with clients who self-harm. This resource allows your students to develop and carefully reflect upon their understanding of self-harm and the different ways in which counsellors respond to it. Providing professional support throughout, this book contextualises many of the difficult situations and anxieties your students may face when working in this area.
Why do some people repeatedly injure themselves? How common is this form of self-harm? How can professionals offer appropriate intervention and support to those whose lives are troubled by it, either directly or indirectly? This authoritative and systematic book adopts a holistic approach to the problem of repeated self-injury and the difficult emotions and experiences that it gives rise to. Bringing together theory, research and a wealth of case vignettes, Understanding Repeated Self-Injury examines both the psychological and physical aspects of self-injury. The authors explain how deliberate cutting or burning of the skin is used by many as a way to overcome and temporarily escape bad feeling and thus transcend the limits of their identity. In particular, the book - presents a unifying model for theory and practice, based on the phenomenology of self-injury - examines the important role of identity and dissociation in perpetuating self-injury - considers the wider impact of self-injury on family and friends, and on staff - addresses treatment strategies and self-help resources. Each chapter draws on the authors' considerable clinical experience across a range of contexts, and is written with professionals and trainees particularly in mind. This book is an essential introduction and indispensable resource for those working, or considering to work, in counselling, therapeutic and health care settings where they are or might be confronted with the complexities of self-injury.
SAGE celebrated the 20th Anniversary of the Counselling in Action in November 2008. To view the video - click here ------------------------------------------------------ Effective counselling is based on a strong working relationship between counsellor and client. Building and maintaining this therapeutic alliance, demands both skill and an ability to negotiate challenges which arise during the counselling process. Key Issues for Counselling in Action prepares new practitioners for face-to-face work with clients by looking at what is required at each stage of the process and examining issues which practitioners most frequently need to deal with along the way. The topics covered are relevant to all counsellors, regardless of theoretical orientation. The book explores the everyday issues counsellors face when: - getting started - making an assessment - working at relational depth - setting goals, and - ending the relationship Advice is also given on more difficult challenges, such as dealing with: - reluctant clients - stuckness - client dependency, and - unplanned endings. Key Issues for Counselling in Action is a bestselling text which has been used to train many thousands of counsellors as well as supporting their continuing professional development. This second edition has been completely re-written and includes new material on the use of touch, self-care, culture and counselling evaluation. Windy Dryden is Professor of Psychotherapeutic Studies, Professional and Community Education (PACE) at Goldsmiths College, University of London. Andrew Reeves is a University Counsellor at the University of Liverpool Counselling Service and Editor of the journal, Counselling & Psychotherapy Research.
Relational Ethics in Practice presents a new collection of narratives on ethics in day-to-day therapeutic practice. Highly experienced professionals from a range of roles in the therapeutic professions explore ways of developing ethical and effective relationships. The contributors provide the reader with engaging and informative narratives that indicate how ethics can inform and influence practice in a variety of clinical contexts across the helping professions. These personal and professional narratives will encourage people to think more proactively about ethics and the impact that they have on both therapeutic practice, and life in general. Throughout this book, Lynne Gabriel, Roger Casemore and their contributors emphasise that the consideration of the ethical dimension is of paramount importance to successful processes and outcomes in every therapeutic relationship. Chapters cover a number of topics including: how theoretical approaches can inform ethical decision making and practice practical difficulties and ethical challenges innovative and unconventional approaches informed consent across various contexts pointers for good practice the notion of the 'wounded healer'. Relational Ethics in Practice: Narratives from Counselling and Psychotherapy will appeal to a wide range of readers involved in the helping professions including counsellors, psychotherapists, researchers, supervisors and trainees.
A quarter of adolescents engage in some form of self-harm and even experienced therapists can find working with these young people difficult. Based on Cognitive Behaviour Therapy (CBT), a highly effective method for working with emotional problems, Cutting Down offers a practical and accessible programme for mental health therapists from different professional backgrounds working with young people who self-harm. The programme is comprised of four parts, each covering a specific stage of therapy, and is split into 27 short modules. Although designed to be delivered over a course of 14 sessions, the programme is presented in a way that allows the therapist to decide which combination of specific modules is chosen and how long is spent on each, based on the specific clinical needs of the person they are working with. Throughout the programme, virtual patients are used to illustrate the various exercises and strategies. Part One, What’s Going On?, introduces self-harm and CBT and aims to develop insight into feelings, problems, goals and the concept of change. Part Two, Feelings, Thoughts and Behaviour, looks at working on activities, managing depression and identifying and managing negative thoughts. Part Three, Coping Strategies, introduces modules on problem solving, assertiveness, mindfulness and alternatives to self-harm. Part Four, On You Go!, finishes up the programme with a review of goals, identifying triggers and developing a ‘first aid kit’ and a ‘tool box’ of skills to reinforce the programme. Downloadable worksheets enhance the practicality of the text. Designed to support clinicians working with adolescents engaging in self-harm, this unique workbook is ideal for counsellors, counselling psychologists, clinical psychologists, CBT therapists, IAPT practitioners, CAMHS mental health workers and nurse therapists as well as students and trainees.
"I have worked in psychiatry as well as in private practice with suicidal people. I found it poignant and true when Reeves points out that people do not have to be mad to be suicidal and '...that assessing suicide potential fundamentally lies in engaging with the suicidal client at a deeper relational level'. So true. This thoroughly researched book is written with passion and compassion. It will be a valuable addition to the libraries of therapists and anyone else who works with suicidal people." - Therapy Today, July 2010 "A uniquely accessible, comprehensive and practical guide. Essential reading for counsellors and psychotherapists and all helping professionals who work with clients at risk of suicide." - Mick Cooper, Professor of Counselling, University of Strathclyde "A 'must read' for counsellors of all experience levels, offering sound practical strategies alongside thought-provoking case studies and discussion points. Reeves addresses this difficult topic with depth, breadth and integrity. Excellent." - Denise Meyer, developer and lead author of www.studentdepression.org "Andrew Reeves brings together his experience as a social worker, counsellor and academic to explore the essential elements in working with suicidal clients. His openness and integrity in writing about this complex topic creates a valuable resource for reflective practice." - Barbara Mitchels, Solicitor and Director of Watershed Counselling Service, Devon. Counselling Suicidal Clients addresses the important professional considerations when working with clients who are suicidal. The 'bigger picture', including legal and ethical considerations and organisational policy and procedures is explored, as is to how practitioners can work with the dynamics of suicide potential in the therapeutic process. The book is divided into six main parts: - The changing context of suicide - The prediction-prevention model, policy and ethics - The influence of the organisation - The client process - The practitioner process - The practice of counselling with suicidal clients. The book also includes chapters on the discourse of suicide, suicide and self-injury, and self-care for the counsellor. It is written for counsellors and psychotherapists, and for any professional who uses counselling skills when supporting suicidal people.
Self-harm in adolescents is an increasingly recognized problem, and there is growing awareness of the important role schools and health services can play in detecting and supporting those at risk. By Their Own Young Hand explores the findings of the first large-scale survey of deliberate self-harm and suicidal thinking in adolescents in the UK, and draws out the implications for prevention strategies and mental health promotion. Six thousand young people were asked about their experiences of self-harm, the coping methods they use, and their attitudes to the help and support available. The authors identify the risk and protective factors for self-harm, exploring why some adolescents with suicidal thoughts go on to harm themselves while others do not, what motivates some young people to seek help, and whether distressed teenagers feel they receive the support they need. By Their Own Young Hand offers practical advice on how schools can detect young people at risk, cope with the aftermath of self-harm or attempted suicide, and develop training programmes for teachers. It also examines the roles of self-help, telephone helplines, email counselling, and walk-in crisis centres. Packed with adolescents' own personal accounts and perspectives, this accessible overview will be essential reading for teachers, social workers and mental health professionals.
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