“A gentle balance of pushing, pulling and sitting with”: An interpretative phenomenological analysis of psychological therapists’ experiences of working with goals in adult pluralistic private practice

Journal article


Lloyd, Christopher E. M. and Antonino, Raffaello 2021. “A gentle balance of pushing, pulling and sitting with”: An interpretative phenomenological analysis of psychological therapists’ experiences of working with goals in adult pluralistic private practice. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2021.1954881
AuthorsLloyd, Christopher E. M. and Antonino, Raffaello
Abstract

Evidence suggests that working with goals, or goal-based practice (GBP) which is fundamental to several contemporary psychotherapies, can enhance the content, process and outcome of psychotherapeutic work. At present, no qualitative research has explored how psychological therapists experience GBP with their clients. Interpretative phenomenological analysis (IPA) was selected to explore how eight psychological therapists working in adult pluralistic private practice experienced GBP. Three superordinate themes were constructed during the analysis process. “A pathway through the jungle” highlighted how GBP was variously experienced as aiding the therapeutic partnership by monitoring progress, providing focus and increasing positive affect. “Invalidating the therapeutic journey,” where GBP was felt to potentially detract from the client’s frame of reference, to jeopardise the therapeutic containment of sessions and increase the client’s feeling of failure. Finally, “Maintaining the client-led story,” which resembled an antidote to what was experienced as non-humanistic GBP. This involved practitioners preserving time to reflect on their own goals and agendas for their clients and the ways their own psychological processes might be influencing the use of GBP within the therapeutic relationship. Of particular pertinence was therapists’ acknowledgement that GBP may function to shield therapists from feelings of failure or frustration, and may be used consciously or otherwise. We argue that approaches to GBP that attempt to determine helpful or unhelpful aspects of GBP in isolation are likely to overlook therapeutic processes which are vital to ensuring that GBP is collaborative and meaningful for the client. Results are discussed regarding wider literature and suggestions for further research are made.

KeywordsPsychiatry and Mental health; Applied Psychology; Clinical Psychology; Goal-based practice; Goals; Pluralistic therapy; Private practice; Qualitative; Therapeutic relationship; Interpretative phenomenological analysis (IPA)
Year2021
JournalCounselling Psychology Quarterly
PublisherTaylor and Francis/ Informa UK
ISSN0951-5070
1469-3674
Digital Object Identifier (DOI)https://doi.org/10.1080/09515070.2021.1954881
Web address (URL)http://hdl.handle.net/10545/625902
http://creativecommons.org/licenses/by-nd/4.0/
hdl:10545/625902
Publication dates27 Jul 2021
Publication process dates
Deposited30 Jul 2021, 10:34
Accepted09 Jul 2021
Rights

Attribution-NoDerivatives 4.0 International

ContributorsUniversity of Derby and London Metropolitan University
File
File Access Level
Open
File
File Access Level
Open
File
Permalink -

https://repository.derby.ac.uk/item/94109/-a-gentle-balance-of-pushing-pulling-and-sitting-with-an-interpretative-phenomenological-analysis-of-psychological-therapists-experiences-of-working-with-goals-in-adult-pluralistic-private-practice

Download files

  • 20
    total views
  • 7
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Stories Matter: A Novel Approach to Exploring Perceptions, Discourses, and the Symbolic Social Order in Pastoral Psychology
Lloyd, C. 2023. Stories Matter: A Novel Approach to Exploring Perceptions, Discourses, and the Symbolic Social Order in Pastoral Psychology. Pastoral Psychology. pp. 1-20. https://doi.org/10.1007/s11089-023-01056-0
“Prayer Is Fine, but Don’t Then Quickly Move on, as If You’re Done and Dusted”: How Can the Evangelical Church Better Support Those with Mental Illness?
Lloyd, C. 2023. “Prayer Is Fine, but Don’t Then Quickly Move on, as If You’re Done and Dusted”: How Can the Evangelical Church Better Support Those with Mental Illness? Journal of Disability & Religion. pp. 1-22. https://doi.org/10.1080/23312521.2023.2173712
Perceived God support as a mediator of the relationship between religiosity and psychological distress
Lloyd, C. and Graham Reid 2022. Perceived God support as a mediator of the relationship between religiosity and psychological distress. Mental Health, Religion & Culture. 25 (7), pp. 1-17. https://doi.org/10.1080/13674676.2022.2116633
‘Mad, bad, or possessed’? Perceptions of Self-Harm and Mental Illness in Evangelical Christian Communities
Lloyd, C. E. M and Panagopoulos, M. C 2022. ‘Mad, bad, or possessed’? Perceptions of Self-Harm and Mental Illness in Evangelical Christian Communities. Pastoral Psychology. https://doi.org/10.1007/s11089-022-01005-3
Mapping Stories of Cause and Cure Using Story Stem Completion: Mental Distress in the Evangelical Christian Community. A Study Protocol
Lloyd, Christopher E. M. 2021. Mapping Stories of Cause and Cure Using Story Stem Completion: Mental Distress in the Evangelical Christian Community. A Study Protocol. Journal of Concurrent Disorders.
Contending with Spiritual Reductionism: Demons, Shame, and Dividualising Experiences Among Evangelical Christians with Mental Distress
Lloyd, Christopher E. M. 2021. Contending with Spiritual Reductionism: Demons, Shame, and Dividualising Experiences Among Evangelical Christians with Mental Distress. Journal of Religion and Health. https://doi.org/10.1007/s10943-021-01268-9
LGBQ adults’ experiences of a CBT wellbeing group for anxiety and depression in an Improving Access to Psychological Therapies Service: a qualitative service evaluation
Lloyd, Christopher E. M., Rimes, Katharine A. and Hambrook, David G. 2021. LGBQ adults’ experiences of a CBT wellbeing group for anxiety and depression in an Improving Access to Psychological Therapies Service: a qualitative service evaluation. The Cognitive Behaviour Therapist. 13. https://doi.org/10.1017/s1754470x20000598
A Qualitative Exploration of CBT and Psychodynamic Therapists’ Views, Experiences and Perceptions of Integrating Different Therapeutic Modalities into their Private Practice with Adult Clients: Study Protocol
Kaluzeviciute, G. and Lloyd, Christopher E. M. 2021. A Qualitative Exploration of CBT and Psychodynamic Therapists’ Views, Experiences and Perceptions of Integrating Different Therapeutic Modalities into their Private Practice with Adult Clients: Study Protocol. Journal of Concurrent Disorders.
From Whence Cometh My Help? Psychological Distress and Help-Seeking in the Evangelical Christian Church
Lloyd, Christopher E. M., Reid, Graham and Kotera, Y. 2021. From Whence Cometh My Help? Psychological Distress and Help-Seeking in the Evangelical Christian Church. Frontiers in Psychology. 12. https://doi.org/10.3389/fpsyg.2021.744432
Mental Distress, Stigma and Help-Seeking in the Evangelical Christian Church: Study Protocol
Lloyd, Christopher E. M. and Kotera, Y. 2021. Mental Distress, Stigma and Help-Seeking in the Evangelical Christian Church: Study Protocol. Journal of Concurrent Disorders.
Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care
Mike Chase, Lloyd, C., Benjamin J. Peters, Elaine Chase and Kellyn Lee 2020. Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care. Health & Social Care in the Community. https://doi.org/10.1111/hsc.13140
Demon? Disorder? Or none of the above? A survey of the attitudes and experiences of evangelical Christians with mental distress
Lloyd, C. and Robert M. Waller 2019. Demon? Disorder? Or none of the above? A survey of the attitudes and experiences of evangelical Christians with mental distress. Mental Health, Religion & Culture. Vol 23 (Issue 8), pp. 679-690. https://doi.org/10.1080/13674676.2019.1675148
Goal measures for psychotherapy: A systematic review of self‐report, idiographic instruments.
Charlie Duncan, Mick Cooper and Lloyd, C. 2019. Goal measures for psychotherapy: A systematic review of self‐report, idiographic instruments. Clinical Psychology: Science and Practice. Vol 26 (Issue 3, Article: e12281). https://doi.org/10.1111/cpsp.12281
Measuring outcomes using goals
Jenna Jacob, Julian Edbrooke-Childs, Lloyd, C., Daniel Hayes, Isabelle Whelan, Miranda Wolpert and Duncan Law 2018. Measuring outcomes using goals. in: Mick Cooper and Duncan Law (ed.) Working with Goals in Psychotherapy and Counselling Oxford Academic. pp. 111–138
Authenticity, validation and sexualisation on Grindr: an analysis of trans women’s accounts
Lloyd, C. 2017. Authenticity, validation and sexualisation on Grindr: an analysis of trans women’s accounts. Psychology and Sexuality. Vol 8 (Issue 1-2), pp. 158-169. https://doi.org/10.1080/19419899.2017.1316769