ABSTRACT

This qualitative study of 15 relational counsellors explores the experiences and ethical quandaries of counsellors working within an IAPT service. The data was analysed using the Voice Relational Method [Brown, L. M. & Gilligan, C. (1993). Meeting at the crossroads: Women's psychology and girls' development. Feminism & Psychology, 3(1), 11--35]. Three main themes were identified: client experience, counsellor experience and relationships. Findings indicate that the therapeutic relationship with clients is crucial, but there is often a disparity between working as a relational counsellor and the expectations and demands of working within IAPT; a pressure on doing and achieving goals rather than a focus on the therapy relationship. Supportive managers were essential to enable counsellors to balance IAPT expectations with ethical and therapeutic relationships with clients. This research also questions the ethical basis of the IAPT system.

摘要

这项对 15 名关系顾问的定性研究探讨了在 IAPT 服务中工作的顾问的经验和道德困境。使用语音关系方法分析数据 [Brown, LM & Gilligan, C. (1993)。在十字路口相遇：女性心理和女孩的发展。女权主义与心理学, 3(1), 11--35]。确定了三个主要主题：客户体验、顾问体验和关系。调查结果表明，与来访者的治疗关系至关重要，但作为关系顾问的工作与在 IAPT 工作的期望和要求之间往往存在差异；做事和实现目标的压力，而不是专注于治疗关系。支持性经理对于使顾问能够在 IAPT 期望与与客户的道德和治疗关系之间取得平衡至关重要。这项研究还质疑 IAPT 系统的伦理基础。