This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link Jay WattsUniversity of London, UK AbstractOur objective was to explore how prospective altruistic kidney donors construct their decision to donate. Using a qualitative design and biographical-narrative semistructured interviews, we aimed to produce text for analysis on two levels: the social implications for subjectivity and practice and a tentative psychodynamic explanation of the participants' psychological investment in the discourses they used. A total of six prospective altruistic kidney donors were interviewed. A psychosocial approach to the analysis was taken. In-depth discourse analysis integrated Foucauldian with psychodiscursive approaches and psychodynamic theory was applied to sections of text in which participants seemed to have particular emotional investment. Analysis generated three major discursive themes: other-oriented, rational and self-oriented discourses. The desire to donate was experienced as compelling by participants. Participants used discourses to position themselves as concerned with the needs of the recipient, to resist questioning and criticism, and to manage difficult feelings around mortality. Participants tended to reject personal motivations for altruistic donation, positioning relatives' disapproval as selfish and illogical. These results suggest that the term 'altruistic' for living non-directed organ donation constrains available discourses, severely limiting what can be said, felt, thought and done by donors, clinicians and the public. A more useful approach would acknowledge potential psychological motives and gains for the donor.
Citation: Challenor, J. (2017). 'Not dead … abandoned' -a clinical case study of childhood and combat-related trauma. European Journal of Psychotherapy and Counselling, 19(1), pp. 6-21. doi: 10.1080/13642537.2017.1289967 This is the accepted version of the paper.This version of the publication may differ from the final published version. 2 Permanent AbstractThis clinical case study examines inter-subjective processes with a counselling client who presented with symptoms of complex trauma including severe anxiety, low mood, dissociation and suicidality. Therapy lasted 12 months and the ending was unplanned. Psychoanalytic and phenomenological hermeneutic frameworks are drawn on in theorizing the work. From this perspective, loss associated with trauma is conceptualized as relational, as traumatic states threaten psychological organization and the continuing experience of relational ties that are needed for survival. Dissociation is understood as a defensive state that changes the way that temporality is experienced. The client's capacity for dissociation appeared to have developed in early childhood in response to physical abuse, predisposing him to further ongoing and severe trauma as an adult soldier. There will be a focus on the way that dissociation and enactment in the therapeutic relationship limited the therapist's capacity to provide the client with inter-subjective regulation of disavowed affect. The client's unconscious experience of unbearable affect led to a breakdown of the therapeutic relationship and the termination of therapy. Detailed session and supervision notes, and correspondence received from the client were used to evaluate theory and practice links, as well as some methodological aspects of case study research.
Citation: Challenor, J. (2013). Working with the unworkable -a trainee's case of maternal mourning and ulcerative colitis. This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link:http://openaccess.city.ac.uk/8526/ Link to published version: http://dx.Working with the unworkable -a trainee's case of maternal mourning and ulcerative colitis 2 Working with the unworkablea trainee's case of maternal mourning and ulcerative colitis AbstractIn this paper I describe a time-limited piece of work that I undertook as a trainee with a mother whose child had died. The client had developed serious ulcerative colitis and was referred to counselling because she was refusing an operation to treat it. I have conceptualised her illness as the embodiment of her experience of disintegration in grief. As a trainee, I found working in the transference difficult in this case, as though I was betraying the client in some way.The client's failure to make herself better both from her disease and from mourning her daughter made her continue to feel like a victim.Understanding this as transference and drawing on relational psychoanalytic theory was key to being able to work with her and to begin to make links.
This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link:
Research supervision remains an undertheorised, under‐regulated and often unsupported profession. This article focuses on what research supervisors and research supervisees regard as “helpful” supervision on doctoral programmes in the field of counselling, psychotherapy and counselling psychology. The paper is based on a mixed methods study consisting of an online survey (N = 226) with closed and open questions and optional interviews (10) analysed by “artfully interpretive reflexive thematic analysis” (Supporting research in counselling and psychotherapy qualitative, quantitative, and mixed methods research 19–38. Palgrave Macmillan.). In the survey questions, respondents rated “research knowledge” and “empathy” almost equally. The free‐text comments and interview data added, in turn, deeper and more nuanced understandings into what both research “knowledge” and “empathy” might involve for different people—and at different stages of the research process. The analysis of free‐text comments and interviews moved iteratively back and forth across six stages, typical for reflexive thematic analysis, and was influenced by our interests into “narrative knowing.” We started with the free‐text comments and then read the interviews—to return to our free‐text comment themes from new angles, which eventually were shared in a focus group with supervisors in training. The paper describes the development of a suggested “relational 3C model” with clarity, containment and compassion as key supervisory dimensions applied across eight areas with actions from supervisory contracts to research completion.
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