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You Love CBT, You Told me Last Week: A Hermeneutic Inquiry Into Client Claims of Gaslighting and Misutilization of the CBT Model
No full textCognitive-behaviour therapy (CBT) is a highly influential framework of psychotherapy that holds a unique position in the field of psychology, claimed to be the most "evidence-based" and "proven" theory. This quantitative story of effectiveness and certainty has recently been challenged by a rising tide of qualitative stories of gaslighting, invalidation, and unpleasant client experiences with the model and CBT practitioners. This manuscript attempts to bridge this dialectic by exploring the quantitative and qualitative accounts within the greater context of psychotherapy in the Western world
BSM 485C: Internship
Get PDFCanadian version of BSM 485 used in the Bachelor of Arts in Management progra
Assessing the Therapist's Use of Silence as an Intervention in the Therapeutic Setting
Get PDFThe use of silence in psychotherapy has received limited attention in counsellor training and academia. Although clinicians report learning about it through personal therapy, clinical supervision, and practice, research on this topic is scarce. Despite silence being recognized as a powerful tool in psychotherapy, there is a lack of research investigating its use as an intervention in therapeutic settings. Factors such as cultural identity, pre- and post-silence interactions, attachment style, and type of silence have been identified as important considerations, but existing research does not adequately assess these factors. This paper aims to review the literature on the impact of therapists' use of silence in therapy and proposes a research framework for counsellors to assess the use of silence as an intervention in the therapeutic setting
Understanding Social Perceptions of Premarital Preparation Participation
Get PDFThis capstone project examines how the social perception of premarital preparation may impact the participation of contemporary couples. Premarital preparation, known as premarital counselling or education, has been well established as a preventative and effective intervention for couples to learn skills and address problems to improve marital satisfaction and stability. However, participation rates in premarital preparation remain low with rising divorce rates. Contributing factors may be a widespread decrease in religiosity among young adults, with most premarital preparation taking place in religious settings, as well as the rising norm of premarital cohabitation and later marital age. Factors that may influence the social perception of premarital preparation and subsequent participation are highlighted in this paper to provide context for recommendations to improve the content and engagement in premarital preparation. These primary studies demonstrate that the Health Belief Model is a useful framework for conceptualizing how preventative couples' help-seeking behaviors, such as premarital preparation, are perceived in sociodemographic factors, perceived threats, and perceived expectations. This project's findings suggest that low participation may be a product of couples perceiving little benefit with many barriers. This information allows service providers to adjust their facilitation and promotion of services to be perceived more positively and relevant to contemporary couples. Clinicians are encouraged to take a more active role in marketing premarital preparation and seek more specialized and evidence-based training to improve the efficacy of programs
Examining the Effects of Social Isolation on Child and Adolescent Mental Health During the Covid-19 Pandemic
No full textThe COVID-19 pandemic response brought about the implementation of quarantine measures that led to experiences of social isolation for children and adolescents. This capstone paper investigates the effects of COVID-19-related forced social isolation on children and adolescent's mental health and highlights the vital role of community and mental health support in mitigating negative effects on childhood mental health. This paper analyzes peer-reviewed studies to gain an understanding of the relationship between COVID-19 forced social isolation and children and adolescent mental health as well as moderating factors. Observed child and adolescent mental health consequences included increases in depression symptoms, loneliness, internalizing symptoms, maladaptive coping mechanisms, and changes in the presentation of anxiety symptoms. As peer relationships and involvement in extracurricular activities play a crucial role in children and adolescents emotional and social development, including supporting emotional regulation, this paper advocates for efforts to protect access to these critical social contexts. Additionally, the developmental implications of social isolation and deprivation of in-person relationships and experiences during COVID-19 social isolation highlight the importance of appropriate clinical interventions to bolster resilience and coping skills in children and adolescents. The family context also cannot be minimized, and the findings of this paper emphasize the role of family relationships in exacerbating or buffering negative changes in child and adolescent mental health symptomology. These findings highlight the need for policymakers to consider a balanced approach between disease containment measures and protecting child and adolescent mental health in future pandemic or disaster responses
Psychogenic Non-Epileptic Seizures: Arriving at Best Practices for Counsellors
No full textIndividuals with psychogenic non-epileptic seizures (PNES) straddle the two worlds of neurology and psychiatry and are often left to fall through the cracks. As such, this capstone paper provides a detailed description of this complicated diagnosis, as well as the numerous vulnerability traits which make a person more susceptible to this condition. This paper also explores the various forms of stigma these individuals encounter in their life, both inside and outside of healthcare. The traditionally used therapeutic approaches for this client population are explored, as well as other more current and less researched approaches, such as acceptance and commitment therapy (ACT) as well as somatic-based therapeutic approaches. Even though there is a lack of research using ACT and somatic-based modalities to treat PNES, there are numerous potential benefits using key interventions. Based upon synthesizing the current research in this field, an itinerary for a one-day psychoeducational workshop for counsellors is proposed using a trauma-informed and biopsychosocialspiritual approach
Left Behind After Suicide: Supporting School Communities Through Critical Incident Responses and Trauma-Informed Perspectives
No full textWhen a student or staff member from a school dies by suicide, it can have a devastating impact on the school community. Research shows that suicide loss survivors are particularly vulnerable to intense emotions, a perceived lack of social support, and are exposed to a risk of contagion due to the traumatic and stigmatizing nature of the death. The objective of this capstone is to explore the effects that suicide bereavement can have on students, staff, and family members who are left behind, and to investigate critical incident responses and trauma-informed approaches that are currently being implemented by school districts in British Columbia. Recommendations for effective postvention in schools will be proposed based on the key elements of trauma-informed suicide-focused work. The theoretical perspective of trauma-informed practice and the decolonizing ideology of Two-Eyed Seeing will be used to guide the research in this capstone
