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"Transference (Psychology) Australia."
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Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
Background
When clinicians in the adult mental health sector work with clients who are parents with dependent children, it is critical they are able to acknowledge and respond to the needs of the parents and their children. However, little is known about clinicians’ personal perspectives and reactions towards these parents and children or if/how they balance the needs of both.
Methods
Semi structured interviews were conducted with eleven clinicians from adult mental health services in Australia. Interviews focused on clinicians’ experiences when working with parents who have mental illness. Transcripts were analysed within an Interpretative Phenomenological Analysis framework to examine participants’ perspectives and personal reactions to parents and children.
Results
There was considerable divergence in participants’ reactions towards parents and children and the focus of their perspectives when working with parental mental illness. Feelings of sympathy and responsibility made it difficult for some participants to maintain a dual focus on parents and children and contributed to some adopting practices that focused on the needs of parents (
n
= 3) or children (
n
= 1) exclusively. Other participants (
n
= 7) described strategies and supports that allowed them to manage these feelings and sustain a dual focus that incorporated the experiences and needs of both parents and children.
Conclusions
It is difficult for some mental health clinicians to maintain a dual focus that incorporates the needs and experiences of parents and their children. However, findings suggest that the challenges of a dual focus may be mitigated through adequate workplace support and a strengths-based practice framework that emphasises parental empowerment.
Journal Article
An Exploration of Counselor Experiences of Adolescents With Sexual Behavior Problems
This grounded theory study of 18 American and Australian counselors explores the impact of working with adolescents with sexual behavior problems. Findings are reported reflecting the counselors' own histories of abuse, their feelings regarding sexual information, their sexual and emotional responses to clients, and the importance of self‐care and self‐monitoring. Implications are discussed regarding management of such reactions.
Journal Article
“It’s Challenging on a Personal Level”—Exploring the ‘Lived Experience’ of Australian and Canadian Prenatal Genetic Counselors
Prenatal genetic counselors work with clients who are at risk of having a child with a fetal anomaly, or who have been diagnosed with a fetal anomaly. This can raise challenging ethical, moral and legal issues for both clients and counselors. Few studies have explored whether this type of work impacts on genetic counselors themselves. Interviews were conducted with 15 prenatal genetic counselors, five from Toronto, Canada and ten from Melbourne, Australia. A qualitative approach was used to allow for an in-depth exploration of the experiences of genetic counselors working in the prenatal setting. While participants reported that working in a prenatal setting affected them in several ways, this paper focuses on one particular unanticipated finding—that of the impact experienced by counselors from both countries while working when pregnant.
Journal Article
The effect of one partner's job characteristics on the other partner's distress: A serendipitous, but naturalistic, experiment
Studies investigating the transference of stress have shown that occupational stressors are transmitted from the job incumbent to a cohabiting partner, affecting not only his/her physical and psychological health but life expectancy as well. These studies remain limited in that they are based on simple bivariate correlations and hence are open to the criticism that: (i) causality has not been demonstrated; (ii) the observed correlations may be due to uncontrolled confounding influences. This study aims to overcome these limitations by using a longitudinal design where job characteristics ‘naturally’, but predictably, fluctuate to identify the causal relationship between one partner's job and the other partner's distress. The sample comprised 82 Navy couples (54 sea‐based and 28 shore‐based personnel). The job stressors under investigation included the deployment of the seagoing partner and his perceptions of job characteristics (role ambiguity, conflict and work overload). Both the impact on partner well‐being of objective and subjective perceptions of job characteristics were included in the present study. The results showed that the well‐being of the partners who remain at home fluctuates as a function of deployment status and the mariners' perceptions of their job characteristics. It is concluded that the seagoing partners' job characteristics do have a causal influence on the well‐being of their partners.
Journal Article