Complexities of Working with Client Preferences

Caroline Burke, psychotherapist in private practice, Personal Development Tutor, IICP. The pluralistic approach—which prioritises the perspective of the client, their goals, and preferences—has challenged me personally. I trained as a psychodynamic psychotherapist, so the organic unfolding of a client’s story within the cultivation of a therapeutic relationship, unrestricted by time, is…

‘We’re making it up as we go along!’ Co-production in Pluralistic Person-Centred Therapy

Nicola Blunden; BACP Accredited Counsellor, Psychotherapist, Supervisor, and Trainer, Metanoia Institute, London; Co-Convenor Holi: Co-productive Research in Wales This blog is an overview of co-produced, pluralistic person-centred therapy, as I live it with my clients. I talk about co-production, and what it is generally in health care, where it has…

Why We Should Acknowledge and Accommodate Clients’ Wants and Needs

Jonny Hutchinson, Trainee Counselling Psychologist, University of Roehampton This blog is a response to one of the points raised in Ong, Murphy, and Joseph’s (2020) critique of the pluralistic approach to counselling and psychotherapy. For reasons of space, I’ve chosen to address just one particular aspect of their argument, but…

From the Actualising Tendency to Autonomy: How do we Understand and Honour Self-Determinism in Pluralistic, Integrative, and Person-Centred Therapy?

Erin Stevens, Counsellor/Psychotherapist, blogger A few years ago, in therapy, as I discussed some of the more questionable choices I have made in my life, my therapist said to me ‘You always get to where you need to be, Erin. You might not always take the most orthodox route, but…

Eliciting and Accommodating Client Preferences in Counselling and Psychotherapy: When is it Helpful?

Mick Cooper, Professor of Counselling Psychology, University of Roehampton Is it always helpful to ask clients in counselling and psychotherapy about their preferences, and to fully accommodate them? Of course, from a pluralistic standpoint, that is the wrong question to be asking. Overall, meta-analyses do show that preference accommodation is…

Client Preferences in counselling for alcohol problems

Jillian Walls, Abertay University Walls, J., McLeod, J., & McLeod, J. (2016). Client preferences in counselling for alcohol problems: A qualitative investigation. Counselling and Psychotherapy Research, 16(2), 109-118. doi: 10.1002/capr.12064 What to say about this research? I developed, like most counsellors, a keen interest in what clients wanted from counselling,…

Using measures

By John Mcleod A theme that often comes up in conversations with pluralistic is the challenge of using feedback tools (CORE, ORS, etc) in therapy sessions. I would like to suggest three points here, for further consideration and possible discussion. First, it is helpful to look at what is happening…