In this issue


Older people and transitions (free article)
Mike Fox explores one of the most distinguishing features of therapeutic work with older adults – the layering of self as we age

Walking a fine line
Andrew Reeves considers client autonomy, counsellor responsibility and the suicide conundrum

Diana’s story
Through a case study of a young adult undergoing extended treatment for leukaemia, Sheila Hegarty illustrates her work as a counsellor within the haematology department of a major London hospital

Lost in diagnosis
In outlining his involvement with a client, Michael Lilley considers some of the wider issues at play

BACP Practitioner’s Conference
Elspeth Schwenk invites BACP Healthcare members to join us at a groundbreaking practitioner event

Both sides now
Sally Flatteau Taylor reflects on knowing and not knowing in bereavement

Dissociative identity disorder: Improving treatment outcomes
Cath Slack reports on developments in the prognosis and treatment of DID


Chair’s report – BACP Healthcare
Tina Campbell: Time to just breather

Development report – BACP Healthcare
Louise Robinson: The contribution of counselling to public health

GP viewpoint
John Hague: Perfect care

Counselling in primary care
Richard Mason: No data available

Third sector perspective
Michael Lilley: Making sense of the 'mad' world we live in

Denise Ham


Cover of Healthcare Counselling and Psychotherapy Journal, January 2014

All articles from this issue are not yet available online. Divisional members and subscribers can download the pdfs from the Healthcare Counselling and Psychotherapy Journal archive.

From the editor

Therapy for older people seems to have come more into focus over the past year. Last summer, the Royal College of Psychiatrists called for an end to the development of ‘ageless’ mental health services, arguing for the continuation of specialist services which understand the nuances that the consequences of ageing bring to the management of mental health problems1; and last autumn, after finding older people were underrepresented when accessing services2, the IAPT programme set out to improve access rates for this age group through the development of a competence framework and training curriculum to help therapists develop the necessary skills and attitudes.

Whether working in primary care or in specialist services, practitioners hoping to engage therapeutically with older people will appreciate Mike Fox’s empathic and informative article, this issue. Mike, who has extensive experience of working within specialist older people’s services, explores, in particular, the layering of self as we grow older: ‘How the person one has become continues to bear the imprint of previous change and how it was negotiated’. Through client work examples, Mike demonstrates how the act of describing and reflecting upon events within an extensive personal history can enrich and clarify an older person’s sense of who they are and how they became that way. ‘The process of ageing in which we are all involved,’ he writes, ‘can lend us empathy with those who are like us but have progressed further’.

Elsewhere in this issue, Andrew Reeves writes about working with suicidal risk and Sally Flatteau Taylor writes about working with bereavement; both articles have direct relevance to all of us working in healthcare settings.

We also bring news of the first ever BACP Practitioner’s Conference. As one of the four specialist divisions taking part, BACP Healthcare is delighted to be working with BACP Workplace, BACP Coaching, and the Association for Pastoral and Spiritual Care and Counselling (APSCC) to deliver this innovative conference. The national event will enable practitioners to cut across divisional boundaries as well as seek out streams dedicated to the interests of their specialism. We look forward to meeting you there.

Sarah Hovington


1 iapt