In this issue

Features

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

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

Diana’s story
Through a case study of a young adult undergoingÌýextended treatment for leukaemia, Sheila HegartyÌýillustrates her work as a counsellor within theÌýhaematology department of a major London hospital

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

Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Practitioner’s Conference
Elspeth Schwenk invites Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Healthcare membersÌýto join us at a groundbreaking practitioner event

Both sides now
Sally Flatteau Taylor reflects on knowing and notÌýknowing in bereavement

Dissociative identity disorder:ÌýImproving treatment outcomes
Cath Slack reports on developments in the prognosisÌýand treatment of DID

Regulars

Chair’s report – Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Healthcare
Tina Campbell: Time to just breather

Development report – Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ 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

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Denise Ham

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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 comeÌýmore into focus over the past year. LastÌýsummer, the Royal College of PsychiatristsÌýcalled for an end to the development of ‘ageless’Ìýmental health services, arguing for the continuation ofÌýspecialist services which understand the nuances thatÌýthe consequences of ageing bring to the management ofÌýmental health problems1; and last autumn, after findingÌýolder people were underrepresented when accessingÌýservices2, the IAPT programme set out to improve accessÌýrates for this age group through the development of aÌýcompetence framework and training curriculum to helpÌýtherapists develop the necessary skills and attitudes.

Whether working in primary care or in specialist services,Ìýpractitioners hoping to engage therapeutically withÌýolder people will appreciate Mike Fox’s empathic andÌýinformative article, this issue. Mike, who has extensiveÌýexperience of working within specialist older people’sÌýservices, explores, in particular, the layering of self as weÌýgrow older: ‘How the person one has become continuesÌýto bear the imprint of previous change and how it wasÌýnegotiated’. Through client work examples, MikeÌýdemonstrates how the act of describing and reflectingÌýupon events within an extensive personal history canÌýenrich and clarify an older person’s sense of who they areÌýand how they became that way. ‘The process of ageing inÌýwhich we are all involved,’ he writes, ‘can lend us empathyÌýwith those who are like us but have progressed further’.

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

We also bring news of the first ever Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Practitioner’sÌýConference. As one of the four specialist divisions takingÌýpart, Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Healthcare is delighted to be working withÌýÏã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Workplace, Ïã¸ÛÁùºÏ²Ê¾«×¼×ÊÁÏ Coaching, and the AssociationÌýfor Pastoral and Spiritual Care and Counselling (APSCC)Ìýto deliver this innovative conference. The national eventÌýwill enable practitioners to cut across divisionalÌýboundaries as well as seek out streams dedicated to theÌýinterests of their specialism. We look forward to meetingÌýyou there.

Sarah Hovington
Editor
hcpj.editorial@bacp.co.uk

References

1 iapt http://www.iapt.nhs.uk/equalities/older-people/
2 www.rcpsych.ac.uk/mediacentre/pressreleases2013/agelessmentalhealthservices.aspx