In this issue

Features

Counselling in China
Gareth Davey and Xiang Zhao report on theÌýchanging status of counselling in a rapidlyÌýchanging China.

Life after death
Pete Connor reflects on 25 years’ counsellingÌýpeople living with HIV.

Write, read, share, reflect
Therapeutic writing groups present particularÌýchallenges and rewards for the facilitator andÌýparticipants, as Jeannie Wright explains.

Regulars

News focus
Growing old happily
New research shows a clear link between happiness and better physicalÌýand mental health in old age Catherine Jackson reports.

Talking point
Christiane Sanderson: Hear them and believe them

The researcher
Barry McInnes: Why I love research

In the client's chair
Billy Hague:ÌýSorting outÌýmy bag ofÌýworries

In practice
Rachel Freeth: I am feeling powerless

Dilemmas
Client encounters in a dual role

My life
Lydia Tischler: I am not a victim

How I became a therapist
Elspeth Schwenk

Questionnaire
Terri Apter

Letters

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From the chair
Amanda Hawkins: So much to talk about

Cover of Therapy Today, November 2012

Articles from this issue are not yet available online. Members and subscribers can download the pdf from theÌýTherapy TodayÌýarchive.

Editorial

I’ve been hearing for a number of yearsÌýabout China’s growing need for counsellingÌýas it transitions to an economic superpower,Ìýso I’m pleased to be able to publish GarethÌýDavey and Xiang Zhao’s article, which gives aÌýgood introduction to the status of counsellingÌýin China today.

It is fascinating to reflectÌýon how unsuitable some Western modelsÌýof counselling are for Chinese people. TheÌýChinese are brought up to identify with theÌýgroup rather than as individuals. Also, theyÌýsee the practice of openly expressing thoughtsÌýor feelings about family members to outsidersÌýas dishonouring to their family; to remainÌýoutwardly passive and restrained is seenÌýas positive. The values of person-centredÌýcounselling, for example, can therefore beÌýdifficult for Chinese clients; focusing onÌýindependence, autonomy and self-directionÌýmay conflict with obeying parents andÌýdependence on family. Some clients may beÌýunable to make decisions without consultingÌýtheir parents. The client in our case study tellsÌýus she would prefer her therapist to tell herÌýwhat to do. As the article says, Chinese clientsÌýoften have a preference for CBT but evenÌýthis needs to be adapted to cultural needs.

Pete Connor has spent the last 25 yearsÌýcounselling people with HIV. As he says,Ìý25 years ago a positive HIV diagnosis wasÌýa traumatic and catastrophic event. ManyÌýof us lost friends and colleagues to AIDS inÌýthe late 80s and early 90s and, before readingÌýPete’s article, I hadn’t fully realised that HIVÌýis now a chronic but treatable condition.ÌýPeople with HIV can now live out a more orÌýless natural lifespan. But, as Pete describes,Ìýnewly diagnosed clients may present in greatÌýdistress, believing they have just received aÌýdeath sentence. People facing a life-time ofÌýpowerful drugs with unpleasant side-effectsÌýmay understandably struggle to look on theÌýbright side. The role of the counsellor is noÌýless vital than it was 25 years ago.

Sarah Browne
Editor