Hiding in Plain Sight

In the brilliant cops and robbers classic film `The Italian Job` (1969) starring Michael Caine, there are many clever and memorable scenes involving the trio of red, white and blue Mini Coopers that whisk away stolen gold from under the noses of the Italian authorities. One of these scenes shows the Minis being closely chased by the police around a large car sales site.  To evade capture the Minis race into a British sales area and quickly park amongst the other Minis there. The hapless police pass close by without seeing our band of likeable rogues, who are hidden in plain sight.

In a recent episode of `New Tricks` on TV, our vintage detectives discuss where their dastardly villain might have hidden a valuable book. After careful consideration it was decided that the aforementioned book was probably hidden in the London Library with the other one million books.

It’s often been said that if one is kitted out with a high visibility vest, hard hat and a clip board, one can wander around almost anywhere unchallenged. Similarly who would really notice someone in a white coat with a stethoscope around their neck and a sheaf of papers under their arm in a hospital?

Moving away from the fictitious world of Film, TV and imagined scenarios and into the sometimes harsh brutality of real life, we have seen examples of people in the public gaze leading a kind of Jekyll and Hyde double life. One such person of course was Jimmy Savile and although there were many allegations of his activities during his lifetime, these were largely dismissed and the accusers ignored. Hiding in plain sight, Savile was said to have been given an office in the grounds of Broadmoor Hospital where he worked along with a bedroom and a set of keys to the wards. Widely praised as a fundraiser of an estimated £40 Million during his lifetime and decorated by the Queen, Savile’s real legacy is far darker for his many victims.

Another person hiding in plain sight was Harold Shipman, the GP turned serial killer who was convicted of murdering 15 of his patients but was thought to have actually killed around 250. Seen as a respected member of the community but lacking the celebrity of Savile, Shipman was interviewed in 1983 for an edition of the Granada Television’s documentary World in Action on how the mentally ill should be treated in the community. No doubt Shipman gained some pleasure from his appearance on TV in front of millions, while successfully concealing his true nature.

It’s widely recognized that a high percentage of murder victims know the perpetrator and this ties in with TV appearances by some people who know more about a crime than they are disclosing. In the past we have seen many relatives of victims on TV, apparently overwhelmed in grief, appealing for help and information regarding their loved one, only to be arrested and charged later in connection with it.

In 2002, the Nation watched as Ian Huntley a College caretaker in Soham, spoke to reporters on TV about missing school girls Holly Wells and Jessica Chapman. He put himself at the centre of the investigation by claiming to be the last person to see the girls and appeared to want to help by showing the police around the College and assisting in the search. He attempted to point the finger at others and away from himself and tried to build a relationship with the police to gain information about DNA. He seemed almost too helpful but his few minutes on TV went far and wide and soon reports about his history flooded in to an already suspicious investigative team. Following the discovery of items of the girls clothing at the College, Huntley was arrested and charged on suspicion of abduction and murder. Shortly after came the awful news that the bodies of Holly and Jessica had been found, which dashed the hopes of the nation that somehow a happy ending would transpire.

Many experts have dissected the film of Huntley frame by frame and have pointed to words and mannerism which indicate where this evil double child killer was lying.  Huntley tried and failed to hide in plain sight and went down for a minimum of 40 years. In setting this minimum term of imprisonment, Mr Justice Moses stated: "The order I make offers little or no hope of the defendant's eventual release.

So, how do we relate the concept of `Hiding in Plain Sight` to the world of Counselling and Psychotherapy?  I believe this is subjective and that there’s no one single answer, which leaves you the readers to make up your own minds. However, therapists are very aware that often a client’s presenting issue is not the true one and that something else lies at the root of their distress.  It’s about using all of our skills, being watchful and alert in our work to identify when a client could have been a victim of a perpetrator living and hiding in plain sight. We know that abusers can very clever, manipulative and controlling in their activities and as a result can often leave victims with the belief that somehow it was their fault. Shattering that belief and setting the client free from their ingrained guilt through careful therapy has been one of the most rewarding experiences of my professional life. It’s just tragic that there are still so many wounded people out there, victims of those abusers who hide in plain sight.

What To do Next

If you feel counselling is maybe what you are looking for, or if you require further information the next step is very simple. Visit the Contact page and drop David a message via email, or call. 

To book a counselling session with David, or to request further information, please call in confidence 01823 443022.

©David Trott 2021



Small Steps: A Brief Look at Change

The first signs of the New Year that most of us see are often the fireworks over Sydney Harbour in Australia that illuminate the iconic Bridge and Opera House a good ten hours before we celebrate the occasion here in the UK and this year has been no exception albeit slightly muted. It’s likely that people will not mourn the passing of 2020 too much with memories of the Covid-19 epidemic reeking chaos and misery across the world. However with all of our own country now in total lockdown and huge numbers of the new variant of Covid-19 cases every day I guess there’s little enthusiasm for celebrating the arrival of 2021 except for the promise of the vaccines.

For many people, the New Year can bring about ideas of making changes to their lives in the form of Resolutions. In years past it was not unusual for people to draw up lists of these pledges, which might have included: to stop smoking, cut down on alcohol, lose weight, get a better job or take the dog out more often. However, unfortunately New Year Resolutions are seldom kept and this can bring about feelings of disappointment in us and so we feel worse. The main reason for the lack of success of these promises is that they are often unrealistic and also unachievable without outside support.

As therapists of course, we are in an excellent position to provide this support and that is why at this time of year our counselling and psychotherapy world is usually extra busy. Depending on our modality, we might employ the S.M.A.R.T. approach: Specific, Measurable, Achievable, Relevant and Timed.

For example Specific might be going cycling to keep fit. Measurable - deciding how often and how far one might go. Achievable - confirming one is up to the task – are there any reasons why this can’t be done, health etc? Relevant – will this help to keep fit? Timed – when will it start, how long, when will progress be reviewed?

In Counselling and Psychotherapy we can work with our clients to decide if the changes they want to make are achievable. In my work with clients I sometimes use John Bird, the founder of The Big Issue magazine as an example of how to break down a problem into manageable chucks. In his book ‘Change Your Life – 10 steps to get what you want` (2008 Vermilion Publishing) he writes of his chaotic younger years of being imprisoned in a young offenders’ institution at the age of fifteen, where he was locked in a cell for 23 hours each day.  He had been abandoned by his family and felt disliked by everyone.  At one point he ran away from the institution but was caught and taken back. As a punishment he was instructed to dig over a huge field with a spade and a pitchfork.  The size of the task was meant to overwhelm and beat him but he was determined not to let that happen.  Mentally, John divided the field into small squares of 3% which straight away made the task more manageable and also meant that he could measure his progress. Every time he dug over a square he felt he had achieved something positive and this made it easier to keep going.  By breaking down this huge job into small steps, it was no longer daunting. This was the birth of his now legendary 3% rule.

Breaking down the problem with baby steps, small steps, little victories or the 3 % rule will almost certainly make the issue in question more manageable but we still need to decide together if the ultimate goal of the client is actually achievable. Clients wanting to be CEO of M&S by Easter, World Heavyweight Boxing Champion of the World by the end of the summer or an Astronaut by Christmas will need all of our helping skills if they are to avoid a feeling of disappointment. Here the application of a Force Field Analysis might be useful to identify Hindering Forces and Facilitating Forces, allowing the clients to build a tangible picture of the pros and cons of their wishes. Those of us that have reasonable expectations of what we are able to achieve will often surpass those expectations and in doing so will improve our self esteem.

When a new client arrives at our counselling room and after the pleasantries and admin are over, one of the first things we might ask is `So, what brings you here?` and later `What are your expectations of counselling?` or `What are you hoping to achieve?` And however cloudy, vague or guarded the answers might be, we then tease out what their goal really is. But there’s a huge underlying factor here and that is hope. Our client has singled us out from the possibly dozens of therapists in our area. They have probably trawled the Internet for some time, reading the profiles, studying the pictures and comparing qualifications and modalities and after all that they have chosen us. They have chosen us because they believe we offer hope in the shape of getting from where they are now to the place they want to be. And there’s the balance isn’t it? Optimism and hope for change within achievability and realism.

What To do Next

If you feel counselling is maybe what you are looking for, or if you require further information the next step is very simple. Visit the Contact page and drop David a message via email, or call. 

To book a counselling session with David, or to request further information, please call in confidence 01823 443022.

©David Trott 2021






Farming: We Reveal the Dark Side

Travelling around Somerset and our neighbouring counties it’s easy to become accustomed to the lush pastures, rolling hills, woods, hedgerows and huge areas of arable land that make up our wonderful environment. To us it may just be the backdrop to our busy lives but to the operators of one of the biggest and important industries in the UK, it’s their workplace. We are talking of course about farming and the men and women who help feed the nation and add billions to the economy of the nation; the farmers.

According to 2014 Government figures the value of UK agricultural production (at market prices) was £25.8 billion, this included 970 million dozen eggs laid by 37.1 million birds and 14.6 billion litres of milk from 1.8 million cows. During this period 400,000 people were employed in farming and 71% of land in the UK was used for farming – impressive by anyone’s standards.

To the layman or casual observer, farming may seem an idyllic and pleasant way to earn a living. We see farmers out on their tractors or passing by in Land Rovers with their trusty black and white Collie in the back and we may think `That’s the life`. We might be impressed by the massive machinery they use or the nice looking farmhouse and buildings. We could notice the farmer’s children playing in the yard with the freedom that we wish our own children had. It’s possible that we really believe we see real farming life at the county shows where the gleaming white coats of exhibitors and their beautifully presented animals convince us that all is perfect and flawless down on the farm. We might then venture into the food tents and sample the delights within. It’s no accident that the red and white gingham tablecloths, cheese, pickles and crusty bread feed into our desire to view farming as a wholesome, healthy occupation enjoyed by wholesome, healthy ruddy faced people who love the countryside and the job they do. But there’s another side to this seemingly idyllic profession, a dark side that’s not spoken about very often, a side that even in our open society cries out to be heard and understood; mental health issues for farmers.

Countryfile Magazine drew attention to the prevalence of mental illness among farmers recently with the shocking statistic that on average one farmer will take his own life each week in the UK. In France the situation is worse where a farmer dies on average every two days. So why are farmers at such high risk of suffering mental health issues?

Farming can be a very isolated occupation and it’s common for farmers to do entire days without seeing anyone, a far cry from bygone days when many farm workers were employed on the average farm. As opposed to many other professions farming is a 24/7 occupation with very long hours, far less days off and holidays and with the added element of `living above the shop` where the farmer cannot leave the worries and stress of his work behind at the factory gate.

We have seen many factors over the years that have tipped many over the edge – these include Foot and Mouth, Bird flu, TB, difficult market pressures, flooding, and loans and mortgage repayment issues, any one of which have the potential to decimate livelihoods. As well as this there is the sometimes negative perception of some farming methods by the general public

The social isolation of farming can lead to a lack of support or a lack of other people noticing mental illness symptoms. Most farmers are male, and it’s widely accepted that men are less likely to discuss personal problems than women. This could be linked to strongly held beliefs that men should be able to sort themselves out or that seeking help is somehow a sign of vulnerability or weakness. It’s also known that men are far more likely than women to take their own lives.

The most common mental health problem is depression, one in five of us will suffer from this at some point during our lives, and farmers are no different. There are major differences between feeling low and being clinically depressed. When the latter develops, the person can be affected most of the time, frequently for a number of weeks or months. Symptoms can include tiredness, restlessness, low mood, falling energy levels, poor concentration, a lack of interest in things that would normally give pleasure, an increase in alcohol or tobacco use, loss of sex drive and suicidal thoughts. Physical symptoms such as aches or pains may also occur.

So where can farmers turn for help? As a professional counsellor working in a village on the outskirts of Taunton, I have had clients from all walks of life. These include mechanics, architects, accountants, cleaners, musicians, garage owners, web site designers, welders, members of the armed forces, dentists and farmers. Although hugely diverse in their occupations, they all had something in common; there was something in their lives that prevented them from leading a happy and contented life, a black cloud that followed them around and weighed heavily on their shoulders.

Talking to a professional counsellor or Psychotherapist can help immensely. One reason for this is that counsellors and psychotherapists are not personally connected to their client’s story. A good therapist will be genuinely interested in their client, empathic and non-judgmental and do their best to help their client, while at the same time not advising or telling them what to do. It’s all a question of support for the client – support to help the client explore their thoughts and feelings and support to maybe see things differently and to hopefully move forward towards resolving their situation. All this happens at the client’s own pace in a confidential and private setting.

As well as counselling there are other avenues open to farmers seeking help with stress, depression and other mental health issues, these include -

Whichever path the farmer decides to go down for help, it’s important that one is taken. With deep seated habits of just managing or trying to cope on one’s own it sometimes feels right or normal just to carry on in the same old way but there is an alternative and that is to seek help before things get worse.

About the Author

David grew up on a small farm in Somerset, where as a young boy he helped with milking, the pigs, chickens , sheep and beef bullocks and in the summer, the hay making. He often attended livestock markets with his father at Glastonbury, Highbridge, Yeovil, Langport, Bridgwater and Taunton and helped with the family wholesale butchery business. Although almost a lifetime ago and set in a bygone age he feels it gives him an insight into the stresses of farming life and an empathic view of the valuable and essential work of the farming community.

What To do Next

If you feel counselling is maybe what you are looking for, or if you require further information the next step is very simple. Visit the Contact page and drop David a message via email, or call. 

To book a counselling session with David, or to request further information, please call in confidence 01823 443022.

© David Trott 2019


We humans, the games we play:Transactional Analysis

Transactional Analysis is built on the theory that there are three areas or states of the human personality and these are represented in diagrams and text books by three vertical circles. The top circle is the parent, the middle the adult and the bottom one is the child. A Transaction is an exchange between people – a person says or does something and the other person says or does something back. A simple Transaction between adults might be:

First person `Good morning, it’s a lovely day`

Second person` Yes, they say it will be nice all week`.

It is said that all of us are three persons in one. Sometimes we are the child that we once were. Other times the parent with attitudes and influences absorbed from our own parents and then another time we are the adult that navigates their way through this busy and ever changing world.

So far this may sound simple but where it begins to get complicated is when we realise that transactions can come from any one of the three states in ourselves and get a response in another person from any of their three states and vice versa. For example I may make an observation from my Adult state to my neighbour and get a reply from his Child state. This is likely to feel unsatisfactory.

So simply put, Transactional Analysis is the study of people’s interactions together, the states they come from and where they are directed to in the other person.

All of us at one time or another play games with each other, not so much physical games like cricket or football but mind games. An expert in this field was Eric Berne (1910–1970) who wrote `Games People Play – The Psychology of Human Relationships`. In this brilliant book Berne explains Transactional Analysis, the definition of `Games ‘and the `payoff` that always goes with them. Although written for professionals the book took off and became a bestseller. The book clearly presents common examples of the ways in which humans are caught up in the games they play. Berne gave these games superb titles such as `Now I've got you, you son of a bitch` and `Let's you and him fight. `

In my work as a counsellor I have experienced many mind games and relate a generalised version of one of them below. I call it `Look how busy I am`

Therapist. Shall I book you in for next week?

Client. Thursday again?

Therapist. Yes.

Client. Good, I’m glad it’s Thursday again because I’m seeing my Mother on Friday.

Therapist. So Thursday’s ok?

Client. Had you said Wednesday, I would have to have said no because it’s my Yoga class.

Therapist. I’ll put you down for Thursday then?

Client. Tuesday’s no better either because I help in the charity shop and always go shopping afterwards and I can’t change that.

Therapist. So, it’s Thursday then?

Client. I can never do Monday, so don’t ask me, clearing up after the weekend, washing and ironing.

Therapist. I wasn’t going to offer you Monday.

Client. Do you see clients on Saturday?

Therapist. No.

Client. Good, because that’s the weekend and I’m always busy then.

`Look how busy I am` is a game of power which is designed to show how busy the client is. She wants to see the therapist but only on her terms. It assumes the therapist is less busy than her.

The games must include all the activities the client does and all the days she is busy. The game wouldn’t work if she accepted the Thursday appointment straight away, although that is all that is required in an adult to adult exchange.

A useful prop in this game is a diary or a phone with an organiser on it. The process of consulting this is often slow and reinforces how much the client is in demand and how she is squeezing the other person into her busy agenda.

The payoff could be two fold – firstly the client will enjoy displaying her busy life and how much she is in demand. Secondly the payoff could be seeing the therapist squeezed into a tight time slot and unable to move. The game could only be improved if the therapist was unable to do Thursday for some reason, then another game, probably called `The end of the world` or `Disaster` would be played out.

Another popular game `Now I suppose you want some money – the horror of it`.

The subject of our second example of a game has a service done for them, maybe a washing machine repair, car service or a delivery of shopping from the supermarket. Our subject knows very well that this must be paid for, however when the point of payment arrives he makes no attempt to pay. Instead, time wasting delaying tactics are used like idle conversation or questions about further services that may be available. When it’s clear our subject cannot put off paying any longer he will say `Now I suppose you want some money?`

The poor tradesman is forced to agree and show some appreciation for the long awaited money he is owed. A look of horror may appear on our subject’s face at this time, maybe because he believes the honour of serving him should be enough and he is mortified this upstart wants money as well. The next tactic our subject uses is to look for his wallet/purse/cheque book. Much delving and searching eventually produces the necessary and if its cash, long methodical counting follows or if a cheque slow meticulous writing and scrutiny will ensue.

Our subject may pretend to not want to let go of the payment, holding on to it with a tight thumb and finger hold. Doubtless Freud would say that this apparent bit of fun subconsciously is no joke but a real desire to keep it. He believed our subconscious reveals itself in many ways including through our jokes and humour. This teasing may show a need by our subject to make our tradesman almost beg like a dog for a biscuit.

The payoff for this game is partly about control, he who pays the piper calls the tune and in this case our subject holds the purse strings. It’s clear our subject does not want to pay for the service that has been provided but tries to cover this up with the long drawn out conversation, the difficulty in finding his wallet and the attempt at a joke. In here somewhere are status issues also, calling the tune, being in charge, expecting gratitude, the threat of the working classes rising above their station by being paid and the knowledge that the head of our nation does not actually carry money herself.

So in it’s simplest form Transactional Analysis is a study of the interactions between two people. In it’s more complex structure it’s intriguing mind games on a par with world class chess. If you found this piece interesting I would recommend you look at the actual work of Eric Berne, the flavour of which we have briefly touched on here.

© David Trott 2013


Somerset Counselling: What is Integrative Counselling?

When we look into the world of counselling and psychotherapy the buzzword these days appears to be `Integrative Counselling and psychotherapy`. The phrase is tossed into conversations and the written word like the bread thrown to the ducks in the park. But what exactly is Integrative Counselling and psychotherapy and how does it work?

We all know that there are many different approaches (or methods) to counselling and psychotherapy which are built on a wide range of ideas and theories. These include Psychodynamic, Gestalt, Behavioural (CBT), Humanistic (Person Centred) Psychosynthesis and Existential.

The Advantage of Integrative Counselling

The advantage of the Integrative Counselling Model is that it draws from all these major orientations and includes them in a counselling method which treats the person as a whole. This wider view is in contrast to some Psychodynamic purists who will generally look towards the client’s younger years and symbolism like dreams and Freudian slips to attempt to unravel the person’s unconscious.

Behavioural therapies such as CBT will be concerned with the here and now and look at unhelpful aspects of a person’s thinking such as Negative Automatic Thoughts (NATs). Here the CBT therapist will communicate very little Empathy, instead concentrating on how the client is affected right now by their problems and issues.

Humanistic counselling which includes the work of Carl Rogers and his Person Centred approach leans heavily on the relationship between client and therapist and the communication to the client by the therapist of what Rogers called the `core conditions`. While Psychosynthesis itself and other Existential approaches relate more to the `unexplainable` and has a spiritual side or edge to it. Therefore we in Integrative Counselling see it’s possible to have one’s gateau and eat it in as far as treating the client as a whole and also having the benefits of the major orientations.

It is said that Integrative counselling is the growing approach within psychotherapy which links it nicely to another buzzword of `postmodernism`. Postmodernism captures the trend and mood that we see in the decline of purist approaches. In many walks of life we witness the move to more flexible and pragmatic solutions to problems that were tackled in a more rigid fashion in times past.

Integrative Counselling Framework 

So who’s responsible for Integrative counselling theory that supports Integrative counselling and the surge of interest that it has caused? One of the leaders has been Dr Petruska Clarkson, who with almost 30 years international experience and 150 publications to her name was the designer of the first MSc level Integrative psychotherapy course in the UK. Her Integrative counselling framework has been used in various colleges to provide a sound qualification for recipients to embark upon a career in counselling.

Clarkson’s Integrative counselling framework includes the Five Relationships between therapist and client of Working Alliance, Tranferential, Reparative, I-you and Transpersonal. Also present are the Seven Levels of Functioning of Physiological, Emotional, Normative, Nominative, Rational, Theoretical, and Transpersonal.

What Is Integrative Counselling?

For those still wondering what Integrative Counselling is, it’s clear that the Integrative approach to counselling is different than eclecticism. Eclecticism is said to be about the process of `selecting out` and also more about taking something apart while Integration is more about `bringing together`. So the Integrative approach to counselling is a bringing together of different approaches to form a new orientation that stands in it’s own right.

Is it possible to see how an Integrative approach to counselling works and hear a little more about these 7 levels of functioning?

The following case study is a fictitious and is unlikely to occur in real life, however it’s useful to explain a little of Integrative counselling theory. `Mrs Smith` arrives at her counsellor’s for her first session of Integrative counselling. While presenting her problem to the therapist she appears to be shaking slightly while wrapping her arms around herself. The therapist views this Physiological level of his client. Is she cold, is she frightened or is there some other reason for her shaking? Maybe chemical? This is discussed with the client.

While the client talks, she becomes upset and starts to cry, the client’s Emotional level is clear for the therapist to see and work can be done on this. Feeling a little better now, Mrs Smith talks of the fact that she has not seen her grown up children for fifteen years – she shows no emotion and appears to see nothing strange in this – this is her Normative level – what is normal to her, her bench mark and her frame of reference to judge the goings on in her external world.

Mrs Smith now talks of her neighbour who she alleges runs a black magic cult in his garden every other Thursday evening. She calls him “the evil one”. The therapist notices that this is the name she has nominated for him – this name brands him and links him to how she sees him and his activities. This is her Nominative level. As mentioned before this is a fictional tale and it’s unlikely that all aspects of the 7 levels of functioning would be witnessed in one single session. However it does help to explain the question `What is Integrative Counselling?` and what is behind Integrative Counselling Theory.

Now back to Mrs Smith;

Although seemingly unhappy about the exploits of her Satanist neighbour, Mrs Smith surprises her therapist by declaring that he’s not really hurting anyone and everyone needs a hobby, as did her late husband Mr Smith, who was an avid collector of eggcups. The therapist notes down her Rational level of functioning.

Moving on, Mrs Smith talks again of her late husband and his hobby of eggcup collecting. She theorises as to why he did it – poor upbringing, he didn’t have much, nasty father, very mean. I think eggcups was a safe place to be, gave him something he never had as a child. The therapist jotted down her Theoretical level.

With 10 minutes to go the therapist tells Mrs Smith that they are near the end of their time together and begins to summarise their session. Although not a good time to start with anything new, Mrs Smith mentions that she often feels her late husband’s presence, especially in times of worry and stress.

The therapist asks her to try to hold that thought and the feeling that goes with it and they can let it unfold in their next session together. The therapist makes a mental note of the Transpersonal experience that Mrs Smith has mentioned.

What are the Five Relationships?

Within Dr Petruska Clarkson’s framework are the Five Relationships that are identified as being between the client and the practitioner, these are the Working Alliance, Transferential, Reparative, the I-You and Transpersonal.

By its very nature the Working Alliance is common to all approaches found within counselling and psychotherapy. For many practitioners the working alliance is the crucial and sometimes only relationship necessary for effective therapy. Central to this process are the core conditions of empathy, unconditional positive regard and congruence. The Working Alliance centres around the contract between the adult of both the practitioner and the client.

The Transferential relationship has its roots in the Psychodynamic and Gestalt approachs. I believe transference is everywhere and will almost certainly appear at some point in most orientations, even if the chosen approach has not got Psychodynamic roots. Transference itself is the past manifested in the present. So an example might be the client unconsciously seeing the practitioner as a figure of authority from their childhood.

The Reparative relationship draws from Psychodynamic, Gestalt or TA. Maintaining the core conditions is a general way of offering the client a reparative relationship, with support from the counsellor in the present, the client experiences the relationship they lacked at a past time.

The I-You relationship is an authentic and real relationship requiring the counsellor not to be hiding behind their role as a counsellor or expert with the associated imbalance of power that can result. The I-You relationship draws on the Person Centred approach and is all about the relationship between client and counsellor.

The Transpersonal relationship which has its roots in Psychosynthesis, Existential and Gestalt therapy and has a spiritual identity is a hard one to identify. Based on research I did at a specialist counselling section in a local Somerset hospital, where patients with serious medical conditions can talk about their fears and concerns to a trained counsellor. It seems likely that people with life-threatening illnesses may well enter a Transpersonal relationship with their counsellor as they maybe contemplate death, the hereafter and the meaning of their existence.

So, to summarise briefly, we see the post modernist trend seems to lean towards Integration in Counselling and psychotherapy with its advantage of flexibility in the way therapy can be adapted to the meet the wide range of client’s issues and problems. This is reinforced by the growing realisation that `one size does not fit all` and the benefits the client gains from being treated as a whole i.e. mind, body, behaviour and emotions.

Copyright David Trott 2012 What is Integrative Counselling?

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