A sanctuary of tranquillity in a ruptured world: evaluating long-term counselling at a women’s community health centre

Article

Ciclitira, K., Starr, F., Payne, N., Clarke, L. and Marzano, L. 2017. A sanctuary of tranquillity in a ruptured world: evaluating long-term counselling at a women’s community health centre. Feminism & Psychology. 27 (4), pp. 530-552. https://doi.org/10.1177/0959353516685344
TypeArticle
TitleA sanctuary of tranquillity in a ruptured world: evaluating long-term counselling at a women’s community health centre
AuthorsCiclitira, K., Starr, F., Payne, N., Clarke, L. and Marzano, L.
Abstract

The longitudinal study described in this article evaluated long-term counselling provided at a women’s health centre in the UK for service users on low incomes. The article focuses on the qualitative aspect of the study in which 59 women were interviewed individually before and/or after their counselling. The interviews explored how women make sense of long-term counselling in the context of their gendered experiences and complex needs. The data were analysed using thematic analysis informed by a feminist orientation and attachment theory. Four main themes emerged:‘violence and loss in the context of female oppression’, ‘a sanctuary for women’, ‘non-medicalised long-term counselling in a safe setting’, and ‘benefits of the long view’. Participants attributed various benefits to receiving long-term counselling in a women-only environment. These included gaining employment; reduced suicidal ideation, anxiety and depression; improved physical health, improved confidence and being able to make positive changes in their relationships. The women interviewed post-counselling valued long term-counselling in this context, in contrast to short-term therapy in a medicalised environment. Wider implications with regards to clinical practice and research are discussed.

PublisherSage
JournalFeminism & Psychology
ISSN0959-3535
Electronic1461-7161
Publication dates
Online25 Jan 2017
Print01 Nov 2017
Publication process dates
Deposited16 Jan 2017
Accepted30 Nov 2016
Output statusPublished
Accepted author manuscript
Copyright Statement

Karen Ciclitira, Fiona Starr, Nicky Payne, Lisa Clarke, Lisa Marzano, A sanctuary of tranquillity in a ruptured world: Evaluating long-term counselling at a women’s community health centre, Feminism & Psychology, Vol 27, Issue 4, pp. 530 - 552. Copyright © 2017 (The Author(s)). Reprinted by permission of SAGE Publications.

Additional information

Article first published online: January 25, 2017

Digital Object Identifier (DOI)https://doi.org/10.1177/0959353516685344
LanguageEnglish
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Responding to repetitive, non-suicidal self-harm in an English male prison: staff experiences, reactions, and concerns
Marzano, L., Adler, J. and Ciclitira, K. 2013. Responding to repetitive, non-suicidal self-harm in an English male prison: staff experiences, reactions, and concerns. Legal and Criminological Psychology. https://doi.org/10.1111/lcrp.12025
Work-life balance policies, practices and discourse and public sector cuts
Anderson, D., Lewis, S., Lyonette, C., Payne, N. and Wood, S. 2013. Work-life balance policies, practices and discourse and public sector cuts. The BPS Division of Occupational Psychology Conference 2013: Connecting and contributing to make a difference. Chester, UK 09 - 11 Jan 2013 pp. 43-46
A qualitative investigation of employees’ perceptions of the impact of work on health behaviours
Payne, N., Jones, F. and Harris, P. 2011. A qualitative investigation of employees’ perceptions of the impact of work on health behaviours. BPS Division of Occupational Psychology Conference 2011: Creating value through occupational psychology. Stratford-upon-Avon, UK 12 - 14 Jan 2011 pp. 48-51
A qualitative investigation of employees' perceptions of the impact of work on health behaviours
Payne, N., Jones, F. and Harris, P. 2010. A qualitative investigation of employees' perceptions of the impact of work on health behaviours. Iavicoli, S., Jain, A., Petyx, M. and Tang, J. (ed.) 9th Conference of the European Academy of Occupational Health Psychology. Rome, Italy 29 - 31 Mar 2010 Nottingham, UK EAOHP. pp. 256-256
Self-harm in prisons: dominant models and (mis)understandings
Marzano, L. 2010. Self-harm in prisons: dominant models and (mis)understandings. in: Adler, J. and Gray, J. (ed.) Forensic psychology: concepts, debates and practice Willan. pp. 486-507
Interviewing survivors of near-lethal self-harm: a novel approach for investigating suicide amongst prisoners
Marzano, L., Rivlin, A., Fazel, S. and Hawton, K. 2009. Interviewing survivors of near-lethal self-harm: a novel approach for investigating suicide amongst prisoners. Journal of Forensic and Legal Medicine. 16 (3), pp. 152-155. https://doi.org/10.1016/j.jflm.2008.08.011
The suicidal process in male prisoners making near-lethal suicide attempts
Rivlin, A., Fazel, S., Marzano, L. and Hawton, K. 2013. The suicidal process in male prisoners making near-lethal suicide attempts. Psychology, Crime and Law. 19 (4), pp. 305-327. https://doi.org/10.1080/1068316X.2011.631540
Psychosocial influences on prisoner suicide: a case-control study of near-lethal self-harm in women prisoners
Marzano, L., Hawton, K., Rivlin, A. and Fazel, S. 2011. Psychosocial influences on prisoner suicide: a case-control study of near-lethal self-harm in women prisoners. Social Science & Medicine. 72 (6), pp. 874-883. https://doi.org/10.1016/j.socscimed.2010.12.028
Near-lethal self-harm in women prisoners: contributing factors and psychological processes
Marzano, L., Fazel, S., Rivlin, A. and Hawton, K. 2011. Near-lethal self-harm in women prisoners: contributing factors and psychological processes. The Journal of Forensic Psychiatry & Psychology. 22 (6), pp. 863-884. https://doi.org/10.1080/14789949.2011.617465
Impact on prisoners of participating in research interviews related to near-lethal suicide attempts
Rivlin, A., Marzano, L., Hawton, K. and Fazel, S. 2012. Impact on prisoners of participating in research interviews related to near-lethal suicide attempts. Journal of Affective Disorders. 136 (1), pp. 54-62. https://doi.org/10.1016/j.jad.2011.09.009
Studying survivors of near-lethal suicide attempts as a proxy for completed suicide in prisons
Rivlin, A., Fazel, S., Marzano, L. and Hawton, K. 2012. Studying survivors of near-lethal suicide attempts as a proxy for completed suicide in prisons. Forensic Science International. 220 (1), pp. 19-26. https://doi.org/10.1016/j.forsciint.2012.01.022
Employees’ perceptions of the impact of work on health behaviours
Payne, N., Jones, F. and Harris, P. 2013. Employees’ perceptions of the impact of work on health behaviours. Journal of Health Psychology. 18 (7), pp. 887-899. https://doi.org/10.1177/1359105312446772
Comfort and challenge: A thematic analysis of female clinicians’ experiences of supervision
Starr, F., Ciclitira, K., Marzano, L., Brunswick, N. and Costa, A. 2013. Comfort and challenge: A thematic analysis of female clinicians’ experiences of supervision. Psychology and Psychotherapy: Theory, Research and Practice. 86 (3), pp. 334-351. https://doi.org/10.1111/j.2044-8341.2012.02063.x
Women counsellors' experiences of personal therapy: A thematic analysis
Ciclitira, K., Starr, F., Marzano, L., Brunswick, N. and Costa, A. 2012. Women counsellors' experiences of personal therapy: A thematic analysis. Counselling and Psychotherapy Research. 12 (2), pp. 136-145. https://doi.org/10.1080/14733145.2011.645050
Work, stress and health behaviors
Payne, N., Kinman, G. and Jones, F. 2012. Work, stress and health behaviors. in: Houdmont, J., Leka, S. and Sinclair, R. (ed.) Contemporary Occupational Health Psychology: Global Perspectives on Research and Practice, Volume 2. Chichester WileyBlackwell. pp. 239-255
Students’ knowledge of abnormal psychology
Furnham, A., Baluch, B. and Starr, F. 2003. Students’ knowledge of abnormal psychology. Counselling psychology quarterley. 16 (4), pp. 331-336. https://doi.org/10.1080/09515070310001638128
Eating and drinking habits of young London-based Irish men: a qualitative study.
Kelly, A. and Ciclitira, K. 2011. Eating and drinking habits of young London-based Irish men: a qualitative study. Journal of Gender Studies. 20 (3), pp. 223-235. https://doi.org/10.1080/09589236.2011.593322
The impact of prison staff responses on self-harming behaviours: prisoners’ perspectives
Marzano, L., Ciclitira, K. and Adler, J. 2011. The impact of prison staff responses on self-harming behaviours: prisoners’ perspectives. British Journal of Clinical Psychology. 51 (1), pp. 4-18. https://doi.org/10.1111/j.2044-8260.2010.02007.x
Learning, teaching and assessment in health psychology.
Payne, N. 2006. Learning, teaching and assessment in health psychology. Health Psychology Update. 15 (2), pp. 4-5.
Family based behavioural management of childhood obesity: Service evaluation of a group programme run in a community setting in the UK.
Murdoch, M., Payne, N., Samani-Radia, D., Rosen-Webb, J., Walker, L., Howe, M. and Lewis, P. 2011. Family based behavioural management of childhood obesity: Service evaluation of a group programme run in a community setting in the UK. European Journal of Clinical Nutrition. 65 (6), pp. 764-767. https://doi.org/10.1038/ejcn.2011.23
Self-harm in a men's prison: staff's and prisoners' perspectives.
Marzano, L. 2007. Self-harm in a men's prison: staff's and prisoners' perspectives. PhD thesis Middlesex University School of Health and Social Sciences
Visuo-spatial ability and dyslexia: is there a male global advantage?
Brunswick, N., Martin, G. and Marzano, L. 2008. Visuo-spatial ability and dyslexia: is there a male global advantage? British Dyslexia Association International Conference, 2008 [Dyslexia: making links]. Harrogate, York 27 - 29 Mar 2008
Visuo-spatial ability, handedness and developmental dyslexia: just how sinister was Andy Warhol?
Brunswick, N., Martin, G. and Marzano, L. 2007. Visuo-spatial ability, handedness and developmental dyslexia: just how sinister was Andy Warhol? 25th European Workshop on Cognitive Neuropsychology. Bressanone, Italy 21 - 26 Jan 2007
‘Rights’ and ‘change’ roundtable: with the keynote speakers.
Ciclitira, K. 2008. ‘Rights’ and ‘change’ roundtable: with the keynote speakers. Psychology of Women Section 21st anniversary conference.. Cumberland Lodge, The Great Park, Windsor.
To be or not to be … a psychologist: critical and feminist dilemmas.
Ciclitira, K., Capdevila, R., Marzano, L. and Adams, E. 2008. To be or not to be … a psychologist: critical and feminist dilemmas. 2008 BPS Annual Conference.. Dublin 04 Feb 2008
Counsellors’ experiences of working as volunteers at a women’s service.
Costa, A., Ciclitira, K. and Marzano, L. 2008. Counsellors’ experiences of working as volunteers at a women’s service. 2008 Psychology of Women Section 21st Anniversary Conference on 'Rights and Changes'.. Cumberland Lodge, The Great Park, Windsor.
The impact of personal psychotherapy and supervision on volunteer counsellors.
Ciclitira, K., Marzano, L., Starr, F., Brunswick, N., Costa, A. and Berger, S. 2009. The impact of personal psychotherapy and supervision on volunteer counsellors. 2009 BPS Annual Conference. Brighton, UK 01 - 03 Apr 2009
Supporting staff working with prisoners who self harm: a survey of support services for staff dealing with self-harm in prisons in England and Wales
Marzano, L. and Adler, J. 2007. Supporting staff working with prisoners who self harm: a survey of support services for staff dealing with self-harm in prisons in England and Wales. International Journal of Prisoner Health. 3 (4), pp. 268-282. https://doi.org/10.1080/17449200701682501
Afghan nationals in the UK: professional capacity and views on return
Sales, R., Blitz, B. and Marzano, L. 2002. Afghan nationals in the UK: professional capacity and views on return. Research commissioned by Refugee Action and the International Organization for Migration, London..
Learning, teaching and assessment of Health Psychology MSc courses: results from a survey.
Payne, N. 2008. Learning, teaching and assessment of Health Psychology MSc courses: results from a survey. Health Psychology Update. 17 (2), pp. 34-40.
Psychiatric disorders in male prisoners who made near-lethal suicide attempts: case-control study
Rivlin, A., Hawton, K., Marzano, L. and Fazel, S. 2010. Psychiatric disorders in male prisoners who made near-lethal suicide attempts: case-control study. The British Journal of Psychiatry. 197 (4), pp. 313-319. https://doi.org/10.1192/bjp.bp.110.077883
Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study
Marzano, L., Fazel, S., Rivlin, A. and Hawton, K. 2010. Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study. The British Journal of Psychiatry. 197 (3), pp. 219-226. https://doi.org/10.1192/bjp.bp.109.075424
Visuospatial superiority in developmental dyslexia: myth or reality?
Brunswick, N., Martin, G. and Marzano, L. 2010. Visuospatial superiority in developmental dyslexia: myth or reality? Learning and Individual Differences. 20 (5), pp. 421-426. https://doi.org/10.1016/j.lindif.2010.04.007
Evaluation of an intervention to help students avoid unintentional plagiarism by improving their authorial identity
Elander, J., Pittam, G., Lusher, J., Fox, P. and Payne, N. 2010. Evaluation of an intervention to help students avoid unintentional plagiarism by improving their authorial identity. Assessment & Evaluation in Higher Education. 35 (2), pp. 157-171. https://doi.org/10.1080/02602930802687745
A daily diary investigation of the impact of work stress on exercise intention realisation: Can planning overcome the disruptive influence of work?
Payne, N., Jones, F. and Harris, P. 2010. A daily diary investigation of the impact of work stress on exercise intention realisation: Can planning overcome the disruptive influence of work? Psychology & Health. 25 (1), pp. 111-129. https://doi.org/10.1080/08870440903337622
Rights and change and the psychology of women. (conference report).
Ciclitira, K. 2009. Rights and change and the psychology of women. (conference report). Psychology of Women Section Review. 11 (1), pp. 17-19.
Justice and care: theorising the 'new man' and the 'caring father.'
Marzano, L., Capdevila, R., Ciclitira, K. and Lazard, L. 2009. Justice and care: theorising the 'new man' and the 'caring father.'. Psychology of Women Secton Review. 11 (2), pp. 11-20.
Conference report
Ciclitira, K. 2005. Conference report. International Society for Theoretical Psychology Conference.. Cape Town, South Africa. School of Health, Biological and Environmental Sciences, Middlesex University.
The pornographic body: embodiment or representation?
Ciclitira, K. 2001. The pornographic body: embodiment or representation? Proceedings of the British Psychological Society. 9 (1).
The good father: a qualitative analysis of a parenting workshop in a male UK prison.
Capdevila, R., Ciclitira, K. and Lazard, L. 2006. The good father: a qualitative analysis of a parenting workshop in a male UK prison. Mobility and conflict, Psychology of Women Section. Manchester Metropolitan University 05 - 07 Jul 2006 The British Psychological Society.
Psychology of innovation: classical perspectives.
Ciclitira, K. and D'Angour, A. 2004. Psychology of innovation: classical perspectives. Proceedings of the British Psychological Society. 12 (2).
Theoretical and ethical issues in conducting research at a women’s centre.
Ciclitira, K. and Marzano, L. 2004. Theoretical and ethical issues in conducting research at a women’s centre. Proceedings of the British Psychological Society. 12 (2).
Being a man: justice and care.
Capdevila, R., Ciclitira, K., Lazard, L. and Marzano, L. 2006. Being a man: justice and care. Psychology of Women Section Annual Conference 2005.. University of Huddersfield. The British Psychological Society.
Pornography, women and feminism: between pleasure and politics
Ciclitira, K. 2004. Pornography, women and feminism: between pleasure and politics. Sexualities. 7 (3), pp. 281-301. https://doi.org/10.1177/1363460704040143
Researching pornography and sexual bodies
Ciclitira, K. 2002. Researching pornography and sexual bodies. The Psychologist. 15 (4), pp. 191-194.
The body
Ciclitira, K. and Weaver, J. 2002. The body. The Psychologist. 15 (4), pp. 180-198.
The impact of job strain on the predictive validity of the theory of planned behaviour: an investigation of exercise and healthy eating
Payne, N., Jones, F. and Harris, P. 2005. The impact of job strain on the predictive validity of the theory of planned behaviour: an investigation of exercise and healthy eating. British Journal of Health Psychology. 10 (1), pp. 115-131. https://doi.org/10.1348/135910704X14636
Occupational stressors and coping as determinants of burnout in female hospice nurses
Payne, N. 2001. Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing. 33 (3), pp. 396-405. https://doi.org/10.1046/j.1365-2648.2001.01677.x
Theoretical and ethical issues in conducting research at a women’s health centre.
Ciclitira, K., Marzano, L., Brunswick, N., Starr, F. and Berger, S. 2004. Theoretical and ethical issues in conducting research at a women’s health centre. Psychology of Women Section Review. 6 (1), pp. 60-69.
Student beliefs and attitudes about authorial identity in academic writing
Pittam, G., Elander, J., Lusher, J., Fox, P. and Payne, N. 2009. Student beliefs and attitudes about authorial identity in academic writing. Studies in Higher Education. 34 (2), pp. 153-170. https://doi.org/10.1080/03075070802528270
Non voluntary return? The politics of refugee return to Afghanistan
Sales, R., Blitz, B. and Marzano, L. 2005. Non voluntary return? The politics of refugee return to Afghanistan. Political Studies. 53 (1), pp. 182-200.
Work stress and health behaviour: daily diary methodology and multilevel modelling
Payne, N. and Jones, F. 2007. Work stress and health behaviour: daily diary methodology and multilevel modelling. Health Psychology Update. 16 (3), pp. 13-20. https://doi.org/10.53841/bpshpu.2007.16.3.13
Work stress and health behaviours: a work—life balance issue
Jones, F., Kinman, G. and Payne, N. 2006. Work stress and health behaviours: a work—life balance issue. in: Jones, F., Burke, R. and Westman, M. (ed.) Work-life balance: a psychological perspective Psychology Press. pp. 185-216
Men and dieting: a qualitative analysis
De Souza, P. and Ciclitira, K. 2005. Men and dieting: a qualitative analysis. Journal of Health Psychology. 10 (6), pp. 793-804. https://doi.org/10.1177/1359105305057314
The role of perceived need within the theory of planned behaviour: a comparison of exercise and healthy eating
Payne, N., Jones, F. and Harris, P. 2004. The role of perceived need within the theory of planned behaviour: a comparison of exercise and healthy eating. British Journal of Health Psychology. 9 (4), pp. 489-504. https://doi.org/10.1348/1359107042304524
The impact of working life on health behavior: the effect of job strain on the cognitive predictors of exercise
Payne, N., Jones, F. and Harris, P. 2002. The impact of working life on health behavior: the effect of job strain on the cognitive predictors of exercise. Journal of Occupational Health Psychology. 7 (4), pp. 342-353. https://doi.org/10.1037/1076-8998.7.4.342