An interpretative phenomenological study of young people who bully and their counsellors by Christine Tapson Submitted for the degree of Doctor of Clinical Practice (DCP) Faculty of Health & Medical Sciences University of Surrey June 2014 © Christine Tapson 2014 This thesis is dedicated to my parents Mutti and Dad, with love. i ABSTRACT Despite abundant literature about bullying, previous research has predominantly focussed upon the characteristics of those who bully, peer influences in bullying and anti-bullying interventions, with little acknowledgement of how young people who bully and their counsellors experience counselling. This research seeks to address the gap by asking; how well young people who bully feel able to express themselves to their counsellor, and what facilitates or inhibits the therapeutic relationship for both counsellors and young people who bully? These research questions derive both from existing literature and my profession as a counsellor of young people who bully. Using interpretative phenomenological analysis (IPA), data were gathered using focus groups and semi-structured interviews with a sample consisting of six participants representing four young people and two counsellors. In IPA, the researcher’s use of self is equally implicated in the collection and analysis of data (Smith & Osborn, 2003); consequently, my dual identity as counsellor and researcher has asserted differing perspectives. The three superordinate themes identified in the current study focus upon attachment states (Bowlby, 1977, 1988), the therapeutic relationship, and the influence of emotional management upon counsellors. Trust and risk emerged as pervading concerns for the young people and have been integrated into discussion of the superordinate themes. The research received favourable ethical opinion from the Faculty of Health and Medical Science (FHMS) ethics committee. ii Findings suggest that young people who bully experience insecurities which manifest as mistrust, inhibiting the relationship with their counsellor. It also appears that a counsellor’s life experiences and occupational identity variously affect the therapeutic relationship. Individual counselling may not be a panacea but I recommend that if undertaken expertly, it has potential. Future research could focus upon confidentiality where equivocal standards are confusing for young people who bully. iii Table of Contents 1. Introduction and overview........................................................................................... 1 2. LITERATURE REVIEW .................................................................................................... 7 2.1 Introduction………………………………………………………………..…………………………………………7 2.2 The bully character…………………………………………………………………………………………………9 2.3 Group influences on bullying………………………………………………………….………………….…12 2.4 Peer group intervention schemes………………………………………………………..…………….…14 2.5 A non-punitive strategy: Shared concern or No Blame approach……………………...….20 2.6 A punitive strategy: Bully courts………………………………………………….………………………..23 2.7 Moral disengagement………………………………………………………………………..……….………..26 2.8 The helpful aspects of counselling………………………………………………………………………..29 2.9 The unhelpful aspects of counselling……………………………………………………………..….….31 2.10 Attachment theory……………………………………………………………….………………………….…33 2.11 Intergenerational influences…………………………………………………………………….……..….38 2.12 Bully/victim traits…………………………………………………………………………….………….……...41 2.13 Core pain…………………………………………………………….………………………..………………….…45 2.14 Summary……………………………………………………………………………………….………………..….46 3. METHODOLOGY AND METHODS………………………………………………………………….……..50 3.1 Research questions……………………………………………………………………..………..…………....50 3.2 Introduction…………………………………………………………………..…….……………………….….….51 3.3 Why interpretative phenomenological analysis is selected over grounded theory.52 3.4 Interpretative phenomenological analysis…………………………….…………………….……….53 3.4.1 The epistemological position of interpretative phenomenological analysis…..…57 3.4.1.1 Underlying assumptions of interpretative phenomenological analysis……...60 3.5 Symbolic interactionism……………………………………………………………………….……….……..66 3.6 Criticism of interpretative phenomenological analysis………………………………………….69 3.6.1 Using interpretative phenomenological analysis in the research…….……………...70 3.7 Ethical considerations………………………………………………………………………..………………...71 3.8 Sampling an access…………………………………………………….…………….…………………….…...76 3.9 The methods………………………….………………………………………….…………………………………83 3.9.1 Observing the young people……………………………………………………………………..….…84 3.9.2 The focus groups…………………………………………………….……………………………………...93 3.9.2.1 Stimulus materials used in the young people’s focus group…………………….…97 3.9.2.2 Story stems: Original templates…………………………………………………………….…102 3.9.2.3 Original version of the parent conflict story……………………………………….…...103 3.9.3 The focus group for the counsellors………………………………………….……………….….105 3.9.4 Individual in-depth interviews………………………………………………….……………….....106 3.10 Critical section: An evaluation of the methods…………………………………….….……….111 3.11 Data analysis………………………………….……………………………….……………………………....123 3.12 An evaluation of quantitative research…………………………………………………….……...130 3.13 Summary………………………………………………………………….………………….…………………..133 iv 4 FINDINGS AND DISCUSSION……………………………………………………………………………...137 4.1 Introduction………………………………………………………………........………..………………….....137 4.1.1 Terms used in this chapter………………………………………………………………….…….…..140 4.2 Findings theme: Attachment states………………………………………………………….…….....140 4.2.1 Andy……………………………………………………………………………………………..………………140 4.2.2 Courtney………………………………………………………………………………..……………………..148 4.2.3 Jason………………………………………………………………………….…….……………………..……155 4.2.4 Lucy……………………………….…………………………………………………………….……………….161 4.2.5 Attachment in relation to counsellors A and B…………………………………………..….165 4.2.6 Summary in relation to attachment……………………………………………….……….…….168 4.3 The therapeutic relationship…………………………………………………….……………….……….174 4.3.1 Trust……………………………………………….………………………………………….…………………174 4.3.2 Confidentiality………………………………………………………………………….……………….….178 4.3.3 The counsellor as stranger…………………………………………………………………………....184 4.3.4 Referral as opposed to self-referral……………………………………………………..………..186 4.3.5 The struggle to articulate emotions……………………………………………………………...190 4.3.6 Summary in relation to the therapeutic relationship……………………………..………201 4.4 Emotion management…………………………….……………………………………………..…………..213 4.4.1 Counsellors A and B…………………………………………………………….………….…………….213 4.4.2 Emotion management for the researcher………………………………….…….……………224 4.4.3 Summary in relationship to emotion management…………….…………………….…..231 4.5 Final summary……………….………………………………………………….……………………………….239 5 CONCLUDING DISCUSSION AND RECOMMENDATIONS……………………………….……..244 5.1 Introduction…………………………………………….…………………………………………………….…..244 5.2 The reflective practitioner…………………………………….……………………………………….…..245 5.3 Reflecting upon the methodology and methods……………………………….……………....249 5.4 Reflecting upon attachment……………………………………….…………………….…………….….261 5.5 Reflecting upon the therapeutic relationship………………………………….………….……...272 5.6 Reflecting upon emotion management………………………………………….…….………….…279 5.7 Recommendations and implications…………………………………………….…….……………...288 5.8 Concluding comments………………………………………………………….……………….…………...294 APPENDICES…………………………………………………….………….……………………….………………298 REFERRENCES………………………………………….…………………..……………………………………….327 RESEARCH JOURNAL……………………………….……………………………………………..……..……..372 RESEARCH LOG……………………………….……………………..………………………………..…………..379 v ACKNOWLEDGEMENTS Firstly I am indebted to all the young people and the counsellors participating in this study without whom, this research would not have been possible. They welcomed me, were interested and supportive. They shared with me their vulnerabilities and I have learnt much about facing uncertainty with humour and perseverance. I would like to thank my supervisors Professor Helen Allan and Professor Ann Gallagher for their unflagging support and commitment. They challenged my ideas in a way that nurtured growth and were endlessly patient and kind. Lastly, I would like to thank my lovely daughters Helen, Alice and Rachael for their love and unending support. They have listened to me moan, encouraged me when the chips were down and poured me wine at times of crisis. 1 INTRODUCTION AND OVERVIEW The topic of bullying informs significant extant literature and has been well researched for many years. This body of research has largely taken an objective stance to consider, the tendency for bullying behaviour to transfer from one generation to the next, anti-bullying interventions and the characteristics of those who bully. However, qualitative research seeking understanding as to how young people who bully respond to counselling or how their counsellors experience the therapeutic relationship with them was limited. The superordinate themes identified in the current study focus upon how secure and insecure attachment states (Bowlby, 1977, 1988) manifest in the therapeutic relationship both in relation to young people who bully and their counsellors. As data analysis progressed, it emerged that a counsellor’s role appears mediated by emotional management. Feeling this strand of data to be of importance to the research question, emotional management for counsellors represents a superordinate theme. Trust and risk emerged as a pervading concern which resonated throughout the data consequently, the relevance of these issues has been reflected by integrating trust and risk within discussion of the superordinate themes. As researcher, I seek to authentically represent the counsellor’s perspective in relation t o young people who bully. Motivation is likewise personal for, as a counsellor, I believe that promoting understanding of what inhibits and facilitates the therapeutic relationship with young people who bully would extend understanding for practice. Using my position as researcher/counsellor, I 2 am able to reflect on the data analytically and move the questioning on in the focus groups and individual interviews (4) The research questions informing the thesis ask how young people who bully experience counselling and specifically, how well they feel able to express themselves to a counsellor and the conditions which enable or impede this process. They derive both from extant literature and my profession as a counsellor of young people who bully where I find their tough exteriors are a fragile shell protecting their vulnerabilities; such thought evolving to underpin the current study. The study highlights the myriad psychological difficulties and vulnerabilities young people who bully experience and how these mediate their behaviour and relationships. The research also identifies how a counsellor’s lived experience influences the therapeutic relationship, for better or for worse. The research is conducted using IPA, which assumes a critical realist position, meaning there are stable and enduring features of reality that exist independently of human conceptualisation (Smith, 2004, 2008). However, the meaning of reality is subject to the varying evaluative and self-reflective capacities of human beings, meaning reality varies according to how individuals experience it (Ackroyd, 2004). Accordingly, intentionality links the perceiver with the perceived (Smith, 1996), describing a mutual and inseparable connection between the body, consciousness and reality. This premise was realised through my dual identity as researcher and counsellor, influencing interpretation and, at times, introducing tension. discussion (5) I evaluate such conflict. In the concluding 3 Based upon the notion that human speech and behaviour reflects these different meanings, interpretative methodologies such as IPA are suited to analysis of the diverse concepts of reality (Fade, 2004). Chapter 2 opens with a literature review introducing the concept of the bully character (2.2), group influences upon bullying (2.3) and anti-bullying interventions (2.4, 2.5, 2.6). It moves on to provide a perspective of how young people experience counselling (2.8), both the helpful and unhelpful aspects (2.8, 2.9), culminating by focussing upon two key elements of the study, attachment (2.10) and intergenerational continuity of aggressive tendencies (2.11). Chapter 3 introduces the research questions (3.1), then compares and contrasts epistemological attitudes to phenomenology, elaborating upon IPA and where this sits in the debate (3.3, 3.4, 3.4.1, 3.4.1.1), including in relation to symbolic interactionism (3.5). Following a critique of IPA (3.6, 3.6.1), discussion turns to ethical considerations, sampling and data collection, including how the condition attention deficit disorder impacts the experience of the young participants in this study (3.7, 3.8,). Thereafter, the methods are evaluated, including deliberation as to their use in conjunction with IPA (3.9 to 3.9.4). Following on, section 3.10 evaluates the methods used in this study, with data analysis discussed in section 3.11. In section 3.12 an appraisal of qualitative and quantitative approaches to research is offered. In chapter 4 the study moves to the findings, integrating discussion of the superordinate themes, where I draw upon significant theories to analyse the data in relation to; attachment, the therapeutic relationship and emotional management (4.2, 4.3, 4.4), these being of overriding concern for the 4 participants. Quotes from the participants’ narratives are used to contextualise their concerns and evaluate thei r experiences from multiple perspectives, as this is considered the intention of IPA (Smith, 1996). Attachment theory (Bowlby, 1977) (2.10) describes two primary forms of relationship connection between a child and their primary carer. The findings suggest that young people who bully seem profoundly affected by negative developmental experiences, which can manifest as a self/other divide (Bartholomew & Horowitz, 1991) (2.10), leaving them insecure and distrustful in relationships ( 4 . 2 ) . Secondly, the therapeutic relationship (4.3) represents the quality of the alliance between a client and counsellor which then effects how the work between them is undertaken (Polat & Jenkins, 2005; Bedi & Duff, 2010). Data suggests that the subjective experiences of young people who bully and their counsellors variously influences the counselling dynamic. Lastly, emotional management (Hochschild, 1998), represents how social values and expectations modulate feeling and which the findings suggest both enables and, at other times, inhibits the therapeutic alliance (4.4). However, the basic tenets of caring and genuineness (5.5) represent a secure foundation from which young people who bully can effect healing. In chapter 5, I evaluate the contents of the thesis and suggest that group antibullying intervention schemes may not adequately address the complex problems experienced by young people who bully, who may require intervention from highly skilled professionals. Furthermore, I suggest that students of counselling are given the opportunity to reflect upon their attitudes towards bullying, in a non-polarised environment that enables 5 greater understanding, before engaging with clients who bully. In light of the trust issues articulated by the young participants, I recommend future research exploring how confidentiality is conceptualised by young people who bully and their counsellors. The following chapter now provides a review of the literature in relation to bullying, and how this links with related fields of research. 6 2. LITERATURE REVIEW 2.1 Introduction The intention of the following review is, as Brocki and Weardon (2006) suggest, to provide “awareness of the current literature and issues surrounding the area” (p. 92). Opinions are divided as to whether a literature review gives focus to the research, or, by preceding data collection, introduces a potential for bias (Streubert, 1999). This literature review preceded data collection and highlighted a dearth in qualitative research exploring the experiences of young people who bully which gave voice to their concerns. Key examples include confidentiality (2.8), the negative physical and psychological impact of bullying behavior (2.10, 2.12, and 2.13) and the opportunity for young people to articulate their opinions about bullying (3.9.2). In addition, previous studies evaluating how clients experience counselling predominantly sought the opinion of adults, rather than young people or their counsellors, a consideration I redressed by including both. My initial search focussed upon social science data bases, most specifically, PsychINFO, PsychARTICLES, and Science Direct, using the following search terms; bullying, the bully character, the psychological and physiological impact of bullying, and counselling and bullying. The search spanned from 1980 to 2013 as I wanted to reflect the influence upon research of the United Nations Convention on the Rights of the Child (Alderson, 2001) regarding their inclusion. The review included both empirical and theoretical research. 7 Empirical research describes a way of obtaining knowledge through direct or indirect observation and analysing data either qualitatively, quantitatively, or both so as to answer a clearly defined question (Goodwin, 2 0 0 5 ). Theoretical research aims to prove or disprove an hypothesised truth, which is predicted by theory but not yet adequately tested by observation or experiment (Goodwin, 2005). The literature reviewed was too vast to display in its entirety, so in appendix 2, I provide a summary table. These examples were selected to reflect the essence of the current research by including the characteristics of those who bully, anti-bullying interventions and young peoples’ attitudes to counselling. As the literature grew, I used reference lists at the bottom of academic papers to extend my reading. Although this proved a fruitful exercise, the references directed me to similar literature. To broaden my search to include, for example, chapters in books, I typed specific phrases into the search engine Google. This enabled access to related academic articles and authors. Moreover, when pursuing specific themes, such as access to mental health, I contacted related organisations, for example, the Children and Mental Health Services, who kindly allowed me to take part in their team meetings and answered my questions regarding process and policy. Notably, none of the children’s cases were discussed and therefore no ethical guidelines were breached. From this, I learnt that funding severely restricts service provision, a consideration receiving little attention in the literature reviewed. Broadening the inquiry this way is an approach Barrientos (1998) refers to as a literature study. He suggests that drawing upon the information of stakeholders in 8 Addition to more traditional literary sources, augments the scope of the review. I begin the literature review by introducing the key themes associated with bullying, including the bully character (2.2), the group effect upon bullying (2.3), anti-bullying intervention schemes (2.4, 2.5, 2.6), the effect of moral disengagement (2.7) and how counselling is perceived by clients (2.8, 2.9). Consistent throughout the literature about bullying are two main themes: attachment styles (e.g. Bowlby, 1988) (2.10) and intergenerational influences (e.g. Sedikes et al., 2004) (2.11). These themes are significant as young people who bully are known to predominantly occupy insecure attachment states (Sedikes et al. 2004) (2.10) which moderate their relationships with others into adulthood, perpetuating bullying behaviour to future generations (Bartholomew & Horowitz 1991) (2.11). In this chapter, I explore these key themes in detail. In this literature review, I conclude that insecure attachment states influence how an individual interacts with others and how others interact with them. This is significant as maladaptive relationship representations are internalised and re-enacted in future alliances. If such negative experiences remain unexpressed, they may form a core pain which undermines development and can propel bullying behaviour. I suggest that finding the method most suited to combat the problem of bullying (most specifically in schools), is of importance both to stem its increase and address the damage incurred by victims and perpetrators alike. I present a profile of the anti-bullying schemes later in this chapter and develop my concerns (2.4, 2.5, and 2.6). 9 2.2 The bully character According to Olweus (1978), the bully profile is characterised by aggression, lack of empathy, a strong need to dominate others and a positive attitude towards violence. Baldry (2004) divides bullying into two categories: direct, (physical and verbal such as hitting, kicking and name calling, and indirect (subtle denigration such as deliberate exclusion and spreading rumours). Menesini et al., (2003) add that bullying is also characterised by a systematic approach directed at an individual. Baldry (1998) considers boys as most prone to direct bullying because of their physical advantage over a victim. However, a more psychological motive is suggested by Batmanghelidjh (2006) who considers the propensity for physical violence emanates from a primal attachment instinct, as boys abandoned by their fathers and who have never felt protected, use aggression to defend against others. Unlike boys, girls bully in more verbal and indirect ways (Baldry, 1998). Pepler et al., (2006) attribute this disparity to language skills, as boys, especially from dysfunctional families, experience significant language impairment (20-30% higher) compared to girls their own age, and may not be capable of using verbal aggression effectively (Choudhury & Benasich, 2003). Notably, indirect bullying is found to most affect physical and mental ill health (Baldry, 2004). Although boys are more likely to bully than girls, they are also more frequently victimised by their peers (Kumpulainen et al., 1998). This tendency may evolve from a combination of aggressive and restrictive parental discipline, as the hostile and withdrawn characteristics associated with such 10 conflicting parenting is thought most predictive of bully/victim behaviour (Schwartz et al., 1997; Forero et al., 1999), a subject elaborated upon in section 2.12. Alongside the technological evolution, cyberbullying has emerged as a growing concern (Hinduja & Patchin, 2009). As with traditional forms of bullying, cyberbullying is intentional and repeated, causing the victims psychological and emotional pain. Unlike traditional bullying, cyberbullying is inflicted using various electronic devices, for example, through text messages and malicious threats via social networking sites, although, the intention, as with traditional bullying is to spread rumours, threaten and exclude the victim (Hinduja & Patchin, 2009). Notably, the nature of cyberbullying can afford the perpetrator anonymity, partly as it can be perpetuated beyond the purview of authority figures. Researchers (Diener, 1979; Patchin & Hinduja, 2006) suggest that it is such anonymity which enables the offender to distance themselves from relevant morals and rules. As with other forms of bullying, cyberbullying is also linked with low self-esteem. Whether this is cause or effect is uncertain (Twenge & Campbell, 2001). Hence it is significant for educators, since low self-esteem is linked to poor health, absenteeism and poor academic performance (Twenge & Campbell, 2001) with far reaching implications regarding criminal behaviour amongst young people (Hansford & Hattie, 1982; Davies & Brember, 1999). A tendency to bully is thought to be mainly derived from dysfunctional parent-child relationships, which themselves are highly stressful and related to poorer health and emotional dis-regulation. 11 Consequently, bullying and dysfunctional parenting both affects and effects ill health (Rigby, 1999). Positive role modelling helps reduce the likelihood of developing negative consequences as this is representative of secure attachment where a dependable primary carer reduces a child’s anxiety (Rigby, 2000). The concept of secure attachment is developed later in this chapter (2.10). The concept of emotional dis-regulation was first postulated by Winnicott (1949, 1960) as far back as 1949. He believed it resulted from conflict between a ‘true’ and ‘false self’ where emotional signals allowing an individual both to love and be loved, were somehow excluded. Hence, cognitive processes located in a false self, created dissociation from emotional experience. This made it difficult for the individual to reconcile intellect with emotion and thereby make balanced decisions regarding all aspects of their life (Crittenden, 1992; Winnicott, 1949, 1960). Although the false self acted as a dominating force, internal conflict arose when the true self clamoured for expression causing conflict between the two identities and threatening the false self. Jones (1985) thinks this threat to be closely allied to the internalised fear of abandonment, developed during childhood attachment, and which the false self was originally constructed to defend against. Self-hatred, often expressed as aggression, is then used by individuals as a means of suppressing the true self (Jones, 1985). Like Jellema (2000), I consider this a complex problem that would require expert attention to resolve in a young person who bullied. Bullying is described as “collective in its nature, based on social relationships in the group.” (Lagerspetz et al., 1982, p.97). Understanding the characteristics 12 that define those who bully is important not just from an individual standpoint therefore, but also from a group perspective. In the following section I discuss these implications with relation to the group effect upon bullying. 2.3 Group influences upon bullying Although research into the personality of the bully (Olweus, 1991) is essential to advance understanding, it is not sufficient to consider the bully in isolation, as peers are found present during 85% of bullying episodes (Pepler & Criag, 1995), whereby emphasising the influence of bystanders. For example, in a study by Whitney and Smith, (1993) one fifth reported that they might join in. In addition, a common motivator for bullying are “feelings of power or looking cool” (Zeigler & Rosenstein- Manner, 1991, cited in Sutton & Smith, 1999, p.98), implying that bystanders may inadvertently boost the bully’s selfesteem (Sutton & Smith, 1999); an intoxicating effect since bullies are known to have unstable levels of self-esteem (Kernis et al., 1989). Individuals with unstable high self-esteem may have their anger aroused because of a perceived threat to their concept of self (Kernis et al., 1989). Enhanced sensitivity about one’s self-view also creates problems with evaluating feedback (Kugle et al., 1983; Turner, 1968), a volatile cocktail in a group I suggest. In section 4.2, provide an example of when a focus group member may unwittingly have provoked further bullying. Given the social, peer oriented nature of bullying, O’Connell et al., (1999) 13 propose that any intervention scheme would function most effectively if all those involved felt empowered by working together. I outline such schemes in sections 2.4, 2.5 and 2.6. Hoffman (2000) supports this view, pointing out that because peer group intervention is aimed at improving relationships and nurturing friendship, such measures provide an awareness of moral values and enhanced empathy that supports victims whilst at the same time reducing bullying. Following extensive research into the topic of bullying in groups, Salmivalli (1999) identified three core roles instrumental in the group process. The first, ‘reinforcers’, described those participants, who by coming to witness bullying, provide an audience. Although they do not directly engage in bullying, 23% of these children report being amused by it (Boulton & Flemington, 1996), inflating the bully’s self-esteem by providing positive feedback (Sutton & Smith, 1999). The second, known as ‘outsiders’, are representative of students who distance themselves from the whole process, refraining from taking sides. However, because no overt protest is made, this allows bullying to continue such that, in their own way, outsiders remain implicated. Thirdly come ‘defenders’ who are manifestly anti-bullying, who comfort the victim and who initiate attempts to stop it (Salmivalli, 1999). The reason why individuals adopt certain parts is thought to originate from the concept of social roles (1996) described as “clusters of socially defined expectancies that individuals in a given situation are expected to fulfil” (Franzoi, 1996, p. 52). Considered thus, participant roles derive from both behavioural disposition and expectation; in other words, who they are and 14 who they could become. Salmivalli (1999) considers the two as interchangeable as an individual’s behaviour determines future expectations of others; others’ expectations determine individual behaviour and how this manifests in social situations. Therefore, although most children are against bullying, they are inclined to behaviour that encourages rather than dissipates it (Whitney & Smith, 1993), due partly to a pressure to conform which is exerted within the group environment in accordance with expectation. Salmivalli (1999) believes these roles become fixed as pressure to maintain them, rather than deviating from expectation, produces a self-fulfilling prophecy where participants involved in group bullying believe themselves incapable of change. Thus, the question is raised as to how group anti-bullying intervention can respond to such challenges, a topic to which the following section now turns. 2.4 Peer group intervention schemes The relevance of bullying as a group phenomenon, the psychological and physiological responses of all those involved, attracts much interest in empirical research (Salmivalli, 1999). Acknowledgment that other children and adolescents are involved in the bullying process has prompted research into participant roles and intervention methods to target the entire peer group. Most peer group support relies upon a whole school approach; a written document setting out aims, supported by schemes and procedures thought likely to affect positive change (Cowie, 1999). Such schemes include: peer support systems, school tribunals, playground improvement and community conferencing as transformative justice (Smith et al., 2003). The 15 overall emphasis is aimed at improving relationships within schools, raising awareness as to the problems associated with bullying and implementing programmes for change which include all parties involved (Smith et al., 2003). Programmes designed to combat bullying have more success at primary than secondary school level (Smith et al., 2003). Opinions vary as to why this might be. Smith et al., (2003) suggest that younger children are more likely than young people to accept the authority underpinning such schemes. Whereas, Kochenderfer and Ladd (1996) point out that children are thought unlikely to establish stable victim roles before ages 8-9, with attitudes towards victims becoming more negative in adolescence (Smith et al., 2003). Evidence (Bartholomew & Horowitz, 1991) suggests that once behavioural roles have been adopted it is more difficult to effect positive change. Thus, by adolescence there has been more time to identify with recognisable roles. I discuss this further in section 2.10. In addition, emergent capacities such as language skills and physical growth are believed to enhance “perspective taking abilities” and the propensity for aggression, (Pepler et al., 2006, p.379). Therefore, for interventions to be as effective as possible, it seems they are better introduced at a younger age. One of the first peer group intervention schemes to be launched by Olweus (1983) claimed considerable success in reducing the number of victims by 48% for more than a year. However, when this study was later repeated by Roland (1989), the results were less favourable, with victimisation increasing 16 by 44% for boys and only decreasing for girls. Such divergence has been attributed (Eslea & Smith, 1998) to differences in the times for measurement (one and three years after implementation of the intervention programme for Roland as opposed to one and two years for Olweus), leading Roland, (1989) to conclude that effect diminished over time. A second intervention programme run by Roland and Munthe (1997), over a four year period, reported a decrease of 57% in victimisation, supporting the suggestion that the duration of a programme produces significantly improved results. However, O’Moore and Minton (2005) contest that many intervention programmes are only effective in the short-term whilst effort and attention are focussed on them, with concurrent increases in negative behaviour once researchers withdraw. Given such uncertainty, the question arises as to the purpose of intervention schemes within schools. Pepler and Craig (2000) point out that, for bullies and victims alike, the myriad psychosocial difficulties affecting both bullies and victims when young, can develop into serious problems in adulthood. Adolescents who bully are also five times more likely to abuse alcohol and seven times more likely to use drugs than their peers (Pepler et al., 2001). In addition, there are intergenerational risks. O’Connell et al., (1999) assert that the progression from adolescent bullying to adult interpersonal relationships can develop into such problems as sexual harassment, marital violence and child abuse. Hence the call for interventions to address bullying is important. Research (Olweus & Endresen, 1998; Smith et al., 2003) indicates that girls are 17 more active participants in bully prevention; prone both to overtly support victims and as volunteers in intervention programmes (80% of volunteers are female). Such results suggest personal investment as an effective deterrent. Nonetheless, there is concern that those supporters recruited to implement preventative measures in anti-bullying intervention may be inadequately resourced to deal with bullies, and that effective intervention aimed at behavioural change should include professional counselling aimed at individuals (Hodgins, 2008; Jackson et al., 2005). This highlights a move from group to individual approaches. Later in this section (2.8, 2.9), I discuss how clients respond to individual counselling. Critics of counselling based approaches contest they may create a ‘them and us’ situation which alienates rather than incorporates all players (O’Moore & Minton, 2005). Additionally, counselling is expensive partly because it necessitates a more structured approach, rather than building on existing peer group relationships (Menesini et al., 2003). Smith et al., (2003) argue however, that establishing and evaluating peer group interventions is also costly. I suggest that whilst peer group intervention programmes provide a supportive environment for the victims of bullying, they may be unable to respond to the complex psychological problems experienced by many young people who bully. Menesini et al., (2003) add that anti-bullying interventions, “[…] have limited impact while we neglect such factors as the quality of parenting, parent training, support for parents and the conditions of families […]” (p.23). socioeconomic 18 According to Timmons-Mitchell et al., (2006), Multi-Systemic Therapy (MST) is designed to address complex psychological and behavioural problems by using a family and home-based approach to engage with the systems which combine to promote anti-social behaviour amongst young people. Emphasis is upon changing how such adolescents function within their natural setting (home, school and neighbourhood). The central tenet is to promote positive social behaviour whilst reducing anti-social behaviour. In pursuit of this outcome, an MST therapist is assigned to a family, setting treatment goals and assigning the tasks necessary to accomplish these (Henggeler et al., 2006). In addition, through collaboration, the MST therapist empowers parent’s strengths, facilitating development of natural support systems (e.g. friends, extended family, and church) needed to facilitate effective parenting whilst also promoting an interconnected system to support the young person. Results are so far promising with families receiving MST reporting significantly more cohesion than non MST families and with follow up studies (conducted four years after intervention) reporting long-term effectiveness (Henggeler et al., 2002). Importantly, MST is found equally effective with young people from families with divergent socioeconomic and racial backgrounds (TimmonsMitchell et al., 2006). According to Jansen et al., (2013), MST has been proposed as a promising cost-effective intervention, calculated at one fifth that of institutional placements but which can be easily embedded within usual mental health care and welfare services. Although MST is aimed at young people with extreme behavioural and psychological disturbances I would suggest its applicability to adolescents who 19 bully since the literature reviewed in this thesis (2.2, 2.12) and the findings (4) likewise testify to the numerous and complex behavioural and psychological disturbances consistent with young people who bully. An additional intervention which places families at the centre (Herbert, 1985) focusses upon behavioural parent training (BPT). Research from as early as 1967 (Baumrind, 1967; Dumas et al., 1992; Dumar & Whaler, 1985) identifies that the parents of anti- social youth oscillate between lax and powerassertive disciplinary styles depending upon whether or not their child responds with compliance. This inconsistency means that disruptive behaviour receives both positive and negative attention such that aversive behaviour is maintained (Serketich & Dumas, 1996). BPT counters such contradictory disciplinary styles using a programme where pro-social behaviour receives positive affirmation and aversive behaviour receives negative reinforcement. BPT has been used as a correction programme for aggressive behaviour in the USA since 1974, (Atkeson & Forehand, 1978; Dumas, 1989; Kazdin, 1987; Webster-Stratton, 1991) with apparent success. More recently, Scott et al., (2001) extended the principles of positive and negative reinforcement espoused by BPT to four adolescent mental health services in the United Kingdom where young people receive attention for anti-social behaviour. Results showed a significant reduction in the antisocial behaviour of the adolescents whose parents underwent training: Comparatively, the behaviour of those whose parents were in a control group remained unchanged. Scott and colleagues (2001) identify the parenting styles responsible for 20 anti-social behaviour as harsh, inconsistent parenting, bearing resemblance I suggest, to the parenting styles associated with insecure attachment and implicated in bullying behaviour (2.2, 2 . 1 0 ). Consequently, I consider BPT is an intervention worthy of consideration with young people who bully. There has been insufficient space within the confines of this thesis to explore the effectiveness of other approaches such as cognitive behavioural therapy, but this could form the focus of future research. Many theories have been proposed as to what constitutes the most effective anti- bullying interventions. Having discussed peer intervention schemes in schools and family-based intervention, focus now turns to two specific interventions with different assumptions; a non-punitive approach and a punitive approach. By presenting these approaches, the intention is to introduce the notion of moral disengagement and how this influences the way young people who bully evaluate their victims. 2.5 A Non-Punitive Strategy: Shared Concern or the No Blame Approach The move to non-punitive approaches to tackle bullying in schools is partly attributable to work by Smith and Sharp (1994) who found that, although the bully personality suggested such individuals were socially confident, dominant within their peer group and saw aggression as an acceptable expression of their social position, such characteristics were equally determined by familial development (Smith and Sharp, 1994). The children of aggressive families often perceived their family in terms of power relationships where bullying behaviour was regarded as normal practice. 21 Once extrapolated to the school setting, such conditioned behaviour ensured hierarchical dominance, making victimisation for the bully less likely. Hence, their familiar relationships were maintained, with the psychological reward of validating self-image over time (Smith & Sharp, 1994). Based upon this concept of the bully as victim to parental influence rather than intentionally malevolent, Pikas (2002) formulated the Shared Concern Theory as an approach to anti-bullying in schools. Pikas (2002) proposed that a non-judgmental approach which avoided incriminating and shaming those who bullied would model an antithesis needed to reduce bullying. As such, within the Shared Concern approach, perpetrators are not accused but regarded as ‘suspected bullies’ (Rigby, 2005b). Shared Concern describes a means of working with all those involved in a bullying incident, (perpetrators, victims and bystanders) to provide an acceptable solution to the problem raised by their behaviour. The group dynamic is central to its success, taking into account that those involved may be motivated by conditioned family behaviour, anger, and collusion with other aggressors lest they become victims themselves (Rigby, 2005a). Some researchers (Pepler & Craig, 1995; Rigby & Johnson, 2004; Salmivalli et al., 1996) criticise Shared Concern for its assumption of bullying as a group activity. They consider that, although bystanders are known to exert an active influence, often providing motivation to continue bullying, more generally there is a sole perpetrator (Rigby, 2005a). Further censure (Pepler & Craig, 1995; Smith & Sharp, 1994; Whitney & Smith, 1993) derives from the approach 22 used to ascertain the nature and extent of the bullying incident. This is done by asking both victims and bullies to provide a written account of the incident however, critics feel such a delayed response possibly elicits a falsified account. Pikas (2002) countered that a written account of the incident would ensure neither victim nor bully could be identified by direct observation, adding that few bullying incidents are observed by staff in a position to give a nonpolarised view of the event (Pepler & Craig, 1995). So, direct observation is only as valid as a teacher's perception of the problem (Smith & Sharp, 1994; Whitney & Smith, 1993). Also, many victims of bullying never tell a teacher; hence staff may only be aware of a small proportion of incidents taking place. Following the pioneering work of Pikas, (2002), Robinson and Maines (2008) implemented the method of Shared Concern into English schools, re-naming it the No Blame approach. It was founded upon the principles of equality recognised by most schools regarding group processes and therefore considered compatible with whole- school approaches to combat bullying (Robinson & Maines, 1997). Previous non- punitive approaches had applied generic methods to tackle bullying, such as behaviour rules defined by pupils (Robinson & Maines, 1997). No Blame however invited victims to write an account of their feelings relating to the incident. These were then revealed to the bully and other pupils so that a sense of the victim’s unhappiness could be shared. No blame is attributed to the perpetrators as it is hoped their genuine concern over the victim’s distress motivates pro-social behaviour towards the victim (Robinson & Maines, 1997). I suggest however, that the 23 notion of morality for those who bully may deviate considerably from those who do not and that an appeal to such scruples may be unachievable by them. Later in this section (2.7), I relate the concept of pro- social behaviour to morality and discuss how this is perceived by people who bully. Like Robinson and Maines, Rigby (1996) also suggested that punishment for bullies, blaming and shaming, was potentially inflammatory and likely to engender feelings of injustice and indignation. Moreover, such vilification would likely be projected onto the victims who stood to be blamed by the bully, not only for ‘telling’ but for the punishment as well. Non punitive approaches for young people who bully meet with considerable resistance from the English charity for children, Kidscape (1990, 2011) who contest that bullies need not take responsibility for their actions and that victims risk being blamed for provoking incidents. Kidscape’s scepticism as to the No Blame Approach also centres upon the assumption that young people who bully want to change their behaviour (Kidscape, 2011), a supposition they dispute. Hence, they support a more punitive measure known as Bully Courts believing judgement and punishment to be appropriate redress for the problem of bullying in schools (Kidscape, 2011). 2.6 A punitive strategy: Bully Courts Punitive anti-bullying interventions originated with Laslett (1980, 1982), who established a children’s court for maladjusted children (Mahdavi & Smith, 2002), claiming the approach raised awareness of bullying in schools, reduced 24 incidents of bullying and improved the self-esteem of those serving on the court (Laslett, 1982). Bully courts are chaired by pupil representatives known as council and mediated by a senior member of staff. The victim first faces the council, presenting a written account of the bullying incident. Once the victim leaves, the bully is called and the letter’s content discussed by council, the perpetrators, and a year 12 peer counsellor allocated to protect the victim. There follows a decision as to whether or not witnesses should be called. The individual accused of bullying then leaves. Following case discussion, a verdict is reached and punishment decided. All parties are informed of the outcome. Punishment is set according to the severity of the crime, ranging from a lunchtime detention of varying length to a recommended suspension from school for a period of time (Mahdavi & Smith, 2002). Few schools have initiated the Bully Court system as staff conceive that punitive approaches to bullying might result in the bullies themselves becoming the target of victimisation and excluding behaviour (Mahdavi & Smith, 2002), hence, more evidence is needed before a thorough evaluation can be made. Some (Cowie & Olafsson, 2000; Laslett, 1980) claim a positive response, positing that the fear of facing the court may deter bullying, mobilise peer attitudes against it and empower self-efficacy, such that pupils take charge of a situation they do not like. It is argued such an outlook may foster an attitude of ‘telling’ as acceptable (Laslett, 1980), hence, critics feel the system susceptible to abuse of power, only containable provided a staff member is 25 available to sanction the court’s decision (Mahdavi & Smith, 2002). This view is disputed by Laslett, (1980b) who observed mature behaviour from bully court representatives. Smith and Myron-Wilson (1998), add however that, although the year 12 counsellors (who exert considerable influence over the court’s decisions), receive adequate training to support victims, few have an understanding of the bully profile. Additionally, year 12 counsellors may never have experienced being bullied. Nonetheless, of the 28 bully participants in the case study conducted by Mahdavi and Smith, (2002), 20 stated that the Bully Court would deter them from re-offending. Notably, intervention is less successful amongst older pupils because of their more subversive bullying tactics (Olweus & Endressen’s, 1998). The literature in relation to both non-punitive and punitive approaches to antibullying intervention highlights the complex makeup of the perpetrators. My own findings (4) using focus groups, demonstrate how inflammatory group processes with those who bully can be. I argue that without enhanced understanding such schemes are unlikely to facilitate change. For example, Rigby (2005a) attributes lack of success to an assumption that those who bully are able to empathise, or have the desire to respond positively out of concern for their victim. Empathy plays a major role in behavioural regulation, with guilt as the mediator (Baumeister et al., 1994; Tagney, 1991). Hence, empathy is intrinsically linked to moral development (Arsenio and Lemerise, 2 0 0 1 ; Nucci, 2001; Smetana, 1995) and I elaborate such thinking in the ensuing section. 26 2.7 Moral disengagement The concept of moral judgement as a lever to initiate a favourable response by a bully towards a victim can be understood by different schools of thought. According to Bandura’s Social Cognitive Theory of the Moral Self (1986, 1990, 1991), “in the course of socialization, moral standards are adopted that serve as guides and deterrents for conduct” (p.2). Once this moral framework has been internalised, individuals “self-sanction” (p.2) to keep their behaviour in line with internal standards. Bandura (1990) considers moral reasoning is linked to moral action by self-regulatory moral agency. In other words, an individual will usually act in a way that gives them satisfaction and self-worth. Bandura (1990) considers this moral cycle important, as it is in this way that individuals avoid self-condemnatory behaviour. Consequently, the way an individual monitors their behaviour is allied to their personal competence and selfesteem. Importantly, such self-sanctioning can lead to a distorted evaluation of behaviour that fits with their internal conduct framework (Bandura, 1991). Although Bandura (1991) does not directly relate his social cognition theory of the moral self to those who bully, I suggest it is applicable. For example, Bandura notes that when evaluating harm towards others, individuals may: (a) Compare the act with other worse conduct. (b) Displace responsibility for the harm caused to others; reducing selfagency. (c) Strip the victim of identifiable human qualities, whereby, distancing the need for empathy. 27 Caravita and Ginni (2010) argue that Bandura’s (1991) concept of evaluating harm towards others is oversimplified, and propose two dimensions of morality which regulate this in relation to bullying behaviour: moral disengagement and rule comprehension. Findings from their study conclude that anti-social behaviour is based on a skewed perception of a moral rule as changeable with transgression dependent upon an adult’s or other’s authority. This allows perpetrators flexible concepts of rules, and consequently less guilt. Caravita and Ginni (2010) attribute this to defective social skills caused by inconsistent social learning from significant others, but most notably, primary carers, introducing the notion of intergenerational transmission (Conger et al., 2003). This is of consequence with relation to bullying, as guilt is known to mediate aggression (Harpur et al., 1988: Quiles & Bybee, 1997). Accordingly, children less prone to feeling guilty may more readily enable aggressive behaviour, ultimately inuring them against it (Gini, 2006). For example, the Social Skills Deficit Model, formulated by Dodge and colleagues (Crick & Dodge, 1994; Dodge, 1980) proposes that aggressive children tend to interpret ambiguous situations in an aggressive way, more than their nonaggressive peers; a tendency known as hostile attributional bias. They contest that a limited range of non- aggressive responses to social situations compared to their peers, means bullies are more likely to default to aggressive behaviour, especially during interpersonal conflict (Dodge, 1980; Dodge, Bates & Petit, 1990; Dodge & Newman, 1981). Therefore, rather than perceiving aggressive children as motivated by deliberate intent to impose harm, Dodge (1980) implies 28 that the bully’s cognitive and emotional intelligence is too underdeveloped to reason an approach other than aggression. Criticism (Hazler, 1996; Randall, 1997; Sutton et al., 1999) of Dodge’s model focuses on its negation of guilt and shame as central mediators of behaviour. Consequently, few studies confirm Dodge’s model as suited to both aggressive children and bullies (Hazler, 1996; Randall, 1997). Indeed, Sutton et al., (1999) contest that as aggressive behaviour may be an inappropriate way to achieve socially effective goals (such as leadership within a group), bullies would be unlikely to use aggression as their only tactic. This view implies reason and possibly links to the inference of Smith and Sharp (1994) (2.5) that hierarchical dominance is learned as a survival tactic in aggressive families. For example, in a study of bullies aged 7-10 years, Sutton et al., (1999) found bullies outperformed their classmates in social cognition tasks requiring the understanding of mental states and emotions of the main characters of a story. Consequently, they suggested that bullies possessed significant cognitive and emotional acumen, taking advantage of such competence to attain goals such as interpersonal dominance. It would therefore seem that the role of moral emotions is a flexible concept. Evidently, young people who bully enact complicated group relationships. Central to understanding these phenomena are the values driving their conduct (Arsenio & Lemerisi, 2001). Jellema (2000) recommends counselling as an intervention best suited to this task. Therefore, a question of significance in this thesis is how young people who bully experience counselling. The following sections explore this subject although, despite an extensive search, I 29 found no discernible literature explicitly focusing on how young people who bully and their counsellors experience one to one counselling; a gap this thesis seeks to address. It has been necessary to refer to similar examples so as to enlarge the discussion. 2.8 The helpful aspects of counselling Researchers struggle to identify the consistent likes and dislikes of clients attending counselling due to the variety of therapeutic interventions available (Bedi & Duff, 2010). Existing data shows clients to be motivated and reflective agents in resolving their own problems (Bohart & Tallman, 1999; Rennie, 2004). In a study conducted by Manthei (2007) about clients’ and their counsellors’ experiences of counselling, findings suggested that the client’s perception of the therapeutic relationship is central to the success of counselling, since the way client rates this is a more reliable predictor of outcome than the counsellor’s predictions (Bachelor & Horvarth, 1999). Evidence suggests (Hill et al., 1993; Camic et al., 1990), that clients’ opinions of the therapeutic relationship are primarily based on how well the counsellor meets their needs or demonstrates a similarity to them in some notable way. In other words, counselling appears to be a process of mutual appraisal. Key amongst such needs was being actively listened to, as clients described how seeing the attention of their counsellor focussed upon them communicated interest and commitment which inspired trust (Farber, 2003). Clients described how their counsellor endorsed such sentiments through the 30 genuineness and warmth transferred by them (Bohart & Tallman, 1999). In chapter 4, I provide participant quotes which support these findings. A method known as pre-therapy change (Lawson, 1994; Weiner-Davis et al., 1987) suggests that approximately two thirds of people attending their first counselling session have already begun to resolve their problems, a phenomenon attributed to self-agency. Such self-healing can then be supplemented by the counsellor nurturing the client’s self-agency (Bohart & Tallman, 1999). This view is confirmed by clients who stipulate that what they do themselves plays a significant part in their improvement (Manthei, 2007). Knowing how clients face problems and cope with them between sessions may therefore provide counsellors with helpful information as to a n individual’s coping mechanisms (Manthei, 2007). Studies (Bowman & Fine, 2000; Paulson et al., 1999) exploring how clients experience counselling find that a client’s self-agency is facilitated by feeling their counsellor respects and understands them as an intelligent person. This is significant as it encourages self-reliance which equips clients to deal with future problems once they have finished counselling and has been identified by clients as a long- term goal (Manthei, 2007). The helpful aspects of counselling for clients can therefore be summarised as the quality of the therapeutic relationship (including warmth, understanding, trust), being listened to, being able to make independent decisions about their counselling and actively contributing to resolving their own problems. Notably, the participants in the studies quoted were adults. Consequently, the findings are limited in relation to the young participants in 31 the current study. 2.9 The unhelpful aspects of counselling Literature relating to the unhelpful aspects of counselling is less extensive than for the positive factors (Bowman & Fine, 2000); a possible explanation being clients’ reluctance to criticise their counsellors, especially whilst receiving on-going care (Farber, 2003; Hill et al., 1993). Nonetheless, Manthei (2007) identifies counsellors’ excessive use of selfdisclosure as a particular barrier to effective counselling. Hearing too much about their counsellor’s life leaves clients feeling vulnerable as they imagine it is their own disclosures that have triggered the need for their counsellor to unburden. This often has the effect of closing clients down and sometimes results in them quitting counselling altogether (Manthei, 2007). Another unhelpful process occurs when counsellors forget what the client has said, or simply do not listen. Clients seeking counselling are vulnerable and such inattention can trigger feelings of inadequacy, reinforcing the client’s perceptions of themselves as unworthy (Farber, 2003). Clients describe how feeling un-listened to severs the existing trust they feel for their counsellor such that they no longer risk self-disclosure (Farber, 2003; Farber & Hall, 2002). Nonetheless, evidence (Farber et al., 2004) suggests there are some topics that many clients choose not to talk about. Most notably, given the current study, these topics include aggression and physical abuse of others (Farber, 2003; Farber & Hall, 2002). The reason given by clients for not wanting to disclose these subjects includes; shame, fear and concern as to how the counsellor will 32 react. In section 4.2, I provide examples of how the participants in this study were affected. The key unhelpful aspects of counselling for clients can be summarised as, forgetting what the client says, not actively listening, excessive self-disclosure on the counsellor’s behalf, and fear as to how counsellor’s will react if certain topics are disclosed by clients. Even though counsellors’ perspectives of the therapeutic relationship can differ significantly from their clients’ (Bachelor & Salamé, 2000; Fitzpatrick et al., 2005), how the alliance is conceptualised is seldom founded upon a client’s perspective of it (Bedi & Duff, 2010). When the therapeutic style is matched with the client’s preferences, a stronger client/counsellor relationship develops (Duncan, Miller & Sparks, 2003; Lambert et al., 1998; Lazarus, 1993). This suggests that when trying to establish initial rapport, an immediate challenge for the counsellor is incorporating the client’s perspective into their approach. Evidence (Miller et al., 2005) suggests that routinely eliciting the client’s perspective of the therapeutic relationship improves its quality, increasing positive outcome. An additional challenge faced by counsellors is in balancing their approach to their clients. For example, even though validation, conveying understanding, and communicating positive regard are viewed favourably by most clients (Hovarth & Bedi, 2002; Hovarth & Symonds, 1991), others reason repetition of these behaviours by counsellors as embarrassing (Ackerman & Hilsenroth, 2003; Bachelor & Hovarth, 1999; Vasquez, 2007). Subsequently, what one client perceives as facilitating the alliance, another will consider debilitates it (Bedi & Duff, 2010). 33 That the majority of research regarding clients’ experiences of counselling focusses upon the perspective of adults rather than young people, highlights the existing gap in knowledge. In the next section I therefore turn to the developmental period of a child’s life, by considering the attachment patterns that mediate individual behaviour, and formation of the internal working model. 2.10 Attachment theory Bowlby’s (1988) theory of attachment is based upon an exploration of biology (e.g. evolution and ethnology), cognitive psychology, psychoanalysis and control systems theory (Simpson, 1999). Bowlby (1977) hypothesises attachment theory as “the propensity of human beings to make affectional bonds to particular others” (p. 201). Attachment evolves from a child’s need to remain in physical and psychological contact with their carer during threatening circumstances. Bowlby (1977) proposes that from the age of 6 months to two years, infants establish a bond to attachment figures. Without this, normal development cannot occur, but with it, a secure attachment state provides a safe base for a child to explore their environment and other relationships, returning when needed. By the 1960s, Ainsworth (1965), a student of Bowlby, became influenced by Bowlby’s conception of attachment as affecting the entire life cycle. Accordingly, she went on to develop a procedure known as Strange Situation (SS) which describes a behavioural test used to observe attachment relationships between a child and their caregiver ( Main & Goldwyn, 1985). 34 In the procedure, a child is left to play whilst carers and strangers enter and exit the room. This is done to simulate both the familiar and unfamiliar occurrences of a child’s life. The child’s response to the varying levels of stress is then measured whereupon the child is categorised into one of three groups: 1. Secure – when reunited following separation a child welcomes the return of their carer and is quickly pacified by them. 2. Insecure – Anxious (resistant) – following separation infants remain ambivalent towards their carer and are not comforted upon reunion 3. Insecure - Avoidant (dismissive) – Upon reunion, infants actively avoid contact and proximity with their carer Ainsworth (1965) hypothesises that these three attachment relationships are then internalised by a child to form a representative internal working model against which future relationships will be compared. Crittenden (1992) describes the internal working model as, “An easily accessible, formulated model of relationship experience that reduces the time and effort needed by an individual to constantly re-evaluate explanations and respond appropriately” (p.230). Significantly, the working model will then be used when a child reproduces, to define their own parenting style (Bartholomew & Horowitz, 1991). Thus, a significant intergenerational dimension is introduced. Working closely with Ainsworth, Bowlby (1988) identified the working model as comprising two 35 main components concerning the child’s conception of others and of themselves; a) Whether or not the attachment figure is dependable and responsive when needed, or b) Whether or not the self is worthy of response from others, particularly the carer. This division is appreciable as trust and stable self-esteem are thought to provide the foundations for secure relationships (Sedikes et al., 2004). Notably, it is individuals who bully who most commonly display insecure attachment states (Sedikes et al. 2004). Therefore, the concept of worthiness versus unworthiness is most relevant in this study. The influence of attachment upon intergenerational continuity (Ainsworth & Bowlby, 1965) has stimulated theorists to devise models capable of measuring attachment status in adults. For example, Main and Goldwyn (1985) developed the Adult Attachment Interview (AAI). This is designed to differentiate internal working models of attachment in parents whose children undergo SS (Bartholomew & Horowitz, 1991). During AAI, parents describe their own attachment experiences in childhood; how their relationship to their parents has since changed; and the effect of their upbringing upon them. Using AAI, Main and Goldwyn (1985) were able to categorise mothers into the attachment group they considered predictive of the mother’s subsequent attachment to her child. Similarly, they were able to make the same prediction with respect to the children’s attachment patterns (Jellema, 2000) further 36 supporting the intergenerational hypothesis. Jellema (2000) and Rutter (1995) express doubt as to this theory, arguing that the cognitive ability to define emotion (refined by development), coupled with the retrospective influences effecting memory over time, could significantly alter the perception of the original experience. Additional limitations are imposed as, during AAI, attachment states are derived solely from evidence about the subject’s attachment to their parents and are deduced by analysis of transcripts. Thus, the reciprocal relationship between parent and child are not considered when selecting an attachment category, casting doubt as to the 70-80% concordance in attachment states between adults and their offspring (Jellema, 2000). According to Hasan and Shavers (1987) self-report provides a more authentic profile of attachment states. For example, results using AAI indicate that adults classified as avoidant, refute experiencing subjective distress and minimise the importance of attachment needs. Conversely, self-report subjects report subjective distress and anxiety about forming close relationships thereby challenging existing definitions of avoidance. In response to such variations, Bartholomew and Horowitz (1991) conceptualised four new categories that introduced more subtle variation to existing attachment categories. (a) Secure – Love worthiness plus an expectation of others as responsive. (b) Preoccupied – Unworthiness plus a positive evaluation of others. 37 (c) Avoidant –Love unworthiness plus a negative disposition towards others. (d) Dismissive-avoidant – Love worthiness plus a negative disposition towards others. The positive versus negative perception of self and others when describing dismissive-avoidant individuals (Bartholomew & Horowitz, 1991), is of particular significance to this study. It is such individuals who consistently display aggression (Rosenstein & Horowitz, 1996), thought attributable to parental rejection during childhood, such that rejection by others later in life reactivates rage (Kernberg, 1975). Interestingly, more adolescents identified as aggressive/withdrawn receive negative criticism from their mothers and these children are assessed as being less socially competent than their peers (Beaudet & Schwartsman, 1987). Bowlby’s attachment theory, linking the sensitivity of early care to levels of security, remains the dominant approach to understanding early social development and informs much of the research into intergenerational processes (Goldberg et al., 2000). Nonetheless, Goldberg et al., (2000) uphold that parents can develop awareness as to how preoccupation with their own negative experiences has blocked understanding of their children’s needs. Such concerns about their parenting ability can trigger address of subjective negativity preventing an inevitable prediction of dysfunctional parenting. This is important, as a tendency towards bullying largely derives from dysfunctional parent/child relationships (Rigby, 1999). For example, Sroufe (1983) finds children of avoidant parenting un-empathic, enabling them to delight in another child’s 38 misery, for example, “calling a sobbing child who has fallen, a crybaby” (p.479). Sroufe (1983) observes that children rated avoidant according to Bartholomew and Horowitz’s (1991) typology, seek attention in negative ways. Ironically, this elicits an angry response, serving only to perpetuate and confirm the child’s belief about rejection (Sroufe, 1983). Attachment states are relevant not only to parents in relationship with their children but likewise as to how children subsequently relate to their own offspring. Thus there is a direct intergenerational correlation. Much of the research into intergenerational hostility supports the theory of transferable aggression “with the concordant psychosocial penalties in adulthood” (Serbin & Stack, 1998, p.31), and this subject is debated more fully in the following section. 2.11 Intergenerational influences. During the 20th century, longitudinal studies following the lives of children into adulthood have explored intergenerational processes including the characteristic determinants that place them at continued risk of developing health, behavioural and cognitive problems (Rutter, 1998; Serbin et al., 1998). The intergenerational continuity of parenting behaviours, particularly aggression and bullying, have attracted attention not only because of the anxiety and potentially devastating effects imposed upon victims but also because of ongoing social maladjustment and the increased propensity for future psychotic disorders and physical health problems for those who bully (Rutter, 1998; Serbin et al., 1998). Therefore, there is considerable interest in understanding the negative life cycle associated with intergenerational 39 processes which may affect bullying tendencies in the next generation. The most conclusive evidence to date in support of the intergenerational hypothesis arises from longitudinal research conducted by Huesmann et al., (1984) studying Generation 1(G1) children who were aggressively parented. Twenty two years later Huesmann et al., studied G1’s offspring (Generation 2: G2) and found a significant correlation between aggression in the two generations. Until recently many longitudinal studies researching intergenerational aggression have focussed on low income families. This is informative from a socioeconomic viewpoint, affording a perspective of disadvantages observed across generations (Rutter, 1998; Serbin et al., 1998). However, cross generational socioeconomic disadvantage can also be mediated by replicable contextual and environmental risks (Furstenberg et al., 1992), such as smoking, or alcohol use (Serbin et al., 2007, p.139). For example, Conger et al., (2003) challenged the concept of intergenerational aggression as specifically relating to low-income families. Based instead around single mother participants from middle class families, Conger and colleagues conducted four studies testing the hypothesis that aggressive parenting by G1 leads to angry/hostile offspring (G2) who become aggressive parents themselves, producing a further generation of angry/hostile children (Generation 3: G3). Previous longitudinal research studying intergenerational continuity between generations, has been criticised for using retrospective reporting as a means to gather data (Chen & Kaplan, 2001; Putallez & Bierman, 2004) as memories as to how a child was treated by their parents were found susceptible to 40 distortion over time. Conger et al., (2003) overcame such methodological limitations by using measures based on prospective reporting; assessments that were equally spaced across the three generations and tested with multiple informants, reducing the likelihood that intergenerational continuity resulted from method effects. Critics of Conger and colleague’s (2003) work (Dubow et al., 2001) found fault for using only single mothers. Although Conger et al. defended their choice as representing both mother-headed and dual parent families, studies which include both G1 mothers and fathers record differing results (Dubow et al., 2001). Serbin and colleagues (2007) argue that research into intergenerational effect is known to benefit from a longitudinal approach to afford regular measurement. To acquire reliable results, aggressive behaviours of both first generation (G1) and second generation (G2) participants are best assessed during childhood and adolescence and linkage established at the same age. Thus, to ensure longitudinal validity, researchers must identify the most informative measurement intervals (see Nesselroade & Boker, 1994). For example, Thornberry et al., (2003) measured G1 parenting four times over a year and a half and G2 delinquency seven times over three and a half years. Their regular and consistent approach enabled them to calculate means across each set of measurements (Dubow et al., 2001). Opinions vary as to the inevitable transmission of aggression from one generation to the next (Cohen et al., 1998). Caspi and Elder (1988) propose that problems in parenting by G1 may not be solely predictive of problem parenting in G2, as other negative influences during G2’s adolescence could 41 equally mediate their parenting capabilities. I would add, that as a counsellor, I have observed that although the offspring of aggressive parents may learn the aggressive tendencies modelled by their parents, they are sometimes too scared to manifest these until the authority associated with becoming parents themselves provides an opportunity for their expression. If, as Conger et al., (2003) suggest, hostility is communicated from one generation to the next (irrespective of income), reducing the numbers of those who bully largely depends upon breaking the intergenerational trend. Goldberg and colleague’s (2000) belief of a parent’s desire for change and Roger’s (1951) belief about psychotherapy as enabling this, arguably support the concept of counselling as a means to address intergenerational continuity. Jackson et al., (2005, cited in Hodgins, 2008,) concur, feeling that effective intervention aimed at behavioural change should include, “counselling and life skill training […]” (p.21). Jellema (2000) adds that of those considered most in need of therapeutic intervention, it is bully/victims, whose complex attachment problems and core pain call for professional support. The following section therefore addresses this topic in more detail. 2.12 Bully/victims Studies (Brown et al., 2005; Kumpulainen et al., 1998; Wolke, Woods, Bloomfield & Karstadt, 2000) recognise that in addition to bullies and victims, another group of children exists, namely bully/victims, larger in number than bullies or victims (Wolke et al., 2000). Sutton et al., (1999) attribute development of the personality traits common to bully/victims to a lack 42 of socialisation during parenting which causes problems such as underdeveloped empathic skills and emotional d i s -regulation. Defining characteristics of the bully/victim indicate that they have high levels of both depression and aggression (Veenstra et al., 2005; Wolke et al., 2000). Evidence suggests that because of their prevalence for behavioural disturbance and hyperactivity (Kumpulainen et al., 1998), other children perceive bully/victims as irritating (Gutman & Brown, 2008), in fact, they are least popular amongst their peers (Schwartz, 2000; Wolke & Stanford, 1999). This is important as it reinforces social alienation thereby perpetuating the bully/victim sequence (Crick and Dodge, 1999; Veenstra et al., 2005). In addition, bully/victims recognise fewer social cues to gauge other pupils’ actions and may therefore interpret their peer’s behaviour as hostile, responding with aggression (Dodge & Crick, 1980). Hence, their anti-social behaviour provokes victimisation by their peers and their poor social cognition causes them to respond by bullying. A study of friendship groups amongst primary school children, found more boys fell into the bully/victim category than girls, (Gutman & Feinstein, 2008) and this was attributed to the type of friendships formed (Wolke et al., 2000). For example, girls, who more generally internalise their feelings, tend to make close, long lasting bonds with other girls, whereas boys, who externalise their feelings, form shorter, more unpredictable relationships with other boys (Gutman & Feinstein, 2008). Bully/victims are also distinguished from their peers by their generally low levels of well-being and achievement, having poorer mental health, lower school achievement and enjoyment of 43 school than bullies or victims (Kumpulainen & Rasanen, 2000). Additionally, they gravitate towards friends with anti-social tendencies leading to significantly higher levels of involvement in antisocial activities and rendering this group at risk of later delinquency (Gutman & Brown, 2008). Griffin and Bartholomew (1994) propose that the bully/victim character develops during infancy. According to the internal working model hypothesis, perception of self as positive and others as negative correlates to a dismissive style of attachment (Sedikes et al., 2004) where the combined traits of love worthiness and an adverse disposition towards others cause both distrust and control (Davidof & Morf, 2004, cited in Sedikes et al., 2004). Such traits are thought to emanate from dominant parenting styles where in addition to learning dominance, children also develop submissive traits to avoid confrontation, whereby enabling the role of bully/victim (Troy & Sroufe, 1987). Those individuals falling into the bully/victim category are most susceptible to depression, somatic complaints, anxiety and internalising problems (Forero et al., 1999; Junger et al., 2001). Consequently, bully/victims are regularly absent from school and more frequently referred for psychiatric intervention; subsequently damaging their education (Kumpulainen et al., 1998). Thus a self- fulfilling cycle occurs as social, emotional and cognitive deficits are thought a possible trigger to bully in order to divert attention from social inadequacy (Serbin & Stack, 1998). Bully/victims combine complex personal and psychiatric traits since they are both confrontational to and intolerant of threats to their ego (Baumeister et al., 1996). The bully/victim may manifest as extrovert, egotistical and selfish 44 (Baumeister et al., 1996), however, the need to protect wavering self-esteem (Rhodewalt et al., 1998; Kernis, 2001) can inflame protective hostility (Rhodewalt & Morf, 1995). The ability to maintain conceptions of their loveworthiness is highly dependent upon favourable feedback, with threats to self provoking angry, (Rhodewalt & Morf, 1995), and aggressive reactions. (Bushman & Baumeister, 1998; Stucke & Sporer, 2002). Accordingly, I suggest that the conflicting duality between the bully/victim’s dominant and submissive personality raise concerns as to the effect upon them of group anti- bullying intervention. For example, maintaining an inflated selfimage may prompt threatening or belligerent behaviour. Research (Dishion, 2004) regarding group counselling for young people who bully would support this view, for as Dishion (2004) found “[…] group treatment for anti-social behavior often results in participants learning to more effectively engage in negative behaviors, since interactions between participants allow for new negative learning experiences” (p.8). Thus, rather than using peer group sessions as an opportunity to empathise with their victims and to ameliorate peer relationships, these could unwittingly provide a stage for hostility. However, I consider that using group interventions, the core vulnerability of such individuals may be overlooked. Such concerns are shared by Bradlee & Emmons (1992) and Raskin et al., (1991) who consider that models designed to address bully/victim behaviour must recognise the opportunity such individuals take to manifest the dominant characteristics peculiar to it, whilst being sensitive to their susceptibilities. It is the fusion of unstable self-esteem, love unworthiness and negative 45 attachment experiences, which, if left unexpressed, are considered by Jellema to represent a “core pain” (Jellema, 2000, p. 144), and it is to this topic that the next section now turns. 2.13 Core pain Core pain is representative of dissociated patterns of thinking, feeling and behaviour. This includes “disturbances in the integration of consciousness” leading to a loss of personal identity and sense of self, and disrupted memory, “accompanied by a sense of absence” (Jellema, 2000, p.142). The concept of core pain evolved from Jellema’s (1999, 2000) work in providing cognitive analytic therapy (CAT)1 where she hypothesises that, if an individual internalises distressing life experiences, such as the negative effects of dysfunctional parenting, without expression of their anguish, such psychological trauma sits within them as a core pain. Core pain is closely allied to attachment in that results from AAI suggest that dismissing or pre-occupied attachment patterns negatively affect reciprocal roles in relationship with others. Reciprocal roles in this instance are a CAT specific term describing “generalized procedures governing a person’s interaction with others” (Jellema, 2000: 139). CAT focusses upon the patient’s description of behaviours and relationships and how these impact negatively upon them, helping them to vent their core pain. Unlike AAI however, in CAT, 1 CAT derives from cognitive behavioural methods of counselling and focusses upon reformulating the client’s problems. The counsellor works to develop accurate descriptions of the client’s difficulties, which are conceptualised as patterns of thought and behaviour, in particular, how these are maintained. How to revise and reform maladaptive processes forms the basis of counselling and is used thereafter by the client for self-monitoring (Ryle, 1990) 46 subjective experience is ascertained via analysis of reciprocal roles in relationships. This provides a profile of the core pains which combine during development to generate dysfunctional behaviour (Ryle, 1995, 1997). Children are known to form independent attachment relationships to either parent, such that, attachment is also conceptualised in terms of reciprocal roles between mother and child, and father and child, rather than collectively as parents and child (Fonagy et al., 1994; Main & Weston, 1981). This is important as the development of a submissive role in childhood is thought only to require a dominant role from a significant other. Thus, the role of the counsellor when treating disordered patients is considered of intrinsic importance, in case maladaptive reciprocal roles are maintained by the counsellor (Jellema, 2000). Accordingly, the impact of reciprocal roles is relevant to this thesis and in section 4.5, I highlight their impact upon the counselling relationship. Jellema’s work is of importance in relation to the current study, for, as previously articulated (2.10), those who bully fall predominantly into dismissive and avoidant insecure attachment states (Sedikes et al. 2004), which are thought to result primarily from dysfunctional parenting, and may well harbour core pain as a result (Jellema, 2000). Following a comprehensive literature search, Jellema’s (1999, 2000) research appeared the only approach to adopt a therapeutic stance aimed at redress of an individual’s core pain. 2.14 Summary Despite attempts to address the problem of bullying in schools, success is 47 limited (Menesini et al., 2003) and possibly confined to when attention is focussed upon bullying (Roland & Munthe, 1997; O’Moore & Minton, 2005). Many existing anti- bullying interventions are founded upon the premise of group involvement. Given that bullying is considered a collective activity (O’Connel et al., 1999), peer-oriented schemes seem a viable solution and are seen as contributing to the apparent success of ‘Shared Concern’ approaches (Smith, et al., 2004; Duncan, 1996). Alternate views attest to the limitations of group approaches. For example, the Shared Concern scheme is founded upon a notion of morality whereas, young people who bully may disengage from such ethical principles, threatening to undermine the premise of shame and guilt upon which they rest. Nonetheless, group intervention schemes are thought particularly effective for females who bully and who fall into the preoccupied attachment state, where acceptance by others helps maintain their sense of well- being (Bartholomew & Horowitz, 1991). In addition, for bully/victims, where maintenance of fragile self-esteem is dependent upon favourable feed-back, the ethos of acceptance espoused by Shared Concern is thought less likely to challenge their self-worth and to provoke aggression (Bushman & Baumeister, 1998; Stucke & Sporer, 2002). Conversely, Whitney and Smith (1993) argued that peer led intervention possibly perpetuated bully behaviour in accordance with expectation, meaning bullies believed themselves incapable of change (Salmivalli, 1999). This response is perhaps compounded by children rated avoidant who seek attention in negative ways (Troy & Stroufe, 1987). Thus, I suggested that group intervention may unwittingly cultivate a fertile environment for such developments. 48 In the methodology chapter, (3) (3.9.2) I discuss how such concerns relate to my choice to use focus groups as a method to gather data. I concluded that Bully Courts could perpetuate rather than ameliorate aggressive incidents as the nominated peers who administer punishments risk representing the critical and dominant parent (Bartholomew & Horowitz, 1991), provoking a re- enactment of anger amongst young people who bully. However, I suggested more evidence was needed before a thorough evaluation could occur. Central to the development of aggressive children are insecure attachment states (Bowlby, 1988) and like other researchers (Ainsworth, 1978; Bartholemew & Horowitz, 1991; Bowlby, 1977; Jellema, 2000), I believe such insecurity leads to a perception of self in relation to others that is mediated by complex representations of worthiness and unworthiness in interpersonal relationships (Henderson et al., 1997). This propensity is of concern as dysfunctional behaviours such as aggression can be transmitted by parents to next generation children (Serbin et al., 2007; Huesmann et al., 1984), predisposing their offspring to bullying tendencies (Rutter, 1998; Conger et al., 2003). Therefore intergenerational transmission is a relentless catalyst that perpetuates bullying. With insecure attachment states at the root of bullying behaviour, I suggest that studies designed to combat bullying cannot afford to neglect this issue. In section 3.9 of the methodology, I discuss measures introduced to evaluate whether the young participants have been influenced by their attachment experiences. 49 Another contributing factor arises from emotional dis-regulation (Kosak et al.,0 2005), as the clamouring forces between the true and false self are believed to underpin the bully/victim character (Kosak et al., 2005), known to cause the most severe psychological and physiological conditions (Schwartz et al., 1997; Forero et al., 1999). This is significant as the psychological disorders and somatic problems emotional dis- regulation causes have profound short-term and long-term affects upon individual sufferers. It is such conditions, which, if left unexpressed form a core state or core pain, describing subjective experiences which severely undermine young people’s development (Ryle, 1995). The combination of mental, physical, social and attachment disorders held within the bully as a core pain propel hostile behaviours and I believe It is only by accessing these that the bully cycle can be effectively interrupted. Research that progresses understanding, especially if incorporated into successful practice, may improve outcome for young people who bully and therefore provides the rationale for this study. Accordingly, in the following chapter, I introduce the methodology and methods used in the current research, and discuss how effective these were at enabling the young people and their counsellors to authentically articulate their concerns. I begin with the research questions which were partly derived to explore the gaps identified in the thesis; primarily the paucity of understanding as to the experiences of young people who bully and their counsellors and what aided or inhibited their expression in the therapeutic relationship. 50 0 3. METHODOLOGY AND METHODS 3.1 Research questions According to Willig (2001), qualitative researchers are “concerned with the quality and texture of experience, rather than with the identification of cause– effect relationships” (p.9). Unlike quantitative research therefore, qualitative studies do not test an hypothesis (i.e. a suggested explanation or theoretical assumption defined then tested by the researcher). Rather than predicting, a qualitative research question seeks to make sense of the phenomenon under investigation through the meanings participants themselves attribute, by asking open ended questions which explore “process” (p.9). The research objectives for this study were derived from the existing literature discussed in chapter 2 and gaps in the research, but were also informed by my own personal and professional interest working as a counsellor with young people who bully (3.8). They sought greater understanding of how young people who bully and their counsellors experienced counselling. Specifically, the questions guiding this study are: For the young people a) What are the lived experiences of young people who bully and who receive individual counselling? b) How well do young people who bully feel able to express themselves to their counsellor in one to one counselling? c) In what ways is the therapeutic relationship either facilitated or inhibited? 51 For the counsellors (a) What are the lived experiences of counsellors who counsel young people who bully? (b) In what ways is the therapeutic relationship either facilitated or inhibited? Willig (2001) highlights that qualitative methods are used by researchers with differing epistemological positions and that the wording chosen for the research questions should reflect this. Consequently, the research questions for this study ask ‘how’ and ‘in what ways’ to reflect the interpretative philosophy of IPA, an approach also reflected in the interview guide (For interview guides see appendices 9 and 10). In section 3.9, I discuss the methods used to convey the research questions. 3.2 Introduction By facilitating the exploration of participants’ main concerns, IPA offered a methodological approach consistent with the research aims (e.g. Smith, 2004). This choice is justified later in the current chapter (3.6.1). The study is presented in the first person as, like Webb (1992), I believe “the use of the first person is required in keeping with the epistemologies of the research and in the pursuit of reflexivity” (p.747). I offer a personal interpretation of the data and therefore consider a first person account to be consistent with the assumptions of IPA which I discuss later. I begin by justifying my choice of IPA over grounded theory (3.3). In the 52 ensuing sections (3.4, 3.4.1, 3.4.1.1), exploration moves to the theoretical concepts underpinning IPA, and IPA in relation to symbolic interactionism (3.5). In section 3.6, I offer my criticism of IPA and consider its application in research (3.6.1). Chapter 3 continues with discussion of ethical considerations (3.7), gaining access and theoretical sampling (3.8) before moving to the methods used (3.9). In section 3.10, I offer an evaluation of the methods used in this study which is followed by a discussion of data analysis (3.11), I continue by reflecting upon qualitative research (3.12) and how rigour was achieved in the current study. 3.3 Why interpretative phenomenological analysis is selected over grounded theory Grounded theory shares much in common with IPA (Willig, 2001), both using different levels of coding. In the initial phase, the participants’ underlying concerns are conceptualised using codes to represent issues of importance or interest to the research (Allan 2003), then moving towards higher level coding that explores the meaning and sense making participants afford their experiences (Willig, 2001). This offers an organised, but at the same time, imaginative analysis of qualitative data. A process known as theoretical sampling describes how analysis influences further sampling until no further insights can be gleaned and data saturation is achieved. Thus, data analysis shares much in common with IPA although neither saturation nor theoretical sampling applies. Grounded theory is not founded upon a preconceived hypothesis. This reduces 53 the potential for predefined ideas to be forced upon the data by looking for evidence to support such concepts (Allan, 2003). However, the rejection of pre-existing knowledge is where grounded theory and IPA part company, for the double hermeneutic in IPA recognises the researcher as a social being whose preconceptions cannot and should not be bracketed as these make a rich contribution to analysis of the data (Larkin, 2004). As a researcher, I felt that the energy needed to suspend my ontological and epistemological self would inhibit immersing myself in the data (5.2) and elected to use IPA rather than grounded theory for this reason. 3.4 Interpretative Phenomenological Analysis When writing of IPA, Larkin et al., (2006, p.120) describe it as comprising two complimentary commitments: a phenomenological obligation to give voice to the participants’ concerns and the interpretative requirement to make sense of these concerns and contextualise them from a psychological perspective. This epistemological stance offers an attitude which corresponds to my own, an essential requisite when undertaking qualitative research (Patton, 1990). IPA is primarily interested in lived experience and how people make sense of that experience (Smith, 2010). Smith (2010) acknowledges that there is “no direct route to experience” and that IPA is about being “experience close” rather than “experience far” (p.10). In other words, it requires a process of engrossment and interpretation on behalf of the researcher which allies IPA to a hermeneutic approach. The subject of hermeneutics presents a complicated discussion concerned with making sense of people’s lives (Jones, 54 2001). I discuss the concept of hermeneutics in more detail below relating this to the Heideggerian conception only as this is used by Larkin and colleagues (2006) when debating IPA. Although IPA affords a methodological approach, Smith and Osborn (2003) propose there is “no single, definitive way to do IPA” (p.52). In fact, it offers a “stance” rather than a “distinct ‘method’” that leaves room for manoeuvre within its parameters (Odelius, 2008), if thought necessary or advantageous by the researcher (Smith, 2004). Consequently, it seemed an ideal frame that fitted with my personal philosophy and research objectives. IPA requires the researcher be committed to deep engagement with the data in order to produce a coherent third person account of the participant’s view that is as authentic as possible, for access to experience is both partial and complex (Smith, 1996). Surprisingly, IPA is considered by some an easy approach (Larkin et al., 2006). My own experiences of using IPA concurs with those of Larkin et al., (2006) when they write that “IPA can be easy to do badly, and difficult to do well” (p.103) as although its accessibility and flexibility afforded a creative arena, the lack of methodological prescription led to uncertainty as to whether I was doing it ‘right’. Providing a balanced account of the participants’ experiences demands that the researcher weighs representation, interpretation and context, and it was only after I had revisited the literature that I felt I had sufficient understanding of IPA and its philosophical grounding to interpret these in a meaningful way. In using IPA, “the researcher is the primary analytical instrument” (Fade, 2004 p.648), the overall aim being to move beyond the descriptive to the interpretive 55 and explore the participant’s perceptions of the phenomenon in question rather than the phenomenon itself. When analysing data, IPA firstly involves a “face level” or descriptive reading (Larkin, 2004; Smith & Eatough, 2006 p.339), interpretation or that subsequently conceptual level, develops to a more in-depth ultimately taking the data into consideration as a whole (Larkin, 2004). Although emphasis is upon the idiographic (individual persons or events) (Larkin et al., 2006), the exploration of patterns and relationships within and between conceptual groups should reveal something about the life world of the particular participants but also about generic themes (Fade, 2004). I discuss how I analysed the data later in the chapter (3.11). Although IPA is informed by a “general psychological interest” (Smith, 2004, p.45) my concern as a counsellor was of superimposing existing theories that overwhelmed the essence of the participants’ narrative. To resist this meant remaining grounded in the participants’ words, or as Smith (2004, p.45) puts it, undertaking a “close reading of what is already in the passage helped by analysis of what the participant said elsewhere”. IPA is most closely allied to cognitive psychology because of its emphasis on sense- making and the connection between people’s cognitive and emotional states (Smith et al., 1999). Hence it is suited to clinical settings (National Institute for Health Research, 2008). However, although both cognitive psychology and IPA are interested in how people make sense of their lived experience, they diverge as to the methodologies used to achieve this goal, with IPA employing in-depth qualitative analysis (Smith et al., 1995). 56 According to Smith (2004), it is the personal analytic work done by the researcher that “determines the quality of the outcome” (p.40) whereby a two stage interpretation process takes place in which the researcher attempts to interpret the participant’s sense making ability (Pringle et al., 2011). This twofold sense-making is described as a double hermeneutic, a subject I develop later in section 3.4.1. Consequently, in IPA, the researcher is inextricably implicated in the interpretative process such that their ontology (beliefs about the world) and epistemology (knowledge of the world) will inevitably shape the analysis. Being able to identify the self in the interpretative process demands reflexivity, something I achieved through both writing a research journal, and inserting my reflections within the transcripts (4.2, 4.3) (Also, see research journal at end of thesis). Then, when analysing the data, I cross referenced entries from the journal and the transcripts to the discussion. Through this reflective development, I felt ever present, and unable to avoid my part in the interpretative process. Annells (1996) and LeVasseur (2003) likewise advise that preconceptions are made explicit and their use made clear in the inquiry. Like Halling et al., (2006), I go further, by suggesting that having awareness of pre-existing beliefs benefitted me as these could be re-evaluated in the light of emerging data and their influence over the phenomenon itself assessed. In addition, reflexivity enables the researcher to use their knowledge and personal assumptions to help gain perspective of participants’ experiences in a way that nurtures empathy (Finlay, 2009). This view is consistent with the questioning hermeneutic and empathic hermeneutic espoused by IPA (Smith & Osborn, 2003), however, I 57 consider that such reflective processes demand a level of self-awareness that may not be available to all. Wilson (1983, p.x) contends that our ontological and epistemological world views are central assumptions when theorising about social life as they contribute to our understanding of social reality and “ how reliable knowledge of that reality is obtained”. By acknowledging that individuals can experience reality in different ways, IPA recognises truth as a matter of perspective, which defines its epistemological stance. 3.4.1 The epistemological position of interpretative phenomenological analysis Qualitative research is established upon a continuum describing two divergent concepts: On the one hand, naïve realism and on the other, radical relativism. These positions are not mutually exclusive but offer different positions for viewing the world. Naïve realism describes an objective attitude, claiming objects as real entities that exist regardless of whether or not they are perceived (Banister et al, 1994). Conversely, radical relativism accentuates the socially constructed nature of what is real, offering a subjective attitude that questions factual truth (McEvoy & Richards, 2003). In research terms, the continuum represents the researcher’s involvement as the closer they are to relative realism, the more implicated they become in fashioning the results, rather than describing the facts (Odelius, 2008). Critical realism accepts that there are “stable and enduring features of reality that exist independently of human conceptualisation” (Fade, 2004, p.647). 58 However, the meaning individuals attach to reality can differ, dependent upon which part of it they access (Fiske & Taylor, 1991), hence, the importance of the life-world or lived experience shaping IPA. Importantly, critical realism is founded on the assumption that interpretation is often influenced by socially accepted ways of viewing reality. IPA is situated in the middle of the qualitative continuum and is theoretically rooted in critical realism and the social cognition paradigm (Fig. 1). I considered this highly relevant to the participants in this study as socially accepted worldviews commonly reflect the values of privileged individuals (Lopez & Willis, 2004), and as bullying is frequently misunderstood, impacts negatively upon the young participant’s self-perception. Moreover, interpretative research with marginalised individuals is of vital importance, as giving voice to personal experience enables them to begin liberating themselves from oppression (Stevens & Hall, 1992), e m p h a s i s i n g , I a r g u e , the importance of using IPA. The concept of reality as contextual corresponds with Putman’s (1981) (cited in Bem & Looren de Jong, 1997) pragmatic realism that describes knowledge of the world as an interactive process and I consider it is the interplay between the subjective and the objective which links critical realism to IPA. The social cognition paradigm recognises that such diverse meanings of reality are communicated through human speech and behaviour, and are dynamic and provisional, reflecting, I suggest, the double hermeneutic consistent with IPA. Onus is upon the researcher to illuminate both the structure and the experience, as communicated by both mind and body as these are considered inseparable. 59 Figure 1: Epistemological Positions Naïve realist Radical relativist Grounded Theory (Realist version) Grounded Theory (Social constructionist version) Interpretative Phenomenological Analysis (Based upon Willig, 2001) So, although participants are seen as constructing reality, they are also influenced by it, and it is this relationship between the self and the external that situates IPA in the context of critical realism. 60 3.4.1.1 Underlying assumptions of interpretative phenomenological analysis According to Larkin et al., (2006), novice researchers such as myself, may find IPA a less safe option than other qualitative methodologies because of its uncircumscribed territories. However, it is precisely this “epistemological openness” (Larkin, 2004, p.5) which facilitates exploration, understanding and communication of the participants’ opinions and experiences (Larkin et al., 2006). IPA is chiefly informed by phenomenology, hermeneutics and symbolic interactionism (Smith, 2004). These represent significant philosophical debates and considerable ambiguity. For example, Heideggerian phenomenology, which informs IPA, is also known as interpretative phenomenology, hermeneutic phenomenology and Heideggerian hermeneutics (Cohen et al., 2000). Although divergence is reflected primarily in the titles (Cohen et al., 2000), uncertainty surfaces as to whether researchers should declare a specific phenomenological stance that avoids merging irreconcilable philosophies, as this leads to a lack of rigour (Finlay, 2009; Giorgi, 2008b). Others (Derbyshire et al., 2005) argue that combined methodological approaches broaden depth of understanding which enhances trustworthiness by capturing t h e f u l l richness of description more effectively than a single method. There are diverse interpretations as to the central issues of phenomenology (Dahlberg et al., 2008; van Manen, 1990; Halling et al., 2006; Todres, 2005), consequently, much debate as to what counts as phenomenological (Finlay, 61 2009). For proponents of phenomenological approaches, discord centres on whether a researcher’s world views should be bracketed when seeking the essence of a phenomenon (Giorgi, 2008b), or whether, if un-bracketed, these help contextualise the phenomenon in both a personal and social setting (Ashworth, 2006; King et al., 2008). The debate is not new, dating back to the seminal phenomenological authors Husserl and Heidegger. To situate this study within a methodological framework, I shall discuss the contribution of these philosophers; however I start by introducing the evolution of phenomenological thinking. st By the turn of the 21 century, three key questions relating to phenomenology had emerged: (Berrios, 1989). 1. How consciousness relates to the external world 2. How to differentiate physical from mental phenomena and 3. How to distinguish mental phenomena from each other Bretano (1874) believed that every mental phenomenon was intentionally directed at an object and that this psychological act alone brought meaning to the object; a link I would suggest to critical realism. By contrast, physical phenomena lacked the ability to generate intentionality and could only facilitate this second-hand (Berrios, 1989). This represented a fundamental shift in established thinking as Bretano had introduced the notion that human beings brought meaning to the external world through their psychological intention, whilst empiricists maintained that mental experience derived solely 62 from the external world (Berrios, 1989). However, the theory of the world as the one source of knowledge was unable to account for objectless mental experiences such as hallucinations (Frege, 1892). Frege (1892) suggested that rather than deriving knowledge solely from the external world, an individual’s psychological experiences and cognition could determine their behaviour, their actions, and their language, thereby introducing the phenomenological framework that was to underpin later thinking. The relationship between the cognitive and language is of relevance to the current study since language development is intimately connected to feelings (Bloom, 1998). Bloom (1998) states that, “Language has to be learned when what the child has in mind differs from what someone else has in mind and must be expressed to be shared” (p. 1273). As the child develops and their emotions become more complex, the primary carer can no longer exploit contextual clues when the child’s feelings are not in evidence. Hence feelings are interconnected with personal and social development (Bloom, 1998). With feelings as the precursor to language, the poor language skills experienced by the young people who bully in this study might imply a twofold effect: that their poor linguistic skills compromise emotional expression but also, attest to emotional under-development. In section 3.5, I elaborate on the significance of language for the young participants. Frege (1892) had introduced a paradigm shift of considerable significance as his suggestion that knowledge derived from experience rather than of one truth provided by the external world, suggested that the truth of all statements depended upon empirical testing. In other words, if empirical statements could 63 be true or false, then so could logical principles. Unsurprisingly, this met with considerable resistance (Berrios, 1989). It was from Frege’s early thinking that Husserl (1970) went on to develop his phenomenological model. Reluctant to abandon the idea of an external truth, Husserl integrated it into his model in the form of phenomenological bracketing of the external influences thought likely to contaminate pure subjectivity. Husserl characterised phenomenology as a philosophical movement aimed at epistemological enquiry of experiential happenings (Todres & Holloway, 2004); in other words, a verbal account of individual experience prior to critique, reflection or interpretation (van Manen, 1990). Husserl (1983) defined this as “natural attitude” (p.51). His key epistemological strategy referred to phenomenological reduction, or bracketing of the natural attitude (Walters, 1994) so as to cleanse individual experience of judgement and be led instead to the origins of phenomena (Cohen & Omery, 1994), or universal essences (Giorgi, 1989). For the researcher, determining the essence of a phenomenon necessitates asking whether it could or would exist without added influences; that is, without making assumptions (Koch, 1999). Husserl’s concept of phenomenology introduced significant change to established thinking which had hitherto recognised a positivist approach to scientific enquiry (Bradbury-Jones et al., 2008).The attempt to capture experiential essences by bracketing assumptions characterised Husserl’s phenomenological method as descriptive (Bradbury-Jones et al., 2008); measuring techniques were discouraged and replaced with observation, intuition and empathy (Berrios, 1989). Using qualitative approaches as 64 opposed to quantitative, phenomenological research sought to illuminate specific phenomenon and represent these from the perspective of the research participants (Lester, 1999).The fundamental difference between descriptive and interpretative phenomenology is how findings are generated and subsequently used to augment knowledge (Lopez & Willis, 2004). For example, Heidegger, a student and critic of Husserl’s (Ray, 1994), was cautious as to the ability to suspend preconceptions. Although likewise concerned with lived experience, Heideggar considered primary experience to be the meaning of ‘being’, referring to the way humans exist and act (van Manen, 1990). His ontological focus (Cohen & Omery, 1994; Ray, 1994) described a process of being in the world rather than of the world (Ray, 1994), a concept he saw as knowable only through interpretation according to the interpreter’s own lived experience (Walters, 1994). Heidegger conceived of Husserl’s attempts to bracket as misguided (Polkinghorne, 1983), proposing instead, interpretive phenomenology, that presumes some prior understanding, for example, everything we seek as guided by what is sought (Heidegger, 1962). Hence, a central tenet of Heidegger’s thought was the relation between the individual and their lifeworld; a connection he described as a hermeneutic circle, implying the impact of culture, society and politics as consequential upon the individual’s freedom to choose (Lopez & Willis, 2004). In IPA, Larkin et al., (2006) relate the hermeneutic circle to the researcher/participant relationship describing the “knower and the known as fundamentally interrelated” (p. 116), and implying that any interpretation necessitates balanced and iterative work. In other words, 65 the researcher avoids preconceptions but is sensitive and responsive both to the participants and the data generated whilst also acknowledging that they are affected by living in the world. Heidegger (Ray, 1994) asserted that social and developmental entrenchment meant that, although individuals were free to make choices, such freedom was circumscribed by specific life conditions. In relation to the current study, Leonard (1999) points out that young people who bully are not merely passive recipients of ideologies, but also inexorable victims of their own social and developmental experiences; introducing I suggest, a connection between experience, feelings and the life world. It is the concept of individual freedom of choice and the hermeneutic circle proposed by Heidegger that informs my choice of methodology, as I suggest that IPA resonates with the classical hermeneutics of Heidegger which complements the objectives of the current study. Consequently, the hermeneutic circle is both intrinsic to IPA and to the work being done, as balancing the “hermeneutics of empathy” with the “hermeneutics of suspicion” reveals the “meaning of experience” (Larkin et al., 2006: 115 based on Ricoeur 1970) and is the primary aim of this study. According to Larkin et al., (2006), by offering the two perspectives of empathy and suspicion, analysis of the data benefits from both an understanding and a critical approach to interpretation. This allows the researcher to go beyond description and reveal things of which the participants may be unaware, “warts and all” (Smith & Osborn, 2003, p.51), which I consider as characterising IPA. The hermeneutic circle is reflected in the analytical process in IPA, which progresses from initial 66 coding through to critical interpretation which, aided by the researcher’s own understanding, represents the participants’ main concerns. 3.5 Symbolic interactionism Of equal importance to IPA is symbolic interactionism, which according to Burr (2001), illuminates “the nature of the socially constructed person” (p.11) and which, like IPA focusses upon how meaning is derived through interaction and interpretation. The term symbolic interactionism was first introduced by Mead (1934). Although his concepts have since been elaborated (see Bloomer, 1962), it is to Meads original theories that I refer. Unlike his predecessors in social psychology, Mead disputed the existence of the self as independent of social forces, proposing instead an interdependent relationship between self and other that emphasised a social symbiosis. Hence, the self is reflective in that it develops through social interaction. This implies a dynamic that is perpetual and flexible in keeping with historical, cultural and language developments but only ever contextual. In other words, meaning and identity evolves, influencing personal experience and it is this developmental process in its entirety that I consider IPA is committed to explore by affording the researcher insight to contextual information about the person. Symbolic interactionism has been criticised as reductionist as its theory regarding development of the self depends upon social interaction; in other words, the self could not develop without interfacing and communicating with others (Burr, 2001). 67 However, Hochschild (1983) believes that Mead introduced the concept of “I” and “me”, where, as a reflective being, the ‘I’ becomes integrated as a “more generalized” other, representative of society as a whole (Mead, 1934: 154). For example, Hochschild proposes that although emotions are social (me), they are also cognitive (I). Social contexts help an individual assess whether an emotion is appropriate in the here and now, but also, according to personal expectation as to how that emotion will be expressed. “If feeling is the spontaneous outburst, emotion is the social label of i t”; (Andersson, 2005, p.54) for example, sadness and tears (Hochschild, 1983). In section 4.4, I provide examples of how emotional management manifested in the current study. According to Burr (2001), the importance of language is paramount in symbolic interactionism for “[w]e cannot think about or reflect upon our experience […] until we are able to symbolically represent events to ourselves through language. And we cannot acquire language without engaging in social interaction” (p.15). Burr’s emphasis upon the connectedness between thought, feelings and language is of significance for the young participants in the current study, since their ability to form interpersonal relationships has been undermined by poor developmental experiences, in turn compromising their language skills and hence their ability for self-reflection. Consequently, I suggest their language deficiency is a serious loss. Cooley (1964) places further emphasis upon the self/other dyad suggesting that how a person perceives themselves is so dependent upon how they are perceived as to represent a reflection in a mirror; a theory named the looking 68 8 glass self. This theory is of particular relevance as the self/other divide represents a consistent theme in my data. For example, in section 4.3, I discuss how, when looking in the mirror, one participant saw only a reflection of himself, possibly given his perception of the ‘other’ as untrustworthy. I relate this to the looking glass theory. Although I agree with the interdependence between the self and society that symbolic interactionism espouses, it is the inference of shared meaning that provokes uneasiness for me. For example, Mead (1934) represents the meaning of symbols (words) as the same for different individuals engaged in communication, a suggestion with vast implications as it infers mutually recognisable codes which facilitate shared meaning, (taking “the role of the other” , Mead, 1934, p.254), or, as I see it, the basis for empathy. Mead substantiates his thinking by describing the development of language amongst children, explaining how adults respond to a baby as if its actions were meaningful using a ‘conversation of gestures’ (Burr, 2001) and how, through the socialisation process, the gestures are replaced by words with reciprocal social meaning. However, my experience with young people who bully and extant literature (see for example, Bloom, 2000, 3.9.1) suggests that maltreatment and poor socialisation, for instance, amongst young people who bully, inhibits language and cognitive development to an extent that seriously undermines communication. This in turn creates an isolated self that I would describe as pitched against others. It cannot be said with certainty that this experience or pattern of communication never occurs in non-harmful contexts such as functioning families however the literature in relation to secure attachment does imply this as less likely (2.10, 4.2). 69 3.6 Criticism of interpretative phenomenological analysis IPA is a methodological approach that is gaining in popularity (Smith, 2010). Although students are attracted because of the emphasis upon lived experience, with little prior training in other qualitative methods, IPA appears an easy option (Hefferon & Gil- Rodriguez, 2011) as it is suggested, little theoretical knowledge is needed to use this methodology (Madill et al., 2005). Hefferon and Gil-Rodriguez (2011) attribute this opinion to a lack of understanding of IPA as an interpretative approach rather than merely descriptive, resulting in a lack of depth that is sometimes confused with insufficient rigour (Larkin et al., 2006). Further censure is levelled at IPA for the idiographic nature of the analysis (Pringle et al., 2011) as although this offers insight into the “wholeness and uniqueness of the individual” it precludes generalising such that IPA studies are criticised as potentially “subjective, intuitive and impressionistic”(Malim et al., 1992, cited in Pringle et al., 2011, p.21). Reid et al., (2005) point out that generalisability was never the goal of IPA although commonalities within and between groups can lead to useful insights which influence and contribute to theory in a broader sense. For example, in section 4.3, I show how the young participants were united as to the significance of being referred for counselling rather than self-referral and how the counsellors likewise recognised the implications. 70 3.6. 1 Using interpretative phenomenological analysis in the research With a few notable exceptions (Ambert, 1994; Paquette & Underwood, 1999), the extant literature about bullying is largely quantitative and, rather than analysing whole people and their interactions, focuses upon statistics and processes (see for example, Crick & Grotpeter, 1995; Olweus, 1993, Rigby & Slee, 1999) ). Although this is useful in identifying where and how frequently bullying takes place, a report by the Department of Health (DoH, 2008) recognises that young people would like their opinions about bullying to be heard (DoH, 2008), and I suggest qualitative research as most suited to this task. In section 3.9, I develop how the methods used in the current study address this requirement. There is legal recognition that children’s opinions should be sought in matters that affect them and also, ethical acknowledgement that research exploring the experiences of young people should be sensitive to the impact of the process (Morrow, 2001). I suggest that the interpretative stance of IPA ratifies both of these requirements as it seeks in-depth understanding of lived experience however, it applies a non-threatening, open ended approach to gathering data. This study explores the previously underdeveloped topic of how young people who bully, and their counsellors, experience counselling. It therefore contributes to existing qualitative research by adding context and understanding. Such clarification is considered by Smith (2004) one of the main purposes of IPA and therefore seems a most appropriate methodology to meet the current research objectives. 71 3.7 Ethical considerations Ethical issues are of overriding importance in work involving young people, particularly when this is of a sensitive nature, with potential to cause harm or distress to the research participants. Later (3.9) I discuss how the methods used in this research respected such principles. Seiber (1993) relates ethics in research with children to “the application of a system of moral principles to prevent harming or wronging others” (p.14). Favourable ethical opinion (see appendix 3) for this study was granted by the Faculty of Health and Medical Science Ethics Committee and Criminal Records Bureau clearance processed for every staff member involved in the process before data collection started. Neither Centre A nor Centre B (the two research venues) had their own ethical protocol but agreed to participate guided by the Faculty of Health and Medical Science ethical principles. Key issues included; consent, confidentiality, potential distress and researcher safety. Prior to the onset of the study, I spent one year observing the young people at Centre A. The benefit of pre-engagement between the researcher and participants is well documented (Erlandson et al., 1993; Guba & Lincoln, 1994; Hill, 2006). For example, in a study by Hill (2006) into the emotional well-being of children, he found that familiarising himself with participants prior to embarking upon research helped alleviate their anxieties and engender trust. Likewise, upon first meeting the young people at Centre A, they were extremely suspicious of me but as the weeks passed they became more 72 confident in my presence. However, Silverman (2000) has noted that prolonged engagement is not problem-free since immersion in the organisation may affect the professional judgement of the researcher. Indeed, at Centre A, whilst observing the young people, maintaining my professional boundaries was challenging when too few staff struggled to control the class and I would have liked to help. As part of the curriculum at Centre A, the last lesson of a series aimed at personal development was dedicated to the topic of bullying when staff explained the research and distributed participant information sheets (PIS) (See appendix 4 for a copy of PIS). These were dispersed to the counsellors at an alternative venue. As the participants lived within driving distance, the transcripts could be delivered by hand, negating ethical concerns regarding posting them. I clearly explained the study, discussed what participants would be consenting to, adding that anonymity would be protected by affording participants a code. This proved unexpectedly challenging as central to IPA is “getting the sense of the person themselves” (Smith & Osborn, 2003, p.67) and I struggled to identify with the participants and their experiences when using pseudonyms. Ultimately, I only applied these at the interpretative stage to enable objectivity. An important consideration was explaining to the young people my obligation to break confidentiality if I needed to report a risk of significant harm or child protection issue (Barter et al., 2004). I made it clear in relation to the focus group that I could only guarantee personal confidentiality, not that of other groups. 73 Designing personal information sheets (PIS) that were appropriately gauged to the target audience proved problematic as these were needed for the young people, their parents, and the counsellors. Following the first ethics application the PISs were rejected and subsequently reworked, ultimately receiving approval. Focussing the young people’s attention upon the PIS proved demanding as they were constantly distracted (due to their behavioural and learning problems) and I had to be more directive than anticipated to ensure that they understood the information. Parents of young people 16 and under were sent an information pack and a consent form via their child. This leaflet explained the selection procedure by which their child was asked to participate, what was involved (see appendix 5 for risk assessment) and the limits of confidentiality (for consent forms see appendix 6). Signed parental consent was sought for all young people 16 and under, without which, their child was unable to participate. In the case of single parent families, the consent of one parent is normally sufficient however if both parents declined, their child would not be included in the research. Parents were asked that the consent forms be returned the following week. This interval was suggested by the staff at Centre A who considered the young people needed a week to consolidate the contents of their own PIS. Nine of the twelve pupils at Centre A expressed interest in participating, of these however, only four returned signed consent forms from their parents, excluding the remainder from participation. After a further week had elapsed, I telephoned those parents yet to sign consent forms with a gentle reminder, however no 74 more consent forms were returned, which disappointed the young people who were eager to commit but unable to without parental permission. Despite concentrated effort to communicate the content of the study, the one week interval proved too long for the young people to retain information and prior to consent being obtained, an additional explanation was necessary. Each question had a box requiring the participant’s signature. Only when I was sure that the young people (and the counsellors) understood what they were consenting to and that they were willing to participate, were they asked to sign a consent form. Informed consent was sought from each young person and each counsellor. All forms were signed, dated and duplicated so that both the participants and I had a copy. Places on the study were awarded on a first come, first served basis. Included in the PIS was an invitation offering participants the opportunity to read and comment on the transcript of their focus groups and interviews. The decision was fuelled by a desire to authentically represent the participants and therefore, to promote rigour and trustworthiness. Once data collection started and I realised the full impact of the young people’s behavioural and learning difficulties, I recognised that reading the transcripts could present ethical issues concerning my beneficence as a researcher. For instance, in the focus group, the young people were defensive and constantly refuted what they had said. Secondly, self-disclosing evidently represented a huge risk for them that caused considerable anxiety. I feared that reading their transcripts may cause the young people emotional harm and was unsure of its advisability. Nonetheless, not reading their transcripts raised concerns about 75 the extent to which the young people were represented in the research and I questioned whether I would honour my ethical commitment as a researcher by offering to either read or discuss them separately. In section 4.3, I discuss the repercussions of reading the transcripts to the young people. The same offer was made to the participant counsellors who declined the opportunity. Retrospectively, I understood that the methodological implication of reading the transcripts to the participants was inconsistent with the interpretative stance of IPA, as the participant’s original accounts were contextual, hence any prospective response would represent new data. To ratify the ethical requirements of undertaking research with young people, the ethics committee asserted that two support workers must sit in upon the focus groups and individual interviews to offer support for both the young participants and myself. Staff at Centre A supported this decision, confirming that the young people frequently responded to animated debate with defensiveness, sometimes leaving the room and occasionally erupting into physically aggressive behaviour. The support team was compiled of staff from Centre A with academic qualifications relevant to their position and many years of experience working with young people who bully. Given the learning environment at Centre A, where staff freely circulate amongst the young people, I felt the focus group would closely replicate this setting, such that the support workers would not be unusually conspicuous. However, I was uncomfortable that the participants may feel their confidentiality compromised by having so many observers present in the room, whereby inhibiting self-disclosure. 76 I believe researchers should weigh the participant’s right to confidentiality against the demands of research as it would be equally unethical to provide an account of the participants which compromised authenticity. In section 4.4, I describe the implications of having support workers present and the ethical dilemma this instigated. Once data collection started, I used my discretion to determine if discussion was becoming too stressful for the young participants or their counsellors. When this happened, I asked whether they would like to move to a less sensitive area, use a vignette (3.9) or take a temporary or permanent break (Barter et al., 2004). I further guarded against distress using my counselling skills. A contact telephone number was provided to each participant lest they become distressed or terminate an interview or focus group prematurely. Moreover, the participants were reassured that they were under no obligation to complete, a consideration known to promote involvement (Faulkner, 2004). In keeping with the Lone Worker Policy (NHS, 2008), researcher safety issues were addressed by ensuring that a diary of interviews and their location was held by an administrator and that a colleague was contacted before and following each focus group and interview. 3.8 Sampling and Access As the sampling for studies using IPA is purposive, I chose to recruit young people aged 11 to 18 years, who were identified as having a tendency to bully 77 and who had received no less than three one-to-one counselling sessions with a professional c o u n s e l l o r . I considered that fewer than three sessions may not be long enough for individuals to acquaint themselves with the process of counselling. I thought that those young people who both bullied and received one to one counselling would represent a minority group, meaning sample numbers could be small. Given the small sample size, it could be argued that the demand on individual focus group participants to contribute would be greater (Morgan, 1988). Conversely, Krueger (1994) proposes that, for discussion of more complex topics, smaller groups yield more sensitive and richer conversation. I chose young people as opposed to children because my experience as a counsellor of young people who bully had awakened an interest in their subjective world (1). I also sought greater understanding of the personal experiences of the counsellors providing counselling to young people who bully, as without them, a comprehensive picture would not be possible. Although it was not anticipated that access to counsellors would prove problematic, only one counsellor might provide counselling to all of the participants. Smith and Osborn (2003) encourage researchers to adapt “the method to […] the particular topic [they] are investigating” (p. 55). Consequently I had sought previous approval from the ethics committee to revert to a case study approach should too few participants materialise, whereby enabling an idiographic analysis that Smith and Eatough (2006) considers to yield rich data. IPA is committed to small samples (Smith, 2004) and for novice researchers, 78 three participants are considered optimal with no more than ten for the more experienced, as this facilitates both engagement with individual cases but also exploration of convergence and divergence; similarity and difference (Smith, 2010). Reservations as to larger sample sizes trigger concern as to unmanageable quantities of data (Smith & Osborn, 2003). Consequently, the six participants taking part in this study concurred with the recommendations. Even so, there were times when I found the data unwieldy; a topic developed when I discuss data analysis (3.11). A concern when using purposive sampling is that findings from such a homogenous group cannot be used to generalise to the greater population. This dilemma is arguably accentuated as both Centre A and Centre B are located in south-east England (The Survivors Club, 2014). However, as previously iterated, the concept of extrapolating statistical findings in IPA does not apply (Smith, 2004). The aim is to gain greater depth and insight of the phenomena being studied, although I suggest that this results in an analysis that also illuminates the commonalities and variances within and between groups. Moreover, to establish external validity, the study makes extensive use of participant quotes to illustrate findings so that readers can determine the potential transferability to other situations. As Smith and Osborn explain, shedding light on the “broader context” (p. 54) can be done once similar studies using IPA have been completed. Nonetheless, a potential limitation of IPA remains its lack of certainty (Willig, 2001), for it represents the 79 experiences of few individuals; although, I would argue that experience itself lacks certainty. Access to participants was ultimately negotiated through two, part charitable and part council run projects offering learning support and counselling to young people in the district. Gaining access represented the culmination of extensive and time consuming correspondence with other organisations. For example, five youth organisations were contacted before Centres A and B, with a research proposal sent to each. The negotiation process necessitated consistent follow up by telephone, email, and on several occasions, visiting organisations. Staff from the charities explained that insufficient funding resulted in too few staff who could not be spared for research. As Smith and Osborn (2003) warn “one’s sample will in part be defined by who is prepared to be included in it” (p.54). Nonetheless, to verify that lack of commitment was not due to my approach, I consulted with colleagues whose studies were similar to my own. They too were experiencing recruitment problems and this allayed fears that any reluctance was specifically attributable to my approach. Difficulty recruiting was exacerbated as finding organisations where young people both bullied and received counselling for this were limited. Centre A however met the recruitment criteria. Centre A provides educational support to young people excluded from mainstream education. Pupils are often referred to Centre A because of aggressive and bullying behaviour and are offered counselling in support of such issues. Upon contacting staff at Centre A, they confirmed that all of their current pupils had bullied others and were likewise receiving 80 counselling. Centre A expressed their enthusiasm for research into young people who bullied and having recently received an extended grant to continue their work, felt able to commit to the study. Conversely, Centre B, was beset by funding issues. Centre B is located in a deprived area and offers counselling to young people experiencing behavioural problems, including those at Centre A. They are predominantly staffed by fully qualified, volunteer counsellors, a necessity given the limited resources at their disposal. Centre B were contacted via a board member to whom I posted a research proposal and who communicated with the counsellors at this organisation. Despite their commitment, Centre B temporarily withdrew as financial uncertainty threatened their future and several months elapsed before they felt able to commit. Prior to finalising participation the two research venues agreed to display a poster approved by the ethics committee advertising the research (see appendix 7 for poster). These efforts culminated in the recruitment of four young people (Jason, Andy, Courtney and Lucy) from Centre A and their two counsellors (Counsellor A and Counsellor B) from Centre B. To minimise disruption to either of the research venues and mindful of their problems, I travelled to each, ensuring that participation would not involve costly or time-consuming commitment. Many of the young people at Centre A suffer with attention deficit/hyperactivity disorder (ADHD), a condition that I reasoned would impact data gathering. Later (3.10), I describe the influence of their symptoms upon the data. ADHD is a chronic mental health disorder characterised by diverse behavioural expressions throughout the life span (Barkley, 2006; Barkley et al., 2002), the core symptoms 81 manifesting as inattention, hyperactivity and impulsiveness. During adolescence, these core symptoms typically translate as difficulty focussing upon study, particularly subjects demanding concentrated attention such as mathematics (Barbaresi et al., 2007), the inability to reason a response and thus, a tendency to interrupt and to respond with aggression (Barkley et al., 2006), trouble remaining seated, with the propensity to roam around the classroom and problems with forming interpersonal relationships (Bagwell et al., 2001). Consequently, young people with ADHD are prone to poor academic success (Barbaresi et al., 2007), family conflict (Edwards et al., 2001) delinquency and dropping out of school (Sibley et al., 2011) and are generally unpopular with their peers (Bagwell, et al., 2001), making adolescence for those with ADHD a challenging life period. Of the young participants in this study, Jason and Andy both experience ADHD. During the observation period prior to gathering data, I noted in my journal that for Jason, concentrating on his lessons posed significant challenges. He struggled to grasp the meaning of written work, sometimes panicking and asking frequent questions as to what was expected of him, but more usually, disengaging from the task and wandering around the room, often goading his peers by throwing pencils at them or flicking paper. He was easily distracted by other stimuli, frequently using the laptop computers intended as an aid for learning, to access online wrestling, when he would distract those of his peers who were working by either, raising the volume of his computer or pushing this under the nose of his neighbours. If this failed to garner attention, he would flout the school rules, rising from the table to play snooker at the table in the adjoining leisure area. This action had a disruptive affect upon the other students who then resisted their own work in preference for a game of snooker. 82 Andy made few attempts to even begin school work, claiming a lack of interest in the subjects taught and coercing the support workers to complete the assignments necessary for him to gain his qualifications. On the surface, he was seemingly authoritative with his demands however, I noticed that, when subjects were taught that did capture his attention, he struggled to communicate his thoughts and, particularly to concentrate for sufficient time to write these down. Then, he reverted to cool and detached behaviour, distancing himself from both his tutors and peers, behaviour that I interpreted as bravado to disguise a more vulnerable self. Andy seemed to delight in causing disruption and this too may have been a tactic designed to distract attention from attempts to get close to him. He seemed almost determined to create a negative profile of himself, a characteristic consistent with ADHD, where the actions of sufferers are commonly mistaken as deliberate bad behaviour but are, in fact, associated with their inability to verbalise their emotions (Evans et al., 2007). For example, during a sex education programme, Andy took a bundle of condoms to the leisure area and set fire to these whilst the lesson was in place, a struggle for the staff who, from my observations, seemed torn between empathy, irritation and the practical need to abandon their lessons and respond. Young people are referred to Centre A when their behaviour can no longer be accommodated within mainstream education. They are referred from the local secondary school, however, staff from this secondary school come to Centre A to teach certain lessons to ensure continuity. The purpose of Centre A is to provide a structured but nurturing environment for the young people to continue their learning, to engender social skills, and to encourage working 83 towards goal orientated tasks that will ultimately result in further education or employment. Their approach to learning is multi-systemic, in that they encourage a close relationship with family members, with the community, the police and local organisations, facilitating the lives of the young people by engaging with the multi- dimensional aspects of their development. This is achieved by holding numerous social events such as barbeques, sporting events and clubs throughout the year and by fostering relationships with parents by holding open days and through regular communication. The number of pupils at Centre A is low (approximately 15-20), with staff averaging 5 per lesson, this ratio allowing for much individual attention. Adolescents referred to Centre A experience diverse emotional and behavioural problems. Typically these include; bi-polar disorder, anxiety, depression, emotional and behavioural disorders and ADHD. Lessons are structured around twenty minute sessions to accommodate the young peoples’ short attention spans and learning difficulties and are aimed at achieving simple goals. The ethos is of positive reward, with the environment divided between a study area and leisure area, where pupils who have accomplished the tasks set them can unwind. Hence, I considered it important that the structure of the methods to be used in the current study were responsive to the needs of the young people, and these are discussed in the ensuing section. 3.9 The methods In this study, focus groups and semi-structured interviews were used to 84 gather data. These were preceded by an observation period, which although not used as data, has brought insight to the research process. Ultimately, two focus groups were conducted with the young people, two with the participant counsellors and two semi-structured interviews were run with the participant counsellors. The young people declined the opportunity to participate in semistructured interviews. The following section now develops the period of observation conducted at Centre A prior to the study onset. 3.9.1 Observing the young people The intention of running individual interviews in this study was to supplement and develop the concerns articulated by the young people during their focus groups. In section 4.3 I develop the events which contributed to the young peoples’ decision to forego their interviews. Since these were declined, notes from the reflective journal compiled during the observation period with the young people prior to the study onset have been used to contextualise data. Such reflection bears relation to the research questions since it focusses upon bullying and aids understanding of the counselling setting. My reflections draw on the roots of humanistic counselling where I consider, as a counsellor, it is important to examine the thoughts and ideas that dictate how I feel and what I do. According to Irving and Williams (1995), such perspective is of significance as it is challenging for counsellors to evaluate assumptions from their own knowledge of emotions, as beliefs can manifest as self-evident truths with the risk that understanding of clients is structured by implicit sense-making. For me, the reflections based on the observation of the young people, has helped me step 85 beyond the framework, to identify the conception of my thoughts and feelings, facilitating an unfettered view of the young peoples’ reality that has provided clarity. Through discussion with the staff at Centre A, it was concluded that observing the young people would be undertaken on a casual basis since official observation may unsettle their behaviour, which was easily disrupted by changes to routine. They therefore suggested that I was as unobtrusive as possible, allowing the young people time to acclimatise to my being there. As such, I assumed a detached role, sitting at the end of, or behind their desks, so as to maintain the young people’s equilibrium. At this point, the young people knew nothing of my research, a request again directed by the staff who were keen to gauge their students’ reactions to me before committing to the research process. Each period of observation, lasting 2-3 hours, was undertaken weekly over twelve months. These were located at Centre A, whilst the young people were undertaking their lessons and leisure activities. Observation notes were logged in a reflective journal. The learning from this experience is too vast to list in its entirety, so below, I develop three key events which enhanced my awareness of young people who bully and their counsellors. From, the literature in relation to researching vulnerable young people, I concluded that observing them prior to undertaking the study would facilitate the formation of trust, an important antecedent given the attested difficulties in forming trusting relationships for young people who bully (Baldwin et al., 1993; McLeod & McLeod, 2011; Mearns & Thorne, 2013). Given that my research was aimed at counselling, an additional rationale was that observation would inform 86 the realities of current practice by illustrating examples of the interpersonal difficulties experienced by the young people and which may inform future counselling or anti-bullying interventions. However, as time elapsed and the young people became more familiar with my presence, I experienced problems in maintaining a detached role. Firstly, the young people started asking me questions such as what job I did, whether or not I had children and where I lived. Knowing how much personal information to disclose caused concern, as to nurture their trust I could not remain aloof and yet, to forge a more meaningful relationship with them would be inconsiderate given that many had experienced rejection and I could only dedicate myself within the duration of the research. In addition, there were many occasions when the limited number of staff at Centre A were stretched beyond capacity and my help could have been put to good use. Lastly, some staff took the opportunity to use me in my professional role as a counsellor with approaches such as, “Whilst you’re here, would it be possible to…?”, requests that were very difficult to ignore given the pressure on staff, and I concur with Pretzlik (1994) when she suggests that planning the extent of an observer’s participation is almost impossible. Ultimately, I explained to staff at Centre A that without ethical approval any intervention I offered would be construed as unacceptable. Thereafter, I kept interaction to a minimum whilst maintaining social etiquette however, I was saddened at the restraints my decision imposed as there were several young people who approached me with overtures at friendship which I felt compromised to develop. I was careful not to wear clothes, such as suits that may be associated with power 87 dressing, opting instead for outfits that helped me blend with the environment. Initially the young people stared at me and were stilted, but, as time elapsed, I interpreted their disinterest as inurement, enabling observation of the everyday activities of the group. My notes were taken on an ad hoc basis, adding focus later by theming them in the observational journal. For example, I noticed that the behaviour of the young people when in groups appeared markedly different than when alone, particularly their approach to learning. Each morning the lead tutor would introduce the topic for study, often using visual stimuli such as magazine cuttings to support her objectives. One such was a picture of a famous celebrity whose profile had been air-brushed to appear slimmer, the intention being to highlight the effect on the actor’s self-esteem at her change of image. Knowledge of the celebrity, particularly her wealth, provoked a battery of aggressive insults from the boys and threatening retort from the girls, the lesson quickly descending to chaos. Hereafter, each student was issued two sheets to complete, with questions relating to self-esteem and given the choice as to which they preferred to complete. Being offered choice seemed to pacify the young people and I noticed them discussing the questions. Slowly, the atmosphere changed and as the support workers circulated, giving each young person one-to-one attention, I over-heard sensitive and insightful comments as to the damaging effects they had incurred through personal experience. Despite this, in the ensuing group discussion, when the tutor asked the young people to imagine how others felt in similar situations, the young people struggled to empathise, falling back on insults. Subsequent lessons followed a similar pattern and I reflected that when together, 88 the young people defaulted to aggression as if pre-programmed. I felt parallels evident with bullying where, although considered as an anti-social act, bullies demonstrated adaptive social skills, which they manipulated to fit differing contexts. According to Randall (1997, p. 23), bullies struggle to process social information accurately, their “social blindness” limiting an awareness as to how they are perceived, meaning, I suggest, that idiosyncrasies represent risk amongst this vulnerable group. It was only when alone that the young people exhibited markedly changed personalities, implying that they were not homogenous but that their bullying rested on the context in which it occurred. Given the inner turmoil the young people’s behaviour caused them, it is hard to imagine, as Olweus (1993) suggests, that people who bully, knowingly and accurately manipulate skills to their advantage. I suggest this distinction as important since attitudes about bullies may inform anti-bullying strategies. When the staff drank coffee during the young people’s break, there was time to chat to them about running Centre A. I noted in my observational journal that the centre lead, Carrie, seemed dedicated to her pupils, a commitment which transcended her educational responsibilities, embracing genuine caring for their well-being. Carrie explained, that to satisfy the curriculum, she devoted much unpaid time at home planning how the syllabus could be delivered in an engaging and informative way. In addition, I noticed that she modelled heightened empathy towards the young people, communicating an understanding of their troubled lives so that, when distressed, the young people turned to her for support. During one period of observation, the topic of the day was sex education. Carrie 89 had designed creative information sheets to communicate the essence of the work without embarrassing the young people or over-stretching their learning capacity. After several minutes, contraceptive devices, including condoms, were distributed amongst the young people, the intention being, to discuss the alternatives available to them. Despite Carrie’s efforts to counter awkwardness, the girls shouted to the boys that contraception would never be needed by them if the boys in the room were the only available choice and the boys blew up the condoms, setting them free around the room. As the lesson degenerated, Carrie suggested a short break may defuse tension however, the boys took their condoms to the leisure area, piling them on the table and setting fire to them. Once the fire had been put out, the usually unflappable Carrie spoke disparagingly to the young people, voicing disappointment and frustration. I noticed that in the lesson following the break, she was withdrawn and quiet, hardly surprising, as not only had her effort gone unrecognised, but she daily absorbed the trauma of the young people’s behaviour, a repercussion which I consider must impact her resilience. Despite their reliance upon Carrie’s kindness the young people were seemingly inconsiderate of her sensibilities and in my reflective journal, I conjectured that their behaviour may stem from what is known to counsellors as projective identification, when a client projects their painful experiences (abandonment, anger, impotence) onto the counsellor as an unconscious quest for understanding (Aiyegbusi, 2004). It seemed possible that a parallel process may be occurring between the students and Carrie. According to Cox (1996), for teachers working with young people experiencing such emotional and behavioural problems, 90 ongoing supervision is essential in managing the personal impact. However, Fullan (2001) points out that the pressures of dealing with student misbehaviour limits opportunities for reflection such that teachers become depleted as they struggle with their anxieties (Fullan 2001; Chang and Davis 2009), leading to burnout (Olivier & Venter 2003), a symptom of emotional depletion and a loss of motivation (Maslach et al. 2001). Between her conscientious lesson planning at home and her dedication at work, it was certainly hard to imagine when Carrie would find time for self-compassion. Carrie’s experience highlighted that the work with young people who bully is endlessly challenging and sometimes frustrating, since they may resist or battle all attempts at help. Resilience and perseverance are needed that may come at a personal cost and as a positive outcome can never be predicted, the work may become unfulfilling, with cynicism replacing hopefulness. Having witnessed Carrie’s difficulties, I feared that my limited expertise in facilitating groups may ill equip me to cope with the young people’s behaviour. A worry when gathering data was that the focus group would descend to chaos or that the young people would resist disclosure in their individual interviews, yielding limited data. In sections 4.2, 4.3 and 4.4 of the findings, I provide examples of the young peoples’ adverse reactions during the focus groups and the emotional impact this occasioned. I also felt vulnerable at the prospect of facing the young people as, when reacting collectively, they were a formidable force. My experience in counselling has been to facilitate my clients, particularly as a humanistic counsellor where the emphasis is upon non-directiveness (Owen, 1997). I was however aware, that the 91 young people I had counselled were often repressed and oppressed by the authority figures in their lives and that bullying was partly a wordless response. As such I faced a dilemma as to gather data, some control of the young people was necessary and yet I did not want to overpower them, a balancing act I would suggest as worthy of consideration by any researcher when working with vulnerable participants. In chapter 4, I describe how the dynamic between the young people and myself was enacted. . One event which shook my beliefs about young people who bully occurred during my first morning of observation at Centre A. As a counsellor, I am highly attuned to non-verbal language and noticed tension in the bodies of two boys who, superficially, appeared to be sparring words. One (Andy), had squared his shoulders, clenching and unclenching his fists, and the other (Jason) leant slightly backward in his chair. The other staff appeared oblivious to this interaction and responded only to the verbal retorts being exchanged between the two boys, but as a newcomer, and non-participant observer, I felt powerless to intervene. Suddenly, the tables separating the two boys were overturned by Andy who fell upon Jason, beating him savagely, knocking out two teeth and breaking his nose. Having physically separated the aggressors, staff attempted to diffuse Andy and Jason’s fury using recognised anger management techniques, without success. I noticed that the two boys were both heaving with rage and panting. Despite the immediate necessity to control the situation, attempting to regulate such violent emotions this way felt like a futile attempt at corking a fizzing bottle, which, given the boys struggle to resume their fight, seemed to inflame, rather than diminish 92 their anger. In chapter 4, I describe how the legacy of this conflict between the two boys influenced their relationship later on. In the face of Andy’s savagery, it was challenging for me to justify his behaviour. I had witnessed him beating another person, as if possessed by a ferocious and mindless aggression. When reflecting upon the fight later that day, I was shocked and disappointed to realise that I had abandoned the more empathic rationale of his damaged development, and was thinking of Andy as a ‘thug’. This realisation made me question the foundations of my trustworthiness for, by using IPA, how I co-constructed my participants’ phenomena was victim to personal prejudices. So as to ground my footing, I consulted what is known in the world of counselling as the ‘internal supervisor’, a “friendly super-ego that can be consulted at times when formal supervision is unavailable” (Rickard, 2012). Rogers (1951) spoke of the internal supervisor as an inner locus of evaluation where, by absorbing the external supervisor’s thinking, a counsellor developed faith in their judgment, reaching a stage of autonomous functioning. Consulting my internal supervisor this way, I recalled what staff at Centre A had told me of Andy’s childhood, how he had been provoked and beaten by his parents. He was, as I had observed, possessed, not by a pointless aggression, but overwhelmed by an impotent anger that was greater than the sum of his being. I realised that conceiving of Andy as a thug had been a statement of my fear, affording me a temporary but blind alignment with the safety of shared societal values, a collective response so similar to that of young people who bully when under threat. In the next section attention is turned to the focus groups used in the current study, with discussion of their potential for use with vulnerable young people. 93 3.9.2 Focus groups As discussed in the literature review (2), the majority of studies to date used large scale surveys to: a) Determine prevalence rates for bullying (2.2), b) Describe peer involvement in bullying and anti-bullying interventions, generally focussing on repercussions for victims (Salmivalli et al., 1996; Franzoi, 1996) (2.3, 2.4, 2.5, 2.6), c) Describe a profile of the bully character (2.2). Focussing on these areas has meant, that with few notable exceptions (Baumeister et al., 2003), the experiences of young people who bully, their views and agency have been neglected (James et al, 1998; Mullender at al., 2002). As previously iterated (3.8) young people have clearly articulated a desire for their opinions about bullying to be taken seriously and/or incorporated into service delivery (DoH, 2008). Whether ‘young people’ includes those who actually bully was not made explicit in the Department of Health report. When considering the methodology, I therefore chose to address this gap and others identified in the literature review (2) by recruiting both counsellors and young people who bully, using IPA to facilitate study of their lived experience. The intention was that close analysis of the participants’ scripts, would enable as authentic account of their subjective world as possible, hence contributing to knowledge. Darbyshire et al., (2005) consider that using a single method with young people does not capture the full riches of their experiences 94 and recommends a combination of several methods in pursuit of this goal. Gathering multiple data also complements current policy initiatives where appreciation of the ethical need for broad research techniques by which to improve understanding of young peoples’ wellbeing surfaces as a legal and philosophical imperative (Lansdown, 1994). Later in this chapter (3.9), I discuss how plans to use individual interviews with the young participants were thwarted. There is debate as to whether focus groups can yield data compatible with the idiographic philosophy of IPA (Smith, 2008; Bradbury-Jones et al., 2008). This view is endorsed by Webb and Kevern (2001), who argue that group participants can influence interaction whereas IPA seeks the essential and “uncontaminated” (p.666) characteristics of phenomena. Other researchers (Kooken et al., 2007; Jasper, 1996; Côté-Arsenault & Morrison- Beedy, 2001) have combined the use of IPA and focus groups, justifying their choice as allowing participants to share the issues raised, thereby enabling interaction and reducing the anxiety aroused by discussion of sensitive topics. Arguably however, such values could be attributed to qualitative research in general and the question remained as to how focus groups specifically fitted with IPA. According to Sorrell and Redmond (1995), a focus group provides space for participants to hear other’s stories, allowing time to reflect on their own perspectives prior to contributing an opinion (Jasper, 1996). I therefore 95 considered, that using focus groups would allow participants to unfold their story both in a group context and as a single narrative such that individual perspectives could be preserved (Spiegelberg, 1975; Halling et al., 1994). Young people like focus groups because of the discussion they generate, consequently they perceive them as enjoyable and inclusive (Punch, 2002), thus enabling confidence (Lester, 1999). Given the language difficulties experienced by the young participants (3.8, 4.3), I suggest that the focus group setting may also afford them a supported voice through which to express their feelings. Morgan (1998, 1996) adds that it is the researcher’s attention to such interaction which sets focus groups apart from other group interviews as it enhances understanding when analysing data (Kitzinger, 1994; Agar & MacDonald, 1995). With experience facilitating counselling groups, I felt I could transfer these skills to conduct the focus groups. If I were too overwhelmed by the focus group process to notice group dynamics, a volunteer observer from amongst university colleagues was appointed to note them. Although these annotations did not represent data, they were most insightful. A potential weakness using focus groups was that quieter members might speak infrequently, undermining the opportunity for an idiographic account of their experiences (Carey & Smith, 1994; Crabtree et al., 1993). I realised that as the young participants both studied and socialised together, their relationship had an historical context where quieter members assumed a less prominent hierarchical place than the more assertive. I intuited that this scenario may be replicated in the focus group and when analysing the data, I noted that 96 absence of diverse opinion did not necessarily indicate consensus. I also referred to notes the observer had taken regarding consensus to assess which participants had consistently contributed and which not. Additionally, I took care to identify group opinion from individual opinion and in section 4.2, provide an example of where these two influences caused some conflict. I was concerned that, as with peer group anti-bullying interventions, the focus group may provide a stage for those who bully (2.12). Dishion and colleagues (1999) researched the development of adolescent problem behaviour and found such conduct embedded within the peer group. Hence, I was particularly apprehensive as the young participants were a pre-established group. Additionally, when running a focus group with boys exhibiting anti-social tendencies, Dishion et al., (1999) noted a radical increase in problem behaviour after only 25 minutes. I conjectured that similar difficulties might affect the focus group, (or indeed, group counselling) with young people who bully. Such misgivings were realised and in section 4.3, I discuss how I felt intimidated by the participants. Methodological concern (Pringle et al., 2011) regarding focus groups arises as the purposive sampling espoused by IPA results in group homogeny, potentially too specific or unique for transferability. However, Smith et al., (2009) do not espouse generalisability. Instead, they advocate theoretical transferability, where, provided the research account is sufficiently rich and transparent, readers should be able to assess transferability to other contexts (Pringle et al., 2011), with wider implications. 97 3.9.2.1 Stimulus materials used in the young peoples’ focus group Staff at Centre A highlighted that the young people experienced learning difficulties, and challenging psychological problems such as ADHD (3.8) and I was concerned that these may jeopardise articulation of the participants’ feelings and therefore understanding of their experiences of counselling. Importantly, less representative data would also compromise the quality of analysis. A significant factor influencing how effectively the voice of young people is heard is the extent to which the method encapsulates their world (Garbarino et al., 1992). Consequently, a key consideration was the need for adaptations to the focus groups which would complement the participant’s perspectives and capabilities. Smith (2004) himself considers how IPA can be developed so as to expand horizons for its use and recognises this necessity when working with young people with learning difficulties. Whilst observing the young people at Centre A, I noticed how their attention was more ably concentrated when stimulus materials were used. For example, when discussing self-worth, their teacher read the beginning of a story about a famous actress whose image had been air-brushed to appear slimmer. The young people were asked to complete the exercise by discussing how she may have felt. I considered that the use of vignettes might enable the participants to respond to sensitive issues from a third person perspective, ultimately relating from an “I” perspective. Research (Barter et al., 2004; Finch, 1987; Hill, 2006; Punch, 2002) testifies to such techniques as making young people more comfortable talking about themselves such that they expand their 98 responses. Punch (2002) explored the use of various stimulus materials with adolescents experiencing emotional and behavioural problems, as well as learning difficulties, the similarities between her work and my own, enabling insight. Punch (2002) showed participants three short video vignettes depicting subject material related to her research topic with prompts to guide discussion. She found this method triggered memories amongst the participants similar to the video content. I was tempted by the short video clips as the young participant’s struggled with long-term concentration. Moreover, as the study topics were sensitive, talking from a third person perspective might allay anxiety. I rejected this idea however as I had observed that the young people were distracted by the characters in popular media videos at the expense of the content. Also, as the young peoples’ focus groups would be divided into two twenty minute sessions to accommodate participants with attention deficit disorder, three short videos were too time-consuming in a programme already constrained for time. Hazel (1996) suggests using problem page letters from teenage magazines as stimulus materials as these explore young people’s problems from an adolescent perspective that stimulates conversation. Although tempted by this method, the varying competency levels of the adolescents at Centre A meant the majority lacked fluency and literacy skills or the concentration necessary to have a whole letter read to them. However, I considered Hazel’s (1996) approach had potential and adapted it using single sentences about bullying from Twitter that would engage the 99 young people’s interest without taxing their capabilities. I reasoned that Twitter was a popular and familiar medium, but without defined characters to distract participants from the focus group purpose. Additionally, sentences from Twitter would allow the adolescents to decide whether to talk about young peoples’ problems in general or their own personal experiences. I chose two phrases that I thought represented a diverse attitude to bullying and that may trigger conversation from differing perspectives. Bullying is a hate crime. Some bullies have serious problems of their own and suffer too. I hoped the stimulus material would generate trust and enable discussion (Faulkner, 2004) to form the basis for prompts during follow-up individual interviews (Punch, 2002). Nonetheless, I considered such emotive statements could elicit an angry response and was reassured that the support staff would offer a personal safety element for the observer and me. I was also prepared to use my experience of counselling aggressive clients as an additional measure. Following discussion of the Twitter phrases, the young participants would then be asked how they would feel disclosing their responses to a counsellor. An interesting observation would be if a question evoked a particular response from one participant as opposed to another as this might highlight whether difficulty speaking of aggression (2.9) was confined to the 100 client/counsellor relationship or common to other relationships such as that between the participants and I. My concern was that asking the young participants to describe their life-worlds may be beyond their expressive capabilities. The effects of trauma (abusive/neglectful childhoods) upon young people changes the brain’s architecture during development, stunting growth of the neurons responsible for expressing emotion (Bloom, 2000). Bloom (2000) recommends overcoming such challenges by introducing creative techniques allowing lived experiences to be explored without causing unnecessary anxiety. Consequently, I opted to use story stems, whereby moving IPA “from its philosophical roots through to a more user friendly approach” (Smith in Pringle et al., 2011, p. 22). Furthermore, van Manen (2007, p. 17) urges phenomenologists to “direct their gaze towards the regions where meaning originates” and I suggest that by using story stems, the present study extends the use of IPA as a developing methodology. Given the relationship between insecure attachment and aggressive behaviour (Sedikes et al., 2004) (2.2, 2.10), understanding how the attachment experiences of young people who bully manifest in counselling is significant to this study. Story Stem Technique has been piloted to assess how attachment experiences manifest in relationship to others and is hence relevant to the young research participants (Buchsbaum & Emde, 1990). Based upon previous developmental, psycholinguistic and play therapy (Nelson, 1985; Nelson & Gruendel, 1981; Watson & Fischer, 1980; Winnicott, 1971; Wolfe & Grollman, 1982), Buchsbaum and Emde (1990) used child narrative 101 to construct story stems. These represented the beginnings of stories that a child then completed. The Story Stem Technique revealed that by 36 months old, an infant was able to tell a story about themselves and others that included; reference to the social expectations defining their own and other’s behaviour (Emde, 1992; Kinnert et al., 1983), showing empathy (ZahnWaxler et al., 1979), and an understanding of conflict reduction by balancing self-interest with cooperation (Dunn, 1988). Consequently the child’s ability to tell a story about themselves and others served distinct and important purposes (Buchsbaum & Emde, 1990): It allowed them to make sense of their world; it provided children with the opportunity to relate their experiences autonomously and, afforded researchers insight into early internalisation modes, most specifically, the child’s moral development and attachment relationships. Emde (1992) supported this opinion and identified that, because the majority of maltreated children experienced insecure attachment and emotional dysregulation (Carlson et al., 1989), Story Stem Technique was ideally suited to explore their inner worlds (Emde, 1992), causing little anxiety for the children during research as completing stories was a concept familiar to them. Consequently, it facilitated data collection. As many of the young people at Centre A experienced severe learning difficulties that caused anxiety, I decided that telling stories would minimise their distress during the study. As story stems introduce a preconceived topic, they could be conceived as directive however, Smith (2008) states, that 102 when using IPA with groups such as young people with learning difficulties, researchers may need to take a stronger role to guide them than is usual. He suggests that existing protocols “will need to be adapted” (p.49) to become more interventionist when collecting data. The Story Stems to be used included; The Exclusion Story (Buchsbaum and Emde, 1990) and the Parent Conflict Story (Bretherton et al., 1990) as these were specific to family relationships and attachment, hence consonant with the research objectives. Tailoring these to appropriately target the study participants did necessitate modification of the original templates as these were currently designed for much younger children and I present the modifications to the original templates in appendix 8. 3.9.2.2 Story Stems: Original templates: The Exclusion Story: (Buchsbaum & Emde (1990) Exclusion Story Characters: Mother, Father, Dick Props: Couch, toy box Father: I’m home from work honey Mother: Hi Dear! (Mom and Dad hug whilst Dick watches) Father: Hi Dick. Mom and I want some time alone in the living room right now. You go in there and play with your toys Experimenter: (Mom and Dad walk to the living room and sit on the couch. Dick is put by toy box behind the couch in a “different” room). Show me what happens now [If Dick goes to his parents] I thought Mom and Dad said they wanted to be alone [If Dick plays alone] Does Dick wish he could be with Mom and Dad? 103 3.9.2.3 Original version of the Parent Conflict Story (Bretherton et al., 1990) Parent Conflict Story Characters: Mother, Father, Dick, George Mother and Father are facing each other in glare positions: sibling is observing Experimenter: Dick comes into the room and sees Mother and Father looking at each other like this. Look at my face Mom: (Angrily). You lost my car keys! Dad (Angrily). No I did not! Experimenter (hands Dick to child subject) Show me what happens now Prompt: What’s going to happen about Mom and Dad’s argument? How did Dick feel when Mom and Dad were arguing? Gathering data using the focus groups proved far more challenging than I had anticipated. Firstly, although the initial focus groups had been scheduled, a period of heavy snow necessitated constant cancellations. As the counsellors work schedule was hectic and the young people adhered to a strict curriculum, finding a convenient time to re-schedule took several months and much negotiation. I predicted that the young people’s behaviour could cause problems during the focus group, and considered that my training in anger management and as a counsellor of aggressive youth would prove useful. However, I was unprepared for the enormity of the young people’s distrust which resulted in twenty minutes virtual silence at the beginning of the first focus group when I feared no data would be gathered. My observer, who has extensive 104 experience working with young people, advised me during the break to temporarily abandon the schedule I had prepared and ask the participants general questions instead. Smith and Osborn (2003) likewise recommend this strategy in IPA when they write of ‘funneling’, by introducing general questions to assuage anxiety before progressing to more specific issues. When the focus group resumed, I simply asked the participants to describe themselves, my change of stance triggering conversation. Sim (1998) recognises that the personal skills and attributes of the focus group moderator are crucial elements when collecting qualitative data. However, the young people’s silence was itself a statement of their distrust. A particular challenge lay in striking the balance between taking an active and a passive role as researcher as, despite Smith’s (2004)previous advise about a more directive stance when researching young people with learning difficulties, I wanted neither to dominate (Goldman, 1962) nor to be submissive. Consequently, when in the second focus group the young people once again lapsed into prolonged silence, I decided to abandon the tape recorder and take notes instead. This choice was based upon research by Schroeder and Neil, (1992) who found anxious participants particularly suspicious of tape recorders, questioning them as the optimum data collection method. Upon their return, the participants were noticeably relieved and the second half of the second focus group did yield some very interesting data. A final quandary arose from having support workers in the room. Although their presence seemed to facilitate trust, enabling the young people to respond to my questions, on one occasion a support worker re-worded my question, 105 his re-phrasing altering the original meaning. Ultimately, this support worker’s presence created an ethical dilemma which I describe in section 4.4 Each focus group for the young people took place in a room delegated by Centre A where participants could not be overheard. The area was arranged to create a casual atmosphere non-resonant of school. Research with young people which neglects such environmental factors can negatively impact data collection (Barker & Weller, 2003). Times were agreed with staff at Centre A that ensured the participants would miss as little schooling as possible. Due to their learning difficulties staff advised that the young people would be unable to concentrate for more than 20 minutes at a time. Consequently, each focus group was divided into two twenty minute sessions separated by a twenty minute break. I provided a small buffet for the participants during this interlude as a show of my appreciation. 3.9.3 The focus group for the counsellors The focus groups for the counsellors took place at Counsellor A’s home, agreed by them as the most convenient location. Each focus group lasted between 60 to 90 minutes. Although neither counsellor had special needs, their sensitivities were respected and ethical protocol adhered to at all times. An independent observer was present during the focus groups as I considered that to take notes would detract from my concentration. I decided that using interviews would complement the use of focus groups in this study. Interviews are considered consistent with the spirit of IPA 106 (Brocki & Weardon, 2006) and I reasoned that they would both provide an opportunity for quieter participants to be heard, and distinguish individual opinions from those of the group (Boyce & Neale, 2006). The following section therefore considers interviews as a phenomenological method of inquiry. 3.9.4 Individual in-depth interviews IPA is ideally suited to individual in-depth interviews (Smith, 2008), for “delving deeper into the particular also takes us closer to the universal” (Warnock, 1987, p. 314). Smith and Osborn (2003) describe how a semi-structured approach to interviewing allows the researcher to “[…] engage in dialogue whereby initial questions are modified in the light of the participants’ responses and the investigator is able to probe interesting and important areas which arise” (p. 57). This provides flexibility, for although the interview is based upon a number of pre-prepared questions, these are intended only as guidance, freeing the researcher to pose questions in any order whilst also recognising the participant as “experiential expert” (Smith & Osborn, p.59). In other words, areas considered important by the participant, but which were not predicted by the researcher can surface, facilitating rich description and yielding in-depth accounts of participants’ lived experiences (Di-Cicco-Bloom & Crabtree, 2006; Lambert & Loiselle, 2008). Giorgi and Giorgi (2003) consider that it is such flexible interplay between researcher and participant that enables individual detail and shared humanity to merge, linking IPA’s idiographic tenet to the hermeneutic circle (3.4.1.1). 107 When using IPA, Smith and Osborn (2003) advise as little prompting from the interviewer as possible to avoid leading the participant. However, I felt that, in certain IPA transcripts I read, communicated an aloofness compared contribution. the interviewer’s distance to the interviewee’s generous Just how actively the researcher engages is open to debate (Finlay, 2009). Finlay (2009) questions whether the researcher positions themselves in the background or the forefront, fearing the extent to which the researcher’s proximity affects the gathering of data. Giorgi (1994) proposes it is “how the [researcher] is present that matters as objectivity itself is an achievement of subjectivity” (p.205). Conversely, Heidegger (1962) does not consider the researcher’s presence as an “additional pleasure” but as constituting an inevitable and basic structure of their “being-in the- world” (p. 37); such diverse opinions leaving me a little confused. Ultimately, I reasoned that the poor communication skills and trust issues experienced by the participants necessitated I take a more directive and involved approach. Researchers (Etherington, 1996; Finch, 1984; Lofland & Lofland, 1995; Oakley, 1981) recognise how such dilemmas cause considerable unease for some researchers whose predicament regarding data gathering overwhelms the ethical considerations regarding the ‘people’. This quandary is recognised by Larkin and colleagues (2006) who refer to interviews using IPA as “complex social events” (p.115). Smith (1995) recommends a set of open-ended questions are prepared that are appropriately adapted to individual participants as this encourages spontaneity (Ryan et al., 2009), facilitating participant’s descriptions of their lived experiences (Steubert & Carpenter, 1995) as opposed to researcher led discussion (Baumbusch, 2012). 108 In addition, the interview guide focusses the researcher’s attention upon what it is hoped the interview may cover and, provided the researcher is sufficiently familiar with these questions, frees them to concentrate upon the participant during the interview itself. More specifically, it alerts the researcher to potential complications arising from sensitive areas, allowing forethought as to how these could best be managed (Smith, 1995). Interviewing in IPA is firmly grounded in rapport, consequently Smith and Osborn (2003) advise that more sensitive questions are posed later in the interview process after an empathic relationship has developed with participants. Further support can be offered in the form of prompts, although these should involve only a “gentle nudge” (Smith & Osborn, 2003, p.61) rather than anything suggestive. Rubin and Rubin (2005) point out however that leaving in-depth questions to last carries the risk that participants will leave the interview upset. They advise allowing time at the end of the interview to chat to interviewees so as to ground them in their own world. The semi-structured interview guides used in this study (see appendices 9 and 10) were based upon Smith and Osborn’s (2003) guidelines which I have previously outlined. Questions for the interview guide originally derived from the research objectives although, I decided not to include the word ‘bully’ in the young people’s schedule, partly to avoid stigmatism but also because I thought it would be interesting to see if the young participants described themselves as victims or bullies. I considered it very important to see how discourse shaped, or did not shape, their perception of their behaviours. Lastly, I considered that the catch phrases from Twitter used in the focus 109 groups that overtly mentioned bullying would stimulate conversation around the topic. Following the focus groups with both the young people and their counsellors, specific concerns surfaced that I felt it important to include. The first addition evolved from an inconsistent account of how the counsellors were affected by counselling young people who bully. When asked in the first focus group Counsellors A and B professed little impact however, later in the same focus group and again in the second, they spoke of exhaustion and the techniques used to overcome this. When revisiting the transcript I noticed how Counsellor A in particular spoke of her debt to society and I wondered if the counsellors’ roles were in any way defined by societal expectation. Attempting to make sense of this notion, I probed the concept of calmness during the counsellors’ interviews and this unearthed unanticipated data relating to emotional management (4.4) and professionalism, since used to expand the findings and discussion as well forming the basis for an academic paper. With relation to the young people, a second addition to the interview guide related to confidentiality as this surfaced as an area of particular concern. The theme was recurrent throughout both focus groups and was central to the distrust the young people experienced in relation to others. The desire to pursue this topic partly stemmed from my profession, for as a counsellor I was concerned as to why young people who received regular counselling seemed so unclear about confidentiality. When expanding the interview 110 questions, I was mindful that my academic knowledge of counselling young people could influence questions. Straying from grounded IPA (Smith, 2008) towards a more psychological perspective could mean that interpretation of data came from two different epistemological perspectives, which might compromise validity. Ultimately, these concerns were not realised as when I asked the young people following the last focus group if they still agreed to participate in interviews, they all declined. Following sensitive enquiry, the young people made it clear that they had had enough, but I felt immense gratitude towards them for allowing me into their lives. Upon reflection I thought that manually transcribing the focus group data had aided the analytic flow and illuminated the subtle nuances of their narrative. In sections 5.4 and 5.5, I write about how the young people’s conception of confidentiality contributed to this thesis. Counsellor A invited me to her home to conduct her interview. Before commencing, she made a pot of tea and we chatted in her conservatory. This helped “set the scene” (Smith, 1995, p. 16) and to establish a relaxed atmosphere. When transcribing the data, I carried an image of the setting which helped contextualise the data. Counsellor B had intended likewise to be interviewed at Counsellor A’s home however a change to her work schedule necessitated I visit her at work (Centre B) where the interview was conducted in one of the counselling rooms. Although Counsellor B had done her best to ensure we were not interrupted, the temperature on the day demanded the windows were opened and I found the noise of the traffic and passers-by 111 intruded upon my concentration. These can be heard in the background of the recording. Counsellor B strongly vocalised her disappointment regarding her professional status and although this had not been included on the interview schedule, I deviated from the original as the concern was important to the participant and therefore, the overall aim of the study. Smith (1995) advises that researchers retain awareness as to the interviewee’s well-being and as Counsellor B seemed extremely angered by the topic of professionalism, I started to wind down the interview, chatting of inconsequential things to ground her before she returned to work. The counsellor’s interviews were tape recorded by me and lasted approximately 60 minutes each. Although they had signed consent forms at the outset agreeing to participate in both focus groups and interviews, Counsellors A and B were re-consulted before interviewing took place. Despite such careful planning, the methods used in this study did not always run smoothly and in the section below, I discuss the learning derived from my experiences. In addition, I consider the young people’s potential responsiveness to counselling. 3.10 Critical Section: An evaluation of the methods Over the duration of both focus groups, a particular difficulty for me, was in maintaining the attention of the young people, primarily as their learning difficulties and ADHD (3.8) made protracted concentration of great difficulty to them. Subsequently, their interest in the research process periodically waxed and 112 waned. Certain questions ignited their interest, triggering conversation and animated engagement with the topic of bullying, between them and with myself, and although the young people appeared derisive of the stimuli material, when used, they were noticeably incentivised. However, their response to these prompts was sometimes volatile, triggering hostile retort parried between them, but also aimed at the support worker, there to preserve their emotional well- being. Knowing how best to contain these upsurges was challenging as having witnessed the potential for aggression when observing the young people, I was mindful how quickly tempers could flare and yet, I was reluctant to suppress participants whose development had already been curbed through punitive parenting. When reflecting how the stimuli material had nurtured debate, I wondered if these had represented a form of play therapy for the young people which, particularly for individuals with ADHD, facilitates effective communication and interactional skills (Naderi et al., 2010). Naderi et al., (2010) highlight how, play therapy is used in counselling for young people with ADHD, as resolving their problems through play enables creative solutions, improves self-efficacy and enhances empathy. Consequently, I suggest that introducing play therapy to the focus group, modified for the young people, may have maintained their responsiveness, also providing a conduit for the expression of their emotion. There were many times during the focus group when the young people’s commitment appeared diminished, and when they would play on their mobile phones, or relapsed to goading each other. Sometimes, I intuited the questions to have violated their privacy, when the distraction of their mobile phones was, in 113 reality, a defence mechanism erected to blockade intrusion. I suggest the young people’s reactivity to imposition was amplified since they had already built barriers having been referred for counselling by the authority figures in their lives. At others, ADHD limited their ability to remain focused and they fidgeted, getting up and down from their seats and detaching from the focus group process. Additionally, participants who are posed questions about sensitive topics are notoriously discomforted, often provoking defensiveness and sometimes, disengagement (Helweg-Larsen et al., 2002). Watson et al., (2001) have found that when posed sensitive questions online, young people are more forthcoming as they experience enhanced privacy and guaranteed anonymity (Michaud, 1999). For young people who bully, and who are pre-programmed to defensiveness, I suggest that online research questions may have facilitated their responsiveness to sensitive questions. Nonetheless, as Watson et al., point out, when using online research, replies may be limited by the restriction of linear questions and participants struggling to read could feel marginalised. I suggest that the conditions in which the focus groups with the young people were conducted were far from ideal, possibly adding to the difficulties of the research. Such challenges primarily emanated from the extreme distrust the young people experienced, which not only deterred them from self-disclosing in their focus groups but also l e d t h e m to engage in disruptive behaviour to avoid the risk of so doing (See 4.2 as an example). This sometimes caused the focus group to fragment, and on one occasion, to altogether stop (4.4.2), a situation that demanded advanced sensitivity to manage and which triggered considerable 114 anxiety for me. An additional difficulty I faced, was the proximity of the focus group room to the classroom in Centre A, which threatened the young peoples’ confidentiality, exacerbating mistrust and heightening their perceived risk in contributing to discussion. For example, the ethics committee had stipulated that to ensure the young people’s safety, the focus group sessions took place in a room with a window. In Centre A, the only room meeting these criteria was next to the main classroom and leisure area, meaning that the young participants were in full view of the other students when they entered the room. As the participants walked across their classroom to enter the focus group room, they were jibed by their peers who called out sarcastically, “In you go for your counselling then” and “Tell her (the researcher) all your secrets”. Jason and Andy demonstrated obvious embarrassment in response to such ridicule, retaliating with insults, and, once in the focus group room, demonstrated their lack of commitment to the research by disengaging. Similar patterns of behaviour can be witnessed in counselling, since insecure attachment is characterised by a fluctuating self- image (APA, 1994), such that safeguarding the delicate identity of such clients in counselling is a cornerstone of trust. For example, Andy displayed defensive behaviour throughout the focus group, his sensitivity to anticipated rejection manifest as a self-destructive barrier against intimacy that kept others at bay. As a counsellor, I suggest he would present as resistant. Such behaviour is described by counsellors in research as overwhelming and disempowering and frequently jeopardises the sustainability of the therapeutic relationship, since change requires commitment 115 From the client (Langley & Klopper, 2005). However, given Andy’s expectation of rejection, establishing trust with him would represent an essential requirement for the maintenance of any relationship and was affirmed as a vital anchor by Counsellors A and B. According to Langley and Kooper (2005), to facilitate trust with doubting clients such as Andy, consistency is key, since the counsellor must counter expectation by being accessible, reliable and honest in order for the client to feel emotionally and physically safe. In addition, maintaining strict confidentiality helps contain risk and it is only once satisfied that the counsellor is empathic and trustworthy that a foundation for the therapeutic contract can be laid (Langley & Klopper, 2005). Concerns about the stigma and humiliation young people experience entering counselling rooms situated within sight of other students, have been identified in previous research (Vogel et al., 2007) where the practical consideration of location when providing counselling is emphasised. I suggest that trust formation starts by respecting the privacy of clients, and recognising their needs beyond the immediacy of the counselling room, by providing a secluded location that can be accessed discretely and that may encourage responsiveness to counselling. In addition, towards the end of the second focus group with the young people, a student burst into the room asking for money for the pool table. As a pot with coins, intended for this use, was located in the staff room outside, but mainly as the intruder was the same student who had chided the young people when entering the focus group room, I considered the student’s interruption to primarily be that of a mole, to report back the findings to his remaining peers. This threatened the young people as not only had they been caught engaging in discussion, whereby compromising their street credibility, 116 but also as their confidentiality had been violated. Following the interruption the participants’ behaviour noticeably changed, a shift evident through their pretended nonchalance, marked by playing with their mobile phones and disengaging from the research process. Equilibrium was never regained and it was shortly after this event that Jason declared the focus group at an end. In section 4.3 the subject of confidentiality is more fully developed. These occurrences reinforced the fragility of the young people’s trust, which seemingly teetered on a knife’s edge, only stable when their confidentiality was safeguarded but quickly abandoned when it was not. Given the precariousness of the young peoples’ trust, I question the repercussions for counselling, since, as a counsellor, I have witnessed that re-engagement with the challenging familial relationships the young people encounter once counselling ends may denature their flimsy confidence. Although, like Rogers (1973), I too see trust as a key component of the therapeutic relationship, I would argue that for this to be sustainable, existing as a viable element of autonomy, the aim for counsellors is to enable trust propensity in their clients, as a stable characteristic, that can be transferred to other relationships. This introduces significant challenges for counsellors since a disinclination to trust is implicit with insecure attachment. However, with trust propensity considered to be the most relevant trust antecedent, particularly when forming relationships with unfamiliar others (Bigley & Pearce, 1998), I argue that meeting their prospective counsellors in advance of their treatment may reduce perceptions of the self/other divide and establish the foundations for trust on which to base the therapeutic dyad, a suggestion 117 concurred by three of the four young participants (4.3). In addition, counsellors must ensure that they are consistently reliable throughout treatment so that clients’ perceptions of them as trustworthy are maximised. The issue of trust propensity was exemplified by Jason whose distrust of his counsellors was amplified by his perception of them as occupying an elevated social class which he conceived as distancing their ability to empathise with his world. He imagined that counsellors would toy with his emotions, using his disclosures to spice their lives by telling others his secrets. However, his distrust was pitted against his desire for proximity and attention, causing him considerable confusion. In the focus group, he oscillated between childlike attention gaining and resistance. Neither seemed to afford him satisfaction as I noticed he was always anxious, and after displaying either of these behaviours, checked to gauge the reaction he had had upon both the participants and myself. His desperation to please seemed to cause him to emulate the stronger participants, for example, if Andy spoke derisively, so did Jason, whereas, if Courtney was insightful, again, Jason would follow suit. I consider his self-worth was only ever as strong as those around him. I suggest that for Jason, a stable relationship with his counsellor may be the single most important factor for positive change. The supportive model this dyad afforded could foster a constructive representation for Jason of himself in relation to others. To enable responsiveness would mean accurately identifying Jason’s internal emotions such that a counsellor could communicate with him more effectively. Additionally, identifying how Jason attributed the intent of others’ 118 behaviour, exploring over controlled and under controlled reactions to events and individuals, ultimately developing more balanced emotion regulation. For counsellors, Jason’s inconsistent identity could cause confusion and frustration, such that a deeper awareness of their own representations of insecurely attached clients may profit the therapeutic relationship. Setting achievable goals would be paramount as unrealistic expectations may reinforce Jason’s frail self-worth and associated maladaptive behaviours (Howes & Ritchie, 1999). Further compromise occurred as the proximity to the classroom of the focus group room meant that some noises from outside could be heard. For instance, the pool table was positioned next to the focus group room so that, during break time, the clatter of balls was discernable by the participants, signalling leisure time. It seemed more than coincidental that Jason’s declaration that the focus group had come to an end concurred with the clank of balls from outside and may even have contributed to the decision to forego the ensuing interviews. The formation of trust was further tested, where, at the behest of the ethics committee, the presence of a support worker was requested throughout the focus groups with the young people to safeguard their emotional well-being. Since the young people and the support worker shared a pre- established relationship from the classroom spanning several years, this was imported to the focus group so that when I asked questions of the young people, they sometimes deferred to the support worker for understanding rather than to me, potentially influencing data. Given what I had observed as the young peoples’ likely insecure attachment such deference is unsurprising as their historical relationship with the support worker represented a secure attachment that I could only 119 aspire to in the time frame available. Although I agree that beneficence is a paramount consideration for any participant, as a novice researcher I unquestioningly acquiesced to the expertise of the ethics committee, even though I foresaw that the presence of the support worker may introduce challenges. Finding the confidence to contest such authority is daunting and yet, I suggest that the pre-existing knowledge of researchers is of equal relevance and should not be surrendered if thought appropriate. With worthiness as a central tenet of all attachment states (Bartholomew & Horowitz, 1991), I suggest reconsideration is needed as to how the ethical commitment to safety can be maintained without compromising the credibility of insecurely attached participants for whom confidentiality is a crucial element of research. Before conducting the focus groups and individual interviews with the counsellors, I firstly spent time researching the organisation where they worked to gain some understanding of the social and contextual factors that may influence the counsellors’ lives. In addition, I met with the counsellors on an informal basis, so as to familiarise myself with how they looked and sounded and vice versa. I believe that acquainting ourselves this way contributed to an initial rapport which aided the data gathering process throughout. Having counselled young people who bully, I was already aware of the therapeutic dynamics this relationship could generate and our shared understanding created a further affinity which I suggest fashioned a bridge between the theory of research and practice. Nonetheless, I was mindful that our 120 shared professions may create tension, since our presumed knowledge may imbalance the power dynamic. For example, I was concerned that the counsellors may feel intimidated being facilitated by a fellow counsellor and constrained to give a ‘right’ answer. In fact, there were several occasions when counsellor A, in particular, questioned the validity of her opinions and asked me if she was making sense. Rapport was aided as counsellors A and B worked and occasionally socialised together, their familiarity introducing a less inhibited dynamic. Because of this pre-existing relationship, I was sometimes able to tap into fragments of their interaction in a way that introduced a working reality to the data. For example, when asking the counsellors how they discerned their client’s perceptions of counselling, Counsellor A produced a measurement scale used daily during her sessions, which contextualised the question being asked. In this way, I was also able to relate actual incidents in their shared daily lives that further enhanced empathy between us. Having prepared a question guide, I had landmarks to guide the discourse however, these were barely needed as the counsellors quickly and enthusiastically developed each question and the conversation seemed naturally to expand. At the start I was overwhelmed by the discussion and struggled to pick the key points to reflect back. In addition, I was watching the clock and aware that both counsellors had only an hour and a half before appointment deadlines. Thus, I agree with Dilley (2000) when he states that, “Interviewing is a complex process that involves multiple, simultaneous patterns of thought on the part of the researcher” (p.134). 121 To enhance clarification of the counsellor’s narrative, it was occasionally necessary to probe deeper and I suggest that the participants felt comfortable and confident in expanding their replies. For example, they often challenged each other about their beliefs, pointing out discrepancies or proposing connections, such as their differing approaches to setting boundaries (4). However, my interest was not confined to how the counsellors thought but why and I suggest that the differences they verbalised provided a live script which showed how diverse identities might impact young people who bully. Facilitating the counsellor’s focus group was not entirely unproblematic however since their language and frameworks for understanding were radically different. For example, Counsellor B expressed her views quite forcibly and I struggled to acclimatise. I suggest that her use of language was far from irrelevant but vividly demonstrated the challenges posed by her client group, whereby enhancing insight as to the lived experiences of counsellors when facing young people who bully. Occasionally there was disagreement between the two counsellors. When such inconsistencies occurred, it was down to me to progress debate beyond the stage it might otherwise have ended and encourage discussion that developed their thinking. This was not always easy, but by verbally formulating their ideas the counsellor’s challenged even their own realities. For example, on several occasions, Counsellor A observed that she had not considered certain perspectives prior to developing these during the focus group. I suggest this highlights the collective element of the focus group in revealing dimensions of understanding that may otherwise have remained untapped. When preparing to conduct the individual interviews, I was aware that the 122 dynamic between the counsellors and myself felt initially more formal. For example, whilst waiting to start the tape recorder, I noticed that Counsellor A was sitting upright and attentive in her chair whereas, during the focus group she had appeared more relaxed. I suggested we chat over a cup of tea before initiating the interview proper and this successfully defused any tension. Nonetheless, during her interview, Counsellor A was reflective, pausing often to think before developing her ideas. For example, it was only once alone that counsellor A articulated the fatigue she experienced from working with aggressive young people. I reflected that whilst together, she and counsellor B had upheld their initial claims of inconsequential effect, but once apart, they could risk shedding the shared emotional veneer of their professions to peak honestly of individual feelings. For example, in her interview, counsellor B spoke heatedly about how Centre B compromised her professionalism, a subject she may have felt inhibited to develop in the presence of counsellor A, who served as a senior board member at Centre B. In this, the interviews provided a forum for the expression of deviant opinions. Such disclosures highlighted that any one group is never entirely homogenous and that the individual interviews had allowed me to access the counsellor’s individual biographies. Additionally, from the discrepancies emergent from the interviews, I derived invaluable data for comparison within and between the counsellors. In the following section, I describe how such data, derived from both the counsellors and the young people, was managed within the guidelines afforded by IPA. 123 3.11 Data analysis Palmer (1969) considers that the quality of the research outcome is determined by the personal analytic work done. To this end, I recorded and transcribed the focus groups and interviews verbatim with interview notes and reflections from my observation diary used to supplement data, but not represent it. The narratives were then transcribed manually and read many times, a process that left me feeling I had got “the sense of the person themselves” (Smith & Osborn, 2003, p.67). When one focus group and two interviews had taken place, I had intended to review the questions and participant’s responses with my supervisors in case moderations were needed. However, in reality this did not work, partly as the participant’s responses determined ensuing questions, rather than the questions determining the format, a response consistent with the tenets of IPA (Smith, 2004). For example, as data gathering progressed, the impact of emotional management and the influence of society upon the counsellors’ responses to their clients emerged as an important concern in the counsellors’ interviews, so the questions were expanded to reflect this. In addition, reviewing the first transcript with the young participants caused them anxiety, so the idea was abandoned and evaluation of the questions took place with the academic supervisors, their extensive experience guiding me through the refining process. When disagreement took place, discussion continued until collaboration was reached enabling insight and reflection (Rabiee, 2004). Whilst perusing the text, initial comments were placed in a left hand margin, noting preliminary associations and interpretations. Following on, the text was 124 revisited and scrutinised more closely to identify a first list of themes (see table 1) guided by the research questions and objectives (Yin, 2008). Table 1 Extract from the focus group with the young people showing a sample of preliminary themes from my analysis of the transcript Initial theme: Transcription of researcher’s questions and participant’s answer Researcher: What could a counsellor do to help you not see them as a stranger? Familiarity facilitates communication and trust Courtney: Having a few sessions with them before, just chatting so you could get to know them. They could take you out for coffee Continued mistrust does not negate the risk of counsellor as stranger Jason: That wouldn’t make a difference. They’re still a stranger Researcher: So, if you had a choice between meeting them at say McDonalds or their office, how would it make a difference Jason? Setting does not mitigate risk. Parental resistance? Jason: It wouldn’t. They’re still strangers. I wouldn’t go up to a stranger in the street and tell them my business. Indoctrination Courtney: You should never trust strangers. We’re always told not to speak to strangers. Risk associated with breaking confidentiality. Sees the world as against him (self/other divide) Jason: You can’t risk telling your counsellor certain things as they would have to tell other people. Counsellors are faggots. They might have really boring lives and need something to talk about. They sit there with their husbands and a glass of wine talking about you behind your back. 125 Smith and Osborn (2003) recommend these are placed in a right hand margin, but like Fade (2004), I felt more connected to the themes by writing them under the transcripts. At this stage, it was sometimes tempting to interpret the data according to extant literature; however in IPA, emphasis is upon being grounded in the data in order to represent the descriptive and interpretative phases to which Larkin et al., (2006) refer. Therefore, psychological theories were used in support of, not to define the narrative (Flowers et al., 1997), with the gap between text and interpretation clearly denoted. In section 4.3 I show how this was done. Hereafter, the “analytical or theoretical ordering” (Smith & Osborn, 2003, p.71) began, where the themes were gathered into groups considered representative of the participant’s concerns. Each group of themes was allocated a code, and these codes given an identifier, and then placed under the transcript excerpt relating to the code (see Table 2). At this point, the codes felt cumbersome as there appeared an unmanageable quantity. For example, the first focus group with the young people generated 16 codes and the second, 10 different codes. Smith and Osborn (2003) warn of this dilemma, especially for first-time users of IPA such as me, recognising that they may feel overwhelmed by data. Although the solution was to jettison those codes incongruent with emerging themes, this was difficult as all the data felt important and I had formed an attachment to it through continued immersion. An example of rejected codes arose from the use of mobile phones during the young participants’ focus groups. 126 Table 2 Extract from the interview with counsellor A regarding emotional management. The researcher’s coding is shown in Italics, the researcher’s analysis of the transcript in bold, and the identifier in capital letters Transcription of interviewer’s questions and interviewee’s answers Researcher: The first question I’d like to ask is about remaining calm because you frequently alluded to remaining calm as an essential component of your counselling, with relation to stabilising your clients. But what effect, if any, does remaining calm have upon your clients? Counsellor A: What effect does it have upon my performance? I think being calm allows me to calmly assess the client, assess the situation, think about what they’re saying. And, if I wasn’t calm, I wouldn’t be able to process that much information all at the same time (Staying calm/emotional grounding). And, actually, on the whole, I’m a very calm person. So…um…yeah, I think that’s the effect it has on my work. Clears the counsellor’s mind so that she is able to see things clearly, whereby enabling assessment. IDENTIFIER: 3C STAYING CALM/EMOTIONAL GROUNDING Researcher: I mean, I guess the angle that I’m coming from is…um…do you need to stay calm to provide yourself with some sort of framework so that you don’t get overwhelmed with the work? Counsellor A: No. I don’t ever feel overwhelmed in the room. I might do afterwards sometimes, but not in the room. Well, maybe then, the answer is yes, because that’s why I don’t get overwhelmed in the room, because I…I am able to stay calm in the room (Emotional response). And it’s almost like a natural, instinctive thing that happens in the room. Um…not to say that I don’t get emotional in the room. I do, often, but I’m still emotionally calm. If that makes sense. Staying calm is a necessary framework that allows the counsellor to assimilate and assess. IDENTIFIER: 7G EMOTIONAL RESPONSE Researcher: It does. Completely. Would you say that staying calm is something that you have to work at? Counsellor A: I haven’t, no. Because as I have gone through my training and personal therapy, (Training and therapy as an emotional aid) I have calmed down as a person. Because, in myself, in my head, I don’t have lots of wer, wer, wer, going on. Um…and it’s helped me deal with my life in a calm way. I very, very rarely lose it. Personal therapy is important as it allows the counsellor to clear down so that the client’s, rather than their own issues, take centre stage. Almost like turning off machinery (wer, wer, wer). IDENTIFIER: 4D TRAINING AND THERAPY AS AN EMOTIONAL AID 127 Throughout the first and second focus groups I noticed how the young people became engrossed with their mobile phones, (playing games, texting), when conversation became either contentious or anxious. I considered their mobile phones may offer a virtual reality that was less threatening than reality and originally intended to relate this to critical realism as a stand-alone code. However, as data amassed, the 26 codes generated by the focus groups with the young people felt unmanageable. It became clear that the mobile phone issue would need to be subsumed within a generic code. The flow chart below details the reduction process. Flow chart showing how an original code was reduced to represent final coding (2.1) Influence of mobile phones: distraction or defence mechanism? Original intention for superordinate theme (2.11) Defense mechanisms. Revision of ideas. The use of mobile phones as an emotional barrier (2.2) Attachment & relationships. Mobile phones as virtual defense against challenging and internalised feelings 128 Other themes were similarly reduced, for example, ‘childlike behaviour’ became ‘attachment’. I was reluctant to abandon such rich data entirely, and some of the rejected codes were used to augment discussion within broader contexts. Others, such as those codes relating to professionalism ultimately formed the topic of an academic paper. Researchers (Burnard, 1997; Kohler Reissman, 1993; Lucas, 1997) debate the capacity for themes reduced in this way to meaningfully capture the essence of phenomena because of the fragmentation of the data. Such concern resonated with me as even small pieces of text could encapsulate both participant’s diverse experiences, and, different ways of interpreting these. However, Smith (2004) argues qualitative research is “a cost-benefit analysis” (p.50) rather than a sacrifice, a dilemma I attempted to resolve by using the same quote in different contexts in the findings and discussion chapter of this thesis. Following this, a decision was made to drop the codes that did not represent the participant’s specific concerns. I was particularly sorry to reject the code ‘focus group mechanisms’ as I felt the group dynamic may afford understanding as to how groups of young people who bully appear to and are assessed by society. However interesting, I judged the topic to diverge from key themes and let it go. The ability to prioritise cleared space for the groups of codes to be gathered into what are known as superordinate themes, and then labelled to encapsulate the key elements of the participant’s experiences. 129 Smith and Osborn (2003) do not dictate the order in which the transcripts are analysed, provided there is structure, but also sufficient flexibility to respond to fluctuations in the data. Abiding by these principles, I decided to analyse the transcripts chronologically. However, although it is possible to use themes from one transcript to work with another, I decided to observe the flexibility Smith and Osborn (2003) advise by creating new themes for each transcript. This decision was made as I feared that by using established themes to work with subsequent transcripts, I may have unconsciously sought data in support of these themes rather than analysing each transcript with a fresh eye. Ultimately the subordinate themes were gathered into common superordinate themes. The choice allowed me an overview of convergences and differences between the individual transcripts, for example, the disparity between group influences and idiographic effect. It is only once the transcripts have been explored in-depth that cross analysis can be attempted (Smith et al., 1995). Given the unpredictability of the young participants, the decision to take an orderly approach to transcribing was also predicated upon the possibility that several may withdraw from the research process. In this eventuality, I would revert to a case study approach (3.8), which, according to Smith and Osborn (2003) enables a thorough and in-depth analysis.2 2 When feeling overcome by the quantity of data, a software package such as NVivo was contemplated as an alternative to manual analysis. Opinions vary as to the compatibility of analytical programmes and the philosophies consistent with phenomenological methodologies (Banner & Albarran, 2009), as “the central analytical task in qualitative research […] cannot be computerized” (Kelle, 1995, p.3) Others (Chi-Jung, 2008; Evers et al., 2011), propose that qualitative analysis is founded upon systematic data management, so that, although computer programmes may enhance those abilities, they will never replace them. For me however, as with Kelle (1995), the grounded nature of data analysis consistent with IPA felt incompatible with computerised data analysis and the option to transcribe manually was upheld. 130 The ensuing section provides an evaluation of qualitative research, discussing how rigour was obtained, most significantly, in relation to IPA. 3.12 An Evaluation of qualitative research In chapter 3, I have presented a discussion about the ontological and epistemological philosophy underpinning IPA and how this relates to the current study. Justifying my decisions feels incomplete without an evaluation of qualitative research. Ballinger (2006, p.235) questions the reliability and validity of qualitative research, criticising it as a “‘merely subjective assertion supported by unscientific method”. I argue however that the more positivist criteria of reliability, validity and generalisability guiding quantitative research are generally less applicable to the qualitative paradigm. For example, and in relation to reliability, IPA does not seek consistency or measurability, but rather, the subjective experiences of participants. Moreover, these are contingent upon the researcher/participant relationship and context. Consequently, different conditions may elicit an alternative account. Qualitative research, particularly IPA, seeks theoretical generalisability (Smith, 2004), where the concept of extrapolating statistical findings does not apply. In fact, it is argued that obtaining a “large randomised sample misses [the] point entirely” (Finlay, 2006, p. 39) as I consider qualitative research explores richness and depth, often of a single participant, which may bear 131 relevance if transferred to other contexts. Most significantly, validity represents how well research reflects the reality it claims to represent and yet, the critical realist stance of IPA (3.4.1, 3.4.1.1) disputes the notion of one unequivocal reality, proposing instead, a subjective interpretation. Rejecting such quantitative criteria however means qualitative analysis may only be viewed as a “tentative statement opening upon a limitless field of possible interpretations” (Churchill, 2000, p.164) behoving its own set of criteria so as to ensure quality (Finlay, 2006) and be taken seriously. Such criteria must be responsive to the epistemological ideals concurrent with individual methodologies (Smith, 2010) which highlight the strengths or limitations of the research under discussion. Finlay (2003) urges researchers to “engage their research criteria explicitly and reflexively” (p.18) as this aids transparency. In the findings and discussion (4), I demonstrate allegiance to Smith’s criteria which are discussed later in this chapter (3.12). The issues of qualitative criteria is “not well resolved” (Guba & Lincoln, 1994, p.114), the divergence mirroring the differing opinions of researchers (Willig, 2001). However, general consensus agrees the need for trustworthiness in place of validity, which may imply both rigour and relevance (Finlay, 2006). In relation to IPA, Smith (2003), in his earlier literature, commended Yardley’s guidelines (2000) as sufficiently flexible to respond to the differing qualitative methodologies. Yardley advocates three key criteria. Sensitivity to context demands that researchers show awareness of relevant extant 132 literature as this situates their study in a theoretical framework. They should likewise demonstrate an extensive grounding in the philosophy of the approach they choose as this knowledge supports a more profound and far-reaching analysis. In addition, sensitivity to context relates the researcher’s interpretative ability, their understanding of the data and the authenticity of their analysis. Commitment, Rigour, Transparency and Coherence describes the researcher’s engagement with the topic, the skill in applying their methods and immersion in the data. Rigour refers to the completeness of the data both in terms of collection and analysis. Transparency and coherence speak of the clarity outlining the research process and how persuasive an account it offers. Lastly, impact and importance refers to the theoretical practical and socio-cultural impact of the research; in other words, its contribution to knowledge and its applicability. More recently, Smith (2010) has expressed reservations as to Yardley’s guidelines as despite his affirmation of their quality, he considers the criteria insufficiently specific for assessing the quality of IPA studies. Instead, he recommends guidelines derived from his own inductive work. Given that IPA is a relatively new approach compared to long established methodologies (Chapman & Smith, 2002), Smith describes the guidelines as a “developmental process” (p. 16), to be adapted as IPA matures. According to him, (Smith, 2010, p. 17), an IPA study is acceptably trustworthy when it conforms to four key criteria: 133 1. Clearly subscribes to the theoretical principles of IPA: It is phenomenological, hermeneutic and idiographic. 2. Sufficiently transparent so the reader can see what was done. 3. Coherent, plausible and interesting analysis. 4. Sufficient sampling from corpus to show density from each theme. To elevate the research to ‘good’ three further caveats are added: 1. The work must be well focussed offering an in-depth analysis of a specific topic. 2. Data and interpretation are strong; and 3. The reader is engaged and finds it particularly enlightening. Moreover, Smith (2003) recommends an “independent audit” (p. 234) where interpretation is checked against the transcripts to gauge its feasibility. This was done by my academic supervisors, one of whom is experienced in qualitative methodologies and the other in philosophical analysis and together providing a practicable evaluation of my interpretation. By using Smith’s evaluation criteria I have also linked the epistemology of IPA to provide what I intended as an authentic account of my participants. 3.13 Summary In this chapter I have discussed the philosophical and methodological implications of using IPA to locate this study in a theoretical framework. In addition, I have debated my ethical commitments in undertaking the study 134 and described the methods used, how data were collected and analysed, and how I have attended to rigour. Phenomenology is defined according to two viewpoints; one based upon the premise of bracketing, an attempt to cleanse lived experience of judgement (Husserlian phenomenology); the other (Heideggerian phenomenology), on the lived experience as knowable only if deduced according to personal interpretation. It is to the latter that I defer as IPA facilitates an uncensored, in-depth exploration of participants’ lived experiences which complemented the research aims of the current study. Smith (1996, 2003, 2008), recognises the significance of both researcher and participant in a double hermeneutic, acknowledging that their subjective world influences interpretation. I have articulated concern however that my profession as counsellor may have brought a psychological reading of the data that in-authentically represented what was said, and highlighted how I used reflection to raise awareness of this problem. Young people’s attitudes to the methods used to gather data vary. In this, the observation period undertaken prior to the study onset paid dividends, since, once the young people had become inured to my presence, I was able to witness their natural behaviour. From this insightful experience, my personal reflections have afforded a richer understanding of the data. In addition, attention has been drawn to the challenges facing researchers who undertake studies with vulnerable, and at times, volatile young people. General consensus identifies focus groups as encouraging participation 135 because sharing the experience with peers facilitates self-confidence and general discussion. Additionally, the presence of others allows group members to deliberate before offering their perspective, hence affording a perception of both the group dynamics and individual contribution. Nonetheless, I have suggested that attention must be paid to quieter members in case their view is eclipsed by more forceful participants and the idiographic emphasis of IPA overlooked. Based upon this, I used creative stimulus material, intended to prompt conversation from a first person perspective whilst enabling participants should they experience anxiety. Such approaches were proven effective when undertaking research with vulnerable groups. Additional concern emanates from the potential for the young participants to influence each other during the focus group causing problem behaviour to escalate. I suggested that a one to one approach such as individual interviews may be better suited when gathering data with participants experiencing behavioural problems. Collecting data using individual interviews is a method consistent with IPA (Smith, Harré & Van Langenhove, 1995; Smith et al., 2009). I considered that by using interviews, I was providing an environment conducive to personal exploration and that would benefit quieter members, differentiating their opinions from those of the group. In order to develop the participants’ concerns, I also intended to use the interviews to pursue the topics emergent from the focus groups, however, the young people declined to take part meaning I was unable to explore their concerns as hoped. 136 IPA represents an epistemological position, aiming for detailed exploration of lived experience and how that experience is made sense of by the individual. It is the researcher’s central role as an interpreter of participant’s personal experience that connects IPA to an interpretative or hermeneutic tradition (Palmer, 1969). In this light, the following chapter of this thesis presents the findings and discussion. 137 4. FINDINGS AND DISCUSSION 4.1 Introduction The findings and discussion for this thesis present three superordinate themes related to the data with regard to; attachment states, the therapeutic relationship, and emotional management, in relation to both young people who bully and their counsellors. The data has been analysed as a whole; in other words, how it relates to the lived experiences of counsellors and young people when placed in counselling for bullying and is likewise integrated in the findings and discussion. Data is presented to represent both the individualised responses of the young people and the counsellors, the group response, and how the therapeutic relationship may respond to the concerns of young people who bully. Trust and risk were pervasive throughout the data and therefore represent significant concerns that are uppermost in the participants’ minds. The topic of trust and risk is therefore integrated within discussion of the superordinate themes. As Willig (2001) advises, anything affecting the collection and interpretation of data in IPA needs to be brought into the open by the researcher. Hence, by integrating discussion of trust and risk within the superordinate themes, I have aimed to move data analysis from descriptive to interpretative (Larkin, 2004; Smith & Eatough, 2006 p.339), ultimately revealing generic themes which represented the participants’ life world (Fade, 2004). Table 3 (below) provides an overview of the superordinate themes and the subordinate themes that informed them. 138 Table 3 showing the subordinate themes representing the superordinate themes Attachment Therapeutic relationship Emotion management Trust Risk YOUNG PEOPLE Denial/defence mechanisms Responding as children: Delayed development Research “on” rather than “with” Core pain/insecure attachment The focus group process/confrontational behaviour Young people’s perceptions of bullying Trust v risk (backstabbing and confidentiality) The contract and first meeting/trust Young people’s perceptions of counselling The counsellor as stranger Getting to know a counsellor: Trust v risk COUNSELLORS Personal development, psychological damage, experiences Counsellors barriers Tone of voice and language used Tone of voice and language used Body language (particularly calmness and submissiveness) Qualities setting them aside from others Core pain Empathy, transference Breaking through the client’s emotional barriers How the counsellors evaluate themselves Supervision and emotional grounding Professionalism Client’s body language Confidentiality and trust Bullying and aggression Facilitators and inhibitors to the client/counsellor alliance Bullying and aggression 139 It is difficult to say how much my identity as counsellor, as opposed to researcher influenced the themes (Table 3, 4.1). Despite heightened awareness when gathering data, I realised that through interpretation, my self as counsellor had asserted its presence, for, in any interaction, I seek to understand the meaning which underlies behaviour, and this provokes a particular response. I consider the inevitability of such ingrained behaviour supports the Heideggerian (1962) notion of phenomenology regarding bracketing (3.4.1.1). In addition, having counselled young people who bully, certain theories, such as insecure attachment, are prevalent amongst counsellors. Consequently, some subordinate themes undoubtedly reflect my professional experiences. Nonetheless, some of the themes emerged unexpectedly, for example, I did not anticipate how significantly professional identity would influence the participant counsellors’ work and suggest it is the unanticipated subordinate themes which are essentially “’uncontaminated’” (Webb & Kevern, 2001, p. 666), and therefore rooted in impartial researcher. In ensuing sections, I present the findings in relation to attachment states (4.2), the therapeutic relationship (4.3) and emotional management (4.4), which are discussed in the light of relevant literature. Discussion and excerpts from the transcripts are included within the text, a decision intended to reflect the sense- making which motivates IPA (Smith et al., 2009). Some of the quotations contain strong language and this is reported as transcribed. By including participants’ narrative, I aim to authentically represent the voice of those taking part and thereby, to deepen understanding (Corden & Sainsbury, 2006). 140 4.1.1 Terms used in this chapter The term ‘therapeutic relationship’ refers to the model conceived by Clarkson (2003) where she identifies five phases representing the relationship between client and counsellor (see appendix 11 for the five phases). 4.2 Findings theme: Attachment 4.2.1 Andy By the unperturbed tone of his voice and his unruffled demeanor, Andy appeared indifferent towards his parents. Comparatively there seemed to me an incompatible bitterness in his last sentence where he blamed his lack of concern upon his parents for being “[…] dicks […]”. Andy: Wouldn’t really matter would it? [Being told off by your parents] (The participants all laugh) Researcher: Why wouldn’t it matter? Andy: It’s just someone telling you to go in to your room. Init? Courtney: Your Mum and Dad (said with mock gravity) Andy: But they’re dicks so their opinion doesn’t really count Transcript 1, Focus group 1, Young people, Line 150-155, P.6 Andy seemed un-phased by the prospect of his parent’s reprimands, suggesting they would not impact upon him. By referring to his parents as “[…] just someone […]”, he appeared to seamlessly denigrate his filial link, an unfaltering conviction that established their unworthiness, and yet I intuited that through his derogatory term, Andy had unwittingly leaked negative emotion 141 about the relationship with his parents. This pattern repeated later and when responding to the Twitter phrase, ‘some people who bully have problems of their own’, when Andy attributed his bullying to the victim, blaming them for provoking his aggression: Andy: Ee’s a right twat. He needs bullying Transcript 1. Focus group 1. Young people. Lines 293-310. P.11 Without evaluating whether or how his own behaviour may have contributed to the outcome, Andy implied that his victim, like his parents, deserved what they got, once again identifying his victim as the worthless recipient of his behaviour. This trend continued to Andy’s evaluation of his counsellor: Andy: Well, it’s a waste of time isn’t it? : I just sit there. I bin a couple of times. I just sit there and say like stupid things like to make them happy. Then they say I’m good Transcript1. Focus group 1. Young people. Lines 59-60. P.3 A phenomenological reading (Smith, 1996) of Andy’s experience of counselling suggested he was not committed to the process; it was “[…] a waste of time […]”. He was there for the counsellor’s benefit; “[…] to make them happy […]”whereas, his ‘worthless’ counsellors must profit where they could; hinting at his own self-worth. However, conflict appeared in this sentence as it had in previous disclosures, as it seemed the personal gain he acknowledged, came not from subjective change, but, the accolade afforded him by his counsellors; “[…] they say I’m good […]”. 142 Later, when asked his opinion of how counselling influenced his life, Andy was insistent that he experienced no effect: Researcher: What sort of things do they [his counsellor] ask you that make you feel like that [counselling as a waste of time]? Andy: I don’t know. I don’t remember. Put your phones away […] Andy has leaked something personal. Although he has been playing on his phone, I think his order to ‘put your phones away’ is used to deflect attention onto the other participants Researcher: Would you say that having counselling affects your life in any way? (They [participants] all shuffle around in their chairs and shake their heads. Andy: Nope Researcher: Not in any way at all? Andy: Not in any way at all. No Researcher: So you don’t think about it in the week or anything. Andy: No Transcript 1. Focus group 1. Young people. Lines 70-75. P.3 From a hermeneutic perspective (Smith, 1996), by refusing to commit to an evaluation of his counselling, Andy seemed to make sense of his disclosure by refuting the effect of this experience upon his life, This may of course be true, although his previous comment regarding counselling as a waste of time suggests he had an opinion, albeit disdainful. However, I reflected, that his disparaging attitude towards his parents, peers and counsellor set him alone, isolated and dependent upon his own strengths. And yet, given Andy’s unmoved demeanor, his command that the other participants put their phones away was 143 seemingly incongruent and I wondered if it was a ploy to deflect attention from a momentary need. Superficially however, Andy exhibited little fallibility, for when I asked Lucy to describe her character, Andy interjected: Andy: Mate. I’m the nicest person you will ever meet Transcript 1. Focus group 1. Young people. Line 390. P.14 Even Courtney’s sarcastic rejoinder, “You should be a comedian”, was interpreted by Andy as affirmation of his worthiness: Andy: You see that is me. She just said I was nice Transcript 1. Focus group 1. Line 398. P.14 Observing Andy’s body language to assess the authenticity of his delivery, I noticed it was expansive and unusually, he maintained eye contact, suggesting his confidence. Nonetheless, I questioned why, if Andy was so convinced of his likeability, he felt the need to bully others, especially so given the fight (3.9.1) between he and Jason observed at Centre A, which provided a glimpse of Andy’s internalised anger. Such inconsistency in Andy’s behaviour and his disclosures suggested fragility as to claims of his congeniality, since his revelations inferred vulnerability, most notably in relationship with his parents. Reflecting upon Andy’s interactional style, a pattern seemed to be emerging of his own self-worth compared to that of others. As I reflected in the text: 144 Researcher: He (Andy) says this [being the nicest person]earnestly but there is conflict here as Andy has described his parents as dicks and his counsellor as a waste of time…i.e. he is ok but others aren’t Transcript 1. Focus group 1. Lines 391-392. P.14 Given his susceptibility, I sensed that Andy may have been working hard at his seeming ambivalence, using it as a shield, where disclosing, or even engaging, with his tender self presented a risk. Amongst the focus group participants, the coating erected by Andy effectively prevented him from being known. When he communicated, Andy was assertive, even to the point of complacency and, suggested his need to be liked, and yet he was variously distant and withdrawn. I noticed that the other participants were unsure and cautious in their behaviour towards him, unwittingly affording Andy considerable power. On all but one occasion, Jason deferred to Andy’s opinions during the focus group. For example, when questioned as to the morality of bullying, Jason’s disapproving censure of bullying changed in the face of Andy’s avowal: Jason: I just think they’re [bullies] fucking arseholes to be honest Everyone laughs Researcher: You think bullies are fucking arseholes? Jason: Yeah Courtney (accusingly) Courtney: You’re the one who’s bullying this boy Andy (Not Andy from the FG) Andy: Ee’s a right twat. He needs bullying Jason: Ee is seriously asking for it ain’t he Transcript 1, Focus group Young people, p. 11, Lines 295-305 145 Notably, Jason’s acquiescence may well have been a legacy of the supremacy exerted by Andy over Jason in the fight between the two boys (3.9.1) as it testified to Andy’s potential for anger. Even the support worker, Phil, was provoked to comment on Andy’s aloofness (4.4.2). According to research on insecure attachment (Allen et al., 1998; Kobak et al., 1993) externalising behaviours such as Andy’s may originate from a call for help and intervention by the parent on behalf of the adolescent; a moving appeal for attention, be it good or bad. Certainly, from my observations, I witnessed that Andy’s influence extended to his class peers where his dismissive attitude to education seemed to inspire a perception of Andy as ‘cool’ and, which, the other students emulated. Whether Andy knowingly used reserve to assert his superiority is difficult to say, as his habit of casting his eyes to the floor made me question the robustness of his confidence. Perhaps for Andy, his apparent disinterest was an expression of his struggle between autonomy and dependence (Hazan & Shavers, 1987). According to Cassidy and Shaver, 1999, individuals isolate themselves when they anticipate that forming relationships will result in rejection, hence, relationships are perceived as a threat. It is such mistrust and interpersonal risk that subsequently creates the need to blame (Baldwin et al., 1993). Andy’s reserve sometimes impinged on data gathering, since his reluctance to participate interrupted the flow of conversation. On these occasions, the frustration his behaviour caused tempted me to view Andy as deliberately obstructive: Andy: Bullying’s well out of order init 146 Researcher: Why is that then? Andy: I don’t know. Just is Transcript 1, Focus group 1, p. 7 Lines 236-238 Researcher: So, why do you think bullying is well out of order then Andy? Andy: What! (Said with annoyance implying that he does not want to be asked more questions) Researcher: Why do you think bullying is well out of order? Andy: Cos it is Researcher: In your opinion, what does it do to other people? Andy: I dunno. I’ve not been bullied. I don’t know Researcher: Would you be able to talk to somebody else if you had been bullied? Andy: Well I’ve not so I don’t know do I Transcription 1, Focus group1, Young people, P.10, Lines 280-289 No matter how I re-phrased the questions to Andy, he seemed unwilling to commit. Mukilincer (1998) postulates that insecurely attached individuals, whose obsessive search for security (Hazan & Shaver, 1994) means they exert control as a trust-related goal, only self-disclose when t h e risk to self is acceptable. Reflecting upon my difficulties in engaging Andy in the research process, I wondered how his behaviour may replay during counselling, where, from experience, I have found initiating change to be challenging in the face of a client’s resistance. Faced with this dilemma, I have used my analytical skills to identify the client’s concerns so as to make progress (1). When posing this question to Counsellor A, she suggested assertive tactics: Researcher: So, my experiences working with troubled young people is that some of them are so damaged, you ask them something, or try and access their core pain and they just go, I don’t know. I don’t know and then Transcript 3, Counsellor Focus group 2, P.12, 393-395 147 Counsellor A: I don’t buy it. That’s what I say to them. You know something. You’ll…you’ll feel something somewhere. It’s impossible not to. So even if it’s your big toe twitching, you would have something […]. […] You’re here because you want some counselling. I would imagine want to change something. That’s why you’re here. And you can stay where you are if you want to. That’s your choice. Um…but I’m hoping that you’re…you’re willing to put some effort in because that’s why we’re both sat here Transcript 3, Counsellor Focus group 2, P.12, 400-402 and 404-407 Counsellor A’s assertive reply suggested her lack of conviction that a client would experience nothing. She offered her clients the choice to contribute to their sessions and initiate change, possibly empowering their autonomy. She suggested that, even in the absence of words, a manifestation of their concerns would be expressed through their bodies, even as inconsequential as a twitching big toe. Counsellor B likewise asserted clear boundaries, likening these to her recent experiences counselling a disengaged client: Counsellor B: She’s a tough cookie, but she doesn’t know, she doesn’t know all the time. Round about session 6, I said to her, if you really don’t know, that’s absolutely fine. But if you think you might know, it might be now is a good time to say so. Because we can’t keep doing this. And that is really confrontational Counsellor A: Mmmm. It is Counsellor B: It’s really full on. And she said, well, I really don’t know what you want to know. And I said, well I want to know what you’re going to tell me, so what are you going to tell me? And, it…it shifted, it shifted. She worked incredibly hard. We still get the occasional, I dunno. And I say well, that’s ok. That’s fine. What do you know? And it’s now almost a joke. And she’s ok with that. She’ll say, well you’re gonna tell me I can’t say I don’t know aren’t you. And I say, yep! Transcription 3, Counsellor focus group, Pp. 13-14, Lines 434-443 When reflecting upon Counsellor A and B’s narrative, I was reminded of Egans’ (1993) advice to counsellors in the Skilled Helper. Egan proposes that between 148 the counsellor and the client exist seven categories of love, progressing from the least to most challenging. At number seven Egan suggests there are times when a client will be so distanced from themselves that they are incapable of motivation, a lack of commitment which, I suggest, translates to Andy’s not knowing. At this point, Egan considers that a counsellor may need to show their own strength to the client by taking control and assuming a more assertive and directive role. Egan’s perspective brings an alternative slant to traditional concepts of beneficence where the client’s autonomy is considered paramount (BACP, 2014). However, I would argue, that by providing a temporary scaffold to support the client, Egan's seventh rule of love is fundamentally aimed at facilitating an individual. 4.2.2 Courtney Whether the experiences of young people who bully are the same, is unclear to me. An interesting question is therefore how the experiences of young people who bully with insecure attachment differ from those with secure attachment. For instance, Courtney’s behaviour, both in the classroom and the focus group appeared less volatile than the other participants. She was generally jovial and forthcoming, contributing willingly to her lessons and likewise to the focus group discussion. Courtney’s peers were seemingly attracted to her amenable character and she appeared popular amongst them. Given her seeming stability, I considered she may be more securely attached, an opinion supported by her apparent trust in her parents: Researcher: Are there any things you wouldn’t be able to tell a counsellor 149 Lucy? Are there any particular topics? Lucy: Drugs. Sex life Courtney: Oh. That would be so awful talking about your sex life. God Andy: Fuck that Courtney: No. I’d talk to my Mum and Dad about it Transcript 1. Focus group 1. Young people. Lines 762-770. P.27 Unlike the other participants, Courtney implied that she was sufficiently trusting of her parents to speak to them about her sex life; of significance given the risk implied by such subjects. Other securely attached young people share her view, finding it easy to talk to their parents (Fox & Butler, 2007). Notably, this appears more challenging if, as this study found, it is commonly parents who are perceived as undependable (Fox & Butler, 2007). Courtney’s security also appeared to make her more resilient to being bullied: Researcher: Do you think you’ve learnt anything from your counsellor that you’ve taken into your life? Courtney: Yeah. She told me to keep calm Jason: Fuck off you cunt Researcher: That sounds important Courtney: Yeah. Do you know how…Lucy, didn’t I used to get annoyed really quickly? Lucy: Still do Andy: You get annoyed. Yeah you do Researcher: Has it really helped you? Courtney: Yeah. It was worse when I first started Transcript 1. Focus group 1. Young people. Lines 704-715. P.25 150 Courtney spoke of her counsellor’s advice for calm; guidance she felt had informed her life after counselling ended. This provoked an unexpected group response, as one by one, the participants rounded on her, attempting to undermine her using insults and defamation, refuting the long-term effects of her counsellor’s advice. However, Courtney remained calm, and without being defensive, was able to reason the other member’s responses. Previously, Courtney had made assertive and astute comments which sometimes questioned the motives of her fellow team members. For example, when Jason contested that bullying was “[…] out of order […]”, Courtney retaliated with “You’re the one who’s bullying this boy Andy” (Not Andy from the FG). Possibly, her comments had been perceived as confrontational and, as Kernis et al. (1989) pointed out (2.3) considered by the other member’s a threat to their self- esteem. Equally, bullying others may have become the young people’s reality, thus, they no longer identified themselves this way. So, when Courtney spoke of and modelled her calmness, the other members instinctively rounded on her, using rough language to put her down; an example perhaps of the skewed perception of moral rules to which Caravita and Gini (2010) allude (2.7). Either way, Courtney had seemingly broken the mold, as through her assertions she had temporarily challenged the established group hierarchy, unwittingly provoking the other young people to bully her. I questioned whether their vehement and collective retaliation represented a united defence against not only Courtney’s words, but her embodied calm, since this defined her as different from them in some way. With his extreme vitriol, I intuited it was Jason who felt most threatened by Courtney’s disclosure, for his use of 151 language seemed to me misogynistic and intended as defamation of Courtney’s womanhood. Possibly this emanated from a deeper place and reflected negativity towards the female sex. Despite the extreme provocation and verbal bullying from the other participants, Courtney remained calm; testament perhaps to the effects of the counselling to which she alluded. She appeared un-phased by the insults even finishing with a positive evaluation of her progress, “[…] It was worse when I started […]”. Although her level-headedness may have been due to her maturation, Sedikes et al., (2008) support the concept of rationality in light of secure attachment. They find those with secure patterns of attachment show a more optimistic style regarding judgment of others and improved problemsolving skills in resolving interpersonal conflict. Hence, within the group, her rationality manifest as lower levels of aggression and higher levels of trust (Constantino et al., 2006; Cummings-Robeau et al., 2009; Leenaars et al., 2008) possibly explaining why Courtney felt sufficiently confident to speak about bullying others: Courtney: […] I used to bully teachers. I used to bully my head teacher. I was really horrible to her and a lot of students (inaudible] though Transcript 1. Focus group 1. Young people. Lines 246-247. P.9 Courtney openly admitted to bullying her teachers and “[…] a lot of students […]”, her revelation also implied a level of trust both in me and the group that seemed acceptable to her. Possibly then, she did not risk the personal repercussions insecurely attached individuals 152 anticipate. Conversely, it appeared that Courtney defied the stereotype as despite her seemingly secure disposition, she nonetheless bullied others. Farber (2003) suggests that the desire to unburden secrets is mediated against the anticipated and negative consequences of revealing something ‘bad’, thus regulated by individual tolerance for shame. Possibly then, Courtney’s ability to speak of bullying others inferred, her moral attitude towards it. Nonetheless, when disclosing her bullying behaviour to her counsellor, Courtney recalled feeling “[…] well bad afterwards […]”: Researcher: Do you think you’d be able to tell your counsellor that you’d been a bully. Courtney: My counsellor knows that I was a bully Researcher: What did it feel like talking to her about that? Courtney: I felt well bad afterwards. But, your parents must have made you do something wrong to make you bully them. I wouldn’t just bully no one for no reason. Transcript 1. Focus group 1. Young people. Lines 255-259. P.9 Courtney acknowledged the repercussions of her actions; interestingly evaluation of her actions was retrospective. She attributed responsibility to ‘your’ parents and it is hard to say whether her statement was generic or specific. However, the fact that she could admit to negative feelings resulting from her behaviour suggested she was not silenced by shame as previously proposed by Farber (2003) (2.9). However, as Caravita and Gini (2010) proposed that those who bully can morally disengage (2.7), shame would not necessarily feature on the bully’s moral landscape, suggesting an incongruity between their 153 theory and Farber’s. As Courtney was both able to bully and to feel shame, she seemingly oscillated between the moral positions of Farber and Caravita and Gini, suggesting that those who bully are not anchored to either theory but may be capable of enabling change. Courtney’s propensity for trust was possibly founded upon positive past experience with her parents (Kee & Knox, 1970), an important antecedent with regard to forming a trusting relationship with her counsellor (Bigley & Pierce, 1998; Rotter, 1967): Researcher: What was their reaction when you told them? Courtney: They said, ‘do you want a conversation about it?’ And I was like yeah. And then we had this sheet about bullying. Then we had to fill it out. Then we had a conversation. Then we made a brick house and how it feels to be a bully Transcript 1. Focus group 1. Young people. Lines 264-267. P.10 According to Courtney, her counsellor did not overreact to her disclosure as to bullying, neither was she judgmental. This may have confirmed, rather than violated Courtney’s expectation regarding trust in counselling (Lewicki et al., 1998), for, provided trust forms along a continuum and is not infringed, such dependability facilitates further disclosure (Lewicki et al., 1998). It is in this way that Lewecki and Tomlinson (2003) believe a counsellor likewise develops a deeper understanding of their client’s interpersonal world, facilitating a bond. As Courtney commented: Researcher: What is it about getting to know them [the counsellor] that makes it easier? Courtney: Because then you trust them and can tell them everything Transcript 1. Focus group 1. Young people. Lines 615-616. P.22 Courtney came across as capable of reasoning and trusting. 154 Her trust manifested as greater personal investment in the focus group process and towards me. For example: Researcher: […] Were there certain things that you found it hard to tell your counsellor? Courtney: We didn’t really talk. I…we…cos I was so young, they had like games and cards and stuff, so I didn’t get to talk Researcher: They had games and cards and things. Did that change your experience? Courtney: Yeah. And I did it in [my home town] Researcher: How did it help having games and cards? Courtney: Because it was like fun explaining your theories Researcher: Would it have made a difference if she…your counsellor hadn’t had games? Courtney: Yeah. Cos I wouldn’t know what to do cos I was so little. And they used to come to my house sometimes and do like fun sheets with me Transcript 1. Focus group 1. Young people. Lines 175-185. P.7 Courtney was forthcoming, providing a full and illuminating account of her counselling. Her attitude appeared to inspire trust, triggering conversation between her and the focus group members and suggesting that positive behaviour may be as contagious as problem behaviour in a group setting. She seemed unconscious of the trust she generated, but as Smith (2004) states, research using IPA may illuminate traits of which the participants themselves are unaware. In addition, Courtney’s ability and willingness to deliver an elaborated response provided a full and insightful account of how her counselling experience had 155 been facilitated through play. In light of the other participants’ reticence, it was tempting to take advantage of Courtney’s enthusiasm as a buoyancy aid. In other words, her interest gave me hope that the focus group would not altogether fail. However, following extended focus upon her, Courtney was quick to register her discontent with my reliance upon her: Researcher: Let’s try another story stem then. Alright then. You’re very quiet you two (looking at Jason and Lucy with concern to make sure they’re not upset) Courtney: Yeah, ask Jason some questions (Said with annoyance) Transcript 1, Young people’s focus group, P.4, Lines 111-113 According to Mauthner (1997), “the researcher needs to maintain a balance between too many and too few questions” (p.24). I would argue this equilibrium a challenge when researching defensive and therefore, resistant participants, where the temporary relief at gathering some data, afforded by an articulate participant, is seductive. Also, by facilitating Courtney’s disclosures, she set her own agenda, talking about her life and views. In addition, by challenging my dependence upon her, Courtney demonstrated that her sense of autonomy extended to individual relationships as well as those in the group, suggesting the power balance between us as equal. 4.2.3 Jason For anxious-ambivalent individuals, their need for self-validation, coupled with dread of rejection is represented as both a need for love and fear of being unloved and can manifest as a negative disposition towards others (Griffin & Bartholomew, 1994). Consequently, the negative experience of the 156 insecurely attached is considered predictive of mistrust (Mikulincer, 1998). Certainly this was true of Jason whose behaviour oscillated between amenable and intractable. For example, unlike Andy, Jason displayed a need to be liked, throughout both focus groups, appearing to adjust his behaviour to maximise his popularity. As, when asked by me to describe his character, Jason replied: Jason: Funny cunt to be honest Transcript 1. Focus group 1. Young people. Line 402. P.14 This caused uproarious laughter amongst the other participants. Superficially, Jason seemed delighted at his handy-work, leaning back in his chair and smiling. However, his two words ‘funny’ and ‘cunt’ sat incongruously together, possibly implying the paradoxes of his self-perception. Despite his apparent good humour, the other group members were noticeably unsettled by Jason’s interjection, gathering to check their mobile phones, messing around together as if, by huddling, they kept Jason at bay. Possibly, this was unintended, his derisible retort effectively serving to distance rather than befriend him, and attributable more to Jason’s lack of social skills, observed at Centre A (3.9.1). Through his language, Jason nonetheless communicated contempt and disrespect. Despite his need to be liked, he appeared concurrently and deliberately to goad the other members into rebuffing him, and I wondered if Jason’s behvaiour served to ratify his expectations concerning rejection. Equally, his unsuitable language may have been his attempt to disrupt the focus group, whereby deflecting intrusion. Either way, Jason’s tactics were effective as, by splintering the focus group, data gathering was temporarily suspended whilst 157 attempts to settle the participants took place. Jason has a disruptive effect on the FG. He uses the most derogatory terms, especially as ‘cunt’ is gender specific and there are girls present. Does he hope to alienate them or distance himself? I suspect the other participants would risk saying more if they didn’t fear his derision, so his behaviour is powerful Transcript 1. Focus group 1. Young people. Lines 403-407. Pp.14-15 For example, I judged that the quietest participant, Lucy, who appeared cowed by Jason’s bullying comments, needed a space created for her in which to speak and I attempted to draw her into conversation: Researcher: So, if you went for counselling, how do you think you would come across to your counsellor? Jason: I don’t know Courtney: Shy They speak over each other Lucy: Blank Researcher: Blank Lucy? Lucy: Yeah Researcher: Why is that? Jason: Because she’s a twat Transcript 1. Focus group 1. Young people. Lines 411-423. P.15 Lucy was instantly quelled by Jason’s affront, looking out of the window, perhaps signalling her disengagement. As the quietest of the young participants, I felt keenly that Lucy should be equally represented in the data. I was mindful of the need to include and encourage her contribution. By successfully shutting Lucy down, Jason both prevented the conversation from 158 developing and re-focussed the spotlight upon him, whereby satisfying his need to be liked and his need for distance. Once again, data gathering was halted and I reflected that Jason’s effect upon the group dynamic and by default, the data, was impactful, highlighting the effect of one powerful member upon the others. Notably, Jason’s tactics were so successful, that it was only when I noticed him kicking the girls under the table and playing games on his mobile phone so loudly as to interrupt, that I recognised his behaviour as attention seeking. It seemed possible that attracting attention, even by ‘being bad’ (Sroufe, 1983), may have been a tactic developed from childhood, still used by Jason, as a way to be noticed. Later however, an interpretation of Jason’s behaviour as deliberately intended was challenged when I was deeply moved by his vulnerability. When questioning the group as to the topics young people who bully felt comfortable disclosing to their counsellor, Jason responded with: Researcher: Are there certain things that you think, ’No way! I’m not going to tell a counsellor that? Jason: I wouldn’t tell em [his counsellor] nuffink, even if I cut my finger Transcript 1. Focus group 1. Young people. Lines 734-736. P.26 Despite the myriad other problems Jason could have used to withhold from his counsellor, he chose a cut finger. Such a childlike ailment seemed to hint at arrested development, an icon of his need to be nurtured that anchored him to his childhood. So, although Jason suggested his counsellors were an unwelcome intrusion, he was unconsciously reaching out as an appeal for care. Possibly he 159 was caught off guard, his distrust once again rearing its head, as with his next response, Jason appeared to retreat: Researcher: You wouldn’t tell them anything? Why is that then Jason? Jason: Because it’s not their problems to worry about. My problems is my problems Transcript 1. Focus group 1. Young people. Lines 739-740. P.26 Jason seemed to be pushing away again, retreating to a safer place by distancing himself, and I conjectured that he experienced complex issues: Jason is a complicated person, going from child to adult in two sentences Transcript 1. Focus group 1. Young people. Lines 742-743. P.26 His remark “My problems is my problems” suggested something adult, a parental influence perhaps stemming from suspicion regarding counselling, (Baruch, 2001) (2.8) but nonetheless serving as a familiar holding pen for his emotions. As I noted under the transcript: It seems to be important that Jason prevents conversation from developing. This seems to happen when emotional topics are being developed. I wonder if this is associated with personal risk. Transcript 1. Focus group 1. Young people. Lines 424-426. P.15 Given Jason’s need to be liked, his fear of rejection and his vulnerability, I was particularly stirred, and surprised by his bravery in challenging Andy’s views that 160 some victims […] need[ed] bullying[…]. Jason: I just think they’re [people who bully] fucking arseholes to be honest Everyone laughs Researcher: You think bullies are fucking arseholes? Jason: Yeah Courtney (accusingly, the suggestion being she is key amongst them) Courtney: You’re the one who’s bullying this boy Andy (Not Andy from the FG) Andy: Ee’s a right twat. He needs bullying Jason: Ee is seriously asking for it ain’t he Everyone talks at once. Words are temporarily indiscernible Researcher: Tell me a little bit more about it Jason. (I ask this as I feel Jason isn’t committed to this statement as he makes it looking down and is suddenly withdrawn) Jason: Well hitting people is just well out of order. I can’t go into it anymore because I don’t know Transcript 1. Focus group 1. Young people. Lines 293-310. P.11 With his hostile opinion of bullies as “[…] fucking arseholes […]”, Jason’s opening sentence staked a claim, of bullies as unworthy. The judgment, as with others he had made throughout the focus group, procured laughter possibly by using coercion as previously. When Andy declared that another boy deserved to be bullied, Jason fleetingly concurred, possibly swayed by the collusion afforded him, particularly amongst group members known to bully. However, from Jason’s body language, I sensed his unease, and when asked to articulate his feelings further, Jason revealed polarised, or possibly, his true sentiments towards bullying as “[…] well out of order […]”. His body language suggested to me that the risk associated with his disclosure was immense. He was neither playing the fool, nor colluding with Andy, but had put his head 161 above the parapet to risk his authentic self. His anxiety was palpable; his last statement “[…] I can’t go into it anymore because I don’t know […]” suggesting a need for closure. It was difficult to conjecture why, given the risk to Jason in professing an alternative opinion, he had felt sufficiently facilitated on this occasion to self-disclose. Possibly, he was motivated by my obvious interest in his views. This event caused me considerable reflection, as I conjectured that whilst Jason’s disruptive behaviour may attract attention both at school and in social settings, given the opportunity, he had a contribution to make, his right to be heard stifled by his cry for help. 4.2.4 Lucy According to Calamari and Pini (2003), an attachment style seldom referred to is insecure-disorganised-disorientated. Clear links between infant attachment strategies and disorganised-dissociated behaviour did not emerge until after Main and Solomon (1990) had categorised the characteristics of this psychopathology (Lyons-Ruth, 2003). When first observing Lucy at Centre A, I was struck by her disconnected behaviour, writing in my reflective journal that she appeared ‘vague’. Lucy seldom made an overt contribution to either her lessons or her relationships, infrequently directing her gaze towards a fixed location, but seeming remote. Despite her withdrawn disposition, she appeared, nonetheless to share a connection with Courtney, the two continually seated together, however, I noticed that Lucy rarely spoke to Courtney but doggedly followed where Courtney led. For example, if the two went to the kitchen to prepare their lunch, Courtney would be centre stage, whilst Lucy lingered quietly in a corner. Thus it was unusual and 162 unexpected on one occasion, to hear Lucy angrily screaming at Courtney. Although staff at centre A intervened to resolve the dispute, for several days, Courtney refused to speak with Lucy, who quickly became dispirited and after several days, inconsolably disclosed her fears that her explosive anger had breached the friendship with Courtney. It was confusing to witness Lucy’s diverse reactions. On the one hand, her broken friendship caused her considerable distress, but on the other, she appeared ambivalent as to forming bonds with her peers. When categorising the features typifying disorganised-dissociated attachment, Main and Solomon (1990) refer to a simultaneous display of contradictory behaviours, for example strong avoidance coupled with strong contact-seeking; that I considered representational of Lucy’s behaviour. Similarly, during the focus group, Lucy spoke only occasionally and then, in response to a direct question. She appeared overwhelmed by the stronger participants, particularly Jason, whose stringent retorts worked effectively in quelling Lucy. Because of her reserve, I was concerned that Lucy would make only a ghostly impact upon the data. Keen to include her, I asked directly how she would describe her character: Researcher: How would you describe yourself Lucy? Lucy: Blank Researcher:Blank Lucy? Lucy: Yeah Transcript 1. Focus group 1. Young people. Lines 411-423. P.15 163 Although Jason quickly intervened to quash development of the conversation with Lucy (p. 157), as she spoke, her gaze wandered around the room and her voice was expressionless giving her a disorientated appearance. Apart from this brief communication, Lucy contributed infrequently throughout both focus groups. However, she did appear roused by the Twitter statement ‘Bullying is a hate crime’: Lucy: It doesn’t make sense Researcher: It doesn’t make sense? Lucy: No Researcher: Why don’t you think it makes sense? Lucy: It just doesn’t sound right Researcher: What is it about it that sounds wrong then? Long pause Lucy: You can’t put hate and crime next to each other. Bullying is a hate crime. It just doesn’t sound right Jason swivels round in his chair and kicks the girls. They laugh and it’s chaotic Researcher: Tell me more about it. Why can’t you put hate and crime together? Lucy: I dunno Transcript 1, Focus group1 Young people, p. 8, Lines 212-225 Although Lucy claimed the incongruity of putting hate and crime in the same sentence, when asked to develop her thoughts, she receded, becoming once again unresponsive. Even when attempting to draw her out, she appeared reluctant to be involved, responding to further questions with ‘I dunno’. Her withdrawal may of course have been hastened by Jason’s behaviour, which frustrated me as I felt, given time to develop her thinking, Lucy may have been on the cusp of a disclosure. 164 According to Lyons-Ruth (2003), Lucy’s behaviour typifies defence formation which occurs at the interface between infant distress and the response of the primary carer. This most commonly occurs in response to fear (Jacobvitz et al., 1997; Lyons-Ruth et al., 1999; Mains & Hesse, 1990; Schuengel et al., 1999). If the parent herself arouses the infant’s fear, the parent becomes both the source of the infant’s fear and the haven of safety. This places the infant in an unresolvable paradox regarding whether to approach the parent for comfort (Lyons-Ruth et al., 2003, p.902). Thereafter, dissociation is used as a coping style. Amongst her peers at Centre A, Lucy generally enacted disconnected behaviour, however, I suggest her need for closeness was evident through her silent, but dogged attachment to Courtney. She nonetheless owned a deep anger which it was not always possible for her repress, but when released, caused her considerable regret. For individuals facing dissociated attachment, the experience of intense anger further threatens coherence of the self, activating additional defence mechanisms (Singer, 1995), to protect against fear and helplessness (Chu, 1996; Marcy, 1998; Putnam, 1991; Spiegel, 1993) . According to Sanders et al., (1989) dissociative experiences in response to repressed anger are more common in adolescence since this is a developmental phase when interpersonal relationships become increasingly important and where emotional dysregulation activates defence reactions 165 (Calamari & Pini, 2003). Whatever the cause, Lucy was marginalised by, or marginalised herself from, her peers. In the focus group, this historical dynamic was amplified amongst fewer people, particularly Jason for whom Lucy provided a perfect outlet for his own attachment needs, but unwittingly perhaps, preventing development of Lucy’s opinions. For myself, I reflected that, given Lucy’s particular vulnerability in a group, the opportunity for her voice to be heard may better have been realised in a one-to-one environment. Judging by the young peoples’ interaction in their focus groups, there appears an inexorable connection between the internalisation of negative life experience and the forming of interpersonal relationships. However, the findings would suggest that there is an inexorable connection between the internalization of negative life experience and the forming of interpersonal relationships for counsellors, as much as for the young people I observed and interviewed. This topic is developed in the following section. 4.2.5 Attachment in relation to counsellors A and B My training as a counsellor has highlighted the significance not only of the words used by clients but also, the language behind them, for example tone of voice, intonation and non-verbal delivery. Consequently, I was alerted to some of the words used by Counsellor B when discussing the aggressive young people she counselled: Counsellor B: …They don’t think about it. They just slap people, or bully people… Transcript 2. Focus group 2. Counsellors A and B. Lines 481-48216 166 I was surprised to hear counsellor B use the word […]slap[…] possibly because my training in counselling tutored the use of language sensibility which the word ‘slap’ seemed somehow to breach. As this adjective came early in the first focus group, I questioned whether it was a power word, to impress Counsellor B’s knowledge of young people who bully by using their street-wise language. Later, when describing another client, the term was used again: Counsellor B: She’d [the client] straightened her hair, she’d put her slap [colloquial term for make-up] on Transcript 2. Focus group 2. Counsellors A and B. Lines 728-729. P.24 The word “[…] slap […]” was at variance with the sensibility previously demonstrated by Counsellor B when speaking of her clients. She was noticeably changed when using such words, her voice and expression more grim, lending her sentences an unforgiving feel and communicating what I sensed as fear or anger. For example, when Counsellor B went on to describe how she established boundaries when confronting her clients’ aggressive behaviour I questioned if her language signified personal threat: Counsellor B: […] You’re [the client] not bullying me. I’m not impressed Transcript 2. Focus group 2. Counsellors A and B. Line 97. P.3 Counsellor B spoke authoritatively, conveying control in the first person “You’re not bullying me”. She was quick to establish authority, “I’m not impressed”. Possibly for Counsellor B, her constant exposure to aggression necessitated such inurement or even control. However, her two commands combined 167 caused me to question whether she perceived her clients’ aggression as a personal attack; herself as victim and where her response was seemingly a defence. This interpretation was supported by my own reaction to Counsellor B since, feeling slightly intimidated by her authority my confidence was somewhat undermined. I reflected that Counsellor B, like the young people, may need to push away, to avoid engaging. According to Ekamparan (2008) individuals may be attracted to counsel as an unconscious attempt to self-heal. Certainly, the counsellors I have spoken with acknowledge this as a competing motivation. Importantly, given the psychological vulnerabilities affecting young people who bully, providing a safe base as counsellors denotes a significant condition for effective counselling (Bowlby, 1988; Epstein, 1995; Osofsky, 1988; Osofsky, 1980 Parish, 1999; Parish & Eagle, 2003; Pistole, 1989). Ekamparan (2008) intimates that if a counsellor is insecurely attached this may adversely influence the therapeutic relationship. Thus, the notion of the counsellor’s personal experiences shaping the client/counsellor relationship introduces a double hermeneutic, similar to that identified between researcher and researched in IPA (Smith, 2004) where the counsellor is considered an active participant (Gelso & Hayes, 1998, cited in Gelso, Hill et al., 1999) and suggesting that a counsellor’s negative life experiences may influence the alliance. Nonetheless, such effect seemed also to enhance the therapeutic relationship, in a way that I suggest benefited effective work with vulnerable young people, as voiced by Counsellor A: 168 Counsellor A: […] I think what I’m saying is, we all experience pain and I believe that that pain that we experience through life, is not the same for us all but it’s very similar for all of us. Pain is pain. Fear is fear. Joy is joy. Anger is anger. You know…they’re…they’re…those four basic emotions we all experience them […] Transcript 3. Focus group 3. Counsellors A and B. Lines 31050-105. P.33 Counsellor A advocated “[…] basic emotions […]” such as “pain […]”, “[…] fear […]” and “[…] joy […]” as collective in nature; conditions that enabled effective work: Researcher: And if you didn’t have that experience, would you be able to work as effectively? […] Counsellor B: Probably not Counsellor A: I don’t think so. I really don’t. Not for me anyway. If I’d never had all those experiences I don’t think I’d be doing this […] very well Transcript 3. Focus group 3. Counsellors A and B. Lines 747-753. P.23 Possibly, in this way, a counsellor’s internalised pain could be interpreted as facilitating an understanding of the client’s perspective. Notably, understanding of the counsellor’s negative life experiences derived from my perspective as a counsellor, hence their portrait rests solely with the precariousness of my interpretation. 4.2.6 Summary in relation to attachment The young participants in this study were all considered vulnerable, by staff at Centre A, due largely to their experience of dysfunctional parenting. Whether or not their attachment status had been professionally classified was unknown, yet it seemed possible to me, that consistent with the mistrust I 169 had witnessed whilst observing the young people (3.9.1), coupled with the data, that they may predominantly have been insecurely attached. Jason displayed contrasting behaviour, as his comments caused laughter through the use of insult, suggesting to me that he both sought affirmation of his likeability and alienated others. A possible explanation derives from Mikulincer (1998), who writes that for insecurely attached individuals, whose needs are insufficiently met, the primary concern for an infant is in maintaining proximity to the primary caregiver. Therefore, in the face of uncertainty, the safest response to any threat is for the child to devote all attention and energy to re-establishing proximity, using good or bad behaviour. Ironically, since attachment is thus established upon precarious footings, proximity to the caregiver at these times is associated by the infant with fear and distress; in this case, ably reflected in Jason’s anxiety. Reflecting upon the transcripts, I realised the effect of Jason’s alternating needs upon the focus group process as a confusing cocktail that intermittently both pushed him away from and pulled him into the forum, depending upon his most prevalent need at the time. For example, according to Jellema (2000), dismissing individuals have been consistently punished during childhood by maternal/paternal inattention, rejection, or unresponsiveness; ultimately repressing or even extinguishing emotional distress. In interpersonal relationships they defer instead to cognitive processing, using a think, rather than feel pattern to make sense of the world, unable also to entrust their emotions to others. Individuals rated as avoidant “cannot trust or rely on what people tell them”, their strategy is therefore “to coerce people to stay or 170 attend to them by intensifying displays of feeling” (Jellema, p.144). Schwartz et al., (1997) and Forero and colleagues (1999) describe such push/pull tendencies as Jason’s as consistent with the hostile/withdrawn characteristics common to bully/victims, as their need for love, and rejection of it, positions them in both camps (2.12). I suggest that for young people who bully, their interpretation of reality is influenced by whether they enter at push or pull, which I consider to be a symptom of the inconsistent development characterising their development. Such sentiments are supported by Wilson (1983) who proposes that a reliable knowledge of reality depends upon how it is obtained, reinforcing the need to consider lived experience when researching young people who bully, and consequently, the use of IPA in this study. Conceptualising insecure attachment in terms of trust and risk provides some understanding of how this mediates interpersonal relationships, the primary agenda being to help young people who bully cope with developmental problems and initiate change. I have argued that the provision of expert counselling may offer crucial support. By support, I mean ready access to counsellors who are specifically trained to understand the complex psychological and developmental problems experienced by young people who bully. Seemingly, by letting nothing in, Jason could maintain a fragile boundary around his self-esteem and his need for estrangement was evident through his hostility towards the other focus group members. According to Elliot, and Reis (2003) the insecurely attached seldom progress to form secure relationships as their 171 sense of unworthiness more usually predominates, influencing future alliances. I consider that the interaction with Jason represented a rich source of data (Catterall & MaClaran, 1996) that demonstrated how group influence marries with the idiographic tents of IPA (Côté-Arsenault & Morrison-Beedy, 2001; Jasper, 1996; Kooken et al., 2007) (3.4). The complicated nuances of relationship building in relation to insecure attachment are well known. For example, Mikulincer (1998) explains that avoidant attachment, characterised by insecurity as to others’ intentions and a consequent preference for distance, is categorised as a fear of intimacy and reluctance to depend on others. This was seemingly evident in Andy’s behaviour where I intuited he distanced himself as a safety mechanism. However, when he communicated, Andy was assertive, even to the point of self-satisfaction. The uncertainty his behaviour aroused in the other participants served to distance them from him. Similarly, Andy professed an apparent lack of concern for his counsellors however, I have suggested his behaviour was aimed at preservation of his self-worth. Possibly he isolated himself as protection since he anticipated that forming relationships would result in rejection and were hence perceived by him as a threat (Cassidy & Shaver, 1999). On the other hand, the support worker attributed Andy’s withdrawal to him being “[…] an independent person. Keeps himself to himself”. However Crittendon (1995) considers such detachment as an attempt to avoid confronting one’s emotions. Had Andy been comfortable with his solitude, I question whether he would have constantly cast his eyes to the floor, as I observed, or would have been more confident in engaging eye contact. In addition, being told he was “[…] good […]”seemingly resonated with Andy, 172 demonstrating his need for affirmation. Hence, I intuited that Andy had erected a veneer which effectively prevented him from being known and yet this represented an internalised mistrust towards others. Within the group, Courtney alone stood out as a participant who could reason. This was evident through her willingness and ability to contribute to discussion. Courtney injected positivity to the group, her buoyant demeanour and overt challenges, galvanising the other members to respond. Hazan and Shavers (1994) explain that, unlike insecure attachment where a child’s needs either went unmet or were unpredictable (Hazan & Shaver, 1994), for securely attached individuals such as Courtney, their need for safety when threatened was responded to, generating trust (Hazan & Shaver, 1994). As trust bestowed (Brennan & Shaver, 1995; Feeney & Noller, 1990) generated trust received (Collins & Read, 1990), securely attachment individuals inspired trust in others (Bowlby, 1988; Mikulincer, 1998) possibly triggering a reciprocal response from the other focus group members. Given the close bond observed between the young people at Centre A (3.9.1) and the consistency and dependability, modelled by Courtney in the focus group, I consider it possible that she may have represented a trustworthy attachment figure, enabling even Andy to relate with less risk. In contesting her fellow members, Courtney demonstrated a courageous attitude, since collectively she had been victim to their formidable force. I suggested her non-reactive attitude emanated from a sense of self-confidence which made it unnecessary for Courtney to defend her position, possibly attributable to a sense of “felt security” eminent from the secure attachment 173 with her parents (Sroufe & Waters, 1977, p.102). For example, although during infancy a child will start to explore their world, periodic checking of the attachment figure’s availability continues to occur. Crucially, it is the carer’s dependability that establishes the level of safety a child experiences, whereby differentiating secure from insecure attachment (Hazan & Shaver, 1994). Courtney’s apparent security not only affected the relationship with her peers but also that with her counsellor and myself, as she was able to disclose to us both that she had bullied. Since secure attachment (2.10), i s characterised by confidence in others’ love and comfort with closeness (Ainsworth et al., 1978; Hazan & Shavers, 1987) Courtney may have felt empowered to risk a trusting relationship with me. Whether insecure attachment can be identified in an interview or focus group is beyond the limits of my understanding but the findings suggested that counsellors may also be susceptible to the internalisation of negative life experience. Researchers (Fossell & Bonney, 1990; Birsch, 1999; Mar, 2000) suggest that counsellors may be drawn to a helping profession because of experiences such as childhood trauma and emotional deprivation, and therefore, as an attempt to self-heal (Ekamparan’s, 2008). Like Osofsky (1988), I argue that the counsellor’s history of receiving negative care may occasionally interrupt their ability to create feelings of security within the therapeutic relationship. Given that clients generally seek counselling when facing concerns they feel unable to handle alone, the therapist’s attachment state is consequently of importance (Birsch, 1999). 174 The following section therefore discusses how, under such circumstances, establishment of a trusting relationship can be founded in counselling. 4.3 The therapeutic relationship 4.3.1 Trust Whilst observing the young people at Centre A (3.9.1), I had witnessed the extreme mistrust and suspicion afforded visitors and new-comers. For example, the company funding Centre A, had arranged for two visitors to take a short promotional video of the young people. Following discussion with her staff, Carrie decided that, given their mistrust, the young people may react adversely to the impending visit. To minimise alarm, it was agreed that they would be casually informed as to the visitor’s intentions if and when needed. Although the guests to Centre A attempted to circulate as unobtrusively as possible, the young people were noticeably flustered, unable to focus upon their lessons, and nervously speculating the reason for the intrusion. Anxiety quickly rippled through the classroom, and when Carrie offered an explanation, several of the young people walked out, declaring they would not participate, a female student burst into tears, and another called a taxi and went home. I suggest this extreme reaction was a measure of their vulnerability. When gathering data, evidence of the young peoples’ propensity for mistrust became apparent with the opening question, posed them during the first focus group: Researcher: So, one of the first questions I’d like to ask you is, when you went for counselling, what made you decide to go for counselling? 175 Jason: Shit Andy: No idea Everyone laughs Researcher: No idea? Courtney:(Indiscernible) The participants look nervously at each other Researcher: So what sort of things would make you decide to go for counselling do you think? Andy: I dunno Transcription 1. Focus group 1. Young people. Lines 1-10. P 1 Jason’s opening comment “Shit” communicated a sense of alarm; unpreparedness perhaps, as the question either took him by surprise, or was too searching as an opening gambit. Although it was Jason who actually verbalised apprehension, I suggest he acted as spokesperson for the group’s unease as Courtney mumbled indiscernibly and Andy was non-committal. Also, I sensed edginess, communicated by the collective laughter and the exchange of nervous glances. As an opening question, the inquiry ran contrary to Smith and Osborn’s (2003) advice where they recommend leaving sensitive questions until later to allow participants to become relaxed and ready to speak. Upon reflection, I realised that, rather than nurturing trust, I tried to establish some control by using the opening questions to determine a schedule. This could have been the erection of my own emotional boundaries as I was daunted by the propensity for emotional outburst among the young people that I had witnessed when the fight erupted between Jason and Andy ( 3.9.1) . However, rather than ameliorating my anxieties, the result of the overly intrusive question, 176 as Smith & Osborn, (2003) predict, was costly; the young people’s embarrassment evident through their non-responsiveness to subsequent questions. Given my existing knowledge of the young people’s distrust at Centre A, and the reaction triggered by my first question, trust surfaced as a pressing concern and I decided to deviate from the question guide to develop it, trying to understand how such extreme mistrust would influence the therapeutic relationship, by asking the participants what would make them most wary in counselling. The young participants considered back-stabbing (Focus group 1. Young people. Line 532. P.19) a very real risk: Courtney: That’s one thing I hate about like…I’m paranoid about other people like…if they go and tell other people Jason: And they see yer They all laugh Jason: Well wind it back then…if they chat to somebody else…. Courtney: No cos if they go to someone else about me I’m like… and tell her to stuff it and all…. this other person like… Phil [The support worker]: Who would they go to? Do you mean the counsellor when they’re talking about you? Courtney: Yeah Phil: They’re not allowed to. Who would they tell? Their friends? Courtney: Yeah. They’d be like…Oh, I had this person today. She was really weird. Had some really horrible problems Jason: She was a freak […] They all laugh Phil: So they thought you were a freak Courtney: Well they obviously wouldn’t be doing their job if they said that. But you never know. Some people…you can’t trust them Transcript 1.Focus group 1. Young people. Lines 449-467. Pp. 16-17 177 Although Courtney’s mistrust was confined to “[…] some […]” as opposed to all, the subject of ‘ backstabbing’ was nonetheless animate, for although the participants joked as to their counsellor’s exposure of them, they had actually conceptualised what would be said for example, “[…] she was a freak […]”. Interestingly, when united in their views, they did seem more enabled in developing their concerns. Possibly, the participants’ perception of their counsellors was, to some degree, an extension of other interpersonal relationships, where I observed the mistrust between them, and the dialect to communicate this, as common. Unlike Courtney, the other participants articulated a distrust of counsellors and people in general, even Lucy contributing to the debate, her mistrust going some way towards understanding her reticence to self-disclose: Lucy: Yeah. You can’t trust anyone Transcript 1. Focus group 1. Young people. Line 515. P.18 Researcher: Are there certain things in people that you find difficult to trust? Andy: I think they’re all dick heads Researcher: All people that you don’t trust are dick heads? […] Researcher: Do you think counsellors are dicks? Andy: Some of them yeah. Transcript 1. Focus group 1. Young people. Lines 578-589. P. 20-21 Lucy and Andy articulated a lack of trust for everyone, something they again attributed to back-stabbing; a relationship expectation as far as they were concerned. Interestingly, I observed that the participants perpetuated that which they defined as a source of mistrust. For example, when developing this 178 topic during the focus group, Courtney was describing the subjects most challenging to speak of to a counsellor, when Andy interjected: Andy: Yeah. You [Courtney] tell us. We’re going to be broadcasting it all year Transcript 1. Focus group 1. Young people. Line 520. P.18 Seemingly, mistrust was endemic, and rooted in the core behaviour of some of the young people. By using collective terminology, “[…] us […]” and “[…] we […]” Andy implied that together, he and the other participants would delight in betraying Courtney’s secrets. This confused me, as a few sentences later they identified such backstabbing as the source of their own mistrust. Perhaps, the young participants were unable to extrapolate their own feelings to others, a theory consistent with the lack of empathy young people who bully display (Olweus, 1978). Courtney stood alone with her challenge of this concept, questioning the assumption that all people would inevitably “[…] backstab […]”: Courtney: That’s just saying, don’t trust anyone because anyone can backstab Transcript 1. Focus group 1. Young people. Line 532. P.19 Courtney reasoned that trust could not be predicated upon such an assumption, a possible indication of her propensity for trust. However, the other three were apparently predisposed to mistrust which, in the therapeutic relationship interpreted as concerns in relation to confidentiality. 4.3.2 Confidentiality Jason considered it a foregone conclusion that counsellors would break 179 confidentiality, not just for ethical purposes but because, with little else to do, they delighted in backstabbing: Jason: You can’t risk telling your counsellor certain things as they would have to tell other people. Counsellors are faggots. They might have really boring lives and need something to talk about. They sit there with their husbands and a glass of wine, talking about you behind your back Transcript 3. Focus group 3. Young people. Lines 157-159. P. 6. Jason was unequivocal. He articulated little conception of the process of breaking confidentiality, understanding this as telling “[…] other people […]” as opposed to the relevant counselling team members such disclosures dictate. Instead, he attributed the desire to tell, to a counsellor’s disposition; they were “[…] faggots […]” using his personal disclosures to fill their time. The word ‘faggot’ implied a derisive attitude towards counsellors revealing what I interpreted as Jason’s contempt; hatred even, towards them. His words also suggested a personal vendetta and I considered this may be a relic of his past, where Jason felt he was out to be ‘got’. His notion of this as inevitable spoke to me of powerlessness. This was amplified by Jason’s vision of the counsellor sitting back with a glass of wine chatting to her husband and I sensed he was attempting to articulate a dissonance between the counsellor and himself. Bloomfield and Kory (1980) write how “Displaced and projected responses to anger inhibit communication, create distance and feelings of isolation, intensify bitter feelings, expose one’s lack of self-control, all of which can further weaken self- esteem” (p.472). Importantly, I considered that for Jason, hatred appeared a core developmental 180 pain which he should not be compromised in venting. It is also possible that the nuances of breaking confidentiality had not been clearly explained to Jason, or perhaps the other young people. However, when developing how to empower their confidence regarding confidentiality in counselling, views were mixed. Researcher: What would a counsellor have to do to make you trust them more? Lucy: Dunno Researcher: What about if at the start they say, “It’s going to be confidential and we won’t be telling anybody outside of the team”. Would that make a difference? Courtney: It would make me feel better This should be said when the client/counsellor contract is made but perhaps it needs emphasising for this particularly untrustworthy group Andy: No. I don’t care Courtney: Please explain that to us further Andy Researcher: Yes, please do Phil: You’ve got a lot to say mate but you just don’t want to say it Courtney: We really want to hear Andy: Yeah. I just don’t have anything I want to talk about Transcript 1. Focus group 1. Young people. Lines 536-548. P. 19 Courtney’s opinion was at variance with the other participants. For her, hearing that her self-disclosures would not be shared with anyone outside the team would make a difference. She showed extreme maturity, trying to develop the debate by asking Andy to “[…] explain [things] to [them] further […]” however Andy would not budge and was seemingly determined not to contribute. It appeared that his extreme caution also communicated to the focus group where, 181 despite the emphasis upon confidentiality relayed both verbally and through the PIS, even this was not sufficient to hold him safe. It was also possible that, like 13% of other boys asked, he preferred to keep things to himself (Fox & Butler, 2007). As often appeared the case however, when developing the topic of confidentiality later in the focus group, Andy, emboldened by Courtney’s non-confrontational attitude, lowered his defences and contributed to the discussion: Researcher: Do you think that, say you took drugs or something, that you’d be able to tell your counsellor about that? Andy: No Researcher: What would stop you? Andy: Nothin’. I just wouldn’t tell ‘em. They don’t need to know about anythin’ like that do they Researcher: They don’t need to know? Courtney: Yeah but I swear that when it’s serious stuff like drugs they need to go and tell someone anyway Andy: Cos if it like concerns your health or personal safety Courtney: They have to tell other people Andy: Yeah they do Courtney: Cos I got told that when I was doing my counselling Andy: If like something like concerns you, like is a risk to you or somebody else, they have to tell someone. So if you told them about drugs or somethin’ they would have to get involved Transcript 1. Focus group 1. Young people. Lines 801-820. Pp. 28-29 With his opening avowal, Andy implied that there were certain taboo subjects not suitable for a counsellor to hear. This statement echoed with Jason’s prior claim that […] his business was his business […], both declarations implying an outdated attitude towards a public display of emotion that in counselling, was enacted as 182 censored self-disclosure. Equally, Andy’s initial insistence on “[telling] em nuthin […]”, resonated with the risk involved should he disclose something ‘bad’ about himself, supporting the notion of such topics as deterring clients from selfdisclosure (Farber & Hall, 2002) (4.2). For me however, a more apt description of Andy was of a person petrified in both senses of the word and I was saddened that the knowledge and life within him was seemingly regulated by overwhelming risk, whatever the source. Hence, it was the more surprising to note how, under the influence of Courtney, Andy developed his account, contributing more willingly than he had at any other time. As on previous occasions, it appeared that Andy did have an opinion after all, he and Courtney voicing awareness as to the ethical boundaries surrounding confidentiality; principles Courtney was “[…] told when [she] was doing [her] counselling […]”. Andy also understood that breaking confidentiality represented risk to self or other. Courtney “[…] sw[ore] […]” this was so, a word suggesting she saw it as legal and binding. Since confidentiality in counselling is inextricably linked with the concept of harm to self or other, and the alleged inhibition of disclosing certain topics to a counsellor (2.9), I was interested to hear which particular subjects the young people perceived as most threatening to confidentiality: Jason concluded the debate about confidentiality by delivering a thoughtful challenge: Jason: You’re a counsellor right. What would you do if someone told you they were going to kill someone? Researcher: Well…if one of my clients told me they intended to murder someone, I would feel duty bound to disclose that to my supervisor. Jason: Well, there’s the answer then. It’s our break time now. 183 Jason just stood up and got ready to leave. I could hear the snooker balls clattering in the other room and realised this acted as an alarm, but also, I felt the final statement was like a victory Transcript 3.Focus group 3. Young people. Lines 249-255. P.9 I recalled Jason’s statement as something of a victory, as immediately following the encounter, he stood, taking charge of the focus group by declaring it break time. I was concerned that his abrupt closure left little opportunity for me to ground the participants’ emotions at the end of the last focus group (Rubin & Rubin, 2005). In addition, my intention, as decided (3), had been to discuss the themes emergent from the focus groups, with two representative young participants, so they could verify the authenticity of their accounts. However, the sudden conclusion to the focus group unsettled the remaining young people, whose anxious interaction suggested their emotional unease, and which may accordingly, have contributed to their refute of previously recorded comments. Perhaps, seeing their words on paper represented too large a threat, undermining their trust. I considered that this, coupled with the heightened emotional state Jason’s abrupt ending had occasioned, may have contributed to the young peoples’ decision to both forego their individual interviews and the opportunity to read their transcripts. Smith (2008) stipulates that there is no “cookbook” (p.40) approach to IPA, so, although I was disappointed at the lost opportunity to develop the young peoples’ concerns, I adapted to the unanticipated (Smith, 2008) using data derived solely from the young people’s focus groups and the reflective notes from my observations, to inform analysis. 184 4.3.3 The counsellor as stranger It appeared that the extreme vulnerability of the young people left them exposed and threatened, compromising the fabric of their lives. In counselling, their suspicion and mistrust was amplified at their conception of the counsellor as a stranger. For instance, when asked what made it difficult for her to trust a counsellor, Lucy expressed a link between mistrust and not knowing her counsellor: Lucy: Talking to someone I don’t know […] About stuff Researcher: Would you find it quite difficult? Lucy: Not difficult. Just a bit weird. If it was someone I know I probably would Researcher: What difference would it make if you were telling someone you know? Lucy: If I know you better then I know what you’re like. But it could be….the counsellor could be bitchy or sommit. Go to her friends and be like…yeah Transcript 1. Focus group 1. Young people. Lines 428-444. pp15-16 Lucy thought it “[…] a bit weird […]” to tell things to someone she did not know, suggesting that Beaudet & Schwartsman, with a counsellor would allow her to gauge their trustworthiness. It seemed her concerns resonated with previous themes about backstabbing, for “[…] the counsellor could be bitchy or sommit [...]”; and “[...] go to her friends […]”.Courtney and Andy were once again united in the view that knowing a counsellor helped facilitate trust: Andy: If you get to know somebody you can trust ‘em There is a resounding ‘Yeah’ Courtney: She’s [the current counsellor] really nice. I got really close to her at [the school club] Andy: It’s different if you just start seeing ‘em [the counsellor] straight away init Transcript 1.Focus group 1. Young people. Lines 604-607. P.21 185 Barring Jason, there was agreement that “[…] seeing ‘em [the counsellor] straight away […]” inhibited formation of a close bond and development of trust, affording a “[…] different […]” experience. I was confused, as this view was shared by Andy, representing a significant jump from previous claims. It seemed possible that his support worker Phil may have ‘hit something on the head’ when stating that Andy had “[…] a lot to say but just [did not] want to say it […]”. Lewicki and Tomlinson (2003:3) point out, that “trust will only be extended to the other […] over time”, and I wondered if Andy was emboldened to self-disclose as the focus group progressed and his trust in me grew. Jason however, remained un-swayed: Jason: Yeah, but why would I talk to some stranger that I don’t even know? Oh yeah, my dog died last night. I’m well sad (He pulls a mock sad face). Fuck that. They’re not going to make it better for you are they. Transcript 1. Focus group 1. Young people. Lines 745-747. P.26 Jason remained sceptical. He did not consider an unknown counsellor as able to meet his needs. Interestingly, his comment “[…] They’re not going to make it better […]” suggested he saw healing as his counsellor’s, not his own responsibility. Perhaps, as Counsellors A and B suggested, facilitating his selfagency might empower Jason to enable change. When debating how to resolve the problem of the ‘unknown’ counsellor the previous accord dissolved as the young participants were divided in their opinions: Researcher: What could a counsellor do to help you not see them as a stranger? Courtney: Having a few sessions with them before, just chatting so you could get to know them. They could take you out for coffee. Jason: That wouldn’t make a difference. They’re still a stranger 186 Researcher: So if you had a choice between meeting them at say McDonalds or their office, how would it make a difference Jason? Jason: It wouldn’t. They’re still strangers. I wouldn’t go up to a stranger in the street and tell them my business Transcript 3. Focus group 3. Young people. Lines 143-150. P.5 Unlike Courtney who considered meeting over a coffee would help her get to know her counsellor, Jason was immovable, a “[…] stranger [was] a stranger […]”. Jason compared his counsellor with a person on the street, suggesting to me a learned resistance hailing from intergenerational negativity regarding counselling (Baruch, 2001). Courtney challenged my opinion however, reconfiguring Jason’s words from an alternate perspective: Courtney: You should never trust strangers. We’re always told not to speak to strangers Transcript 3. Focus group 3. Young people Line 154 P.6 Courtney’s logic was infallible, for it was quite possible that the young people had been indoctrinated to avoid strangers and that this societal rule influenced Jason’s view. 4.3.4 Referral as opposed to self-referral Further unease was articulated by the young participants regarding referral as opposed to self-referral, a problem Counsellor B called the “[…] they sent me […]” syndrome. Although the topic of referral was articulated by Courtney, I noted in my journal how the other participants engaged; suggesting referral was a subject about which they all had an opinion: 187 Very interesting and unusual to observe the unity between the young people when self-referral is being discussed. They nod and their body language changes Courtney explained how she was referred for counselling by her school and her mother to help address her behaviour issues: Courtney: […] my teachers told me I needed it (she laughs) Researcher: Pardon Courtney: I got told I needed it Researcher: Did you? Who by? Courtney: By the school and my Mum Researcher: So, what was it like being referred by somebody else? Courtney: Stupid. Because I didn’t need it Transcription 1. Focus group 1. Young people. Lines 34-40. Page 2 Courtney’s words, “[…] I got told I needed it […]”, suggested a lack of autonomy and self-agency; conditions acknowledged by clients (Bohart & Tallman, 1999) as vital if a personal investment into counselling is to be made. This is important as self-agency correlates to improved outcome (Manthei, 2007; Bohart & Tallman, 1999) (2.8). Courtney hinted at how self-referral had jaundiced her view of counselling, her words “Stupid. Because I didn’t need it”, signifying resentment. Her disillusionment appeared to manifest as reluctance to contribute to the client/counsellor relationship: Researcher: So how would that [being referred] make a difference to the things you told them? [The counsellor] Courtney: Yeah like, I probably wouldn’t tell them….well, when I had my counsellor; I didn’t really tell her a lot [...] Transcript 1. Focus group 1. Young people. Lines 478-481. P.17 188 For Courtney, the loss of control imparted by being referred, stifled selfdisclosure, and I intuited that, through her decision to withhold, Courtney possibly regained an element of control, her lack of autonomy amplified at having been referred by her school: Courtney: […] She (the counsellor) was at [the] school. I didn’t really trust her. I don’t like anyone at [the] School Transcript 1. Focus group 1. Young people. Lines 480-481. P.17 Throughout the focus groups, Courtney clearly articulated dislike for her school, blaming them for the problems she underwent. Since, in her sentence, she linked mistrust for her counsellor with […] ‘anyone at the school’ […], I sensed that her doubt for both, was inexorably connected to what Courtney perceived as enforced decisions. Such mistrust prejudiced the therapeutic relationship: Researcher: So if you’d trusted the counsellor at [her school], do you think you would have been able to tell her a little bit more? Courtney: No. I didn’t like her because she worked at [the school] Researcher: So, it was all about [your school] (We laugh) Courtney: Yeah. I didn’t like [the school]. They sent me downhill. I blame them for my problems Transcript 1. Focus group 1. Young people. Lines 619-624. P.22 Despite her sense of injustice, it was interesting that Courtney blamed her school for sending her “[…] downhill […]”, as in a previous extract she also blamed one’s parents for a child becoming a bully. This suggested to me a possible block 189 which prevented her from evaluating a situation with herself as an intrinsic player. This may have been an attempt to distance herself; a surprise given that previously, Courtney had admitted to being a bully. When faced with resistant clients, Counsellor A described how she empowered the client through offering them choice and the permission to express feelings, whether positive or negative, in a safe and trusting environment: Counsellor A: … And some that have been sent, even when you say, well, you don’t even have to be here. I’m giving you the permission to say no. Then, that’s enough for them to start engaging. It’s like, Ooooh, well, I’m choosing this then. I haven’t actually been sent here. I can walk out now if I want to Transcript 1. Focus group. Lines 1596-599. Pp.19-20 Arguably, the authority Counsellor A inferred by giving “[…] permission […]” was at variance with the empowerment such choice implied. Counsellor A however, considered that enabling clients through choice offered an opportunity to explore the underlying reasons which motivated their behaviour, encouraging clients to voice even the negative feelings they may have toward her: Counsellor A: I encourage them to say, I don’t like what you just said to me. If they don’t like what I’ve said, I encourage them to tell me because that means we can explore it… Transcript 2. Focus group 2. Counsellors A and B. Lines 626-628. p.20 Counsellors B agreed, adding that the strength and safety of the therapeutic alliance was paramount in such circumstances as, provided it was sufficiently robust, clients could experiment with asserting themselves in a safe and trusting environment, “[…] in ways they may previously not have experienced 190 […]”. Counsellor B also pointed out that, “[…] allowing them as much say in what happen[ed] [as possible] [was] really important in restoring a bit of the power differential”. Counsellor B, inferred, that for clients, having the choice and the ability to express negativity, even towards their counsellor restored a sense of equality to the therapeutic relationship, implying that this was not merely a dyad, but also, a partnership, where the voice of the client was of equivalent importance to that of the counsellor. 4.3.5 The struggle to articulate emotions Nonetheless, according to Counsellor A, articulating their feelings was sometimes a challenge. Her view was supported by findings from this study, where the young participants demonstrated diverse abilities for putting their feelings into words. Courtney highlighted how such difficulties affected the therapeutic relationship: Courtney: When I was young, counselling was fun…like…we played games and I didn’t have to speak. Talking is difficult. Transcript 3. Focus group 3. Young people. Lines 240-241. P.8 For Courtney, playing games provided an outlet for expression in the therapeutic relationship that negated a need for talking. Counsellors A and B likewise acknowledged such limitations: Sometimes, they don’t know the words […] Transcript 4. Focus group 4. Counsellors A and B. Lines 297-299. P.9 191 For Counsellor B, when faced with this wordless dilemma, she used play therapy to facilitate the body as a creative tool and to aid unity between the physical and the psychological (Malchiodi, 2005). Counsellor B: […] And very often, um, the kids who find language quite difficult, it’s useful at that point I find, to get a load of pens and paper out. They draw charts, they draw flow diagrams, they draw spider diagrams, they label things, they scribble things, and we end up with a spider diagram the size of this table. But actually, that’s them processing… Transcript 2. Focus group 2. Counsellors A and B. Lines 513-517. P.17 By using creative outlets Counsellor B considered she provided a place for her clients that supplemented a need for words, freeing them to “[…] process […]” their concepts using an expressive medium that had few boundaries. Despite her enthusiasm, Counsellor B was not blind to the risks involved when working creatively with vulnerable young people: Counsellor B: […] anything that involves writing or drawing or sand therapy or play acting gets right to the emotional depth very fast. You know, because you’re dispensing with all the words and psychobabble and going straight to how they feel about something and for them that’s very new. So, I’m very aware that if it’s not sensitively managed, it could go wrong. Researcher: Sounds very risky for them Counsellor B: It is very risky for them, but for some of them, they’re never going to get there because they’re far too fragile, distressed, emotionally fraught, to attempt anything like that and what you’re trying to do is build them a safe place to look a little bit at how they feel first. Transcription 6. Interview Counsellor B. Lines 423-433. P.12 Counsellor B described how creative counselling, by bypassing words, could go directly to the core of her client’s emotions, an experience that was risky for 192 them, but one she considered provided a safe pathway en-route to more detailed exploration. Like Counsellor B, Malchiodi (2005) also acknowledges the risks involved, but considers that for young people without words, creativity may represent the primary form of communication in counselling. Further benefits come from creativity as an assessment tool (Feder & Feder, 1998), as exemplified by Counsellor A, when working with a client with severely compromised speech: Counsellor A: […] I have a very angry client at the moment who doesn’t have the vocabulary to describe feelings [...] Transcript 5. Interview Counsellor A. Lines 191-192. P.6 Counsellor A continued by describing the benefits of persuading her client to put his feelings down on paper: Counsellor A: […]with that anger on a piece of paper, which is usually a diagram I have pre-drawn for them and then they would colour it or paint it, write on it or stamp on it, or stick knives in it, or whatever they want to do with it. And then they will say usually, crumbs, I feel so much better now. I didn’t realise I could get my anger out that way. Um…and then they are much more comfortable sitting with that….actually, it was a square. It was a black, solid square this particular client has as his anger Transcript 5. Interview Counsellor A. Lines 197-203. P. 6-7 Despite her client’s inability to provide a verbal presentation of himself, by using creative outlets, Counsellor A, now knew that her client’s anger was black and square, important information for assessing the psychological representation of his feelings. Having expressed his feelings through a drawing, Counsellor A’s client felt “[…] so much better […]”. She helped him move on where talk therapy may have been less effective (Gladding & Newsome, 2003). 193 Importantly, Counsellor’s A and B suggested that not only did their vulnerable clients not have the words, they sometimes did not know them, and the findings suggested that for Andy, this may have been the case. Verbalising, or even inhabiting his emotions appeared both threatening and risky, and in the focus group, I looked to his body language as a physical barometer of his feelings. For instance, laid back in the chair, with his legs draped over a foot stool, Andy was seemingly unperturbed however other non-verbal clues communicated an alternate and more anxious demeanor: Researcher: Andy seldom takes his eyes from the ground or fully engages with the other participants For Andy, being on “[…] high alert […]” gave rise to conflicting body language, since his unruffled pose contrasted sharply with his apprehensive and downcast gaze, such disparity inferring a conscious attempt to define his disposition. Consequently, evaluating Andy’s complex non-verbal clues demanded advanced awareness, and I wondered if the confusion of ‘not knowing’ (“[…] I dunno […]”) was echoed in his chaotic body language. Phil, his support worker voiced his suspicions: Phil: You’ve got a lot you [Andy] want to say mate but you just don’t want to say it Transcript 1. Focus group 1. Young people. Line 546. P.19 When faced with such complicated clients, Counsellors A and B concurred, that the client’s body language was of equal importance to their words, in trying to compile an holistic picture of them: 194 Researcher: So, how people look, is as big a clue to you as what they say? Counsellor B and Counsellor A together: A huge clue Counsellor B: Absolutely huge Counsellor B: She’d [a client] done her hair Counsellor A: Make up on… Transcript 2.Focus group 2. Counsellors A and B. Lines 725-728 and 739-741. Pp.23-24 Counsellors A and B considered the way a client looked “[…] A huge clue […]” as to their overall well-being, describing a mind body connection, with the latter a vessel for internalised and unexpressed emotion, where the client’s body language served as a conduit for the expression of unconscious feelings: Counsellor B: Mmm, you don’t need words to read another person. And anyone that’s on high alert, like somebody who’s aggressive normally is, is very in tune with your chemistry, or your aura […] So, without you even saying anything, they are going to pick up non-verbal… Counsellor A: You see it before they see it sometimes and then you can explore if you want to, if it’s appropriate to talk about the change in the body. That’s when they can make that connection. […] I will point that out and then explore…. What happened then? What was that about? What were you feeling when your body did, you know, this movement or that movement? […] Researcher: What does that tell you then? Counsellor B: It’s something to do with the body remembering and storing […] And it needing somewhere to go, it needs to be processed. And they don’t realise that they’re sitting their shoulders up and their fists clenched and their faces strained and their legs twitching and their….They really don’t know that that’s what they’re doing. You say, ‘how do you feel?’ Oh. Alright. You’re not though, are you? And…and…working with that kind of feels really important…. Counsellor B: …at times, to make them aware of what’s happening physically to them […] It’s a really useful way for the kids who can’t necessarily articulate what’s happening to work with the body… Counsellor A:I don’t think…I don’t think people see the mind and the body together, as completely entwined, and I think it’s common for people to see, there’s the body, there’s the mind […] one thing cannot cohabit without the other. It just can’t. So everything that’s happened to you from the womb to this very present moment is stored somewhere in your body. And that’s why I use the body so much. Transcript 4. Focus group 4. Counsellors A and B. Lines 299-302. Pp. 9-10, 439-447. P.14, 453-460. P. 15 195 Interestingly, when speaking to Counsellor A about writing her reports once the sessions with her clients were over, she observed: Counsellor A: I was thinking…um…I think a lot happens in the room and you know yourself when you want to write your notes, you can’t actually write it down. There aren’t words, and I think a lot of those, when there’s no words, happen during the week. And I’d like to know what the words are, because I’d like to be able to write them down, but I can’t and I don’t know what those words are[…] Transcript 2. Focus group 2. Counsellors A and B. Lines 1209-1213. P. 40 Possibly the power of wordlessness had communicated itself to Counsellor A, so that she, like her clients, could not always put voice to her work. Alternatively, her inability may tell of a protective instinct, whereby the words of her clients had been suppressed by her to prevent anxiety. With Counsellor A’s intimate disclosure of her wordlessness, it was nonetheless apparent, that as the focus groups progressed, the relationship between the counsellors and myself had grown, facilitating conversation and more expansive evaluation. I intuited that here too, even amongst mature adults, it was the trust built over time that had played its part in enabling self-disclosure. Counsellors A and B recognised the equal importance of establishing trust with young clients who bully: Counsellor B: […] And actually, that’s quite an important thing to get through, isn’t it. To get through that emotional barrier […] Researcher: So when you’ve broken down that barrier, do you think…um… that it provides a better space for them to disclose things to you? Counsellor A: Oh definitely Counsellor B: Yeah…yeah… Counsellor A: Because that barrier can’t be broken without the trust. I don’t think they’re going to tell Transcript 2. Focus group 2.Counsellors A and B. Lines 176-186. P. 6 196 For Counsellors A and B, trust formed an essential safety blanket that buffered risk and enabled self-disclosure. According to Counsellor A, building trust started from the moment the therapeutic alliance formed, by establishing equality between counsellor and client. She considered this an imperative given the imbalance of the relationship between young people who bully and those in authority: Researcher: It sounds from what you’re saying, as if the way you present yourself when you walk in the room, verbally and non-verbally, is very, very important. Counsellor B: Absolutely. Counsellor A: Incredibly! It’s crucial. Absolutely crucial [...] Counsellor A: If you come in with this…I’m the, you know, counsellor […] and you’re the client …that’s it. You’ll hit a brick wall…you’ve had it […] Counsellor A: […] they’ve got teachers telling them off. They’ve got the headmaster putting them in detention, they’ve got Mum and Dad shouting and screaming, they’ve got the magistrate having a go, so nobody is listening really. They, they say they are. But actually, they’re not. They’re, they’re doing the wagging finger at them, all the time! Telling them off and putting them down. Giving them all this negative about how awful they are and what dreadful kids they are […] Transcript 2. Focus group 2. Counsellors A and B. Lines 256-266 and 327-332. Pp. 8-11 Focussing upon the client also helped engender trust, particularly for young people who bully, as such positive attentiveness represented for them, a new experience: Counsellor B: …that all kids, not just bullies and the bullied, they all feel that they really do have somebody concentrating on them […] And that’s what enables the relationship to develop I think Researcher: When you’re with young…young people who bully, or who are aggressive, do you see that one to one attention as the most important part of the therapeutic relationship? 197 Counsellor A: I would say so Counsellor B: Yeah. Because it’s not something that they’ve had Counsellor A: Mmmm. And from that, then they’re…the trust comes and that’s obviously, something they’ve not often had […] Transcript 2. Focus group 2. Counsellors A and B. Lines 377-390. Pp.12-13 According to Counsellors A and B, one-to-one attention on their clients represented the most important facet of the client/counsellor relationship as the genuineness shown the client represented a building block for trust. Researcher: What part of your persona as counsellors do you think it is that allows you to really enter your client’s world? Counsellor B: I think it’s the noticing and ‘noticing’ sounds a very weak word but it isn’t if you think about it…it’s the noticing of other people Counsellor B: And it is that noticing of other people and being prepared to trust your gut instinct. You know, having faith in your...in…intuition, to trust it and go with it Transcript 2. Focus group 2. Counsellors A and B. Lines 1117, 1139-1140, 1148-1150. P. 37 ‘Noticing’, allowed Counsellors A and B to “[…] really enter the client’s world […]”/ As well as attending to body language, the counsellors’ focus included actively listening to the words their clients used, and this was also helpful when assessing change: Counsellor B: And the incidental information. Like she said ‘Oh, I went to see my tutor to ask him bla bla bla bla bla Counsellor A: I asked for something for myself Counsellor B: I asked. That’s proactive. That’s not reactive Counsellor A: Mmmm Counsellor B: So that’s a shift. She’s taking responsibility for things instead of just smacking everybody because they’re pissing her off. So, it’s just the little clues that you pick up. Transcript 2. Focus group 2. Counsellors A and B. Lines 746-752. p.24 198 By carefully listening to the words her client used, Counsellor B picked up on a “[…] shift […]” away from her client’s habitual response using aggression. Counsellor A considered noticing positive change as particularly important, since previously, by “[…] wagging [the] finger […]”, young people who bullied may only have been noticed for behaviour adjudged as wrong. Such noticing also showed a personal investment by the counsellors, synonymous with the caring modelled in secure attachment, and as known to inspire trust (Brennan & Shaver, 1995; Collins & Read, 1990; Feeney & Noller, 1990). It is consequently an important step towards empathy (Rogers, 1965) and a building block for the therapeutic relationship. Counsellors A and B highlighted that when providing counselling to young people who bully, it is not just the client’s body language which is of significance, but likewise, the counsellors, which served an important function in the relationship: Counsellor A: […] And actually, that’s what they’re used to when they’re aggressive. Yeah. They’re used to somebody confronting them or, you know, standing up to them, being big and loud and we’re doing the opposite, doing the opposite of that. So sometimes their reaction is why isn’t the counsellor… Counsellor B: Yeah Counsellor A:…behaving like everyone else does in my world. You know, we’re soft. We lower our body in the chair. We speak much more softly. It’s the opposite to anything they’ve exp…usually may have experienced before and I think that removes a lot of the aggression Transcript 4. Focus group 4. Counsellors A and B. Lines 89-96.P.3 Counsellor A voiced how using her body by “[…] lowering [herself] in the chair […]” and her tone of voice “[…] speaking softly […]” signalled to the client an 199 alternative response than that previously experienced by them. According to research (Nisbett & Ross, 1980; Taylor & Thompson, 1982), her submissive body posture posed less of a threat, and consequently communicated to the client that Counsellor A could be trusted, subsequently reducing the client’s need for an aggressive response: Counsellor A: […] Their [the client’s] defences are then…their defences are lowered because…Oh…I don’t have to, you know, be this big, aggressive person because the reaction I’m getting from the counsellor is not aggressive and is not threatening. It’s all blind or assumption. They don’t sit there thinking about this. It does happen unconsciously Transcript 4. Focus group 4. Counsellors A and B. Lines 98-101. P.3 According to Counsellor A, non-verbal cues appear to be a powerful determinant in the therapeutic relationship. Researchers (Nisbett & Ross, 1980; Taylor & Thompson, 1982) emphasise the significance of body language when interacting with individuals experiencing learning difficulties and restricted expression, as words represent a complex construct of memory and cognition, whereas non-verbal cues speak to a more primal source they may find easier to interpret. For instance, Counsellor A spoke of a client referred to her because of his aggression, explaining how her reaction, so different from that anticipated, broke through a protective barrier: Counsellor A: […] I must say, when I first saw his face and the size of him, I felt slightly…oooh…I wasn’t scared, but it was like…hmmm…ok, let’s go in. And we were in…we had armchairs when I worked in this particular place, and I could feel myself sinking lower and lower into this armchair as he said something very, very aggressive…sexually aggressive towards me, which I was completely calm about and did not react. He was trying to rile me. He was trying to get the reaction. He was trying to scare me and it didn’t happen. And if anything, 200 when he first said this, I didn’t actually answer immediately. I sort of gave it thought, and let him see I was thinking about what he’d said and then I gave my reply, which was something like…I was wondering how that felt for you to say that to me? And with that, he burst out crying. Transcript 2. Focus group 2. Counsellors A and B. Lines 155-172, p.5 It seemed the client was testing Counsellor A’s boundaries by goading her using sexually aggressive innuendo and hoping to provoke “[…] the reaction […]”. Counsellor A’s phraseology “[…] the […]” reaction, suggested to me she was no stranger to such provocation. Counsellor A asserted the upper hand by letting the client “[…] see [she] was thinking about what he’d said […]” before replying. However, although Counsellor A stated she “[…] did not react […]”, by “[…] sinking lower and lower into [her] armchair […]” it would appear in fact, that she did and that the client had, after all, elicited “[…] the reaction […]” he sought. Nonetheless, Counsellor A’s reaction seemed to undermine her client’s boundaries freeing him to vent emotion: Counsellor B: I see it often they end up crying. You know…if… And actually, that’s quite an important thing to get through, isn’t it. To get through that emotional barrier Counsellor A: Because that barrier can’t be broken without the trust […] that relationship is going to be different from the relationships they experience in the world. And that’s the beginning of building the trust… Transcript 2. Focus group 2. Counsellors A and B. Lines, 73-75, p.3, 177-178 and 187-188, p.6 Counsellor A attributed a lack of trust in young people who bully, to negative expectation, however, her unfamiliar response had enabled the client to trust her, and risk emerging from behind his habitual boundary. Counsellor A hinted at hope for the future; “[…] the beginning of building the trust”, whereby, the client experienced a more secure attachment with his counsellor, dissimilar to 201 other relationships. 4.3.6 Summary of the therapeutic relationship An overriding finding from the current study was that mistrust was engrained in all the young participants, and seemingly a core element of their development. This was evident not only from their responses in the focus group, but also, their behaviour at Centre A. Mistrust was forcefully iterated as a collective fear of backstabbing, in other words, the young people anticipated that they would be maligned without their knowledge. Beaudet and Schwartsman, (1987) a l s o consider that the notion of backstabbing emanates from childhood attachment, where infants are criticised, particularly by their mothers, in front of others. Consequently, I suggest that those from vulnerable backgrounds may perceive the attachment relationship with their counsellor no differently. In the focus group, Jason’s mistrust manifested as a censoring of emotions, that I considered derived from an outmoded or indoctrinated reticence as regards the suitability for him to express emotions. It is interesting to speculate how Jason’s behaviour may have changed had either I been a man, when faced with a male counsellor, or, had the other focus group members have been all males. Certainly his ‘no nonsense’ attitude impacted data gathering as with his logical, but powerful summation of confidentiality, Jason reignited a collective mistrust amongst his fellow members which I have suggested, contributed to them declining individual interviews and parsing their transcriptions. Despite his dogmatic insistence that his business was his alone, Jason unwittingly leaked his emotions through his words, and I contest that with the example of his dog’s death (p.185) Jason once again revealed a 202 vulnerable child. Consequently, to understand the meaning an individual ascribes their life experience demands critical scrutiny of their transcripts as a researcher, and of their words, as a counsellor. For Jason, his fear of self-disclosing was amplified by the belief of a counsellor’s desire to run their clients down. Such doubts extended to his understanding of confidentiality and the conviction that his counsellors, from spite, would inevitably delight in sharing his secrets. I suggested that Jason was preconditioned to believe this as so. Equally, Jason appeared unable to recognise, or understand the difference defining backstabbing from breaking confidentiality, a misapprehension that permeated his ability to disclose in the focus group and counselling alike, and where a more reassuring explanation may have ameliorated his fears. The accepted principle of counselling as a forum for entrusting another with one’s secrets makes counsellor trustworthiness a widely recognised and vital component of the client/counsellor relationship (Gelso, & Carter, 1994; Merluzzi & Brischetto, 1983; Robbins & Haase, 1985; Tyler, 1965). Initial conceptualisation of the counselling alliance represents a significant scaffold upon which the client constructs both a capability for trust and a profile of the counsellor as trustworthy (Gelso, & Carter, 1994), thus confidentiality represents an essential safeguard. In counselling, an individual discloses in a relationship of trust, with the expectation that this information will not be divulged to others without permission (Easter et al., 2004). However, for young people who bully and receive counselling, and whose behaviour implies harm to others, the ethical 203 boundaries guiding confidentiality appear ill equipped. For example, the British Association of Counselling and Psychotherapy (BACP) ethical framework stipulates that “preventing the client causing serious harm to self or others […] may prevent the practitioner from seeking client consent to a breach in confidentiality” (BACP, p.6). “Disclosure may be authorised by […] the law” (BACP, p. 6) and since many types of bullying are now illegal (Metropolitan Police, 2014), I suggest “an uneasy alliance” (Melton et al., 1997, p. 3) between the law and therapeutic jurisprudence. This view is endorsed by Jenkins (2010). Although his research focusses upon confidentiality issues affecting abused children, I believe it has relevance in the current context. His concerns centre on the contemporary “’culture of reporting’” (Jenkins, p. 17) since respecting client confidentiality renders counsellors vulnerable to professional censure for breaching reporting protocols. Target oriented practice favours an evidential approach and the fear is that counsellors respecting young people’s rights to confidentiality may consequently be scapegoated for the “wider failings […] of judicial systems” (Jenkins, p. 17). Jenkins believes that reporting a child also runs the risk that they will simply retract their statement and the care they receive will be jeopardised. In the light of such inconsistency, it seems understandable that the boundaries guiding confidentiality have been misconstrued by young people who bully. Thus, I interpreted, that self-disclosure as to their behaviour represents a conundrum. If they tell, they risk the need to break confidentiality; if they do not tell, attempts to address their behaviour are undermined. Either way, young people who bully may be silenced. 204 Fears surrounding confidentiality resonate with other young people, so that even when counsellors stipulate ethical commitments as to confidentiality, there is fear that such guidelines will not be upheld; an experience described by them as disempowering (Collins & Knowles, 1995; Fox & Butler, 2007; Murgatroyd, 1977). My recommendations regarding confidentiality appear in the conclusion (5.7). Notably, Rousseau et al., (1998) point out, that for young people with manifest insecurities such as the current participants, trusting a counsellor with self-disclosure requires a level of confidence they seldom possess. I consider this, compounded by a misunderstanding, or fear surrounding confidentiality may have contributed to Jason’s reticence. For Andy, despite an apparent knowledge of the rules guiding confidentiality, he seemed neither able to risk self-disclosing to his counsellors, fellow focus group members, nor me, and was so deeply suspicious that he appeared frozen. I contemplated that not speaking, may take as much emotional effort for Andy as speaking. As Lowenthal (1999), explains: Maltreated youngsters tend to develop brains that are attuned to dangers. At the slightest threat, the children will anxiously look for any signals that indicate further abusive attacks. […] The brain becomes organized just for the purpose of survival. The results are that the child victims are constantly in states of high alert that could assist them to avoid further maltreatment but are costly to their optimal development (p.366). 205 Andy exerted such self- control that his emotional energy seemed to bleed into his body, manifesting as confusing and conflicting body language that was both challenging for him to uphold and for me to interpret. The juxtaposition between Andy’s apparent self (unruffled) and his lived self (anxious), reminded me of the true and false self, described by Winnicott (1960) (2.2) whereby cognitive processes located in a false self, created dissociation from emotional experience. However, Smith warns against “being influenced by a specific preexisting formal theoretical position” (Smith, 2004). Consequently, a phenomenological interpretation more consistent with IPA (Smith, 2004) that encapsulates Andy’s predicament comes from Lhati (2002). When describing the effects of childhood trauma upon speech, Johanna, a participant in Lhati’s (2002) study, who has been abused by her father talks of mirror one and mirror two, “I have a mirror. There’s a mirror around me; the emotions of others can’t get inside me, nor can other people see me through the mirror” (P. 199). Perhaps Andy, like Johanna felt he too must live in parallel worlds; one, in which he existed for the sole purpose of the feelings and needs of others and, the other, in which he experienced profound loneliness and emptiness. Debatably, Johanna’s words also reflect a theoretical position, but I would argue that position as making sense of human existence, as the different views afforded by the mirror infer to me an exploration of reality that is compatible with IPA. When considering dysfunctional experience and its effect upon speech, Lahti 206 (2002) refers to the absence of words as a “silent language”, describing this as “the loss of self, the absence of something important […] the language of trauma” (p.200). While the patient’s words reach for the memories and emotions about traumatic experiences the language hidden between the words speaks about the very essence of trauma about a bodily experience and the meaning of trauma to the wholeness/disruption of self (p.200) The damage described by Lahti (2002), spoke to me of a fundamental rupture of self and manifest by, or in, the body; a threat to Andy’s essence of being. I argued that to explore such an experience demands advanced awareness and sensitivity on behalf of counsellors, particularly when seeing young people who use aggression, rather than words, to defend their fragile self-esteem (Lowenthal, 1999). Given his extreme reluctance, when interpreting the data, Andy’s body language provided essential cues, reinforcing the necessity for detailed reflective notes. It was only with Courtney that Andy developed his opinions, her secure disposition and non-confrontational attitude seemingly affording a temporary safety blanket that enabled him to express an opinion. For example, when emboldened by Courtney, Andy agreed that knowing a counsellor in advance of treatment would facilitate trust. Interestingly, when I attempted to expand his thinking, he immediately introverted, clamping his voice and offering no further explanation, 207 suggesting to me that in an individual interview he may have been unforthcoming. It is possible that Andy’s reluctance was attributable to what Bartholomew and Horowitz (1991) referred to as recognisable roles (2.10), a role identity amplified for those who bully who are under pressure not to deviate by other group members (Franzoi, 1996) (2.3). For example, young people who bully develop roles during childhood that are founded upon their dominance and which represent for them a ‘normal’ way of behaving in interpersonal relationships (Bartholomew and Horowitz, 1991), and a camouflage they cannot risk shedding. Either way, I suggest that, when counselling young people who bully, the reciprocal relationship between client and counsellor is therefore meaningful and insightful. For Lucy, mistrust manifest as a sinister vein with the power to regulate her interpersonal relationships. She believed that disclosing to a counsellor you did not know would inevitably equal their untrustworthiness. Like Lucy, other young people have articulated how knowing a counsellor enables an empathic bond between them, assuaging fears surrounding self-disclosure (Fox & Butler, 2007). Given her extreme mistrust, I consider that to facilitate a bond with a counsellor may take time for Lucy, and question the capacity of brief and short-term approaches to meet the demands of relationship building with such guarded clients. In fact, Lucy trusted no-one, and I suggested that it was her overriding suspicion that motivated her caginess. In the focus group, she barely contributed, her reticence seemingly conceived as a weakness by Jason and Andy who frequently 208 overpowered Lucy. For example, her restraint appeared unsurprisingly exacerbated by Andy who, using his own mistrust as a weapon, threatened to enact his fears by spreading Courtney’s secrets once reunited with his peers. Had Lucy participated in an individual interview, she may have felt emboldened to develop her ideas without risk of insult or leaked confidentiality. As previously iterated, Lucy also appeared compromised by language, words seeming to elude her. Perry (1993), and Nash (1997) and Newberger (1997) identified how maltreatment and neglect during infancy (similar to that experienced by the young participants), could affect development, resulting in malfunctioning regions of the brain responsible for the regulation of affect, empathy and emotions. I felt this, in conjunction with the poor language skills found common to maltreated and neglected young people (Lowenthal, 1999), offered a plausible explanation as to the difficulty Lucy had putting her feelings into words. In counselling, she may profit from the play therapy Counsellors A and B described. Despite her reasoning that not all people were untrustworthy and her advanced knowledge of the regulations concerning confidentiality, even Courtney seemed unable to overcome her fear that a counsellor may talk about her behind her back. It seemed that uncertainty about confidentiality resonated with all of the young people, demanding clearer and fuller explanation; specifically that breaking confidentiality did not signify telling everyone, only those relevant staff representing the clinical team. For Courtney, her fears about confidentiality would be improved by getting to know a counsellor in advance of sessions. 209 Courtney’s misgivings seemed primarily to emanate from her lack of faith by being referred for counselling by a school she did not trust, such doubt commuted to the therapeutic relationship. According to Jenkins and Polat (2006) some school staff may project resentment upon pupils missing lessons to attend counselling as they may return distracted. Consequently teachers perceive in-service counselling as an unnecessary diversion from the main function of educating pupils. Further conflict between school and counsellors is thought to arise from legislation regarding child protection which potentially compromises the high levels of confidentiality offered by counsellors. Hence, in-school counselling presents challenges in terms of managing highly sensitive information within a multi- disciplinary context, including the level of trust a young person feels able to invest (Baginsky, 2003). I suggested that consulting with Courtney about receiving counselling prior to referral may have facilitated her engagement, a sentiment that chimes with the UN Convention on the Rights of the Child (Alderson, 2001). In research, this translates as research with, rather than on participants, a concept which, could be improved by increasing young people’s contribution to method design. In the focus group, Courtney showed little reluctance to share her views, in fact she orchestrated many conversations, her ability to develop thoughts, commuted to the other participants. This was most notable with Andy, and I suggested that the maturity she displayed in coaxing him to articulate his opinions, demonstrated genuineness and interest. Similarly, counsellors A and B 210 extolled the virtues of ‘noticing’ and this topic is discussed later in the chapter. Interestingly, of all the participants, Courtney showed a prevalence to blame, most notably, her school, the school counsellor, and one’s parents. Harris (1998) suggested that young people may attribute their negative characteristics to others to extricate themselves from taking responsibility. Perhaps then, blaming others allowed Courtney to avoid scrutiny of her own actions. I would argue however, that since Courtney had felt sufficiently enabled to disclose information to a different counsellor, her comparative caution with school counselling was not the counsellor per se, but that counselling had been originated without her consent and that this had initiated, or amplified her resistance. Either way, it overwhelmed her considerable ability to reason, suggesting that referral was inexorably associated with trust. Researchers identify that how trust is established in the therapeutic relationship is initiated the moment the alliance begins, a matching preference resulting in a stronger alliance (Duncan et al., 2003; Lambert et al., 1998; Lazarus, 1994; Norcross & Beutler, 1997), and improved outcome (Bedi & Duff, 2010). The participant counsellors concurred, suggesting that choice, getting to know a counsellor in advance and taking time to develop the alliance between client and counsellor may well facilitate the therapeutic alliance for vulnerable young people. Given the diversity of opinion expressed by the young participants, it seemed that establishing rapport and building trust in the therapeutic relationship represents a challenge for counsellors. It is nonetheless essential since if clients are to experience self-worth, promoting self-agency through choice empowers clients to unravel their internalised experiences (Bohart & Tallman, 211 1999; Lawson, 1994; Weiner-Davis et al., 1987) (2.8). According to Counsellors A and B, offering choice helped equalise a power imbalance, whilst also countering an indoctrinated presumption that others would negatively pre-judge young people who bullied. Hence, it engendered trust, freeing the young people to experiment with new ways of being in a safe environment. In addition, the counsellors encouraged the young people to express any negative feelings towards them, and this I consider significant since many of the existing anti-bullying interventions place responsibility upon the bully to attend to the victim’s plight, without equal opportunity for their own concerns to be heard. Also, by enabling young people who bully to express negativity, even about themselves, the counsellors model the therapeutic relationship as strong enough to withstand criticism. The problem was exacerbated since some young people, such as Lucy, struggled to find, or even did not know, the words to articulate their problems, whence the counsellors were in accord that play therapy aided expression. Like Counsellor B, I suggest that engaging with clients who struggle to find words presents challenges for counsellors, but without it, some clients will remain custodians of unexpressed emotions. In the absence of words, body language served as an expressive conduit for the counsellors. Certainly, for clients like Andy, who seemingly fought against voicing his emotions, physical clues may supplement an understanding of his psychological state, but the counsellors were agreed this demanded advanced 212 awareness. A counsellor’s non-verbal cues are believed t o b e as influential for clients’ judgements of their counsellors as for counsellors’ of their clients, particularly with relation to trustworthiness (Corrigan et al., 1980; Seay & Altekruse, 1979). The counsellors concurred that their own body language was an important communicator, particularly when facing aggressive clients who expected a hostile response to their behaviour. By modelling submissiveness, the counsellors felt they broke an habitual link, causing the client to stop, reconsider, and moderate their behaviour. On occasions, the counsellor’s unanticipated reaction was sufficient to destabilise the client’s long erected boundaries and to glimpse the opportunity for a trusting relationship with their counsellor. This is significant as Rigby (2000) postulates that, given the opportunity to experience secure relationships, a person may internalise these as a model for prospective alliances, meaning that an insecure beginning is not inevitably predictive of an insecure future. Above all, counsellors A and B considered it to be noticing the client that most aided the therapeutic relationship, primarily as, for young people who bully, focus upon them was associated with miscreant behaviour. For the participant counsellors, attentiveness communicated a genuine desire to empathise with and understand their clients and was consequently essential to building trust. From their research, Strong and Schmidt (1970) agree that trustworthiness is established by the counsellor’s attentiveness to the client’s verbal and nonverbal clues, although non-beneficial curiosity and exhibitionism have the adverse effect. Importantly, counsellor trustworthiness is thought to influence the extent to which a counsellor sways a client’s thinking, and subsequently implicated with change (Merluzzi & Brischetto, 213 is 1983). Moreover, researchers consider that client awareness contributes towards client/counsellor attuning, facilitating the ‘matching preference’ previously alluded to (Duncan et al., 2003; Lambert et al., 1998; Lazarus, 1993; Norcross & Beutler, 1997) (4.4). Hochschild (1983, 1998) ventures that such emotional management arises from the unconscious suppression of feelings, so that an individual’s identity correlates with that defined by their role or by societal convention. It is to this topic that the ensuing section now turns. 4.4 Emotion management 4.4.1 Counsellors A and B From the data, it appeared that the world for many of the young people who bully participating in this study was one where distrust and risk dominated their daily experience of life. For example, for young people who bully, insecure attachment contributed to the erection of emotional boundaries which, if un-surmounted, impeded trust propensity and perception of others as trustworthy: a double-edged sword. To counter such insecurities, it seemed that the young people enacted complex, often unwitting patterns of behaviour to protect their emotional integrity. It consequently felt important to explore how such powerful emotions influenced the counsellors. Counsellor B recounted the intense anger she faced from one of her young clients during sessions: 214 Counsellor B: I work in quite a small enclosed space and to have a large…hormone filled seventeen year old sitting there saying…well watchoo think? (Imitates a tough teenager) and all that sort of thing, and being quite aggressive and in my face. Transcript 2. Focus group 2. Counsellors A and B. Lines 85-89. P.4 Counsellor B’s description of her client as “[…] hormone filled […] and “[…] aggressive in [her] face […]” sounded threatening to me, a sensation exacerbated by the “[…] enclosed space […]” in which Counsellor B provided counselling. Yet, despite facing such challenging emotions on a daily basis, neither counsellor expressed an apparent impact upon themselves. Researcher: Let’s say you’ve had a…your six hour day and you’ve had those challenging clients. How do you feel at the end of that day? Counsellor A: Fine. Pretty good actually Counsellor B: I’m ok Counsellor A: Yeah. I am too Counsellor B: I take the drive home to de-stress and get my head in a good place. Go home. Cook supper Counsellor A: Bit of singing. Glass of wine. Dinner Counsellor B: That’s it Counsellor A: Yeah. Watch something dopey on telly. Fine Counsellor B: Do some of my daughter’s project. Bit of art therapy Counsellor A: We sound casual don’t we? I should be doing masses of reflection Transcript 4. Focus group 4. Counsellors A and B. Lines 485-497. P.15 Going by their post work activities, the participant counsellors suggested they were un-phased by their encounters, “[…] watching something dopey on telly […]” seemingly a panacea. I questioned whether or not their evaluation was genuine for Counsellor A’s comment as to how “[…] casual […]” the counsellors were, suggested to me that the remark was aimed more at convincing themselves. As I reflected in my journal: 215 The counsellor’s calm reaction to their angry clients doesn’t feel entirely authentic. Is this being unconsciously absorbed and then repressed? Recalling the emotional exhaustion I had experienced as a counsellor of young people who bully, by comparison, Counsellors A and B appeared nonchalant about the effect of anger upon themselves. I questioned where their client’s anger was being held and whether, if repressed by the counsellors, such negative feelings could be retained, or would leak through other avenues. For instance, when describing how she challenged angry clients who bully in what she identified as a “[…] calm way […]”Counsellor B’s sentiments seemed to me at variance with her avowal: Counsellor B: You’re not bullying me! I’m not impressed. Let’s just calm down and we’ll start this one again. And sometimes that’s necessary to just sort of lower the temperature and say….you know, sit down! I can’t talk to you while you’re pacing the room. Sit down. If I can’t hear you, why are you shouting at me? Transcript 2. Focus group 2. Counsellors A and B. Lines 97-100. P.3 From her forceful tone and the phrases, “[…] you’re not bullying me […]” and “[…] sit down […]”, Counsellor B appeared unaware of the anger in her voice and I sensed a volatile emotion h a d unpredictably been vocalised without censor from its owner. I was surprised by the vehemence of Counsellor B’s comment, reflecting that the effect upon myself may similarly resonate with her clients, and highlighting Jellema’s (2000) beliefs about the significance of reciprocal relationships in the therapeutic dyad. Counsellor B was not alone, for 216 when presenting a client to her supervisor, Counsellor A seemed likewise to have repressed some anger: Counsellor A: I was literally, stood up in the room, walking round the room, doing the little voice (said in a whisper), getting louder and louder and louder (her volume increases) until I was shouting… Researcher: How did you feel after you had re-enacted your client in that way? Counsellor A: I could let go then. Yeah. Let go of that... Yeah Transcript 4. Focus group 4. Counsellors A and B. Lines 842-850. P.26 Following her re-enactment of her client, counsellor A declared “That’s what that is! Getting rid of it. It’s taking it out of my body”. Given that Counsellor A was “[…] literally shouting […]” I reflected that the “[…] it […]” to which she referred may signify the release of repressed anger. It is difficult to speculate whether this was anger stored within the counsellor on the client’s behalf (the counsellor as an emotional holding pen), or the counsellor’s own unexpressed anger towards her client. Either way, such a response suggested to me that the counsellors h a d repressed emotion but that this vented with or without their control. Contrastingly, when pursuing this theme with counsellor A in her individual interview, she reverted to her original theme concerning her impassive response to anger: Researcher: Just thinking back to the way you described the way you had presented the client…It sounded as if…um…there was a chance you had taken on board some anger from the client and perhaps, in this space, in this opportunity, some of your held up, pent up anger from the client was coming out in the re-enactment of them? Counsellor A: No. I actually feel sad. it’s …it’s sadness in me. Because anger is such a destructive emotion, I think. Yeah…it…it brings up sadness for me, not anger Transcript 5. Counsellor A interview. Lines 259-260. P.8 217 Given Counsellor A’s current opinion, compared to her previous outpouring during supervision, her “[…] sadness […]” expressed a marked emotional shift, and I questioned whether, by replacing anger with sadness, Counsellor A had donned a more palatable mask. In other words, by repressing anger and expressing sympathy, Counsellor A perpetuated an ideational presentation of herself as caring, more in keeping with her profession. Given that Counsellors A and B seemed both to repress anger and enact an ideational role, I argue that for a counsellor to firstly identify, and then own negative feelings towards their client may demand heightened self-awareness and expert supervision. However, when asked how her supervisor had responded to the angry presentation of her client at supervision, Counsellor A described little reaction from him: Counsellor A: […] And the supervisor was just sat there […] Transcript 3. Focus group 3. Counsellors A and B. Lines 844-845. P.26 Counsellor A’s description would suggest that her internalised response went unrecognised. According to Erskine et al., (1999) this omission is attributable to supervisors having their own blind spots which can leave them oblivious to the repressed emotions of their supervisees. Consequently, although supervision is acknowledged by counsellors as helpful, it is also fallible (Erskine et al., 1999), bearing relevance as to how supervisors are trained. In addition, questions arise as to the effect upon their clients when counsellors repress a genuine emotion to replace it with another, for example, how, 218 thereafter, authenticity is maintained in the therapeutic dyad. Counsellors A and B considered self-awareness as an effective way to separate their own emotions from those of the client and to thereby combat this problem: Counsellor A: You’ve got to keep asking yourself questions Researcher: What sort of questions do you ask yourself at the end of a day? Counsellor A: Why did I feel like that? Counsellor B: What am I doing? Counsellor A: What was that? Counsellor B:[…] And I think it’s really important that you have techniques or ways that…that you can come back to all the time. Putting your stuff over there and leaving it there. And I also think it’s important if that happens during a session that you do take time afterwards to reflect, not only on the client’s stuff, but on your own. Because maybe, you do need supervision or to see your own therapist or you need to process something else about your life, which is going back to what you were talking about. Constantly learning about yourself as well as about your clients. But I think self-awareness and that boundary, so that the work with the client is boundaried, keep your stuff over there, is really important. Transcript 3. Focus group 3. Counsellors A and B. Lines 699-702. P.22. Lines 738-745. P. 23 For Counsellors A and B, constantly asking questions about themselves in relation to their clients, helped “[…] put [their] stuff over there […] “, separating it from their clients’. Personal counselling and supervision also surfaced as important outlets for enhancing self-perception and managing the issues emergent from these processes, although, as previously iterated, supervision may have its shortcomings. Counsellor B considered that using these techniques allowed her to “stop […] look […] reflect […] learn from it and work with it”. Seemingly, successful separation was not always possible. For example, in the current study, despite facing angry and emotive clients on a daily basis, 219 Counsellor A was apparently calm: Researcher: …you said that keeping calm was really, really important and I was wondering how the client knows you’re empathising if you don’t reflect back the client’s emotions? Counsellor A: But with words, yes you do reflect back their words but in an empathetic voice, a sympathetic voice…um… and you know, using words like…I’m sorry to hear that…and those type of things, to let them know that you’re hearing what they’re saying…um… You’re hearing what they’re saying, reflecting back their words but you’re not angry. You are calm about it Transcript 4. Focus group 4. Counsellors A and B. Lines 3-5 and 13-17. P. 1 Counsellor A used “[…] words […]” and an “[…] empathic voice […]” as a way of letting the client know that she really understood their anger, although she was not angry but remained calm. Although it would undoubtedly be inappropriate for a counsellor to rage with their client, Bloomfield and Kory (1980) question whether a permanently kindly attitude allows clients the freedom to express negative emotion such as hatred, or whether, by suppressing such feelings, clients will experience a bitter and vitriolic backlash later on. This is important as, for the client, the inability to analyse the counsellors’ negative subjectivity, may compromise the client in counselling (Winnicott, 1994). Possibly, remaining calm provided an important barrier that protected the counsellors from being subsumed by their clients. Counsellor B saw it this way, referring to calmness as necessary for containing volatile emotions. For example, during counselling, and when managing the heated emotions of clients who bully, an oft repeated phrase by Counsellors A and B was “[…] lowering the emotional temperature […]”: 220 Counsellor B: […] it is a question of being very calm if you’ve got someone aggressive, you have to give them the opposite so….um…. you have to give them the opposite experience… it’s been a question of lowering the emotional temperature enough for them to name their distress in an appropriate way rather than just…Waaaah! And shouting about it Transcript 2. Focus group 2. Counsellors A and B. Lines 49-53. P.2 Compared to Winnicott’s (1994) theory regarding acknowledgment of the client’s anger (4.5), Counsellor B experienced that offering her clients “[…] the opposite experience […]”, (calmness as opposed to aggression), diffused energy, preventing aggression from escalating. This counteraction provided a more tranquil space for clients to voice their distress. In addition Counsellor B described how reducing the emotional temperature enabled clients to lower their defences: Counsellor B: …for these young people to get to a place where they can lower the defences enough, because very often the aggression and the bullying is a defence…um….and to get them to lower the defences you have to be very calm and very accepting so that they feel safe enough to say…well, actually, yeah, what this really is about is…..and you get something completely different. Transcript 2. Focus group 2. Counsellors A and B. Lines 57-61. P.2 Counsellor B inferred that unconditional acceptance facilitated the client to explore the source of their aggression, as acceptance and non-judgmentalism provided a safe place where the client could risk exposing their emotional vulnerability: Counsellor A…when they come into our counselling room, they are definitely never met with aggression and it’s..it…could be a bit of a …wow!...what’s going on here then? Why is she not reacting like the world reacts to me? You know we…if anything…um, I lower myself in the seat, I’m very much more submissive, if you like, which is something they probably don’t experience and 221 immediately, there’s a change, er, there’s something….What’s happening here? Why is she doing that? Why is she being like that? Even if it’s unconscious, this will be going on with them. I believe. And…so they’re already….that relationship is going to be different from the relationships they experience in the world. And that’s the beginning of building the trust… Transcript 2. Focus group 2. Counsellors A and B. Lines 67-75. Pp.2-3 By modelling a positive reciprocal relationship and offering her clients an alternate experience, Counsellor A enabled them to question “[…] why she [was] doing that […]”. Subsequently, by lowering herself into her seat, using her body to communicate a non- confrontational attitude, Counsellor A showed the client an alternative way of building relationships; one predicated upon trust. However, as Counsellor B related, “[…] holding the emotions of a client who’s escalating […] [took] a lot of energy […]” such that after a session, she had to “[…] go away and put [herself] back […]”. Counsellor B inferred that holding a client’s anger came with a personal cost as the “[…] energy […]” this required exposed her to emotional vulnerability. Once again, despite claims to the contrary, this suggested to me the inevitable and potentially negative impact upon both counsellor and client from interning a client’s anger: Counsellor B: You’re investing a lot of yourself in holding their emotions, holding your own stuff, keeping the process going in a productive way and for me, I need time after that to just literally relax. To get rid of every tension, to get rid of every thinking that might still be going on… Transcript 6. Interview Counsellor B. Lines 13-15. P1 In order to “[…] get rid of the tension […]” Counsellor B needed time to wind 222 down. Notably, the emotional fatigue and the need for restoration she described in her interview contrasted sharply with the apparent casualness described by both counsellors in their focus group, when relaying how they coped with emotional assault (p.214). In light of these findings, I reflected how the methodological decision for one-to- one interviews had enriched the data. Like Counsellor A, Counsellor B used her body both to communicate calmness, but also to regulate her own emotional condition. She achieved this by “[…] working with [her] own body processes, relaxation techniques […] and mindfulness […]”, perfected as part of her training; remaining “[…] still […]” to ensure […]” what [was] happening […] [did not] escalate to a dangerous place […]”. Christopher and Maris (2010) portray mindfulness as a way for counsellors to attend to thoughts, emotions and sensations in the present, without judgment, whereby cultivating awareness and acceptance of each moment, a process thus used by Counsellor B: Counsellor B: I do a quick body check to make sure that I am relaxed. Have I got any tension in my shoulders, my back? I’m aware of my clothes, I’m aware of my feet, I’m aware of my breathing. I slow my breathing down…Um…I try to keep the client in view but I tend not to look directly at them Transcript 6. Interview Counsellor B. Lines 56-59. P.2 Counsellor B used her body to ground herself, turning her attention to her physical condition, whilst still maintaining awareness of the client. I was cautious that the energy needed to attend to her self-awareness did not detract from remaining present with her client, but Counsellor B thought differently: Counsellor B: I’m very aware of making myself be calm and still and quiet and 223 still be very aware…and… there is that kind of peripheral soft focus until they can come back to where they should be… you’re not adding to the emotional drama in front of you. Transcript 6. Interview Counsellor B. Lines 47-51. P.3 Counsellor B described a “[…] soft focus […]”, an emotional distancing that afforded her temporary tranquility and a stillness that also pacified the client. She considered that providing a safe environment for angry clients allowed them to experiment with new ways of managing their own emotions: Researcher: And how do you use that space that you’ve captured in the moment with them? Counsellor B: Very often, once I can get them back on a chair, we do a little bit of micro analysis of what really happened then. With the minute steps as to what led you to be so upset, quite that angry, quite that anxious. Talk me through it. Um…and they can’t to start with, but after a bit..um…they…they can tell you they felt very angry in their tummy or they felt very tense, or they wanted to hit something. And I’ll say, ok, let’s look at that. Why was that? What…you know…what do you usually do? If you’re not here and you feel like that, what do you usually do? And they go and tell you that they hit somebody or they hit something, they drink, or they…whatever. And you say, well, but you didn’t do that in here. So that, in itself is different. So how’s that for you? How is it that you’ve got angry and you didn’t go and hit anybody? You didn’t hit the door. You didn’t walk out and you didn’t drink. You’ve calmed yourself down and you’re sat in a chair. And for a lot of them that’s massive because it’s the first time that they’ve done that. Transcript 6. Interview Counsellor B. Lines 101-112.P.3 Counsellor B implied that her inner tranquility commuted to the client and calmed them. The departure from habitual aggression highlighted to the client, their ability for an alternate response. Thus, I suggest that such skilled awareness represents a significant step towards addressing the core behaviour of young people who bully. Managing emotions is not peculiar to the counsellors, for I likewise struggled to 224 make sense of the myriad feelings I experienced whilst interacting with the young people as a researcher. The following section develops this thinking, locating my emotions in the phenomenological methodology. 4.4.2 Emotional management for the researcher Kleinman and Copp (1993) write comprehensively about the innumerable feelings experienced by researchers and for me, disquiet came early. From the outset of the first of the young people’s focus groups, the two male participants started to throw pieces of balled paper at each other, and the female participants. They provoked the females using obscene language and Jason furtively kicked them under the table and chided them. Within 10 minutes, this behaviour escalated, with the two females joining in and their conduct degenerated to complete chaos. I was daunted by this process, as to neutralise the situation meant asserting control and yet I was reluctant that my role should be misconstrued by the participants as an authoritative one. In addition, questions asked of the young people in the first ten minutes of their focus group met with blank stares and fidgeting and I had a sinking feeling that, should the participants continually resist, no data would be gathered. As I reflected in the transcript: Researcher: I feel I have met a brick wall. Strangely, I also feel bullied/intimidated as they [the young participants] have ganged up and stare at me as I ask all of these daft questions…this really affects the way I ask the next two questions Transcript 1. Focus group 1. Young people. Lines 78-82. P.3 The impact of the participant’s behaviour was powerful. I experienced feelings of disempowerment and ineptitude, similar perhaps to the victims of 225 bullying, and recalled the research of Dishion and colleagues (1999) as to the potential for contagious problem behaviour within groups. Retrospectively, I debated whether focus groups had been the most effective method to gather data with young people who bully. Desperate to surmount the “[…] brick wall […]”, and nervous that without a theme, the participants would not contribute, I decided to introduce a story stem, with the intention of promoting discussion without causing anxiety (3.9): Researcher: Ok, what we’ll do is, because I get the feeling that you’re finding it quite difficult to talk about it. So what we’re going to do is…we’re going to do some story stems. So, I’m going to start a story (They all laugh) Jason: Oh my God Transcript 1. Focus group 1. Young people. Lines 84-87. P.3 The stuttering and inconsistency of this sentence mirrored my inner turmoil. Rather than ameliorating my disquiet, the participant’s apprehensive reaction to the Story Stem; “[…] Oh my God […]”, triggered unease that further compromised my resolve: Researcher: I remember feeling embarrassed reading the stories as the participants were smirking Transcript 1. Focus group 1. Line 130. P.5 This event motivated considerable personal reflection and I suggest that my anxiety was partly an embodiment of the participant’s disquiet at intruding upon their feelings too soon (4.2). The need for further emotional management surfaced following the introduction 226 of a phrase from Twitter: ‘Some bullies have serious problems of their own and suffer too’. When considering my methodological choices, I recognised that such a comment could have an inflammatory effect upon the group, however it was included to enable articulation of bullying from a third person perspective. Indeed, as previously discussed (4.2, 4.4) the phrase from Twitter did unleash very raw emotions, including some that the young people seemed at pains to repress. According to ethical stipulations, experienced support workers were required to sit in on the focus group process to support participants in case of upset or anxiety. However, following the Twitter excerpt (3.9) in which Jason had daringly declared his distaste of bullying, Jason and Andy united, rounding on the support worker himself: Jason: Can’t bully someone just like that. Phil (one of the support workers in the room) don’t like it when I bloody hit ‘im. Goes ‘ome cryin’ Courtney: As the person who is bullied here…maybe you should talk to us about your feelings [said sarcastically] Andy: Yeah Phil Courtney: (Looking at Phil) Come on then. Tell us a story Phil: I don’t think you lot bully me. I don’t think you mean to be mean to me Courtney: But we are mean to you Phil: But I don’t think you’re mean genuinely Jason: Well, we’re saying we are (All the participants laugh) Transcript 1. Focus group1. Young people. Lines 314-326. Pp.11-12 Following the risk of disclosing his opinion of bullying as immoral, Jason habitually turned to comedy; diluting the import of his statement by making it into a joke at Phil’s expense, suggesting to me, that this unveiling was too big for him to handle. By transferring the spotlight to Phil he passed the unwieldy package of 227 his emotions to the support worker to hold: a metaphor for his life perhaps. Courtney and Andy ‘jumped on the band waggon’, sarcastically suggesting that Phil“[…] should talk to [them] about [his] feelings […]”. It was revealing how, in the face of Phil’s temporary vulnerability, the participants swiftly grouped, swooping together upon their prey. With his opinion that the young people’s meanness was inadvertent, Phil deftly returned play, however, the young people’s collective assertion of their behaviour as intentional eventually deflated the support worker’s resolve. Looking at Phil, his body language seemingly testified to his distress, as he had sunk in his chair and rested his chin in his hands. I was faced with a dilemma as to how best to manage the incident. Eide and Kahn (2008) suggest that qualitative inquiry is unpredictable, sometimes calling for safe boundaries, yet to intervene by stopping the focus group may have identified Phil as a victim, causing further repercussions. Conversely, commitment to my ethical responsibilities as a researcher led me to consider stopping the group to reduce Phil’s anxiety. Hence, I decided to introduce a new topic, hoping that diverting attention from the support worker would alleviate tension in the group. Although this tactic worked, managing these emotions demanded lateral thinking. From the young people’s lack of commitment in the second focus group, it appeared that their anxiety had been somehow communicated to this new session. For the first ten minutes, despite my attempts to engage their interest, the young people played distractedly on their mobile phones. However, this seemed to afford them little satisfaction. In fact, they appeared irritated by their 228 own activities. Jason’s phone rings Andy: Will you stop fucking pinging me. I swear to God… Phil: Jason! Put your phone away please Andy: Yeah Jason. Put your phone away. You’re pinging it at me Jason: my phone isn’t even on Focus group 2. Young people. Lines 58-62, Page 3 Given that they would rather argue than answer the questions posed them by me, I wondered if the young people would go to any lengths to avoid selfdisclosing, highlighting the extreme risk this represented. The effect of the young people’s fractious behaviour caused my fears to mount that little data would be collected if their mood continued. In an attempt to stabilise them and regain some control, I introduced questions about the counsellor as a stranger, hoping to engage the young people’s interest by reintroducing a topic which had ignited their interest in the first focus group. These I aimed at specific participants, calling them by name: Researcher: How about you Lucy? What do you reckon? [How the problem of counsellor as stranger could be overcome](They are all talking over the top of me and really messing around) Focus group 2. Young people. Lines 64-65, Page 37 Rather than galvanising a response, my directive stance had the opposite effect, each question followed by a prolonged silence. Even Courtney, previously so forthcoming with her responses, was disconsolate in the face of questions 229 concentrated at her, her withdrawal leaving me feeling strangely abandoned. As noted under the transcript: I’m not sure what is going on here. The focus group feels as if it could fall apart even though, before it started, the participants seemed genuinely interested in running another group. I wonder if, going through the key themes from the previous focus group has been too much as they encountered truths about themselves that now feel too risky to discuss Focus group 2. Young people. Lines 68-71, Page 3 Sensing my discomfiture, Phil was roused to interject, asking Andy directly whether, or how he considered having counselling may help an individual. Upon Andy’s nonchalant replies that he had no idea, Phil asked with some irritation: Phil: Why not? Can you explain why not? Focus group 2. Young people. Line 118, Page 8 Following Phil’s interjection, I experienced mixed emotions; gratitude, at the temporary respite from responsibility, hope that the familiar relationship Phil shared with the young people may generate conversation, but also a surge of annoyance, as his question had diverted the topic away from that I was pursuing. It seemed that the ethical requirement to have support workers present in the room had introduced contrasting dynamics; one that threatened to distort the data, as the questions introduced by Phil diverted from my original aims, and another that had the potential to generate data, since the young people’s familiarity with Phil engendered more confidence, prompting 230 disclosure. In the event, Phil’s question was met with equal reluctance, in fact, Jason and Andy retreated yet further, declaring that they would not benefit from counselling as they would not go. Since the young participants all received counselling at Centre A, a fact known by both Phil and myself, their fraudulent refute bore testimony to the strength of their resistance. Certainly, following this final declaration, the focus group ground to a halt, all further questions eliciting little, or no response. On this occasion, at least, I reasoned that the participants were harmonious in their intent, and it was interesting to see how united their response could be with a shared objective. Possibly, bullying had become such a familiar response the young people had become inured to it. Given the young people’s complete withdrawal by this point, and their previous apprehension, I decided to ask outright what could be done to enable them. I questioned whether turning off the tape recorder may inspire more confidence and they were immediately and collectively agreed that this would help. The change in their mood was palpable, the young people seeming instantly more relaxed. As I wrote under the transcript: The participants are immediately more relaxed and ironically, start discussing the questions they were asked whilst the FG was being recorded. I rue not being able to turn the recorder back on without saying anything as their replies are the fullest they have ever been, but respect the participant’s confidentiality. Trust is central to them. Focus group 2. Young people. Lines 140-142, Page 5 Of the participants, it was Jason who changed most notably, contributing more 231 fully and more willingly in the following five minutes than he had on any other occasion. Possibly he had, all along, felt the desire to disclose but had been compromised by the extreme mistrust characterising insecure attachment (2.10). I felt the weight of responsibility in accurately remembering his words so that, when these were committed to paper after the second focus group ended, his voice could, after all, be authentically heard. Unlike Jason, Andy and Lucy remained non-committal, Andy giving little beyond his characteristic one word retorts, and Lucy, still vague and withdrawn. For them, I suggest that gaining trust would demand extended time and in research, as well as counselling, may flourish more ably in a one-to-one environment, where they could possibly risk shedding their protective veneer. 4.4.3 Summary in relation to emotion management The complexity of emotional management is reflected in its roots as Hochschild’s (1983) social theory derives from biological, psychological and social elements. Hochschild (1983) puts forward that “emotion […] is our experience of the body readying for imaginary action” (p.218), thereby introducing a biological process. Cognition is involved as this regulates how emotion will be “signal[led]” (Hochschild, 1983, p.220). However, signalling is both influenced by social factors (social appropriateness) and, in response to previous and remembered experiences which have also been subject to social effect (Theodosius, 2006). This notion of prior experience implies the existence of a prior self, which individuals conceive of as continuous (an ongoing representation). However, Hochschild sees the self as moderated by 232 social influence both in the shaping of emotions and once these have been expressed. In other words, how feelings are managed can both affect and effect emotion. She refers to such influences as feeling rules (Hochschild, 1998), defined as “standards which determine what is rightly owed and owing in the currency of feeling” (p.242). Consequently, for Hochschild (1998), emotional management is influenced according to the kind of emotion experienced and how that experience is conceptualised according to the values and norms concerning feeling3. She predicates her notion of emotion management on private life however, in relation to the public sphere, Hochschild refers to the appropriation of emotions for commercial purposes as ‘emotional labour’. This reflects the management of emotion needed to “sustain an outward countenance that produces the proper state of mind in others” (Hochschild, 1983, p.7). To achieve this outcome, she suggests that emotional labour involves two processes known as surface and deep acting. Surface acting describes the suppression of one feeling (like anger) and the display of a more expected emotion (like sympathy). Deep acting describes the internal manipulation of a feeling, such that rather than suppression, the individual actually feels what is supposed of them. According to Theodosius (2006) the concept of repressed emotion was where Freud’s ([2001] 1923) and Hochschild’s theories of emotion management 3 Hochschild does not seem to directly define the values and norms to which she alludes but offers the example of a bride who, on her wedding day, interprets her feelings as happiness, as feeling rules concerning weddings suggest this as the happiest day of a bride’s life. The bride’s subsequent feelings will derive from cultural feeling rules concerning her right to be happy on her wedding day (Hochschild in Theodosius, 2006) 233 parted ways. Rather than considering the original emotion as unconscious, Freud ([2001] 1923) saw this as repressed by conscious interpretation of idealised presentation according to the social context. He argued that the conscious mind now wrongly considered the repressed emotion as unconscious however repressed emotion was volatile and unpredictable and could therefore emerge without being mediated by social factors. This was apparently true of both counsellors A and B who seemingly repressed their adverse reactions, particularly any anger they may have experienced towards their clients. Given their initial and apparently nonchalant experience of counselling aggressive clients, I suggest that their unwitting denial testifies to the power of emotion management which prevented them from even accessing internalised emotions. It was only as the focus groups progressed and particularly, the individual interviews, that the counsellors seemed able to draw back the curtains and release their internalised feelings. The fact that both counsellors A and B gave a very different account of the exhaustion they experienced when interviewed alone, suggested to me that they had indeed inhabited a profile that befitted their profession, since this could not be dropped whilst together. Nonetheless, authentic emotion still leaked through their words and their body language. For example, the strength of their competing self was most evident with Counsellor A’s declaration of getting rid of ‘it’, the lack of noun suggesting that the source could not be named, or perhaps even identified. Counsellors A and B replaced their more negative feelings about their clients with calmness. Although such positive sentiments most likely represent the counsellor’s ethics, it seemed unlikely that they never experienced anger or disillusionment and I questioned how this conflict 234 may influence the authenticity of the therapeutic alliance. Given Jason’s perceived divide between himself and his counsellor, such imbalance may amplify the distance he felt and is of significance since genuineness has been found a noteworthy determinant of a successful bond between client and counsellor. Given the imperfections of counselling supervision in practice, Hochschild’s, (1983) belief that emotions are managed, and Freud’s (1923) theory of repressed emotions, it would seem that, for counsellors, managing negative feelings towards their clients poses considerable difficulty. On the one hand, ownership of adverse emotions means deviating from root conception of their role and yet repressed emotion finds a conduit for expression. Importantly, t h e inability to analyse the counsellor’s negative subjectivity towards their client, may compromise their clients in counselling (Winnicott, 1994). In relation to young people who bully, Winnicott (1994) proposed that, by muffling or repressing their authentic emotions for a client, a counsellor may even inhibit the client’s development. Winnicott proposed that, to analyse “antisocials”, the analyst must “sort out and study his objective reactions to the patient” (p.351). This was important as the patient could only appreciate in the analyst what he (the analyst) was capable of feeling (Winnicott, 1994). So, for example, with patients experiencing love/hate states, should the analyst show only love or hate, they were capable of “killing the patient” (Winnicott,1994: 351). Hence, Winnicott warned that the analyst must not deny that hate existed within them but rather, that hate, justified in the present context, must be identified and kept available for eventual interpretation. 235 Nonetheless, the calmness enacted by Counsellors A and B was described by them as lowering the emotional temperature. Such respite afforded a space where their aggressive clients could risk dropping their emotional barriers, since they were not greeted with an habitual hostile response. The counsellors implied that by offering their clients an opposite experience to that anticipated, they created a safer place that facilitated the first steps towards building more trusting relationships. Aschuler and Aschuler (1984) support the concept of offering an opposite experience, as to respond as expected confirms the same negative behaviour that first angered young people who bully. The articulation of anger is compounded, as although most young people are tutored to express anger appropriately, young people who bully have seldom been socialized to suppress their aggressive responses. Moreover, during adolescence, selfconsciousness and concern with their identity means young people who bully may be angered by any assault of their self-esteem such as; unfairness, criticism and rejection (Alschuler & Alschuler, 1984). Nonetheless, Counsellor B inferred that the ability to evaluate her feelings whilst counselling aggressive clients necessitated concentrated self-awareness, taking its toll by leaving her drained of energy. Counsellor B grounded her emotions using mindfulness, describing the practice of meditation, body scan (a type of guided awareness), and hatha yoga, typically provided as an eight week course (Schure et al., 2011). Mindfulness has been found to limit burnout for mental health professionals (Baker, 2003; Kabat-Zinn & Chapman-Waldrop, 1988) and is believed to improve a counsellor’s effectiveness, by increasing their ability 236 to concentrate and make decisions which benefit the client (Christopher & Maris, 2010). However, uncertainty centres around the personal awareness needed to apply mindfulness during counselling, possibly diverting attention from the client to the inner self (Bishop, 2002; Shapiro, Shapiro & Schwartz, 2000). Consequently, it would seem that remaining calm is a double edged sword. For young people who bully, the calmness consistent with the role of counsellor may repress the expression of essential emotion. For their counsellors however, remaining calm lowers the emotional temperature, offering them some equanimity whilst also facilitating developmental change for their clients. For the young people, managing their emotions seemed to involve a complicated but essential game. For example, their mistrust was such that they preferred to argue if this delayed self-disclosure. In this quest to protect their vulnerabilities, they were united. For example, the extent of their suspicion and risk was most evident at the beginning of both focus groups, when they collectively used their mobile phones and miscreant behaviour to avoid committing. Faced with the prospect of gathering little data, I experienced considerable frustration and disillusionment, countering the young people’s behaviour by assuming a directive approach. This was at variance with both my character, and profession as a counsellor, and upon reflection, I realised I was enacting my own repressed anger, highlighting the effect of emotion management upon researchers. I reflected that my disillusionment may have echoed the sense of 237 disempowerment the young participants felt, or, equally, the sense of futility experienced by those committed to empowering such young people. Thus, this phenomenological framework of analysis has, as Smith (2004) advocates, provided a perspective of lived experience in relation to the participants, the researcher, and their social worlds. When studying vulnerable groups, Kleinman and Copp (1993) write that as researchers, we are often reluctant to expose the negative aspects, fearing accusations of prejudice, or deviating from our own concepts of acceptability. Instead, they advocate challenging the egalitarian view and societal convention by owning and expressing adverse feelings. It is this that differentiates Freudian approaches from more humanistic attitudes, suggesting theoretical training of authors as important. Despite observing the distrust exhibited by the young people at Centre A, I committed to the approaches of more knowledgeable researchers, using their methods instead of my own intuition. Where possible, I suggest that researchers embarking upon studies of such vulnerable young people, move beyond the literature, discuss effective techniques with staff in the know and embed this expertise into the appropriate methods. For example, it was only once the tape recorder was switched off that Jason was emboldened to self-disclose, revealing more in twenty minutes than at any other time. However, by terminating the recording, the authenticity of the young people’s account was reliant upon my ability to accurately recall their words in note form once the focus group was over. However, my ethical commitment to the participant’s beneficence overrode any threat to the data. 238 How to maintain the research stance while remaining true to the ethical imperatives of caring, emerges as a challenge for researchers (Eide & Kahn, 2008). I suggest such sentiments are further complicated by the notion of the double hermeneutic in IPA (Smith, 2004). For Smith (2004) sees this as “the participants trying to make sense of their personal and social world: [and] the researcher trying to make sense of the participant trying to make sense of their personal and social world” (p.40). Between the research stance, ethical imperatives of caring and the researcher’s place in IPA, it was difficult for me to know where to position myself. However, as Eide & Kahn (2008, p.200) point out, “Engaging in dialog as a method of data collection is an active process that not only instigates memories and reflection on the part of the participant, but it can also lead to both unsettling questions and life changes for all involved”. For example by introducing the Story Stem too early, I questioned whether I had thwarted my attempt to hear the voice of the young people and this aroused feelings of guilt, particularly as it had been an attempt to quell my own anxiety. Unlike Jason, the profound mistrust effecting Andy and Lucy remained unchanged once the tape recording had been stopped. No amount of coaxing prompted them to contribute further to discussion. Possibly, they had been deterred by my attempts to introduce the stimuli material too soon. Retrospectively, I consider that had the story stems been introduced later and when trust had been established, Andy and Lucy may have been more receptive. 239 In this respect, the presence of the support worker had dual effect, since his relationship with the young people both facilitated and skewed the collection of data. In addition, since Phil fell victim to the young people’s assault upon him, I was tasked with managing the support worker’s emotions, diverting the emotional energy needed to manage the young people’s feelings and my own; a demand upon my abilities I had not anticipated. I suggest such potential complications demand advanced consideration before ethical stipulations are agreed. When the young people did self disclose, for example, Jason’s declaration of bullying as unacceptable, the enormity of their revelations was too risky for them to hold. It was then that Phil was rounded upon and I suggest that the young people select a scapegoat to take responsibility for feelings they can make little sense of. Historically, the scapegoat signifies the figure of one who carries away misfortune (Zatelli, 1998), a role apparently befitting Phil and perhaps, the victims of bullying. In conclusion, both Freud’s and Hochschild’s theories of emotion management engage with the tensile relationship between internal emotion, outward behaviour and making sense. I suggest therefore that they come from the same stable philosophy as IPA. 4.5 Final summary The world for many of the young people who bully participating in this study is one where distrust and risk predominates their daily experience of life. For example, for young people who bully, insecure attachment contributes to the 240 erection of emotional boundaries which, if un-surmounted, impede trust propensity and perception of others as trustworthy: a double-edged sword. Such caution towards relationship building further enhances insecurity; consequently I find it difficult to envisage when and how the cycle of trust begins. Paradoxically, it is the defence of the complex threat to self which commonly instigates bully behaviours, reinforcing my opinion that until insecure attachment is addressed, bullying will remain. Whether such complicated problems can be meaningfully explored in short-term counselling is unclear however, like Jellema (2000), I have argued that they demand attention from experts and professionals. Counsellors are expected to work according to an ethical framework that delineates the personal values and beliefs incumbent upon those practice; although I have suggested there are times when their who beliefs may suppress, or redefine more instinctive reactions within them, that subsequently moderate interaction. This happens partly as admitting to negative feelings towards a client deviates from the expectations concurrent with that of counsellor. The therapeutic relationship is further defined according to aspects of their personal development that sometimes renovates and at others inhibits the client/counsellor relationship. Supervision is not always a reliable setting for the expression or exploration of such unconscious forces. Consequently, a counsellor’s training and reflective capabilities surface as important mechanisms for enabling meaningful approaches to emotional management. I have suggested that the counselling relationship can represent secure attachment, engendering reciprocal trust between counsellor and client, which emboldens self- disclosure, even as to 241 bullying others. Hence, nurturing secure attachment signifies a critical step for young people who bully. I have stressed that breaking confidentiality requires greater consideration as it is currently an ambiguous and misleading topic for young people who bully, whose behaviour is predicated upon threat to others. This triggers an understandable risk to self-disclosure and a difficult decision for counsellors whose work is founded upon empathy and trust. The participants clearly and mutually articulated how knowing a counsellor in advance, helped allay their fears by facilitating trust and reducing risk. Further compromise of self-disclosure and trust originates from being referred as opposed to self-referral, a situation inhibiting development of an enabling relationship between counsellor and client. Such lack of agency represents a serious impediment for young people who bully. The need for autonomy and for the voices of this marginalised group to be heard has surfaced as an imperative in the current study. Interestingly, although by referring her for counselling, Courtney’s school were theoretically observing the UN Convention for Children, I would argue, that by omitting to discuss referral with Courtney, they fell fowl of its original sentiments. Hence, without uniform interpretation, it would seem that the philosophy of the convention remains open to interpretation. The participant counsellors recognise the challenge of disempowerment occasioned by being referred, and respond by offering choice to their clients, 242 empowering them as equals in the therapeutic relationship. This is significant, as there were several occasions when the young participants felt compromised by disempowerment, highlighting a similarity between how counsellors and clients perceive this element of the therapeutic relationship. Offering young people who bully the counsellor’s undivided attention seems to positively influence the therapeutic relationship. Moreover, the body language counsellors observe as a result enables meaningful work, for without words, it sometimes represents an invaluable outlet for expression as well as an assessment tool for counsellors. Interpreting non-verbal cues works both ways, for the counsellors’ body language also influences the behaviour of young people who bully during counselling. An unexpected theme to emerge, has been how the behaviour of young people who bully is determined by expectation as to how others will respond, but more so, how variously this is enacted by individuals with differing attachment states. For example, Jason displayed a need for self-expression and a desire to repress this, whereas for Andy, the extreme mistrust he experienced towards others paralysed his ability to self-disclose. The participant counsellors expressed advanced awareness of the self/other divide, responding to their clients with kindness and compassion, whereby affording a reaction that countered anticipated hostility. Although this helped to break down barriers, sometimes the reverse occurred, suggesting that in counselling, young people who bully would require an individualised approach to address their idiosyncratic concerns. Notably, it was in response to group threat that the young people were united. For example when Courtney broke rank testifying to the benefits of counselling, 243 and when Jason declared bully as unacceptable. Since they were equally cohesive in their fear of backstabbing, these findings endorse risk as a primary concern for young people who bully. The final chapter of this thesis now concludes by presenting an overview of the study, including my suggestions and recommendations. I start with a reflection of my experiences as a researcher, moving on to an evaluation of the methodology and the methods used, focusing in particular on what was learned. Following on, consideration is given to the three superordinate themes, with a reflective overview as to the influence of attachment, the therapeutic relationship and emotion management for young people who bully and their counsellors. The chapter also incorporates implications for education, research and practice (5.7). 244 5. CONCLUDING DISCUSSION AND RECOMMENDATIONS 5.1 Introduction This thesis is concerned with the lived experience of young people who bully and their counsellors relative to the counselling relationship. Following data analysis, three superordinate themes (See table 3) were identified: attachment states, the therapeutic relationship, and emotional management. In section 5.6, I reflect upon the epistemological relevance of emotional management in relation to IPA. Data analysis identified trust and risk as overriding concerns for the participants and these issues were therefore integrated within discussion of the superordinate themes (4.2, 4.3, 4.4). In the findings chapter, the superordinate themes were discussed in the light of relevant literature. From my experience of counselling young people who bully, I commenced this thesis believing one to one counselling to be an ideal intervention. However, data does not support my optimism and these initial assumptions have been challenged. Findings have shown the complexities of counselling young people who bully and this was reflected in how I struggled during their focus groups. The clash between my conviction as a counsellor and realisation as a researcher provides a further example of the conflict between these dual identities and thus, the interplay between the perceiver and the perceived (1). I begin the concluding chapter by reflecting upon my position as both a counsellor and researcher in the current study. In the ensuing sections (5.3, 5.4, 5.5, 5.6), I evaluate the superordinate themes, offering suggestions 245 for further research and recommendations based on the findings (5.7). I start the concluding discussion however by reflecting upon my research experiences. 5.2 The reflective practitioner When considering reflection, as a counsellor, I would concur with Irving and Williams (1995) when they state that “counsellors are encouraged in training and through supervision to evaluate their interventions, question their assumptions, [and] recognise their biases and prejudices” (p. 107). Nonetheless, I suggest that when contextualised in the Heideggerian concept of reality (3.4.1.1), reflection takes on new meaning as the assumptions which form the totality of our being and give sense, may manifest as incontrovertible truths and therefore as challenging to evaluate. I would also argue that reflection is an intellectual process since it is limited by the words available to access and explain thoughts. In this thesis, I have given meaning through a narrative of my everyday lived experience, a dialogue with myself that has been enhanced through a reflective journal of working with, researching, and observing young people who bully and their counsellors. SchÓ§n (1987, p.26) notes that reflection “serves to reshape what we are doing while we are doing it” and I suggest that this implies a constant monitoring of self that allows the individual to reframe their learning within the shifting context to which it is applied. In counselling, this approach to knowledge has been likened to the internal supervisor (3.9.1) (Casement, 1985) and describes the synergy between the self and the setting that enables a flexible response to learning in the present moment and a greater sensitivity to inform future practice (Johns, 1996). 246 My reflective lens is tuned to the humanistic concepts of caring, which broadly encapsulate an altruistic model of compassion that transcends settings and populations (Qiuting, 2013) and which enables me to live my beliefs and values through reality. Such values were equally articulated by the participant counsellors who spoke of a connection with their young clients that resonated with a parent-child dyad, an empathy that appeared enhanced by their own parenting experiences. This connection was characterised by the counsellor as kind and caring but was limited by the work to be done. For example, although the counsellors spoke of their sadness for young people who bully, they resisted pity, moving their emotional energy from something negative to a positive and motivational compassion, which enabled them to respond to the young people in a more therapeutic way. For instance, for their clients, being listened to and noticed made a difference in caring as they were able to tune in to a reciprocal relationship where they were most available to the client (4.3). I consider that being available and present is a core dimension of caring as it offers a vision of what is needed, even if this cannot be enacted in the moment. Despite Smyth and Holian’s (1999) claim that researchers who study their own organisations can gain a unique perspective of history, culture and the employees, as a counsellor myself, gathering data from participant counsellors has not always been easy. I suggest that foreknowledge can effect data as the presumed knowledge of the interviewer can create a power dynamic, where the interviewee role- plays the counsellor character they consider would impress the interviewing counsellor. Rather than a bias, I consider this introduces multiple perspectives of reality that endorse the impact of subjectivity and which, through 247 reflection, helped me see the import of emotional management in the life of the counsellor. SchÓ§n (1983) refers to the ‘in action’ style of reflection as defining the on-going process it denotes and it was through this developing consideration that I noticed how the relationship between the counsellors and myself was evolving as the focus groups and interviews progressed. Where we had started slightly stilted, rapport grew, until, by the final interviews, a bond existed. This was measurable not only in a sense of comradery, but also as the counsellors allowed me to develop their previous disclosures and I intuited that through trust, the counsellors could risk a deeper exposure. On-going reflection also aided data gathering as carefully reviewing my techniques garnered insight into flaws such as leading questions, which I was able to modify for subsequent interviews. This too may have contributed to building rapport, by nurturing depth. Reflecting upon the data, I am also able to imagine more accurately what the experience of each young person must mean to them. Nonetheless, it is impossible to counsel any more of a person than that which they allow us to see, making personal reflection of great significance in nurturing empathy (Belenky et al., 1986), and allowing me to see each young person as a unique human being. I suggest this is of added importance when researching or counselling young people who bully, whose manifest behaviour can appear the antithesis of their inner fragility. Therefore, enabling a trusting counsellor/client dyad is essential in facilitating disclosure. Through the breaches in trust experienced when gathering data (3.9.4), I reflect that founding an environment where people can express their feelings in safety is essential in counselling. And yet, such caring is a fragile 248 concept as it establishes a benchmark that cannot always be sustained beyond counselling, for example when the young people return to their families. Throughout the research process, extant theory has been assimilated within my subjective and intuitive knowing, which, although it cannot be easily justified, has expanded my consciousness, allowing me to deconstruct my thinking and responses. I suggest that this transformative process (Newman, 1994) aided interpretation of the data, as I was receptive to evolving understanding. Nonetheless, an enduring question has been how I could trust my intuitive self to know if my interpretation of what took place was a representative perspective, particularly because, as a counsellor, I facilitated caring in relationship with the young people who may have been compliant to these therapeutic dynamics. Attempts at thoroughness have been corroborated by checking journal entries to authenticate the narrative, through dialogue with my academic supervisors, and self-reflection. However, since reflection is contingent upon past experience even this process is not free from assumptions and the principle of continuity would therefore suggest the perpetration of certain personal assumptions, for example, conceptualising of Andy as a thug. However, according to Atkins and Murphy (1993), reflection is often triggered by discomfort or curiosity and in the case of Andy, it was my uneasiness at affording him a convenient social label that initiated critical analysis of my thoughts and feelings. Finally, the development of a new perspective emerged, informed by my personal experience and that provided insight as to how young people who bully may be judged, a sentiment I described as central to humanistic reflection (3.9.1). As Teekman (2000) proposes, self-reflection prompted receptivity to new learning, a similar practice I 249 suggest, to the mindfulness referred to by counsellor B (4.3) when connecting to difficult feelings with her clients in the present moment. However, since personal reflection is limited by one's own understanding and experiences, I would argue that the different perspectives provided through counselling supervision are essential in developing reflective skills, challenging assumptions and broadening perspectives. The following section continues by reflecting upon the methodology, the thematic findings, and their relationship to the literature previously discussed. 5.3 Reflecting upon the methodology and methods Extant literature on bullying details large, often longitudinal studies whose focus is upon the characteristics of those who bully, anti-bullying interventions designed to combat the problems this issue provokes, and the intergenerational propensity for aggressive behaviours. Despite an expansive literature search, I uncovered little academic attention to the lived experiences of young people who bully, the reasons that may cause them to perpetuate this behaviour and a paucity of literature relating to how they, or their counsellors, experience counselling. Consequently, I sought a methodological approach that would enable an in-depth exploration of these phenomena and settled for IPA as a conduit to the participants’ lived experience. In sections 3.4 to 3.5, I discussed the ontological and epistemological precepts of phenomenology and how these complimented the underlying 250 assumptions of IPA, most particularly, phenomenology which occupies a Heideggerian critical realist position and is a dominant assumption of IPA. Critical realism was important, as the insecure attachment that so often accompanies a tendency to bully, suggested an unstable perception of self that advocated a fluctuating awareness of reality. As such, part of the rationale for choosing IPA was that its critical realist principles provided the flexibility necessary to encapsulate the young participants’ unsteadiness. For example, a quantitative study (Olweus, 1978) characterises the bully profile as aggressive, lacking empathy, and displaying a positive attitude towards violence. The current study suggests however, that such tendencies develop as a need to defend against internal threat. I advocate that such findings have future implications for education, research and practice. They highlight the complexities inherent in the lived experiences of those young people who bully and subsequently how counselling and policy can appropriately respond to such challenges. In section 5.7, I offer my recommendations. Using a qualitative approach such as IPA to research sensitive topics and vulnerable participants has created some challenging situations which at times, caused me considerable anxiety. There were times, when as a counsellor, I would have responded differently than as a researcher. At the outset I attempted to suppress my professional identity as I feared that analysing data from a counselling perspective may contaminate the data, however this was not possible. Embedding myself in the research this way has necessitated reflexion, to evaluate my interrelatedness in a dialogic 251 relationship with my participants. Reflecting upon analysis of the data, I question how my profession as counsellor has influenced data analysis and the impartiality of the superordinate themes. The risk is that this may have skewed understanding of the participants’ lived experiences and is elaborated upon in section 5.7. My interpretation is intended to make use of the narrative as a source of insight (Yardley, 1990) and I considered that to bracket myself would take concerted emotional energy, detracting from the vigour needed for the data. As Smith (in Finlay 2009), emphasises, a researcher cannot bracket and be hermeneutic, hence, my reading of the data constitutes an inevitable and basic structure of “being in the world” (Heidegger, 1962, p.37). Nonetheless, awareness has been amplified through the use of reflective journals, which helped ground me in the data by identifying the participants’ experiences from my own. Advice given by an academic whilst writing this study recommended I mindfully separate my profession from that as researcher to avoid conflicting duality (McGinn & Bosacki, 2004). Nonetheless, it was often as counsellor that I felt I accessed the essence of lived experience, a double hermeneutic that sat comfortably with the phenomenological methodology of choice (Smith, 2008). It is difficult to conjecture how interpretation would have varied had I hailed from a profession other than counselling. Nonetheless, I recognise that the superordinate theme relating to attachment derived from my experience of counselling young people who bully, and was not therefore, impartial. Such implications are complicated by the similarities Grafanaki (1996) identifies between research and counselling. For example, he describes 252 qualitative research as “a process of systematic inquiry into the meanings which people employ to make use of their actions” (P.2). Such ethos is common to counselling, which also provides an opportunity to interact at a personal level, explore sensitive information and build an alliance with either client or participant (Grafanaki, 1996). Further similarities arise in that gathering data, like entering the world of a client demands “active listening, accurate understanding, warmth, acceptance, genuineness and trust” (Grafanaki, 1996:3; Barrineau & Bozarth, 1989; Mearns & McLeod, 1996, 1994) It is unsurprising therefore that separating such closely allied processes demanded a high level of awareness on my behalf and was not always achievable4. Conflict between the ethical codes governing research and the study aims demanded reflection and a flexible response to resolve them in a meaningful way. In this, the fluidity of IPA facilitated a mutable response to the epistemological goals (Smith et al., 1995, 1999). These were further complimented by the creative stimuli used to encourage conversation whilst allaying the young participants’ anxiety, a topic I develop later in this section. The insights acquired from observing the young people in their own environment helped inform the choice of methods, as I was afforded a first-hand 4 There were times when my “self as counsellor” (Etherington, 1996, p.3) had to be set aside. In counselling, most sensitive and personal issues are faced once a trusting relationship has formed, but time constraints and recognition of my role as researcher meant pushing through boundaries in a way that felt intrusive and uncomfortable. Hence, my profession has been a double edged sword. Without it, exploration of the participants’ lived experiences may not have yielded such depth, and yet there were times when it was difficult to hear participants speaking of challenging topics without reverting to counsellor, exploring their blind spots and nurturing new ways of being. 253 perspective of the young people’s tolerance levels, their capabilities, how they responded to learning stimuli and, their interactional style and thus, the relationship between the theory and practice of data collection. Additionally, the observation period allowed the young people time to familiarise themselves with my presence which I suggest was transferred to the research setting, facilitating some trust between us. Without this, most of the young participants may not have felt sufficiently emboldened to challenge me as they did. Also, from observing the young people interacting naturally, I was provided insight into the acute challenges they faced and the difficulties encountered by staff in their attempts to teach and nurture the young people in their care. In relation to research, I reasoned that, when considering the methods for use with young people who bully, researchers may need to step beyond established designs, to fully embrace the needs of this vulnerable but challenging group. I realise, that the young people refer to an “[in]appropriate working model of human interaction’ (McKeough et al., 1994p. 290), relying on schemas about people and the environment which are predominantly hostile, so that, when together, they are inclined to respond to social situations (their group) with collective aggression. Their united response also speaks of a negotiated allegiance, where the young people’s account of themselves is inextricably related to how others perceive them. Despite careful consideration in this respect, using focus groups to gather data with young people who bully was not without its problems for situating a group of participants with problem behaviour together seemed to perpetuate misconduct that proved challenging for me to contain. In their focus groups such 254 behaviour was sometimes enacted as a collective and formidable hostility against the less vocal member Lucy, at Courtney, for challenging group consensus, and at the support worker Phil, the scapegoat for their anxiety. In this, the shared environment afforded by the focus groups sometimes afforded a fertile setting for contagious aggression. The concentration of the young people was undoubtedly compromised because of their ADHD, and as with the unsettled behaviour I witnessed whilst observing them, similar difficulties with concentration replayed in the focus groups. This made it difficult for the young people to remain focused, such that their attention periodically waned. Given what is known about play therapy for those individuals experiencing ADHD, I suggest that, when studying such participants, researchers introduce an agerelated element of play to their methods that facilitates data collection whilst aiding participants. In addition, for the quietest member, the focus group scenario did not provide a forum for articulation, her reserve seeming exacerbated by more prominent members. Had the individual interviews gone ahead, the one-to-one environment may have provided a space less conducive to maladaptive behaviour and more conducive for the quieter member. Such implications reverberate for research where I suggest that researchers who study young people who bully anticipate reactive behaviour and use the methods most suited to combat this eventuality. In section 5.7, I recommend how research could advance studies into counselling young people who bully. As regards the focus groups and individual interviews with the counsellors, I suggest these were, by and large successful, although I would be disingenuous to deny the influence of a power imbalance resulting from both the participants and 255 myself sharing the same profession. This manifest through the counsellors’ use of language, where I sometimes perceived them to articulate emotions which were seemingly at variance with the commitment they spoke of to their clients. These incidents appear in section 4.2.5 and are reflected upon later in this chapter (5.6). However, the values underpinning my approach to the research relationship are essentially respect and equality and I suggest that by genuinely entering into the relationship, any disparity thawed as the focus groups and interviews progressed. As rapport grew, the counsellors’ trust in me appeared also to mature, facilitating self-disclosure and enabling me to develop the personal and professional elements of the participant counsellors’ work with young people who bully. Overall, the methods used generated rich data which detailed a perplexing glimpse of the lives of these young people, but also, the professional response of Counsellors A and B. For example, according to Counsellors A and B, the young people were their most responsive when afforded choice, a finding supported by my observations at Center A (3.9.1). When extrapolated to research such thinking may be realisable through involving young people in developing methods, where, according to Santelli et al., (2003) youth involvement also promotes development, as communication skills are fostered, alongside problem solving and critical analysis. Of particular importance to young people is helping to develop the research questions, as this affirms the resonance to their lives. Nonetheless, Holland et al., (2010) warn caution at the assumption that inclusive research empowers or equalises participants as, to be effective, it requires significant training in consent, confidentiality and research methods, delivered by researchers. In addition, I consider that for the young people in this study, the learning difficulties and 256 ADHD they experience, may put such inclusion been beyond their remit, whereby amplifying their sense of exclusion. Consequently, any research needs to acknowledge the psychological capabilities of its participants. Given the importance of confidentiality to young people in research (Duncan, 2009; Santelli, 2003), and the ethical concerns articulated earlier (3.9.4) regarding the location of their focus groups, I do feel that consulting the young people as to the location of the research may have modelled a responsible attitude to confidentiality. Also, demonstrating respect for their opinions may have equalised the power balance and aided the establishment of trust between the young people and myself. Evident from the observations I recorded in my journal, is the impact of the young people’s misbehaviour upon their learning and the staff who support them. When researching staff responses to challenging behaviour, Hastings and Brown (2000) concluded that misbehaviour intensified, or was even caused by staff who modelled a lack of understanding, a deficiency of behavioural knowledge and skills and negative emotional responses and attitudes. I proposed however, that Carrie, the majority of the support staff and counsellors A and B, all demonstrated enhanced understanding, applying a sympathetic and empathetic approach to the young people. A possible exception was Phil’s lack of experience in knowing how to curb the escalating victimization directed at him, and Lowe et al., (2007) confirm that less qualified staff experience poorer self-efficacy and compromised emotional responses. In the recommendations section of this thesis (5.7), I offer suggestions to counter this deficiency. As for researchers, Hutchinson et al., (2014) 257 propose that a positive attitude towards challenging behaviour requires contact and interaction with the group and it is true that the period of observation I undertook (3.9.1) opened my eyes to the problems the young people faced, enhancing my empathy. In addition, seeing how the staff at Centre A used visual stimuli provided an informative model which inspired the design of my own methods (Siperstein et al. 2007; Tracy & Iacono, 2008). For example, following the aggression with which the young people reacted to the magazine cutting featuring a celebrity, I resolved to use simple word stimuli such that they would not be distracted by images, and these proved most successful in stimulating debate about bullying. The Story Stems were introduced to the focus group setting to enable the young participants to move from relating from the third person perspective to the first without causing anxiety. In pursuit of this aim, I consider they were effective, for example, in facilitating both Courtney and Andy to relate their attachment experiences from the third person. Allowing their voices to be heard this way enabled idiographic analysis in keeping with IPA (Smith, 2004) and an exploration of the young people’s experiences through a subjective lens and therefore consistent with contemporary attitudes towards children’s rights (Hill, 2006). Additionally, the debate the Twitter phrases triggered featured both group and individual contributions which enabled interpretation of lived experience both from a collective and individual perspective. Accordingly, fears expressed in the methodology chapter (3) that the data may fail to capture the idiographic 258 interpretation espoused by IPA have not been realised. Nonetheless, from the young people’s anxious reaction to introducing the story stem too soon, I have learnt that method design is only half the battle. How to use these with care and sensitivity is of equal importance. Having observed how differently the young people behaved when working alone at Centre A, and how quickly that group aggression reasserted itself once they were re-united, I consider that one-to-one attention may benefit their behaviour, and by default, the staff. From a research perspective, individual interviews may prompt a richer response than focus groups under these conditions. However, when posed questions requiring his individual response, Andy was at his most threatened. Therefore, I realise, that with such insecurely attached participants, the one to one environment may exacerbate risk. I suggest that to explore the concerns of such guarded individuals would require a person-centred approach such as ethnography, where participants could be observed in a nonconfrontational atmosphere. For example, it was when interacting naturally with Courtney that Andy was at his most forthcoming. From Carrie’s experience, I reflected that the tireless commitment to personcentred care when working with young people exhibiting behavioural difficulties, exposed practitioners to personal damage. Like Counsellor B (4.2) I suggest that researchers, counsellors, teachers and support staff, may need to establish their boundaries for acceptable behaviour in advance of working with young people who bully. In fact, Dickson-Swift et al., (2007), advise that for researchers who study participants with problem behaviour, emotional burnout is common, thus they recommend expert supervision and mindfulness training to help nurture 259 self-compassion. For researchers, knowledge of techniques to manage escalating emotions may benefit both them and data gathering. Although anger management is often perceived as an effective intervention for managing aggressive behaviour (Deffenbacher et al., 2002; Gerzina, & Drummond, 2000; Saini, 2009), my concern is that it can be used as a behavioural panacea, suppressing the expression of internalised frustration and pain, before hearing the meaning. Given the emotional and physical abuse experienced by many young people who bully, enabling them to voice this most basic emotion is therefore of importance to research. In section xxx I reflected upon concerns that by remaining calm, the participant counsellors may have unwittingly stifled the expression of anger. I suggest that for counsellors, a priority is acknowledging that anger is present so that the young person need not shout louder to be heard. Thereafter, new strategies can be developed for the appropriate expression of anger. In light of the fight observed between Jason and Andy, an aid to reflection has been the journal kept whilst observing the young people as this brought suppositions to a level of consciousness and awareness. For example, without referring to the entries, my judgment of Andy may have limited my openness to the notion of his own reality. By psychologically attuning to Andy’s plight I was able to reason his behaviour and to realign to my existing beliefs about young people who bully. Nonetheless, this brief exposure to my own prejudices allowed me to see how presuppositions could lead to limited perspectives. In addition, by cross- checking the thoughts and feelings logged in my journal against interpretation of the data, I have gained empathy both about the young 260 people and how they may appear to others, for example, noting my own fear at controlling the focus group, having witnessed Carrie’s struggle in the classroom. Although the period of observation aided an insightful evaluation of young people who bully, the staff who support them, and their counsellors, there were undoubtedly boundary issues involved in maintaining my role, for example, in resisting advances at friendship from the young people and opportunities to help over-stretched staff at Centre A. As Dickson-Swift et al., (2009) comment, “Qualitative health researchers immerse themselves in the settings that they are studying. This immersion involves personal interaction with their participants, with the result that the boundaries between the researcher and the group of people under study can easily become blurred” (p.853). I have learnt that particular challenges are introduced where sensitive topics are being researched, as participants reveal vulnerabilities that compromise the distance between the researcher and themselves. For example, I experienced guilt at nurturing the emotional connection necessary to enter the lives of the young people whilst maintaining my distance, feeling their contribution to be the greater, and possibly exploiting them for the purpose of research. Boundary setting is a recognised strategy to enable emotional distancing (Lonne, 2003). Since qualitative research involves both professionalism and building rapport (Dickson-Swift et al., 2006) thought is needed as to how researchers can maintain appropriate boundaries whilst offering support, particularly when studying participants who experience insecure attachment. Consequently, thought is also needed as to how to sensitively manage withdrawal once research ends, and whether a connection will continue after the research concludes. 261 5.4 Reflecting upon attachment The literature review discussed two key categories of attachment; secure and insecure, outlining how these are internalised to mediate future relationships, specifically, for young people who bully. Of particular relevance was the self/other divide, determining four categories of inter-relatedness that arbitrate relationship building. I summarised that for young people who bully the repercussions of attachment were experienced not just in immediate terms, but also from an intergenerational respect. The considerable extant literature on the intergenerational continuity of insecure attachment largely derives from retrospective reporting. Whilst furnishing a profile of the attachment states of adults, this method is criticised, as perception of the original experience (Rutter, 1995) may be affected over time. With the current phenomenological study, however, attachment was explored in the immediacy of the participants’ lived experience; for example, the differentiation between insecure and secure attachment, and how this determines relationship dynamics with peers and counsellors. I suggest that the highly complex make-up of insecurely attached individuals who bully cannot be accommodated within the simplistic confines of anti-bullying interventions for schools. Later, I recommend how different interventions could be researched (5.7). For example, in the literature review Bandura’s Social Cognitive Theory of the Moral Self (1986, 1990, 1991) (2.7), postulated moral reasoning as linked to 262 moral action by self-regulatory moral agency. However, for young people who bully, defective social skills caused by inconsistent social learning, most notably from primary carers (Caravita & Ginni, 2010), skews perception of moral rules. This enables them to disengage from certain moral principles and is manifest as displaced responsibility and stripping their victims of identifiable human qualities (Bandura, 1990). Such theories are borne out by the findings, where the young participants seemed automatically to round on both fellow participants (4.2, 4.3) and their support worker (4.4.2), in a way that suggested a disengaged moral framework. The literature (Rigby, 2005a, 1999; Sroufe, 1983) reviewed in this thesis supports such findings, for not only are insecurely attached children un-empathic, but they seek attention in negative ways which ironically elicits an angry response confirming the child’s belief about rejection. In this way, insecure attachment redefines a person’s role, affecting their life choices and others around them; moreover it compounds common conflicts and problems. For example, an unexpected finding was how an internalised representation of relationship experiences determined the behaviour of young people who bully. They were seemingly prepared for a negative response from others, and this frequently shaped either a defensive or antagonistic approach to relationship building, including with their counsellors. The participant counsellors expressed advanced awareness of this problem, countering such behaviour by offering the opposite experience, for example, remaining calm even in the face of hostility. This approach received mixed appraisal, sometimes quelling anxiety and, at others, exacerbating it; thus 263 highlighting the significance of reciprocal roles. Such problems increase concern regarding the effectiveness of anti-bullying interventions; for young people who bully both struggle to empathise (Rigby, 2005a) and to build trusting relationships. The findings suggested that moral disengagement may nullify such premises and in chapter 5.7, I present my recommendations regarding anti-bullying interventions. A damaging bi-product of the self/other divide was the young participants’ conviction that they would be talked about behind their backs. I suggested their belief emanated from a sense of themselves as unworthy; in other words, what was said could only ever be negative; a mistrust, predicated upon a sense of others as unreliable. Such impressions emerged through an unexpected channel of blame. The literature suggested that young people attribute blame to their parents, when something in their life goes wrong for which they do not wish to take responsibility (Harris, 1998). Certainly, this seemed true for Courtney, who blamed her school for her poor performance. Notably however, Courtney’s general behaviour was consistent with secure attachment, so blame for her may well have resonated with Harris’s theory (4.2). However, Andy’s conception of blame varied markedly, since his defence of his bullying as deserved by the victim was more suggestive of a moral void. This resonated with the literature attributing blame to mistrust of others’ love and mistrust of being lovable (Baldwin et al., 1993). How Andy blamed thus seemed a statement of uncertainty as to his own worthiness and that of others. Notably 264 however, the concept of worthiness versus unworthiness is a popular theory within counselling circles and therefore represents an example of both the conflicting alliance between my identity as counsellor and researcher, and also, my partiality towards attachment theory. Data suggested that the young participants’ uncertainty was exacerbated by a sense of their counsellors as emanating from a social world to which they could not and did not relate. This perception exaggerated the sense of mistrust, causing Jason to blame his counsellor for talking behind his back. Hence the concepts of the self/other divide and blame are inextricably linked; unsurprisingly given that, even those authority figures who guide young people who bully, sometimes exhibit a blaming culture towards them. For instance, the findings showed that for those young participants who are seemingly insecurely attached, a negative self/other divide propelled much of their behaviour, particularly, a need to defend against risk by erecting emotional barriers. Sadly, such barricades are sometimes misinterpreted as anti-social behaviour, such that, even authority figures, rather than penetrating the characteristic complexities, resort instead to unhelpful ‘finger wagging’. Seemingly, it is such negative judgement that propels the resistance found common to the young participants in this study; authority figures confirming a negative response towards them which mirrors their expectations as to how others will react. Many of the young participants felt that this expectation extended to their counsellors, and that no matter what the problem, counsellors would not help. This is most likely compatible with insecure attachment experiences, where the young people have learnt their 265 needs will not be met. I suggest it is incumbent upon such authority figures, for example teachers to explore new ways of relating to young people who bully and I offer recommendations towards achieving this in chapter 5.7. As discussed in the literature review (2), young people who bully most often fall into the insecure attachment states, where a need to defend their fragile self-esteem can be expressed as aggression. For counsellors to get beyond these hostile boundaries, they may need to find ways to penetrate them without alienating their clients further. However, many of the young participants articulated extreme resistance to counselling, hatred towards their counsellors even, and the findings suggest these are predicated upon the fear and risk of exposing a tender and unstable self. For instance, by conceptualising their counsellors as strangers, the young participants justified not self-disclosing. For Courtney, this was ideally resolved by getting to know her counsellor prior to embarking upon intense counselling. However, I argued that short- term counselling offered little opportunity for such luxury and that, by affording too little time, it exacerbated young people’s felt uncertainty. Such deficiency may offer one explanation as to why few young people engage in counselling. As regards the methods used in this study, I consider that the observation and focus groups with the young people also afforded insight as to their attachment perspectives. For example, Bowlby emphasised that secure attachment is characterised by a safe bond to a significant other, usually a primary carer, and which, if lacking, may manifest as distrust in later relationships. Although no official attachment status had been designated the young people, staff at Centre 266 A told me of the young people’s dysfunctional family relationships, where many of them had experienced either emotional and/or physical abuse, fracturing the familial bond. When observing the young people, I noted in my journal how they were frequently disparaging about the relationship they shared with their parents or carers. Contrastingly, whilst at Centre A, I observed that the bond between the young people was significant. Despite, or maybe because of their seeming insecurity they shared fierce loyalty, for example, refusing to start their lessons so that late comers would not miss out. The females in particular displayed unusual protectiveness and nurturing, by for example, soothing each other (including the males) after failed romances, advising about contraception, drug and alcohol abuse, in what I perceived as matriarchal roles. I intuited that the relationships between the young people may have taken on an extra-dimensional importance due to the insecure attachment with their parents. This sense of allegiance was communicated to the focus groups where, for example, on one occasion, the participants would not start until Lucy arrived and I suggest that their initial reticence in responding to questions was partly attributable to such solidarity, where an unspoken sense of group trust could not be violated by one single member without unspoken agreement from the others. My original concern was that such union may be enacted as a distorted consensus of opinion, however, as the focus groups progressed, individual members periodically surfaced to express their opinions, ultimately progressing to articulate contrasting views. Seemingly, for vulnerable and insecurely attached young people, the interpersonal relationship with their peers takes on an exaggerated importance, with 267 the trust between them, a central mediator. Given that the young people were able to transfer their historical connection to the focus group uninterrupted, I suggest this method as suited to insecurely attached individuals as established trust offered a secure foundation which was strong enough to withstand the challenges to develop later between them. My experiences suggest that pre-established peer trust represents a vital consideration when contemplating the methods to be used if researching insecurely attached participants. In this, the prospective sample consistent with IPA paid dividends as the participants shared homogenous and seemingly binding values which anchored them. Despite their apparent bond, I noticed whilst observing the young people that they were extremely defensive in response to perceived threats to their ego, a defining characteristic of insecure attachment. Their volatile, and therefore precarious relationships often resulted in fracture and during these times, the young people were visibly upset by the isolation they experienced, the girls crying and the boys quiet and reclusive. Camaraderie seemed to offer safety as I suggest it afforded vital affirmation of the young peoples’ acceptability and their identity. Given such unstable self-esteem, it was important that the methods used to gather data were sensitive to the young peoples’ bond and fostered self-worth. Conversely, given the unintentional paring of two female and two male participants, it was also essential that divergence was not stifled, particularly as the focus group provided a shared environment where this connection could be enacted. 268 From this perspective, introducing the phrases from Twitter in a focus group setting proved effective stimuli, both facilitating group confidence and affording an opportunity to articulate individual opinion by progressing from a third person to a first person narrative. This was particularly evident when, despite their seeming insecurity, Andy and Jason felt sufficiently trusting to express divergent opinions as to the morality of bullying. The self/other divide consistent with insecurely attached individuals seemed more evident in the relationship between the participants and myself, particularly the two males, where Andy’s ambivalence and Jason’s anxiety inhibited the formation of a trusting rapport. The counsellors echoed how this relationship dynamic also resonated during therapy. A more empathic connection may have formed over time, however the twenty minute limitations imposed by the participants’ learning difficulties and ADHD compromised the opportunity to nurture this. Between the delays in awaiting Lucy’s arrival, the mistrust towards the research process exhibited by Andy and Jason, and the disruptive behaviour consistent with the participants’ learning difficulties and ADHD, data gathering became a central concern as I feared the twenty minute session would run out before this began. According to the tenets of IPA, time must ideally be taken to both nurture rapport and to sensitively funnel questions from benign information gathering to more probing enquiry. Although establishing a bond with a client is essential, having counselled many young people with learning difficulties using reduced length sessions (30-40 minutes), it is necessary to quickly précis their key concern 269 so these can be worked with in therapy, requiring a more directive approach. I suggest that managing these conflicting demands is similar for the researcher as for the counsellor, where body language, tone of voice and the considerate use of language are essential ingredients for quickly establishing an empathic bond. When studying young people who bully I consider it essential that researchers carefully consider whether or how their methods will be compatible with the myriad challenges this participant group present, respectfully incorporating their impairments whilst still providing the space to develop trust. Perhaps, had the participants been more intimately involved in designing the methods to be used, they may have engaged more fully in data gathering, progressing to their individual interviews. Then, this child-centred approach would have established the relevance of questions for the young people, maximising their sense of ownership. Conversely, had the young people designed their own questions, topics may not have developed of which the young people were previously unaware, and I contest that rich data derived from the stimulus materials used in the current study. In addition, had the young people chosen their own pseudonyms, possibly, they would have felt more represented in the transcript, rather than exaggerating their sense of marginalisation. I suggest that one of the benefits of running a focus group was in affording an overview of how the young peoples’ differing attachment states manifest in relationship with others. For example from his guarded behaviour, Andy was seemingly anxious–avoidant. He limited access to his own feelings and through his language, both rejected and was rejecting of his fellow participants. By seldom deferring to the other 270 participants or seeking their affirmation, he demonstrated less dependence upon their social network or emotional closeness. From a professional perspective, I conjectured that Andy’s internal working model had provided an affective tone (Cicchetti, et al., 1995; Main, et al., 1985) which would cause him to struggle to form trusting relationships with others, possibly resulting in social and emotional isolation. For Andy to benefit from counselling, I suggest counsellors would need an essential framework for understanding the impact of early social/emotional relationships on cognitiveaffective structures. Jason’s behvaiour bore the hallmarks of anxious–resistant attachment (Kobak et al., 1993). Seemingly, his internal working model guided his cognition, language, feelings and behavior as he alternated between exaggerated emotional reactions and social withdrawal. I noticed he was easily overstimulated, quickly frustrated and although his impulsive, sometimes confrontational replies sometimes alienated him from others, during times of stress, he abandoned all social awareness seemingly through desperation to maintain the proximity and attention of both myself and the other participants. He appeared to have an unstable sense of self that left him precarious and exposed amongst the other participants, and which, from his language, was expressed through his difficulty in responding appropriately and contingently to them. According to Dozier et al (2001) similar behaviour is enacted in clinical settings where, for insecurely attached clients, distrust and discomfort with interpersonal issues, contribute to their being less responsive to therapy (Dozier et al., 2001). 271 From the contrasting behaviour demonstrated between Andy and Jason in the focus group, I suggest that effective counselling would demand relevant assessment and individualised intervention. Contrastingly, Courtney, who demonstrated what I perceived as secure attachment related more positively both to the other young participants and me, showing greater personal resiliency, her engaging behaviour triggering responsiveness. Even during conflict, Courtney exhibited a more flexible and socially appropriate emotional reaction and, like Cassidy, (1994) I interpreted that self-agency afforded her more personal control and greater trust in others, which then enabled disclosure. Empowered by a more integrated view of self, she enjoyed a reciprocal relationship, suggesting that by nurturing secure attachment, counsellors enable the therapeutic dyad and their clients (Larose & Bernier, 2001). Of all the young participants, the focus group seemed least facilitative for Lucy who was quiet throughout, only responding if directed a question. She appeared easily cowed by the more forceful participants, suggesting submissiveness. Nonetheless, I consider Lucy’s silence itself as valuable data, as to respond sensitively and appropriately to her attachment needs during counselling would suggest a one-to-one approach, rather than a group approach as better suited. Like the focus groups, the year spent directly observing the young people also provided invaluable information concerning their attachment relationships. From their interactions, I was able to gather information concerning the young people’s communication, degree of conflict between peers and teachers, their perspective-taking skills, and how they resolved conflict. Classroom observations 272 also provided clues as to the reciprocal relationship of staff towards the students, their level of empathy and sensitivity towards the young people’s context based behaviour. For example, recognizing that Jason’s exaggerated expression of distress and attention seeking were in fact, a cry for proximity. 5.5 Reflecting upon the therapeutic relationship In keeping with the literature reviewed in the current study, the therapeutic relationship continually surfaced as a significant element, mediating whether or how young people who bully engage with counselling. My findings departed from established thinking (2.9) as to what inhibits the client/counsellor relationship, whereby augmenting existing knowledge. For example, a striking element of the client/counsellor relationship was a sense of disempowerment, which, although never articulated by the young participants, was implied through their words. Their sense of disempowerment was born of many sources, for example, being referred, as opposed to self-referral. The attitude of the young participants indicated that, the very authority figures who considered them in need of counselling were in fact responsible for generating that need. This was exaggerated if counselling took place within the same environment shared by the authority figures, for example school. One young participant described this as a double-edged sense of subjection which she communicated as a reluctance to engage with counselling, distrust of the counsellor and those who had originally initiated the process. Moreover, although the participant counsellors voiced how an inflated attitude of their authority would communicate disempowerment, their approach 273 was sometimes at variance with their beliefs, for example, giving their clients “permission” as whether or not to engage with counselling and telling them to “sit down”. Such power differential featured in many guises and highlighted a limitation of individual counselling for young people who bully. Both participant counsellors frequently referred to their experience of motherhood as informing the work they did, which seemed significant. I suggest that when providing counselling to young people, there is an unwitting tendency for adult counsellors to assume a hierarchical position that may well be testimony to their role as parents. Equally, it could be posited, that at times, this same maternal experience also provided a dimension to the counsellor’s work with young people that was inherently insightful. Enactment of the counsellor’s role depended partly upon emotional management which I reflect upon in a later section (5.6). Data suggested that a lack of agency on behalf of the young participants emanated from a power associated with the counsellor as healer. Jason contextualised such expectations when relating his experiences of counselling and being ‘ma[d]e better’. I consider the danger that clients will inexorably surrender to this expertise, conceding their autonomy. This is notable, as previous literature (Bohart & Tallman, 1999) (2.11) identifies the significance of client autonomy as both motivating personal investment into counselling and, by default, improving outcome (Manthei, 2007). Later in this chapter (5.7), I suggest how the problem of power can be explored during training. A common thread throughout the thesis was the issue of confidentiality, linked 274 to the young participants’ conviction that their counsellor, as with others in their life would ‘back stab’. This was interesting as it was both something they feared and perpetuated, using backstabbing as a weapon against selfdisclosure. For example, threatening to tell those students not participating in the young people’s focus group of Courtney’s feelings in relation to counselling. This was likewise an attitude projected onto their counsellors, whom the young participants considered would back stab with nothing better to do. A tendency to backstab has previously been recognised in the literature (Beaudet & Schwartsman, 1987), with children rated as aggressive/withdrawn in attachment terms, receiving negative criticism from their mothers. Therefore, I suggest that backstabbing for young people who bully, and by default, breaking confidentiality is predicated upon a connection learnt during development, projected as a certainty onto their counsellors and consequently perceived as a risk. This risk is exacerbated, as the behaviours perpetuated by young people who bully are commonly associated with harming others, an ethical guideline known by them to necessitate breaking confidentiality. Hence they are in a situation that further compromises selfdisclosure. This failure is grounded in the equivocal standards as to breaking confidentiality. I argue that stultifying disclosure for young people who bully has ramifications for practice since counselling should ideally provide a setting where they feel safe to articulate their experiences. Section 5.7 offers my recommendations to address such issues. 275 Discussion as to attachment states pondered whether or how the counsellor’s developmental experiences affect the therapeutic relationship and are enacted during sessions with their client. The findings showed similarities and differences of experiences within the participant counsellors’ group which highlight this. A striking similarity was that both of the counsellors either spoke of or intimated negative developmental experiences. A notable difference was how these were enacted within the therapeutic dyad. For example, Counsellor A recognised her negative developmental experiences, seeing them as an opportunity to enhance her empathic skills and to inform her work. Conversely, Counsellor B, although demonstrating self-awareness, seemed on occasions to struggle with separating her own concerns from that of the client and I felt that she may have been unconsciously communicating a personal need. As researcher, it was equally possible that the participant counsellor had found an effective way of working with rejected clients. Analysis of counsellor B’s narrative engendered considerable reflection for me and I suggested that by sharing my profession with her, the participant counsellor’s narrative may have echoed a power imbalance between us. For example, Counsellor B may have overstated her interaction with clients either to impress me or to mitigate a sense of participant/researcher disempowerment. Equally, there were many examples where the counsellor demonstrated commitment and skill in relation to her clients which have not been included in this thesis as they do not aid the superordinate themes. Based on this and the tendency for those with negative developmental experiences to be drawn to counsel (Fossell & Bonney, 1990; Birsch, 1999; 276 Mar, 2000), I suggest that the connection between a counsellor’s attachment state and its impact upon the therapeutic relationship is not sufficiently highlighted, or effectively addressed. For although previous literature recognises supervision as essential for counsellors to evaluate their performance (4.4) it is not fool-proof (Erskine et al., 1999). In section 5.7 I recommend how, through training, counsellors and tutors could more ably address the effects of their attachment upon the therapeutic relationship. A surprising effect upon the therapeutic relationship came through emotional management. Hochschild, (1983) discussed how a person’s role enactment is unconsciously massaged by them to befit an identity consistent with their perception and society’s. In other words, for counsellors, sustaining an outward countenance consistent with the caring their profession implies. Although one participant counsellor expressed sadness at her client’s anger, this contrasted with her angry re-enactment of an aggressive client during supervision, and a forceful, albeit unconscious anger projected by the other counsellor upon some of her clients. I argued that some of the clients’ anger had been internalised by the counsellors, then repressed, and replaced with a calm response more consistent with their ideational presentation of counsellor as caring. I suggested that replacing a negative emotion towards a client with a more innocuous one constituted a potentially harmful way for clients to make sense of their feelings. Literature (Winnicott, 1994) supported these misgivings, 277 warning that for a counsellor to deny negative feelings towards a client inhibited the client’s understanding of themselves in relationship to another. However, a conundrum exists, as I acknowledge that facing angry clients can be extremely daunting, and feeding back to them any negativity can provoke hostility, as previous literature testifies (Bushman & indeed Baumeister, 1998; Stucke & Sporer, 2002) (2.2, 2.4). With this in mind, it seems that a counsellor might elect calmness as an understandable way to contain volatile emotions. Although the participant counsellors professed to never feeling threatened, by sinking into her chair, I intuit that Counsellor A may well have experienced vulnerability when faced with her client’s aggression, but could not lower her own defences by admitting this, as she must face similar clients on a daily basis. Ironically, it was the participant counsellor’s calm response to their client’s aggression represented that also facilitated the therapeutic relationship, as this an antidote in terms of the client’s expectations. This unanticipated counteraction appeared to destabilise the emotional and aggressive blockades erected by the young clients who bully, enabling exploration of alternate responses in a safe environment. Notably, remaining calm allowed the participant counsellors to notice and engage with their clients. I suggest that it is not calmness per se that enabled clients to abandon the protective structures built to defend them, but the authenticity and acceptance this alternative way of greeting such insecurely 278 attached individuals implied. Based upon this, I contend that the best results are achieved this way. Arguably however, authenticity includes that which is more difficult for clients to hear. For example, it is known that the therapeutic relationship, if based upon such principles as authenticity and acceptance, reflects the qualities of secure attachment (Osofsky, 1980), and that secure attachment, engenders reciprocal trust (Mikulincer, 1998), an important condition for effective counselling (Osofsky, 1980). One of the counsellors implied, that the secure environment she provided her client enabled them to move toward change, by experimenting with new ways of being. This was certainly so for one of the young participants whose self-disclosure as to bullying others was met with a lack of judgement by her counsellor. The ensuing trust this generated between them manifested as greater personal investment in the counselling process that contributed towards building a meaningful alliance. I propose that under such conditions, subjective negativity is reversible, an outcome that challenges the inevitable prediction of insecure attachment as inter-generationally transferred. Whilst qualifying as a counsellor, I reflect that negative feelings towards clients were downplayed by the tutors running the course, whilst the positive were accentuated. I suggest that the skill lies in knowing when, and more importantly how, to relay less positive feedback, so that this too may be used for growth. I concluded that an additional facilitator derived from offering clients choice, a 279 finding compatible with previous literature (Bohart & Tallman, 1999; Rennie, 2004). The participant counsellors evaluated choice as enabling, as it recognised the client as possessing sufficient self-agency to take the necessary steps towards their goals. I suggest that offering choice also profits clients as they feel part of a context, acting and reacting in all manner of ways, rather than isolated because of their problems. 5.6 Reflecting upon emotional management A thought provoking finding was that of emotional management and I have learnt that this concept is a highly complex area made up of contrasting perspectives. Exploring emotional management provided greater knowledge of the counsellors’ lived experiences in particular, as I felt it offered an interpretation that reflected external influences such as pre-defined roles. Smith (2004) offers IPA as a methodology that takes account of contextual social influence. As such, reflecting upon emotional management offered a profound understanding of such epistemological foundations and facilitated a more open-minded appraisal of the data. In chapter 4, I presented emotion management as a socially defined ontology mediated according to socially contrived expectations of behaviour in concurrence with role. For example, the position of counsellor is suggestive of caring and therefore, to behave otherwise would not be compatible with expectation. Social influence over emotions exerted itself both in the forming of emotions and their expression according to feeling rules (Hochschild, 1983). For example, in the workplace, Hochschild (1983) implied, that in order to 280 sustain a proper persona in keeping with the organisation’s profile, both surface acting and deep acting were used by the individual to manipulate feelings so that they reflected the homogenised values consistent with the precepts of their occupation. Data suggested that feeling rules were both socially and culturally defined, hence, like Hochschild (1983), I see emotional management as a two directional phenomenon. Moreover, I suggest that emotional management is not indiscriminate, for those whose emotions are managed can manage other’s emotions in different circumstances. An example is how the counsellors used calmness (consciously or unconsciously) to regulate expression of aggression (4.3). As I have also posited, this view is in keeping with the epistemological underpinnings of critical realism according to Heidegger and therefore, the phenomenological assumptions of IPA. Diversity between the expression of emotions concordant with role and actual experience was also illuminated by the counsellors’ contrasting account of how they managed the emotional fallout from their work with aggressive clients. For instance, in their focus group, the participant counsellors professed little impact arising from their continuous exposure to aggression. I felt unconvinced however, as one of the counsellors qualified her remark by saying she should be doing “[…] masses of reflection […]”. As this was something she had previously emphasised as of significance, the inconsistency between her preceding opinion and her avowed unconcern felt incongruent. Notably, when being interviewed separately, both counsellors spoke of their exhaustion when processing their feelings. 281 I argue that the “[…] casual […]” attitude declared whilst together in the focus group represented what Hochschild (1983) described as societal regulation of values and norms. In other words, whilst together, the counsellors were beholden to such collective precepts, and it was only when apart, that they could define their feelings independently. I suggest that for counsellors to acknowledge emotional exhaustion would narrow the gap between counsellor and client, for an element of their profession predefines emotional resourcefulness. In reality, counsellors experience emotional vulnerabilities similar to their clients, but denying them is both a protective necessity and occupational stoicism. In other words, there are dimensions of emotion that are unconsciously controlled by occupational convention. Nonetheless this does not mean that counsellors are powerless bystanders, for to some extent, their emotional experience influenced situations for the better, and, I contend, as a catalyst for attitudinal change. For instance, although as previously noted (4.4), one of the counsellors repressed any negative feelings towards her client and replaced these with a sadness befitting her position, her sentiments were founded upon a need to give to others that had originated during childhood. Whilst her actions fit with Theodosius’ (2006) theory of giving sympathy as a reparative desire for gratitude, I argue that no matter the original incentive, the counsellor, through her work, perpetuated the ideational principles of caring and giving. Consequently, I suggest that the concept of emotional management has to 282 be viewed in the greater context of the participants’ lived experience. Nonetheless, I recommend management and that the counselling should relationship between be investigated emotional further, my recommendations appearing in section 5.7. For Ekamparan’s (2008) suggestion of counselling as an unconscious incentive to self-heal implies motives that may be unintentionally realised through clients. For example, although one counsellor spoke of her empathy towards her clients, there were times when her discourse suggested an emotional stimulus for this understanding as more congruent with her life than her client’s. For example, she recounted how she forcefully relayed to her clients that they should not bully her, alerting me to potential damage incurred her as a child. From a theoretical perspective, the counsellor’s behaviour seemed consistent with Freud’s (1923) concept as to the volatility of repressed emotions. For despite one of the counsellor’s attempts to replace negative feelings towards her client with unconditional acceptance, she could not moderate her unpredictable repressed emotions for others, according her professional profile. Momentarily, her unguarded self superseded her client’s, affirming that the energy needed to intensively manipulate feelings is indeed “emotional labour” (Hochschild, 1983, p.7). I acknowledge that my own interpretation of both the counsellors’ and young peoples’ dialogue was equally susceptible to the emotional labelling consistent with my profession as counsellor. This represented a dilemma for when attempting to withhold my self as counsellor and analyse the 283 findings as purely a researcher, I felt compromised and unable to engross with the data. Although the essence of the double hermeneutic in IPA describes the use of self as an instrument in both the telling of the participant’s story and interpretation of the emergent themes (Smith, 2004), Giorgi, (1994) questions, the extent to which the researcher is present in this undertaking, recommending that some objectivity is needed to make sense of subjectivity. For example, in my role as researcher/counsellor I was constantly aware of my responsibilities in both positions. I was continually stirred by the vulnerability of the young participants, my instinct being to respond as a counsellor. This desire resonated with the work of Dickson-Swift et al., (2006), when writing of the challenges posed counsellor/researchers in differentiating between research and therapy, a difficulty since, as researchers, particularly qualitative researchers, we have to be ready to face human feelings (Ely et al., 1991). However, responding with empathy and caring threatened to blur the boundaries between the participants and myself. Managing the emotions of the young people sometimes came at a personal cost since I was alert to the damage they had incurred in their lives and felt a huge responsibility to safeguard their fragility and facilitate the trust between us that would enable them to share their stories. But, in listening to their powerful accounts, I absorbed their voices, an emotional experience that I wore like a mantel throughout data gathering. In the quest for objectivity, I am aware that I may have abandoned my counsellor identity somewhat, deferring instead to theory and protocol as protective armour and an example of how my own emotional management has influenced this thesis. 284 However, it was often as counsellor, rather than researcher that I could engage with the data as intimately as Smith (2004) advises when using IPA, affirming the Heideggerian (1962) viewpoint that lived experience is an inevitable construct of one’s being, and therefore, impervious to bracketing. It is also possible that there were times when my profession as counsellor may have influenced data analysis beyond the capacity of conscious awareness. This conundrum represents for me, a limitation of IPA, for whilst it advocates the researcher as equally implicated, authenticity predominantly rests with the researcher’s interpretation. I argue that for the researcher to clearly define their presence when analysing a transcript using IPA may not always be possible if the researcher’s presence is beyond their conscious awareness. Accordingly, onus is upon the reader to evaluate the content as objectively as possible. For the young people, emotional management was pivotal to their existence. Hochschild (1983:22) focussed on the role of emotions for understanding the social world when she said that ‘we infer[red] other people’s viewpoints from how they display[ed] feeling’, and yet, Andy was seemingly able to dissociate emotions from cognition, presenting a cool exterior to the outside world. In reality, I noted in my observational journal how, despite his apparent unconcern, I experienced Andy as a ticking bomb, barely able to contain his anxt, behaviour he exhibited by surreptitiously agitating his peers, flicking paper at them during lesson time. Although his behaviour may have been exacerbated by having ADHD, I interpreted that, rather than disengaging from emotion, Andy 285 battled his feelings. Consistent with Hochshild’s (1983) theory, such manipulation may well have reflected his need to maintain an appearance that was consistent and acceptable within his peer group, where communicating his authentic feelings may have placed him at risk in such a challenging group. Conversely, such emotional management may also have psychologically distanced him from unpleasant, or even unmanageable inner turmoil. If, as Denzin, (1984) suggests, emotionality lies at the intersection of the person and society, then for Andy, finding a place amongst others in which he feels accepted and acceptable poses a significant challenge. Andy was not alone with such turmoil as the data suggested that the young participants teetered on an emotional knife edge, where maintaining their hierarchical identity within the peer group was weighted against a fragile naivety, and where I caught glimpses of them as children. For example, I interpreted that being goaded by their peers as they walked towards the focus group room (3.9.4) may well have contributed to the young peoples’ initial silence in the focus group, where they used their reluctance as a way to both signal to me, and to self-affirm their status, and as a balance for the humiliation they had experienced. Such behaviour exemplifies the importance of social influence upon identity and I suggest, should be a prime consideration within anti-bullying intervention schemes. From the data it was evident that such emotional weighting formed the template for the young people’s interpersonal relationships that was endemic of the self/other divide. This was evident in relationship with their counsellors, where self-disclosure left them exposed, seeming to represent a risk where they would be unable to claw back their protective coating. For example, Jason oscillated between pushing others 286 away and pulling them back, behaviour that I concluded represented both his need to be loved and his fear of being loved; and a personal confusion that threatened his emotional equilibrium. The counsellors were mindful of this internal struggle, recognising that empowerment and choice were an essential counterbalance in the therapeutic relationship and which I suggest is a crucial consideration if antibullying intervention is to have any success. Courtney was seemingly less affected by emotional discord and I concluded that her apparent secure attachment was manifest as a stable sense of identity that provided a firm foundation for self-evaluation. She was able to reason, even when criticised, rather than defaulting to an aggressive response, confirming I believe, that insecure attachment represents an integral part of bullying behaviour. Such findings would suggest that, for counsellors, nurturing secure attachment would represent the cornerstone of change and emotional sanctuary for young people who bully. Both Counsellor A and B agreed that the young people’s aggression was often an emotional reaction to the developmental damage they had incurred, pressures exerted upon them, or something they did not understand in their lives. Consequently, bullying was an expression of distress. A recurrent phrase throughout both the counsellors’ focus groups and interviews was ‘lowering the emotional temperature’ which they used to define the calmness deployed by them to counter the young people’s escalating feelings. The counsellors advocated that to enable young people who bully to lower their defences, meant being accepting, non-judgmental and genuine. In other words, the three core conditions espoused by Rogers 287 (1957), to facilitate effective therapy. It was only then that the young person would feel safe enough to name their distress. When managing emotions, the counsellors combined words with language, Counsellor A using passive body language to signal her lack of antagonism. This was considered important by her as she reflected that young people who bully were commonly confronted by authority figures which either inflamed their behaviour or triggered resentment and defensiveness. Counsellor A observed that her young clients were frequently disarmed by her unexpected response to their aggression, her neutrality helping defuse their mounting anxiety. Counsellor B maintained that the young people also used aggression to express their emotions, as experience had taught them that they would not otherwise be heard. Their behaviour was sustained as the young people were seldom challenged as to the abusive language they used, for, as intended, their victims were submissive. Counsellor B advocated honesty as an essential foundation of the counselling dyad, telling her clients outright when she was uncomfortable with things they said, but then exploring new ways for them to express themselves. The need for emotional management also extended to the counsellor’s well-being where it was necessary for them to establish boundaries defining what was and was not acceptable to them, referring to protocol to endorse their actions. For both counsellors, honesty prevailed in confrontational situations where they were assertive about saying when a client’s behaviour was no longer tolerable. 288 5.7 Recommendations and implications Throughout the concluding sections of this thesis, I have identified areas of concern that might benefit from attention. I now offer my recommendations and implications for education, research and practice. Recommendations in relation to education Specialised knowledge The findings highlighted the myriad complexities associated with young people who bully, in particular, the mistrust they experience when forming relationships. To improve understanding, counsellors need specialist knowledge of, and the skills to, build trusting relationships with such clients, delivered through additional training. These counsellors could also act as representatives on policy boards regulating bullying in schools such that their psychological expertise informed interventions. Given the support workers exposure to bullying by the young participants in the focus group, such learning could be extended to the support staff working alongside young people who bully, whereby equipping them with the knowledge necessary to de- escalate confrontational behaviour. Data suggested that counsellors likewise may benefit from additional training in their work with young people who bully, as the findings suggested they may internalise their client’s anger and that this can be replayed during either supervision or counselling sessions. I suggest that the emotional responses of 289 Counsellors towards aggressive clients are addressed during training, rather than when faced with such clients during counselling, enabling assessment of their attitude in a neutral environment. Addressing the counsellor’s emotions this way may also redress the young participants’ concerns in relation to disempowerment, a vital consideration for young people who bully who are in an inherently confusing and vulnerable situation. Recommendations in relation to further research Extending research to differing communities Given the homogenous sample in this study, I recommend that to extend understanding of bullying, exploration of the experiences of young people who bully, and their counsellors, would benefit from research with participants from different socio-economic backgrounds. Consideration as to alternative approaches to counselling interventions Previous research has in general studied group anti-bullying interventions in schools for managing the effects of bullying behaviour, and these have not always realised sustainable outcomes (O’Moore & Minton, 2005; Menesini et al., 2003). Contemporary therapeutic approaches describe a more holistic approach to resolving the problem of bullying, where families are allocated one counsellor to oversee all elements of a perpetrator’s life. Such strategies are producing effective outcomes (Henggeler et al., 2002; Timmons-Mitchell et al., (2006; Webster-Stratton, 1991), suggesting other methods of counselling intervention as deserving of more research. Further investigation could explore whether approaches such as MST and BPT could be delivered effectively in family therapy with young people who bully, whereby 290 providing a framework for future practice. Confidentiality My study showed potential diversity in the meaning of confidentiality for young people who bully and receive counselling, as discussed in chapter 4. Given that bullying implies harm to others, the guidelines in relation to maintaining confidentiality are consequently ambiguous. This is exacerbated since the complex psychological insecurities experienced by young people who bully predispose them to the expectation that their secrets will be revealed. Therefore, a greater understanding as to the meaning of confidentiality is required by them. Further research is needed to explore the concept of confidentiality for young people who bully and how congruence can be established by the counsellors who treat them. Findings could then be used to evaluate whether existing guidelines are meaningful in all settings. The methods used in research with vulnerable young people The literature reviewed in this study made recommendations as to effective methods for use with vulnerable young people and, when exploring sensitive subjects. These were primarily aimed at facilitating disclosure without causing anxiety (Punch, 2002) and were, at times, successful. However, in my study, I found that by abruptly introducing the stimuli, the felt risk experienced by the young participants was amplified, sometimes inhibiting self-disclosure. In addition, for one young person in particular, the risk he faced in self-disclosing prevented self-expression and it was only in the non-confrontational relationship 291 with another focus group member that he was able to lower his defences. Further consideration is needed, not just of the methods to be used, but how these can be introduced in a meaningful way that enables vulnerable participants. Future research could focus upon more person-centred methods that sensitively compliment the susceptibilities of young people who bully. For practice The impact upon staff of caring for vulnerable young people From observing the young people at Centre A, my study showed the damaging impact upon staff of caring for young people who bully. This was true likewise of the participant counsellors for whom constant exposure to aggressive clients caused exhaustion. Yet, for all of these professionals, the relentless work continued with seemingly little support. Although one counsellor practiced mindfulness, other emotional outlets such as supervision were sometimes lacking. From the literature reviewed any support offered appeared corrective rather than preventative (Christopher & Maris, 2010; Irving et al., 2009). As person-centred work exposes employees to personal vulnerabilities, further consideration is needed as to regular and ongoing support, for example, weekly debriefing and supervision for those staff caring for young people who bully. The counsellor as stranger A significant finding in this study has been the mistrust inherent in young people who bully, and consequently, the level of risk experienced by them in 292 interpersonal relationships. This threat communicated to the therapeutic relationship, jeopardising rapport and was noticeably intensified by the young participants’ perception of the counsellor as stranger. There was general agreement amongst the young people in this study that having the opportunity to know their counsellor in advance would ameliorate their anxiety. Consequently, I suggest that overcoming uncertainty for young people who bully could be buffered by offering such clients an opportunity to meet and greet their counsellors prior to treatment, in an informal group setting. Interfacing with service users in this more approachable way may help break down any barriers that enshrine counselling practice. In addition, these meetings could provide the perfect opportunity for counsellors to explain the nuances of confidentiality more clearly, reinforcing their narrative using posters and literature. Supervision for counsellors According to the participant counsellors, supervision played an important role in raising awareness of their clients and for themselves. Yet, this process appeared fallible. The quality of supervision needs to respond to more assertive counsellors and to identify and separate the personal issues counsellors import to their work so that these are not communicated to clients. Managing emotions towards a client sometimes resulted in these being inappropriately vented by the counsellors, however this was not recognised during supervision. Consequently, supervisors could aid counsellors by encouraging their expression of both positive and negative feelings towards 293 clients particularly when providing counselling to challenging groups such as young people who bully. Then, emotions which deviate from the concepts of acceptability can be explored. Emotion management Emotional management represented a significant finding in this thesis, with the young people, the counsellors and I all affected. Given the unpredictability and volatility of the feelings expressed by young people who bully and consequently, the repercussions for counsellors, I recommend that learning could be enhanced if counsellors attended vocational placements. By this, I mean that counsellors observe young people who bully in their own environment (school, youth club), noting how such individuals interact, their attachment relationships and how they resolve conflict for example, recording their observations in a journal. Hereafter, counsellors from different organisations could liaise to discuss their findings, exchange their views and consider both how counselling could most ably respond to the emotional needs of young people who bully and how counsellors could equip themselves against the impact of such work. Findings suggested that a counsellor’s repressed emotions towards their client was sometimes deviant from the professional role associated with counselling. Such disparity could be addressed through reflexivity, supervision and orientating counselling theory. However, I would also recommend that more rigorous screening is needed, both prior to qualifying as counsellors and as an on-going assessment of suitability, providing more definitive boundaries to guide practice. Counselling may also benefit from the valuesbased recruitment (lately introduced by the National Health Service) which 294 assess the extent to which individual’s attitudes and motives align with the demands of the job, the values of the organisation and the culture of the working environment (NHS, 2014). 5.8 Concluding comments The research objectives guiding this study are (3.1), derived primarily from a review of the literature in relation to bullying and counselling. They were also informed by personal experience of counselling young people who bully and so reflect the complex underlying issues I observed in relationship with such clients. The key objectives were: For the young people To explore the lived experiences of young people who bully and who receive individual counselling. To identify how well young people who bully feel able to express themselves to their counsellor in one to one counselling. To consider whether there are particular barriers or enablers which either facilitate or inhibit the therapeutic relationship. For the counsellors To discover their subjective experiences of counselling young people who bully. To consider whether there are particular barriers or enablers which either facilitate or inhibit the therapeutic relationship. 295 Reflecting upon the findings of this study in the light of the research objectives which informed it, I suggest that young people who bully are dogged by insecurities stemming primarily from their development and which render them fragile and vulnerable in interpersonal relationships. The emergent themes from the data analysis in this thesis reveal how they seem affected; for example, predominantly by an internalised and unstable representation of themselves in relation to others. Counsellors likewise appear vulnerable to unconscious processes including their own developmental experiences and emotion management of their professional profile. They use advanced reflective skills to evaluate such subjectivity although complete self- awareness can be limited by both personal and professional blocks. Consequently, individual counselling for young people who bully does not emerge as a flawless intervention. Counsellors may need specialist knowledge to work with such challenging clients. However, the findings suggest that it is the simple concepts of authenticism and unconditional acceptance which provide a secure platform when counselling young people who bully. I was taken aback by the extent to which the instability experienced by young people who bully influenced their behaviour towards others and this could often be traced to a defence of their flagging self-worth. I related such interactional patterns to a self/other divide (Bartholomew & Horowitz, 1991). Although this relationship model has been known for some time, 296 how it is enacted by young people who bully during counselling appears unrecognised. Moreover, there are commonalities and differences in the way the young people who bully relate to others. Hence it is an important finding, as founding commonalities between counsellor and client are thought to improve outcome. Establishing continuity in the therapeutic relationship may be further compromised, as how young people who bully interact appears influenced by the dimension of reality they occupy at any given time. An unexpected finding was the confusion surrounding breaking confidentiality, an important discovery, since bullying is complicit with harming others. Although most of the young participants did not articulate particular concerns regarding confidentiality, I considered its significance as inseparable from giving voice, as without reliable safeguards the young participants were reluctant to disclose. Insecurity has prepared them to be ‘stabbed in the back’, as their lives are overshadowed by uncertainty, subsequently, confidentiality needs to represent dependability. Equally unanticipated was how impactful internalised experiences were in determining relationship building with young people who bully. This was significant in relation to the therapeutic relationship where a defensive and sometime hostile reaction not only created barriers with their counsellors but exacerbated alienating characteristics. I went through considerable confusion as to how my profession as 297 counsellor intervened upon aspects of the narrative and interpretation, for there was undoubtedly a time when one of the counsellors was fed a leading question as to her affection for a client (4.3). Upon reflection this may well have been an expression of the researcher as counsellor, as I felt the ethical framework defining this profession, did, at that time, conflict with what the participant counsellor was voicing. I felt I had in some way undermined the participant counsellor, upon whose generosity so much depended. Accordingly I experienced some guilt and considerable unease writing of the issue in my thesis. In this, using IPA has proven that, not only does the approach bring to awareness those things unknown to the clients, but to the researcher likewise (Smith, 2004). It seems that developmental insecurities negatively influence how young people who bully interact in relationship with others, including their counsellors, and that this sits at the heart of their confusion. Without such conflict, they may not have to battle the chasm between aggression and fragility, enabling them perhaps to avail themselves of the care they so badly need. Moreover, onus is upon the counselling fraternity to provide a level of expertise that can inform interventions focussed upon achieving this. Perhaps then, the words of Lhati (2002) might read: I have a mirror around me which frees me to look inside myself and at others, seeing them both as trustworthy and loveable. 298 APPENDICES 1. Glossary of terms 2. Summary table of literature review 3. Ethics approval letter from the Research Ethics Committee at the University of Surrey 4. Participant Information Sheet (PIS) 5. Risk Assessment 6. Consent forms 7. Poster 8. Modifications to the Story Stem templates 9. Interview schedule for the young people 10. Interview schedule for the counsellors 11. Clarkson’s (2003)five phases of the therapeutic relationship Appendix 1: Glossary of terms 299 00 GLOSSARY OF TERMS 1. Adult Attachment Interview (AAI) - A model that measures attachment status in adults. 2. Anti-bullying intervention - a planned intercession to combat the effects and repercussions of bullying, most often in schools. 3. Attachment terms: a) Secure – when reunited following separation a child welcomes the return of their carer and is quickly pacified by them. b) Insecure – Anxious (resistant) – following separation infants remain ambivalent towards their carer and are not comforted upon reunion c) Insecure - Avoidant (dismissive) – Upon reunion, infants actively avoid contact and proximity with their carer. 4. Attention Deficit Hyperactivity Disorder (ADHD) - A mental health disorder characterized by inattention, hyperactivity and impulsiveness. 5. Behaviour Parent Training (BPT) - A corrective programme for aggressive behaviour where parents respond to prosocial behaviour with positive affirmation, and to anti-social behaviour with negative reinforcement. 6. Bully courts - A punitive anti-bullying intervention. 7. Bully/victim - an individual who falls in the categories of both bully and victim. 8. Cognitive Analytic Therapy (CAT) - a cognitive behavioural method of counselling where maladaptive behaviours are reformulated. 9. Core Pain - The unexpressed psychological disturbance internalised by an individual following trauma. 10. Critical Realism - The acceptance that stable and enduring features of reality exist independently of human conceptualisation. 11. Cyberbullying -a form of bullying inflicted using various electronic devices. 12. Emotion Management - the self as moderated by social influence both in the shaping of emotions and once these have been expressed. 13. False self - A protective psychological veneer erected by an individual to protect their inner, or true self, from harm. 14. Generation 1,2, and 3 (G1, G2, G3) - A term differentiating Parents (G1), from children (G2), from grandchildren (G3). 15. Interpretative phenomenological analysis (IPA) - A methodology that explores lived experience and how people make sense of that experience 16. Multi-Systemic Therapy (MST) - An holistic programme where a personal therapist is allocated to a family to consider all the issues contributing to their child’s problematic behaviour. 17. Participant Information Sheet (PIS) - Literature that informs recruits in advance as to the format and requirements of any research they participate in. 18. Purposive Sampling - sampling in which the researcher consciously selects specific elements or subjects for inclusion in a study in order to ensure that these elements will have certain characteristics relevant to the study. 19. Reciprocal Roles (RRs) - procedures governing a person’s interaction with others. 20. Self/other Divide - Disunion between how the individual perceives themselves in relation to others. For example: 300 00 a) Secure – Love worthiness plus an expectation of others as responsive. b) Preoccupied – Unworthiness plus a positive evaluation of others. c) Avoidant –Love unworthiness plus a negative disposition towards others. d) Dismissive-avoidant – Love worthiness plus a negative disposition towards others. 20. Shared Concern - A means of working with all those involved in a bullying incident, (perpetrators, victims and bystanders) to provide an acceptable solution to the problem raised by their behaviour. 21. Strange Situation - a behavioural test used to observe attachment relationships between a child and their caregiver. 22. Superordinate Theme - A group of subthemes showing similar characteristics which are gathered to capture a pattern in participants' embodied, emotional and cognitive experiences. 23. Symbolic Interactionism - An interdependent relationship between self and other that emphasises a social symbiosis. 24. Therapeutic Relationship - referring to the model conceived by Clarkson (2003) identifying five phases representing the relationship between client and counsellor (see appendix 11 for the five phases). 301 Appendix 2: Summary table showing examples of the literature reviewed Source Sample/Study description Purpose Results Young people’s attitudes to counselling and mental health treatment Fox, C.L. & Butler, I. ‘If you don’t want to tell anyone else you can tell her’: Young people’s views on school counselling. Brit. J. Guidance & Couns, 35(1), 97-114. To assess the views of young people about counselling. Sample comprised 415 pupils from 5 secondary schools using the TEENCORE Questionnaire and focus group (n=9). To identify both what inhibited and facilitated young people in accessing their school counselling provision. Generally, young people valued having a counsellor available, although 21% indicated a lack of awareness as to service. Approximately one third of pupils stated they would visit the school counsellor, although girls were more likely to than boys. Concerns inhibiting uptake resonated around confidentiality and the counsellor as stranger. Lebow, J. (1982). Consumer satisfaction with mental health treatment. Psych Bulletin, 91(2) 244-259. Assessment of the methods for evaluating consumer satisfaction with mental health services. To assess the effectiveness of different methods designed to elicit the opinion of mental health patients as to the quality of their service. For example, reliability, validity, sources of distortion in patient responses. Researchers conducting consumer satisfaction studies have been insufficiently concerned with method or validity of data. Lack of information about reliability (usually internal consistency). Few attempts to validate the instruments used. Data distorted due to acquiescence. Anti-bullying interventions Mahdavi, J. & Smith, P.K. (2002) The operation of a bully court and perceptions of its success: A case study. School of Psch Int. 23(3), 327-341. An investigation of one strategy to reduce bullying in schools using questionnaires and interviews. Study carried out in a secondary school with 1800 pupils 11-18 yrs and 100 teaching staff. Study focuses upon the year 7 Bully Court. To describe the operation of the Bully Court and consider how successfully it was perceived by staff and pupils. Support for the Bully Court from both staff and pupils, including those who had been through the Bully Court. Approval least consistent from those accused of bullying. Yr 12 mentors found their role rewarding although felt more time could be allocated bullies as well as victims. 302 Olweus, D. (1994). Bullying at school. Basics facts and effects of a school based intervention program. J. Child Psychol. Psychiatry 35(7), 11711190. Review of both literature dealing with the incidence of bullying in schools in Norway and Sweden and the results of a longitudinal study of a school intervention programme aimed at bullying comprising 2500 students, aged 11-14 years (Bergen) and 7000 students aged 8-16 years (Rogaland). To assess the effectiveness of the Olweus Anti-bullying Programme. Bergen study showed (after 8 mths) victimisation reduced by 48% for boys, 58% for girls. After 20 mths, 52% for boys, 62% for girls. Bullying others (after 8 mths) reduced by 16% for boys and 30% for girls. After 20 mths, 35% for boys and 74% for girls. Rogaland study, victimisation increased by 44% for boys and deceased by 12.5% for girls. Bullying increased by24% for boys and 14% for girls (No separate time frames provided). Crothers, L.M. & Levinson, E.M. (2004). Assessment of bullying: A review of methods and instruments. J.Couns & Dev, 82, 496-503 Evaluation of assessment methods: Observation, sociometric procedures, questionnaires and surveys, teacher ratings, self-report, instruments (e.g. Olweus Bully/Victim Questionnaire. Discussion and review of the multiple methods and instruments used in assessing bullying in schools that provide counsellors with guidelines in choosing the most appropriate measurement tool. Bullying assessment should be carefully planned and implemented by a team of multi-professionals. Programmes should be ongoing with data routinely collected at set time intervals. Counsellors should be adequately and frequently trained to conduct assessments. The technical adequacy of each assessment technique should be analysed prior to use. The characteristics of those who bully and effects of bullying Baldry, A.C. (2004). The impact of direct and indirect bullying on the mental and physical health of Italian youngsters. Aggressive behaviour, 30. 343-355. Study conducted with 661 adolescents (54.2% boys & 45.8% girls) with varying socio-economic status. Measures included the CBCL scale for internalising behaviour, the Victimisation and Bully scale and the Positive Relationship with Mother and Father scale. To determine the extent to which direct and indirect bullying and victimisation at school affects mental and physical health, taking account of the relative buffering effect of a positive relationship with one or both parents. During one year, 56.5% of pupils had been victimised but 49.5% of these had also bullied others. Boys are 3 times more likely to directly bully than girls. Girls were more likely to experience internalising symptoms than boys. 303 Hall, H.A. et al., (2008). Genetic and environmental influences on victims, bullies and bully/victims in childhood. J. Childhood Psych and Psychiatry, 49(1), 104-112 Mother and teacher reports of victimisation and bullying collected from 1,116 families with 10yr old twins, using model fitting to examine genetic and environmental liability to be a victim, bully or bully/victim To understand the origins of victims, bullies and bully/victims since they experience elevated emotional and behavioural problems Genetic factors accounted for 73% of variation in victimisation, 61% in bullying with remainder explained by environmental factors not shared by the twins. The covariation between victim and bully roles (bully/victims was accounted for by genetic factors only. 304 Appendix 3 305 Appendix 4 Participant Information Sheet for Young People (Version 2, 22/04/2012) An interpretative phenomenological study of young people who bully and their counsellors Invitation to participate in the study I am a university student. You are being asked to take part in some research. Before this can happen, I need your consent. Please take time to read the rest of this form. If you do not understand what is being done and why, please feel free to ask me. Helping counsellors, having a better understanding of young people’s needs, what makes them happy or unhappy, might improve things in the future. What is the purpose of the study ? You have been invited to take part because you have had some counselling and are between 1118 years old. Do I have to take part? Why have I been chosen No, you do not. If you agree, you will be asked to sign a consent form. You can opt out of the research at any time, without giving a reason or affecting what happens to you in any way. 306 What will happen to me if I take part? You will take part in a focus group lasting 40 minutes with a break in the middle and an interview lasting 20-30 minutes. You will be asked to take part in one group meeting and one interview. You don’t have to talk about anything you don’t want to. Talking with the researcher might make you feel upset. If this happens, staff you know will be there to offer support. What are the good things about taking part? The group and interviews will be recorded but no-one will recognise you as all personal details will be left out. Other people will only be told if it is thought you, or someone else, may be at risk of significant harm. What are the risks? It is unlikely anything good will happen straight away. The research might make things better in the future. Will taking part be kept confidential? The results of the study will be published. No-one, apart from the researchers will know who you are. Who is organising and funding the research? The research is part of a study programme with the University of Surrey. It has been funded by the researcher undertaking this study. 307 The research has been carefully looked over and received favourable ethical approval by the University of Surrey Ethics Committee to make sure patient safety and rights are respected. All participating adults have been CRB checked to ensure their suitability for work with children. For complaints or concerns, please contact: Professor Karen Bryan, Head of the School of Health and Social Care. Email: k.bryan@surrey.ac.uk Phone: Work: 01483 68 2507 Dr Anne Gallagher, Reader in Nursing Ethics, Director, International Centre for Nursing Ethics. Email: a.gallagher@surrey.ac.uk Phone: Work: 01483 68 9462 Christine Tapson. Mobile: 07900022468. Faculty of Health and Medical Sciences. Principle researcher: Christine Tapson. Research supervisors: Professor Helen Allen and Professor Ann Gallagher 308 Appendix 4 Participant Information Sheet For Parents (Version 1, 22/04/2012) An interpretative phenomenological study of young people who bully and their counsellors I am a university student. Your son/daughter is being asked to take part in some research. Before this can happen, I need your signed consent. Staff involved in this research will have been CRB checked to ensure they are cleared to work with children. Please take time to read the rest of this form. If you do not understand what is being done and why, please feel free to ask me. For counsellors, having a better understanding of young people’s needs, what makes them happy or unhappy, might improve things in the future. They have been invited to take part because they have had some counselling and are between 11-18 years old. No, they do not have to take part. If you agree, you will be asked to sign a consent form. Your son/daughter can opt out of the research at any time without giving a reason or affecting what happens to them in any way. 309 They will take part in a focus group lasting 40 minutes with a break in the middle and an interview lasting 20-30 minutes. Your son/daughter will be asked to take part in one group meeting and one interview. They don’t have to talk about anything they don’t want to. Talking with the researcher might make your son/daughter feel upset. If this happens, staff they know will offer them support. There is unlikely to be any immediate benefit in taking part but the research may affect how bullying is dealt with in the future The group and interviews will be recorded. However, no-one will recognise your son/daughter as all personal details will be left out. Other people will only be told if it is thought they, or someone else, may be at risk of significant harm. The results of the study will be published but no-one, apart from the researchers, will know who your son/daughter is. The research is part of a study programme with the University of Surrey. It has been funded by the researcher, Ms Christine Tapson 310 The research has been carefully looked over and received favourable ethical approval by the University of Surrey Ethics Committee to make sure patient safety and rights are respected. For complaints or concerns, please contact: Professor Karen Bryan, Head of the School of Health and Social Care. Email: k.bryan@surrey.ac.uk Phone: Work: 01483 68 2507 Dr Anne Gallagher, Reader in Nursing Ethics, Director, International Centre for Nursing Ethics. Email: a.gallagher@surrey.ac.uk Phone: Work: 01483 68 9462 Christine Tapson. Mobile: 07900022468. Faculty of Health and Medical Sciences. Principle researcher: Christine Tapson. Research supervisors: Professor Helen Allen and Dr Ann Gallagher 311 Appendix 4 Participant Information Sheet for Counsellors (Version 1, 22/04/2012) An interpretative phenomenological study of young people who bully and their counsellors Faculty of Health and Medical Sciences Principle researcher: Christine Tapson Research supervisors: Professor Helen Allen and Dr Ann Gallagher Invitation to participate in the study I am a Doctorate of Clinical Practice (DCP) student. You are being asked to take part in a research study. Before you decide, it is important for you to understand why the research is being done and what it will involve. Please take time to read the following information carefully, and discuss it with others, if you wish. If you require help, the form can be read to you. Ask us if anything is not clear, or you would like more information. Take time to decide whether or not you wish to take part. The purpose of the study This study is designed to collect information about young people and their counsellors who are working together in a therapeutic relationship. The findings will be used to provide a better understanding of young people’s needs and might improve interventions in the future. Unfortunately, the negative effect of children’s development on their future well-being is very common, particularly when problems continue into adulthood. If we have a greater understanding of these problems, we may be able to develop ways of intervening effectively, the outcome could be much better. 312 We already know some of the factors that contribute to young people’s problems such as relationship difficulties and how they were treated as children, but these do not fully explain why some individuals struggle more than others. We want to investigate whether young people feel able to discuss these problems with their counsellor and, if not, what makes it difficult for them. For example, some individuals may have trust issues which prevent them forming relationships with their counsellor. Therefore, it is very important that the views of the counsellors are included in this study. Why have I been chosen? We are inviting young people who have received some counselling and their counsellors to take part in this study. We have chosen individuals aged 11 – 18 years in order to have the best chance of representing young people. Each young person’s counsellor is invited to ensure their opinions help build a better overview. Do I have to take part? No, you do not have to take part. It is up to you to decide whether or not you wish to. If you do decide to take part you will be able to keep this information sheet and will be asked to sign a consent form. If you decide to take part, you are free to withdraw at any time and without giving a reason. A decision to withdraw at any time or a decision not to take part will not affect your future prospects. What will happen to me if I take part? If you decide to take part, a researcher will contact you with details about a focus group and personal interview. The focus group will be held at a set location however the time will be arranged to suit you. The location and the time of the personal interview will both be arranged to suit you. You will be asked to take part in one focus group and one interview. A few days after the focus group, you will be asked some questions by a researcher in a one to one interview. The questions will be similar to those from the focus group but you will have more time to talk about them in depth. 313 You will not be expected to talk about anything you do not want to. After the focus group and interview have been recorded, you will have the opportunity to read through the notes and make any changes you think right. What are the possible risks and disadvantages of taking part? You will have the inconvenience of taking part in a focus group and personal interview. You may feel emotional or upset by the research. If this happens you will be offered support or the process will be stopped. What are the possible benefits of taking part? There is unlikely to be any immediate benefit to you in taking part. This research may lead to the development of new approaches to deal with bullying at some point in the future. Will my taking part in the study be kept confidential? The focus group and individual interviews in this study will be recorded and transcribed. Anonymous quotes from the transcriptions will be included in the final thesis and this may be published. All the information that is collected about you during the course of the research will be kept strictly confidential. You will be allocated an identity code so that none of your personal details are recognisable. The information will be stored on designated computers that are password protected and securely stored. All data about you collected in this study will be treated in accord with the Data Protection Act (1998). Confidentiality will only be broken if information is shared suggesting you, or someone else, may be at risk of significant harm. This would usually be discussed with you first. If you agree, your counsellor will be notified that you are taking part in this study and relevant information about your suitability as a participant will be given to the researcher. 314 What will happen to the results of the research study? The results of the study will be published in International Journals and a PhD thesis. You will not be identified in any reports or publications. Participants may be given a summary of the results. Who is organising and funding the research? The DCP study is being organised and funded by Christine Tapson, in collaboration with the University of Surrey. Who has reviewed the study? The research protocol has been extensively reviewed and approved by the University of Surrey Ethics Committee to confirm that all conditions with respect to patient safety and rights are respected. What if something goes wrong? Any complaint or concern about any aspect of the way you have been dealt with during the course of the study will be addressed; please contact: Professor Karen Bryan, Head of the School of Health and Social Care. Email: k.bryan@surrey.ac.uk Phone: Work: 01483 68 2507 Professor Anne Gallagher, Reader in Nursing Ethics, Director, International Centre for Nursing Ethics. Email: a.gallagher@surrey.ac.uk Phone: Work: 01483 68 9462 Christine Tapson. Mobile: 07900022468. Thank you for taking time to read this information sheet 315 Appendix 5 Risk assessment Risk Emotional distress to participants Solution to risk Experienced support team in place Researcher with advanced counselling skills Observer has significant experience working with disaffected youth Researcher safety Research to be conducted in the presence of experienced support team Researcher has aggressive youth prior experience with Supervisors to be informed before and after each interview Special need distress Focus group and interviews confined to 20 minute sessions Consent form and PIS corded appropriately Researcher and support staff to read related information to participants Emotional distress to researcher Researcher to reflect on stressful events with supervisors and colleagues Researcher to take breaks so as to prevent burn out 316 Appendix 6 An interpretative phenomenological study of young people who bully and their counsellors Consent Form For Participant Young People ï‚· I have read, or had read to me, the information sheet provided. The study has been explained to me in full by the researcher. I have been advised about any possible ill- effects on my health and have had the opportunity to ask any questions about the study. I have understood the advice and information given. ï‚· I agree to the researcher contacting my counsellor about participating in the study and authorise my counsellor to disclose details of any of my relevant medical or drug history, in confidence. ï‚· I understand that I am free to withdraw from the study at any time without needing to justify my decision and without prejudice. ï‚· Having read and understood the above, I confirm that I been given enough time to consider participating in the study and consent to taking part. Name of volunteer (BLOCK CAPITALS) Signed…………………………………. Date ……………………………………… Name of researcher/person taking consent (BLOCK CAPITALS) Signed………………………………… Date………………………………….. 317 Appendix 6 An interpretative phenomenological study of young people who bully and their counsellors Consent Form for Parents • I have read, or had read to me, the information sheet provided. The study has been explained to me in full by the researcher. I have been advised about any possible ill effects on my child’s health and have had the opportunity to ask any questions about the study. I have understood the advice and information given. • I agree to any instruction being given to my child during the study and shall inform the researcher immediately if I my child suffers a deterioration of any kind in their health. • I agree to the researcher contacting my child’s counsellor about their participation in the study and I authorise their counsellor to disclose details of any relevant medical or drug history, in confidence. • I consent to my child’s personal data, as outlined in the accompanying information sheet being used for this study and other research. I understand that their personal data is held and processed in the strictest confidence. • I understand that my child is free to withdraw from the study at any time without needing to justify their decision and without prejudice. 318 ï‚· Having read and understood the above, I confirm that I been given enough time to consider my son/daughter’s participation in the study and consent to their taking part. Name of volunteer (BLOCK CAPITALS) Signed …………………………….. Date……………………………………… Name of researcher/person taking consent (BLOCK CAPITALS) Signed……………..................... Date ................................ 319 Appendix 6 An interpretative phenomenological study of young people who bully and their counsellors Consent Form for Counsellors ï‚· I have read the information sheet provided. The study has been explained to me in full by the researcher. I have been advised about any possible ill effects on my health and have had the opportunity to ask any questions about the study. I have understood the advice and information given. ï‚· I consent to my personal data, as outlined in the accompanying information sheet being used for this study and other research. I understand that my personal data is held and processed in the strictest confidence ï‚· I understand that I am free to withdraw from the study at any time without needing to justify my decision and without prejudice. ï‚· Having read and understood the above, I confirm that I been given enough time to consider my participation in the study and consent to taking part. Name of volunteer (BLOCK CAPITALS) Signed ……………………………………… Date……………………………………… Name of researcher/person taking consent (BLOCK CAPITALS) Signed ……………………………………. Date……………………………………… 320 Appendix 7 321 Appendix 8 Modifications to the Exclusion Story Characters: Mum, Dad, Will No props Dad: I’m home from work Babe Mum: Hello Gorgeous. Mum and Dad hug whilst Will watches Dad: Hi Will. Your Mum and I want time alone. Get up to your room and go on your laptop or something Researcher: Mum and Dad walk to a different room and sit on the settee. They shut the door leaving Will outside Prompt: [If Will goes in to his parents] I thought we said we wanted to be alone [If Will goes to his room] Does Will wish he could be with his Mum and Dad? Why and how the modifications have been made All the young people at Centre A are British. Therefore, the first alteration was changing Mom to Mum consistent with the English pronunciation of the word. The name Dick changed to Will as this is one of the top ten boy’s names in the UK (Baby naming Dilemmas, 2012). In addition, none of the young people at Centre A was called Will, so there was no risk of personalising the story. I did not consider it necessary or practical to provide props for use with the adolescent participants in this study as by 11-16 years, most adolescents can imagine scenarios (Dunn, 1988). Rather than being sent to play with toys, Will is directed to his laptop, this being a more likely form of 322 entertainment for an adolescent. The way Will is spoken to was altered to reflect the speech patterns I observed as used by the young people at Centre A. Modifications to the parent conflict story Characters: Mum, Dad, Grace, Lily Mum and Dad are facing each other in glare positions. Grace is observing Researcher: Lily comes into the room and sees Mum and Dad looking at each other in an angry way Mum: (Angrily) You lost my car keys! Dad (Angrily) No I did not! Prompt: What’s going to happen about Mum and Dad’s argument? How do Lily and Grace feel when Mum and Dad are arguing? Why and how the modifications have been made Modifications to the Adult Conflict story were made upon similar lines to the Exclusion story although this time, two of the top ten girls’ names, Grace and Lily (Baby naming Dilemmas, 2012) were chosen to replace Dick and George. This was done so that females amongst the participants could relate better to the story and also because Dick and George were outdated names. When speaking of the ‘glare position’ Mum and Dad assume, I would not pull an angry face when asking participants to look at me as some participants have Asperger’s syndrome, whence changing expression causes anxiety (Living with Autism, 2012). The handing over of the main child character to ‘sibling’ was also omitted as the Story Stems used in the current research were not acted out, to avoid distraction and because of time constraints. 323 Appendix 9 Interview guide for young people The lived experiences of young people in one to one counselling What made you decide to come for counselling? Could you tell me who decided you have some counselling? How do you feel you get on with your counsellor? How do you feel when you are having counselling? (Prompt: emotionally, mentally, physically) How does having counselling affect your everyday life? (Prompt: relationships, wellbeing between sessions) Identity How would you describe yourself as a person? How has counselling affected how you see yourself? What about compared to before you had counselling? Self-disclosure What do you think you need from your counsellor? (Prompt: practical things, emotionally) How able would you feel to discuss everything with your counsellor? What sort of things make it easy or difficult? (Prompt: criticisms, feeling heard, feeling in charge, confidentiality) What have you learnt from counselling that you continue to use? 324 Appendix 10 Interview guide for the counsellors The counsellor’s lived experience What made you decide to counsel young people? What is it like for you providing counselling to young people who bully? How do you think young people who bully experience counselling with you? Selfdisclosure How much do you think your clients share with you? Could you tell me what aspects of the therapeutic relationship enable or disable selfdisclosure? The therapeutic relationship What processes do the young people go through in deciding to get counselling? How do you communicate to them what is happening during a counselling session? Could you tell me how you assess whether your viewpoint of counselling is the same as your young clients? How do you assess the way your clients are experiencing counselling? What affect, if any, does counselling have upon your clients outside of their sessions? 325 Appendix 11 Clarkson’s five phases of the therapeutic relationship (1) The working alliance: This describes what enables both the client and the therapist to work together and includes the contract, the presenting issues and acknowledgement that the alliance between counsellor and client is peculiar to the circumstances but may not exist beyond the therapeutic relationship. Nonetheless, it facilitates a foundation, so that, if the relationship falters, both parties can return to the contract and try to repair the therapeutic alliance (known as a reparative phase). (2) The transferential/ countertransferential relationship: This describes a strong feeling towards another which is rooted in the ‘presenting past’ (also known as transference) and may occur when a client reminds a counsellor of someone from their past. Counsellors are encouraged to explore such feelings towards their clients to either prevent, or work with countertransference, a reaction to a client that emanates from a past relationship. (3) The reparative/ developmentally needed relationship: Many clients come to see a therapist needing a parent figure to support them through the personal growth they hope for during therapy. In this instance, Clarkson (2003) considered the therapist filled this nurturing role: “The developmentally needed or reparative relationship is an intentional provision by the psychotherapist of a corrective, reparative, or replenishing relationship or action where the original parenting was deficient, abusive or overprotective” (p.113). Once the client became autonomous, the emotional support of the therapist lessened, at which point therapy usually terminated. (4) The person-to-person relationship: The person-to-person relationship describes a connection with clients established upon trust and a deep rapport between client and counsellor. The concept of the person-to-person relationship emanates from the work of Carl Rogers (1951) and is established upon the three core conditions of empathy, congruence and unconditional positive regard. 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Although they share existential and phenomenological principles such as exploration of personal identity, establishing a methodological approach that complimented my research objectives felt very important. 01.09.2012 Having read extensive literature relating to IPA, I decided that it’s phenomenological framework ably suited my quest to understand the lived experiences of my participants. Of concern therefore, was the concept of bracketing myself as a researcher, as I reasoned that my presence alone was a statement of assumption. This proved something I struggled with throughout the research, as there were times when my influence over the data was unconscious. As such, despite much reflection, I was not always impartial. This realisation came retrospectively and I have used excerpts from my reflective journal to highlight the limitations of my self-awareness. 03.09.2012 At a conference I attended, Claire Bloom spoke of her many years’ experience working with and researching young people with challenging behaviour such as my participants. She said that when working with such individuals, we use defence mechanisms to shield ourselves from 372 the impact. She asked if we can put our own needs aside and become childcentred. I considered this a particularly challenging question, as to do so would leave us vulnerable. This took on relevance when researching young people who bully and it was sometimes necessary to erect emotional boundaries to keep myself safe. The conundrum as to how to shield ourselves from emotional abuse, versus a child-centred approach represents something I would like to explore as part of my continued professional development. 30.09.2012 The relevance of a theoretical concept known as reciprocal roles came alive during my first focus group with the participant counsellors, particularly, how important it is for counsellors to be aware of these in relationship with their clients. If a counsellor is dominant, a client can respond by being submissive. This was interesting as one of the counsellors dominated the conversation with me and when I listened to the transcription, I realised I had been submissive in return. It was fascinating to hear how I had moderated my behaviour without conscious awareness. I reflected how influential a counsellor’s persona is over their client’s and resolved to extrapolate this experience to future practise. 20.11.2012 The young people responded encouragingly to the consent forms! All but two were enthusiastic and earnest about the topic. They explained that bullying was something they had both endured and perpetuated and were therefore keen to take part. One of the boys was reticent, claiming he couldn’t be bothered to read the forms. When I offered to read them to him he argued about the content and from this, I intuited he was interested. Afterwards, I reflected that his initial reluctance and defensiveness may have been the fear of exposing his inability to read in front of his peers. Despite the ethical stipulation to read consent forms to participants when 373 necessary, I realised that this must be undertake with sensitivity. 16.12.2012 First focus group with the participant counsellors Today, I undertook the first focus group with the participant counsellors who gave willingly to the focus group. However, feeling constrained by my role as researcher, I repressed my professional identity as a counsellor and was unable to respond as warmly as I would have liked. I sensed a conversation power imbalance because of this. This occurrence caused me to question my methodological choice to use IPA as the double hermeneutic Smith (its founder) describes, emphasises the researcher’s use of self in making sense of the participant’s experiences, and yet, to have gone into counsellor mode would have skewed the focus group. I realised I had gone full circle and returned to the problem of bracketing. 20.12.2012 Transcribing – I was very aware that I asked one leading question to a participant counsellor, based upon extant literature which related to her narrative. Smith warned of importing adjunct theories and I resolved to be transparent about my mistake when writing up. As a counsellor, I use theory to support my thinking, particularly during supervision. Possibly, I feel safer when supported by theory, fearing the risk if I defer to intuition alone. This may emanate from my childhood and is a concept I would like to explore within personal therapy. 21.12.2012 I was aware that one of the participant counsellors interrupted the other, taking her words and making them her own. I wondered if she lacked confidence. However, she evaluated her counselling performance very forcefully and when I was transcribing I wondered if she was overbearing with her clients or allowed them to develop their own thoughts. This raised two issues: 374 Would her clients evaluate her performance as she did her own? What was the quality of the reciprocal relationship between them? I would have liked to explore these two questions further by including them in the interview guide but felt daunted by the counsellor’s apparent anger. I questioned whether my reticence could be justified in the current context or emanated from a personal dislike of anger. Reluctant to misrepresent my participant, I reflected carefully about the origins of my feelings and how these had manifest in the research. I recalled other occasions when, as a counsellor, I had led with my own agenda and this reinforced the need for effective supervision. 22.12.2012 – Mimicking clients – One of the counsellors mimicked how her clients spoke when describing them during the focus group. I was shocked by this as when clients come for counselling they trust you with their innermost selves and to mimic them behind their backs felt like a betrayal. As a counsellor, I believe we should completely respect our clients and that mimicking them is a way of mocking them that can arouse feelings of shame and worthlessness. The counsellor’s behaviour felt like bullying and I was interested as to why such a counsellor was attracted to counsel young people who bully. This raised three important questions which were included in my thesis within superordinate themes: Questions – How does our past as counsellors impact upon the client/counsellor relationship and in what way? What is our level of awareness and how effectively can we evaluate our own performance when our problems may be unconscious to us? 375 Is the counsellor’s behaviour ethical and if not, what should I do? The question relating to ethics posed a dilemma I was reluctant to engage with, as the counsellor’s attitude to her clients rested with my own interpretation. Following consultation with my academic supervisors, it was decided that no further ethical action was necessary. I felt immense relief at this decision, as there were numerous extracts extolling the virtues of the counsellor in question, but which I had not included in my thesis. Thus to misrepresent her challenged my professional commitment to authenticism. 16.01.2013 – Focus group with the young people - I anticipated that the focus group with the young people would be challenging as I had observed their response to questions that put them on the spot during lesson time. For example, when they were told a film crew were coming to make a short video of them they grew very tense and I was keen not to communicate my own tension to the young people before the focus group started? Even during conflict, the young people’s tutor enacted her role with warmth and humour, attentive to, but diffusing difficult situations before they escalated, and I was nervous that I lacked these skills. From her, I realised that interacting with the young people was like playing a game, where to get things wrong would plunge me into the lion’s den. For example, when the tutor asked if those taking part in the focus group were ready to leave their lesson, the atmosphere changed and the young people instantly became silly and blazé. Two pupils not taking part said in a mocking way “In you go”, whereby unsettling the focus group participants (particularly the boys) who swaggered in as if they didn’t care. 376 This exacerbated the tension and once in the room the young people draped their legs over each other’s chairs and swivelled around. When I placed the tape recorder on the table, one of the participants asked what it was. When I told him, he claimed I had not told him the group would be recorded. I explained that it had been in the Participant Information Sheet and that he had agreed to each point before consenting. I reassured him he did not have to participate if he did not want to. To help sooth him I went through the sort of things I would be asking. Even though I had observed both male participants having counselling at their educational centre, they denied receiving this. I realised that the focus group represented a huge risk for the participants that far outweighed my own reservations. I reflected that they were endowing me with their trust and felt a surge of gratitude towards them for their bravery. 18.01.2012 From observing the young people, I realised that their body language was often at odds with their emotions. For example, one of them, despite seeming to be laid back, seldom took his eyes from the floor or fully engage with the other participants and I did not think he was as relaxed as he made out. However, there were certain topics that captured the attention of all the participants. For example, it was very interesting and unusual to observe the unity between the young people when self-referral was being discussed. They nodded and their body language changed, suggesting this was a subject they agreed upon. I reflected how, even in the absence of words, body language could communicate a powerful message. 23.03.2013 – 2nd focus group with counsellors When the second focus group with the counsellors started, I felt I had gained in confidence. However as with the first focus group, one of the counsellors was more strident than 377 the other who seemed reflective, quiet and apologetic. As the focus group progressed, I noticed that when interrupted, the quiet counsellor obdurately continued speaking until, towards the end of the group, the more forceful counsellor was repeating the end of her colleague’s sentences and agreeing with her. When my supervisors asked that I challenge the more forceful counsellor regarding her attitude, I instantly lacked self-assurance and realised I found the counsellor quite formidable. I wondered if she had this effect upon her clients. 28.03.2013 – 2nd focus group for the young people During the weeks when I was transcribing the first focus group the young people regularly asked if they would be doing the researcher’s ‘thing’ again. I reasoned that part of their enthusiasm was definitely the prospect of missing a lesson to participate in the second focus group. However, even though they were loath to admit it, they were reluctantly interested in the research as, when I was setting up the room, they asked why I was doing research and what sort of problems I faced as a counsellor. They are complex people who would like to liberate their enthusiasm but feel this as risky and not consistent with the profile they have manufactured. 20.06.2013 – Analysing the transcripts One of the university academics warned me about the hazards of contaminating the data by importing our professions during analysis. However, I found that remaining in researcher mode constricted and compromised my ability to engage with the participants’ narrative. It was only as a counsellor that I could surrender myself to the data, richly explore the script and get close to the participants and their experiences. 378 Research Log: Overview of integrated knowledge, research and practice This research log provides a chronology of learning within the context of a four year Doctorate of Clinical Practice Programme. Taught modules, discussion with professional and educational colleagues, reading, thinking and reflection have contributed to my progress to date. Most importantly the taught elements and the supervisory tutorials have provided an overall direction and developed my ability to cast a critical eye, take nothing at face value and to gain deeper understanding of phenomena through exploration and challenge. establish myself within this learning context, I have divided my personal characteristics and requirements into four categories which appear in the table below. To establish myself within this learning context, I have divided my personal characterisitcs and requirements into four categories which appear in the table below. Strengths Committed to improving clinical care Effective professional networks Support of family and friends Experience of writing for publication Determination Integrity Sensitivity to needs of others Commitments Family commitments Work Opportunities To carry out research Networking Communities of practice Peer support Academic support Educational development Learn new skills Increase knowledge Build relationships within new organisations through research process Use software package to manage data for analysis Threats Resources e.g. balancing work pressures Life events 379 The integration of knowledge: Course modules Introduction to Doctoral Studies This module set the scene for the four year study period both in conveying the expectations of doctoral level study and developing the foundation of core competencies in order to achieve these. The module was supported by an e- learning facility enabling on-line discussion with fellow students and lecturers. Students were encouraged to articulate their area of interest for the research thesis at an early stage to begin to formulate ideas and express these to colleagues in a range of healthcare disciplines. I found that this cemented my topic of interest although narrowing this down to defined research question demanded broad reading around the subject. Communities of Practice The development and synthesis of professional knowledge formed the basis of this module, considering historical, cultural and political influences. Exploration of the links between the philosophy of science and knowledge encouraged me to consider my stance on how learning and understanding is best advanced in contemporary practice. Further reading and examination of philosophical approaches led me to consider interpretive phenomenology as a possible way to investigate clients’ experiences in my chosen area of interest. I found the module particularly helpful in considering ways in which to transfer and disseminate new knowledge between disciplines and across organisational boundaries. Advanced research methods This module incorporated in depth training in a range of quantitative and 380 qualitative methodologies. The assignment challenged students to defend a methodology and design methods suited to specific research questions. It contributed significantly to my knowledge of research approaches and sparked interest in the design of my own study. In addition, I gained greater knowledge of ethical issues which I could apply to my own study as it took shape. These were particularly relevant in relation to the vulnerable young participants in my research. Policy Politics and Power This module directed me to the review and analysis of mental health in an educational setting which has major significance for my chosen area of study. It opened my eyes to the hierarchical structure underpinning large organisations. Contribution to my personal and professional growth included an enhanced awareness of the critical factors influencing policy development, dissemination and implementation. I realised that to be effective in this setting, research must be relevant to organisational goals. Service Evaluation This module served to increase my awareness of both quantitative and qualitative methods since I chose to examine a service development through a mixed methods design. This forced me to confront my fears surrounding quantitative approaches. The area studied was concerned with young people’s access to mental health, thus closely linked to my research topic. The module touched on different but relevant aspects of service delivery including economic evaluation, which I had not hitherto considered. Knowledge of the fiscal issues underpinning mental health enabled greater understanding when sitting as a member of the Children’s Commissioner Policy Board for young people excluded from mainstream education. 381 Leadership in Healthcare Organisations The leadership in healthcare organisations module came at a time of major political and organisational change in the National Health Service thereby providing the opportunity for lively debate amongst my peers and also, insight into the psychological dimensions of leadership. I found this module challenging, failing at the first attempt. Therefore, it tested my resolve, but highlighted my determination to complete my PhD. The integration of research: The thesis My interest in young people who bully and their counsellors was sparked whilst working as a counsellor in a centre for underprivileged youth. The centre is located in a deprived area and many of the clients derived from dysfunctional families and presented with serious developmental and behavioural issues which manifested through bullying tendencies. Whilst counselling such clients, I noticed that their aggressive exterior was frequently a brittle veneer which covered a vulnerable and fragile self and that they were often the victim of their circumstances. I resolved to find out more about this group of young people, my initial intention being to identify support organisations so that I could refer my clients as an additional outlet to their counselling. Following a comprehensive online search however, I was surprised to uncover that support focussed almost exclusively upon the victims of bullying, with little attention spared for the perpetrators, and I wondered how counselling could respond to this omission. 382 As my interest grew, I broadened my search, incorporating academic papers and books which may shed more light upon the topic, only to find that these likewise focussed predominantly upon the victims of bullying. It was at this point that my desire to broaden the scope of research took shape, and I contacted an academic tutor to air my developing ideas. My interest lies in the relationship between young people who bully and their counsellors. Specifically, I was interested to explore how the behavioural and emotional problems experienced by such clients manifested in the therapeutic dyad and what inhibited or enabled the counselling alliance. I decided to advance my understanding by pursuing a PhD and having submitted a research proposal, was accepted as a student at the University of Surrey. At the beginning, my research was limited to the characteristic determinants of bullying. Although this literature clearly defined the psychological and somatic problems affecting those who bully, I sensed that a link between such handicaps and the motivation to bully had not been identified, concluding this as a gap in knowledge. I reasoned that, once extrapolated to practice, a greater understanding of the developmental problems affecting young people who bully, would also shed light upon the relationship between them and their counsellors. My original intention had been to incorporate parents in my study so that I could better understand the source of their children’s’ attachment disorders. However, my academic supervisors advised me that this alone would represent a PhD. Ascertaining how the young people’s attachment states influenced their relationship with others (including their counsellors) remained a priority and it became clear that, without their parents, I would 383 have to use a measurement tool to evaluate their attachment states instead. It was at this point that I realised my methods section was taking shape. Setting the methods within a methodological framework proved challenging as, words like ‘epistemological’ and ontological’ seemed daunting and unfathomable. I spent many hours reading of their meaning, ultimately designing a table which I pinned to my bedroom wall. It was at this point that I benefitted greatly from supervision, for as my writing progressed, my academic supervisors illuminated the direction of my work, pointing out that, as I sought to explore lived experience, my work was essentially phenomenological. Having researched this topic broadly, I too felt that a phenomenological methodology ably suited my research objectives. Placing my research within this context enabled me to formalise a title for my work, providing direction and helping me funnel my ideas. Establishing the epistemological framework for my study was a relief and freed me to research other methods which complimented the philosophical principles. However, if my study was to be transferable to a practice setting, it must also be appropriate for the target audience. Therefore, it was important to gather data using methods suited to vulnerable young people. Having researched the approaches most suited to this task, I settled for focus groups and individual semi- structured interviews however, I was concerned that exploring sensitive concerns with such susceptible participants may evoke anxiety. To overcome this problem, I modified a story stem technique that had previously been piloted with maltreated children and which enabled my participants to relate their experiences from a third person perspective, whereby avoiding the stress of a first person narrative. I was pleased with this method, feeling I had integrated both my practice experience and the knowledge gained from the course modules to good effect. 384 Alongside the young people, I planned to run focus groups and individual semi- structured interviews with counsellors who provided counselling to young people who bully. Naïvely, I anticipated few concerns with this participant group and as expected, they were competent at articulating their experiences. Nonetheless, the attitude of one participant counsellor raised concerns which threatened ethical action and presented me a dilemma. The quotes from my transcript used to support my findings, presented the counsellor in a critical light and yet there were many others which exemplified her practice but which I had not used within my thesis. In other words, her profile rested with my interpretation. To resolve this problem, I revisited the ethical framework which guides my practice as a counsellor. This was surprisingly insightful as I re-read each guideline and evaluated its meaning afresh. Had the incident with the counsellor not occurred, I would probably have continued my work as a counsellor with assumed knowledge of the ethical framework I uphold. And yet, close scrutiny of the ethical statements caused me to question these assumptions. The exercise was a healthy one that called upon me to re-evaluate afresh my ethical principles in practice. It also helped me appraise the precariousness of interpretative research and the risk participants face when they take part. Ultimately I decided that no ethical action was necessary. The integration of practice Undertaking my PhD has highlighted how I consider counselling practice could change to improve the service to vulnerable young people who bully. For example, the young participants emphasised how their concept of a counsellor as a stranger prohibited them from self-disclosure. Remedying this 385 concern could be easily addressed by arranging regular meet and greet sessions with young clients that both put them at ease and establish counselling as accessible support. In addition, the notion of breaking confidentiality in the face of harming others demands re- appraisal, since the behaviour consistent with bullying inevitably implies this, meaning young people are inhibited from speaking of their behaviour. I believe that regular appraisal of this dilemma at supervision would help raise awareness amongst counsellors. I look forward to integrating such ideas into practice. Summary I am often asked by my family what it will feel like to become a doctor. At the beginning, I anticipated a reaction of seismic proportions. Instead, I am quietly pleased to have made it this far. I realise that my PhD has been an evolutionary process. Knowledge has not arrived in a manageable package, but moulded as my ideas have taken shape. Since completing my study, I have been fortunate to work as a project administrator researching compassion awareness and I take this opportunity to apply the learning I have gained in a practice setting. Retrospectively, I realise the true meaning of continued professional development, for it, like the integration of knowledge, research and practice, is an ongoing, life-long experience.