The energetic and emotional demands that these practitioners experienced from
their psychotherapy work as well, as from. Wider work pressures are consistent, with
the finding that a sizeable minority of clinical psychologists experience high. Levels of
emotional exhaustion (,). However Madden 2009, these, given demands it was
interesting that attention to their. Self-care.While expressed by all as, a need was a
less dominant theme in the clinical psychologists' journals and seemed to be a. Need
that was not being adequately met. In an aptly titled article, 'Do as we say but not as
we do', Walsh and Cormack s. ' (1994), still, early but relevant research showed that
while clinical psychologists taught self-care skills they failed,, To practice them. Reasons
.Reported for this included working in organisations that did not value supportive work
practices as well, as clinical psychologists. ' Own fears of being judged from showing a
need for support. It seems that clinical psychology may still only be slowly moving. On
from a legacy, where competent self-reliant practice was overvalued. On, this Barnett
.And Cooper (2009) have argued that psychologists need to work harder to develop a
culture of self-care that is integrated. Into their professional identities.
This research shows how not engaging in self-care practices (and not practising
what. We preach) is one issue that feeds into significant self-doubt and feelings of
being a fraud.This study provides further evidence for the ongoing struggle with selfdoubt when practising psychotherapy that has been. Previously reported in both
quantitative and qualitative studies (Cushway, & Tyler 1996; Mehta 2006;, Theriault
&, Gazzola. 2005). An advantage in the current study was that the clinical
psychologists' reflections were made over time and it was. Informative to see the
.Change from self-doubt to, increased confidence after they had experienced some
validation of their skills and development. And affirmation of their theoretical
knowledge. Bandura 's (1997) self-efficacy model is useful here as he, describes selfbelief. Arising from four sources: enactive mastery experiences (success in tasks),
vicarious experiences (such as learning from. Other models),Verbal persuasion (for
example feedback from, others) and feedback from own physiological and affective
states (for, example. The ability to manage anxiety responses). Psychotherapeutic
work is normally a private activity and there are generally. Few opportunities for
observing others and receiving feedback on one 's own work. This research provides
.Evidence for the immediate value of such opportunities in enhancing energy and
confidence. Engaging in CPD activities throughout. One 's career is required now by
professional bodies (British, Psychological Society 2009; Psychological Society of
Ireland,, 2008), which should help psychologists access more support from managers
for time and funding to attend regular training. However events,.The unsatisfactory
reality is that this does not always translate into practice.
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