Narrative case study research: On endings and six session reviews

Abstract

Background: An in-depth, small scale narrative inquiry into ex-clients' experiences of counselling was undertaken, using a local community counselling agency which highlighted several important themes, including reviews and endings. Aim: To show clients' lived experience of reviews and endings. Methods: Narrative case study methods were used, alongside researcher reflexivity. The meanings were co-constructed between the ex-clients, their counsellors and the researchers. Results: Clients stories show the inter-relationship between reviews and endings, and that even when experienced negatively, clients can see the value of reviews. This paper also notes the therapeutic importance of mutuality and negotiation in decision making about endings. Conclusions: The process of undertaking collaborative, narrative inquiry can be empowering for all involved. Clients, counsellors and managers can question funders about their assumptions about the number of sessions offered when they inform themselves with research.

Keywords:

• endings
• reviews
• narrative case study
• counselling
• psychotherapy
• agency counselling

Acknowledgements

Our grateful thanks to the agency for supporting our endeavours and to the participants who allowed us to use their stories. All of them have read and approved this paper. We are also grateful to the anonymous reviewers for their helpful suggestions and to Professor John McLeod for his help and encouragement to complete this paper.