Table of Contents

Title page

List of Figures

Figure 5.1: The three criteria for clinically significant change

Figure 5.2: Possible assessment framework

Figure 8.1: Norma – SRS and ORS scores

Figure 8.2: Joanne – SRS and ORS scores

Figure 8.3: Ruth – SRS and ORS scores

Figure 8.4: Gordon – SRS and ORS scores

Figure 8.5: Trevor – ORS overall and social subscale scores

About the Authors

Dr David Green

DG qualified as a clinical psychologist over 30 years ago. He has worked therapeutically with young people and their families in a variety of settings ever since. He has been involved in the training of clinical psychologists for over 25 years as supervisor, clinical tutor and finally as Clinical Director of the Doctor of Clinical Psychology training programme at Leeds (a post he left in 2010). He currently works as a freelance trainer and legal specialist but also provides sessional clinical input to the psychology service at St James’s University Hospital in Leeds, and holds an honorary Senior Lectureship at the University of Leeds.

DG has published widely on the topic of clinical supervision and is co-author along with Richard Butler of The Child Within: Taking the Young Person’s Perspective by Applying Personal Construct Psychology, published by John Wiley and Sons in 2007.

Dr Gary Latchford

GL is a clinical psychologist. He studied for a PhD in Edinburgh with Colwyn Trevarthen in 1989, after which he completed clinical training in Leeds in 1991. Since that time he has worked with adults with physical illness, combining research and clinical interests in chronic illness – particularly cystic fibrosis – and psychological therapies. His clinical practice is at St James’s University Hospital in Leeds, and since 1996 he has also been research director on the Doctor of Clinical Psychology training programme at Leeds University.


We would like to thank all those who have so generously helped us in writing this book.

Thanks go to all our friends and colleagues on the University of Leeds Doctoral Programme in Clinical Psychology, staff and students alike, for indulging us, and for allowing us to share our emerging ideas with them, or, as they might more accurately put it, ‘bang on about psychotherapy all the time’. Thanks especially to Professor Stephen Morley for his support and feedback on several early drafts of chapters, and Nigel Wainwright, who allowed us to include his new measure of the supervisory alliance.

There are many psychologists, psychotherapists and counsellors whose ideas have enriched our thinking and, at times, set us off in entirely new directions. We would like to single out Scott Miller and Barry Duncan, who set many of these ideas in motion with their excellent ‘Training the Trainers’ workshops. David Winter of the University of Hertfordshire added to our appreciation of the importance of client preferences. Chuck Rashleigh, Ladislav Timulak and their colleagues at Trinity College Dublin generously shared their experiences with using feedback in counselling practice.

We would especially like to thank our wives Catherine and Jennifer, and our families, for putting up with our occasional absences to write and research this book.

Finally, we greatly appreciate the help of all the clients who have taken up our invitation to provide us with regular feedback, attempted to ‘put us right’ in so many ways and, in so doing, played a major role in generating the ideas presented in this book. While we worry that it may sound tokenistic to thank our patients, we both feel that it is truly a privilege to be allowed into people’s lives as their therapist, and this feeling, together with a fascination (and respect) for the way therapy brings about change, has only ever increased with time.

D.G. and G.L.