The Experiences of Individuals with Psychological Disabilities in Attending Counselling: A Phenomenological Investigation

Abstract

The topic of disability within counselling is one that has received relatively little attention, despite counselling’s focus on multicultural competencies. Some scholars argue that mental illness can be conceptualized as a disability, and that viewing it as such can provide important insight and empowerment to individuals dealing with these issues. In particular, exploring mental illness as psychological disability can provide a framework for understanding the impacts of both internal and external experiences of disability on the individual. This research draws on critical disability studies theory to frame psychological disability within a social-relational model, examining the potential impact of ableism and sanism on counselling clients with psychological disabilities. Three participants were interviewed using a semi-structured protocol to explore their experiences with counselling and psychological disability. Using interpretive phenomenological analysis, six main themes emerged: Embodied Difference, Meaning and Disability, Intersections of Identity, Emotional Labour, Language, and The Therapeutic Alliance. Implications for research, training, and practice include further exploration of intersectional identities such as gender and physical disability, and incorporating an understanding of the psycho-emotional dimensions of disability, including emotional labour, into counsellor education and practice.