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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Reimagining clinical psychology for a changing planet
Georgia King1, Matthew Adams2, Nick Maguire1
1School of Clinical Psychology, University of Southampton, Southampton, UK.
Psychology and Psychotherapy
|May 15, 2026
Summary
Clinical psychology can address the climate and ecological emergencies (CEE) by acknowledging their impact, engaging with distress, and transforming roles to support activism and systems change. This study offers a vision for psychological adaptation to ecological crisis.
Area of Science:
- Psychology
- Environmental Psychology
- Climate Psychology
Background:
- The climate and ecological emergencies (CEE) pose significant threats to physical and mental health.
- Clinical psychology possesses skills for mitigation and adaptation but lacks a defined role in addressing the CEE.
- A clear vision is needed for the profession's engagement with these planetary changes.
Purpose of the Study:
- To generate a coherent vision for clinical psychology's role in responding to the climate and ecological emergencies.
- To explore how practitioners envision their profession contributing to climate adaptation and mitigation efforts.
- To develop a framework for psychological adaptation to the CEE.
Main Methods:
- Qualitative study employing story completion tasks (individual and group).
- Forty-nine practitioner psychologists and/or climate activists participated in online story stem completion.
- Twenty-eight participants engaged in group-based story co-creation workshops followed by thematic analysis.
Main Results:
- Three key themes emerged: Acknowledgement (recognizing CEE causes and emotional responses), Engagement (supporting clients with distress, nature-based and social perspectives), and Transformation (community collaboration, activism, political roles, imagination).
- Participants envisioned expanding clinical psychology's scope to include climate-specific interventions.
- Thematic analysis revealed shared narratives on the profession's potential adaptive capacity.
Conclusions:
- The study presents a theory-informed vision for clinical psychology's adaptation to ecological crisis.
- Clinical psychology can broaden its scope to include climate-responsive roles such as grief work, eco-therapy, activism, and systems-level change.
- Story completion methodology effectively identified novel and plausible directions for the profession in addressing the CEE.
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