Rebecca Gray

Research Associate
Research Officer

Rebecca's research spans the fields of healthcare provision, AOD treatment models, domestic violence programs, and therapeutic relationship dynamics. She has worked on projects that aim to improve healthcare provision for people living with HIV, and prevention strategies for hepatitis C risk factors. Alongside her work at NCHSR, she has worked for many years as a counsellor and group worker in a community-based setting, and is currently the Senior Research Officer at Relationships Australia NSW.

Research Summary

The dynamics of shame: navigating professional complexities when counselling in alcohol and other drug settings

This qualitative study gathered the professional accounts of seventeen counsellors and other frontline workers in order to gain new understandings of the ways in which the therapeutic relationship is affected by shame in the context of alcohol and other drug (AOD) settings. Three major insights were developed through this research. The first is that shame is intimately entangled with the labelling of problematic AOD-use behaviour. The second is that shame, guilt and stigma are often conflated in AOD counselling. The third insight is that the dynamics of shame create significant workforce issues for AOD counselling professionals. This thesis outlines and discusses these dilemmas and, in doing so, contributes to what is known about counselling practice in AOD settings, especially professional perceptions and experiences of the dynamics between shame and drug use in those settings. New practice implications are articulated for counsellors working with clients around shame issues, and for the more appropriate development and navigation of practice and policy guidelines for counselling in alcohol and other drug settings.

Supervisors: Dr kylie valentine (SPRC) and Dr Christy Newman (NCHSR)

Conference Papers
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Persson A; Newman C; Hamilton M; Bryant J; valentine K; Drysdale K; Gray R, 2019, 'The embodied relationality of blood-borne viruses: How families matter in the context of a stigmatised viral infection', London, presented at AIDS Impact, London, 29 July 2019 - 31 July 2019
2019
Conference Posters
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Broady TR; Gray R, 2016, 'Parenting After Separation: Dealing with passionate hate', Melbourne, presented at Australian Institute of Family Studies Conference, Melbourne, 06 July 2016 - 08 July 2016
2016
Gray R; Broady TR, 2015, 'Exploring the role of men's beliefs about gender in preventing violence against women: Emerging themes from client interviews after a Men's Behaviour Change Program', Canberra, presented at Australian STOP Domestic Violence Conference, Canberra, 07 December 2015 - 09 December 2015
2015
Gray R; Broady TR; Gaffney I; Lewis P, 2014, 'How women perceive and experience their partners when attending men's behaviour change programs: An Australian interview study', Melbourne, presented at Australian Institute of Family Studies Conference, Melbourne, 30 July 2014 - 01 August 2014
2014
Conference Presentations
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Lafferty L; Bryant J; Mao L; Hull P; Gray R; Treloar C, 2019, 'Understanding barriers and facilitators to the take up of new DAA hepatitis C treatments', presented at HARP Forum - 2019: The Millennial Edition, Sydney, 16 October 2019 - 17 October 2019
2019
Persson A; Newman C; Drysdale K; Hamilton M; valentine K; Bryant J; Gray R; Rance J; Botfield J, 2018, 'Understanding divergent family responses to a blood borne virus diagnosis', presented at Australasian HIV Conference, Sydney, 24 September 2018 - 26 September 2018
2018
Newman C; Persson A; Drysdale K; Hamilton M; valentine K; Bryant J; Wallace J; Gray R; Rance J; Botfield J, 2018, 'Exploring the role of families in HIV treatment decisions and practices.', presented at Australasian HIV Conference, Sydney, 24 September 2018 - 26 September 2018
2018
Newman C; Persson A; Drysdale K; Hamilton M; valentine K; Bryant J; Wallace J; Gray R; Rance J; Botfield J, 2018, 'Open doors and family secrets: Negotiating communication agreements among families affected by HIV, hepatitis B and hepatitis C', presented at IUSTI Asia Pacific Sexual Health Congress 2018, Auckland, 01 November 2018 - 03 November 2018
2018
Broady TR; Gray R, 2017, 'Group work as a means of addressing intersections between child protection and domestic violence', presented at STOP Domestic Violence Conference Australia, Melbourne, 04 December 2017 - 05 December 2017
2017
Broady TR; Gray R, 2017, 'Entrenched conflict among separated parents: On the role of group programs in facilitating change', presented at Institute of Group Leaders Conference, Sydney, 12 October 2017 - 13 October 2017
2017
Broady TR; Gray R, 2017, 'Entrenched conflict between separated parents: Practice and policy implications of extreme emotions', presented at Australian Social Policy Conference, Sydney, 25 September 2017 - 27 September 2017
2017
Gray R; Broady TR; Mance P, 2017, 'How Australians find counsellors and engage in the work with private practitioners', presented at Australian Counselling Association National Conference, Sydney, 16 September 2017 - 17 September 2017
2017
Broady TR; Gray R, 2016, 'Parenting After Separation: Hatred between parents and the welfare of their children', presented at Association of Children's Welfare Agencies Conference, Sydney, 15 August 2016 - 17 August 2016
2016
Gray R; Broady TR; Garret M; Pace J, 2016, 'Establishing the effectiveness of family therapy in routine practice at Relationships Australia NSW', presented at Australian Association of Family Therapy Conference, Cairns, 20 October 2016 - 21 October 2016
2016
Gray R; Broady TR; Kolstee J; Noonan K; McEvoy J, 2016, 'Measuring outcomes in domestic violence programs at Relationships Australia NSW', presented at Family & Relationship Services Australia Conference, Canberra, 29 November 2016 - 01 December 2016
2016
Broady TR; Gray R, 2016, 'Entrenched parenting disputes: Identifying and working with high-conflict and parental hatred', presented at Family & Relationship Services Australia Conference, Canberra, 29 November 2016 - 01 December 2016
2016
Broady TR; Gray R; Yates K, 2015, 'Engaging and motivating male clients through their role as fathers: Findings from program evaluations at Relationships Australia NSW', presented at Australian Association for Infant Mental Health Inc. National Conference, Sydney, 29 October 2015 - 31 October 2015
2015
Gray R; Broady TR, 2015, 'Gender and violence attitudes: Emerging themes from client interviews after a Men's Behaviour Change Program', presented at Family & Relationship Services Australia Conference, Brisbane, 10 November 2015 - 12 November 2015
2015
Broady TR; Gray R; Gaffney I; Lewis P, 2014, 'Harnessing a father's love to support parenting amongst men who have used violence', presented at Association of Children's Welfare Agencies Conference, Sydney, 18 August 2014 - 20 August 2014
2014
Broady TR; Gray R; Gaffney I; Lewis P, 2014, '"I miss my little one a lot": How father love motivates change in men who use violence', presented at Family & Relationship Services Australia Conference, Adelaide, 04 November 2014 - 06 November 2014
2014
Gray R; Broady TR; Gaffney I; Lewis P, 2013, 'Client motivation and intimate relationship status in men's behaviour change programs: Recurring themes from qualitative interviews', presented at Filicide Conference, Prato, Italy, 30 May 2013 - 31 May 2013
2013
Broady TR; Gray R; Gaffney I, 2012, 'Taking Responsibility - Evaluating the extent to which male perpetrators of family violence change their attitudes through group work intervention', presented at Australian Institute of Family Studies Conference, Melbourne, 25 July 2012 - 27 July 2012
2012
Treloar C; Gray R; Brener L; Jackson L; Johnson P; Saunders V; Harris M; Butow P; Newman C, 2012, '"I can't do this, it’s too much": Building social inclusion in cancer diagnosis and treatment experiences of Aboriginal people, their carers and health workers', presented at COSA’s 39th Annual Scientific Meeting and IPOS 14th World Congress, Brisbane, -
2012
Broady TR; Gray R; Gaffney I; Lewis P, 2012, 'Investigating changes in the attitudes and behaviour of male perpetrators of family violence: Evidence for the effectiveness of group work intervention', presented at Family & Relationship Services Australia Conference, Darwin, 13 November 2012 - 15 November 2012
2012
Newman C; Gray R; Brener L; Jackson L; Saunders V; Johnson P; Harris M; Butow P; Treloar C, 2012, 'One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people', presented at COSA’s 39th Annual Scientific Meeting and IPOS 14th World Congress, Brisbane, -
2012
Journal articles
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Drysdale K; Newman CE; Persson A; Gray RM, 2020, 'Mapping Experiences of Serodiscordance: Using Visual Methodologies to Construct Relationality in Families Living With or Affected by Stigmatized Infectious Disease', Qualitative Health Research, vol. 30, pp. 793 - 808, http://dx.doi.org/10.1177/1049732319890304
2020
Green R; Gray RM; Bryant J; Rance J; MacLean S, 2020, 'Police decision-making with young offenders: Examining barriers to the use of diversion options', Australian and New Zealand Journal of Criminology, vol. 53, pp. 137 - 154, http://dx.doi.org/10.1177/0004865819879736
2020
Kelly PJ; Beck AK; Baker AL; Deane FP; Hides L; Manning V; Shakeshaft A; Larance B; Neale J; Kelly J; Oldmeadow C; Searles A; Treloar C; Gray RM; Argent A; McGlaughlin R, 2020, 'Feasibility of a mobile health app for routine outcome monitoring and feedback in mutual support groups coordinated by SMART recovery Australia: Protocol for a pilot study', JMIR Research Protocols, vol. 9, pp. e15113, http://dx.doi.org/10.2196/15113
2020
Gray R; Kelly PJ; Beck AK; Baker AL; Deane FP; Neale J; Treloar C; Hides L; Manning V; Shakeshaft A; Kelly J; Argent A; McGlaughlin R, 2020, 'A qualitative exploration of SMART Recovery meetings in Australia and the role of a digital platform to support routine outcome monitoring', Addictive Behaviors, vol. 101, http://dx.doi.org/10.1016/j.addbeh.2019.106144
2020
Persson A; Newman C; valentine K; Hamilton M; Bryant J; Wallace J, 2019, 'The embodied relationality of blood-borne viruses: How families matter in the context of a stigmatised viral infection', Social Science and Medicine, vol. 243, pp. 1 - 8, http://dx.doi.org/10.1016/j.socscimed.2019.112620
2019
Gray RM; Green R; Bryant J; Rance J; MacLean S, 2019, 'How ‘Vulnerable’ young people describe their interactions with police: building positive pathways to drug diversion and treatment in Sydney and Melbourne, Australia', Police Practice and Research, vol. 20, pp. 18 - 33, http://dx.doi.org/10.1080/15614263.2017.1347787
2019
Drysdale K; Newman CE; Persson A; Gray RM, 2019, 'Mapping Experiences of Serodiscordance: Using Visual Methodologies to Construct Relationality in Families Living With or Affected by Stigmatized Infectious Disease.', Qual Health Res, pp. 1049732319890304 - 1049732319890304, http://dx.doi.org/10.1177/1049732319890304
2019
Broady TR; Gray RM, 2018, 'The intersection of domestic violence and child protection in Australia: Program participant accounts', Australian Social Work, vol. 71, pp. 189 - 201, http://dx.doi.org/10.1080/0312407X.2017.1422774
2018
Karageorge A; Rhodes P; Gray R, 2018, 'Relationship and Family Therapy for Newly Resettled Refugees: An Interpretive Description of Staff Experiences', Australian and New Zealand Journal of Family Therapy, vol. 39, pp. 303 - 319, http://dx.doi.org/10.1002/anzf.1325
2018
Broady TR; Gray R; Gaffney I; Lewis P, 2017, '‘I Miss My Little One A Lot’: How Father Love Motivates Change in Men Who Have Used Violence', Child Abuse Review, vol. 26, pp. 328 - 338, http://dx.doi.org/10.1002/car.2381
2017
Newman CE; Gray R; Brener L; Jackson LC; Dillon A; Saunders V; Johnson P; Treloar C, 2017, '“I Had a Little Bit of a Bloke Meltdown…But the Next Day, I Was Up”: Understanding Cancer Experiences Among Aboriginal Men', Cancer Nursing, vol. 40, pp. E1 - E8, http://dx.doi.org/10.1097/NCC.0000000000000399
2017
Rance J; Gray R; Hopwood M, 2017, '“Why Am I the Way I Am?” Narrative Work in the Context of Stigmatized Identities', Qualitative Health Research, vol. 27, pp. 2222 - 2232, http://dx.doi.org/10.1177/1049732317728915
2017
Gray R; Broady TR; Mance P, 2017, 'How do Australians find counsellors and navigate the work within private practice? Implications for professionals', Counselling Australia, vol. 17, pp. 32 - 40, https://www.theaca.net.au/journals/ACAMagVol17No4Summer2017.pdf
2017
Broady TR; Gray RM, 2017, 'Taking Responsibility: Psychological and Attitudinal Change through a Domestic Violence Intervention Program in New South Wales, Australia', International Journal of Social Science Studies, vol. 5, pp. 68 - 68, http://dx.doi.org/10.11114/ijsss.v5i6.2321
2017
Gray R; Broady T; Gaffney I; Lewis P; Mokany T; O'Neill B, 2016, '‘I'm Working Towards Getting Back Together’: Client Accounts of Motivation Related to Relationship Status in Men's Behaviour Change Programmes in New South Wales, Australia', Child Abuse Review, vol. 25, pp. 171 - 182, http://dx.doi.org/10.1002/car.2318
2016
Treloar C; Jackson C; Gray R; Newland J; Wilson H; Saunders V; Johnson P; Brener L, 2016, 'Care and treatment of hepatitis C among Aboriginal people in New South Wales, Australia: Implications for the implementation of new treatments', Ethnicity and Health, vol. 21, pp. 39 - 57, http://dx.doi.org/10.1080/13557858.2015.1004870
2016
Treloar C; Jackson LC; Gray R; Newland J; Wilson H; Saunders V; Johnson P; Brener L, 2016, 'Multiple stigmas, shame and historical trauma compound the experience of Aboriginal Australians living with hepatitis C', Health Sociology Review, vol. 25, pp. 18 - 32, http://dx.doi.org/10.1080/14461242.2015.1126187
2016
Gray RM; Broady TR; Gaffney I; Lewis P, 2015, 'How women perceive men who attend domestic violence programs', Communities, Children and Families Australia, vol. 9, pp. 71 - 84
2015
Wheeler AM; Gray R; Hewlett B, 2015, 'Integrating a relational approach in post-separation family dispute resolution', Communities, Children and Families Australia, vol. 9, pp. 49 - 68, http://search.informit.com.au/documentSummary;dn=568104791106991;res=IELHSS
2015
Battle C; Bendit J; Gray R, 2014, 'Groupwork for parents whose children are in care: Challenges and opportunities', Australian and New Zealand Journal of Family Therapy, vol. 35, pp. 327 - 340, http://dx.doi.org/10.1002/anzf.1071
2014
Broady TR; Gray R; Gaffney I, 2014, 'Taking Responsibility: A Psychological Profile of Men Attending a Domestic Violence Group Work Intervention Program in New South Wales, Australia', Journal of Interpersonal Violence, vol. 29, pp. 2610 - 2629, http://dx.doi.org/10.1177/0886260513517300
2014
Treloar C; Gray R; Brener L, 2014, 'A piece of the jigsaw of primary care: Health professional perceptions of an integrated care model of hepatitis C management in the community', Journal of Primary Health Care, vol. 6, pp. 129 - 134, http://dx.doi.org/10.1071/hc14129
2014
Gray R; Lewis P; Mokany T; O'Neill B, 2014, 'Peer Discussion and Client Motivation in Men's Domestic Violence Programs: An Australian Qualitative Interview Study', Australian Social Work, vol. 67, pp. 390 - 404, http://dx.doi.org/10.1080/0312407X.2013.853196
2014
Brener L; Gray RM; Cama EJ; Treloar C, 2013, 'Makes you wanna do treatment: Benefits of a hepatitis C specialist clinic to clients in Christchurch, New Zealand', Health and Social Care in the Community, vol. 21, pp. 216 - 223, http://dx.doi.org/10.1111/hsc.12009
2013
Treloar C; Gray R; Brener L; Jackson C; Saunders V; Johnson P; Harris M; Butow P; Newman C, 2013, 'Health literacy in relation to cancer: Addressing the silence about and absence of cancer discussion among Aboriginal people, communities and health services', Health and Social Care in the Community, vol. 21, pp. 655 - 664, http://dx.doi.org/10.1111/hsc.12054
2013
Bryant J; Newman CE; Holt M; Paquette D; Gray RM; Canavan P; Saltman D; Kippax SC; Kidd MR, 2012, 'Does drug and alcohol use undermine concordance between doctors' assessments of major depression and patients' scores on a screening tool for depression among gay men attending general practice?', Australian Journal of Primary Health, vol. 18, pp. 116 - 122, http://dx.doi.org/10.1071/PY11011
2012
Gray RM, 2009, 'The dynamics of shame: implications for counsellors when working in alcohol and other drug settings', Psychotherapy in Australia, vol. 16, pp. 32 - 38, http://www.psychotherapy.com.au/pages/journal/abstract_detail.asp?id=63
2009
Reports
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Lea T; Brener L; Whitlam G; Gray R; Lambert S; Holt M, 2020, Evaluation of ACON’s Substance Support Service, UNSW Centre for Social Research in Health, Sydney, http://dx.doi.org/10.26190/5e4b55b5bd827
2020
Bryant J; Gray R; Hull P; Horwitz R; Lafferty L; Mao L; Treloar C, 2019, Research Brief - Understanding barriers and facilitators to the take up of new direct-acting antiviral hepatitis C treatments: The Observe study, Centre for Social Research in Health, UNSW Sydney, Sydney, http://dx.doi.org/10.26190/5d647864b9afc
2019
Brener L; Gray R; Rance J; Bryant J; Horwitz R, 2019, Consumer Participation Project, Centre for Social Research in Health, UNSW Sydney, Sydney, http://dx.doi.org/10.26190/5db2407d2276c
2019
Broady TR; Gray R; Gaffney I; Lewis P, 2013, Taking Responsibility Evaluation: Final report, Relationships Australia NSW, Sydney
2013
Broady TR; Gray R; Gaffney I; Lewis P, 2012, Men's behaviour change programs: A literature review, Australian Institute for Relationship Studies, Sydney
2012

Rebecca was awarded Employee of the Year at Relationships Australia NSW, in 2014, for integrating research findings into practice and policy development.

In 2017, she received a Reconciliation in Action award for her work in supporting the Stretch Reconciliation Action Plan. This strategy aims to improve organisational performance with and for Aboriginal and Torres Strait Islander service users, professionals and communities, at Relationships Australia NSW.

Rebecca was also nominated for the Norma Parker award (for best new author) by the Australian Social Work Editorial Board, in 2014.