Effectiveness of individual counseling by professional and peer helpers for family caregivers of the elderly

This study of the effectiveness of individual counseling for daughters and daughters-in-law (N = 87) who were the primary caregivers for frail elderly parents revealed that participants who received professional counseling demonstrated significantly better outcomes than a no-treatment control group in regard to subjective well-being, level of psychiatric symptomatology, and perceived change in aspects of the caregiver-care-receiver relationship. Participants who received peer counseling demonstrated similar gains but did not improve significantly more than did control subjects in subjective well-being. Both forms of counseling had no significant effect on caregivers' formal and informal social support networks.     

Professional Outreach Counseling Can Help the Juvenile Probationer: A Two Year Follow-up Study

Sixty-one subjects in a previously reported experimental evaluation of Project CREST were followed during a 2-year period after treatment and compared on official acts of misconduct. Over the 2 years, the 30 youths who had received the counseling services in addition to probation were charged with significantly fewer acts of misconduct at a lower monthly rate than the 31 youths in the control group who had received probation but no counseling. The upturn in offense rate among the control group was attributed to the removal of probationary control. The study's results, in conjunction with previous evaluation findings, indicated that short-term professional counseling coupled with probation can have more immediate and longer lasting effects than probation alone in reducing juvenile misconduct.     

Situational group counseling with disadvantaged youth

Male adolescents in a job training program for culturally disadvantaged youngsters were provided with 14 weeks of on-the-job situational group counseling (SGC) to supplement more conventional casework approaches. Interdisciplinary teams of group leaders met with work-training crews for discussions designed to facilitate exploration of issues relevant to the present life situations of the trainees. Trainees who met twice weekly showed greater improvement in job performance and in overall adjustment than did those meeting once per week, while control subjects who did not receive counseling showed less gain than either of the counseled groups.     

Caretaker Psychological Factors Predicting Premature Termination of Children's Counseling

This study examines the psychological factors associated with caretakers' premature termination of counseling for their children. Data were collected on the 85 primary caretakers of 85 children in Texas who applied for counseling at community mental health centers or who received private practitioner care. The general hypothesis of the study was that scores on general hostility, intrapunitive hostility, extrapunitive hostility, paranoid ideation, depression, and anxiety would discriminate caretakers who prematurely terminated their children's counseling from both those caretakers whose children, in the judgment of the counselors, met therapeutic goals and those caretakers whose children did not meet therapeutic goals but who attended at least 10 counseling sessions. The effect size results suggest that counselors should primarily consider caretaker intrapunitive hostility when anticipating potential premature termination of counseling for children.     

EMPIRICAL COMPARISONS OF COUNSELOR ORIENTATIONS

The purpose of this study was to investigate counselor behaviors related to being “counseling oriented” in one's interaction with clients as opposed to being “placement oriented.” The levels of therapeutic conditions (accurate empathy, self congruence, unconditional positive regard, and intensity and intimacy of interpersonal contact) were all positively correlated with being counseling oriented (p<.01). The multiple correlation of the therapeutic conditions with being counseling oriented was .74 with accurate empathy accounting for the major portion of the variance. Further analysis of the frequency of specific counselor responses revealed that counselors who provide high therapeutic conditions, or those who are counseling oriented: (a) manifest a distinctly different pattern of responses; and, (b) are more active in the counseling relationship in terms of total responses.     

Counseling Juvenile Offenders: A Program Evaluation

This article reviews the results of the effectiveness of counseling services provided by the Juvenile Counseling and Assessment Program (JCAP) of the Juvenile Court of Clarke County, Georgia. Individual and group counseling services were provided for 55 male and female adjudicated delinquent youths, ages 9 to 17, over a period of 4 to 6 months. The recidivism rates of the youths who had received counseling services were compared to the recidivism rates of a control group that had not received counseling services.     

Depression and attributions for problems and solutions in college students

50 adult clients at college counseling centers completed scales measuring depression, attributions for their primary problem and its expected improvement, and locus of control. Subjects who were more depressed made relatively internal and stable attributions for their primary problems, were less likely to believe they would improve, and expressed more belief in the importance of chance and powerful others. As a group, subjects tended to view their improvement as more internal and controllable than the cause of their problems. The results suggest that knowledge of clients' attributions for their problems could prove relevant to the treatment of depression.     

Differences Between Adolescents Who Seek Counseling and Those Who Do Not

It was hypothesized that students who seek counseling for occupational and educational planning would differ from those who do not seek counseling in terms of socioeconomic background, certain personality variables, vocational development, and relations with parents. A battery of tests and a questionnaire were given to 245 male students from McDowell County, West Virginia. Of this group, 93 had received counseling (designated as group C) and 152 had not received counseling (designated as group NC). Group C showed a higher socioeconomic background, more n Achievement, and more certainty in vocational planning. The two groups did not differ significantly in occupational aspiration, perception of occupational prestige, self-esteem, fear of failure, relations with parents, and certainty in educational planning.     

Personality of College Under-Achievers Who Improve with Group Psychotherapy

The 16 PF and a rating scale were given to a group of college underachievers and the following subgroups emerged: 38 test responders (TR) who were not interested in group therapy, an experimental (E) group containing 19 subjects who received group therapy, and a control (C) group containing 13 subjects who were interested in but did not receive group therapy. After an interval of about 17 weeks, and following the termination of group therapy for the E group, data on academic improvement were obtained. The results indicate: (a) significantly greater academic improvement in the E group than in the C group; (b) higher correlations between certain adaptive or “healthy” personality variables and academic improvement in the E group than in the TR and C groups.     

Accelerometer feedback to promote physical activity in adults with type 2 diabetes: a pilot study

This study examined whether giving activity feedback to obese, sedentary adults with Type 2 diabetes would improve their adherence to a home-based walking program. 49 subjects were recruited. Ten failed a treadmill cardiovascular test. Another 9 dropped out before the intervention, and 4 dropped out during the intervention. The remaining 26 adults (14 women, 12 men; age M = 48.1 yr., SD = 7.1) received behavioral counseling monthly for 3 mo. regarding exercise. All subjects wore a triaxial accelerometer during these 3 months. Randomly, half of the subjects were blind to the data from the accelerometers, i.e., no feedback, and had counseling based on their self-report diaries. The other half had access to the accelerometer data, got a computerized graph of their physical activity for the period between counseling sessions, and had counseling based on these objective data, i.e., feedback. The feedback group showed an increase in exercise over the 3 mo. The nonfeedback group showed an increase in activity at 1.5 mo. but reverted to their baseline exercise levels at 3 mo. However, analysis of variance showed there was at least an 8% probability that this effect was due to chance, so the hypothesis that feedback would improve exercise adherence could not be supported. Further studies with larger sample sizes and greater control of experimental conditions are needed to determine the utility of objective activity feedback.     

Effects of short-term counseling on Career Maturity of tenth-grade students

The effectiveness of short-term counseling on Career Maturity of tenth-grade students as measured by the Career Maturity Inventory was studied. The Career Maturity Attitude Scale and the Self Appraisal subscale of the Competence Test were administered to a random sample (87 subjects) of tenth-grade students. The subjects whose scores fell below the mean were assigned randomly to experimental and control groups. The experimental group (17 subjects) received special counseling during a short term of 6 wk. Using repeated measures of analysis of variance, a statistically significant interaction was found with both the Self Appraisal subscale scores and the Total scale scores. Results indicate that career maturity as a developmental process can be measured and facilitated through counseling.     

Differential outcomes of skill training,group counseling,and individual cognitive therapy for persons with acquired visual impairment

As part of the Living Skills Training Program, group counseling and individual cognitive therapy were implemented to decrease psychological distress for adults with acquired visual impairment. This quasi‐experimental design study compared the outcomes of a 6‐month skill training program combined with a group counseling program (n = 37), with (n = 9) or without (n = 10) individual cognitive therapy, and with a control group (n = 42). The outcome measures were the Profile of Mood States and the Nottingham Adjustment Scale Japanese Version. The results showed that participants with low psychological distress decreased anxiety and increased acceptance of disability, even when they did not participate in group counseling. However, among the participants with high distress, they did not show any improvement without group counseling or individual therapy. The participants with high distress who engaged in group counseling showed an improving trend in attitudes toward others. Moreover, the participants who chose to engage in individual therapy in addition to group counseling showed decreased tension‐anxiety, depression, and fatigue, and significantly improved acceptance of disability. These results suggest that group counseling, combined with individual cognitive therapy, can be an effective part of rehabilitation treatment for clients who have high psychological distress.     

Effectiveness of the career interest profile

This study examined the effectiveness of group‐based career counseling using the Career Interest Profile (CIP). The study used an experimental design involving 2 groups of Italian university students: an experimental group (42 participants) who received narrative career counseling and a control group (47 participants) who did not. Results indicated more specific life and occupational goals after the intervention among members of the experimental group in addition to a decrease in career decision‐making difficulties and an increase in career decision‐making self‐efficacy, thus suggesting the value of group‐based career counseling on the basis of the principles embodied in the CIP.     

Current Findings Regarding the Effectiveness of Counseling: Implications for Practice

Research on the effectiveness of counseling is reviewed, and conclusions are drawn about the consequences for professional practice. The research literature clearly shows that counseling is effective in relation to no-treatment and placebo control conditions. The effects of counseling seem to be relatively lasting. These effects are attained in relatively brief time periods, with the percentage of clients who show substantial improvement increasing as the number of counseling sessions increases. There continues to be little evidence of specific efficacy for particular techniques or counseling theories, and a small portion of clients seem to deteriorate while undergoing, and perhaps because of, counseling interventions.     

叙事取向团体辅导对大学生自我认同的干预研究

自我认同的发展与大学生心理健康水平及其今后的社会适应关系密切。本研究用叙事取向团体辅导对大学生自我认同进行干预。结果发现,叙事治疗强调的好奇、尊重、珍惜的态度,为成员创设了安全、温暖、支持的团体氛围;外化和解构使成员与问题拉开距离,探讨问题的影响力;寻找并丰厚特殊意义事件,让成员看到自身的正向力量和资源;局外见证人团队,进一步巩固成员身上的正向力量。结论：叙事取向团体辅导是促进大学生自我认同发展的有效途径。     

A study of the effects of cranial electrical stimulation on attention and concentration.

There have been several anecdotal accounts that cranial electrical stimulation (CES) enhances attention and the ability to learn new tasks in a normal population, but only one published investigation confirms that CES improves attention using the Alpha Stim CES (Madden and Kirsch, 1987). The purpose of this study was to corroborate the findings of Madden and Kirsch, using more precise measures of attention, such as a Continuous Performance Test (CPT). A pretest and posttest CPT was given to two groups using the LISS CES device. The control group consisted of twenty-one subjects who received the placebo treatment. The experimental group of thirty-one subjects received twenty minutes of CES. Four measures of the CPT show significant gains in attention: Number of Hits, p =.010 Hit RT ISI Change, p =.016, Risk Taking, p =.055; and Attentiveness, p =.054. Based on subjects who demonstrated improvement by one standard deviation on two different measures of the CPT, thirty-one percent of the experimental group improved versus four percent of the control group. The use of CES as a method of increasing attention is a promising area that requires further investigation.     

The Non-Achievement Syndrome,Group Therapy,and Achievement Change

174 selected failing students at Illinois Institute of Technology were provided group counseling as a condition of their remaining in school. The assumption of the psychodynamics of the non-achievement syndrome was made regarding these students and a group counseling approach (NAS therapy) derived from an approach delineated by Roth and Meyersburg seemed appropriate and was utilized. 52 male subjects in this population were randomly selected for study as were 52 probationary, noncounseled males who were used as a comparison group. The results indicated that the counseled group increased their GPA's significantly and that these changes held over time. The GPA's of the comparison group did not increase significantly. The differences were attributable to the counseling experience.     

Comparison of two training methods to enhance awareness of the oral cavity

This investigation assessed two training methods to heighten awareness of the oral cavity in normal adult speakers of English. A pretest-posttest design was used. 40 subjects (M age=25.6 yr., SD=8.7) who passed a speech and hearing screening were placed into two equal-sized groups. Each group received 10 hr. of training over 3 wk. The Experimental group received verbal instructions regarding how the phonemes of English are produced, including tongue height, location, and contact with other structures in the oral cavity. Subjects in the Experimental group also used a tongue blade to enhance lingual awareness. The Control group received instructions in articulatory placement only. The Lingual Awareness Test required subjects to imitate 7 English syllables and answer 4 multiple-choice questions regarding lingual contact for each syllable. Posttest scores for the Experimental group were significantly better for one phoneme. The Control group made no significant improvement.     

Is horror a necessary component of flooding (implosion)?

Experimental results indicate that presentation of horrifying scenes is not necessary to obtain a favorable outcome in the treatment of phobias by flooding. Prolonged exposure to the feared object, even under relatively pleasant conditions is sufficient. Subjects were college students who rated highly fearful of rats. They were randomly assigned to one of three experimental groups and to a no treatment-control group. Treatment groups differed along the dimension of harshness of scene presentation. Control group subjects received no treatment but were assessed repeatedly as were experimental subjects. All experimental subjects showed improvement irrespective of treatment received-after treatment they were all willing to come closer to a live rat and experienced less anxiety at the closest point. However, subjects exposed to horrid scenes were judged by an independent evaluator as less likely to avoid fearful situations. The discussion centers on the discrepancy between rater's evaluation and other measures, implications of the results for treatment, and on the generalizability of findings to a patient population.     

The Effect of Genetic Counseling for Adult Offspring of Patients with Type 2 Diabetes on Attitudes Toward Diabetes and its Heredity: A Randomized Controlled Trial

The aim of this study is to investigate the effect of diabetes genetic counseling on attitudes toward diabetes and its heredity in relatives of type 2 diabetes patients. This study was an unmasked, randomized controlled trial at a medical check-up center in Japan. Subjects in this study are healthy adults between 30 and 60 years of age who have a family history of type 2 diabetes in their first degree relatives. Participants in the intervention group received a brief genetic counseling session for approximately 10 min. Genetic counseling was structured based on the Health Belief Model. Both intervention and control groups received a booklet for general diabetes prevention. Risk perception and recognition of diabetes, and attitude towards its prevention were measured at baseline, 1 week and 1 year after genetic counseling. Participants who received genetic counseling showed significantly higher recognition about their sense of control over diabetes onset than control group both at 1 week and 1 year after the session. On the other hand, anxiety about diabetes did not change significantly. The findings show that genetic counseling for diabetes at a medical check center helped adults with diabetes family history understand they are able to exert control over the onset of their disease through lifestyle modification.