Analyzing the Impact of the Medicare Coverage Gap on Counseling Professionals: Results of a National Study

The authors surveyed 6,550 members of the American Counseling Association regarding the current impact of Medicare policy on counseling professionals. More than half of respondents (54.8%) had been directly affected by Medicare reimbursement barriers, including 70.0% of practicing counselors. Statistical analyses indicated significant associations between years in the profession, direct experience with the Medicare coverage gap, and participation in professional advocacy related to Medicare. Implications for counselors, counselor educators, and counseling scholarship are discussed.     

Counselor Cognitive Complexity: Correlating and Comparing the Myers–Briggs Type Indicator With the Role Category Questionnaire

This study examined personality types and cognitive complexity levels in counseling trainees. Data from graduate‐level counseling students were collected (N = 74). Cognitive complexity levels were measured using the Role Category Questionnaire (RCQ) and personality types were measured using the Myers–Briggs Type Indicator. Results showed that perceiving types tended to perform better on the RCQ than judging types, and that those who were highly differentiated in all preferences overall tended to score higher on the RCQ. These findings have implications for employment and career counselors and their clients who are, or aspire to be, in the helping profession.     

Occupational Wellness: The Integration of Career Identity and Personal Identity

Historically, career and vocational counseling have served as cornerstones to the counseling profession. Still, there are several survey studies that indicate that interest in career counseling among counseling professionals has eroded. Conversely, there has been an overwhelming response from counselors to the idea of wellness. The intent of this article is to encourage practicing counselors and researchers to consider career development as a key ingredient in the conceptualization of wellness. Furthermore, it is imperative that we begin to assist clients in achieving this aspect of occupational wellness through the integration of career identity and personal identity.     

French Professionals in Genetic Counselor Careers

The profession of genetic counseling in France was recognized in 2004, based on the recommendations of a mandate commissioned by the Health Minister to explore the medical demographics of France. The report predicted a shortage of health professionals in the field of genetics, particularly in light of the rapid development of molecular testing. Development of the profession was supported by a legal framework, and today 107 genetic counselors have graduated from the specific educational program which awards the Professional Master’s Degree of Human Pathology, entitled Master in Genetic Counseling and Predictive Medicine. Here we will trace the development of the profession in France and review the demographic characteristics of the students and genetic counselors practicing the profession today.     

Counselor Professional Identity: Findings and Implications for Counseling and Interprofessional Collaboration

This exploratory, qualitative study examined the professional identity of 238 practicing counselors and how they perceived counseling as distinct from psychology and social work. Participants' professional identities seemed to be grounded in a developmental, prevention, and wellness orientation toward helping. Participants also seemed to embrace a unified professional identity. Psychology was perceived as emphasizing testing and social work as focusing on systemic issues. Findings and implications for the counseling profession and interprofessional collaboration are discussed.     

Coping with the stress of pastoral counseling

Using a stratified random sample of the three membership categories of the American Association of Pastoral Counselors, this study investigated the experience of stress, related to the pastoral counseling profession, among 143 pastoral counselors and 95 of their spouses. In addition, the study examined how pastoral counselors were coping with stress by evaluating self-reported functional and dysfunctional behaviors. The data indicated that pastoral counselors and their spouses did not report high levels of stress related to the pastoral counseling profession. However, significant differences were found by work setting and age for pastoral counselors regarding the level of stress experienced. The data also indicated that pastoral counselors reported using more functional stress reduction behaviors than dysfunctional stress reduction behaviors.     

Perfectionism and School Counselors: Differences in Stress,Coping, and Burnout

The authors examined perfectionism and its association with perceived stress, coping processes, and burnout in a sample of 298 practicing school counselors. Latent profile analysis based on measures of perfectionism supported a 3‐class model made up of adaptive perfectionists, maladaptive perfectionists, and nonperfectionists. Among these groups, the authors found significant differences in perceived stress, coping processes, and burnout. Implications for the school counseling profession are discussed.     

Counseling Past and Present: Is There a Future?

Major criticisms directed at counseling are identified and prominent suggestions for their elimination are described through an analysis of the counseling literature of the past 10 years. A brief outline of the history of counseling offers a historical perspective to the discussion. One suggestion to improve counseling, that counselors become change agents in their institutions, is examined and described with steps for its implementation. The implementation of the change-agent role for counselors would address much of the substantive criticism directed at counseling, and would remold the profession to more effectively meet today's needs.     

Certification of Specialties: Not If,But How

The guest editorial and featured articles have established the fact of counseling specialties and also that counselors have no clear or consistent scheme to recognize professional specialization. If counselors expect external recognition of and respect for their credentials, the credentials first must be recognized and understood by counselors. The experiences of other professions suggest strategies, but counselors must determine their own way of recognizing specialties without denying counselors' common identity. The profession and practice of counseling will be strengthened if all counselors have a minimum foundation of counseling knowledge and competencies and build accepted specializations on that foundation. The counseling profession must distinguish among work settings, professional interests, and specializations as a prerequisite to a coherent scheme of recognizing specialties.     

The Effect of Honduran Counseling Practices on the North American Counseling Profession: The Power of Poverty

A team of researchers consisting of counselor education professors and doctoral‐level counseling students conducted interviews with Honduran mental health professionals, including counselors, psychologists, pastors, community developmental specialists, and psychiatrists. The purpose was to understand the counseling process and profession that exists in a developing economy. The results are focused on the pervasive effects of poverty on the profession, the training of counselors, and the nature of counseling interventions.     

Sexual Dual Relationships in Counseling: Confronting the Issues

Sexual intimacy between counselors and clients is a frequently claimed type of violation against licensed professional counselors. This article examines the issue of sexual dual relationships in terms of prevalence, harm inflicted on clients, counselor awareness, predictability, and parameters for concern. Implications for counseling practice, education of prospective clients, legislation, research, and counselor training are also discussed. It is suggested that despite the complexity and controversy surrounding the topic of sexual dual relationships, the challenge to counselors to confront and to explore these issues is critical to the profession and cannot be ignored.     

Physical Activity and Exercise: Implications for Counselors

The authors address current recommendations for physical activity and health, physical activity and mental well‐being, and implications for counselors and the counseling profession. Specifically, they review a recent article (P. M. Dubbert, 2002) published in the Journal of Consulting and Clinical Psychology and examine in detail the resulting implications for counselors and the counseling profession.     

Counseling Customers: Emerging Roles for Genetic Counselors in the Direct-to-Consumer Genetic Testing Market

Individuals now have access to an increasing number of internet resources offering personal genomics services. As the direct-to-consumer genetic testing (DTC GT) industry expands, critics have called for pre- and post-test genetic counseling to be included with the product. Several genetic testing companies offer genetic counseling. There has been no examination to date of this service provision, whether it meets critics’ concerns and implications it may have for the genetic counseling profession. Considering the increasing relevance of genetics in healthcare, the complexity of genetic information provided by DTC GT, the mediating role of the internet in counseling, and potential conflicts of interest, this is a topic which deserves further attention. In this paper we offer a discourse analysis of ways in which genetic counseling is represented on DTC GT websites, blogs and other online material. This analysis identified four types of genetic counseling represented on the websites: the integrated counseling product; discretionary counseling; independent counseling; and product advice. Genetic counselors are represented as having the following roles: genetics educator; mediator; lifestyle advisor; risk interpreter; and entrepreneur. We conclude that genetic counseling as represented on DTC GT websites demonstrates shifting professional roles and forms of expertise in genetic counseling. Genetic counselors are also playing an important part in how the genetic testing market is taking shape. Our analysis offers important and timely insights into recent developments in the genetic counseling profession, which have relevance for practitioners, researchers and policy makers concerned with the evolving field of personal genomics.     

toward professional commitment through risking and sharing

Because many counselors perform tasks that offer little satisfaction, their commitment to the counseling profession is minimal. In this article the author suggests that by taking the risk to implement innovative counseling techniques and by sharing ideas both within and outside the profession, counselors can derive greater satisfaction from their work and consequently experience increased professional commitment.     

Understanding Gender and Culture Within the Context of Spirituality: Implications for Counselors

This article examines roles that gender, culture, and spirituality play in elements of therapeutic process. It presents an initial literature review of gender, culture, and spirituality as these factors relate to shaping identities and defining one's behavior. Discussions on how these 3 dimensions influence the level of understanding and effective responsiveness that competent counseling professionals should consider in a culturally and spiritually diverse society are presented. Three case studies provide a framework to illuminate the complexity that professionals face when counseling issues are viewed through unique gender, cultural, and spiritual worldviews. Implications for counselors and the counseling profession are provided.     

Model Legislation for Licensed Professional Counselors

State legislated licensure for professional counselors is a critical aspect of the evolution of the counseling profession. Model licensure legislation will help promote a unified view of the profession. Model legislation for licensed professional counselors, along with a rationale for the content of said legislation, is presented.     

Rehabilitation Counseling: A Profession or a Trade?

The problem of the shortage of counselors is examined and the various possible solutions considered. A solution that appears to be developing in many state rehabilitation agencies is the employment of college graduates with no preparation in counseling. These employees are designated as counselors, counselor aides, or counselor trainees, and given in-service training. Such persons, it appears, will eventually be considered counselors without any further educational preparation. It is questioned whether they are, in fact, counselors, but if they are able to perform all the functions of those designated as counselors (excluding professional counseling), then counseling is not a profession, but a trade, for which adequate preparation can be obtained through on-the-job training.