The relationship between vocational interests and the location of an ideal occupation in the individual's perceived occupational structure

The relationship between vocational interests and the location of an ideal occupation in the perceived occupational structure of career counselees was investigated. Ninety-six career counselees completed the RAMAK vocational interest inventory. Then, the occupational constructs of each subject were elicited by the career grid procedure. Finally, each subject rated 24 occupations and his/her ideal and rejected occupations on his/her own elicited constructs. The intrasubject analyses indicated that the preferences for occupational fields as measured by the interest inventory reflect the fields' proximity to an ideal occupation in the individual's perceived occupational structure. The implications for career development are discussed.     

Cognitive complexity and interest crystallization

The relationship between cognitive differentiation and vocational interest crystallization was investigated. Ninety-six career counselees filled in the RAMAK vocational interest inventory. Then, each subject's occupational constructs were elicited by comparing triads of occupations. Finally each subject rated 24 occupations on his/her elicited constructs. Interest crystallization was defined on the basis of the salient scales in the interest inventory, taking into account the structure of interests. Cognitive differentiation was measured by between- and within-constructs differentiation, ordination, intensity, and conflict and by the difference between the perception of an ideal and a rejected occupation. The relationships between the various measures of cognitive differentiation were generally low, suggesting that they capture different aspects of cognitive complexity. The results indicate that interest crystallization is related to the between-construct differentiation, but not to the other measures of cognitive complexity. The implications for research and counseling are discussed.     

Dimensions underlying Holland's hexagon: Missing link between interests and occupations?

Holland uses a hexagon to model relationships among his six types of vocational interests. This paper provides empirical evidence regarding the nature of the interest dimensions underlying the hexagon. Two studies are reported. Study 1 examines the extent to which two theory-based dimensions—data/ideas and things/people—fit 27 sets of intercorrelations for Holland's types. Three of the data sets involve the mean scores of career groups (total of 228 groups and 35,060 individuals); 24 involve the scores for individuals (total of 11,275). Study 2 explores the heuristic value of the data/ideas and things/people dimensions by determining whether they contribute to the understanding of why interest inventories work. Two data sets covering a total of 563 occupations are used to calculate correlations between the vocational interests of persons and the tasks which characterize the persons' occupations. Each occupation's principal work tasks are determined from job analysis data obtained from the U.S. Department of Labor. Study 1 results provide substantial support for the theory-based dimensions. Study 2 results suggest that interest inventories “work” primarily because they tap activity preferences which parallel work tasks. Counseling and research applications of the data/ideas and things/people dimensions are suggested and implications for interest assessment are noted.     

The fit of Holland’s RIASEC model to US occupations

Holland’s [Holland, J. L. (1959). A theory of occupational choice. Journal of Counseling Psychology, 6, 35-45; Holland, J. L. (1997). Making vocational choices: A theory of vocational personalities and work environments (3rd ed.). Odessa, FL: Psychological Assessment Resources, Inc.] RIASEC types were initially developed using a restricted range of occupational titles. Holland’s type classification system has been extended to encompass the full range of occupations in the US, using both statistical and expert rating methods. However, the extent that Holland’s classification model is sufficient to represent the full range of occupational interests has not been examined. Multidimensional scaling (MDS) was used to analyze college students’ (266 men, 572 women) interests in occupations representing approximately 85% of the US labor market. A two-dimensional MDS solution of the full set of occupations did not fit Holland’s model, but limiting the analysis to occupations used in Holland-based measures produced the expected RIASEC structure. In comparison, a three-dimensional solution included Prediger’s [Prediger, D. J. (1982). Dimensions underlying Holland’s hexagon: Missing link between interests and occupations? Journal of Vocational Behavior, 21, 259-287] dimensions (Things/People and Data/Ideas) consistent with Holland’s model, but also included prestige and sex-type dimensions that were not orthogonal to Prediger’s dimensions. These results demonstrate that the RIASEC types are not sufficient to represent the full range of occupational interests and are confounded with prestige and sex-type.     

Prognostic Factors for Distress After Genetic Testing for Hereditary Cancer

The psychological impact of an unfavorable genetic test result for counselees at risk for hereditary cancer seems to be limited: only 10–20 % of counselees have psychological problems after testing positive for a known familial mutation. The objective of this study was to find prognostic factors that can predict which counselees are most likely to develop psychological problems after presymptomatic genetic testing. Counselees with a 50 % risk of BRCA1/2 or Lynch syndrome completed questionnaires at three time-points: after receiving a written invitation for a genetic counseling intake (T1), 2–3 days after receiving their DNA test result (T2), and 4–6 weeks later (T3). The psychological impact of the genetic test result was examined shortly and 4–6 weeks after learning their test result. Subsequently, the influence of various potentially prognostic factors on psychological impact were examined in the whole group. Data from 165 counselees were analyzed. Counselees with an unfavorable outcome did not have more emotional distress, but showed significantly more cancer worries 4–6 weeks after learning their test result. Prognostic factors for cancer worries after genetic testing were pre-existing cancer worries, being single, a high risk perception of getting cancer, and an unfavorable test result. Emotional distress was best predicted by pre-existing cancer worries and pre-existing emotional distress. The psychological impact of an unfavorable genetic test result appears considerable if it is measured as “worries about cancer.” Genetic counselors should provide additional guidance to counselees with many cancer worries, emotional distress, a high risk perception or a weak social network.     

Explaining Mendelian Inheritance in Genetic Consultations: An IPR Study of Counselor and Counselee Experiences

The explanation of Mendelian inheritance is a key component of most genetic counselling consultations, yet no evidence base exists for this area of practice. This qualitative study used Interpersonal Process Recall (IPR) to explore how information about X-linked inheritance is provided and received in genetic counseling. Twelve consultations involving two senior genetic counselors and 21 counselees were videotaped. Section(s) of videotape featuring the explanation were subsequently played back separately to both counselees and counselors and their responses and reflections recorded. All interviews were fully transcribed and analysed using the constant comparison method. A personalised diagram, drawn “live” by the counselor during the consultation was recalled by counselees as being central to their understanding of the “bottom line”. This helped bridge the gap between scientific information and their family experience and did not appear to require a baseline understanding of genetic concepts such as genes or chromosomes. Counselors reflected on the diagram’s positive impact on the way they sequenced, paced and tailored the explanation. A positive counselor-counselee relationship was vital even during this educative exchange: for counselees to feel at ease discussing complex genetic information and to help gauge counselee understanding.     

Short-Term Pastoral Counseling and the Use of Reframing

The purpose of this article is to deal with the advantage of combining short-term counseling with reframing techniques. Short-term counseling states that a) focusing on only one problem, and b) agreeing on a fixed amount of sessions will make the counselee more eager to change before the amount of sessions are spent. The thesis of the paper is that those counselees that engage in short-term counseling will be more resistant to change than the criteria of short-term counseling suggests. Some counselees want to initiate a power struggle with the counselor about the impossibility of change. Rather than giving in to such a struggle, the counselor should use reframing techniques to make the counselee see the problem from a new perspective. Reframing techniques are more likely to make the counselee solve the problem.     

Focusing on Patient Needs and Preferences May Improve Genetic Counseling for Colorectal Cancer

During cancer genetic counseling, different items which counselors consider important are discussed. However, relatively little empirical evidence exists regarding the needs and preferences of counselees. In this study needs and preferences were assessed from counselees with a personal and/or family history of colorectal cancer (CRC), who were referred for genetic counseling regarding CRC. They received a slightly modified version of the QUOTE-GENE^ca questionnaire prior to their first visit to the Hereditary Cancer Clinic. Response rate was 60 % (48/80 participants). Counselees rated the importance of 45 items assessing their needs and preferences regarding the content and process of genetic counseling. Participants rated the items regarding discussion of information about their familial CRC risk (100 %) and preventive options (98 %) as important or very important. Fewer participants rated items concerning general information on genetics as important. Sensitive communication during counseling was considered very important by a large percentage of counselees. Generally, no major differences were seen between participants in relation to individual characteristics. Our data suggest that focusing on familial CRC risk and surveillance options, in combination with sensitive communication may lead to better satisfaction with genetic counseling.     

Counselors,confidences, and the civil liberties of clients

Counselors can and do injure counselees by prying improperly into private matters, by passing information along without the counselees' informed consent, and by using privileged information as a basis for recommendations to others. The danger is especially great where counselors work within organizations, and even greater when their clients are fellow members. Safeguards against this danger would appear to take an uncounselorlike form. Although counselors are not usually sympathetic to a legalistic approach, it is from our constitutional traditions that we can best deduce the kinds of protection that we need.     

Counselees’ Expressed Level of Understanding of the Risk Estimate and Surveillance Recommendation are Not Associated with Breast Cancer Surveillance Adherence

We studied counselees’ expressed understanding of the risk estimate and surveillance recommendation in the final consultation for breast cancer genetic counseling in relation with their risk perception, worry and cancer surveillance adherence 1 year post-counseling. Consecutive counselees were included from 2008 to 2010. Counselees with an indication for diagnostic DNA-testing for themselves or a breast cancer affected relative were requested to complete online questionnaires before and after counseling and one year after counseling (N?=?152–124). Self-reported surveillance was compared to surveillance recommendations. Consultations were videotaped. Counselees’ reactions to the risks and recommendations were coded. Statements about the risk perception and surveillance intentions of breast cancer unaffected counselees were transcribed. Associations with outcomes were explored. Almost all breast cancer unaffected counselees (>90 %) reacted to their risk estimate with an utterance indicating understanding and this reaction was not significantly associated with their post-visit risk perception alignment. Over one-third (38.6 %) overestimated their risk post-counseling. Few counselees (5.8 %) expressed surveillance intentions. One year after counseling, about three-quarters (74.0 %) of the breast cancer unaffected counselees had adhered to the surveillance recommendation. Almost one-quarter (23.3 %) had performed more mammograms/MRI scans than recommended, which was associated with prior mammography uptake (n?=?47; X ² ?=?5.2; p?=?.02). Counselees’ post-counseling overestimation of their risk, high levels of worry and high surveillance uptake were not reflected in their reactions to the counselor’s information during the final visit.     

COUNSELEES' RATINGS OF THE EFFECTIVENESS OF EMPLOYMENT SERVICE COUNSELORS AND PROSPECTIVE HIGH SCHOOL COUNSELORS

The purpose of this study was to determine whether differences exist between Employment Service counselors and prospective high school counselors in the following areas: perceptions of counselor as a person, perceptions of assistance received by the counselees in educational planning, vocational guidance, personal and social matters, and the use of tests in counseling. This study was designed also to find out whether NYC and HS background, sex of the counselees, and number of sessions attended by the counseled affected their ratings of counselor effectiveness.     

Design and Feasibility of an Intervention to Support Cancer Genetic Counselees in Informing their At-Risk Relatives

Cancer genetic counselees receive individualized information regarding heightened risks and medical recommendations which is also relevant for their at-risk relatives. Unfortunately, counselees often insufficiently inform these relatives. We designed an intervention aimed at improving counselees’ knowledge regarding which at-risk relatives to inform and what information to disclose, their motivation to disclose, and their self-efficacy. The intervention, offered by telephone by trained psychosocial workers, is based on the principles of Motivational Interviewing. Phase 1 of the intervention covers agenda setting, exploration, and evaluation, and phase 2 includes information provision, enhancing motivation and self-efficacy, and brainstorming for solutions to disseminate information within the family. Fidelity and acceptability of the intervention were assessed using recordings of intervention sessions and by counselee self-report. A total of 144 counselees participated. Psychosocial workers (n = 5) delivered the intervention largely as intended. Counselees highly appreciated the content of the intervention and the psychosocial workers who delivered the intervention. In the sessions, psychosocial workers provided additional and/or corrective information, and brainstorming for solutions was performed in 70 %. These results indicate that this intervention is feasible and warrants testing in clinical practice. For this, a randomized controlled trial is currently in progress to test the intervention’s efficacy.     

Psychological aspects of genetic counseling. VIII. Suffering and countertransference

Two common forms of countertransferential problems seen in genetic counseling, associative and projective, are described and illustrated. Both forms have the potential of reducing the quality of empathy counselors provide counselees. When counselors experience the same problems as the counselees they counsel it is virtually impossible to avoid facing countertransferential reactions which may not always promote the counselees' interests and/or redound to their benefit. Genetic counselors, like other personal counselors and psychotherapists, have a professional responsibility to be aware of, monitor, contain, and learn from their countertransferential experiences.     

The Influence of Sex, Physical Attractiveness, Sex Role, and Occupational Sex-Linkage on Perceptions of Occupational Suitability

The effects of sex role and physical attractiveness stereotypes on subjects' perceptions of a stimulus person were examined in a field study of their influence on occupational suitability ratings. The present research distinguished the biological sex from the sex role of a hypothetical job applicant. A sample of personnel consultant subjects evaluated a male or female stimulus applicant, who was attractive or unattractive, for masculine, feminine, and sex-neutral occupations. The stimulus applicant was either masculine, feminine, or androgynous in hisher sex role. Consistent with the experimental hypothesis, masculine and androgynous persons were preferred to feminine persons for the masculine occupations while feminine and androgynous persons were preferred to masculine persons for the feminine occupations, regardless of biological sex or attractiveness. Also consistent with predictions, attractiveness influenced ratings for the sex-neutral occupations. Results are discussed in terms of the influence of individuating information about a stimulus person in eliminating the effects of stereotypes on judgments of individuals. Possible implications for personnel decision making are also considered.     

Can We Help Belligerent Counselees?

This article presents a framework and principles for counseling belligerent counselees. It integrates moral reasoning and behavior contracting with the counseling process and describes the limited rationales of victimization, guilt, and helplessness. Then, a moral reasoning framework is presented whereby counselors move the counselees from the punishment stage to a trade-off and socially responsive stages through contracting. Finally, the counseling and contract principles are delineated for establishing a relationship aimed at improved behavior, facilitating recognition that behavior causes consequences, inducing positive behavior through rewards, and encouraging transfer to new situations.     

What Information Do Cancer Genetic Counselees Prioritize?

This study explored the informational needs of individuals attending genetic counseling for hereditary cancer, using a free-choice and a forced choice method. Prior to the consultation the informational needs of 334 counselees from Sweden and Norway were assessed by the QUOTE-gene (ca) questionnaire and by a study specific forced choice method, using Q-methodology. Questionnaire responses indicated that counselees' major concerns pertained to the need to be taken seriously, to be provided with sufficient risk estimation and medical/genetic information and to be involved in the decision making process. Furthermore, prior to counseling, counselees noted that the counselors' consideration and skillfulness were also extremely important. Analysis of the Q-sorting results revealed that counselees' needs could be assigned to one of five groups: the "need for facts; caring communication and medical information; information and support in communicating the genetic information to others; practical care and practical/medical information". Particularly noteworthy, counselees with varying backgrounds characteristics prioritized different needs. Cancer genetic counselees probably have different needs due to their medical and demographic background when attending genetic counseling. Addressing counselees' specific concerns more sufficiently and thereby increasing the overall effectiveness of the counseling session requires increased insight into individual needs, by for instance, utilizing screening methods such as QUOTE-gene (ca) prior to the counseling session.     

Computer-Assisted Career Counseling: Dilemmas,Problems, and Possible Solutions

Computer-assisted career guidance systems (CACGSs) are one of the available tools used to facilitate the career decision-making process of deliberating counselees. The development and utilization of these systems have raised dilemmas and problems that the author discusses from the viewpoint of information-processing and decision theory. These dilemmas involve (a) the occupational data base, (b) the complexity of the career decision-making process, (c) the effectiveness of the dialogue, and (d) the context in which the CACGS is embedded. After describing and analyzing each problem or dilemma, possible ways to overcome, circumvent, or at least minimize it are explored. The relevance for face-to-face career counseling is also discussed.     

Breast Cancer Risk Perceptions among Relatives of Women with Uninformative Negative <Emphasis Type="Italic">BRCA1/2</Emphasis> Test Results: The Moderating Effect of the Amount of Shared Information

The most common result of BRCA1/2 mutation testing when performed in a family without a previously identified mutation is an uninformative negative test result. Women in these families may have an increased risk for breast cancer because of mutations in non-BRCA breast cancer predisposition genes, including moderate- or low-risk genes, or shared environmental factors. Genetic counselors often encourage counselees to share information with family members, however it is unclear how much information counselees share and the impact that shared information may have on accuracy of risk perception in family members. We evaluated 85 sisters and daughters of women who received uninformative negative BRCA1/2 results. We measured accuracy of risk perception using a latent variable model where accuracy was represented as the correlation between perceived risk (indicators = verbal and quantitative measures) and calculated risk (indicators = Claus and BRCAPRO). Participants who reported more information was shared with them by their sister or mother about her genetic counseling session had greater accuracy of risk perception (0.707, p?=?0.000) than those who reported little information was shared (0.326, p?=?0.003). However, counselees shared very little information; nearly 20 % of family members reported their sister or mother shared nothing with them about her genetic counseling. Family members were generally not aware of the existence of a genetic counseling summary letter. Our findings underscore the need for effective strategies that facilitate counselees to share information about their genetic counseling sessions. Such communication may help their relatives better understand their cancer risks and enhance risk appropriate cancer prevention.     

Counselors as environmental engineers

Counselors should engineer extending and corrective experiences for their counselees. If appropriately selected, such experiences can prove a powerful adjunct to the more traditional one-to-one counseling relationship. Ways are pointed out in which counselors can use school and community experiences to accomplish guidance goals     

Gender role conflict: The interaction of gender,gender role,and occupation

One hundred forty-nine middle class individuals (69 males and 80 females), approximately 80% of whom were Caucasian, participated in the present study. The study was designed to test the hypothesis that individuals whose gender role and occupation did not match (i.e., feminine individuals in predominantly male occupations or masculine individuals in predominantly female occupations) would experience more gender role conflict than individuals whose gender role and occupation matched. The hypothesis was supported. A feminine gender role predicted higher gender role conflict in predominantly male occupations, and lower gender role conflict in predominantly female occupations than a masculine gender role. A masculine gender role predicted the lowest gender role conflict scores in predominantly male occupations, and the highest in predominantly female occupations. Furthermore, higher masculinity scores were related to greater gender role conflict for females than males in more predominantly male occupations.