The help-seeking in career counseling

This study examined help-seeking in career counseling by investigating factors that influence students’ intention to consult a career counseling center. Nine hundred and eighteen participants were given the Attitudes toward Career Counseling Scale (ATCCS), an information brochure about the career counseling center; the Intention to Consult a Career Counseling Center Scale (ICCCS), and the Counselor Rating Form-Phrases (CFR-P). The initial value ascribed by the potential client to career counseling more than the attractiveness of career counseling predicted the intention to consult a career counseling center. Some significant differences between high school and university students emerged. The results provide further incentive to continue to study help-seeking in career counseling.     

Counseling with Elementary School Children: An Experimental Study

An attempt was made to assess results of counseling with fourth-grade students, using sociometric status as the criterion. A sociometric device was administered to four fourth-grade classrooms. Students of low sociometric status were randomly assigned by classrooms to one of three treatment conditions: (1) counseling, (2) teacher guidance, and (3) control. When treatment conditions were compared, the evidence seemed to indicate significant differences in the relative frequency with which subjects increased or decreased in sociometric status, that the differences favored the counseling condition, and that these differences persisted over a period of seven months. The possibility of a temporary teacher influence on the sociometric criterion was indicated.     

Christian Couple Counseling by Professional,Pastoral, and Lay Counselors from a Protestant Perspective: A Nationwide Survey

Couple counseling is widely practiced by Christian counselors, but there are almost no empirical data investigating it. The present study presents data from a national web-based survey of counselors from the American Association of Christian Counselors (AACC). We describe the nature of Christian couple counseling, as well as counselors' religiousness and their attitudes toward integrating religion and spirituality into couple counseling. Christian couple counselors were highly religious and their personal religiosity affected their attitude toward incorporating religion in counseling. There were differences between professional, pastoral, and lay counselors suggesting that each be treated separately rather than be lumped generically as Christian couple counseling.     

The Timing of Counselor Contact in the Use of a Computer Information Delivery System With Adult Career Counseling Clients

Treatment outcome differences based on the timing of counselor contact in the use of a computer information delivery system were investigated. The results indicate significant differences between scores for the postintervention counseling and control groups on the Career Decision Scale. Results also indicate significant differences between the postintervention and en-route counseling groups for scores on the Computer Liking subscale of the Computer Attitude Scale. Implications are discussed.     

Assessment of the Effectiveness of Genetic Counseling by Telephone Compared to a Clinic Visit

Maternal serum screening, also known as the triple screen, is used during pregnancy to assess the risk of carrying a fetus with specific chromosome abnormalities or open spina bifida. All women in British Columbia who screen positive are eligible for genetic counseling and are offered amniocentesis. The purpose of this study is to determine what differences (if any) exist in patients' understanding and/or anxiety when genetic counseling for a positive triple screen is conducted in person versus over the telephone. Each patient who participated was given the choice of having genetic counseling in person or over the telephone, this after a randomized design failed to elicit any participants. Using a written postcounseling questionnaire, each patient was assessed for her understanding of the information presented in the session, and her anxiety regarding her risk. In this small pilot study, no large differences were detected in patients' understanding or anxiety when genetic counseling was conducted by telephone versus in person.     

How special are the specialties? Workplace settings in counseling and clinical psychology in the United States

How special are the specialties? Although clinical and counseling psychology each have distinctive origins, past research suggests their potential convergence across time. In a survey of 5666 clinical and counseling psychologists, the similarities and differences between their workplace settings were examined during early-, mid-, and late-career phases to explore the distinctiveness of the two specialties. Overall, clinical and counseling psychologists reported markedly similar workplace settings. However, some significant differences remained; a greater proportion of counseling psychologists reported working in counseling centers, while a greater proportion of clinical psychologists reported working in medical settings. In addition, during late-career, substantially more counseling and clinical psychologists worked in independent practice contexts than in community mental health centers, medical settings, academia, or university counseling centers. Findings are discussed in relation to the ongoing distinctiveness of the two specialties and the implications of this for training and service in the field of professional psychology.     

Value Tensions Between Evangelical Christians and Christian Counseling

The evangelical wing of the American Protestant church has maintained an uneasy and uncertain relationship with the recently emerged Christian counseling movement. Whereas many evangelical Christian groups have been able to assimilate Christian counseling into their panoply of ministry tools, significant sections of this faith group remain very suspicious and doubtful that Christian counseling can be trusted. Most of the stated reasons given by these objectors revolve around theological reservations. This article, however, suggests that an even more powerful barrier between the two groups stems from significantly different values held by each. The article enumerates several of these value differences.     

Toward a Developmental Understanding of the Counseling Specialty: Lessons From our Students

Trends in professional practice and training have led to a debate concerning the need for an increasing remedial emphasis within the counseling field. Proposals for an integration of the counseling and clinical specialties have been opposed by those arguing that a specialty differentiation captures meaningful differences. This article hypothesizes that the counseling specialty is distinguished by its reliance on a developmental metatheory, which makes unique assumptions regarding distress, change, and the helping process. This metatheory is rooted in a rich theoretical and empirical tradition and has generated innovations in practice that transcend usual remedial forms of helping. It is proposed that the value of developmentalism and the counseling specialty are most evident in the developmental interventions of college counseling.     

Counseling Older Japanese American Clients: An Overview and Observations

Older Japanese American clients bring a unique set of historical and cultural characteristics to the counseling setting. Several important aspects of providing counseling to this group are discussed, including ethical issues based on cultural differences and nontraditional approaches to counseling.     

Program Evaluation and Counseling: Yesterday,Today, and Tomorrow

Spawned by intensified demands for accountability, expanding counselor roles and functions, and increased counselor attention both in the counseling literature and in counseling practice, program evaluation has emerged as a vital aspect of counselor functioning in recent years. This article highlights the differences between program evaluation and research, a long-standing source of confusion; presents major issues in the practice of counseling program evaluation; and identifies current trends in program evaluation.     

Patient Satisfaction with Cancer Genetic Counseling: A Psychometric Analysis of the Genetic Counseling Satisfaction Scale

Satisfaction is an important patient reported outcome of genetic counseling, as it is one of the elements used by professional organizations and healthcare accrediting bodies to determine the quality of professional work. However, empirical research on patient satisfaction with genetic counseling has been limited, partly due to the lack of standardized measures available to assess this construct. The purpose of this study was to conduct a psychometric analysis of a new satisfaction measure, the Genetic Counseling Satisfaction Scale (GCSS), within a sample of women participating in a no-cost cancer genetic counseling and testing program. The sample consisted of 61 women undergoing counseling and testing for hereditary breast-ovarian cancer risk (BRCA1/2 testing) who completed the GCSS following pretest counseling. The results suggest that the GCSS was reliable (Cronbach's coefficient alpha = 0.90) and that participants were highly satisfied with the care they received. In addition, there were no differences in satisfaction between cancer genetic counseling and prenatal counseling participants (based on preexisting norms), and satisfaction did not vary by sociodemographic characteristics. Implications and recommendations are discussed.     

Teaching group treatment in doctoral programs for counseling psychology

We surveyed the 71 doctoral programs in counseling psychology approved by the American Psychological Association to examine whether and how group counseling or therapy was taught. Responses from 31 programs listed at least one graduate course in group counseling; over half offered more than one. In most cases the introductory course was required. Analysis also indicated that introductory courses often included an in-class or an out-of-class experiential component, focused either primarily or exclusively on outpatient therapy and used Yalom's interpersonal approach. Discussion focused on the importance of courses in group interventions in doctoral programs in counseling psychology and the differences and similarities in academic training of group interventions in programs in counseling and clinical psychology.     

Self-Transcendence: Integrating Ends and Means in Value Counseling

Pastoral counseling is distinguished from secular counseling by “limit experiences.” These are experiences that disclose the fullness of self-transcendence—for Christians, a personal relationship with God. But the radical drive of the human spirit for self-transcendence unifies every dimension of the developing person. This drive thus forms the basis of a fundamental continuity between pastoral and secular counseling in their directions and methods, despite clear differences in boundaries, categories, and languages.     

Attitudes Toward Counselors and Counseling Processes: A Comparison of Chinese and American Graduate Students

Graduate students socialized in separate cultural settings, Taiwan and the United States, but studying at the same large university were surveyed about their (a) preferences for counselor's characteristics, (b) images of a counselor, and (c) attitudes toward counseling and counseling services. Results show that Chinese and American students have different preferences for and images of a counselor. Although both groups have positive attitudes toward seeking counseling, they know very little about the counseling resources and locations available. The groups also differ in their expectations of the counseling process. Some sex differences were indicated, but no clear pattern emerged.     

Students' perceptions of their future professional behavior

Doctoral students from university-based clinical, counseling, and school psychology programs responded to items that asked how willing they would be to engage in various professional activities and the reasons for their choices. The data were factor analyzed; five subscales resulted that were analyzed in a one-way MANOVA. Results indicated similarities between clinical and counseling for therapy and medically related disorders (Subscale 1) and specialized assessments and techniques (Subscale 4); and similarities among all three specialties on academic activities (Subscale 5). Traditional differences were also found: school students were more likely to endorse activities related to children and schools (Subscale 2); whereas counseling students were more likely to endorse activities related to consultation, educational—vocational counseling, and evaluation (Subscale 3). The results support current similarities and historical differences among the specialties and raise questions regarding education of and future career opportunities for psychologists.     

Genetic Counseling Practice in Next Generation Sequencing Research: Implications for the Ethical Oversight of the Informed Consent Process

The potential for next generation sequencing research (NGS) to generate individual genetic results could have implications for the informed consent process and the provision of genetic counseling. We undertook a content analysis of informed consent templates and guidelines produced by Canadian institutional review boards, purposively sampling documents used by researchers to obtain consent from participants in genetics studies. Our goal was to examine the extent to which the informed consent documents addressed genetic counseling and the return of individual genetic results. Our analysis reveals that the majority of informed consent documents did not mention genetic counseling while several did not mention the return of results. We found differences in the ways in which documents addressed availability of counseling, eligibility criteria for referral to a genetic counselor, genetic counselor involvement, provision of services to family members of participants and incidental findings. From an ethical standpoint, consent documents should provide appropriate information so that participants may make an informed decision about their participation in research. The need to ensure adequate counseling for study populations in an NGS research context will necessarily involve adapting values that underlie care in genetic counseling practice. If the interests of research participants are to be truly promoted, the drafting and review of informed consent documents should give proper due to genetic counseling.     

The public's perception of psychotherapy and counseling: Differential views on the effectiveness of psychologists,psychiatrists, and other providers

This study examined the public's perceptions relative to the effectiveness of psychotherapy and counseling, expectations of treatment efficacy for different psychotherapy and counseling providers (i.e., clinical psychologists, counseling psychologists, counselors, general medical practitioners, marital and family therapists, psychiatrists, self-help groups, and social workers), professional characteristics, and factors that may influence treatment utilization in an adult population. The sample viewed psychotherapy or counseling as moderately effective and perceived psychotherapy/counseling to be effective for 26 to 50 percent of all cases. The perceived amount of time necessary for noticeable improvement in psychotherapy or counseling was approximately four months, and the expected necessary length of treatment was approximately eight months. Participants stated they were moderately willing to seek psychotherapy or counseling if they were to experience a mental problem, and reported discernible differences among the eight psychotherapy/counseling providers in terms of treatment efficacy. Differences were also found in the relative perception of providers' personal/professional qualities and characteristics.     

Identifying process variables in career counseling: A research agenda

Remarkably little is known about what underlying processes and mechanisms lead to effective change in career counseling. This article examines potential reasons why career counseling process research has been infrequently conducted and provides 10 avenues from psychotherapy process research, and the limited pool of existing career counseling process research, that hold promise for advancing a productive process-research agenda in career counseling. These 10 avenues include: (a) examining the working alliance and five promising counselor techniques; (b) reconceptualizing career counseling as a process of learning, and investigating the processes that lead to effective learning; (c) investigating differences in career counseling process and outcome due to subtype membership, cultural perspectives, and other critical client attributes; (d) investigating differences in career counseling process and outcome based on counselors’ levels of self-efficacy, cultural perspectives, and other critical counselor attributes; (e) examining influential session events; (f) utilizing a common problem resolution metric for examining change across clients; (g) examining client change longitudinally to examine stability of change and functional practicality of assessed outcomes; (h) examining cognitive processes that may be mediating the career counseling process; (i) developing molecular and global taxonomies of counselor behaviors; and (j) utilizing advances in methodological approaches and statistical analyses.     

Evaluating the efficacy of short-term counseling on adolescents in a school setting.

This study evaluated the efficacy of short-term school-based counseling with forty-two high school adolescents (twenty-seven males, fifteen females) by measuring pre- and posttest scores on a self-report, self-esteem measure. While there was a significant decline in self-esteem ratings after counseling in the areas of social acceptance, job competence, and close friendship, counseled students showed a significant improvement in the consistency between their adequacy ratings and their judgments about what competencies they valued. Specific gender differences emerged, as females appeared to have benefited more from the counseling experience than did males.