Asian and Pacific Island American students' acculturation and etiology beliefs about typical counseling presenting problems

Asian American Pacific Island college students (N = 93) completed measures of acculturation and mental health worldview, in the form of beliefs about the likely causes of 24 typical counseling presenting problems. A criterion sample of 27 staff from 2 university counseling centers reported their beliefs about the most likely cause of the same 24 problems for a typical client. A response similarity index was calculated, with higher scores reflecting greater similarity between student and counselor mental health worldviews. Results suggest that higher acculturation was associated with greater level of match between the students' etiology beliefs and those of counselors. The greatest differences were observed for serious personal problems, whereas there was more belief convergence about causes of academic problems.     

Comparative Effectiveness of Student and Professional Counselors

A sample of 160 beginning freshmen, half males and half females, received six and one-half hours of academic adjustment guidance from same-sex professional counselors. Upperclassman student counselors gave equivalent guidance to all other beginning freshmen at Southwest Texas State College. A matching sample of 80 men and 80 women was subsequently drawn from the 316 freshmen receiving student-to-student counseling. Age, sex, measured scholastic ability, measured study orientation, and high school academic achievement were employed as matching variables. The four professional and eight student counselors completed 50 clock hours of identical pre-counseling training, used identical guidance materials, and followed identical counseling activity sequences. Equivalent counseling facilities were provided for all counselors. Test, questionnaire, and scholarship data were employed to evaluate the comparative effectiveness and acceptability of counseling given the professional counseled and the student counseled groups. Student counselors were found to be as effective as professional counselors on all criteria of counseling effectiveness. Furthermore, freshmen counseled by student counselors made significantly greater use of the information received during counseling, as reflected by first-semester grades and residual study problems. It was concluded that carefully selected, trained, and supervised student counselors provide a practical and productive addition to the college's guidance program.     

Genetic Counseling,Professional Values,and Habitus: An Analysis of Disability Narratives in Textbooks

This article analyzes narrative illustrations in genetic counseling textbooks as a way of understanding professional habitus--the dispositions that motivate professional behavior. In particular, this analysis shows that there are significant differences in how the textbooks' expository and narrative portions represent Down syndrome, genetic counseling practice, and patient behaviors. While the narrative portions of the text position the genetic counseling profession as working in service to the values of genetic medicine, the expository portions represent genetic counselors as neutral parties. Ultimately, this article argues that this ambiguity is harmful to the production of a professional habitus that is consistent with espoused professional values concerning respect for persons with disabilities and the promotion of psychosocial counseling.     

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.     

Personal and Organizational Characteristics of Employment Counselors

Eleven personal and organizational variables were measured in a large national sample of employment counselors. Data indicate that female counselors were younger than males, older counselors had higher educational levels than younger ones, and as the level of education increased, so did the number of professional association memberships and time spent in counseling activities. Employment counselors with first-line supervisors who had counseling experience tended to be older, spent more time in counseling activities, had higher education levels, and belonged to more professional associations than did counselors whose supervisors did not have counseling experience.     

Manifest needs of prospective counselors: a comparative study

Mean performances of 81 prospective counselors on each of the Edwards Personal Preference Schedule (EPPS; Edwards, 1959) needs were analyzed and statistically compared with performances of elementary school counselors, other school counselors, urban college students, professional women, Roman Catholic sisters, and the 1959 EPPS norm samples. Performances of the men and women in the prospective counselor group were similar. Men had a significantly higher need for achievement and dominance, but the significance did not reach .01. Two EPPS needs, intraception and nurturance, consistently differentiated the prospective counselor group. Comparisons across samples indicated that prospective counselors were most similar to the two counseling samples and, for the female subgroup of prospective counselors, to the sample of professional women. Largest across-sample differences were found between the female prospective counselors and the Roman Catholic sisters, between the female prospective counselors and norm samples of female college students and female adults, and between the male prospective counselors and the male adult norm sample.     

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.     

A Comparative Analysis of Ethical and Professional Challenges Experienced by Australian and U.S. Genetic Counselors

Ethical issues are an inevitable part of genetic counseling practice. Prior research identified 16 domains of ethical and professional challenges encountered by practitioners in the United States. In order to further validate these domains, the present study surveyed Australian genetic counselors. Sixty-three respondents rated the frequency with which they encountered each domain, and 39 individuals also provided personal anecdotes detailing their most challenging ethical and professional dilemmas. Every domain reportedly was experienced by the Australian sample. However, there were some differences between Australian respondents and U.S. genetic counselors in frequencies of domain occurrence, and in strategies recommended for resolving them. Several anecdotes illustrate challenging situations due to Australia’s geography, universal healthcare system, and the genetic counseling profession’s evolution in that country. The results generally validate domains identified for U.S. genetic counselors. They further suggest that certain ethical issues may manifest in ways unique to a given country, and therefore they must be addressed in a culturally-appropriate manner.     

Human values and counseling

The author describes some of the philosophical and practical problems concerning personal values and professional ethics that counselors encounter in their work. She discusses ethical problems in counseling research and practice and points out some of the differences among various types of deliberate influence and implicit influence.     

Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual orientation.     

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.     

Commonalities in Values Among Mental Health Counselors

Mental health counselors (N = 161) from Buenos Aires, Argentina, who ascribed to distinct theoretical orientations were surveyed with regard to their personal and mental health values. Although on theoretical grounds value differences among counselors professing divergent orientations seem plausible, the empirical literature has failed to support these differences. What has been supported is a sizably shared professional culture characterized by a values profile beyond theoretical orientation. This article provides further empirical input on what the values commonalities are even among counselors who profess distinct theoretical orientations and have a different national origin from prior samples. Implications for clients are discussed.     

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.     

College counseling: between the rock and the hard place

Professional counseling in institutions of higher education is facing a serious crisis. The crisis is not due simply to the fact that institutional administrators are asking their professional counselors to account for their activities, nor is it due simply to the fact that professional counselors have lost touch with an increasing proportion of students who are turning to self-initiated counseling arrangements for their most immediate needs. The crisis of counselor survival arises mainly from the fact that those services that administrators expect professional counselors to perform as part of their organizational role are actually counterproductive to the establishment of trusting and meaningful relationships between counselors and students.     

Counselor Values: A National Survey

A national sample (n = 479) of counselors representative of the 1993 American Counseling Association membership was surveyed regarding their value orientations in four domains: universal values, mental health values, individualistic-collectivistic values, and religious-spiritual values. Results yielded a multifaceted, generally concordant (although by no means unanimous) value profile for professional counselors across these value domains, presenting an overall content pattern that might be globally summarized as a strong core valuing of holistic-humanistic empowerment related to personal development and interpersonal and social concern. Implications for counseling practice, limitations, and suggestions for future research are discussed.     

Counselor performance in treating anxiety and depressive symptoms in integrated care: A client outcomes study

Depression and anxiety are two of the most common mental disorders treated in Integrated Primary and Behavioral Healthcare programs. We investigated the within and between performance differences of mental health counselors on anxiety and depressive symptomatology in an integrated service with a sample of 1573 clients and 10 licensed professional counselors. The results of growth curves within the framework of Multilevel Modeling showed significant within and between performance differences among counselors treating anxiety and depressive symptoms. Some counselors performed better in treating anxiety symptoms while others did better treating depression. Implications for counselor education, client care, and legislation are provided.     

Grief Counseling: An Investigation of Counselors' Training,Experience, and Competencies

Grief is prevalent in counseling, but little is known about the current status of counselors’ preparation and competencies to provide effective care. This exploratory study surveyed counselors (N= 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training and experience were statistically significant predictors of competence. The strong relationship between variables suggests these concepts may be understood as synonymous. Implications for training, practice, and research are discussed.     

“I Didn’t Know It Existed Before You Called”: Protestant Clergy Experience, Education and Perceptions Regarding Genetics

Despite the intrinsic role religious/spiritual (hereafter, R/S) beliefs have in patient clinical decision-making and crisis coping, there is little research exploring the relationship that exists between clergy (professionals who provide R/S counsel and guidance) and genetic counseling patients. This qualitative, exploratory study was designed to explore Protestant clergy (N?=?8) perceptions of and experience with genetics-related issues. Data analysis revealed that a wide range of R/S perceptions regarding genetics-related issues exist within Protestantism, Protestant clergy have a basic understanding of genetic testing and conditions, and while directive counseling is inherent to Protestant clergy counseling, there appears to exist two opposing styles: unbiased and biased. Based on this information, there are two main implications for genetic counseling clinical practice. First, R/S assessments need to be increasingly implemented into genetic counseling sessions, so that the psychosocial needs of patients with specific R/S beliefs can be identified and addressed. An increase in R/S assessments may be accomplished by increased exposure in genetic counselor training, continuing education opportunities, and by establishing relationships with board-certified, professional chaplains. Second, genetic counselors can influence the genetic education and experience of clergy by raising awareness within their own R/S assemblies. Doing so can also serve to further educate genetic counselors in the R/S beliefs of their own traditions, thus increasing sensitivity, empathy and the quality of care provided.     

Counseling in Zimbabwe: History,Current Status,and Future Trends

Counseling in Zimbabwe has a long tradition, dating back to pre‐Colonial times. In the modern context, counseling has evolved through the educational and health care sectors. Since the 1990s, Zimbabwean counselors have advocated for professional recognition, a struggle similar to that of counselors in the United States. In this article, the authors provide a historical view of counseling in Zimbabwe, discuss the current status of and future trends in counseling, and make recommendations for the advancement of the profession.