Feeling differently together: The It Gets Better Project as an unlikely intimate public of LGBT peers

This article examines peer participation in the It Gets Better Project, a YouTube-based platform which addresses precarious LGBT youth by offering moral support. The paper asks who engages with the project, and why particularly peers participate by recording and uploading a personal video. Contrary to this prevalence of peers, the article first shows how the project's architecture actually diverts attention from peer participation to a few featured videos, thereby shifting the focus onto celebrity participation. The article then proposes the project as an “intimate public” (Berlant, 2008) of shared feelings of difference, which connects the individual and dispersed private, amateur spaces with an indefinite affective space of public intimacy, grounded materially in and mediated by the space of the internet. Building on queer critique, the article argues that the project's success amongst peers can be understood in its capacity to circulate and share emotional knowledge of feeling differently together with others, even despite its internal dominant structural and normative orientation.     

Ethical Challenges in a Complex World: Highlights of the 2005 ACA Code of Ethics

Being an effective counselor includes having knowledge of and the ability to integrate a code of ethics into one's professional practice. This article addresses some of the highlights of the changes in the 2005 ACA [American Counseling Association] Code of Ethics such as end‐of‐life issues, boundaries and relationships, and multicultural and diversity considerations. It is critical for counselors to demonstrate cultural sensitivity during the ethical decision‐making process throughout their counseling, supervision, teaching, and research practice.     

Promoting Relational Competencies in Counselor Education Through Creativity and Relational-Cultural Theory

Abstract

This article addresses the need to identify requisite relational competencies that professionals providing creative and innovative counseling services must hold when facilitating responsible, growth-fostering connections between service providers and others. This article also includes a discussion on how the relationally responsible use of power must be included in any forum that examines relational dynamics and competencies. Although subsequent writings will discuss creativity-related competencies in greater depth, the focus of this paper rests on some relational challenges that students and professionals in the counseling and related fields face and on the need to identify relational competencies that can facilitate successful resolution of these challenges.     

Work with dying patients: Team dynamics and team work

SUMMARY

This paper addresses some issues in palliative-care work that emerged in a short-term staff-support group, and shows that work with terminally-ill cancer patients had an impact on the staff and team as a whole. In dealing with distressing and disturbing feelings related to work with dying patients, the staff used manic defences and denial of differences within the team.     

Taming the Brain Weasels: Reducing Self-Criticism Through Externalization and Compassion

ABSTRACT

Self-criticism is a natural process occurring across mental health disorders. When self-criticism is excessive, vulnerability to mental health disorders such as depression and anxiety increases. Compassion-focused approaches can effectively address a variety of concerns; however, highly self-critical individuals might balk at the idea of self-directed compassion due to shame, self-blame, or discomfort with positive emotions, resulting in treatment resistance. The brain weasel is an intervention strategy that uses the Narrative Therapy technique of externalization as an intermediate step toward compassion-oriented work. Through creative externalization and therapeutic humor, self-critical individuals can decenter and explore their self-critical dialogue. This article contains several ways to introduce and use the brain weasel personification in counseling.     

Making Positive Changes Counseling (MPCC) Program: A Creative Adaptation of Motivational Interviewing for Use with Children in School Settings

ABSTRACT

Motivational Interviewing (MI)-based counseling can be creatively adapted for working with elementary school students in disciplinary alternative education program (DAEP) settings. The purpose of this article is to describe the implementation of MI with elementary-aged students in the DAEP. The Making Positive Changes Counseling (MPCC) program is a six-session program, which addresses children’s readiness for change, exploration of values and goals and current behaviors, recognition of personal strengths, perspective taking, recognition for possible changes, and effective decision making. The program is an adaptation of the standardized MI approach utilizing visuals and age-appropriate materials that are easily adaptable to individualized (or even group) guidance format.     

Perception of risk in genetic counseling

Abstract

Genetic counseling is a psychological process of communicating and perceiving information about risks. As such, it is important to assess how information is understood by counselees and how psychological factors affect risk perception. Subjects were 76 patients at a genetic clinic whose understanding of genetic counseling was assessed, along with their motivation and way of thinking about risks. Results indicated that subjective interpretations of recurrence risks are better predictors of their reproductive intentions than the “objective” risks. Also, specific cognitive and motivational factors appear to explain much of the variance in risk perception in genetic counseling. The results have important implications for how counseling is conducted, as well as for theoretical issues about cognitive processes.     

Journal reviews

Abstract

This article addresses the parental alienation syndrome, which is the process by which one parent overtly or covertly speaks or acts in a derogatory manner to or about the other parent during or subsequent to a divorce proceeding, in an attempt to alienate the child or children from that other parent.     

Psychological counseling as an adjunct to stuttering treatment: Clients’ experiences and perceptions

PurposeStuttering can trigger anxiety and other psychological and emotional reactions, and limit participation in society. It is possible that psychological counseling could enhance stuttering treatment outcomes; however, little is known about how clients view such counseling. The purpose of this study was to gain an understanding of clients’ experiences with, and perceptions of, a psychological counseling service that was offered as an optional adjunct to speech therapy for stuttering.MethodNine individuals who stutter (13-38 years old) participated in semi-structured interviews. Six participants had taken part in psychological counseling; three participants did not do so. Interview data were analyzed using grounded theory as a guiding framework.ResultsFour thematic clusters emerged from participants’ accounts: insights into personal decision-making, why others may not participate in counseling, psychological counseling as a worthwhile part of therapy, and counseling as a necessary component in a stuttering treatment program.ConclusionIn addition to experiencing barriers and facilitators to help-seeking that are reported in related fields, participants accounts also revealed novel facilitators (i.e., a ‘why not’ mentality and the importance of having a pre-existing relationship with the clinician who offered the service) and barriers (i.e., viewing the service as a ‘limited resource,’ and, the overwhelming nature of intensive stuttering treatment programs). Findings suggest that clients value the option to access psychological counseling with trained mental health professionals to support the stuttering treatment provided by speech-language pathologists. Participants made recommendations for the integration of psychological counseling into stuttering treatment programs.     

Mistakes as Pathways Towards Creativity in Counseling: A Case Example

ABSTRACT

The relationship between mistakes, improvisation, and counseling process is explored through the use of a case example involving a failed clinical intervention. Exploration of mistakes offers an opportunity to examine multiple elements of counseling while highlighting the creative nature of the counseling process. Counselor educators are encouraged to incorporate discussions of mistakes and creative development into training.     

Stress and technological innovation: A comparative study of design practices and implementation strategies

Abstract

The implementation of new technology in the workplace is a highly problematic process. New computer systems are often associated with adverse changes in the quality of working life: raised stress levels, impaired job satisfaction, increased routinization, and so on. This article reports a comparative analysis of two projects involving the computerization of control-room operations in two ambulance services: London and Manchester. The two outcomes were strikingly different. In the London case, severe operational problems led to the abandonment of the project. In contrast, the article reports a psychophysiological evaluation of the Manchester project which showed that the new system led to both superior service levels and to reduced levels of stress. In particular, it was shown that control staff responded to high levels of workload with lower systolic blood pressure and subjective anxiety.

The contrasting outcomes of the two projects are attributed to two main sets of factors: managerial and technical. The technical design philosophy at Manchester was “user centred”; it embraced what may be called a “tool paradigm”, where the aim of technological innovation is to support and augment the role of the human operator. In contrast, the London project was highly Tayloristic, with the accent on replacing unreliable human labour by an automated system. The way the implementation process was managed at Manchester (strong leadership, user involvement) was also notably different from the London experience (weak project management, poor industrial relations). These findings suggest that human-centred principles can provide a highly effective foundation for design, but careful management of the implementation process is also required if ITprojects are to be brought to successful fruition.     

Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patient outcomes

Described the Physical and Architectural Characteristics Inventory (PACI), which assesses the physical characteristics of hospital- and community-based psychiatric and substance abuse residential treatment programs for adults. Developed using data from 94 representative programs, the PACI has 7 dimensions that assess community accessibility, physical features that add convenience, aid recreation, and provide support for patients, and space for patient and staff functions. In comparison to community-based programs (n=63), hospital programs (n=31) had more social-recreational and prosthetic aids, safety features, staff facilities, and space. The PACI dimensions were also related to other organizational features, such as facility ownership and program size and staffing level. Programs with more physical amenities had patients who were more involved in self-initiated and community activities and were more likely to successfully complete the program and be discharged to independent living situations and paid jobs. Programs with more social-recreational and prosthetic aids, space, and access to community resources also had better patient outcomes. In addition, PACI dimensions were related to observers' ratings of facility attractiveness. Potential applications of the PACI and the full inventory of which it is a part are discussed.     

The Wisdom Jar

Abstract

Supervisors can use a wide range of skills and exercises when terminating counseling supervision with supervisees at the end of a practicum class. This article presents an experiential creative activity, the Wisdom Jar, as a metaphor for discussing specific lessons with supervisees. The use of creativity and the integration of symbols and metaphors provided supervisees with images to reflect upon after completing a counseling practicum clinical experience.     

Congregational Hermeneutics: A Tale of Two Churches

Abstract

The “AHRC Evangelicalism and Fundamentalism in Britain” (EFB) project ran over two years, from 2008 to 2009. The network addressed the question “To what extent have Evangelicals in Britain been Fundamentalist?”. This article develops one of the project papers. Drawing on my doctoral research, I explore the relationship between Evangelicalism and Fundamentalism through an ethnographic perspective on how two contrasting evangelical congregations did biblical hermeneutics. The congregational hermeneutics approach addresses the mix of hermeneutical discourses, practices, and artefacts within the churches and I show that congregational hermeneutics are revealing for questions of evangelical identity. I maintain that the language of ‘fundamentalising tendencies’ is to be preferred to more static conceptions, which are not well suited for describing dissonant tendencies within congregations. The study supports the view that fundamentalising tendencies are not identical with Evangelicalism and shows that implicit hermeneutical traditions can be found in such churches with the potential to shape broader congregational traditions.     

Building Resilience

Abstract

The context for the National School Intervention Project-Israel has been the ongoing security situation that has exposed the entire civilian population to extremely high levels of trauma. This project places itself within the framework of the resilience literature, focusing on characteristics of resilience that can be brought into the classroom and empower school staff. This article highlights the Building Resilience project, a series of teacher workshops. An initial evaluation of teachers participating in the Building Resilience project found change in knowledge, skills, and willingness to use tools learned with their students in the classroom.     

A Death in the Family: Report of a Single-Session Trauma Group for Nursing Home Residents and Staff

This article describes a single-session trauma-debriefing group conducted at a nursing home following the death of a resident on an outing. The group had as its core an existing weekly therapy group in the facility, with the addition of affected staff, family, and other residents who were on the outing. The treatment illustrates four principles relevant to counseling and psychotherapy in nursing homes: 1) recognition of death; 2) treatment in and of the milieu; 3) flexibility and structure; and 4) dealing with countertransference. Along the way, we see how the residents are capable of giving, and not merely receiving.     

From Theory to Practice

Abstract

Beginning counselors are often eager to incorporate expressive techniques in their counseling sessions. However, there is still some disconnect between student counselors studying an experiential technique in coursework and supervision, and then executing these activities while conducting a counseling session. The following article provides a rationale for teaching expressive techniques and explores a previously developed model for teaching supervisees. An experiential activity is presented, as well as a case study illustrating the use of the teaching model.     

Conversations with My Father

ABSTRACT

This article provides a brief review of the literature describing successful aging life tasks, such as reminiscence, meaning-making, and forming substantive connections. Using Relational-Cultural Theory as a base, the article addresses the need for connection and ways that connections can be developed and sustained in later life. Through a personal account, the authors also illustrate how grown children can use music to connect with their parents. Finally, the authors adapt A Musical Chronology and the Emerging Life Song, an intervention that uses music and memories, for use with older adults.     

Space Conquest and Ritual Practices: Lighting Candles for Ariane

Abstract

Endeavoring to conquer space—a domain once reserved to gods and spirits—is not always a denial of the existence of divinities and the human practices devoted to them. On the contrary, many examples of religious attitudes can be seen in the space venture of the past 50 years or so, such as lighting candles before launching a rocket or blessing a team of cosmonauts. To say that such behavior is an expression of the sacred dimension means recognizing that the space venture goes beyond the usual borders of human existence but, at the same time, does not reveal everything about mankind. There must always be a place for terrae incognitae—for unknown and uncharted lands.