Counseling Native Americans: An introduction for Non-Native American Counselors

This article provides a primer on counseling Native American clients for non-Native American counselors and psychotherapists. The diversity of this population is described and a general model of healing from a traditional Native American perspective is presented, with implications for counseling practice. Relevant research is reviewed and practical suggestions are offered for providing counseling services to Native Americans.     

Counseling African Americans: Integrating Spirituality in Therapy

African American culture is rich with religious and spiritual traditions and practices that largely have been ignored in traditional approaches to counseling with this population. The purpose of this article is to describe the religious and spiritual dimensions of African American culture and to offer strategies for incorporating them into counseling African American clients.     

African American Women’s Limited Knowledge and Experiences with Genetic Counseling for Hereditary Breast Cancer

Genetic counseling and testing for hereditary breast cancer have the potential benefit of early detection and early interventions in African American women. However, African American women have low use of these services compared to White women. We conducted two focus groups with African American women diagnosed with breast cancer (affected group, n?=?13) and women with at least one first-degree relative with breast/ovarian cancer (unaffected group, n?=?8). A content analysis approach was employed to analyze interview data. Breast cancer survivors had more knowledge about genetic counseling and testing than participants who were unaffected with cancer. However, knowledge about genetic counseling was limited in both groups. Barriers to pursuing genetic counseling and testing included poor understanding of the genetic counseling and testing process, fear of carrying the mutation, concerns about discrimination, and cost. Motivators to participate in genetic counseling and testing included desire to help family members, insurance coverage, and potential of benefiting the larger African American community. Education efforts are needed to increase genetic counseling and testing awareness in the African American community.     

Synergetic Counseling and Native American Indian Students

Traditional school counseling efforts have often failed to meet the needs of Native American Indian students. Because many Native American Indian students have spiritual as well as secular concerns, school counselors must become more emphatic and competent in serving these students. This article argues that synergetic counseling efforts with Native American Indian students increase counseling effectiveness. A vignette and suggestions are offered toward that end.     

Cultural Values,Counseling Stigma,and Intentions to Seek Counseling Among Asian American College Women

The authors explored the extent to which Asian American college women's perceived stigma about counseling mediated the relationship between their adherence to Asian cultural values and intentions to seek counseling. Participants, 201 Asian American college women (age range = 18–24 years), completed measures of Asian cultural values, perceived stigma regarding counseling, and intentions to seek counseling, along with a demographic questionnaire. Asian cultural values were positively correlated with perceived counseling stigma; both Asian cultural values and social stigma were negatively correlated with intentions to seek counseling. The main analysis showed that perceived counseling stigma partially mediated the relationship between participants' Asian cultural values and intentions to seek counseling.     

Having Our Say: African American Women,Diversity, and Counseling

African American female counseling professionals contribute greatly to the multicultural growth of the counseling profession by spurring the profession's evolution and defining new paradigms and counseling activities. Despite their contributions, they face serious organizational, intrapersonal, and interpersonal challenges to their success in academia. This article seeks to elucidate the challenges to African American female counseling professionals and offers systemic and personal strategies that will facilitate the profession's evolution to culturally competent, ethical, and intentional helping orientations and worldviews.     

Participation in Breast Cancer Genetic Counseling: The Influence of Educational Level, Ethnic Background, and Risk Perception

Genetic counseling has been suggested as a means of providing information and support to women with a family history of breast cancer. Yet women who undergo cancer genetic counseling in the United States generally consist of only a subset of those at risk, namely well-educated, upper-middle class, European American and Jewish women. We report outcomes from a study that provided a unique opportunity to determine whether women of African American, European American, Native American, or Ashkenazi Jewish ancestry have varying interest in having cancer genetic counseling. The study offered a genetic counseling session to 97 women with a family history of breast cancer who were participating in a larger interview study designed to assess attitudes toward genetic testing for breast cancer. The study offered genetic counseling free of charge to all study participants with a family history of breast cancer, removing the potential barriers of cost, the need for a physician referral, and lack of awareness of genetic counseling. Fifty women out of the 97 women offered genetic counseling (52%) accepted the offer by completing a session. Those who accepted genetic counseling had a higher educational level, a higher perceived risk of breast cancer, and were more likely to expect a positive BRCA1 or BRCA2 genetic test if they were to undergo genetic testing. When controlling for education level, there was no correlation between the participants' ethnic background and acceptance of a genetic counseling session. Outreach efforts to minority populations may increase awareness of the availability of genetic counseling and may facilitate participation by such populations.     

A Family Strengths Model of Adjustment to Disability for African American Clients

Sociocultural factors germane to African American families need to be recognized and incorporated into the counseling process of African Americans with disabilities. It is imperative that counseling professionals develop a thorough understanding of the family, community, and cultural ecologies of African Americans who are disabled. This article includes an analysis of the African American family system and its inherent strengths. A family strengths model of adjustment to disability for African American clients is presented, and potential applications of the model to the adjustment process are provided.     

Child‐Centered Group Play Therapy With African American Boys at the Elementary School Level

Culturally sensitive counseling interventions are needed for African American boys in elementary school. Two important components of counseling African American boys are honoring the African worldview and building self‐confidence. Child‐centered group play therapy is a common intervention for elementary school children. In this article, the authors describe how child‐centered group play therapy with African American boys at the elementary school level honors the African worldview and facilitates their self‐confidence. Counseling implications and recommendations for research are discussed.     

The Voice of the Voiceless: An Interview With Thelma Daley

Thelma Thomas Daley, through leadership, service, teaching, and publication, has been committed to the counseling profession for over 40 years. Daley was a pioneer in the counseling field as the 1st African American president of the American School Counselor Association in 1971 and the 1st African American and 3rd female president of the American Personnel and Guidance Association (now American Counseling Association [ACA]) in 1975. In this interview, she recounts her experiences as an organizational leader committed to enhancing the multicultural growth and professional excellence of ACA.     

Guidance and Educational Opportunity: The German Perspective

This article is based on information about the status of guidance and counseling in German education acquired by the author during his 1977 summer Fulbright Fellowship to the Federal Republic of Germany. Menacker identifies some points of comparison regarding the roles of guidance and counseling in the American and German education systems. The less developed German educational-guidance system is used to shed light on the nature of guidance contributions made by the American system.     

Effects of Counseling and Ethnic Identity on Perceived Risk and Cancer Worry in African American Women

Improving breast screening behaviors in African American women is an important public health goal. To increase participation in screening, it is necessary to identify factors that contribute to reduced screening, including perceived risk and cancer worry. This paper presents predictors of changes perceived in risk and worry among African American women of differing ethnic identities as they undergo breast cancer risk counseling. Participants (n = 113) were recruited from community sources to a study of counseling for breast cancer risk. They completed a baseline assessment, randomly received breast cancer risk counseling or served as a control group, and completed a follow-up assessment. Counseling produced significant differences in perceived risk and cancer worry. Predictors of risk and worry changes, as a result of counseling, included income and ethnic identity. These data can guide better services for African American women and research into the complexity of the effects of ethnic identity on health.     

Counseling the Hispanic Client: Cuban Americans,Mexican Americans,and Puerto Ricans

This article describes a general framework that may be used when counseling Cuban American, Mexican American, and Puerto Rican clients. The psychological and sociocultural characteristics of these populations are described. Both differences and similarities among the 3 groups are reviewed. The identification of the client's worldview, cultural values, and family values provides a specific framework for counseling these clients. Specific and general guidelines are provided for the psychological assessment of Cuban American, Mexican American, and Puerto Rican clients.     

The American Counseling Association Practice Research Network (ACA‐PRN): A New Research Tool

In an era of increasing accountability, there is a need to provide data on counseling outcomes. That is, there is a need to substantiate the claim that counseling works. This article describes the American Counseling Association Practice Research Network (ACA‐PRN), which is designed to provide data on evidence‐based counseling.     

Sexual Health Counselor Preferences of African American and European American Women: A Brief Report

African American women (n = 42) and European American women (n = 46) were queried regarding their comfort level discussing various sexual health topics with hypothetical counselors who were varied by race (African American vs. European American) or counseling value (culturally sensitive vs. knowledgeable). Contrary to hypotheses, European American participants were more comfortable with the knowledgeable African American counselor and the culturally sensitive European American counselor, while African American women showed no preference. Implications are discussed for improving sexual health counseling services for African American and European American women with consideration of client sexual attitude and race of counselor in order to reduce disparities in sexual health.     

Training School Counselors in Singapore: First Impressions of a Multicultural Challenge

Since the publication of 2 important articles, by E. Tan (2002) on career counseling and by W. H. Chong (2005) on group counseling in schools, changes have taken place in the school counseling field in Singapore. In this article, the authors review these articles and describe the development of the school counseling profession in Singapore based on the American model of counseling.     

The Black Church,Values, and Secular Counseling: Implications for Counselor Education and Practice

There has been a recent increase in the amount of attention given in the counseling literature to addressing clients’ religion and spirituality. However, Black American churchgoers are rarely the target population in the discourse, and little is known about how the Black church shapes their views. This article provides information on values of the Black church and the church's influence on Black American churchgoers regarding secular counseling. Implications for counselor education and practice are discussed.     

Counseling Preferences of African American Women

African American women hold the greatest need for mental health services among ethnic groups but receive effective counseling least often. This study investigated their preferences of counseling services. Results revealed that the type of service delivery might not be as salient to African American women as counselor‐client racial similarity.     

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.     

Between Two Worlds: Counseling South Asian Americans

This article examines some of the mental health issues associated with counseling South Asian immigrants in the United States. A profile of the South Asian family is developed. Its structure and values are examined in relation to those of the American counseling community.