Predicting premature termination from counseling using the Butcher Treatment Planning Inventory

This investigation examined the extent to which premature termination from counseling could be predicted from selected scales on the Butcher Treatment Planning Inventory (BTPI). Ninety-five new clients at a university counseling center agreed to participate in the study and completed the BTPI as part of the intake evaluation. Premature termination occurred when a participant missed a scheduled appointment and unilaterally dropped out of counseling. Higher scores on Closed-Mindedness, Problems in Relationship Formation, Somatization of Conflict, Self-Oriented/Narcissism, Perceived Lack of Environmental Support, and the Treatment Difficulty Composite were associated with premature termination. The General Pathology Composite, a general index of symptomatic distress, also enhanced the prediction of premature termination by suppressing irrelevant variance in other BTPI scales. The results provide support for the validity of the BTPI in identifying clients at risk for premature termination from counseling.     

Socialization of sex roles in the counseling setting: Differential counselor behavioral and attitudinal responses to typical and atypical female sex roles

Counseling and therapy have frequently been attacked by feminists for the role they play in socializing women to a limited and ultimately untenable sex role. Male counselors in particular have been singled out as special oppressors of women. This study attempted to determine whether, in fact, counselor behavior and attitudes operated as a means of sex-role socialization, and whether male counselors tended to be more biased than female counselors when interacting with female clients. Subjects were eight male and eight female graduate students in counseling psychology who conducted initial interview sessions with two client-confederates, volunteer graduate students trained in role-playing situations representing a typical and an atypical sex-role condition. Videotapes of the interviews were subsequently analyzed to assess counselor reinforcement patterns of specific client cue sentences. In addition to these behavioral data, paper-and-pencil inventories were used to determine counselors' perception of clients, counselors' degree of attitudinal sex-stereotyping, and client-confederates' subjective evaluation of counselors. Contrary to expectations, results indicated that counselors as a whole exhibited more behavioral bias with typical than with atypical clients. Further, counselors reacted more positively toward the atypical than toward the typical clients, and counselor response to a global sex-role inventory indicated that counselors described the healthy, well-adjusted female as significantly more instrumental than the healthy, well-adjusted male. Female counselors appeared to be both more reinforcing and less punishing than male counselors with female clients in both roles, as well as less behaviorally biased than the male counselors. Female counselors also evaluated the atypical clients more positively than did the male counselors, and were in turn evaluated more positively than were the male counselors by clients in both roles. The study concludes with a discussion of implications for counselor training.     

Characterization of the Practice and Attitudes of Genetic Counselors with Doctoral Degrees

Potential advantages and disadvantages of doctoral training in genetic counseling have been debated. In this study, individual interviews were conducted to characterize the practice and attitudes of genetic counselors who have achieved doctoral degrees in any field. Participants (N=31) were more likely to spend time in research and less likely to spend time in clinic than genetic counselors in general. Advantages identified by participants were consistent with theorized advantages, and included increased knowledge, wider research roles, additional opportunities and greater respect. Disadvantages identified by participants focused more on individual perspectives than previously theorized profession-wide disadvantages. These included increased time commitment and decreased patient contact. The attitudes of participants towards the development of doctoral training in genetic counseling were generally positive. The results suggest that doctoral training in genetic counseling would have more benefits than drawbacks for individuals pursuing this degree.     

Effect of Client Expectations on the Counseling Relationship

The purpose of this study was to investigate the effect upon an initial interview of positive and negative client expectations for counseling. 30 subjects or clients were randomly assigned to 3 groups (1 positive expectation group, 1 negative expectation group, and a control group). Following a 30-minute counseling session, the counselors and clients were asked to evaluate the relationship that had been established. Despite pre-counseling differences in client expectations, no significant differences were found in the relationships established.     

Relationships Among Personality,Expectations About Counseling,and Help‐Seeking Attitudes

This study investigated the relationships among personality variables, counseling expectations, and help‐seeking attitudes. Participants (N = 411) completed the Revised NEO (Neuroticism, Extraversion, Openness to New Experiences) Personality Inventory (Costa & McCrae, 1992), the Expectations About Counseling Questionnaire‐Brief Form (Tinsley, 1982), and the Attitudes Toward Seeking Professional Psychological Help scale (Fischer & Turner, 1970). Results indicate that personality factors are related to help‐seeking attitudes and these relationships are moderated by expectations about 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.     

Attitudes toward cosmetic surgery patients: the role of culture and social contact

Cosmetic surgery is increasingly popular globally, but how cosmetic surgery patients are socially evaluated is largely unknown. The present research documents attitudes toward these patients in multiple cultures (Hong Kong, Japan, and the United States). Across these cultures, attitudes toward cosmetic surgery patients were predominantly negative: Participants ascribed more negative attributes to cosmetic surgery patients and found cosmetic surgery not acceptable. Also, participants in Hong Kong and Japan were not willing to form social relationships, particularly intimate ones, with these patients. These attitudes were less negative in the United States than in Hong Kong and Japan, partly because social contact, which reduced negativity in attitudes toward cosmetic surgery patients, was more prevalent in the United States. These findings bear important implications for the subjective well-being of cosmetic surgery patients, who very often expect improvement in their social relationships through the surgery.     

Personal and professional factors and suicide intervention skills

This research investigated the relationship of professional and personal factors to the ability of counselors to respond appropriately to suicidal verbalizations using the Suicide Intervention Response Inventory (SIRI). Level of training, experience with suicidal clients, and death acceptance were positively related to suicide intervention competencies. A personal history of suicidality and a belief that suicide is a personal right were negatively related to such skills. Regression analysis revealed that personal history of suicidality and attitude toward suicide as a personal right accounted for a modest, but significant, percentage of the variance in SIRI scores, beyond that accounted for by professional factors. Post hoc analysis indicated that the negative relationship between personal history of suicidal behaviors and suicide counseling skills was significant in the professionally trained participants. These results highlight the importance of attitudes toward suicide and personal history of suicidality, as well as training and experience, in effectively counseling potentially suicidal clients.     

The role of Blacks’ discriminatory expectations in their prosocial orientations toward whites and blacks

The present research examined the role of discriminatory expectations in intergroup contact. In two experiments, Black participants who varied in discriminatory expectations were exposed to positive, negative, or racially neutral comments by a White person. Participants subsequently read about a different person-in-need and reported empathic concern for and prosocial attitudes/intentions toward that person. For participants with low discriminatory expectations, positive outgroup exposure increased and negative outgroup exposure decreased empathic concern for and prosocial attitudes/intentions toward a White person-in-need, relative to neutral exposure. Exposure had no effect on their reactions to a Black person-in-need. Findings were similar for participants with strong discriminatory expectations, except that positive exposure had no effect on prosocial attitudes/intentions toward a White person-in-need and negative exposure increased prosocial intentions toward a Black person-in-need. Empathic concern mediated the discriminatory expectations × outgroup exposure effect on prosocial attitudes/intentions. Findings highlight the role of discriminatory expectations in predicting contact outcomes.     

Genetic Counselors’ Perceived Responsibilities Regarding Reproductive Issues for Patients at Risk for Huntington Disease

Research indicates that health care professionals’ attitudes may affect patients’ decisions regarding prenatal Huntington Disease testing, but few studies have sampled genetic counselors. In this qualitative study, genetic counselors described their experiences counseling individuals at risk for HD regarding reproductive decision-making. Five major research questions were investigated: 1) What are genetic counselor responsibilities? 2) What issues arise for patients and counselors? 3) How do counselors reconcile prenatal testing with presymptomatic testing? 4) To what extent are counselors’ initial expectations of at-risk patients’ beliefs and behaviors met? and 5) What advice would counselors offer to novice practitioners about working with this patient population? Fifteen genetic counselors experienced in counseling individuals at risk for HD participated in a semi-structured phone interview that yielded several themes. For example, participants identified their primary responsibility as information provision; less prevalent were psychosocial support and facilitating decision making. The most common ethical challenge was testing prenatally for HD which also results in presymptomatic testing of minors. Participants were divided about how directive to be in response to this ethical issue and about termination of a gene positive pregnancy.     

Gender Role Identity and Attitudes Toward Feminism

In this study we examined relationships among gender role identity, support for feminism, nontraditional gender roles, and willingness to consider oneself a feminist in a sample of college students (N=301). For female participants, we found positive relationships among higher masculinity on the PAQ (Personal Attributes Questionnaire), nontraditional attitudes toward gender roles, and the combined SRAI (Sex Role Attitudinal Inventory). A negative correlation was also found between lower scores on the PAQ masculinity–femininity index and the combined SRAI in women. For male participants, we found positive relationships among high femininity on the SIS (Sexual Identity Scale), willingness to consider oneself a feminist, positive attitudes toward the women's movement, and the combined SRAI. We also found a negative relationship between high masculinity on the PAQ and willingness to consider oneself a feminist in men. The implications of these findings for the feminist movement are discussed.     

What’s the Harm? Genetic Counselor Perceptions of Adverse Effects of Genetics Service Provision by Non-Genetics Professionals

Anecdotal accounts suggest some patients have experienced negative outcomes as a result of receiving genetics services from non-genetics providers, but empirical evidence of these incidents and their outcomes is limited. This study examined genetic counselors’ perceptions of the occurrence of such incidents in the state of Minnesota. Twenty-five genetic counselors completed an on-line survey and 20 also participated in a semi-structured telephone interview. The interviewees recalled and described 37 specific incidents they perceived as having negative outcomes for patients and/or their families. Inductive and cross-case analysis revealed common themes including: adverse psychosocial effects, inadequate genetic counseling, genetic testing and screening errors, medical mismanagement, negative shifts in attitudes toward medical providers, and unnecessary use of health care resources. Commonly mentioned strategies for preventing/mitigating negative outcomes included: educational outreach and awareness programs for medical providers and the general public, standardized testing and screening processes, and implementing mechanisms for reporting and addressing adverse events. Additional findings, practice and policy implications, and research recommendations are discussed.     

Gender Role Conflict and Depression in College Men: Evidence for Compounded Risk

This study investigated the relationships between attitudes toward the male role, gender role conflict factors, and depression in 401 college men. Results indicated that all four of the gender role conflict factors were significantly correlated with depression. Hence, more traditional men may experience a compounded risk comprising increased likelihood of depression coupled with decreased use of counseling services. Both directions for future research and the implications for counselors and student services are discussed.     

Parental Involvement in School Counseling Services: Challenges and Experience of Counselor

School counselors include parents as informants in school counseling for various reasons like for consultation and client’s intervention which could lead to a different experience. The objective of the present study was to explore the challenges faced by school counselors when involving parents in the school counseling process and the ways they handle the challenges. The participants consisted of seven school counselors, with whom in-depth interviews were conducted. The subjective experiences of the school counselors were objectively interpreted by the researcher using interpretative phenomenological analysis. The research results were categorized into master and subordinate themes using double hermeneutics. The results revealed that although school counselors have their own individual perceptions of challenges and methods of handling parental inclusion in the school counseling context, there still exist similarities in their methods of handling. The study highlights school counselors’ beliefs about parents’ perceptions and expectations of counseling as well as parents’ reaction toward their child’s problem as a challenge. The findings throw light on the need for stronger evidence-based practices and policies for school counseling programs. Training and competence-building programs for school counselors would improve the service delivery.     

Attitudes toward male roles among adolescent males: A discriminant validity analysis

This study investigates the discriminant validity of a measure of attitudes toward male roles, i.e., beliefs about the importance of men adhering to cultural defined standards for masculinity. Using data from the 1988 National Survey of Adolescent Males, the Male Role Attitude Scale (MRAS) is evaluated in terms of (1) its independence from measures of attitudes toward female roles, and of attitudes toward gender roles and relationships, and (2) its differential correlates with and incremental ability to explain variance in criterion variables compared to measures of these two other gender-related attitudes. As predicted, the MRAS is unrelated to attitudes toward the female role, but is significantly associated with attitudes toward gender roles and relationships. As further predicted, the MRAS, but not attitudes toward women or attitudes toward gender roles and relationships, is associated with homophobic attitudes toward male homosexuality and with traditional male procreative attitudes. In addition, the MRAS explains significant incremental variance in these criterion measures when attitude toward female roles and attitude toward gender roles and relationships are controlled for. These results support the theoretical argument that attitudes toward male roles are conceptually distinct from the other gender-related attitudes examined here.This research was supported by grants from the National Institute of Child Health and Human Development and from the Office of Adolescent Pregnancy Programs. The authors wish to thank James Kershaw, Susan Wellington, and Elizabeth Crane for their assistance.     

The Effect of Job Search Method,Sex, Activity Level,and Emotional Acceptance on New Job Characteristics: Implications for Counseling Unemployed Professionals

This study investigated intrinsic and extrinsic new job characteristics for a sample of involuntarily dismissed white-collar workers. Results suggest employment counselors can ease the transition into satisfying new jobs by helping clients deal with the negative emotional trauma of job loss, encouraging active coping strategies, fostering realistic job expectations, and tailoring counseling to meet individual needs.     

Inclusion of Religious Behaviors and Attitudes in Counseling: Expectations of Conservative Christians

In this study of 118 religiously conservative Christians' expectations of counseling, participants were randomly assigned to 1 of 2 treatment conditions: a Christian counselor or a counselor whose religious beliefs were unknown. Participants rated their expectations for the counselor's attitude toward their religious beliefs and use of religious behaviors in counseling using the Behavior and Attitude Expectancies scale (C. Belaire & J. S. Young, 2002). Participants also rated their general expectations for counseling using the Expectations About Counseling: Brief Form (H. E. A. Tinsley, 1985). Results showed that participants expected both a Christian counselor and a counselor whose religious beliefs were unknown to be respectful and accepting of conservative Christian religious beliefs and values and to include multiple religious behaviors in counseling sessions. Participants had overall positive expectations of the counseling process.     

The Impact of Contemporary Idealogy and AIDS on the Counseling of Gay Clients

The counseling of gay clients, historically an uncomfortable and unsatisfying experience for many clients and psychotherapists, has become even more of a problem because of the emergence of the political right, the revival of fundamental religiosity, and AIDS. We used survey data and published literature to support the thesis that the above developments have had both subtle and gross negative effects on the attitudes of counselors toward gay clients.