Multicultural Counseling and Intrapersonal Value Conflict: A Case Study

The internal conflict between professional and personal values that counselors can experience when working with clients whose culture and values are different from their own is discussed. This is not a conflict between the counselor and the client, but is a conflict experienced within the counselor who is attempting to help resolve problems within the client's frame of reference, or worldview. A case study is presented that illustrates the senior author's experience in coping with a specific value conflict. It is suggested that as counselors become more proficient in multicultural counseling and more able to promote decision making from another's point of view, feelings of internal conflicts will decrease. Means of decreasing the likelihood of value conflicts are offered.     

Rehabilitation Counseling: A Profession or a Trade?

The problem of the shortage of counselors is examined and the various possible solutions considered. A solution that appears to be developing in many state rehabilitation agencies is the employment of college graduates with no preparation in counseling. These employees are designated as counselors, counselor aides, or counselor trainees, and given in-service training. Such persons, it appears, will eventually be considered counselors without any further educational preparation. It is questioned whether they are, in fact, counselors, but if they are able to perform all the functions of those designated as counselors (excluding professional counseling), then counseling is not a profession, but a trade, for which adequate preparation can be obtained through on-the-job training.     

The Polyvalent Counselor

Employment counselors must serve many different kinds of clients and provide a wide variety of services. They must be capable of providing individual and group counseling services as well as environmental intervention. The counseling process is somewhat different for the employment counselor who must also consider the available job market, motivational forces, aptitudes, skills, and interests. This article discusses the framework in which the polyvalent employment counselor works. This article was the basis of a workshop for the Employment Security Commission at their state meting in Burlington, North Carolina, in June 1977.     

A Counselor Classification System: Accountable

The Wisconsin State Employment Security Division has an employment counselor classification scheme which responds to the cry for accountability. This article discusses (a) technical requirements and performance standards for three levels of employment counselors; (b) specific job duties and levels of skill for Manpower counselors 1, 2, and 3; (c) caseload size, counseling outcomes, counseling and assessment skills, community resources, job development activities, and additional performance requirements expected of the master level counselor; (d) the system of reclassifying a Manpower counselor 2 to the Manpower counselor 3 level; and (e) the use of an on-site review by a state counseling supervisor as the method of evaluating a counselor's Performance. Values of the counselor classification scheme are indicated.     

Buddhist Perspectives for Addressing Values Conflicts in Counseling: Possibilities From Practice

In recent years, the issue of value conflicts in counseling has become more salient, whereas equitably working with such conflicts has been increasingly contested. Interest in the confluence of counseling and spirituality has also grown. Using relevant Buddhist principles, the authors offer a spiritual framework that is illustrated through clinical case studies. These are used to conceptualize concerns, understand the conflict, and find ways to be responsive to the disjunction between client and counselor.     

Issues and Insights: Working With God: Managing Conservative Christian Beliefs That May Interfere With Counseling

Counselors who work with conservative Christians may ask how to respect a client's values when “God” seems to be saying something contrary to what the counselor believes is in the client's best interests. In a managed care era of decreasing choice about one's counselor, referral of such clients to a conservative Christian counselor is not always an option. “Working with God” when counseling conservative Christian clients requires counselors to understand conservative Christian beliefs. This article portrays conservative Christianity as a culture and articulates conservative Christian beliefs that may challenge the counseling process, suggesting options within the framework of these beliefs.     

Employment Counseling for Adults With Attention-Deficit/Hyperactivity Disorder: Issues Without Answers

This article provides an overview of issues employment counselors will face in counseling adults with attention-deficit/hyperactivity disorder (ADHD). There is little research on counseling clients with ADHD, and counselors are often ill prepared to provide appropriate services for this growing and underserviced population. Reviewed is the evolution of the ADHD label and its prevalence in adults. Diagnostic criteria are presented, and a selected review of adult outcome and treatment research is provided. Strategies for counseling adults with ADHD about careers are adapted, with caution, from literature on counseling adults with learning disabilities (LD), and specific guidelines for the employment counselor are presented.     

Minnesota Employment Counselor Activities

Employment counselors, counselor supervisors, managers, and counselor educators were surveyed in Minnesota concerning the amounts of time that are now spent and should be spent in eleven employment counselor activities. All respondents generally agreed on the amounts of time that are now spent and should be spent in the activities. They also agreed that there should be significant increases (p > .05) in the amounts of time that should be spent in counseling, teaching, and research/follow-up, and decreases in the amounts of time that should be spent in selection/intake and records/clerical activities. Employment counselors in main offices indicated that they now spend significantly less time than counselors in subordinate offices in counseling, consulting, and staff activities, and significantly more time in testing.     

Web‐Assisted Career Counseling

For the past 20 years counselors have used computer‐based career information systems to assist clients with career planning and job hunting. Much of the same this information is now available on the Internet and can be accessed without the aid of a counselor. Such developments are likely to have a major impact on employment counseling practices. This article outlines selected Web‐assisted counseling issues that are likely to affect counselors over the next few years and summarizes the career services currently available on the World Wide Web.     

Employment and Compensation Practices For Counselors

A study was conducted concerning counselor employment and compensation practices in 115 public school districts, selected by criteria of relatively high salaries offered at various stages of education and experience. It was found that counselors had high levels of training in the districts investigated; that the bulk of districts offering relatively superior salaries sought and obtained the services of highly qualified persons; that inbreeding of counselors in such districts is rare; that the services of experienced counselors are sought by approximately half of the systems sampled; and that teacher training and/or experience are not necessarily prerequisite to employment in some one third of better paying districts. Involvement of practicing counselors in the screening of applicants for counseling positions was found to be uncommon.     

Mediation: An Intervention Strategy for Counselors

Conflict resolution is a rapidly expanding field, one in which counselors need to be more knowledgeable. An overview of conflict resolution and mediation concepts is presented with a comparison to therapeutic counseling interventions. Applications are provided for various areas such as family mediation, community disputes, and mediation in public education. Implications for counseling and the role of the counselor are discussed.     

Problems in privileged communication

Although most counselors offer their clients confidentiality as a condition of the counseling relationship, they are unable to guarantee the protection of privileged communication. Even when protected by statutory provision, counselors do not have total immunity from appearance in court and disclosure of confidential information. There are exceptions to privileged communications statutes that could produce severe conflicts between a counselor's ethical and legal duties, and similar problems can occur if the counselor is faced with a defamation or malpractice suit.     

A Balancing Act—Telehealth Cancer Genetics and Practitioners’ Experiences of a Triadic Consultation

Telehealth is increasingly used for outreach service in cancer genetic counseling; however what occurs during the consultation and the roles practitioners adopt is largely unknown. Fifteen practitioners participated in semi-structured interviews that explored their roles within telehealth, compared to face-to-face consultations, and the relationship between practitioners during telehealth. As they were not physically present with the patient, most participants felt that telehealth altered the genetic clinician’s role to one of a ‘visiting specialist’. Genetic counselors described undertaking multiple roles during the telehealth process. Two models of interaction were observed. The medical model reduced the interaction to a dyadic consultation by having the genetic counselor off-screen and included minimal clinician meetings and supervision. The triadic co-facilitation model incorporated a high level of information exchange, counselor autonomy and included the counselor onscreen. The co-facilitation model offers a useful framework for telehealth genetic counselling, offering complementary roles between practitioners and efficient service delivery.     

浅谈我国心理咨询师健康发展之要素

心理咨询与心理治疗效果的关键在于心理咨询与心理治疗师自身的特质,而非理论技巧。因此,心理咨询与心理治疗师在心理咨询与治疗的过程中,会非常直接、深刻和迅速地影响当事人的生活。通过对我国心理咨询师健康发展之要素的探讨,提出心理咨询师的培养应逐步走向正规专业教育和训练途径;同时关注心理咨询师自己的个人成长,健全督导制度是预防心理咨询师的职业耗竭,也是我国心理咨询业健康发展的根本保障。     

The Role of Expectations in Effective Genetic Counseling

The goals for this investigation were to assess individuals' expectations for social support from genetic counselors, and to explore how these expectations influence perceptions of genetic counselor effectiveness. Two studies were conducted to address these goals. Results from the first study show that individuals most frequently expect genetic counselors to provide options and support following the disclosure of distressing test results, while data from the second study demonstrate that expectations play a significant role in individuals' assessment of genetic counselor effectiveness. These findings shed light on what individuals expect from genetic counselors following the disclosure of medically positive test results and inform how these expectations influence the success of genetic counseling sessions.     

Role Conflict and Role Ambiguity of Employment Counselors

The relationship of role conflict and role ambiguity to job satisfaction and other variables was examined in a national sample of 506 employment counselors. A survey was mailed to USES counselors in ten states. Regression analysis showed that the 11 personal and organizational variables included in the study accounted for only a small amount of the variance in role conflict or role ambiguity. On the other hand, role conflict and role ambiguity were negatively and significantly related to job satisfaction of the counselors. These stress variables were related positively and significantly to counselors' propensity to leave the agency. Privacy of counseling facilities and time spent in counseling activities were two variables contributing most to explaining variance in role stress. Both related negatively and significantly to role conflict and role ambiguity.     

Preparing Culturally Effective Counselors

The preparation of culturally effective counselors is a familiar topic in the counseling literature. Counselor educators and practitioners have regularly discussed cultural barriers in the counseling process and have proposed models for working more effectively with multicultural populations. Still, there is no counselor education program in the United States that trains students in the special problems and advantages of counseling culturally different clients. Now more than ever, there are many compelling reasons to prepare culturally effective counselors. They include (a) the multicultural overtones of the American population; (b) the growing number of new immigrants and refugees; (c) the expressed and perceived needs of counselors working with multicultural groups; and (d) the naming of counselors as “necessary” recipients of federal training funds to develop better bilingual programs. The authors propose a counselor training program with a specialization in bilingual-multicultural education. This requires specific attitudes, skills, and competencies based on the interdisciplinary philosophies of counseling, bilingual education, and multicultural education.     

Overcoming Initial Group-Leader Anxiety: Skills Plus Experience

Although most counselor education programs offer at least one course in group counseling, there is little evidence that a supervised group counseling practicum is a part of the training of most counselors. This article explores initial group leader anxiety and the importance of the personal involvement of the counselor in facilitating a group. Reactions of counselors to their first group leadership experience are presented to emphasize the personal, theoretical, and practical learning counselors can achieve from a supervised experience.     

The Effect of Honduran Counseling Practices on the North American Counseling Profession: The Power of Poverty

A team of researchers consisting of counselor education professors and doctoral‐level counseling students conducted interviews with Honduran mental health professionals, including counselors, psychologists, pastors, community developmental specialists, and psychiatrists. The purpose was to understand the counseling process and profession that exists in a developing economy. The results are focused on the pervasive effects of poverty on the profession, the training of counselors, and the nature of counseling interventions.     

Nondirectiveness and genetic counseling

Nondirectiveness is the generally required and professed standard for genetic counseling. However, studies are lacking in the field of human genetics and in other disciplines which address either the theory or practice of this type of therapeutic procedure in the context of genetic counseling. Moreover, there is no indication the further development this concept has undergone in client-centered therapy has been acknowledged in human genetics. This could be due tot he historical development of genetic counseling, its inherent conflicts and often undefined goals, and the latent need of human geneticists to defend themselves against being accused of eugenic tendencies. Nondirectiveness and directiveness, however, can neither adequately describe what takes place in genetic counseling, nor can they — according to their original meaning — be used to define an ethical standard of genetic counseling. Starting with the writings by Carl Rogers (1942), an experiential approach is described, in which counseling is seen as a process of influence, which is wished by all the persons involved, during which activities are oriented toward the experience of the client, and which allows the counselor to communicate openly and directly with the client. The present study illustrates the use of the experiential approach in genetic counseling and shows that it can uphold the principle of ethics, which nondirectiveness demands and, at the same time, prevent the inevitable and unresolvable contradictions. This means that in their training genetic counselors must learn to recognize and constantly reflect on the influence they can and want to exert. In order to be able to use this influence in a responsible manner, genetic counselors must also learn to have a certain degree of flexibility so that they are able to check at any time how their client responds to this influence.