Demands for Privacy Among Adolescents in Multimodal Alcohol and Other Drug Abuse Treatment

Adolescent clients' perceptions of the limits of confidentiality, as well as their privacy demands within the counseling relationship, were assessed. A total of 30 adolescents involved in individual, group, and family counseling for alcohol and other drug abuse served as participants. Participants were asked to respond to vignettes of confidentiality issues in terms of what they believed the counselor should do and what they would prefer the counselor to do. Results suggested that adolescents generally want higher levels of confidentiality than they expect to receive. This group of adolescent clients, however, made clear distinctions in their privacy expectations and demands according to specific situations.     

Affirmative Lesbian,Gay, and Bisexual Counselor Education and Religious Beliefs: How Do We Bridge the Gap?

The position held by the American Counseling Association, reflecting acceptance, affirmation, and nondiscrimination of lesbian, gay, and bisexual (LGB) individuals, has created conflicts for some trainees who hold conservative religious beliefs about sexual orientation. This article explores the counseling profession's evolution regarding LGB‐affirmative counseling and examines the potential conflict this evolution can create for counselor educators who are training students with conservative religious viewpoints about sexual orientation. Recommendations for counselor educators to manage this dilemma are offered.     

Boundaries and the Use and Misuse of Power and Authority: Ethical Complexities for Clergy Psychotherapists

Acknowledging their power and authority and establishing and maintaining clear and safe professional boundaries tend to be complex issues for clergy psychotherapists. The legacy of dual training, insufficient attention to professional ethics, as well as differing role expectations and professional socializations as clergy and counselor make it imperative for clergy psychotherapists to be particularly thoughtful about boundary issues in counseling. This article discusses the vulnerabilities and complexities clergy psychotherapists encounter, particularly matters of multiple relationships, confidentiality, and practice policies. It also proposes preventive actions to raise awareness and safeguard ethical conduct.     

Implementing and Expanding on Carkhuff's Training Technology

This article describes the implementation and expansion of Robert Carkhuff's Training Technology to maximize trainees' skill transfer to applied settings and to maximize their ability to integrate various theoretical orientations into their counseling repertoire. The article summarizes training outcomes and invites counselor educators to demonstrate the effectiveness of their training program by measuring their students' skill levels with actual clients in the field.     

Icelandic and American Students' Expectations About Counseling

The Expectations About Counseling‐Brief Form (H. E. A. Tinsley, 1982) was administered to 261 Icelandic and 225 American undergraduates. A 2 (Nationality: Icelandic & American) x 2 (Sex: men & women) x 3 (Holland Type: A, S, E) between subjects multivariate analysis of covariance (MANCOVA) was calculated with prior counseling experience as a covariate and expectations about counseling as dependent variables. Icelanders had higher expectations about counselor expertise than did Americans. In addition, women expected to be more personally committed in counseling than did men. Results are discussed in terms of counselor roles and functions and the role of help seeking in Iceland.     

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.     

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.     

The Counselor Feedback Training Model: Teaching Counseling Students Feedback Skills

Giving and receiving feedback is an important counseling skill; therefore, it is crucial to focus on this skill within counselor training. This article presents the Counselor Feedback Training Model, a developmental approach designed to assist counselor educators in teaching counseling students how to give and receive feedback.     

Getting Everybody Involved

Abstract

This paper describes a creative approach for training counselor and counselor educators that provides collaborative interactions among students and faculty in several university training programs. Structured around a problem-solving activity and self-reflection questionnaires, undergraduate teachers-in-training were given an opportunity to receive one-to-one consultative counseling from the master's level counselors-in-training, who in turn received structured problem-solving supervision from the doctoral level students. Finally, the doctoral level students received faculty support to facilitate the development of their supervisory skills. The goal of this training approach is to provide students at all three levels with experiences similar to those they will encounter as professionals following graduation from the university, but within the context of scaffolding from faculty and more advanced students.     

Career development of trauma survivors: expectations about counseling and career maturity

Trauma survivors include individuals who have been affected by a severe physical or psychologically threatening experience. This study compared the expectations for career counseling and the level of career maturity among trauma survivors and nonsurvivors (individuals who have had no trauma experience) who participated in a program at a midwestern social service agency. The findings indicated that trauma survivors were more motivated and open to counseling than nonsurvivors, but expected their counselors to be less empathic. No significant differences were noted on career maturity. Implications for counselor training and future research are also discussed.     

A Decision‐Making Model for Addressing Problematic Behaviors in Counseling Students

Gatekeeping is the subject of continued discourse in the counseling profession. With revisions to the ACA Code of Ethics (American Counseling Association, 2014 ), recent litigation (Keeton v. Anderson‐Wiley, 2010 ; Ward v. Wilbanks, 2009 ), and focused attention on value conflicts in counseling (Francis & Dugger, 2014 ), counselor educators' role as gatekeepers is expanding. In addition to this expanding role, counselor educators are responsible for being culturally and developmentally sensitive in interpreting, applying, and enforcing the codes and standards with counseling students. This article proposes a decision‐making model that integrates feminist, multicultural, systems theory, and social‐constructivist ethical decision‐making principles to address problematic behaviors in counseling students.     

Applying Skill-Based Curriculum to Teach Feedback in Groups: An Evaluation Study

Group counseling theory and empirical research indicate that interpersonal feedback is an important element that can lead to insight and change in group members. Yet, managing interpersonal feedback is a difficult skill for novice group leaders to learn. This article examines (a) the role of feedback in counseling groups; (b) the implementation of a skill-based training program to teach novice group counselors how to give, receive, and facilitate interpersonal feedback; and (c) students' evaluation of such a program in which they participated. Recommendations are made to practitioners for incorporating feedback into counseling, and for counselor educators regarding the teaching of the intervention.     

The Effect of Client Demeanor Upon the Verbal Responses of School Counselors

In a study of counselor verbal behavior as a function of client stimulus input, a counseling paradigm was employed using 4 client-actors and 30 counselors. Independent variables were hostile or friendly client behavior, amount of counseling experience, counselor sex and client sex. The dependent variable of counselor verbal behavior was measured by a revision of the Bales Interaction Process Analysis Categories. Analysis of variance led to the finding that all of the independent variables had a statistically significant effect upon the counselors' verbal responses, but the number of response categories affected varied from 1 to 7 depending on the variable involved. Significant interaction effects were also found. From the data, it was concluded that client demeanor and client sex significantly influenced counselors' verbal responses, but counselor experience and counselor sex were relatively unimportant in their effect upon the counselors' behavior.     

Nonsectarian Counseling in Churches: A Delicate Balance

This account of the author's 2 contrasting experiences as a church counselor raises awareness regarding counseling in new venues and in response to congregational and community needs. Church members responded to the invitation to come to counseling before problems became crises; the majority of the members explored midlife and other developmental issues. Specific concerns related to confidentiality and privacy, counselor values and attitudes, the extent of pro bono services, the counselor's relationship with clerics, counseling of clerics, church membership, outreach, and boundaries are addressed, as well as the effective use of discussion groups for youth, men, women, and parents in building a sense of community.     

Perceptions of Rehabilitation Counselor Behavior

A comparison of perceptions held by selected rehabilitation subgroups toward counseling behavior was conducted. As expected, rehabilitation counselor educators were most different from state agency personnel in rehabilitation. State agency personnel appeared to value active counselor behavior more than educators. However, the predicted similarity between educators and trained counselors in state agencies and in other settings did not materialize. Differences between subgroups are discussed with respect to possible environmental and group influences. Some implications for communication between subgroups and training programs for rehabilitation counselors are also presented.     

A Preliminary Survey of Relationships Between Counselor Educators' Ethics Education and Ensuing Pedagogy and Responses to Attractions With Counseling Students

Literature suggests that counselor education does not consistently teach ethics and that ethical violations currently occur between trainees and faculty. The literature also suggests that ethical dilemmas during training strongly influence later ethical counseling practice. A survey examined the ethics training of counselor educators and ensuing attitudes and actions in professional practice. The author discovered that ethics pedagogy during training was related to later pedagogical strategies and to reactions to attraction with students. Furthermore, no single pedagogical strategy seems to guarantee best teaching or ethical professional practice. This survey reinforces the need for ethics education for counselor educators and suggests directions for research.     

Evaluation of Counselor Effectiveness

This literature review summarizes research in the general area of the evaluation of counselor effectiveness. Research into the role of the counselor continues, and is typically done in reference to a specific setting. The state of the art is such, however, that the evaluation of the counseling process continues to focus primarily on the presence or absence of the core facilitative conditions; program evaluation, conversely, is becoming more sophisticated. Counselor educators have focused on means of presenting counseling experiences and of providing feedback regarding trainee performance and evaluating that performance; much of this work has been directed toward the counseling practicum. The implications of the movement toward certification or licensure are discussed with reference to both practitioners and counselor educators.     

Ethics in Case Conceptualization and Diagnosis: Incorporating a Medical Model Into the Developmental Counseling Tradition

In this literature review, the author focuses on several ethical considerations in case conceptualization and diagnosis, including diagnostic training and competence. Meeting the American Counseling Association's (1995) ethical standard for diagnostic training has several ethical implications for counselors, counselor educators, and supervisors. For counselors who might struggle with how to meet their ethical responsibilities in diagnosis but who want to remain true to their developmental counseling emphases, the author discusses some of their concerns, the implications of and possible approaches to this aspect of their work. Conclusion Yalom (2002) asked a poignant question of counselors in his book, The Gift of Therapy: “If you were in personal psychotherapy or are considering it, what DSM‐IV diagnosis do you think your therapist could justifiably use to describe someone as complicated as you?” (p. 5). This question and continued dialogue about the ethics and implications of diagnosis are essential aspects of diagnostic training. Yalom's poignant and deeply personal question seems especially appropriate for increasing a counselor's empathy toward the client's sensitivity and vulnerability during the diagnostic process. Counselor educators might ask how one remains true to a developmental model of counseling while adhering to the ethical and accreditation standards of teaching the DSM's medical model of diagnosis. Counselors may also question how to use diagnosis ethically and empathically. Seligman (1999) recommended that clinicians view the DSM as one of many important sources of information about a person. Furthermore, counselors should seek to incorporate diagnostic information into a holistic context, recognizing that a diagnosis does not reflect the totality of the client. Some counselor educators have advised students to integrate the DSM model into their work with clients rather than abandoning their developmental roots (Waldo et al., 1993). Some counselors may not actually put their diagnoses in writing; Seligman believed, however, that thinking diagnostically may assist counselors in determining the best approaches to help clients and to help clients help themselves. This clinical and ethical debate about how, and in fact, whether, to integrate the medical model of the DSM and the developmental origins and distinctiveness of counseling continues. However, the CACREP (2001) standards, managed care systems, and other forces have pushed counseling professionals toward a medical model by mandating counselor knowledge and use of the DSM. Whatever a counselor's stance and behavior on client assessment and diagnosis may be, the literature presented in this review and discussion seems to suggest a need for heightened sensitivity to, preparation for, and accuracy in all facets of client assessment, especially diagnosis.     

A Comparison of the Effects of Prejob Training and Job Experience on Nonprofessional Telephone Crisis Counselors

ABSTRACT: This study, carried out in a telephone crisis intervention program in which nonprofessional volunteer counselors received 55 hours of prejob training, isolates the effects of prejob training and on-the-job experience. Participants in the study were evaluated on several parameters including knowledge, counseling skills, acceptance of others, and dogmatism. Three groups of volunteers were measured: group 1—measured immediately before and after prejob training, group 2—measured just after prejob training, and group 3—measured after five months of telephone counseling experience. Results indicate that counselor skills and knowledge significantly increased with prejob training, but did not show further improvement as a result of five months of experience. Attitudes such as acceptance of others and dogmatism did not change either as a result of training or experience. Dogmatism was found to be inversely related to both counselor skill and knowledge.     

Using Photography to Enhance Development of Self,Professional Identity,and Multicultural Awareness

Counseling can be a vulnerable process for clients and counselors alike. Counselors-in-training often find their early development to be an ambiguous and anxiety-provoking process. Both metaphors and experiential activities are effective methods in counselor training for addressing the ambiguity of counseling and the concerns experienced by counseling students. This article describes how counselor educators can use photography as a metaphor to support counselor development. We also outline four creative photography activities designed to foster self-reflection, professional identity development, and multicultural awareness among counselors-in-training.