A Response to <Emphasis Type="Italic">The Oxford Handbook of Religious Conversion</Emphasis> from two Perspectives

This review considers the The Oxford Handbook of Religious Conversion (Rambo and Farhadian 2014) from the perspective of Western counseling practice and its applicability to Eastern religious traditions. The Handbook presents a nuanced approach to conversion that emphasizes its complex and dynamic qualities, providing counselors/pastors with practical perspectives to enhance their understanding of people in various stages of a conversion career. By addressing non-Abrahamic traditions, The Handbook also looks at “conversion” from a wider perspective, raising issues about whether it can legitimately be applied to traditions that do not share Western religious assumptions (such as exclusivity) and religious identity. From both perspectives, The Handbook challenges readers to expand their perspectives and rethink their preconceived notions of religious conversion, especially those assumptions based on Western Protestant interpretation of the story of Paul’s conversion.     

Perceived Autonomy Support Moderates the Relations between Counseling Self-Efficacy and Flow among Filipino Counselors

Contemporary literature has emphasized the vital role of supervision in the professional growth of counselors and therapists. Even some counselor developmental models argued that improvement in counselor autonomy, motivation, and self-efficacy is highly contingent upon counseling supervision, especially in Western settings. Yet, there is marked scarcity of studies examining the antecedents of flow in non-Western contexts. As such, the central aim of the current study was to assess the moderating effects of perceived autonomy support from supervisors on the relations between counseling self-efficacy (CSE) and state flow among Filipino counselors. A sample of 131 Filipino counselors in Metro Manila participated in the research through answering questionnaires that measured the aforementioned constructs. The findings of correlational analyses have shown that counseling self-efficacy and perceived autonomy support are positively associated with state flow. The results of path analysis revealed a significant moderation effect. This suggests that for Filipino counselors who had greater perceptions that their supervisors provide autonomy in their counseling practice (perceived autonomy support), having lower perceived capabilities in performing counseling duties may lead to higher immersion and enjoyment in counseling activities, while for those who have low perceived autonomy support, having higher levels of counseling self-efficacy will lead to lower flow. Implications of these findings in theory and practice are elucidated.     

Religious Counseling: To Be Used,Not Feared

Our society is placing more emphasis on religion and religious issues. Persons seeking counseling often request Christian counseling. Students in academic settings often express an interest in becoming Christian counselors. Often the religious aspect is left out or avoided in courses for training counselors. This article gives some specific ways in which religious issues can be used in a counseling setting using the three ps: place, personhood and philosophy.     

Grief Counseling: An Investigation of Counselors' Training,Experience, and Competencies

Grief is prevalent in counseling, but little is known about the current status of counselors’ preparation and competencies to provide effective care. This exploratory study surveyed counselors (N= 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training and experience were statistically significant predictors of competence. The strong relationship between variables suggests these concepts may be understood as synonymous. Implications for training, practice, and research are discussed.     

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.     

Have You Ever Googled a Patient or Been Friended by a Patient? Social Media Intersects the Practice of Genetic Counseling

Patients and healthcare providers are becoming increasingly connected via social media, bringing new opportunities and challenges. Direct connection can occur between patients and providers using online tools such as Facebook and LinkedIn. In addition, providers can gather information about patients using a search engine such as Google, referred to as patient-targeted Googling (PTG). An online 54-item survey was used to gain information on (1) how and to what extent genetic counseling students and genetic counselors connect directly with patients via social media sites, and (2) gather information on providers using PTG. Four hundred genetic counseling students and genetic counselors participated in the survey. The majority of respondents (88.9%; n?=?344/387) find it is never or rarely acceptable to interact with current patients via social media sites; however, 27.7% (n?=?110/397) have visited a patient’s social media site. Gathering information for patient care was the most commonly reported reason (76.8%; n?=?43/56). Thirty-three percent (n?=?130/394) have considered searching online or actually searched online for information about a patient. Curiosity was the most common reason (92.7%; n?=?114/123); although, respondents also used PTG to obtain contact information and to prepare for patient sessions. Our study supports the need for development and dissemination of professional guidelines to serve as a valuable resource for practicing genetic counselors and genetic counseling training programs.     

The Worldview of Memory Lane

This article is a response to Jacob Belzen’s Towards Cultural Psychology of Religion, Principles, Approaches and Applications (New York: Springer, 2010) from a cross-cultural pastoral perspective and identifies seven issues where the book and cross-cultural pastoral thinking impact each other: definition, research methodology, object of research, flexibility of research, the relationship between cultural and cross-cultural psychology, culture, and private religious experience. Below I will view Belzen’s book through the prism of my primary concerns as a Dutch academic trained in cross-cultural pastoral care and counseling who pastors in a diverse and fluid cultural context.     

Religious images in dreams

In the tradition of Jung's analytical psychology, specimen dreams are given to illustrate: 1) traditional religious images modified by the personal context; 2) dreams in which material appears that has traditional religious meaning, but not in the conscious religious tradition of the dreamer (archetypal images in dreams); and 3) dreams that seem to carry a numinous religious meaning, but have not been shown to use traditional religious images. An understanding of the possible religious meaning of dreams should be a specialized but necessary aspect of counseling in depth, whether done by secular professionals or by pastoral counselors identified with traditional collective religious organizations.     

Breast Cancer Risk Perceptions among Relatives of Women with Uninformative Negative <Emphasis Type="Italic">BRCA1/2</Emphasis> Test Results: The Moderating Effect of the Amount of Shared Information

The most common result of BRCA1/2 mutation testing when performed in a family without a previously identified mutation is an uninformative negative test result. Women in these families may have an increased risk for breast cancer because of mutations in non-BRCA breast cancer predisposition genes, including moderate- or low-risk genes, or shared environmental factors. Genetic counselors often encourage counselees to share information with family members, however it is unclear how much information counselees share and the impact that shared information may have on accuracy of risk perception in family members. We evaluated 85 sisters and daughters of women who received uninformative negative BRCA1/2 results. We measured accuracy of risk perception using a latent variable model where accuracy was represented as the correlation between perceived risk (indicators = verbal and quantitative measures) and calculated risk (indicators = Claus and BRCAPRO). Participants who reported more information was shared with them by their sister or mother about her genetic counseling session had greater accuracy of risk perception (0.707, p?=?0.000) than those who reported little information was shared (0.326, p?=?0.003). However, counselees shared very little information; nearly 20 % of family members reported their sister or mother shared nothing with them about her genetic counseling. Family members were generally not aware of the existence of a genetic counseling summary letter. Our findings underscore the need for effective strategies that facilitate counselees to share information about their genetic counseling sessions. Such communication may help their relatives better understand their cancer risks and enhance risk appropriate cancer prevention.     

Theological and Biblical Interpretations of Current Movements and Emerging Paradigms Within Bereavement Studies

Among the predominant themes in the last few years of bereavement studies have been those around disenfranchised grief, masculine grief, spirituality and grief, and the movement from medical/hierarchical models of grief work/counseling to a more non-hierarchical model that emerges internally, inherently, and intrinsically within the bereaved. In the latter model the grief counselor becomes a facilitator or, as Alan Wolfelt noted at the Chicago ADEC conference, a companioning presence. The intent of this article is to take this conversation into the realm of theology, and/or biblical theology. The following offers theological analysis of what is already good clinical theory. Integrating theories from anthropology and theology, this article will explore the concepts of voice, etic and emic theory, and incarnational theology as they relate to emerging patterns in bereavement studies. It will also relate a model of the Kingdom of God to disenfranchised grief, as well as offer support for the theory of masculine grief from biblical sources and complementary fields of study.     

Religious Discrimination in the Workplace: A Review and Examination of Current and Future Trends

Purpose

Over the last decade, religious discrimination claims have risen more rapidly compared to most other protected categories under the Civil Rights Act (CRA). The goal of this review paper is to summarize the psychological and HR practitioner-focused research on religious discrimination as it relates to the CRA to understand these religious discrimination claims. In doing so, this review also highlights what future research is needed, and what the challenges and practical implications of religious discrimination are for managers.

Design/methodology/approach

We conduct a systematic literature review of the psychology and business research on religious discrimination.

Findings

Building from the literature review and case law, we highlight four trends that contribute to religious discrimination in the workplace: (1) legal ambiguities, (2) increased religious diversity in the American workforce, (3) increasing expression of religious beliefs, and (4) the unique nature of religion.

Implications

The trends identified in our review paper highlight the need for employers to understand and address religious discrimination issues in the workplace and the lack of empirical research in this area points to a critical gap in our understanding of workplace religious discrimination that warrants future research.

Originality/value

In addition to highlighting trends that contribute to religious discrimination in the workplace, this literature review addresses where there are gaps in the existing research that call for further research and offers practical implications for employers and organizations.     

Navigating Bereavement With Spirituality‐Based Interventions: Implications for Non‐Faith‐Based Counselors

The relationship between spirituality and bereavement has been studied in a multitude of disciplines, yet there is a significant gap in the counseling literature on this topic. The authors explore how spirituality is often avoided in secular counseling settings, discuss adverse effects of unresolved grief on clients' functioning, and propose the concept that spirituality can be used to help clients through the bereavement process. Finally, the authors offer research and clinically based interventions that counselors, particularly those who do not identify as faith‐based, can use to incorporate spirituality into their work with bereaved clients.     

Assessment of Current Genetic Counselor Practices in Post-Visit Written Communications to Patients

Providing patients with post-visit written communication (PVWC) is a long-standing component of genetic counseling. However the depiction of this practice in today’s clinical landscape is limited. To better describe this practice, we surveyed practicing clinical genetic counselors to ask if they send post-visit communications to patients and if so, what are the types, the average length, and the average time spent writing. They were also asked the perceived purpose of providing PVWC, if/how the practice has changed over time, and factors influencing the practice. Eighty three percent (233/280) of participants reported sending patients PVWC. Of those, 93% sent at least one communication written in patient-friendly language. The type of communication varied by specialty. Prenatal genetic counselors were less likely to send patient-specific letters and hybrid letters (defined as letters with content intended for both a physician and a patient) than those in cancer genetics (p = 0.010, p = 0.001, respectively) or pediatric genetics (p = 0.001, p = 0.004, respectively). Prenatal genetic counselors spent less time on average writing post-visit communications (19.0 min) relative to those in cancer and pediatric genetics (30.6 min, p = 0.027 and 37.7 min, p = 0.001, respectively). The most commonly cited purpose for sending PVWC was to provide patients a formal account of what happened during the appointment. These data suggest PWVC are still regularly sent to patients but the practice is variable and is influenced by numerous factors including specialty, years of experience, and time constraints.     

Resistance and adherence to the norms of genetic counseling

Genetic counseling for women of advanced maternal age who are considering prenatal testing continues to be based on a principle of nondirectiveness. We interviewed 11 genetic counseling students and four counselors about how they experience and manage, in practice, the tensions between the ideology of nondirectiveness and the acknowledged reality that one can never be truly nondirective. We found that our respondents creatively resolve this tension—simultaneously resisting and adhering to the values of nondirectiveness and information-giving—in individual and situation-specific ways. This resolution is facilitated by the extent to which information given to counselees is fluid, mobile and context-dependent, but these very features of information also have critical implications for both the norms and the practice of genetic counseling.     

Patient Perspectives on Intimate Partner Violence Discussion during Genetic Counseling Sessions

Intimate partner violence (IPV) is a major health concern in the United States (ACOG 2013). The World Health Organization (WHO) describes IPV as any physical, sexual, psychological harm by a current or former intimate partner (WHO 2016). Due to the psychosocial depth and nature of discussions within genetic counseling sessions, patients may disclose and/or discuss IPV as it relates to sexual well-being, reproductive and overall health. This study aims to assess the role for IPV screening, counseling and intervention in genetic counseling practice by investigating the incidence, experiences and attitudes about IPV among genetic counseling patients. Patients receiving genetic counseling at an urban metropolitan hospital were anonymously surveyed about experiences and perspectives on IPV as a topic of discussion during genetic counseling sessions. Among 60 eligible patients, 50 completed the survey (49 females, 1 male, of which, 5 identified as LGBT) ages 20 to 66. The incidence of IPV in this group was 16.0 % (n = 8). Majority of participants had never been asked about IPV by a healthcare provider (n = 32; 64.0%), would have felt comfortable answering questions about IPV by their healthcare provider (n = 34; 68.0%), and would have felt comfortable answering questions about IPV by their genetic counselor (n = 39; 78.0%). Perspectives from all participants, notably those with IPV history, provided insights to the role of genetic counselors in areas for IPV screening and counseling training.     

Making a religious diagnosis: The use of religious assessment in pastoral care and counseling

This essay discusses the importance of assessing the religious condition of persons in pastoral care and counseling. Undertaking such assessments via the use of explicit theological terms assures a unique role for pastoral counselors in the helping process and provides a model that avoids overdependence on psychology or psychiatry. Utilizing a method proposed by Paul Pruyser, the development of a psychometrically sound interview and inventory is described. These measures, based on eight dimensions of the Christian tradition, have been found to relate positively to mental health and personality strength. The importance of using such assessments of functional theology in helping persons grow in spiritual living and effective functioning is described.Paper delivered at the 4th International Congress on Pastoral Care and Counseling, Noordwijkerhout, The Netherlands, August 3–10, 1991.     

Neurology,psychology, and extraordinary religious experiences

Temporal lobe epilepsy and certain personality disorders often result in experiences described as religious. TLE research suggests a possible neurological basis for such experiences. Immediately the question arises about the authenticity of these experiences as religious. An experience is authentic if it furthers the authentic growth of the subject, regardless of what triggered it. So pathology may occasion authentic religious experiences, even as history exemplifies. For practical purposes, the further question about God in religious experience is secondary. The exception, miraculous occurrences, should not be granted without sufficient reason. This approach dissolves all conflict between science and faith.     

Understanding Mind/Body Medicine from Muslim Religious Practices of <Emphasis Type="Italic">Salat</Emphasis> and <Emphasis Type="Italic">Dhikr</Emphasis>

There has been an increasing medical interest in Muslim religious practices in promoting well-being. Central to Muslim religious practices are salat (prayer) and dhikr (chanting). These two religious forms may be argued as comprising elements of mind/body medicine due to their positive effect on the psychoneuroimmunological response. The aim of this article was to further understand the mind/body aspects of Muslim salat and dhikr.     

Reproductive Endocrinologists’ Utilization of Genetic Counselors for Oncofertility and Preimplantation Genetic Diagnosis (PGD) Treatment of <Emphasis Type="Italic">BRCA1/2</Emphasis> Mutation Carriers

Genetic counselors believe fertility preservation and preimplantation genetic diagnosis (PGD) discussions to be a part of their role when counseling BRCA1/2 mutation-positive patients. This study is the first to explore reproductive endocrinologists’ (REI) practices and attitudes regarding involvement of genetic counselors in the care of BRCA1/2 mutation carriers seeking fertility preservation and PGD. A survey was mailed to 1000 REIs from Reproductive Endocrinology & Infertility (SREI), an American Society for Reproductive Medicine (ASRM) affiliate group. A 14.5 % response rate was achieved; data was analyzed using SPSS software. The majority of participating REIs were found to recommend genetic counseling to cancer patients considering fertility preservation (82 %) and consult with a genetic counselor regarding PGD for hereditary cancer syndromes (92 %). Additionally, REIs consult genetic counselors regarding PGD patient counseling (88 %), genetic testing (78 %), and general genetics questions (66 %). Two areas genetic counselors may further aid REIs are: elicitation of family history, which is useful to determine fertility preservation and PGD intervention timing (32 % of REIs utilize a cancer family history to determine intervention timing); and, interpretation of variants of uncertain significance (VOUS) as cancer panel genetic testing becomes more common (36 % of REIs are unfamiliar with VOUS). Given our findings, the Oncofertility Consortium® created an online resource for genetic counselors focused on fertility preservation education and communication strategies.