Counselors and the Legalization of Physician-Assisted Suicide

With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding counseling these clients, a reevaluation of the ACA ethical standards may be needed.     

Action Planning Through the Phases of Counseling

The position put forth in this article is that both clients and counselors must be regarded as active agents within the counseling process. Using 4 phases of counseling, client actions at each phase are viewed in terms of their implications for action planning. Adopting this perspective has implications for both counseling practice and evaluation.     

Focus Groups: A Practical and Applied Research Approach for Counselors

Focus groups are becoming a popular research approach that counselors can use as an efficient, practical, and applied method of gathering information to better serve clients. In this article, the authors describe focus groups and their potential usefulness to professional counselors and researchers. Practical implications related to the use of focus groups in counseling practice are discussed, and case examples are provided demonstrating how focus groups can be useful to counselors.     

Predicting Dropout in Counseling Using Affect Coding of the Therapeutic Relationship: An Empirical Analysis

This study used an observational research method to examine affective counselor–client exchanges during the initial session of counseling for clients who dropped out of counseling and clients who remained in counseling. Results confirmed significant differences in the affect codes of clients and counselors between the 2 groups. Discriminant function analyses classified 77% of counselors and clients in the correct groups and correctly classified over 94% of clients who returned for 4 or more sessions.     

Systematic Counseling: The T-F-A Model for Counselor Intervention

Counselors in educational settings are usually not free to select the kinds of clients and problems with which they may work most effectively. Therefore, counselors must select counseling strategies that maximize the probability of helping all clients achieve personal goals. These strategies may focus primarily on changing how clients think, feel, or act (T-F-A). Combinations of thinking, feeling, and acting strategies are illustrated along with relationships to different counseling theories. Effective counselors need to systematically use varying combinations of T-F-A strategies that will be of maximum value in helping individual clients to change their behavior.     

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.     

Job Support Groups: Three Configurations

Support groups can help counselors both as a referral source and as an adjunct in counseling. This report describes 3 approaches to job support groups and compares them on a number of key dimensions to assist counselors in identifying attributes of job support groups that can be most helpful to different clients.     

A Comparison of Successful Smoking Cessation Interventions for Adults and Adolescent

This review of the counseling literature analyzes the motivating and impeding factors for adults and adolescents regarding smoking cessation. Adults and adolescents prefer to stop smoking on their own; however, even brief counseling will increase their chances of success. In addition to giving support, counselors can facilitate smoking cessation by increasing clients' motivation and teaching stress management. Counselors must be aware of how the social environment can influence a client's smoking status. With recent increases in adolescent smoking, particularly among African Americans, counselors should be prepared to help an increasing population of clients who will require smoking cessation assistance.     

The Fully Functioning Employment Service Counselor

Fully functioning employment service counselors are individuals who feel personally and professionally significant and who use personal and professional competencies to foster an accurate image of themselves with clients and other professionals within the employment service. They are aware of the changing demands and the expanding scope and goals of employment counseling occurring over the past 10 years, although many others in the employment service, including training and supervising counselors, are not. These counselors must take the responsibility for bringing others into their scope of awareness: They must define, through their own actions, their developing identity.     

The Pinocchio Syndrome: Lying and Its Impact on the Counseling Process

Surprisingly little has been written in the counseling journals on the topic of lying: that is, why some clients consciously choose to be either dishonest with their counselors or deliberately hold back (i.e., keep secrets) important information from their counselors. This article discusses the dynamics of lying and offers suggestions to counselors on how to work with clients who lie.     

How Chaos and Complexity Theory Can Help Counselors to Be More Effective

Chaos and complexity theory can help counselors to assist clients in new and unique ways. Chaos and complexity theory do not need to replace other counseling theories but can provide an alternative view. Using chaos theory in counseling requires, however, a revaluation of counselors' assumptions about the world, particularly about linearity, prediction, and control. This article uses a case study to illustrate how counselors can use chaos and complexity theory in their work with clients. This theory can offer an alternative framework to assist counselors in conceptualizing their clients and their practice.     

Certification of Specialties: Not If,But How

The guest editorial and featured articles have established the fact of counseling specialties and also that counselors have no clear or consistent scheme to recognize professional specialization. If counselors expect external recognition of and respect for their credentials, the credentials first must be recognized and understood by counselors. The experiences of other professions suggest strategies, but counselors must determine their own way of recognizing specialties without denying counselors' common identity. The profession and practice of counseling will be strengthened if all counselors have a minimum foundation of counseling knowledge and competencies and build accepted specializations on that foundation. The counseling profession must distinguish among work settings, professional interests, and specializations as a prerequisite to a coherent scheme of recognizing specialties.     

Exploring Adoption with Clients: The Need for Adoption Education Within the Genetic Counseling Profession

Genetic counselors and other health professionals may encounter adoption during any counseling session. They must be skilled in using appropriate language and understand how to approach and discuss this topic with clients. A thorough knowledge of adoption as an option for clients facing a prenatal or postnatal diagnosis is necessary when presenting individuals with non-biased information needed for informed decision-making. However, three preliminary studies have demonstrated an absence of graduate education and lack of a professional knowledge base regarding this option (Mates 2008; Oksala 2007; Perry 2003). We discuss the impact of medical professionals’ preconceptions on client decision-making, increasing early identification of fetal anomalies, deficiency of adoption knowledge and resources, and the resulting need for genetic counselors and other health professionals to develop their skills in discussing adoption with clients.     

Genetic Counseling for Confined Placental Mosaicism: A Case Report

New technologies can lead to unforeseen discoveries which in turn can lead to diagnostic and counseling dilemmas. A case which involved confined placental mosaicism for trisomy 16 is presented to illustrate such a situation. While interpreting data and explaining a newly described phenomenon created uncertainties for the genetic counseling team, the patient and her husband were primarily dealing with grief surrounding the loss of a wanted pregnancy. It is important to recognize that the counseling issues may be different for the professionals and the families. Genetic counselors must be cognizant of their own reactions and those of their clients and be prepared to use all of their counseling skills to address these varying needs.     

Making the Transition from Prison to Community: Importance of Career Exploration

A criminal record is often a severe employment handicap. Through career counseling, employment counselors have a unique opportunity to enhance the likelihood that the ex-offender will successfully make the transition from prison to community. The results of a career program conducted with ex-offenders are described in this study.     

Does Receiving Genetic Counseling Impact Genetic Counselor Practice?

This study was an investigation of whether genetic counselors have received genetic counseling and if so, how they believe it affects their practice. One thousand genetic counselors were mailed surveys about the nature of genetic counseling services received, impact on their clinical practice, frequency and reasons for disclosing about their receipt of counseling to their clients, and demographics. Ninety-three of the 510 respondents reported receiving genetic counseling. Of these, almost three-fourths were practicing genetic counselors while receiving services. Reasons for services include prenatal concerns, family history of cancer, and history/risk of other genetic conditions. Frequently endorsed effects on practice include increased empathy and understanding of client decisions, feeling more connected with clients, greater emphasis on psychosocial support, and sympathy. Forty-six respondents disclosed to clients about their receipt of genetic counseling. Prevalent reasons include client asked, help clients feel they are not alone, demonstrate counselor understanding, decrease client anxiety, build rapport, and normalize client feelings. Practice and research recommendations are given.     

Addressing social determinants of health: Supporting ex-offenders’ employment through use of the Systems Theory Framework

There remains a need for counselors well-prepared to work with ex-offenders. As counselors aim to meet ethical obligations toward advocacy, they often seek to address social determinants of health (SDOH) challenges. Those working with ex-offenders should be aware of unique employment challenges ex-offenders may face and possess a baseline knowledge of the justice system for pertinent collaboration. This paper provides an explanation of how the Systems Theory Framework may be used to address ex-offenders’ employment-related needs through addressing SDOH challenges and collaborating with the justice system. Implications for employment counselors, counselor educators, and supervisors and steps for future research conclude.     

New Directions in Counseling Women

A revolution in counseling women is one logical outcome of recent changes in the social, political, and economic movements that have predisposed individuals to modify their life-styles and value systems. This article discusses four facets of that revolution and concludes that new counselor training programs are required to meet the needs of emerging client populations. The conclusions are supported by research that indicates (a) new sources of knowledge about the development and functioning of women clients; (b) new groups of client populations whose needs are not being met by traditional counseling strategies; (c) innovative procedures specifically tailored to the unique characteristics of these client groups; and (d) revised standards of ethical practice to ensure competent and appropriate services for all client populations. Training programs are outlined that provide guidelines for sex-fair education for all counselors and more intensively focused training for counselors who select the counseling of women clients as a career specialty.     

Counseling for the transition to adulthood as joint, goal-directed action

Transition is important in the career literature as it identifies times at which people are often likely to consult counselors about issues for which they need help. However, the counseling literature has not provided a conceptualization of, or research on, the joint, goal-directed actions and projects of the counselor and the client, which explicitly reflect the goal-directed nature of the transition itself. To address this issue, 12 counseling dyads, representing 37 counseling sessions, were studied. In these dyads, counseling was observed as the joint, goal-directed action between professional counselors and youth who sought assistance with their transition to adulthood. The data were collected using the action-project method. The counseling sessions were video-recorded, then immediately played back for the counselor and client separately to gather their recalled thoughts and feeling during counseling. Detailed qualitative analysis of the data set addressed the research question, “What are the goal-directed projects that counselors and their clients jointly construct, articulate, and enact relevant to the transition to adulthood?” The findings indicated the relationship and identity are intertwined goal-directed projects within counseling as well as outside of it. These projects contributed to the reframing and reorganization of clients' transition projects outside of counseling in occupational, educational, and familial domains. The findings suggest important implications for counseling youth in transition, that is, counselors and clients explicitly address their joint relationship and identity goals in an effort to realize a mutually satisfactory and important transition to adulthood.     

Advocating for Atheist Clients in the Counseling Profession

Atheism is a controversial topic, with individuals who identify as atheist reporting high rates of discrimination. Despite increasing literature discussing religious/spiritual views and beliefs, few scholarly discussions of atheism in the counseling field can be found. Counselors need to be made aware of the issues facing atheist clients and educated on the best interventions to use in collaborative work with clients. Counselors should also be prepared to advocate for atheist clients in multiple domains. This article aims to explore the relevant literature around atheism, identify implications for counselors, and provide a path to advocacy for counselors in their work with atheist clients.