The University Counseling Center: An Agenda for the 1990s

Changes in higher education will hold special relevance for university counseling centers in the 1990s. Opportunities will exist for counseling center personnel to help institutions deal with some emerging problems. Research is reviewed that indicates that crisis management services, career development concerns, a changing student population, and issues related to retention all represent areas in which contemporary counseling centers could make significant contributions. Recommendations are made about how counseling centers might prepare themselves for such involvement.     

Genetic Screening Services Provided in Turkey

In Turkey, the rate of consanguineous marriage is quite high (22–24 %) and as a result, the incidence of autosomal recessive diseases and congenital anomalies is also very high and gives rise to a serious public health problem. In the last three decades, great effort has been made to avoid increases in the prevalence of these hereditary diseases. For this purpose, population-based premarital, prenatal, neonatal and adult genetic screening programs are performed in various centers such as Community Health Centers, Early Diagnosis of Cancer and Education Centers (KETEM), Prenatal and Neonatal Departments of Universities and State Hospitals and Thalessemia Screening Centers. Such centers are staffed by health professionals including physicians, family physicians, nurses, midwives, biologists and medical geneticists. Genetic counseling is also provided to patients attending these centers after screening tests are performed. Since there are no specialized training programs for genetic counselors, genetic counseling is generally provided by doctors or medical geneticists. The aim of this paper is to give an overview of the genetic screening services provided in Turkey, the prevalence of genetic diseases and the design of intensive educational programs for health professionals.     

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.     

Value Tensions Between Evangelical Christians and Christian Counseling

The evangelical wing of the American Protestant church has maintained an uneasy and uncertain relationship with the recently emerged Christian counseling movement. Whereas many evangelical Christian groups have been able to assimilate Christian counseling into their panoply of ministry tools, significant sections of this faith group remain very suspicious and doubtful that Christian counseling can be trusted. Most of the stated reasons given by these objectors revolve around theological reservations. This article, however, suggests that an even more powerful barrier between the two groups stems from significantly different values held by each. The article enumerates several of these value differences.     

Giving Counsel: Donald Capps’ Contributions to Pastoral Counseling

This article explores some of Donald Capps’ contributions to the ministry of pastoral counseling. In particular, several key attributes of pastoral counseling as a ministry of the church are identified and discussed. This is followed by identifying six features necessary for good enough pastoral counseling. A final brief section offers some musings that I wish Capps could respond to.     

Church-based social interactions and psychotic experiences among Black Americans: findings from the National Survey of American Life

Religious attendance has generally been salutary for mental health, though recent evidence suggests that church attendance has no significant relation with psychotic experiences. This study will examine how various types of church-based social interactions might be related to psychotic experiences. We analysed data from the National Survey of American Life –a representative sample of Black Americans in the United States –and used multivariable logistic regression to examine associations between seven church-based social interaction variables and lifetime psychotic experiences. In separate models, church attendance, church member interaction, and closeness to church members were not significantly associated with psychotic experiences, while greater emotional support, negative social interactions, providing help to other church members and receiving help from fellow church members were associated with increased odds of reporting psychotic experiences. But in a fully adjusted model including all church-based social interaction variables, only negative church interactions and giving help to church members were significantly associated with psychotic experiences. Church-based social interactions did not protect against psychotic experiences, and in some cases increased risk. Future studies should explore why the deleterious aspects of social interactions prevail over the beneficial ones.     

Religious Diversity From a Jewish Perspective

The exploration of spiritual and religious diversity may receive less attention in counselor education than is warranted, resulting in counselors who are unprepared to deal with spiritual and religious issues in counseling. This trend could have a negative impact on Jewish clients, as well as on other religious clients, who feel that issues related to their identity are ignored. The Council for Accreditation of Counseling and Related Educational Programs (2001) has recognized that religious diversity is an integral component of the multicultural counseling movement, but counselor education and training programs, as a whole, still need to embrace this standard.     

The Theological Contributions of Bishop K. H. Ting to Christian/Pastoral Counseling

As China enters an era of urbanization and change, mental health issues are increasingly becoming a concern of the Christian church. Pastoral counseling is taking new shape as people of faith respond to those in their midst in need of care. Bishop K. H. Ting, a long-time leader of the Chinese church, has stressed the importance of an indigenous Chinese Christianity. This article is based on an examination of Bishop Ting’s theological writing with the aim of eliciting themes that might be foundational in the construction of inherently Chinese models of pastoral counseling. Based on a survey of his work, six themes emerge with particular importance for pastoral counseling: the Three-Self church, God is Love, the Cosmic Christ, ethical responsibility, theological reconstruction, and religion in society. These themes are explored within their uniquely Chinese context and suggestions for application to the practice of pastoral counseling are discussed. Original publication: Wang, P. (Ed.) (2006). Seeking Truth in Love. Nanjing, China: Nanjing Seminary Press. This essay was originally published in a collection of essays honoring Bishop K. H. Ting on his 90th birthday. Bishop Ting has been the head of the Chinese Protestant church for over five decades and his leadership has profoundly shaped Chinese theology and church life. The purpose of this essay is to explore how his collected theological writings might inform a uniquely Chinese approach to pastoral counseling. This article is published with the permission of the original publisher.     

The progressive heritage of guidance: a view from the left

As one part of a larger progressive movement, the guidance and counseling movement has typically supported progressive programs in the schools and in society as a whole. While most counselors point with pride to such a progressive heritage, a case can be made that the effect of progressivism is to prop up existing structures and resist fundamental change in societal institutions. In this article the author discusses four ideals that are commonly held by the progressive and the counseling movements, pointing out some of the destructive effects these ideals have on societal change efforts. The four ideals discussed are: (a) an emphasis on access to opportunity (pluralism), (b) an emphasis on pragmatism, (c) an emphasis on adjustment, and (d) an emphasis on individualism.     

Restoring the Image: Spirituality, Faith, and Cognitive Disability

There is a great deal of theological confusion within the church as to the level of participation people with profound cognitive disabilities should be allowed within the orders of the church. For some, sacramental participation without intellectual comprehension is dishonoring to God, while for others, lack of cognitive ability precludes any kind of meaningful spiritual life. This paper sets out some of the various positions and argues that faith and spirituality are not intellectual concepts, but relational realities. It is only in and through our relationships that any of us can learn anything about the divine. A relational understanding of faith and spirituality as outlined here offers the church the freedom to avoid evaluating a person's spiritual life according to intellectual criteria and to begin to find new ways of preaching the Word to those who have no words.     

Forging a Collaborative Relationship Between the Black Church and the Counseling Profession

In the field of counseling, there has been a growing awareness of the important role the Black church plays in African American communities. Although counseling professionals have begun recognizing the influence the Black church has in the lives of African Americans, there seems to be little information on how counselors can collaborate with African American congregations to meet the mental health needs of African American clients. The authors examine how counselors can use the psychological and social strengths of the Black church. Strategies and implications for collaborating with this institution are also discussed.     

How special are the specialties? Workplace settings in counseling and clinical psychology in the United States

How special are the specialties? Although clinical and counseling psychology each have distinctive origins, past research suggests their potential convergence across time. In a survey of 5666 clinical and counseling psychologists, the similarities and differences between their workplace settings were examined during early-, mid-, and late-career phases to explore the distinctiveness of the two specialties. Overall, clinical and counseling psychologists reported markedly similar workplace settings. However, some significant differences remained; a greater proportion of counseling psychologists reported working in counseling centers, while a greater proportion of clinical psychologists reported working in medical settings. In addition, during late-career, substantially more counseling and clinical psychologists worked in independent practice contexts than in community mental health centers, medical settings, academia, or university counseling centers. Findings are discussed in relation to the ongoing distinctiveness of the two specialties and the implications of this for training and service in the field of professional psychology.     

How effective are our marriage ministries? A critical survey

Since the introduction of marriage and family counseling into some seminary curricula thirty years ago, the majority of clergy have developed premarital counseling as a part of their marriage ministries, and educational committees have established marriage and family courses in church school programs. Two questionnaires, used in three clergy conferences, provide data for a critical survey of representative clergy involved in ministry to marriage. Analysis of the data and interviews with a continuing education director and a marriage counseling trainer provide reasons why clergy may not be fully qualified and, therefore, may be only partially effective as marriage counselors. The kinds of educational experience necessary for ministers to become more effective in marriage ministry are examined. Finally, the minister's role in marriage in a secular society is interpreted as undergoing a shift for which many clergy are unprepared.     

Pastoral counseling among Chinese churches: a Canadian study

This article reports the results of a survey of Canadian Chinese pastors (N 20) regarding their experiences and attitudes related to pastoral counseling. It identifies common concerns encountered during pastoral counseling, as well as key areas of church concerns. Results of the survey indicate that pastoral counseling may be more important than is currently recognized by Chinese pastors, particularly in key areas of marriage, family life, and general relationship issues. The authors discuss possible implications of the survey relative to training and equipping Chinese pastors to engage more in pastoral counseling as an integral part of their parish ministry.     

Community and Christianity in the Black Church

The authors explore the experience of Christian religion for many African Americans. In response to racial discrimination and prejudice within churches, African Americans developed a Christian tradition with distinct meanings, beliefs and practices. This tradition provides a foundation for social activism within the church, community and American society, as well as community among church members. The recent Black church burnings are discussed with respect to the more traditional Christian African American view of religion. Implications for incorporating the religious traditions of Christian African Americans into counseling practice are explored. (The authors use the term Black church or African American church as a surrogate for Christian African American church throughout the article. The terms Black and African American will also be used interchangeably).     

Toward professionalism or voluntarism in pastoral care

In its modern evolution as a subprofession, pastoral counseling has increasingly developed professional criteria to determine who can and who cannot legitimately do pastoral counseling. This trend moves pastoral counseling toward the medical profession and away from the life and mission of the institutional church. As pastoral counseling seeks a legitimacy in close association with the medical profession it runs the risk of losing touch with the institutional church—the voluntary associations of Christians that have always been the ultimate source of legitimacy for the ministry in America. The present challenge facing the field of pastoral care is to shift attention from professional specialization outside the church to an effort within the church to train the laity to be effective agents of pastoral care.This article was first presented in the Seminary Series Lectures, The Graduate Seminary of Phillips University, Enid, Oklahoma, during the spring of 1975.     

Psychological Care Provided by the Church: Perceptions of Christian Church Members

Spirituality and religion are integral parts of a person's belief system and support network. Although there are many avenues a person can take when seeking mental health care, conservative Protestant clients have a tendency to seek assistance through their church. There is a paucity of literature about conservative Protestant church members’ perceptions of mental health care. The authors used phenomenology to understand participants’ perceptions of mental health care provided by the church. Themes found within participants’ stories included the importance of the relationship when seeking care, the use of knowledgeable practitioners, and the use of religious practices in counseling.     

Studying ecclesiology in ecumenical perspective: the Finnish context: what does it mean to be ‘the same church in all directions’?

This article introduces the main international ecumenical contacts of the Evangelical Lutheran Church of Finland (ELCF). The article shows how the ecumenical contacts shape the unique ecclesiology of the ELCF. According to its own ecumenical strategy, the ELCF wants to be the same church in all directions. Unlike Lutheran churches in other Nordic countries, the ELCF is not a state church, but a folk church. Its status from a majority church in a national state is rapidly changing to a majority religious body in a multicultural society. This requires a new kind of ecclesiology, too. This article claims that there are four inter-related issues that shape the ecclesial self-understanding of the ELCF as an ecumenically active folk church. These issues are emphasis on doctrinal unity, communion within the LWF and Porvoo Communion, the status of a decreasing majority folk church, and internal debates on socio-ethical issues, especially those related to sexuality.     

The Black Church,Values, and Secular Counseling: Implications for Counselor Education and Practice

There has been a recent increase in the amount of attention given in the counseling literature to addressing clients’ religion and spirituality. However, Black American churchgoers are rarely the target population in the discourse, and little is known about how the Black church shapes their views. This article provides information on values of the Black church and the church's influence on Black American churchgoers regarding secular counseling. Implications for counselor education and practice are discussed.