A Developmental Approach to Outreach Services for Counseling Centers

Economics, pressure for accountability and changing student needs are forcing counseling centers to evaluate their services and methods of delivery. This article illustrates how a developmental, proactive, outreach approach can be an alternative to the traditional medical model.     

网络学习中学习者个人特征对学习投入的影响:一个有调节的中介效应模型

以参与网络课堂的387名大学生为被试,考察自我效能感、内隐智力信念和动机调节等学习者特征对网络学习环境中学习投入的影响及其作用机制。结果表明:(1)网络学习者的自我效能感、动机调节、内隐智力信念均能正向预测学习投入;(2)动机调节在自我效能感和学习投入的关系中起部分中介作用;(3)"自我效能感→动机调节→学习投入"这一中介效应的后半路径受到学习者内隐智力信念的调节。相较于智力实体论者,动机调节的中介效应在智力增长论者中更强。     

The Social Influence Model: A Social Psychological Approach to Counseling

Social influence theory suggests that counseling is an interpersonal influence process. This article reviews the literature on the model and suggests future directions for research.     

Transitional Support for Adult Vocational Learners: A Review of Institutional Roles

This article examines the extent to which organizations are meeting the transitional support needs of adult learners. A review of the roles of all constituent groups involved in the provision of transition support services is the major focus of the article.     

A Model for Individual Career Counseling

The focus of the article is on a visual model for individual career counseling. The model takes into account psychological, social, and economic factors and describes decision making as a journey with four discernible stages.     

Letter Therapy: A Model for Enhancing Counseling Intervention

Based on 15 letters between a counselor and a female client, this article outlines and discusses a unique letter therapy process, which is loosely adapted from the Morita Therapy approach to counseling. The five-step Letter therapy approach consists of 1) opening up, 2) focusing on life themes, 3) redirecting toward strengths, 4) reinforcing actions, and 5) affirming a positive attitude toward life. Letter writing has the potential of being used by counselors either in conjunction with face-to-face counseling or as a separate therapeutic method.     

Billing for Medical Genetics and Genetic Counseling Services: A National Survey

In January 2007 the American Medical Association added a new Current Procedural Terminology® (CPT) code, 96040, for “Medical Genetics and Genetic Counseling Services.” In order to identify the impact of having this new code and to identify issues with implementation of the code, the National Society of Genetic Counselors (NSGC) CPT® Working Group surveyed NSGC members using an internet-based survey tool. The majority of respondents (94%) reported being aware of the new code and over half of the respondents (69%) said they were billing for genetic counseling. Approximately 24% of those billing reported using 96040. Many facilities are not using this code and the reported success of billing using 96040 is highly varied. Continued education may be beneficial to encourage reimbursement for 96040 and follow up is needed to assess the ongoing implementation and impact of the new CPT® code.     

A Model for Addressing Spiritual Issues in Counseling

The hesitancy on the part of counselors and psychotherapists to approach the spiritual concerns of clients has been widely discussed in the literature. Among the various reasons given for the reluctance of counselors and other therapists regarding spiritual matters is that such issues have not been a part of traditional training models. A counseling and psychotherapy training model is proposed here that is both continuous and developmental in nature. The model contains discrete yet continuous levels of learning; Learning Level III is concerned with emergent spiritual issues. The holistic epistemology of Gregory Bateson is used to derive guiding theoretical principles for the training model.     

A Tailored Approach to Family-Centered Genetic Counseling for Cystic Fibrosis Newborn Screening: The Wisconsin Model

This article describes the development of a tailored family-centered approach to genetic counseling following abnormal newborn screening (NBS) for cystic fibrosis (CF). A genetic counseling consortium reviewed research literature, selected theoretical frameworks, and incorporated counseling psychology micro skills. This innovative intervention integrated theories and empirically validated techniques. Pilot testing and parent feedback confirmed satisfaction with and feasibility of the approach designed to (a) minimize parents’ distress, (b) facilitate parents’ understanding, (c) increase parents’ capacities to use genetic information, and (d) enhance parents’ experiences with genetic counseling. Counselors engage in a highly interactive process of evaluating parents’ needs and tailoring assessments and interventions that include a therapeutic environment, the family’s emotional needs, parents’ informational needs, and a follow-up plan. This promising new model is the first to establish a theory-driven, evidence-based standard for genetic counseling in the context of NBS for CF. Additional research will evaluate the model’s efficacy in clinical practice.     

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.     

A Parallax View of Counseling: The Social Influence Model

Heppner, Paul, & Heesacker, Martin. Interpersonal Influence Process in Real-Life Counseling: Investigating Client Perceptions, Counselor Experience Level, and Counselor Power Over Time. Journal of Counseling Psychology, 1982, 29, 215–223. Hackman, Hollis, & Claiborn, Charles. An Attributional Approach to Counselor Attractiveness. Journal of Counseling Psychology, 1982, 29, 224–231.     

Counseling Issues for Adult Women in Career Transition

This article addresses current psychosocial issues facing women in career transition and the implications of those issues for career counselors. Specifically, psychosocial developmental trajectories, the roles of family and relationships, the importance of underlying physical and mental health issues, and sociocultural and contextual stressors are relevant for women in the midst of career change. The author discusses how career counselors can prepare for this complexity and addresses clients' current economic and social milieus. A checklist is provided to aid the career counselor in addressing the multiple issues that a new client brings to the 1st counseling encounter.