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.     

Rethinking Adult Learner Persistence: Implications for Counselors

The authors examined adult learner persistence in higher education by exploring student perspectives regarding the obstacles that blocked their attendance and the motivators that contributed to their tenacity in pursuing their academic goals over a period of time. Results suggest implications for counselors who work with adult learners in colleges and universities.     

The Ways Paradigm: A Transtheoretical Model for Integrating Spirituality Into Counseling

Research suggests that an emphasis on spirituality and religion in counseling has increased awareness but not translated into changes in practice. The authors contend that part of this challenge is the lack of a broad, heuristic model for integration that seeks to embrace the complex, fluid, and negotiated nature of spirituality and religion. Cheston's ( 2000a ) Ways Paradigm for teaching counseling theory provides such a model, leading to new perspectives on counselor education, research, and practice.     

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.     

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.     

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.     

Supporting a Nation of Learners: The Role of School Counseling in Educational Reform

The most recent school reform agenda directed the development of national standards across the academic content areas to improve educational practice and pedagogy. U.S. Department of Education's (1994) Goals 2000: The Educate America Act and its subsequent nationwide implementation largely ignored the involvement of school counseling in school reform efforts. Counselors in schools face the challenge of preparing students to meet the expectations of these higher academic standards and to become well‐educated and contributing members of an ever changing and complex society. The development of the National Standards for School Counseling Programs (American School Counselor Association, 2003) positioned school counseling to play an increasingly important role in contemporary school improvement and in support of the recent educational legislative agenda the No Child Left Behind Act (U.S. Department of Education, 2001).     

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.     

The Counseling Profession's Commitment to Diversity-Sensitive Counseling: A Critical Reassessment

The authors pose questions in this article that are intended to stimulate more effective strategies to ensure gender, racial, and ethnic diversity in the counseling profession. The first question addresses the implications of between-group versus within-group differences for the counseling process. The second question examines the need to expand the dialogue across all minorities. The third question asks who should conduct multicultural research. Various constituencies, including clients, practitioners, counselor educators, scholars, and researchers are affected. Inconsistencies are noted between the strategies now being used to achieve diversity and the philosophical foundations of the counseling profession itself. Seven recommendations are made.     

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 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.