Cultural competency in genetic counseling

Incorporating a cross-cultural curriculum into genetic counseling training programs demonstrates a professional conviction of genetic counselors that cultural issues are important in genetic counseling. Funded by the Special Projects Fund in 1993 from the National Society of Genetic Counselors and the Kitson Fund from the Department of Social, Organizational, and Counseling Psychology, Teachers College, Columbia University, theHandbook of Cross-Cultural Genetic Counseling was developed to provide genetic counseling programs a curriculum to teach cross-cultural genetic counseling. The theoretical rationale for the development of a cultural curriculum is presented. By expanding cultural knowledge, developing an awareness of oneself and others, and increasing the repertoire of culturally relevant counseling skills within a socio-political context, genetic counselors will be able to better serve all clients seeking genetic counseling.     

Cultural accommodation model of counseling

The current article provides an overview to the cultural accommodation model (CAM) of counseling (Leong & Lee, 2006) that may help guide employment counselors' work. The integrative multidimensional model of cross‐cultural counseling (Leong, 1996), a precursor to the CAM, is also reviewed.     

Pitfalls in pastoral counseling (in the overdependency relationship)

Summary In this discussion of pitfalls in pastoral counseling, it has been seen that it is when the pastor comes into repeated close emotional contact with his people in the counseling relationship that he becomes exposed to certain anti-therapeutic procedures.One of the main pitfalls is that of unconsciously, because of his helping professional bent, fostering overdependency in his counselees. Some of the major signs of the development of an overdependency relationship are seen to be the attempts on the part of the counselee to seek advice, to seek extra appointments or telephone counsel, to attempt to prolong individual sessions longer than the allotted time, and to attempt to perpetuate the duration of the counseling process beyond the immediate conflictual situation.Some interpretation of these neurotic appeals by the counselee are offered. It is hoped that the early recognition of at least some of the signs of a developing overdependency relationship by the pastoral counselor will enable him to avoid the pitfall of unconsciously fostering such a relationship, and to deal with such individuals in a more therapeutic fashion.Dr. Desrosiers has served, for some twenty years, as chaplain in a mental hospital, parish minister, physician, as well as psychiatrist.     

Cultural differences in the relationship between parenting and children's behavior

Parent and teacher data for 14,990 children from the National Longitudinal Survey of Children and Youth were used in multilevel analyses to examine the relationship between ethnicity, children's aggression and emotional problems, and parenting. Using parent and teacher report, relationships between ethnicity and child behavior were present but modest. The association between parental harshness and child aggression differed between ethnic groups and across informants. Using teacher report of outcomes, parental harshness was positively related to child aggression in European Canadian families but negatively related in South Asian Canadian families. For all ethnic groups, parental harshness was positively related to children's aggression when parent report of outcomes was used, but relationships varied in strength across ethnic groups. The relationship of parental harshness with child emotional problems did not differ across groups, irrespective of informant. The results are discussed within the context of an ecological model of parenting.     

Unraveling the relationship between organizational career management and the need for external career counseling

This article unravels the relationship between organizational career management and the need for external career counseling. We conducted a path analysis using data of 803 Flemish employees. The results indicate a three-way relationship between organizational career management and external career counseling. First, experiencing organizational career management reduces the need for external career counseling by enhancing career satisfaction. Second, it also reinforces the need for career counseling by encouraging employees to invest in their external employability. Finally, organizational career management and external career counseling are complementary as well. The implications of the results and the directions to be taken in future research are discussed.     

咨询会谈中的人际互补及其与工作同盟、咨询效果的关系

Leary的人际理论将人际互动行为划分为"情感"和"控制"两个维度,互动双方在情感维度的一致性和控制维度的互补性统称为人际互补。为探究心理咨询过程中人际互补的发展趋势及其与工作同盟、咨询效果的关系,采用电脑操纵杆方法,编制《咨询会谈人际互补行为评分手册》,对16个个案的48个心理咨询会谈录像进行评估。结果表明:有经验的咨询师在咨询前期的情感轴一致性高于中期和后期,在咨询后期的控制轴互补性高于前期和中期,新手咨询师的情感轴一致性和控制轴互补性均无阶段性差异;咨询中期的情感轴一致性负向预测工作同盟和会谈深度;情感轴一致性呈高-低-高发展趋势的个案咨询效果更好。结论:心理咨询的人际互补三阶段模型得到一定程度的支持,其作用机制有待进一步验证。     

the relationship between career and couple burnout: Implications for career and couple counseling

The importance of work and love for healthy functioning is well documented. This article addresses the relationship between them. The authors argue, based on a psychoanalytic‐existential perspective, that people's choice of work and love is related to similar unresolved childhood issues and that career burnout and couple burnout are related to failure in the existential quest aimed at solving these issues. The existence of a relationship between career burnout and couple burnout is demonstrated by several clinical examples and the results of an exploratory cross‐cultural study involving Israeli, Spanish, Portuguese, American, British, and Finnish students. Implications for career and couple counseling are drawn.     

The relationship between gender,perceived career barriers,and occupational aspirations

The relationships between college student gender, perceived career barriers, and occupational aspirations were examined. Participants were 314 students located in the southeastern United States. Overall, college women reported higher levels of occupational aspirations than college men. While occupational aspirations were not correlated with perceived career barriers for women or men, women reported anticipating more barriers to their career advancement than their male peers. Perceived career barriers and the interaction between gender and perceived career barriers predicted occupational aspirations after controlling for gender, socioeconomic status, ethnicity, and year in school. The relationship between occupational aspirations and the interaction between gender and perceived career barriers in college‐age adults enhances our understanding of occupational aspirations.     

Medium-chain acyl CoA dehydrogenase deficiency: Its relationship to SIDS and the impact on genetic counseling

Sudden infant death syndrome (SIDS) is defined as the sudden and unexpected death of an apparently healthy infant under 1 year of age. Routine autopsies often provide few clues as to the cause of death and rarely include a biochemical evaluation. Genetic counseling for SIDS can be difficult as recurrence risks vary depending on the age at death and the number of deaths which have occurred in the family. Biochemical disorders may account for up to 5% of SIDS. Of the metabolic disorders known to be involved in SIDS, the most commonly found is medium-chain acyl CoA dehydrogenase deficiency (MCAD). MCAD is an autosomal recessive disorder of fatty acid oxidation which accounts for up to 1% of SIDS. For some families, the addition of a postmortem biochemical investigation can identify an unsuspected metabolic disorder as the cause of death. Once the diagnosis is established, accurate genetic counseling can then be provided. Metabolic testing of the surviving siblings of victims of sudden death, and the subsequent identification of those due to MCAD can prevent the tragedy of recurrent SIDS in some families. In addition, screening the survivors of an acute life threatening event (ALTE) may also prevent a recurrence.