Role conflict for school counselors: training versus job demands

Principals' expectations on six counselor role dimensions were compared with ideal counselor roles as seen by counselor educators. The relationship of principals' training and practice in counseling to appropriate counselor role perceptions was also studied. Disagreement was found between principals and counselor educators on the role of the counselor in situations involving clerical tasks, confidentiality, personal-emotional counseling, and non-related counseling functions. Principals with some counseling training or experience were more similar to counselor educators in expectations concerning discipline, confidentiality, and clerical activity than those principals without counseling training experience. Yet all principals differed markedly from the ideal role as viewed by counselor educators.     

Depth of Self-Disclosure as a Function of Assured Confidentiality and Videotape Recording

Depth of self-disclosure in a dyadic interview situation was assessed as a function of assurance versus nonassurance of confidentiality and as a function of a videotape versus nonvideotape condition.     

Demands for Privacy Among Adolescents in Multimodal Alcohol and Other Drug Abuse Treatment

Adolescent clients' perceptions of the limits of confidentiality, as well as their privacy demands within the counseling relationship, were assessed. A total of 30 adolescents involved in individual, group, and family counseling for alcohol and other drug abuse served as participants. Participants were asked to respond to vignettes of confidentiality issues in terms of what they believed the counselor should do and what they would prefer the counselor to do. Results suggested that adolescents generally want higher levels of confidentiality than they expect to receive. This group of adolescent clients, however, made clear distinctions in their privacy expectations and demands according to specific situations.     

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.     

Dyadic Influence of Adverse Childhood Experiences: Counseling Implications for Mental and Relational Health

Adverse childhood experiences (ACEs) predict physical and mental health. We examined dyadic differences in intimate partner relationship health by ACE score among couples with low to moderate income enrolled in a relationship education program. Overall, we found a high prevalence of ACEs, disproportionate representation in the highest risk ACE group, and a significant effect between ACEs and indicators of mental and relational health. Implications for counselors include support for an ACE‐informed approach to couples counseling services, as well as a holistic and systemic view of mental and relational health.     

Acquiring dyadic coping: Parents and partners as models

Using self‐reported data on dyadic coping from 153 premarital couples and their parents, this study investigates (a) how similar individuals are to their parents and partner and (b) whether parent–child similarities in dyadic coping vary as a function of child's gender and the type of dyadic coping model parents represent. Similarities were computed using an idiographic approach, and 2 components of dyadic similarity—unique and stereotypical—were distinguished. Results indicate that internalization of parental models and partner's reciprocation are relevant sources of dyadic coping acquisition, that different processes are implicated in the acquisition of positive versus negative dyadic coping, and that children's gender and their ability to discriminate between parental models influence such an acquisition.     

Do pastoral counselors have a duty to report clergy sexual abuse done by their clergy clients?

What does a pastoral counselor do when a clergy client reveals that he or she has been sleeping with a parishioner? Does the counselor have an ecclesiastical duty to report this offense to a church official; or does the pledge of confidentiality trump any disclosure? Some ecclesiastical bodies require their clergy to bring knowledge of these offenses to church authorities. Does this requirement apply to pastoral counselors? The authors have been confronted with these questions in their ministry of pastoral counseling and have struggled with producing a faithful, professional response. Along the way they have not received clear direction from judicatories or professional organizations. This article is the authors' attempt to answer the questions raised above as well as to challenge professional and ecclesiastical bodies to confront more forthrightly the dilemmas these situations cause for pastoral counselors who seek to protect the welfare of the Church as well as protect the pledge to maintain confidentiality.     

The case for guidance: testimony before Congress

The author, as a member of APGA's Federal Relations Committee, recently presented testimony on counseling and, guidance services before the U.S. House of Representatives' Subcommittee on Labor, Health, Education and Welfare and Related Agencies. This testimony, on behalf of APGA and ASCA, concerned fiscal year 1973 appropriations for the Elementary and Secondary Education Act, Title III (ESEA, III)—Counseling, Guidance and Testing. This article is drawn from the author's testimony and is directed toward reporting some of the positive outcomes of counseling and guidance, the dilemma of cutbacks in services, and the need for substantial expansion of fiscal and. personal support for counseling and guidance.     

Perspectives on Counseling Psychology: Portugal at a Glance

Les auteurs décrivent le statut actuel et réfléchissent à l'avenir possible de la psychologie du counseling au Portugal, cela à partir de ses forces, de ses faiblesses, de ses opportunités et de ce qui la menace. Le counseling est de plus en plus une aide proactive au développement individuel, plutôt qu'une solution aux situations problématiques. Dans ces conditions, l'une des orientations possibles de la psychologie du counseling est le traitement de la diversité des approches théoriques et techniques pour mettre au point des méthodes d'intervention communes. Les défis que rencontreront prochainement les psychologues du counseling sont analysés à partir des demandes universitaires et autres, la qualité des services et la nécessité d'une réglementation officielle. On propose enfin des recommandations relatives à l'avenir de la psychologie du counseling.
Based on an analysis of strengths, weaknesses, opportunities, and threats the authors discuss the current status and possible future directions for counseling psychology in Portugal. Counseling is increasingly being viewed as a proactive support to individual development, rather than as a remedial solution to problem situations. In this environment, pursuing diversity in theoretical and techniques approaches to find common intervention methodologies is one possible direction for counseling psychology. The challenges encountered by counseling psychologists in the near future are analysed relative to academic and other demands, the quality of the services, and the need for statutory regulation. Recommendations pertaining to the construction of the future for counseling psychology are proposed.     

Learning to cooperate without awareness in multiplayer minimal social situations

Experimental and Monte Carlo methods were used to test theoretical predictions about adaptive learning of cooperative responses without awareness in minimal social situations—games in which the payoffs to players depend not on their own actions but exclusively on the actions of other group members. In Experiment 1, learning occurred slowly over 200 rounds in a dyadic minimal social situation but not in multiplayer groups. In Experiments 2–4, learning occurred rarely in multiplayer groups, even when players were informed that they were interacting strategically and were allowed to communicate with one another but were not aware of the game’s payoff structure. Monte Carlo simulation suggested that players approach minimal social situations using a noisy version of the win–stay, lose–shift decision rule, deviating from the deterministic rule less frequently after rewarding than unrewarding rounds.     

How Might the Genetics Profession Better Utilize Social Media

Social media is a common method of communication in people’s personal lives and professional settings. Gallagher et al. (2016) recommended, “it is time for genetic counselors to embrace social media as a means of communicating with patients or other healthcare professionals.” Full members of the National Society of Genetic Counselors (NSGC) in the USA and Canada and genetics patients in Cleveland, OH, were surveyed to determine interest in using social media for patient-provider interactions. Both cohorts indicated that patient privacy and confidentiality would be a concern; however, survey results indicated patients would be interested in using social media to receive general information about genetic counseling and to learn about genetics services. Genetic counselors indicated privacy issues were not concerning if social media were to be used in this capacity. The majority of genetic counselor participants (88.7%) indicated they would welcome national guidelines for patient-provider social media use. Data from this study demonstrated that sharing what to expect at a genetic counseling appointment, defining genetic counseling, and announcing community outreach events are possible ways genetic counselors could utilize social media to communicate with and educate patients.     

A search for parenting style: a cross-situational analysis of parental behavior

Cross-situational stability in parents' emotional warmth and guidance was studied by observing parents (N = 77, M age = 38 years) with their school-aged child in 2 dyadic problem-solving situations and in a family discussion concerning a moral dilemma. The observational data were coded by independent observers using dimensional ratings and dichotomous frequency counts as the 2 coding procedures. These procedures yielded a similar pattern of findings. Parents tended to behave consistently across situations, although the type of situation did affect the amount of emotional warmth and guidance manifested by the parent. Stability was further analyzed by means of structural equation modeling to test whether variance in parents' emotional warmth and guidance across situations was attributable to a generalized parenting style factor. A Parenting Style factor was identified that reflected the parents' child-centeredness; this factor explained, in part, parental behavior within each situation, although contextual factors also contributed to situation-specific variations from task to task.     

Client or patient? Contrasts between medical and counselling models of confidentiality

Conflicts can arise within counseling in primary care settings over issues of client confidentiality as perceived from a therapeutic as opposed to medical perspective. ‘Ideal types’ of counseling confidentiality and medical confidentiality are compared, according to a proposed structural model of confidentiality. In contrast with a therapeutic concept of confidentiality as an interpersonal contract between client and counsellor, a structural model of confidentiality appropriate to medical and primary care settings would include reference to crucial aspects such as risk assessment, and the sharing of client information within a multi-disciplinary team. The client-centred counselling model of confidentiality is then explored with reference to the Derbyshire Inquiry Report on the mental health care provided for a client with psychiatric problems. The limitations of adopting an exclusive client-centred counselling approach towards confidentiality in primary care settings are noted, given the requirements of the Care Programme Approach for effective risk assessment and inter-professional liaison in the care of client and patients with psychiatric problems. The potential resultant issues of counsellor and general practitioner liability are identified in relation to complaints systems and the key legal concept of vicarious liability.     

Private work in public places: Confidentiality and role tensions in a university counselling service

This paper aims to explore issues of confidentiality relating to working with undergraduate and postgraduate students in a university counselling service. The context of a counselling service within our institute of higher education has to be understood in its relationship to academic, administrative and managerial staff, to medical and psychiatric services personnel and to the wide range of other student support and welfare services in the organization whether run by university staff or the students' union. Some reflection will be given to the need for clarity in the range of roles counsellors have to play within the different functions of the university. The client-counselling relationship cannot be seen as a dyad but as a triad or an even more complex constellation of relationships when regarded in an institutional context. The central premise is based on understanding the conscious and unconscious dynamics in the institution and how these impinge on the relationship between client and counsellor in challenging or assuming the confidentiality held by the service. Such boundary issues are identified in consultation and referral, breaking confidentiality, referral of disruptive students, calls for help and holding confidentiality. The case material drawn on to illustrate these five areas is also described in terms of anxieties raised and how these are projected, introjected and contained.

Within the service client and counsellor contract to work together. It is made clear that counselling is a professional relationship with agreed boundaries and a commitment to confidentiality. This is crucial to the working relationship and is a means of providing the client with both safety and privacy. Any limitation on the degree of confidentiality offered may reduce the usefulness of counselling. Bound by his or her professional code of ethics the counsellor will reach an agreement with the client at the outset about the extent of confidentiality they are offering, take care not to disclose information given in confidence and, when possible, be able to negotiate any change in agreement with the client.

Exceptional circumstances which may occur and give rise to the counsellor's decision to break the confidentiality formerly agreed between him or herself and the client are those which give grounds for believing the client will cause serious harm to others or themselves or have harm caused to them. Reference will be made to the role of consultant supervision in such situations and how any breaking of confidentiality can best be minimized. Attention will be given to the relevant ethical codes to which counsellors adhere and the issues of confidentiality within the legal process as well as whether the requirements of providing counselling services for students in higher education impel us, logically and practically, towards certain policies in regard to boundaries.     

Counseling with aliens

This paper addresses the issue of the semantic problem frequently found in cross denominational counseling in terms of the theological-psychological question of openness versus closure. It secondarily touches upon the issues of establishing and maintaining a level of trust in cross denominational counseling; suggestions of several tools for the counselor to use in such counseling situations; and the advantages of counselor tensions within the confines of a cross denomination counseling situation.     

Confidentiality in College Counseling Centers

In a national survey of college counseling centers, 40 percent of the responding counseling center directors indicated that information about counselees was given out without the students' permission. Information was available to administrative heads for use in recommendations and disciplinary action, 21 percent; deans of students, 10 percent; faculty in general, 5 percent; and prospective employers, 2 percent. This practice is in violation of the ethical codes of APGA and APA except in those relatively rare instances where there is clear and imminent danger to society. In this paper some speculation about the cause of breakdown in confidentiality is discussed, and some suggestions for correcting the situation are offered.     

Description of a Teenage Pregnancy Program

The authors describe a teenage pregnancy program with three major components—medical care, education, and counseling. The services, particularly the counseling program, are discussed.     

Effects of Counselor Disability and Reputation on Client Perceptions During a Career Counseling Session

This study examined the effects of three counselor influence factors—expertness, trustworthiness, and attractiveness—on participants' impressions of a counselor during a counseling analogue situation. Using a 2 (counselor disability) x 2 (level of training) factorial design, no significant differences were found with respect to counselor social influence. These results are interpreted relative to the literature on perceptions of counselors with physical disabilities.     

Search for Security

This article uses fictionalized accounts of counseling situations in various periods of history—prehistorical, Greek, Middle Ages, and the twentieth century—to illustrate that man's search for security, his need for an answer to the question “What shall I do?” and other men's responses to that need have not changed much throughout history.     

Adolescents,Risk Behaviour and Confidentiality: When Would Australian Psychologists Breach Confidentiality to Disclose Information to Parents?

The protection of confidentiality in psychological practice is vital. However, confidentiality is not absolute and psychologists are permitted to breach confidentiality under particular circumstances. Ethical challenges surrounding confidentiality are complex with adolescent clients, as assessments often consider the risk that adolescents pose to themselves in addition to the risk posed to others. The current study documented situations in which Australian psychologists would breach adolescents' confidentiality to disclose information about risk behaviour to parents, with a focus on situations where adolescents posed a risk to themselves as opposed to other people putting adolescents at risk. A total of 264 Australian psychologists were surveyed online. They were each presented with 68 variations of a vignette about a 15‐year‐old boy who was engaged in risk behaviour and were asked whether they would breach confidentiality in each case. The vignettes covered six behavioural domains (smoking, sexual behaviour, drinking, drug use, suicide, stealing) and varied in behaviour intensity, frequency and duration. Consensus was reached about breaching confidentiality in 16% of cases (related to sexual behaviour, drug use, and suicide). Consensus was reached about not breaching confidentiality in 41% of cases (relating to smoking, sexual behaviour, drug use, suicide, and stealing). In the remaining 43% of cases, significant disagreement occurred (relating to all six behavioural domains). The findings suggest a high degree of variation in opinion about confidentiality with adolescents, emphasising the importance of transparent communication and informed consent. The findings also raise questions about how important consistency of psychological practice is across Australia.