Ethical Implications in Cross-Cultural Counseling and Training

The nonspecificity of the ethical guidelines forces counselors to develop personal philosophies in regard to serving culturally unique clients. The resulting variability in the quality and availability of services threatens the growth and dilutes the integrity of the counseling profession. The worldview of the counselor is discussed as it affects client welfare, self-determination, and cultural autonomy in the counseling alliance. Ethical issues surrounding the development and implementation of cross-cultural training programs are reviewed and discussed.     

Cross-Cultural Counseling and Psychotherapy: A Historical Perspective,Implications for Research and Training

This article examines the development of cross-cultural and psychotherapy in the United States, and theoretical models and their implications for research and training are reviewed.     

Cross-Cultural Counseling: An Existential Approach

Counselors continue to express concern about problems inherent in cross-cultural counseling. Despite the large literature on the subject, counseling members of ethnic groups different from that of the counselor remains problematic. Three concepts— Umwelt (the physical environment), Mitwelt (the interpersonal world), and Eigenwelt (one's inner world)—offer significant philosophical assistance to counselors wishing to overcome cultural encapsulation because, although surface cultural differences exist, humans are fundamentally more alike than they are different. The counselor needs to accept this reality to be effective in counseling culturally different clients, whether they are American minorities or foreign visitors.     

The Future of Cross-Cultural Counseling: A Delphi Poll

The probable future of cross-cultural counseling, for the next 10 years, was predicted using the Delphi Method—the best available forecasting tool. A panel of 53 identified experts in the field of cross-cultural counseling completed a 49-item questionnaire that addressed future developments in the areas of theory and research, training and preparation, and social organization. Results indicated many probable changes in all areas and several areas that remain unclear for the next decade. Nominations for the current top cross-cultural training programs, journals, and books were also solicited, resulting in a strong consensus.     

Grounded Theory in Genetic Counseling Research: An Interpretive Perspective

As qualitative inquiry has gained wider acceptance in genetic counseling research, it has become increasingly important for researchers and those who evaluate their work to recognize the diversity of methods that fall under this broad umbrella. Some of these methods adhere to the traditional conventions of scientific research (e.g., objectivity, reliability, validity, replicability, causality and generalizability). When such studies are evaluated by reviewers who are well versed in scientific methods, the rigor of the study may be readily apparent. However, when researchers are using methods that do not conform to traditional scientific conventions, the distinction between well conducted and poorly conducted studies may become more difficult to discern. This article focuses on grounded theory because it is a widely used qualitative method. We highlight key components of this method in order to contrast conventions that fall within a scientific paradigm to those that fall within an interpretivist paradigm. The intent is to illustrate how the conventions within these two different paradigms yield different types of knowledge claims—both of which can advance genetic counseling theory and practice.     

Multicultural Counseling: An Appalachian Perspective

Appalachians have been referred to as the forgotten people and are often overlooked in multicultural counseling. A case study is presented using the extended case method to enhance counselor awareness and demonstrate how counselors can apply knowledge of the Appalachian culture in the provision of best practices for this population. Los Apalaches se han referido como la gente olvidada y se pasan por alto a menudo en el asesoramiento multicultural. Un estudio de caso es presentado usando el método extendido del caso para realzar conocimiento del consejero y demuestre cómo los consejeros pueden aplicar el conocimiento de la cultura Apalache adentro de la disposición de las mejores prácticas para esta población.     

The Systemic View of Violence: An Ethical Perspective

Systems theory has been critiqued by a number of feminist writers who felt that it did not adequately address the issues of violence and male domination in families. This essay argues that systems theory describes the world from an "exogenic" perspective — the scientific world of nature, which is intrinsically amoral. In the exogenic world all causality is circular, as nature maintains a system that has survived for billions of years. Bateson found "mind" to be within the system of nature, implying that mind must also be amoral. However, most people view the world from an "endogenic" perspective, a personal construction of reality molded by the environment in which they live, and which inevitably incorporates morality. Humans believe that violence is wrong, not for intellectual reasons, but for moral reasons. Implications for therapy are presented. A postmodern or constructivist position is taken as a way to acknowledge the influence of relationships on problems and definitions of problems, while allowing for a moral or legal consensus to pervade the therapeutic enterprise.     

Learner-Centered Counseling Theory: An Innovative Perspective

One of the most useful tools counselors possess is a consistent, effective theoretical orientation. Yet, counselors often experience theory as an academic-only enterprise, rather than a skill-set informed by reason and empiricism. This article presents an alternative approach to learning and harnessing the power of theory to impact clients’ lives.     

Culture-Specific Counseling: An Alternative Training Model

Culture-specific counseling has been proposed as a supplement to cross-cultural and multicultural approaches. In the culture-specific approach, we start with the culture and its peoples and search out natural helping styles. In contrast with the conventional approach of adapting existing counseling theory to “fit” a new culture, the culture-specific method seeks to generate new theory and technologies of helping. This preliminay study uses a case model drawn from African-Igbo culture and applies anthropological constructs that seek to discover a more culturally sensitive approach to counseling theory, to training in counseling skills and knowledge, and in using evaluative research techniques. The methods used in this report may be useful in generating a new set of theories more relevant to many different cultural groups. Se ha propuesto que la consejería culturalmente específica sirve como un complemento al acercamiento intercultural y multicultural. En el acercamiento culturalmente específico, empezamos con la cultura y sus gentes y buscamos estilos naturales de ayudar. En contraste con el acercamiento convencional en el que se adapta la teoría existente de consejería para que se ajuste a una cultura nueva, el método culturalmente específico procura engendrar nuevas teorías y técnicas de ayuda. Este estudio preliminar usa un caso modelo sacado de la cultura africana Igbo, aplicando constructos antropológicos que intentan descubrir un acercamiento más sensitivo a la teoría de consejeriá, preparación en habilidades y conocimientos de consejería, y en el uso de técnicas de investigación evaluativas. Los modelos usados en este artículo pueden ser útiles para engendrar un nuevo grupo de teorías mas pertinente para muchos grupos culturales diferentes.     

East and West: Transpersonal Psychology and Cross-Cultural Counseling

In this article, the authors examine cross-cultural counseling (specifically Western counselor-Eastern client) within a transpersonal psychological framework. A meta-model is presented that allows counselors to adopt attitudes that transcend cultural differences. The benefit for counselors would be a superordinate framework in which various, specific counseling strategies could be better understood.     

Forging the Link Between Multicultural Competence and Ethical Counseling Practice: A Historical Perspective

Recognition of multicultural competence as an essential component of ethical counseling practice is a growing trend. This article presents a historical perspective of salient events that have contributed to forging a link between multicultural competence and ethical behavior. Multicultural counseling is traced from its beginnings to its emergence at a position of prominence in the profession, along with the development of ethical guidelines over time. This time line depicts the infusion of multicultural considerations into ethical standards and provides a perspective for examining the current status of multicultural competence as an ethical mandate. Implications for the counseling profession are offered.     

The Use of Touch in Counseling: An Ethical Decision‐Making Model

Although some counselors have advocated for the limited use of touch in counseling, others have argued that touch has no place within the counseling relationship. Despite the controversy, the use of touch has been shown to have a number of therapeutic benefits; however, there are few ethical decision‐making models that are appropriate for considering the use of touch in counseling. The authors discuss the controversy surrounding the use of touch and the benefits/contraindications of touch. The 5 ethical principles of counseling are also examined; a new ordering of the principles is presented as a useful ethical decision‐making model when considering the use of touch in counseling.