Counselor personality and supervisory styles

Abstract.— The effect of supportive and nonsupportive analogues of supervision on introvert and extravert counselors' rating of own counseling performance was studied. Subjects in the treatment groups received either supportive or nonsupportive supervision following subjects' participation in a counseling interview. Differences between counselor ratings on the Counseling Relationship Maturity Scale immediately following the counseling interview and after treatment were analyzed. A control group received no supervision. The results indicate that nonsupportive as well as supportive supervision influence counselors' evaluation of the counseling interview, and that introverts were more influenced by nonsupportive supervision than extraverts.     

College Students' Perceptions of a Psychotherapist's Treatment of a Religious Issue: Partial Replication and Extension

A study of the influence of a counselor's treatment of a client's religious values, observers' religiosity, and their interaction on observers' perceptions of counseling (Morrow, Worthington, & McCullough, 1992) was partially replicated and extended. Religious beliefs were differentiated from religious values as determinants of observers' perceptions of counseling. Student observers (N = 148) viewed one of two videotaped counseling interactions in which a counselor either supported or challenged a client's religious values. Dividing observers into high and low levels of Christian belief did not result in their perceiving religiously supportive or challenging counseling differently. Dividing observers into high and low levels of religious values produced consistent differences in how they perceived religiously supportive and challenging counseling. Findings supported the theory that people with strong religious values perceive counseling differently than people with weaker religious values.     

心理咨询中的“领悟”概念辨析

心理咨询理论和对咨询会谈中重要事件的研究都肯定了领悟在咨询中的重要地位。主流理论取向对领悟的理解并不完全一致,在领悟的概念、领悟的内容、领悟的方式上都存在一些差异,但新联结的建立是公认的领悟的实质。对领悟的分类和实证研究中对领悟的操作性定义,有助于更清晰准确地把握领悟的概念。对心理咨询中的领悟还没有一个非常准确的界定,文中尝试性地定义为:当事人在治疗师的辅助下采取各种方式,对自己和自己的世界形成新的觉知,表现为在个人意义系统中建立新的联结。     

当事人对领悟的看法：质化分析

为了从当事人的视角理解领悟, 采用协商一致的质化研究方法对15位当事人的访谈结果进行分析。结果发现7个与领悟有关的域：领悟的内容, 领悟的效果, 影响领悟产生的因素, 评估领悟质量的依据, 领悟出现时的反应, 领悟的来源和阻碍领悟发挥作用的因素。形成了领悟的概念界定：领悟是对自己和他人(主要是自己)的新认识, 对自己的认识内容包括, 自己的问题模式, 心理困扰或问题模式的原因、影响和解决办法, 以及自己内在的心理状态。     

What Do We Tell the Children? Contrasting the Disclosure Choices of Two HD Families Regarding Risk Statusand Predictive Genetic Testing

Above all else, predictive genetic testing provides information. Gaining insight into the psychosocial effects of this information is a primary goal of genetic counseling. For individuals utilizing predictive genetic testing, the acquisition of genetic information requires choices regarding disclosure within the family. This study uses a phenomenological methodology to explore the contrasting choices of two sets of HD parents regarding the disclosure of genetic risk status to their children. Additionally, the children (now adults) discuss their lived experience growing up with contrasting disclosure dynamics, and their current views regarding the use of predictive genetic testing for themselves. The primary finding of this study is that all of the adult children now express preference for early disclosure of genetic risk and an open/supportive communication style regarding HD. This finding has value for clinicians working with HD families who must make decisions regarding disclosure issues related to predictive genetic testing.     

Client Accounts of Hope in Early Counseling Sessions: A Qualitative Study

Hope enables individuals to envision a future in which they wish to participate ( Jevne, 1994 ) and is foundational to counseling practice. However, there has been little research examining client accounts of hope in session. Using basic interpretive inquiry, this case study examines clients' accounts of hope during counseling using video‐assisted recall. Three categories emerged: hope‐fostering counseling relationship, supportive identity development, and perspective change. Implications for counseling are discussed.     

Man Up: Young Men's Lived Experiences and Reflections on Counseling

The author interviewed 6 young men about their perceptions of masculinity and their experiences with counseling. Through a phenomenological approach, 3 themes emerged: characteristics of men, perceptions of social expectations, and experiences with counseling. All participants characterized men as emotionally reserved, protective and supportive, powerful, sexually motivated, honorable, and goal oriented. Findings are discussed in terms of theoretical and counseling implications.     

Reactions to and Desire for Prognostic Testing in Choroidal Melanoma Patients

To determine if choroidal melanoma patients want cytogenetic prognostic information. Ninety-nine choroidal melanoma patients completed a questionnaire regarding their opinions about receiving prognostic information. The perceived usefulness of prognostic information was evaluated in patients who had undergone cytogenetic testing. Depressive symptoms, quality of life, and interest in supportive counseling during test receipt were assessed. Ninety-seven percent of respondents reported that they would have wanted prognostic information at the time of their treatment and 98% of respondents reported that supportive counseling should be offered when prognostic information is given. Patients who had received a more favorable prognostic result were more likely to endorse the usefulness of cytogenetic testing than were patients who had received a less favorable prognostic result. Psychological status did not vary significantly as a function of cytogenetic test result. Prognostic information was important to patients with choroidal melanoma, even in the absence of prophylactic measures which might improve prognosis.     

An Assessment‐Based Model for Counseling Strategy Selection

This article presents a counseling strategy selection model grounded in technical eclecticism (A. A. Lazarus & L. E. Beutler, 1993) and based on thorough assessment of the client's problems. Assessment should consider client mental health, counseling goals, problem complexity, and capacity and desire for insight. Distinguishing between simple and complex problems can aid assessment and provide direction for counseling modality selection (L. E. Beutler & J. F. Clarkin, 1990). Behavioral interventions are more appropriate for less complex problems or when capacity or desire for insight is low. Insight‐based interventions are more appropriate for more complex problems or when capacity or desire for insight is high.     

Approche individualisée ou standardisée de l’accompagnement des demandeurs d’emploi : une recherche inspirée de la théorie du conseil adaptatif

This research, based on the theory of adaptive counseling, puts forward the concept of individualization of support in order to enhance its effects. Two groups of adult workers submitted to a career transition period have tried either a standard counseling service – based on a supportive job searching – or an individualized counseling service – inspired by the adaptive counselling theory. Both groups have positively benefited from the main results of counseling. However, as a result, the individualized counseling service seems to decrease professional indecision, but it also underlines an increasing feeling of self-esteem, and shows a more accurate sense of general satisfaction concerning the counseling sessions. This reflection deals with the limits of this kind of research, and it puts forward some concepts linked to the individualization of counselling for job seekers.     

Transference,Insight, and the Counselor's Intentions During a Counseling Hour

The interactive effects of transference and client insight on session quality, and the relationship between transference and counselor intentions, were studied within the context of a single counseling session. Thirty-eight experienced counselors audiotaped one counseling session and rated their intentions for each intervention. Counselors also rated transference, insight, and session quality. As hypothesized, when transference was high, client insight was positively related to session quality. Furthermore, negative transference was related to several counselor intentions. Negative transference may signal counselors to focus on the relationship and underlying client issues, and to avoid structuring and directing behavior change.     

Careerist,Wage-Earner,or Entrepreneur: Work Values and Counseling

Work values play a major role in career decisions, but how often are these values consciously addressed in counseling? Studies based on ethnology offer new insight into the importance of work values. This article points to some implications for counseling.     

心理咨询中领悟质量的评定依据——当事人和咨询师的视角

为获得当事人和咨询师对心理咨询中领悟质量的评定依据,采用协商一致的质性研究方法分别对13位当事人和15位咨询师的访谈材料进行分析。结果：当事人的评定依据包括影响力和特性;而咨询师的评定依据包括影响力、特性、类型、产生方式以及当事人对领悟的接纳程度。结论：领悟的影响力和领悟的特性是评定领悟质量的重要依据。     

Insight in frontotemporal dementia: conceptual analysis and empirical evaluation of the consensus criterion "loss of insight" in frontotemporal dementia

The objective of this study was to suggest a new formulation of the core research diagnostic consensus criterion "loss of insight" in frontotemporal dementia (FTD). Eight patients with FTD (diagnoses made by interviews, medical and neuropsychological examination, CT scan, and regional cerebral glucose metabolism measured by positron emission tomography (PET) participated in the study). The results indicated that insight was present in three out of eight patients, and that insight appears to be a heterogeneous concept. Two types of insight emerged: Emotional insight associated with frontotemporal functions, and cognitive insight, related to posterior cognitive functions. These results suggest that loss of insight should not serve as a core criterion on FTD, but serves well as a supportive criterion of the disease.     

The Effect of Disruptions During Counseling on Recall of Genetic Risk Information: The Case of Cystic Fibrosis

Genetic counseling is a communication process with two main functions: information provision and supportive counseling. The information transmission function may be compromised by disruptions that occur during counseling. At least two mediators are possible: (a) disruptions may interfere with memory by creating distractions and divided attention during encoding or (b) disruptions may degrade the flow of interaction which requires that participants engage in conversation repair rather than the task at hand. This study examined both alternatives in a group of parents (N=20 families, 40 individual parents) whose infant had received a newborn screening for cystic fibrosis (CF). Upon arrival at the hospital, each parent completed a questionnaire designed to assess his or her knowledge of CF. Their interaction with the genetic counselor was videotaped and coded for the presence of disruptions. Six weeks after the counseling, parents again completed the knowledge measure. The data showed a direct negative effect for disruptions during counseling on memory for CF-related risk information six weeks later. Disruptions also produced the anticipated effect on conversation, but counter to expectations, interruptions of conversation flow was positively associated with knowledge at time 2.     

Perceptions of Depression,Counseling and Referral Practices,and Self-Efficacy Reported by Minnesota Clergy

This study’s purpose was to measure clergy’s counseling, referral, and supportive activities for those with depression. Among a Minnesota sample (n?=?367), nearly 80 % (n?=?284) reported counseling their members (mean of 10.25 h/month), with 25 % providing mental health counseling (mean of 2.76 h/month). Ninety-one percent (n?=?336) reported ability to recognize depression, and 64 % (n?=?236) reported moderate to high ability in effectively counseling those with depression. Age, past academic counseling coursework/certification, hours of counseling, and number of individuals counseled were significant predictors of clergy’s self-efficacy in counseling for depression. A mean of 6.14 individuals approached clergy for depression-related help; clergy reported a mean of 3.86 referrals for mental health care. Nearly 90 % stated that one of the roles of the clergy is to provide mental health education.     

Applying Skill-Based Curriculum to Teach Feedback in Groups: An Evaluation Study

Group counseling theory and empirical research indicate that interpersonal feedback is an important element that can lead to insight and change in group members. Yet, managing interpersonal feedback is a difficult skill for novice group leaders to learn. This article examines (a) the role of feedback in counseling groups; (b) the implementation of a skill-based training program to teach novice group counselors how to give, receive, and facilitate interpersonal feedback; and (c) students' evaluation of such a program in which they participated. Recommendations are made to practitioners for incorporating feedback into counseling, and for counselor educators regarding the teaching of the intervention.     

The counselor perspective on the use of directives in counseling in China: Are directives different in China as in the United States?

Eight Chinese counselors were interviewed about their use of directives in counseling. They typically believed that directives can be beneficial in counseling Chinese clients. They used directives to extend the influence of counseling beyond sessions, meet client needs and expectations, and fit their own personality and orientation. In terms of conditions that need to be met for directives to be helpful, they identified client factors such as readiness, communication styles, past experience, and insight; the counselor factor of ability to communicate directives; and the therapeutic relationship. They emphasized the importance of clients acquiring a new perspective as a result of directives. Cultural factors in using directives are discussed.     

Making Ideas Work: Ralph Bedell and the NDEA Institutes

Ralph Bedell, professor emeritus of educational and counseling psychology, was interviewed to gain insight info the influence of the National Defense Counseling and Guidance Institutes on the history of counseling and to learn about the man who was responsible for the NDEA program.