An Investigation of Relationships among Genetic Counselors’ Supervision Skills and Multicultural Counseling Competence

As racial and ethnic diversity increase in the U.S., genetic counselor multicultural competence is growing in importance. In mental health counseling, supervisor multicultural competence has been shown to promote supervisees’ multicultural competence. Moreover, developmentally-advanced supervisors tend to be more effective. This study was designed to investigate relationships among genetic counselor supervisors’ perceived multicultural counseling competence and development as supervisors, and their ability to evaluate a supervisee’s multicultural skills. One hundred twenty-two supervisors completed an online survey of demographics, the Multicultural Counseling Knowledge and Awareness Scale, the Supervisor Development Scale, and a hypothetical vignette in which they evaluated a supervisee’s multicultural skills and provided written feedback. Stepwise multiple regression yielded five significant predictors accounting for 31% of the variance in accuracy of supervisor evaluations of the student: multicultural awareness, multicultural knowledge, age, supervision experience, and supervisor development. Six feedback themes were identified from written responses. Practice and research suggestions are provided.     

Microcounseling: the counselor as trainer

The skills of the counselor are too important to be used only in the guidance office. The counselor should move into the school and the community to teach others the various skills of counseling and interpersonal communication. Microcounseling is a systematic method for teaching counseling skills in a short period of time. The author explains the relationship of microcounseling and counselor education to the role of the practicing counselor. He believes that conducting systematic training programs in such skills as microcounseling should become an important role for counselors.     

The Rape Myth and Blame‐Based Beliefs of Counselors‐in‐Training Toward Male Victims of Rape

The authors surveyed counselors‐in‐training at counselor education programs nationwide, accredited by the Council for Accreditation of Counseling and Related Educational Programs, to examine trainees' acceptance of rape myths and their willingness to make blame‐based attributions toward a male victim of rape. Results suggested that male counselor trainees with no experience counseling sexually assaulted clients tended to endorse the greatest degree of acceptance of rape myths. Trainees of both sexes thought that a male rape victim who showed no resistance to his attacker should have done so. The authors discuss implications for counselor training and supervision.     

Group counseling in a different cultural context: Several primary issues in dealing with Chinese clients

To apply group therapy or counseling, a branch of helping methodology rooted in modern Western psychology, to a culturally different context, such as the Chinese cultural environment, group counselors need to increase their awareness, knowledge, and skills that are compatible with the group climate they encounter. A group counselor needs to understand the general characteristics of the culture. The counselor should use his or her leadership quality to deal appropriately with group clients' psychological dynamics, which bear unique cultural preferences with respect to thinking, feeling, and doing. While many group counseling communication skills from a Western theoretical framework can be helpful and applicable to the Chinese group clientele, some of these skills need to be contextually modified. The counseling goal is to properly integrate Chinese cultural and therapeutic norms into the group process.He also teaches as a Sessional-Instructor in the same department.     

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.     

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.     

Who Are the Next Generation of Genetic Counselors? A Survey of Students

Genetic counseling students were surveyed about their backgrounds, application process to genetic counseling programs, and career motivations and plans. Program directors from 27 accredited programs were asked to distribute 362 surveys to students. Fifty-two survey items assess demographics; sources of support for pursuing a genetic counseling career (information about genetic counseling, encouragement/discouragement from others); career motivations (reasons for applying and for becoming a genetic counselor); and career certainty. Two hundred and thirty-five usable surveys were returned (64.9% usable return rate). Most respondents were Caucasian females (mean age = 25.4 years). About 13% identified as ethnic minorities, and about one-third reported family histories of a genetic condition(s). Most respondents learned about the field in classes, and most were strongly encouraged by family and friends to pursue genetic counseling. Reasons rated as most important for becoming a genetic counselor included helping others and intellectual stimulation. Recruitment, training, and research recommendations are given.     

A Conversation About the Intersection of Faith,Sexual Orientation,and Gender: Jewish,Christian, and Muslim Perspectives

Recent challenges to counselor education and the ACA Code of Ethics (American Counseling Association, 2005 ) provided impetus for this article, which is focused on how 3 major Western religions address counseling and counselor training with diverse clients. Jewish, Christian, and Muslim perspectives are highlighted as related to counseling and training issues across faith, sexual orientation, and gender issues.     

Using Popular Film to Teach Multicultural Counseling: A Constructivist Approach

The use of popular film as an experiential teaching tool in multicultural counselor education has been well documented. However, existing research has been limited. The purpose of this study is to implement a unique pedagogic intervention using popular films and to study how counseling students experience the activity as part of their multicultural counseling training. The researchers utilized the popular films Crash and Precious to stimulate student dialogue and reflection on topics pertaining to race, culture, privilege, and social justice. The findings indicate that popular films, when implemented in conjunction with reflective learning activities, are effective in promoting students’ multicultural and social justice counseling competencies. Participants reported that the pedagogic activity was effective in bringing to life the multicultural course concepts and stimulating difficult but necessary conversations about race, ethnicity, privilege, and power. Finally, implications of this study could further inform the field of multicultural counselor education.     

Mentoring Nurses in Familial Cancer Risk Assessment and Counseling: Lessons Learned From a Formative Evaluation

Background. As familial cancer genetic services moves into community practice increased numbers of trained health professionals are needed to counsel individuals seeking cancer risk information. Nurses have been targeted to provide cancer risk assessment and counseling. To help prepare nurses for this role, a 5-day training in familial cancer risk assessment and counseling followed by a long-distance mentorship to support continued skill development in the work environment was conducted by Fox Chase Cancer Center, Philadelphia, PA. Methods. Four cohorts (N = 41) have completed the training and were randomized to either an immediate or delayed mentorship. A formative evaluation assessed the nurse’s ability to consult with other genetic health professionals and build self-efficacy in counseling skills via responses to questionnaire. A post-mentorship interview evaluated the usefulness, timing and length of the mentorship. Results. For both groups, there was a statistically significant improvement in self-efficacy for all skills from baseline to 6 months and an increased number of nurses consulting with genetic health professionals. All the nurses reported the value of the mentorship and those with less cancer risk counseling experience prior to the training needed support and resources for further skill and program development. Lessons learned from this formative evaluation are provided.     

Multiple-family group counseling

This article describes the innovative, short-term approach of multiple-family group counseling in which the counselor applies the principles and dynamics found in family and group counseling to the treatment of the student—in this case, the “identified client” and his family. In an attempt to provide an effective and economical therapeutic experience of practical value to the school system, several family units meet together to discuss some of the personal-social problems that adversely affect the adolescent and result in the acquisition of maladaptive behaviors within the school setting.     

A National Survey of AIDS Training in Counselor Education Programs

A review of the literature suggests that counseling professionals may not be receiving substantive training related to AIDS. In this article, all U.S. counselor education programs were surveyed to determine the extent of such training. The responding programs (N = 243) identified AIDS as a high priority for inclusion in curricular programming, yet nearly 40% of the responding programs did not include any AIDS training in their curricula. Implications for counselor education and the counseling profession are discussed, and suggestions are made for including AIDS-related training in programs.     

Self‐Compassion as a Mediator of Mindfulness and Compassion for Others

Mindfulness and self‐compassion have garnered interest as tools for improving counselor wellness and performance, yet little is known about how they relate to compassion. Compassion—for oneself and others—is considered important to counselor well‐being and effective counseling. In Buddhist and current models, mindfulness is theorized to increase self‐compassion and, subsequently, compassion for others, but the study of these proposed relationships is limited. Using mediation analysis, the author confirmed self‐compassion as a mediator of mindfulness and compassion for others among 152 master's‐level counseling interns. Implications and practical application of mindfulness and self‐compassion for counselor development are discussed.     

Biological Foundations of Behavior: Implications for Counseling

Professional and social movements of the 1980s demand that counselors have a basic knowledge of biological foundations of behavior, a knowledge that has been neglected in counselor training programs, theories of counseling, and theories of personality. This article discusses biological explanations of human behavior and problems, along with implications and applications for the counselor in terms of the counseling setting, client problem, counselor role, counselor training, and the counseling profession.     

An exploration of factors contributing to multicultural counseling self-efficacy in addiction counselors

A non-experimental, correlational survey design was used to explore relationships between counselor recovery status, training, and counselor demographic variables on multicultural counseling self-efficacy in addiction counselors (N = 283) using the Multicultural Counseling Self-Efficacy – Racial Diversity Form. A multiple-indicators and multiple-causes model analysis indicated significant differences based on race, multicultural education, and CACREP program attendance on multicultural counseling self-efficacy. Implications from this study and recommendations for future research are discussed.     

Curriculum Evaluation and Assessment of Multicultural Genetic Counselor Education

Multicultural competence in genetic counseling integrates racial-cultural knowledge, awareness, and skills into clinical interventions and research practices. Researchers and educators often cite racial-cultural factors as obstacles for visible racial-cultural people seeking help. However, the professional's unfamiliarity of how his or her own racial-cultural group affiliations are influenced by the history of discrimination and oppression coupled with their lack of self-understanding of racial-cultural issues for him- or herself has also limited the effectiveness of genetic counseling. The purpose of this study is to evaluate the effectiveness of the Handbook of Cross-Cultural Genetic Counseling, a multicultural curriculum developed for genetic counselor education for increasing multicultural counseling competence. The multicultural curriculum was evaluated for its effectiveness of increasing multicultural counseling competence using a nonequivalent control group design. A participant's multicultural counseling competence was hypothesized to increase after being taught the curriculum. The curriculum was effective for increasing multicultural counseling competence. Additionally, achieved multicultural counseling competence was not influenced by when the curriculum was taught. Trend analyses measuring the longitudinal impact of the curriculum on multicultural competence were significant. Implications of the results are discussed.     

If Counseling is Psychotherapy—What Then?

No counseling, other than the strictly information-giving forms of academic and vocational advisement, can actually be limited to the conscious, rational layers of personality. The deeper levels are reflected in all aspects of behavior, so that concepts of a dichotomy between “counseling” and “psychotherapy” have only the most restricted usefulness. If counseling is necessarily a form of psychotherapy, however specialized, present training methods for counselor candidates are seriously inadequate. Advanced psychological knowledge is needed by counselors, including study of abnormal psychology and diagnostics, as well as of the biological and sociological roots of behavior. Also needed are more rigorous selection methods for counselor candidates, inasmuch as their work unavoidably affects the deeper personality dynamics of their clients, as well as a requirement that those who will counsel others therapeutically should themselves have the experience of being counseled. In view of the increased rigor of this program, if it is undertaken the scale of compensation for counselors should also be considerably increased.     

Conceptual Versus Competency Approach in Human Relations Training Programs

This study examines how the changes in the Carkhuff Human Resources Development (HRD) training model affect the acquisition of defined interpersonal discrimination and communication skills. A competency-based HRD (post-1974) counselor training group was compared with a conceptual-based (pre-1974) human relations counselor training group and a no-contact counselor training group. Although the groups were equivalent on the pretest, the posttest results show statistically significant differences (p >.01) between all groups as a result of training. The findings support the competency-based training as more effective than the conceptual-based human relations training in acquiring interpersonal counseling skills.     

Relationships Among Dogmatism,Family Ideology,and Religiosity in Master's-Level Counseling Students

This paper presents the results of a survey of the perceptions of master's-level counseling students in the areas of dogmatism, family ideology, and religiosity. Participants in the study consisted of 331 master's-level counseling students from 7 master's-level counselor education programs in northern, southern, and eastern regions of the United States. A total of 142 participants were classified as beginning participants, and 123 were classified as graduating participants. Findings indicated that graduating participants were significantly lower in levels of dogmatism than were beginning participants. Bivariate and multivariate data analyses also revealed that family ideology was more strongly related to dogmatism than religiosity.     

Genetic Counseling Supervisors’ Self-Efficacy for Select Clinical Supervision Competencies

Supervision is a primary instructional vehicle for genetic counseling student clinical training. Approximately two-thirds of genetic counselors report teaching and education roles, which include supervisory roles. Recently, Eubanks Higgins and colleagues published the first comprehensive list of empirically-derived genetic counseling supervisor competencies. Studies have yet to evaluate whether supervisors possess these competencies and whether their competencies differ as a function of experience. This study investigated three research questions: (1) What are genetic counselor supervisors’ perceptions of their capabilities (self-efficacy) for a select group of supervisor competencies?, (2) Are there differences in self-efficacy as a function of their supervision experience or their genetic counseling experience, and 3) What training methods do they use and prefer to develop supervision skills? One-hundred thirty-one genetic counselor supervisors completed an anonymous online survey assessing demographics, self-efficacy (self-perceived capability) for 12 goal setting and 16 feedback competencies (Scale: 0–100), competencies that are personally challenging, and supervision training experiences and preferences (open-ended). A MANOVA revealed significant positive effects of supervision experience but not genetic counseling experience on participants’ self-efficacy. Although mean self-efficacy ratings were high (>83.7), participant comments revealed several challenging competencies (e.g., incorporating student’s report of feedback from previous supervisors into goal setting, and providing feedback about student behavior rather than personal traits). Commonly preferred supervision training methods included consultation with colleagues, peer discussion, and workshops/seminars.