The Evolution of Specialties in the CACREP Standards: CACREP's Role in Unifying the Profession

This article explores the evolution of the Council for Accreditation of Counseling and Related Educational Programs’ (CACREP's) accreditation of program area specialties and how CACREP's decision to accredit specialties as separate programs has affected the counseling profession's ability to view itself as a single profession. The article links the development of CACREP and its accreditation structure to other historical and political events occurring within the profession and includes documentation of CACREP's efforts to self‐correct through policy development that emphasizes counseling first and specialties second.     

The Council for Accreditation of Counseling and Related Educational Programs: Promoting Quality in Counselor Education

Much has changed for the counseling profession in the 30 years since the founding of the Council for Accreditation of Counseling and Related Educational Programs (CACREP). CACREP, the primary specialized accreditor for the counseling profession, has been an influential participant in the growing recognition and professionalization of counseling. This article offers an overview of CACREP and accreditation and addresses some primary issues confronting CACREP, counselor preparation programs, and, in some instances, overall U.S. higher education.     

Improving Empathy in Children: Interactive Read-Aloud as a Counseling Intervention

ABSTRACT

The authors describe interactive read-alouds as an effective counseling strategy to improve empathy levels in school aged children. The importance of reading development and empathy development were considered as well. Results of the literature review indicate reading development is an essential building block in school aged children’s future academic development. Furthermore, empathy development in students was deemed important. A lesson plan was created to provide school counselors with a means of implementing the interactive read-aloud as a counseling strategy.     

The Relationship of Nondirectiveness to Genetic Counseling: Report of a Workshop at the 2003 NSGC Annual Education Conference

Nondirectiveness has been a guiding principle for genetic counseling since the founding of the profession. However, its efficacy and appropriateness in this role have been frequently questioned. A workshop at the 2003 Annual Education Conference of the National Society of Genetic Counselors provided audience participation in a discussion of these issues. Participants presented arguments for and against nondirectiveness as a central ethos. They described complex personal transitions in adapting what they had learned about nondirectiveness during training to the realities of the workplace. There was support for flexible approaches to genetic counseling, with varying adherence to nondirectiveness, based on client and family needs and values, clinical circumstances, and desired counseling outcomes. The discussion supports the use of clinical experience, outcomes research, and the experience of other professions to move beyond nondirectiveness and more accurately identify the theoretical bases that underlie genetic counseling in the variety of circumstances in which it is currently practiced.     

Research Quality: Critique of Quantitative Articles in the Journal of Counseling & Development

The purpose of this study was to examine the quality of quantitative articles published in the Journal of Counseling & Development. Quality concerns arose in regard to omissions of psychometric information of instruments, effect sizes, and statistical power. Type VI and II errors were found. Strengths included stated research questions and appropriateness of analyses. Implications of these results are provided.     

Consideration of Genetic Counseling as a Career: Implications for Diversifying the Genetic Counseling Field

Under-representation of racial/ethnic minority counselors has been an ongoing issue in the genetic counseling field. A better understanding of genetic counseling awareness and career consideration may help to increase the number of applicants to genetic counseling training programs from racial/ethnic minorities. This study sampled high school and college students (n = 233) to examine their awareness and perceptions of genetic counseling. Ethnicity, gender, parental level of education, and interest in biology were significant predictors of a subjects genetic counseling awareness; previous awareness of genetic counseling, interest in psychology, and level of education were significant predictors of whether a subject would consider genetic counseling as a career. The findings suggest that knowledge of genetic counseling is lower among racial/ethnic minorities, but that racial/ethnic minorities are just as likely to consider genetic counseling as a career. Awareness of genetic counseling prior to university education may increase racial/ethnic minority representation among potential applicants to genetic counseling training programs.     

Using the Multicultural and Social Justice Counseling Competencies to Decolonize Counseling Practice: The Important Roles of Theory,Power, and Action

The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) ask counselors to “apply knowledge of multicultural and social justice theories” (p. 8). Counselors who implement the MSJCC in this manner have the opportunity to critically examine traditional counseling theories that were developed within a predominantly White and Western framework, that reproduce North American and European colonist ideology if not contextualized, and that neglect Indigenous approaches to healing (Tuck & Yang, 2012; Watkins & Shulman, 2008). In this article, the authors present 4 key multicultural and social justice theories that can support counselors in adopting a decolonizing paradigm and implementing the MSJCC in their practice with clients: relational-cultural theory (Miller, 1976), critical race theory (Bell, 1995), intersectionality theory (Crenshaw, 1989, 1991), and liberation psychology (Martín-Baró, 1994).     

Harry Potter and the Relational Child: Engaging Millennials in a New Generation of Counseling

Harry Potter and the Cursed Child: Parts One and Two (Rowling, Thorne, & Tiffany, 2016) is the latest installment in a franchise that has defined the millenial generation. The screenplay captures the essence of human behavior as it is molded by individual effort, human interactions, and cultural wellbeing. The authors present a way to conceptualize the millennial generation and their families through the lens of Relational-Cultural Theory (RCT). The authors begin with an overview of RCT, followed by a conceptualization of the screenplay using RCT as a theoretical lens. A conceptualization of how this story can be used to process themes of family, friendship, isolation, parenting, and adolescents with millennials and their families is provided. Furthermore, the researchers explore how this story can be used as supplemental material in the classroom to help the next generation of counselors conceptualize and process these themes with clients.     

Movies as a Therapeutic Technique in School‐Based Counseling Groups to Reduce Parent–Adolescent Conflict

The authors evaluated a school‐based group counseling program aimed at reducing parent–adolescent conflict and assessing the unique contribution of movie therapy. Participants were 173 Arab adolescents who scored high on conflict with parents. Students were divided among 3 conditions: a treatment intervention with movies, a treatment intervention without movies, and a no‐treatment control group. Results indicated more favorable outcomes in both interventions compared with the control group, with no effect of movies.     

Taking Access to the Community: An Ecological Systems Framework for In‐Home Counseling With Older Adults

Bronfenbrenner's (1977) ecological systems theory is a holistic framework placing an individual in a system's context to address their concerns. This article offers a case study demonstrating use of the theory with older adults and the in‐home setting. Implications for the counseling field and future research needs are discussed.     

Experiences of Healing Touch and Counseling on a Bereaved Population: A Grounded Theory

Grounded theory was selected as a way to develop a theory about the potential adjunctive use of energy healing in the form of healing touch (HT) along with counseling on a bereaved population. Semi-structured interviews were conducted twice with clients and once with the counselors and HT practitioners. Results indicated that the participants agreed that both counseling and HT operated well together to provide bereavement support. The themes of trust, openness, intention, and spirituality within the holistic context seemed to make this model possible. Potential ethical concerns are discussed, as well as areas for future research and clinical applications.     

Assessment of the Use and Feasibility of Video to Supplement the Genetic Counseling Process: A Cancer Genetic Counseling Perspective

Cancer genetic counselors use a variety of teaching modalities for patient education. This survey of cancer genetic counselors assessed their use of educational videos and their recommendations for content of future videos. Thirty percent of respondents use videos for patient education. Cited benefits included reinforcement of information for clients and increased counselor efficiency. Of the 70% who do not use videos, predominant barriers included the perceived lack of an appropriate video, lack of space and/or equipment, and concern that videos are impersonal. Most respondents desired a video that is representative of the genetic counseling session, but emphasized the importance of using broad information. Content considered critical included the pros and cons of genetic testing, associated psychosocial implications, and genetic discrimination. The results of this exploratory study provide data relevant for the development of a cancer genetics video for patient education, and suggestions are made based on aspects of information processing and communication theories.     

Development of a Career Stress Scale for Hospital Nurses: Implications for Workplace Counseling

The author performed 3 studies to investigate the construct validation and applicability of a Career Stress Scale for hospital nurses. After conducting an exploratory factor analysis on a sample of 141 nurses in the 1st study, the author examined divergent and convergent validity in the 2nd study, and performed a confirmatory factor analysis to test the hypothesized model on a sample of 284 teaching hospital nurses. The final study aimed to expand the findings, and the author used multigroup structural equation modeling to examine the measurement invariance of the Career Stress Scale for a district hospital, in a sample of 166 nurses. Recommendations for future studies and workplace counseling are discussed.     

A Practical Account of Autonomy: Why Genetic Counseling is Especially Well Suited to the Facilitation of Informed Autonomous Decision Making

In genetic counseling, facilitation of autonomous decision-making is seen as a primary aim and respect for autonomy is used to justify a nondirective counseling approach whereby clients are free to make their own choices after being given all necessary information. However in the genetic counseling literature, autonomy as a concept appears to be interpreted variably and often narrowly. We offer a practical account of autonomy that is coherent, consistent and philosophically defensible for the genetic counseling setting. At the same time we demonstrate how nondirective counseling may serve to frustrate rather than facilitate client autonomy. We suggest that promoting purposeful dialogue rather than counseling that is nondirective is more conducive to client autonomy.     

Overcoming Obstacles: Exploring the Use of Adventure Based Counseling in Youth Grief Camps

Bereavement can be confusing and complex for children and adolescents. Supporting youth in their grief may require interventions from helping professionals. Grief camps provide a supported environment designed to address the developmental needs of grieving children and adolescents. Adventure Based Counseling (ABC) provides structure and guidance for ropes course experiences and a theoretical basis for camps. This article explores how ABC on the ropes course addresses the unique needs of children and adolescents within the context of grief camps. An example plan provides guidance to camps hoping to incorporate the ABC framework into programming.     

Assessment of the Effectiveness of Genetic Counseling by Telephone Compared to a Clinic Visit

Maternal serum screening, also known as the triple screen, is used during pregnancy to assess the risk of carrying a fetus with specific chromosome abnormalities or open spina bifida. All women in British Columbia who screen positive are eligible for genetic counseling and are offered amniocentesis. The purpose of this study is to determine what differences (if any) exist in patients' understanding and/or anxiety when genetic counseling for a positive triple screen is conducted in person versus over the telephone. Each patient who participated was given the choice of having genetic counseling in person or over the telephone, this after a randomized design failed to elicit any participants. Using a written postcounseling questionnaire, each patient was assessed for her understanding of the information presented in the session, and her anxiety regarding her risk. In this small pilot study, no large differences were detected in patients' understanding or anxiety when genetic counseling was conducted by telephone versus in person.     

Actors in the Classroom: The Dramatic Pedagogy Model of Counselor Education

Role playing is a fundamental component in the training of counselors to use counseling skills. However, role play activities commonly involve counseling students as clients or actors and hence have notable limitations. One training method widely practiced in the medical profession is the use of professional actors as patients. Although there are some examples in the literature of studies that have used actors for counselor training, most address only a specific topic or skill set. In this article, the authors propose the dramatic pedagogy model (DPM) as a comprehensive model for implementing client actors into the education of counselors. The DPM includes a set of pedagogical techniques and a structure for preparing actors and curriculum.     

Taking the Red Pill: Using The Matrix to Explore Transgender Identity Development

This article presents a plot analysis of The Matrix and comparisons to a transgender identity development model. Major scenes throughout the movie are discussed through the lens of Devor’s transgender identity development model. The main character’s evolution from Mr. Anderson to Neo is presented, as well as how his experiences align with multiple stages in transgender identity development. Stages of transgender identity development are discussed and emphasized, including identity confusion, discovery of transgenderism, identity acceptance, transition, and transgender pride. These stages and others are discussed and related to uses in counseling sessions with transgender individuals and their family members.     

“Heartbreaking” Referrals,Professional “Disgrace”: The Impact of Medicare Ineligibility on the Counseling Profession

To better understand the impact of the Medicare mental health coverage gap, the authors analyzed survey data provided by 1,859 members of the American Counseling Association using a conventional qualitative content analysis. One overarching theme, direct impact of Medicare policy on the counseling profession, is presented, along with 3 thematic categories: emotional impact on providers, economic toll on providers, and negative influence on profession's credibility. Implications for the counseling profession are discussed.     

Learning engagement as a target for interventions: a qualitative study of first-generation migrant adolescents in Finnish secondary education

Engagement is considered key in measuring student development, offering valuable clues into the adaptation, motivation and participation of students. This article sheds light on the multifaceted construct of engagement and its implications for first-generation migrant adolescents. Participant interviews and observations were conducted to investigate student experiences of engagement and the utility of engagement in intervention designs. Identified determinants of engagement consist of cultural capital, school norms and values, teacher-student relationships and relevance of support services. The results show that engagement goes beyond individual dispositions and achievement and includes learning environments and resources. Keeping in mind the vulnerable position of migrants and the need to ensure equal educational opportunity, a reshaping of engagement-related support services, interventions and school practices is needed.