Ethics and Accreditation in Addictions Counselor Training: Possible Field Placement Issues for CACREP‐Accredited Addictions Counseling Programs

The Council for Accreditation of Counseling and Related Educational Programs now recognizes addictions counseling as a specialized field of practice. Two case studies illustrate possible unintended violations of ethical and training standards.     

International Registry of Counsellor Education Programs: CACREP's Contribution to the Development of Counseling as a Global Profession

This article addresses the issues and challenges involved in the development of the counseling profession internationally and the role that quality assurance plays in its development. It chronicles the development of the International Registry for Counsellor Education Programs and its contributions, a critical analysis of the strengths and weaknesses of current developments, and hopes for the future of international counselling.     

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.     

Promoting Relational Competencies in Counselor Education Through Creativity and Relational-Cultural Theory

Abstract

This article addresses the need to identify requisite relational competencies that professionals providing creative and innovative counseling services must hold when facilitating responsible, growth-fostering connections between service providers and others. This article also includes a discussion on how the relationally responsible use of power must be included in any forum that examines relational dynamics and competencies. Although subsequent writings will discuss creativity-related competencies in greater depth, the focus of this paper rests on some relational challenges that students and professionals in the counseling and related fields face and on the need to identify relational competencies that can facilitate successful resolution of these challenges.     

CACREP Accreditation: A Solution to License Portability and Counselor Identity Problems

A confluence of forces addressing counselor identity occurred with the 20/20: A Vision for the Future of Counseling initiative, the 2009 Standards of the Council for Accreditation of Counseling and Related Education Programs (CACREP), and the quest by the American Association of State Counseling Boards to establish license portability. This article provides a historical context for the profession's struggles with these issues, 1 state's experience, TRICARE's impact, and the role CACREP standards can play in their resolution.     

Evaluating Addictions Counseling Programs: Promoting Best Practices,Accountability, and Advocacy

Program evaluation offers several benefits to addictions counselors, including identifying best practices, providing accountability to stakeholders, and advocating for minority client populations. This article reviews the benefits of addictions counseling program evaluation and outlines main steps in the evaluation process.     

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.     

Religious Education and Pastoral Counseling: The Classical Pentecostal Experience

The paper addresses the subject of religious education and pastoral counseling in the classical Pentecostal church. It argues that Pentecostals can benefit from a merger of religious education and pastoral counseling that leads the student/client to a closer relationship with God.     

美、加、澳大学心理咨询中心的鉴定标准及启示

该文介绍了国际心理咨询服务协会目前在美国、加拿大和澳大利亚所推行的大学心理咨询中心鉴定标准。该鉴定标准主要涉及心理咨询中心与大学社区的关系、心理咨询的作用和功能、心理咨询中心应遵循的伦理规范、心理咨询中心服务人员的资格与职责以及其它相关的指导原则。作者据此提出了对我国高校心理咨询工作的建议。     

Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians

Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).     

Counseling in Australia: Past,Present, and Future

The author describes the evolution of the counseling profession in Australia within the broader historic and sociocultural context. The process of professionalization is outlined, particularly over the past 15 years, and data on the demographic, professional, and practice characteristics of counselors are reviewed. Future professional directions and challenges are explored.     

Using a Values‐Based Taxonomy in Counselor Education

Values such as respect for the client's privacy and respect for diversity are integral to training new counselors. This requires learning in the affective domain, defined as the internalization of values ( Krathwohl, Bloom, & Masia, 1964 ). The affective taxonomy of Krathwohl et al. (1964) is presented as a means of teaching values and measuring the internalization of values. An example from a multicultural counseling course is offered as a template for implications in counselor education.     

The Impact of CACREP Accreditation: A Multiway Frequency Analysis of Ethics Violations and Sanctions

The impact of CACREP accreditation on counselor competency has received little empirical investigation. Differences in the frequency and type of ethical misconduct between graduates of CACREP‐accredited and non‐CACREP‐accredited counselor education programs were investigated. Results of a multiway frequency analysis indicated that fully licensed graduates of CACREP‐accredited programs were sanctioned for ethical misconduct significantly less frequently than were graduates of non‐CACREP‐accredited programs. Additionally, the accreditation factor was among the highest‐ranking parameter estimates of expected cell frequencies.     

Outcomes of Parent Education Programs Based on Reevaluation Counseling

We report two studies in which a parent education program based on Reevaluation Counseling was field-tested on mothers randomly assigned to treatment groups or equivalent, no-treatment comparison groups. The goal was to evaluate the program's viability, whether there were measurable effects, whether those effects were sustained over time, and whether the program was effective among diverse populations. The first study involved middle income, married mothers (n = 25) with at least one child younger than age five. Eleven members of the no-treatment group participated in the program three months later. Pretest, posttest, and follow-up measures included a parental attitude survey and a parenting stress index. The second study involved 18 black mothers with children enrolled in Head Start. Six members of the no-treatment group participated in the program two months later. Added to the pretest, posttest, and follow-up measures were a parent attitude research instrument and a parenting practices questionnaire. Results were replicated within and across studies. Significant effects suggest that the program can reduce parenting-related stress, improve parental attitudes, and encourage authoritative parenting practices, although some effects tend to diminish somewhat over time. The program appears viable with mothers of various social status groups.     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

The Counselor and Change: Counseling for Cultural Transition

Cultural analysts have indicated that American culture is going through a significant transition in values. The views of three of these analysts are reviewed and implications are drawn for counselors.     

从两种咨询模式看我国心理咨询师的培养

本文分析厂我国大陆目前开展的两种类型的心理咨询,即心理健康咨询和医学心理咨询,心理健康咨询遵循发展和教育模式。主要服务对象是有生活适应问题的来访者,其根本目的是促进他们健康成长和增强适应应对能力。医学心理咨询遵循生物-心理-社会医学模式,其主要服务对象是患有各种非精神病性精神障碍的病人,其主要目的是将病人治愈。作者从两种咨询模式出发,就目前我国心理咨询师和心理治疗师的培养和资格认证提出了一些问题和粗浅的看法。     

心理咨询和治疗的知情同意原则及其影响因素

随着心理咨询和治疗的发展,患者的知情同意成为临床心理学实践的一个基本伦理观念和原则。首先提出心理咨询和治疗实践中的知情同意问题,介绍心理咨询和治疗知情同意的要素、过程、内容、意义和影响因素,并附心理咨询和治疗提供给患者的知情同意问卷,旨在引起从业者的注意和重视,并在临床实践中自觉地遵守。     

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.