Disguised Ideologies in Counseling and Social Justice Work

A social justice orientation for counseling is appealing to many but appears to some to violate counselor neutrality and respect for client freedom and rights. Confusion about neutrality and advocacy in the counseling field seems to reflect confused assumptions and values in the wider culture. As a result, counseling is guided more by a disguised ideology of liberal individualism than an objective theory or value‐neutral principles. The authors suggest that a hermeneutic, dialogical framework for counseling has the potential to resolve much of this confusion and to refine and broaden a social justice approach in needed ways.     

Soft determinism + awareness = shared responsibility Comment: More Words About Words: A Reaction to “Soft Determinism…”

This article seeks to present a viable resolution of one of the perennial ideological issues in counseling: the determinism-human freedom dilemma. That this problem is of pivotal significance to counselors is immediately evident in view of its bearing on the related professional issue of client and counselor responsibility. A conceptual model involving limited personal freedom within a framework of biological-environmental determinism is reviewed, followed by a concluding comment on the counselor's shared responsibility for the outcomes of the counseling relationship. The author rejects the notion that the counselor can function as a neutral observer in client decision-making     

Report of the ACA Ethics Committee: 1994–1995

This report contains data about ethical complaints and inquiries processed by the Ethics Committee in 1994–1995. The number of complaints was substantially lower than the preceding year and there were also changes in the nature of the complaints. Most common standards called under this year's complaints had to do with dual relationships, meeting personal needs at the expense of the client, failure to terminate a counseling relationship if unable to be of assistance to the client, and violation of the responsibility to meet high ethical standards in various professional settings. This report also includes a discussion of the findings, information about the approval of the new Code of Ethics and Standards of Practice, and educational efforts undertaken by the committee.     

Counselor Sex Role Orientation,Flexibility, and Working Alliance Formation

The authors examined the hypothesized relationship among counselor androgyny, counselor flexibility, and the establishment of client-rated working alliances. In Study 1, 41 counseling students completed the Bem Sex-Role Inventory (BSRI; Bem, 1981a) and the Counselor Behavior Analysis Inventory (Gabbard, Howard, & Dunfee, 1986). Contrary to the hypothesis, there was no relationship between androgyny and counseling flexibility. In Study 2, 42 counseling students completed the BSRI and videotaped counseling sessions with a recruited client. Analyses revealed a significant relationship between counselor flexibility and client ratings of working alliance, but no relationship between counselor androgyny and counselor flexibility. Research and clinical implications are discussed.     

Gender Self‐Confidence and Social Influence: Impact on Working Alliance

The authors investigated the relationships between the counselor's gender self‐confidence, the counselor's use of social influence within the counseling session, and the counselor's sex in relation to the counseling relationship. These attributes were studied with regard to how deeply a therapeutic working alliance developed between the counselor and the client. Results support the importance of counselor characteristics on the counselor–client alliance. Implications for teaching, research, and practice are presented.     

Models of Disability: Implications for the Counseling Profession

Because of the increasing number of people with disabilities, counselors of all specialties and theoretical orientations will be called on to provide services to clients with disabilities. The authors present a brief overview of 4 major models of disability to provide an introduction to the varying definitions and causal and responsibility attributions of disability. Viewing the client with a disability as an individual with multiple identities, roles, functions, and environments facilitates the counseling process.     

Suicide: Dynamics and Implications for Counseling

‘The authors discuss the dynamics of suicide, how to work with a potentially suicidal client in the counseling relationship, and legal and ethical implications for the counselor.     

Does Receiving Genetic Counseling Impact Genetic Counselor Practice?

This study was an investigation of whether genetic counselors have received genetic counseling and if so, how they believe it affects their practice. One thousand genetic counselors were mailed surveys about the nature of genetic counseling services received, impact on their clinical practice, frequency and reasons for disclosing about their receipt of counseling to their clients, and demographics. Ninety-three of the 510 respondents reported receiving genetic counseling. Of these, almost three-fourths were practicing genetic counselors while receiving services. Reasons for services include prenatal concerns, family history of cancer, and history/risk of other genetic conditions. Frequently endorsed effects on practice include increased empathy and understanding of client decisions, feeling more connected with clients, greater emphasis on psychosocial support, and sympathy. Forty-six respondents disclosed to clients about their receipt of genetic counseling. Prevalent reasons include client asked, help clients feel they are not alone, demonstrate counselor understanding, decrease client anxiety, build rapport, and normalize client feelings. Practice and research recommendations are given.     

Counseling Muslim Women: Navigating Cultural and Religious Challenges

In this article, the authors consider strategies for counseling female Muslim clients. First, they review general beliefs and practices of Muslims in the United States. Through the use of a case study, they illustrate a collaborative method of counseling Muslim women that is based on a trusting client‐counselor relationship.     

Relationship Between Counselors' Clinical Hypotheses and Client Ratings of Counselor Effectiveness

The authors assessed the relationship of counseling students' hypothesis formation skill levels to counseling effectiveness. Hypothesis rating scales were selected to assess skill in using a comprehensive range of client data, integrating multiple client dimensions, and forming questions for hypothesis testing. Results indicated that higher ratings of hypothesis formation skill were associated with higher client ratings of counselor effectiveness. A combination of four hypothesis skill ratings predicted more than 60% of the variance in total Counselor Rating Form-Short version (CRF-S) scores, and one or more hypothesis formation skills were predictive of each CRF-S subscale score.     

Metaphor and Change in Counseling

Increased general interest among counselors in the way language, narratives, and stories influence clients' personal and social realities has drawn particular attention to metaphorical language and its facilitative role in counseling. In this article, the authors suggest that metaphors and metaphorical knowing may play a significant role in facilitating at least 5 developmental change processes in counseling: relationship building, accessing and symbolizing client emotions, uncovering and challenging clients' tacit assumptions, working with client resistance, and introducing new frames of reference.     

Applied Participatory Ethics: Bridging the Social Justice Chasm Between Counselor and Client

The authors introduce an applied participatory ethics paradigm consistent with the contemporary focus on social justice in the practice of counseling, emphasizing participation of all rightful parties, including the client, in ethical decision‐making processes. The paradigm is an adaptation and expansion of the work of Prilleltensky, Rossiter, and Walsh‐Bowers ( 1996 ) and rests on their conceptualization of restrictive and participatory orientations. The origins of the model's added elements in 4 areas of rehabilitation and counseling literature (i.e., ethical knowledge and practices, the therapeutic alliance or relationship, client involvement, and client empowerment) are described. Finally, interrelationships between the different phases and elements of the model are discussed.     

Chaos,creativity, and counseling: Aspects of a Transtheoretical model of the counseling process

Counselors ask their clients to become creative in their personal lives and within their counseling process. The process of counseling is a creative process. Growth is necessary for effective improvement in the counseling process. This paper will examine creativity from the point of view of the affective experience of the creator, and the relationship of this experience to the client in counseling.

The position here is that the process of counseling is both a creative process and one that involves tensions and turbulence. Based on a model of nonlinear dynamics, and ideas about the creative process, this study draws a dynamical fractal movie of the counseling process in which the counselor serves as an attractor for the construction of opposites in the client behavior that allow for growth and the construction of a new state of psychosocial events.     

“Meeting Someone at the Edge”: Counselors’ Experiences of Interpersonal Stress

Using consensual qualitative research, the authors explored the factors that contribute to counselors’ experiences of interpersonal stress and how counselors respond to interpersonal stressors within therapeutic settings. Thirteen professional counselors representing a variety of counseling contexts and settings participated in semistructured interviews. Through consensus building, the authors identified 4 domains within the data: client characteristics, relationship dynamics, counselor response, and personal vs. professional self. The findings suggest that client characteristics and relationship dynamics are catalysts to counselor interpersonal stress responses, which shape their conscious awareness of the experience. Implications for clinical practice, clinical supervision, and counselor wellness are discussed.     

Client as counselor: self-regulation strategies

Recent research in counseling suggests the efficacy of teaching the clients to be their own counselors through the use of self-regulation procedures. This article explores three primary steps involved in helping clients to control their own behavior change: self-observation, self-monitoring, and self-regulation strategies. Self-regulation provides an affirmative answer to the question: “Is the client a counselor?” by promoting client responsibility and independence in the counseling process.     

Premature Termination from University Counseling Centers: A Review

Many clients leave counseling prematurely (i.e., without their counselors' agreement). Understanding premature termination is crucial to the effectiveness and efficiency of the counseling enterprise. The authors review research on client attrition from university counseling centers, explore implications for practice, and offer suggestions for future research. Methodological problems and sparse data on some variables preclude firm conclusions, although there are some promising directions, such as theory-based studies, exploration of cognitive-expectancy factors, and client-counselor interaction research. It is becoming increasingly clear that premature termination is not a unitary phenomenon and that dropouts are a heterogeneous group, suggesting the need for greater conceptual and methodological precision in the study of counseling attrition.     

Power and gender influences on responsibility attributions: the case of disagreements in relationships

In a sample of 156 college students (74 men and 82 women), the authors examined the influences of power status and gender on responsibility attributions and resolution choices during disagreements in personal relationships. The participants read vignettes in which relationship partners disagreed; then the participants placed themselves in the situations depicted and reported their perceived responsibility and resolution choices. The participants were randomly assigned to 1 of 2 power-status conditions (you have/your partner has greater power in the situation). Power status was based on resource power (i.e., a monetary inheritance) or on perceived power (i.e., financial knowledge). The authors tested 2 alternative power-status hypotheses (justified benefits/rights and ability/accountability) and 1 gender hypothesis. The results supported both power-status hypotheses. In addition, the men's and the women's responsibility attributions and resolution choices (i.e., adhering to their own wishes or deferring to their partner's wishes) revealed differential dependence on the type of power held by the person with greater situational power. The authors suggest issues further research concerning how situational differences in socially based expectations (e.g., power status and gender) may affect conflicts within relationships.     

Person‐Centered Counseling: The Culture Within

The variables most related to success in counseling outcome research are the client‐counselor relationship and the personal and situational resources of the client (extratherapeutic variables). When these variables are compromised, a “specificity myth” is endorsed purporting that there are specific treatments for particular groups of people. This myth is a direct result of a shift in focus from the client to the counselor as the expert who focuses on “doing” counseling rather than “being” a counselor. Person‐centered counseling cuts to the core of therapeutic success: the relationship of the counselor‐client and the utilization of the client's resources.     

Adlerian “Encouragement” and the Therapeutic Process of Solution‐Focused Brief Therapy

The authors discuss the overlooked similarities between the therapeutic process of solution‐focused brief therapy (SFBT) and the Adlerian process of therapeutic encouragement. SFBT and Adlerian therapy share common perspectives, albeit using different nomenclature, on maladjustment, the client‐counselor relationship, and methods of facilitating change. The authors also present conclusions regarding the continuing relevance of Adlerian therapy for contemporary counseling practice.     

I-Level: a differential counseling system

This article suggests that the counselor, the client, and the counseling strategies employed must be systematically examined in order to maximize the effectiveness of counseling. The authors introduce the Interpersonal Maturity Level Typology as a vehicle through which this can be accomplished. They describe client and counselor types, present the notion of matching, and recommend differential counseling strategies.