Person-Centered Assessment

The use of tests and assessment in person-centered counseling is discussed. In person-centered counseling, the most fundamental value is honoring the client as the authority on his or her own life. The extreme focus of person-centered theory on the “self-authority” tends to militate against the use of tests and assessment. Person-centered counseling includes unsystematic counselor responses, such as reactions, questions, and suggestions. This increasing involvement of the counselor as a person has implications for the use of tests in person-centered counseling.     

A Counselor Classification System: Accountable

The Wisconsin State Employment Security Division has an employment counselor classification scheme which responds to the cry for accountability. This article discusses (a) technical requirements and performance standards for three levels of employment counselors; (b) specific job duties and levels of skill for Manpower counselors 1, 2, and 3; (c) caseload size, counseling outcomes, counseling and assessment skills, community resources, job development activities, and additional performance requirements expected of the master level counselor; (d) the system of reclassifying a Manpower counselor 2 to the Manpower counselor 3 level; and (e) the use of an on-site review by a state counseling supervisor as the method of evaluating a counselor's Performance. Values of the counselor classification scheme are indicated.     

Advancing access to Medicare-funded mental health treatment during the opioid epidemic: A counselor advocacy analysis

Although advocacy is a priority for counseling professionals, little is known about counseling advocates’ participation in the legislative advocacy process. Recent legislation to address the opioid crisis allowed counseling advocates to provide public comments to advance counselor inclusion in the Medicare program. A thematic analysis of 548 public comments provided on behalf of the counseling profession yielded four categories: advocacy on behalf of (1) the proposed rule change; (2) broader Medicare inclusion; (3) the proposed rule change with an additional request for broader Medicare reimbursement; and (4) no clear advocacy. Subthemes included increasing access to care, qualifications necessary to provide care, and the urgency of the opioid epidemic, among others. Implications for the counseling profession and counselor advocacy are discussed.     

Suicide prevention in the genetic counseling context

Utilizing a case report, this paper explores psychosocial aspects of suicidal intent in a woman seeking prenatal diagnosis. Using knowledge and practice of appropriate assessment, referral, and intervention procedures, the therapy team of genetic counselor and psychotherapist facilitated successful identification and management of this potentially suicidal client. The main counseling goals for the genetic counselor are to assess the situation adequately, decrease the immediate danger, and, with supervision and/or consultation, stabilize the seriously suicidal person until that individual can be triaged to mental health or medical professionals for treatment. The prevalence of suicide issues in genetic counseling contexts is unknown and reports mentioning suicidal ideation unusual in the genetic counseling literature. Is this reported case a rarity among genetic counseling referrals? Systematically collected information on the prevalence and resolution of suicidal issues in genetic counseling contexts would be helpful for those setting curricula for genetic counseling training programs, standards for professional certification exams, and policy and procedures manuals for clinical units.     

Building on an Empirical Foundation: Strategies to Enhance Good Practice

Reviews of the research literature on outcomes in counseling agree that counseling works. It is also possible to use research to identify strategies for increasing the probability of successful counseling. Such strategies include careful assessment of the client, matching the client and counselor on demographic and attitudinal variables, and maintaining a productive working alliance through open disclosure to the client of the counselor's background and procedures, inquiry into the client's experience of counseling process, and management of client resistance.     

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.     

Assessing Multicultural Competence in Counselor Trainees: A Review of Instrumentation and Future Directions

As the diversity within the U.S. population continues to increase, multicultural counseling competency (MCC) remains a central focus in counselor education and research. Accordingly, assessment of competencies is necessary to ensure culturally appropriate counseling services to an increasingly diverse clientele. This article discusses available tools for evaluating counselors' awareness, knowledge, and skills for working with culturally diverse clients, as well as new directions and trends in MCC assessment.     

Psychotherapy in the school

Counseling and psychotherapy are two terms for the same function; there is no essential difference in the nature of the relationship, the process, the methods and techniques, the purposes or goals, or the results. Vocational counseling is not a different kind or level of counseling, requiring less background or preparation. If anything, preparation for vocational counseling requires more time than does preparation for therapeutic or personal counseling—the former includes the latter. Therefore, if counseling has a place in our schools, it cannot be limited to vocational counseling.

It appears that there is a need or place for counseling and counselors in our schools, and that recognition and acceptance of this need is growing. The school has the opportunity, and the responsibility, for providing counseling, broadly conceived, to its students.

The staff member who has been designated as a school counselor appears to be the logical person to provide counseling services. While it is true that in the past the school counselor has not in fact been a counselor, nor adequately prepared to function as a counselor, counseling is presently accepted as the major function of the school counselor, and his preparation is becoming essentially preparation for performing the counseling function. While there are some who resist this trend, it appears to be well established.     

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.     

Ethical considerations and training recommendations for philosophical counseling

Philosophical counseling is a diverse and burgeoning type of mental health service delivery. Despite competing approaches to theory and practice, the field has largely strayed from an ethical critique of its methodology and counselor training requirements. This article outlines several ethical considerations and training recommendations that are proposed to bolster the quality and effectiveness of philosophical practice. As philosophical counseling gains increasing recognition in North America, recently established national organizations in philosophical practice may profit from revisiting their interim codes for professional conduct. Proposed training suggestions for counselor preparation my further assist institutions and board-regulated agencies in establishing competent and acceptable standards of client care.     

Contributions of Multicultural Counseling to Counselor Competence With Lesbian,Gay, and Bisexual Clients

This article outlines the contributions of multicultural counseling to 3 areas of counselor competence with lesbian, gay male, and bisexual male and female (LGB) clients: conceptualization of competence, counselor education, and assessment of counselor competence. The authors describe the foundations of multicultural counseling and extend the concepts to counselor competence with LGB clients. Este artículo resume las contribuciones de la consejería multicultural a tres campos de habilidad consejera con clientes homosexuales y hombres y mujeres bisexuales: la conceptualización de la competencia, educación del consejero, y evaluación de competencia para consejería. Los autores describen los fundamentos de la consejería multicultural y extienden estos conceptos a la competencia consejera con clientes homosexuales, lesbianas, y bisexuales.     

Integrating Personal and Career Counseling: A Challenge for Counselors

In recent years career counseling has often been viewed as separate and distinct from personal counseling, ignoring a long tradition in the career development field that has consistently recognized the importance of personality factors in the process of choosing and maintaining a career. This paper argues for the use of an eclectic career counseling model that embraces both personality and career development theories. The model requires the counselor to be able to move back and forth between the active and directive role of the career counselor and the facilitative and exploratory role of the personal counselor. A case is presented to demonstrate its application and implications for counseling and training are discussed.     

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.     

Counselor Empathy or “Having a Heart to Help”? An Ethnographic Investigation of Chinese Clients' Experience of Counseling

Current understanding of counselor empathy is almost entirely based on Western culture. Clients'; perceptions of counselor empathy are scarcely investigated within any non-Western group. Using ethnographic interviews, this study explored the concept of counselor empathy from Chinese counseling clients'; perspectives by exploring their experiences of therapeutic relationships. Although informants did not commonly and explicitly consider counselor empathy as a priority in counseling, preliminary results suggest that they may perceive it in Chinese counseling relationships as a different phenomenon linguistically and conceptually.     

Inherited Thrombophilia: Key Points for Genetic Counseling

With the evolution of medical genetics to focus on highly prevalent, multifactorial conditions, it is inevitable that genetic counselors will be called upon to participate in the evaluation and counseling of individuals with inherited thrombophilia. The purpose of this review is to educate the genetic counselor on key issues related to risk assessment and genetic counseling for hereditary thrombophilia. The information contained in this document is derived from an extensive review of the literature, as well as the author's personal expertise. Upon completion of this review, the genetic counselor will be able to: a) describe inherited and acquired risk factors for thrombosis, b) collect and interpret personal and family histories to assess risk related to hereditary thrombophilia, c) discuss the potential advantages and disadvantages of thrombophilia testing, including psychosocial aspects and implications for medical management, and d) identify educational and support resources for patients and families.     

Cross-cultural pastoral counseling: Method or hermeneutic?

This article explores some of the meta-questions that emerge when talking about “cross-cultural pastoral counseling.” Is it a distinct counseling method or a practical hermeneutic that prompts the counselor to examine his or her therapeutic approach? The author argues that “cross-cultural pastoral counseling” is really a hermeneutic that challenges the pastoral counselor to an ongoing evaluation of how and to what extent his or her approach to pastoral counseling may be guided by dominant social convention versus the gospel mandate of Matthew 25: 31–46 [RSV]. The article reviews relevant literature, discusses three fundamental changes (“conversions”) that are necessary for the pastoral counselor in order to do cross-cultural pastoral counseling, and presents a case illustration involving a multi-cultural pastoral counseling intervention.     

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.     

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.     

addressing career issues online: perceptions of counselor education professionals

The Internet is the latest arena in which counseling services are available for a variety of issues. This study surveyed counselor education professionals about their perceptions regarding the use of online counseling to address various mental health issues including career counseling. It also examined their perceptions about 3 formats of online counseling: e‐mail, text‐based chat, and videoconferencing. Results indicated that counselor education professionals were open to the use of online counseling to address career issues. The implications for the practice of online career counseling and for the training of counselors are discussed.     

Client Adherence to Asian Cultural Values,Common Factors in Counseling,and Session Outcome With Asian American Clients at a University Counseling Center

Based on data from 61 Asian American clients at a university counseling center, the study found that client‐perceived match on client‐counselor belief about problem etiology was related to counselor credibility, empathy, and cross‐cultural competence; the client‐counselor working alliance; session depth; and the likelihood of the client recommending the counselor to another client. An interaction effect showed that both strong match on belief about problem etiology and high client expectation for counseling success were associated with strong client‐counselor working alliance.