Advocacy and Empowerment in Parent Consultation: Implications for Theory and Practice

In this article, the authors expand the view of parental consultation to include advocacy and empowerment as important contextual considerations. A brief review of existing approaches to parent consultation is provided. Selected advances in multicultural parent consultation are also presented. An advocacy‐and empowerment‐focused perspective is offered that describes the power of consultation with parents from marginalized backgrounds. A case vignette is provided to illustrate the implications for practice.     

Client Advocacy and Collaboration with Insurance and Laboratory Testing Agencies: A Case Study Illustrating Genetic Counselor Roles

Genetic counseling and the many roles a genetic counselor must assume to provide quality genetic health care are becoming increasingly complex, especially when the genetic condition is rare, and DNA testing is costly and not yet routinely used. A case study of a couple with a family history of retinoblastoma and their pursuit of DNA testing for prenatal diagnosis is presented. The case study illustrates the instrumental role of the genetic counselor in advocating for clients for genetic services such as DNA testing and in educating insurance companies in the nature and importance of such services to achieve improved client health care outcomes.     

Reflective Sociocultural Psychology: Lost and Found in Collaboration with Funding Agencies and ICT Experts

This paper deals with emerging kinds of collaboration between researchers, funding agencies and ICT (Information and Communications Technology) experts. The goal of this paper is to analyze the challenges and opportunities for researchers presented by such collaborations. The analysis is based on a sociocultural approach, and leads to the following conclusions: (a) the main challenges to collaboration arise from the fact that partners’ communities have different goals and use different sets of mediation tools, (b) there are different ways for researchers to cope with more powerful partners such as major funding agencies (refusing collaboration, pseudo collaboration, asymmetric collaboration, and real partnership), (c) appropriation of mediation tools developed by partners could be useful for researchers, (d) collaboration with partners could be a source of new theoretically interesting phenomenon, and (e) communication with partners who are not familiar with our routine discourses might help us to improve our own understanding.

Proximal Job Characteristics,Feelings of Empowerment,and Intrinsic Motivation: A Multidimensional Model1

We examined relations between job characteristics, empowerment, and intrinsic motivation among technical and telemarketing workers. Empowerment was conceptualized as a gestalt of 4 psychological dimensions: autonomy, competence, meaningfulness, and impact. It was hypothesized that the various dimensions of empowerment would mediate the relationship between job characteristics, such as feedback and autonomy support, and intrinsic motivation at work. A path analysis supported the hypothesis, revealing that different job characteristics were predictive of different aspects of empowerment, and that aspects of empowerment differentially affected intrinsic motivation. The results point to the value of considering empowerment as a multidimensional construct.     

Development,Social-Emotional Behavior and Resilience of Orphaned Children in a Family-Oriented Setting

SOS children’s villages take care of orphaned or abandoned children who are likely to suffer from multiple psychosocial problems. Nevertheless, much is not known about the developmental, social-emotional, nutritional and resilience status of young SOS children (SOSc) living in poor settings of developing countries such as Ethiopia. The present study examined the developmental, social-emotional, nutritional and resilience status of SOSc in Jimma town of Ethiopia. In total, we selected 62 children (3.5–71.8 months of age; 32 boys and 30 girls) and tested for their personal-social, language, fine and gross motor development with the culturally adapted and standardized developmental screening tool, Denver II-Jimma; and their social-emotional behavior with the ages and stages questionnaire: social-emotional (ASQ:SE). We compared their outcomes to 62 age- and sex- matched family-reared children. To estimate the nutritional status of all children, we followed the WHO child growth standards. We used an interview guide to investigate resilience of the children. SOSc performed significantly poorer on language (p?<?0.001, effect size (es)?=?0.957), gross motor (p?<?0.001, es?=?0.879) and social-emotional (p?<?0.001, es?=?1.220) outcomes. Twenty-two (35.5%) of SOSc were undernourished and 17 (77.30%) of them were stunted. SOSc demonstrated resilient behavior, and child, SOS family and community characteristics were the major protective factors which enabled them to thrive in spite of the loss of their parents. Early intervention focusing on language, gross motor and social-emotional skills may be particularly beneficial to support children in SOS villages.     

家属参与授权教育对老年原发性高血压伴同型半胱氨酸血症患者管理中的应用

探讨家属参与授权教育对老年原发性高血压伴同型半胱氨酸血症患者的干预效果.选取120名老年原发性高血压伴同型半胱氨酸血症患者,随机分成试验组和对照组,每组60名,两组均采取相同的药物治疗,给予常规的授权教育模式.试验组在此基础上给予家属参与授权教育模式,为期6个月.试验组与对照组比较,总胆固醇（TC）、甘油三脂（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、同型半胱氨酸（Hcy）及血压值低于对照组,差异有统计学意义（P＜0.05）;试验组的生存质量及满意度评分均高于对照组,两组差异有统计学意义（P＜0.05）.经过为期6个月的健康教育干预,这一模式取得了较好的效果.     

A Transconceptual Model of Empowerment and Resilience: Divergence, Convergence and Interactions in Kindred Community Concepts

Resilience and empowerment are widely employed concepts in community psychology and other social sciences. Although empowerment is more closely associated with community psychology, both concepts hone to community psychology’s strengths-based values, recognizing, respecting, and promoting local capacity and positive outcomes. Both concepts also have been critiqued for lacking clear consensus regarding definition, operationalization, and measurement (Cattaneo and Chapman in Am Psychol 65(7):646–659, 2010; Luthar et al. in Child Dev 71(3):543–562, 2000). This deficiency is reflected in the wide ranging applications of each term independently, and is particularly concerning when the terms are used together or interchangeably. Theoretical work on these concepts’ boundaries and interaction is lacking. This paper builds on the authors’ prior work operationalizing the processes and outcomes of each concept (Brodsky et al. in Am J Community Psychol 47(3–4):217–235, 2011; Cattaneo and Chapman in Am Psychol 65(7):646–659, 2010; Cattaneo and Goodman in Psychol Violence, in press) to present a combined transconceptual model illuminating the divergence, convergence, and interactions between the two. Both resilience and empowerment are fueled by unsatisfying states, but are differentiated by, among other things, internally (resilience) versus externally (empowerment) focused change goals. Goal determinants include context, power differentials, and other risks and resources. These concepts have the potential to facilitate each other, and understanding their interaction can better inform community psychologists’ work with marginalized populations.     

A Social-Cognitive Moderated Mediated Model of Psychological Safety and Empowerment

This study examines the indirect role of psychological safety in shaping the four cognitions of psychological empowerment (i.e., meaning, competence, self-determination, impact) through three social mechanisms: authentic interactions, spiritual development, and perceived organizational voice. Data were collected from 229 congregation members of a nondenominational church. Preliminary analyses reveal psychological safety is: (a) linked to all four empowerment cognitions, (b) associated with the three proximal social mechanisms, and (c) indirectly predicts three of the four empowerment cognitions through heightened level of authentic interactions, spiritual development, and perceived organizational voice. Moreover, extraversion moderated the relationship of psychological safety with authentic interactions which, in turn, strengthened the size of the indirect effect for the meaning subcomponent of empowerment. Overall, this study suggests empowerment research can draw upon the potential, but frequently untapped, benefits of cultivating a secure space to facilitate member motivation through sincerity, personal development, and perceived voice.     

Spiritual Empowerment: A Metaphor for Counseling

The metaphor of counseling as spiritual empowerment is presented, followed by an explanation of spiritual empowerment as a metaphor and spiritual empowerment as a theoretical framework for counselors. In the use of this metaphor, counselors initiate a spiritual experience with clients, and clients often experience a spiritual awakening in which they discover or rediscover their own spiritual power. Five conclusions are identified.     

Empowerment, Performance, and Operational Uncertainty: A Theoretical Integration

L'accession au pouvoir est présentée comme une recette universelle pour améliorer la performance au travail. On défend ici l'idée qu'il existe déjà des arguments forts pour penser que cette conviction est des plus discutables, et que l'impact de la participation dépendra du degré de l'incertitude opérationnelle qui prévaut. Notre point de vue s'appuie sur une analyse des idées qui émergent conjointement de cinq domaines, à savoir les théories des organisations, la structuration du travail, le management "zéro défaut", le management des facteurs humains et celui des ressources humaines. On met en évidence les conséquences théoriques et pratiques de nos investigations et certaines des pistes à suivre pour approfondir la réflexion.
Empowerment is being promoted as a general recipe for enhancing work performance. We argue that there are already strong grounds for suggesting that this universalistic assumption is flawed, and that the effectiveness of empowerment practices will be contingent on the degree of operational uncertainty that prevails. This argument is supported by an analysis of ideas in common emerging from five different areas of inquiry, namely those concerned with organisational theory, work design, total quality management, human factors, and human resource management. We identify the theoretical and practical implications of our analysis, and some of the lines of investigation required to develop the ideas further.     

Social Need,Public Response: The Volunteer Professional Model for Human Services Agencies and Counselors

This article describes a model process of assessment and integration that allows community agencies and professional counselors to engage in more effective volunteer activity.     

Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model

Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements. The staff of the North Carolina State University Veterinary Hospital, a specialty academic teaching institution, wanted to investigate whether similar success could be achieved in the tertiary care veterinary setting. We discuss the background and rationale for this method, as well as the approach that was taken to create a clinical ethics committee.     

A Typology of Ritual: Paradigms for Healing and Empowerment

Myth and ritual are the keys to collective and individual cognitive consonance. Because the postmodern cultural landscape is littered with “broken” myths, people need to learn how to birth viable symbols and create contemporary rituals. This article examines ritual from theoretical, clinical, and practical perspectives. Symbolic cognition and its relation to myth and ritual are discussed. A typology of ritual is abstracted from phenomenological sources. Examples of liberation, transformation, and celebration rituals are given. Elements commonly employed in ritual activity are identified as guides to ritual construction. Finally, suggestions are given concerning how to create powerful and effective personal rituals.     

Psychological Empowerment Among Urban Youth: Measurement Model and Associations with Youth Outcomes

Empowerment‐based strategies have become widely used method to address health inequities and promote social change. Few researchers, however, have tested theoretical models of empowerment, including multidimensional, higher‐order models. We test empirically a multidimensional, higher‐order model of psychological empowerment (PE), guided by Zimmerman's conceptual framework including three components of PE: intrapersonal, interactional, and behavioral. We also investigate if PE is associated with positive and negative outcomes among youth. The sample included 367 middle school youth aged 11–16 (M = 12.71; SD = 0.91); 60% female, 32% (n = 117) white youth, 46% (n = 170) African‐American youth, and 22% (n = 80) identifying as mixed race, Asian‐American, Latino, Native American, or other ethnic/racial group; schools reported 61–75% free/reduced lunch students. Our results indicated that each of the latent factors for the three PE components demonstrate a good fit with the data. Our results also indicated that these components loaded on to a higher‐order PE factor (X² = 32.68; df: 22; p = .07; RMSEA: 0.04; 95% CI: .00, .06; CFI: 0.99). We found that the second‐order PE factor was negatively associated with aggressive behavior and positively associated with prosocial engagement. Our results suggest that empowerment‐focused programs would benefit from incorporating components addressing how youth think about themselves in relation to their social contexts (intrapersonal), understanding social and material resources needed to achieve specific goals (interactional), and actions taken to influence outcomes (behavioral). Our results also suggest that integrating the three components and promoting PE may help increase likelihood of positive behaviors (e.g., prosocial involvement); we did not find an association between PE and aggressive behavior. Implications and future directions for empowerment research are discussed.