Understanding Gerotranscendence in Older Adults: A New Perspective for Counselors

The author describes gerotranscendence as a process that occurs when older adults shift from a rational focus on the present‐day, material world to a more universal and transcendent perspective. Accompanying this shift is a desire to move toward the end of life with a sense of integrity and acceptance of one's choices. By gaining an understanding of gerotranscendence, counselors can better meet the needs of their aging clients. Using existing gerotranscendence literature as a guideline, suggestions are made for appropriate counseling interventions.     

A Review of “Welcome Back,Pluto: Understanding,Preventing and Overcoming Parental Alienation (DVD)”

Abstract

In a questionnaire study of 56 couples in which one or both spouses was a teacher with a long summer vacation, couples high on school year measures of potential for problems (values differences, physical violence when angry, disrespect) had higher levels of general tension during the summer the more they were in contact. Couples low in potential for problems had lower levels of general tension during the summer the more they were in contact. Apparently one can predict with some accuracy how a relationship system will operate when there is opportunity for great togetherness. The findings are of relevance in counseling couples claiming to desire greater togetherness and in counseling couples experiencing greater togetherness due to vocation, retirement, reduction in employment, or illness.     

Brief anger interventions with offenders may be ineffective: A replication and extension

Anger-management interventions are widely delivered in the criminal justice and forensic mental health systems. Whilst previous research has generally supported the thesis that anger management is an effective intervention for anger problems in general there remains a need to determine its effectiveness with offender populations. This paper reports the results of a controlled outcome study of a 20 h anger-management program offered to offenders. Those receiving treatment showed improvements in their knowledge about anger, but showed little change on measures of anger and anger expression when compared to waiting-list controls. Scores on measures of treatment readiness and level of need for treatment were however, correlated with post-treatment improvement. These findings are discussed in terms of their implications for the assessment and selection of appropriate participants for offender anger-management programs.     

Finding order and direction from chaos: a comparison of chaos career counseling and trait matching counseling

Chaos career counseling, based on the Chaos Theory of Careers (R. G. L. Pryor & J. E. H. Bright, 2003a, 2003b), was compared with trait matching career counseling and a wait list control. Sixty university students who attended the Careers Research and Assessment Service seeking career advice were randomly assigned to the chaos intervention, the trait matching intervention, or a wait list control group. Both chaos and trait matching counseling had a positive impact; however, chaos counseling had a more lasting effect. Overall, results support using the chaos counseling approach as a valid alternative to trait matching approaches. Implications for counseling practice as well as future research are discussed.     

Response to the Lazarus and Beutler Article “On Technical Eclecticism”

The article titled “On Technical Eclecticism,” by Lazarus and Beutler (Journal of Counseling & Development, March/April 1993), distorted the work of Gilliland, James, and Bowman (1989) by using an incomplete contextual quotation. This article represents a reply to set the record straight. A discussion of key elements of a modern eclectic system of counseling and psychotherapy is presented.     

Counseling Mexican American Seniors: An Overview

This article examines assessment and counseling techniques that correspond to the sociocultural framework of Mexican American seniors. Acculturation, familial, and adaptation themes are delineated for ensuring appropriate interventions. Case vignettes elucidate these perspectives.     

Assessing the prevalence of mental health disorders and mental health needs among preschool children in care in England

Although school‐aged children living in foster care have been identified as a high‐risk group for mental health and developmental disorders, there is a paucity of data relating to preschool children in care (CIC). This study aimed to identify the prevalence of mental health and developmental disorders along with corresponding need for interventions in preschool CIC. All CIC aged 0 to 5 years in an inner city local authority underwent comprehensive, multifaceted assessments consisting of the Ages and Stages Questionnaire (J. Squires, D. Bricker, & E. Twombly, 2003), interviews with caregivers based on the Preschool Age Psychiatric Assessment (H.L. Egger & A. Angold, 2006), Mullen Scales of Early Learning (E.M. Mullen, 1995 ), and systematic clinical observation. Of 58 eligible preschoolers, 43 completed the assessment. At least one mental health disorder was found in 26 (60.5%) participants, and at least one developmental disorder was found in 11 (25.6%). When mental health and/or developmental disorders were considered together, 30 (69.8%) preschoolers fulfilled criteria for at least one diagnosis, and 18 (41.9%) had two or more comorbid conditions. Whereas 36 (83.7%) of the preschoolers needed an intervention, only 3 of these had received adequate input. In conclusion, preschool CIC constitute a high‐risk group for mental health and developmental disorders. Without age‐appropriate assessments, their needs go undetected, and opportunities for early intervention are being missed.     

A Relational Approach to Career Counseling: Theoretical Integration and Practical Application

This article reviews the current status of career theory in practice and presents a theoretical overview of relational theory and its logical extension to the career domain. Despite the emergence of literature regarding the interconnectedness of career progress and the quality of relationships in one's life (e.g., D. L. Blustein, 2001; D. L. Blustein, M. S. Prezioso, & D. E. P. Schultheiss, 1995; D. E. P. Schultheiss, H. M. Kress, A. J. Manzi, & J. M. Glasscock, 2001), counseling practice is limited by the absence of a meaningful approach to intervene in clients' relational and career worlds. The relational career counseling approach moves counseling toward a contextually based relational perspective to facilitating career progress. This approach is illustrated with a case example.     

Computing Pareto‐optimal Predictor Composites for Complex Selection Decisions

A complex selection situation encompasses vacancies for several different positions and applicants that apply simultaneously for one or several of these positions. This article presents an analytic method for estimating the expected selection quality, as well as the adverse impact ratio of these complex selections, when the decisions are based on a single predictor composite score. In addition, the method is integrated within a broader decision‐making framework for designing complex selection decisions that show a Pareto‐optimal balance between the selection quality and diversity goals. Finally, the decision aid is used to demonstrate the importance of applying the appropriate selection format (either the simple or the complex format) when exploring the front of Pareto‐optimal outcomes of planned selections.     

African American Women’s Limited Knowledge and Experiences with Genetic Counseling for Hereditary Breast Cancer

Genetic counseling and testing for hereditary breast cancer have the potential benefit of early detection and early interventions in African American women. However, African American women have low use of these services compared to White women. We conducted two focus groups with African American women diagnosed with breast cancer (affected group, n?=?13) and women with at least one first-degree relative with breast/ovarian cancer (unaffected group, n?=?8). A content analysis approach was employed to analyze interview data. Breast cancer survivors had more knowledge about genetic counseling and testing than participants who were unaffected with cancer. However, knowledge about genetic counseling was limited in both groups. Barriers to pursuing genetic counseling and testing included poor understanding of the genetic counseling and testing process, fear of carrying the mutation, concerns about discrimination, and cost. Motivators to participate in genetic counseling and testing included desire to help family members, insurance coverage, and potential of benefiting the larger African American community. Education efforts are needed to increase genetic counseling and testing awareness in the African American community.     

The Hmong in the United States: An Overview for Mental Health Professionals

Since Laos fell to the communist Pathet Lao, many Hmong people have relocated to the United States. Because of the vast cultural differences, the Hmong have had a notoriously difficult time adjusting to life in the United States. In view of the many problems faced by Hmong Americans, it is likely that many of them will seek or be referred to non-Hmong professionals for various counseling services. This article provides an overview of Hmong culture and a history of their migration to the United States. Specific adjustment and mental health problems are noted and suggestions are provided for designing appropriate counseling interventions for Hmong Americans.     

If We Build It … Will They Come? – Establishing a Cancer Genetics Services Clinic for an Underserved Predominantly Latina Cohort

Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina⁶ (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used     

Standards for the Reporting of Genetic Counseling Interventions in Research and Other Studies (GCIRS): an NSGC Task Force Report

As the demand for evidence to support the value of genetic counseling increases, it is critical that reporting of genetic counseling interventions in research and other types of studies (e.g. process improvement or service evaluation studies) adopt greater rigor. As in other areas of healthcare, the appraisal, synthesis, and translation of research findings into genetic counseling practice are likely to be improved if clear specifications of genetic counseling interventions are reported when studies involving genetic counseling are published. To help improve reporting practices, the National Society of Genetic Counselors (NSGC) convened a task force in 2015 to develop consensus standards for the reporting of genetic counseling interventions. Following review by the NSGC Board of Directors, the NSGC Practice Guidelines Committee and the editorial board of the Journal of Genetic Counseling, 23 items across 8 domains were proposed as standards for the reporting of genetic counseling interventions in the published literature (GCIRS: Genetic Counseling Intervention Reporting Standards). The authors recommend adoption of these standards by authors and journals when reporting studies involving genetic counseling interventions.     

Outcomes of a Randomized Controlled Trial of Genomic Counseling for Patients Receiving Personalized and Actionable Complex Disease Reports

There has been very limited study of patients with chronic disease receiving potentially actionable genomic based results or the utilization of genetic counselors in the online result delivery process. We conducted a randomized controlled trial on 199 patients with chronic disease each receiving eight personalized and actionable complex disease reports online. Primary study aims were to assess the impact of in-person genomic counseling on 1) causal attribution of disease risk, 2) personal awareness of disease risk, and 3) perceived risk of developing a particular disease. Of 98 intervention arm participants (mean age = 57.8; 39% female) randomized for in-person genomic counseling, 76 (78%) were seen. In contrast, control arm participants (n = 101; mean age = 58.5; 54% female) were initially not offered genomic counseling as part of the study protocol but were able to access in-person genomic counseling, if they requested it, 3-months post viewing of at least one test report and post-completion of the study-specific follow-up survey. A total of 64 intervention arm and 59 control arm participants completed follow-up survey measures. We found that participants receiving in-person genomic counseling had enhanced objective understanding of the genetic variant risk contribution for multiple complex diseases. Genomic counseling was associated with lowered participant causal beliefs in genetic influence across all eight diseases, compared to control participants. Our findings also illustrate that for the majority of diseases under study, intervention arm participants believed they knew their genetic risk status better than control arm subjects. Disease risk was modified for the majority during genomic counseling, due to the assessment of more comprehensive family history. In conclusion, for patients receiving personalized and actionable genomic results through a web portal, genomic counseling enhanced their objective understanding of the genetic variant risk contribution to multiple common diseases. These results support the development of additional genomic counseling interventions to ensure a high level of patient comprehension and improve patient-centered health outcomes.     

Counseling Women Who Want Both a Profession and a Family

Research has shown that many women who seek to combine a demanding career and a family encounter a variety of problems and conflicts. This article reviews the special problems of this group of women as well as research findings on effective coping strategies. The implications of these findings for developing appropriate counseling interventions are discussed.     

Psychological Aspects of Genetic Counseling: XIII. Empathy and Decency

The issues confronting genetic counselees, the demands of the new genetics and other factors suggest strongly the need for greater attention to counseling procedures which convey understanding of clients and help them feel more hopeful and more capable of dealing with their life problems. This should include interventions to help them feel more effective in their coping efforts as well as such ego-bolstering techniques as the expression of kindness, the provision of appropriate rewards, and other attempts to raise the client's self-esteem. These attempts should be a standard part of all genetic counseling. The traditional arguments of potential harm and time limitations often used to avoid counseling efforts are viewed through the lens of countertransference.     

Culturally Informed and Flexible Family-Based Treatment for Adolescents: A Tailored and Integrative Treatment for Hispanic Youth

The increasing utilization of evidence-based treatments has highlighted the need for treatment development efforts that can craft interventions that are effective with Hispanic substance abusing youth and their families. The list of evidence-based treatments is extremely limited in its inclusion of interventions that are explicitly responsive to the unique characteristics and treatment needs of young Hispanics and that have been rigorously tested with this population. Some treatments that have been tested with Hispanics do not articulate the manner in which cultural characteristics and therapy processes interact. Other treatments have emphasized the important role of culture but have not been tested rigorously. The value of well designed interventions built upon an appreciation for unique patient characteristics was highlighted by Beutler et al. (1996) when they argued that "psychotherapy is comprised of a set of complex tasks, and practitioners need comprehensive knowledge of how different processes used in psychotherapy interact with patient characteristics in order to make treatment decisions that will maximize and optimize therapeutic power" (p. 30). A focus on how treatment processes interact with patient characteristics is particularly relevant in the Hispanic population because of the considerable heterogeneity beneath the Hispanic umbrella. Our new program of clinical research focuses on articulating how the varied profiles with regard to immigration stressors, acculturation processes, values clashes, sense of belonging to the community, discrimination, and knowledge about issues important to adolescent health can be more effectively addressed by a culturally informed treatment.     

Immigrant Women and Counseling: The Invisible Others

The number of women immigrating to the United States is growing because of current global changes (A. J. Marsella & E. Ring, 2003). Understanding and serving the mental health needs of this population is a new challenge for American counselors and counseling scholars. In this article, an ecological model (U. Bronfenbrenner, 1979) is used to describe the mental health needs of immigrant women, outline various counseling strategies and interventions, and systematically explore the sociocultural variables influencing immigrant women's experiences in the U.S.     

Optimal selection of E‐learning websites using multiattribute decision‐making approaches

A computational quantitative model based on weighted Euclidean distance‐based approximation and complex proportional assessment has been developed for the evaluation, selection, and ranking of various E‐learning websites in ascending or descending order based on their Euclidean distance value from the optimal website. The E‐learning website with rank 1 is considered the optimal selection on the particular dataset under consideration. The problem of the E‐learning website Selection, Evaluation and Ranking is modeled as a multiattribute decision‐making problem in which various interrelated attributes collectively termed as ranking criteria are identified to make the evaluation of available alternatives. In this research, 5 most popular E‐learning websites related to the C programming language for the software development have been considered to show the utility of developed model. Further, the concept of methodology validation strengthens this research by comparing the obtained results with the existing multiattribute decision‐making approach as analytical hierarchy process method.     

Special Topics in the Journal of Counseling & Development,Volumes 66–80

The authors review previous examinations of the American Counseling Association's (ACA) Journal of Counseling & Development (JCD), consider various editors' policies that shaped the Journal, and update L. W. Harmon and H. E. Harker's (1989) analysis of special interest topics featured in JCD. Studying the flagship professional journal of ACA provides insight into the evolution and development of the profession of counseling.