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.     

Counseling the Irresponsible AIDS Client: Guidelines for Decision Making

Counselors treating a socially irresponsible AIDS client face the dilemma of preserving the client's right to confidentiality while protecting unsuspecting sexual partners from infection. Specific guidelines for decision making are suggested.     

Genetic Counseling for Personal Genomic Testing: Optimizing Client Uptake of Post-Test Telephonic Counseling Services

The field of genetic counseling faces a broad challenge: many potential clients may not be aware of the value and benefit of genetic counseling services, and therefore may not utilize those services. Navigenics is a personal genomic testing company that provides telephonic genetic counseling services for multifactorial diseases and pharmacogenetics. When first offered in 2008, utilization of the Navigenics genetic counseling service was less than expected. To explore the basis for under-utilization and potential mechanisms for increasing uptake, Navigenics initiated a quality improvement study, in which three different methods of engaging clients in the uptake of genetic counseling services were assessed over the course of 1 year. Outcomes showed significant differences in uptake rates between methodologies (7.5%, 24.6%, and 60.1%), yielding an 8-fold increase in service utilization when post-test telephonic outreach to all clients was performed. Further, utilization spanned all risk levels based on client results, evidence that not only clients with high-risk results were motivated to engage in the genetic counseling service. This research indicates that implementing strategies to educate clients about genetic counseling can positively impact client engagement and utilization of available services.     

Counseling Outcomes: Counselor Characteristics and Client Results

Eighteen counselors in one of the administrative areas of the California Department of Human Resources and 697 of their closed cases were studied in order to discover whether differences in employability outcomes did exist. The study attempted to answer the following questions: (a) How many clients achieve employability during their relationships with employment counselors? (b) What is the final disposition of cases that are closed other than employable? and (c) To what degree do counselors engage in placement activities and what influence do these activities have on employable closures? The study provides evidence that some counselors had significantly more clients achieve employable status than did other counselors.     

The Pregnant Client: Understanding and Counseling Her

To help the pregnant client manage her transition to motherhood, counselors need to understand and to build on the normal psychological changes of pregnancy.     

Humor in Counseling: Leader Perspectives

This article explores the existence of humor in counseling from the perspectives of several leaders in the field. Specifically, the last 5 authors describe some of their thoughts and experiences regarding the emergence of humor in counseling.     

Historical Hostility in the African American Client: Implications for Counseling

“Historical hostility” may function as a psychological factor in the lives of African Americans in the United States. Historical hostility is a pattern of responses that many African Americans exhibit, which may stem from their prolonged subjection to inferior treatment in American society. Strategies for addressing historical hostility in African Americans are provided.     

Counseling Considerations for the Twice‐Exceptional Client

Counselors can be pivotal in helping families to understand the identification of twice‐exceptionality and related implications, including developing successful interventions for the school years and beyond. There are many potential counseling concerns, including bullying and peer interactions, social and emotional development, career guidance, college transition planning, and functioning in adulthood. Learning how to work with twice‐exceptional clients regarding these concerns needs to begin during training and progress throughout one's career. Recommendations for best practice are provided.     

Effectively Counseling the Shy Minority Client

This article focuses on shyness as a barrier to meaningful employment for some minority persons. It provides a definition and discusses specific examples of shy behaviors that may be displayed. The article maintains that the employment counselor can work to help the minority client overcome this emotional-personal problem. A seven-step systematic procedure for effectively counseling the shy minority client is delineated.     

Counseling the Depressed Christian Female Client

Some researchers have suggested that traditional gender-role conditioning for women might relate to depression and, furthermore, that religion has played a major role in defining and reinforcing gender roles. Depressed Christian women, consequently, make up a unique population with special counseling needs. This article addresses these women as a group and offers suggestions for counseling them.     

Counseling the Client With Prostate Cancer

Prostate cancer is prevalent in the United States today and has a far‐reaching effect on men and their relationships. Being diagnosed with and treated for prostate cancer often causes men to experience side effects that induce physical, emotional, and social change. Counselors need to be aware of prostate cancer's impact on men and their families.     

Supporting Counselors After a Client Suicide: Creative Supervision Techniques

Many professional counselors will experience the loss of a client to suicide. The effects of this loss are explored in this article. The supervisor’s role in supporting a supervisee after a client’s suicide is presented. Additionally, creative interventions that can be used by supervisors to support supervisees after the loss of a client are provided. These creative techniques are theoretically grounded within the cognitive behavioral, solution-focused, and narrative paradigms.     

The Client Action Plan Within Employment Counseling

The action plan development model introduced in this article describes the process recommended to assist clients who receive employment counseling through Canada Employment Centres or other agencies funded by the Human Resources Development Department. This specific decision-making process is established in the context of employment counseling assessment interviews illustrating how potential objectives are explored, prioritized, and translated into concrete and feasible activities that form a client's action plan.     

Impact of Client Suicide on Psychologists in Australia

Objective

This research aimed to assess the frequency and impact of client suicides on psychologists in Australia.

Method

Participants were 178 psychologists who completed an online self‐report questionnaire concerning the frequency of occurrence and impact of client suicide.

Result

Fifty six (31.5%) participants reported one or more client suicides. Psychologists with more years of experience reported more client suicides. Participants who had experienced a client suicide reported a range of emotional, cognitive and behavioural reactions as well as professional impacts. Ratings of responsibility, preventability and predictability of a client suicide were associated with emotional and/or professional impacts. Beneficial coping responses included talking to supervisors and colleagues, recognising the psychologist is not responsible and having increased acceptance of a client suicide.

Conclusions

The findings have important implications for training, workplace practices and research.