从两种咨询模式看我国心理咨询师的培养

本文分析厂我国大陆目前开展的两种类型的心理咨询,即心理健康咨询和医学心理咨询,心理健康咨询遵循发展和教育模式。主要服务对象是有生活适应问题的来访者,其根本目的是促进他们健康成长和增强适应应对能力。医学心理咨询遵循生物-心理-社会医学模式,其主要服务对象是患有各种非精神病性精神障碍的病人,其主要目的是将病人治愈。作者从两种咨询模式出发,就目前我国心理咨询师和心理治疗师的培养和资格认证提出了一些问题和粗浅的看法。     

Genetic Counseling Services and Training of Genetic Counselors in Israel: An Overview

Genetic counseling services have existed in Israel since 1964 and are available in almost all the major hospitals. Given the socialized healthcare system and small country size, genetic services are generally accessible and often free. The existence of founder mutations in various communities in Israel makes genetic testing easier to perform. Yet, the ethnic, cultural and religious diversity of the population has major implications on the design of the screening programs and the use of genetic services. The Israeli Association of Genetic Counselors (IAGC) was established in 2008 and had existed informally since 1989. There are two Master level genetic counseling training programs (6 students/class, 2 year program): Hebrew University-Hadassah Medical School (established in 1997) and the Technion (established in 2009). Genetic counselors’ clinical training is largely observational and 2 years of supervised counseling sessions post degree are required for board exam eligibility. Genetic counselors are licensed and lead counseling sessions individually, but currently must work under medical geneticist supervision. This is the first article to summarize the history and training of Master level genetic counselors in Israel. Genetic services, coverage and regulations are also described.     

From Campers to Counselors: a Resource for Prospective Genetic Counseling Students

When thinking about the future of the genetic counseling field, one place to start is with prospective genetic counseling graduate school applicants. Although resources and mentorship opportunities exist for genetic counselors entering the field, the process of deciding on a career, applying to graduate programs, and being admitted can be daunting. As members of the profession, we should take responsibility for ensuring that individuals have the information and resources necessary to make an educated decision about whether genetic counseling is the correct path for them and to take the initial steps along this path. In this article, we present our Genetic Counseling Boot Camp as a model for other genetic counselors to use in developing their own local programs. This type of program can benefit prospective genetic counselors as they begin their professional journeys and can also provide value for the organizers and presenters who are already seasoned in the field.     

Buddhist Perspectives for Addressing Values Conflicts in Counseling: Possibilities From Practice

In recent years, the issue of value conflicts in counseling has become more salient, whereas equitably working with such conflicts has been increasingly contested. Interest in the confluence of counseling and spirituality has also grown. Using relevant Buddhist principles, the authors offer a spiritual framework that is illustrated through clinical case studies. These are used to conceptualize concerns, understand the conflict, and find ways to be responsive to the disjunction between client and counselor.     

Training and Supervising Counselors: Lessons Learned From Deliberate Psychological Education

A psychological education curriculum package designed to stimulate growth in three target areas (psychologival development, mastery of skills, and understanding concepts) was piloted with 18 in-service counselors and teachers. Although significant gains were achieved in counseling skills and moral reasoning, shifts in ego and conceptual level failed to reach statistical significance. Bernier considers these results in light of developmental and cognitive theory and discusses implications for training and supervision. He presents a case for viewing counselor education within a developmental perspective.     

Genetic Counseling: Implications for Community Counselors

A special issue of the Journal of Health Psychology (Vol. 7, No. 2, 2002) was reviewed. The articles covered a variety of qualitative studies conducted using an interpretive phenomenological analysis method to examine the interviews with people who had received genetic testing and counseling. Implications for the broader counseling field were also presented.     

Counseling Counselors: A Survey of Values

This study surveyed counselors' rates of involvement in counseling, explored whether counselors value seeing therapists of a similar theoretical orientation to their own, and examined which characteristics were important in choosing one's therapist. Of 2,000 randomly selected ACA members, with a 38% return rate, 80% were found to have attended counseling, with women seeking counseling at significantly higher rates than men. Having been in counseling varied as a function of division affiliation as well as counselor's theoretical orientation. Finally, this study also explored the characteristics deemed important in choosing one's counselor and the values counselors hold regarding involvement in their own therapy.     

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.     

Counseling for Suicide: Client Perspectives

The purpose of this study was to describe key therapeutic processes that facilitated overcoming suicidal ideation and behaviors in previously suicidal clients. A research method called “concept‐mapping” was used to develop an understanding of what was helpful in counseling. Thirty‐five (9 male, 26 female) previously suicidal clients (M = 38 years) performed card sorts on 65 statements derived from qualitative interviews of 9 (2 male, 7 female) previously suicidal individuals (M = 42 years). Participants identified 3 therapeutic processes that contributed to overcoming their suicidal thoughts and behaviors: (a) validating relationships, (b) working with emotions, and (c) developing a new identity.     

Social Justice and Multicultural Issues: Implications for the Practice and Training of Counselors and Counseling Psychologists

The authors discuss the historical and contemporary connection to social justice issues in the fields of counseling and counseling psychology via the multicultural counseling movement. In addition, the authors present ways in which social justice issues can be addressed in counselors' and counseling psychologists' work with clients from diverse cultural backgrounds and in graduate training programs.     

Advocacy for Counseling and Counselors: A Professional Imperative

Although advocacy both for clients and for the profession is essential for the future of counseling and counselors, advocacy for the profession has received little systematic attention. A national plan for advocacy is needed, the effectiveness of which depends on achieving consensus concerning professional identity, promoting a positive public image, establishing effective intraprofessional and interprofessional collaboration, and obtaining the participation of each counselor in advocacy activities. Specific professional advocacy skills and techniques are described.     

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.     

Counseling Native Americans: An introduction for Non-Native American Counselors

This article provides a primer on counseling Native American clients for non-Native American counselors and psychotherapists. The diversity of this population is described and a general model of healing from a traditional Native American perspective is presented, with implications for counseling practice. Relevant research is reviewed and practical suggestions are offered for providing counseling services to Native Americans.     

心理咨询中的期望：概念辨析及理论视角

心理咨询中的期望被视为今后心理咨询过程研究和结果研究的核心变量。文献研究发现,过去的研究缺乏理论指导,对心理咨询中的期望还没有形成系统的认识。本文从社会影响力模型、目标动机理论、人际期望效应模型、人际人格理论和社会认知论定义了五种不同的期望,给出了不同定义下期望的相关实证研究,区别了对心理咨询的期望和当事人的期望。为说明不同理论视角下期望的区别和联系,用“现实－幻想”、“情境－稳定”两组概念辨析了心理咨询中的期望的相关理论并提出了今后该领域的研究方向     

Counseling for Dropout Prevention: Applications From Multicultural Counseling

Although high school dropout rates have declined over the past several years, rates remain high for many segments of our population. Most of the attention devoted to dropout prevention counseling has focused on group counseling or programmatic issues, whereas individual counseling has largely been ignored. This article draws on commonalities between multicultural counseling and dropout prevention to produce a general framework for individual counseling with students who have potential to drop out of high school.     

The Relationship Between Multicultural Counseling Training and the Evaluation of Culturally Sensitive and Culturally Insensitive Counselors

In a study, multicultural counseling training contributed significantly to the variance in ratings of a culturally sensitive counselor. No significant contribution was made to the variance in ratings of the culturally insensitive counselor. Possible explanations and implications of these results in multicultural counseling supervision are discussed.