Personal growth: Rogerian paradoxes

The rationale for personal development work in counsellor training stems directly from Rogers' claim of a selective constructive tendency. The basis for this belief and its implementation in experiential learning shows a number of paradoxes: the model of a growing flower—a rigid, rule-following system—is presented as evidence of the potential for positive change; self-actualisation is claimed to be the power force of life, yet is so fragile that it fails most of us; self-knowing involves finding meanings—a cognitive task—yet personal development programmes are based on non-cognitive knowing. The Rogerian rationale for personal development work is thus fatally flawed.     

Historical influences on the use of assessment methods in counseling psychology

This paper considers the effects of four historical influences on the use of assessment methods in counseling psychology: the vocational guidance, psychometric, mental hygiene, and Rogerian counseling/psychotherapy traditions. Each historical influence is examined, and some of the implications each influence has had on our current use of or manner in approaching assessment methods are considered.     

Rogerian theory: A critique of the effectiveness of pure client-centred therapy

Rogers' Client-Centered Therapy (RCCT) included the phenomena 'phenomenology' (i.e., multiple reality theory) and the 'innate desire to self-actualize', maintained by the organismic valuing process. RCCT also assumed that the therapist, to produce positive outcome, was required to feel and demonstrate unconditional positive regard and genuineness toward the client. The present review evalued the fundamental accuracy of these phenomena and their effectiveness in a counselling setting. Additionally, RCCT effectiveness was weighed against the developmental-interactional concept for therapeutic outcome. It is suggested an eclectic approach is more effective in couselling than either argument.     

Brief counseling to reduce AIDS risk in intravenous drug users and their sexual partners: Preliminary results

Intravenous drug users (N = 88) and their sexual partners (N = 45) were randomly assigned to either a brief counseling intervention or an information-brochure only condition (aimed at reducing behavioral risk for HIV infection). At 10 day follow-up, intravenous drug users exposed to brief counseling were more knowledgeable about risk behaviors, and reported higher levels of self-efficacy and communication skill, and more frequent use of condoms and sterilisation of needles. At 90 day follow-up, intravenous drug users were more accepting of guidelines to reduce sex-related risk and reported greater self-efficacy in relation to drugs. Sexual partners who received brief counseling showed a small reduction in unprotected sex (at 90-day follow-up), while those receiving brochures were slightly less likely to use condoms. Methodological problems of the study are discussed.     

Human values and counseling

The author describes some of the philosophical and practical problems concerning personal values and professional ethics that counselors encounter in their work. She discusses ethical problems in counseling research and practice and points out some of the differences among various types of deliberate influence and implicit influence.     

The draft and counseling

This article regards draft counseling as a specialized extension of personal, educational, and vocational counseling. It can be a necessary and valuable outreach program and is needed because most students are unaware of their rights under the Selective Service System. Professional counselors have a crucial role to play in draft counseling by helping to establish a Draft Information Center, by training and supervising students and faculty as draft counselors, and by serving as a referral source for individuals needing further counseling. Suggestions are included for the establishment of a Draft Information Center in high schools and colleges.     

Sexual counseling and therapy

Abstract

This article is an edited version of four interviews conducted with Dr. Ivan Boszormenyi-Nagy in the Spring of 1980. The interviews ranged in content from Dr. Nagy's early training and influences to the theoretical and clinical foundations of contextual family therapy. This article focuses on the major constructs of contextual family therapy. Since this approach is often viewed as highly theoretical and conceptual in nature, it may be helpful to the practitioner to see how Dr. Nagy uses these constructs in a clinical situation. As a practitioner, I have found his theory extremely useful in conceptualizing the family system, and also in developing a treatment strategy. Hopefully, the questions asked of Dr. Nagy in these interviews will be of interest to other family therapists who are concerned with the clinical aspects of family therapy theories.     

Nondirectiveness and genetic counseling

Nondirectiveness is the generally required and professed standard for genetic counseling. However, studies are lacking in the field of human genetics and in other disciplines which address either the theory or practice of this type of therapeutic procedure in the context of genetic counseling. Moreover, there is no indication the further development this concept has undergone in client-centered therapy has been acknowledged in human genetics. This could be due tot he historical development of genetic counseling, its inherent conflicts and often undefined goals, and the latent need of human geneticists to defend themselves against being accused of eugenic tendencies. Nondirectiveness and directiveness, however, can neither adequately describe what takes place in genetic counseling, nor can they — according to their original meaning — be used to define an ethical standard of genetic counseling. Starting with the writings by Carl Rogers (1942), an experiential approach is described, in which counseling is seen as a process of influence, which is wished by all the persons involved, during which activities are oriented toward the experience of the client, and which allows the counselor to communicate openly and directly with the client. The present study illustrates the use of the experiential approach in genetic counseling and shows that it can uphold the principle of ethics, which nondirectiveness demands and, at the same time, prevent the inevitable and unresolvable contradictions. This means that in their training genetic counselors must learn to recognize and constantly reflect on the influence they can and want to exert. In order to be able to use this influence in a responsible manner, genetic counselors must also learn to have a certain degree of flexibility so that they are able to check at any time how their client responds to this influence.     

Models of genetic counseling and their effects on multicultural genetic counseling

This theoretical paper examines challenges to multicultural genetic counseling, counseling between culturally different clients and counselors, in the context of Kessler's typology of models of genetic counseling (Kessler S (1997) J Genet Counsel 6:287–295). It is suggested that challenges such as resistance to multicultural genetic counseling education may be due to conceptions about genetic counseling as a biomedical field that transcends questions of culture as well as lack of multicultural training or prejudice. Directions for future research and recommendations for multicultural genetic counseling education are briefly explored.