Parental Involvement in School Counseling Services: Challenges and Experience of Counselor

School counselors include parents as informants in school counseling for various reasons like for consultation and client’s intervention which could lead to a different experience. The objective of the present study was to explore the challenges faced by school counselors when involving parents in the school counseling process and the ways they handle the challenges. The participants consisted of seven school counselors, with whom in-depth interviews were conducted. The subjective experiences of the school counselors were objectively interpreted by the researcher using interpretative phenomenological analysis. The research results were categorized into master and subordinate themes using double hermeneutics. The results revealed that although school counselors have their own individual perceptions of challenges and methods of handling parental inclusion in the school counseling context, there still exist similarities in their methods of handling. The study highlights school counselors’ beliefs about parents’ perceptions and expectations of counseling as well as parents’ reaction toward their child’s problem as a challenge. The findings throw light on the need for stronger evidence-based practices and policies for school counseling programs. Training and competence-building programs for school counselors would improve the service delivery.     

Occupational Information Systems and the Department of Labor

In eight states, counselors and people making career choices now have a new tool for getting the information they need. Occupational information systems are delivering up-to-date, accurate information about occupations and local employment conditions in Alabama, Colorado, Massachusetts, Michigan, Minnesota, Ohio, Washington, and Wisconsin. Funded with seed money from the U.S. Department of Labor's National Occupational Information Service, the development of these systems is guided by these key principles: cooperation between producers and users of occupational information; intensive information-development efforts that maximize the use of available information; systematic information delivery; user services, training, and marketing efforts; and cost sharing and eventual self-support.     

Employability of Genetic Counselors with a PhD in Genetic Counseling

The development of a PhD in genetic counseling has been discussed for more than 20 years, yet the perspectives of employers have not been assessed. The goal of this qualitative study was to gain an understanding of the employability of genetic counselors with a PhD in genetic counseling by conducting interviews with United States employers of genetic counselors. Study participants were categorized according to one of the following practice areas: academic, clinical, government, industry, laboratory, or research. All participants were responsible for hiring genetic counselors in their institutions. Of the 30 employers interviewed, 23 envisioned opportunities for individuals with a PhD degree in genetic counseling, particularly in academic and research settings. Performing research and having the ability to be a principal investigator on a grant was the primary role envisioned for these individuals by 22/30 participants. Employers expect individuals with a PhD in genetic counseling to perform different roles than MS genetic counselors with a master's degree. This study suggests there is an employment niche for individuals who have a PhD in genetic counseling that complements, and does not compete with, master's prepared genetic counselors.     

Religious Identity Status as a Model to Understand,Assess, and Interact With Client Spirituality

Spirituality and religion are important concerns for many people; consequently, counselors must possess the knowledge and skills required for assisting clients with these issues. This article offers a conceptual framework, based on E. H. Erikson's (1980) notion of identity formation, for understanding, assessing, and discussing spirituality and religion. Religion can play a significant role in the structure of identity and can be categorized into four statuses: Diffusion, Foreclosure, Moratorium, and Achievement. Religious identity status can provide direction and guidance for counselors who wish to integrate spirituality and religion into counseling.     

Islamic Approach in Counseling

A religious approach is one of the matters emphasized in counseling today. Many researchers find that there is a need to apply the religious element in counseling because religion is important in a client’s life. The purpose of this research is to identify aspects of the Islamic approach applied in counseling clients by counselors at Pusat Kaunseling Majlis Agama Islam Negeri Sembilan (PKMAINS). In addition, this research also analyses the Islamic approach applied in counseling at PKMAINS with reference to al-Quran and al-Sunnah. This is a qualitative research in the form of case study at PKMAINS. The main method used in this research is interview. The research instrument used is interview protocol. The respondents in this study include 9 counselors who serve in one of the counseling centers in Malaysia. This study also uses questionnaire as an additional instrument, distributed to 36 clients who receive counseling service at the center. The findings of the study show that the Islamic approach applied in counseling at PKMAINS may be categorized into three main aspects: aqidah (faith), ibadah (worship/ultimate devotion and love for God) and akhlaq (moral conduct). Findings also show that the counseling in these aspects is in line with Islamic teachings as contained in al-Quran and al-Sunnah.     

Meditation—Psychologically and theologically considered

Considerable recent research on the psychology of meditation provides valuable guidance to religious meditators and pastoral counselors. The present paper summarizes this research under six topic headings, moving from the most common effects of regular meditation to the most subtle and rare: inducement of relaxation, gradual alleviation of anxieties, release of repressed psychic material, spontaneous physical adjustments, dissolution of habitual patterns of perception and cognition, and the attainment of an abiding state of altered consciousness. Contemporary research confirms traditional wisdom and suggests that meditation is recommended under ordinary circumstances only for those who have a stable personality and a supportive social environment. Such psychological material represents an initial, viable understanding of mysticism. Theological considerations do not invalidate psychological conclusions. Rather, the faith-filled appropriation of scientific findings draws them into a broader context that highlights their full significance.Dr. Helminiak pursues research in spirituality through study of psychology at Boston University and in-patient service at McLean Hospital. His address is 2 Mt. Vernon Street, Dorchester, Massachusetts 02125.     

A survey of genetic counselors' strategies for addressing ethical and professional challenges in practice

There is limited research about ethical and professional dilemmas that genetic counselors encounter in their practice and their strategies for addressing them. In this study, 454 genetic counselors rated the frequency with which they encounter each of 16 ethical/professional challenges identified and categorized previously (McCarthy Veach P, Bartels DM, LeRoy BS (2001) J Genet Couns 10(2):97–119). Over 40% indicated these issues occurred frequently: patient emotions, diversity, financial constraints, uncertainty, and colleague error. Two hundred and fifty-five respondents provided personal anecdotes describing exceptionally challenging situations and recommended strategies for addressing them. Most of their anecdotes involved informed consent, value conflicts, confidentiality, colleague error, withholding information, and resource allocation. The most frequently recommended strategies were further discussion with patient, consultation with other professionals, and referral to other health sources. Thirty-five respondents were unable to/did not offer strategies. Respondent demographics were not related to frequency of issues, type of anecdote, or recommended strategies. Practice, policy, and research implications are discussed.     

Peer Relationships and Male Academic Achievement: A Review and Suggested Clarification

Earlier reviews of the research have reached conflicting conclusions about the relationship between social behavior and academic achievement. A brief but comprehensive review is presented. It is suggested that there is greater consistency in this research area than has previously been noted. When the research is categorized according to sample age level, it is found among younger subjects that high achievers tend to be more socially active than low achievers, while among college-age students, low achievers tend to be the more socially active. Questions are raised which future research might investigate.     

A Comparison of Verbal Response Modes Used by Master's-Level Career Counselors and Other Helpers

The verbal response modes of 4 master's-level career counselors, each in middle sessions of career counseling with 2 adult clients, were categorized and compared with those of other types of helpers. Career counselors primarily used information, direct guidance, paraphrase, and closed question. In comparison with data presented in Hill, Thames, and Rardin (1979) Toro (1986) and Levy (1989) career counselors were most similar to Albert Ellis, mental health professionals, psychologists on radio talk shows, and family practice lawyers in that all frequently used information and direct guidance. They were most dissimilar to Carl Rogers, who used more paraphrase, interpretation, and confrontation.     

Collaboration of Colorado Cancer Genetic Counselors to Integrate Next Generation Sequencing Panels into Clinical Practice

The recent introduction of clinically available next generation sequencing (NGS) cancer panels has presented new challenges for genetic counselors. Determining which patients are appropriate for NGS panel testing is complex. Due to the large number of genes included in the NGS panels, thorough and appropriate pre-test counseling and interpretation of NGS results can be a time-consuming and difficult process. Many of the genes associated with increased cancer risk lack published clinical management guidelines and estimates of cancer risk for individuals with deleterious mutations. In order to efficiently and effectively review the clinical utility of NGS panels, Colorado cancer genetic counselors formed a working group to gain a better understanding of the genes included in NGS cancer panels. This publication reports on the approach of this group, the process used to evaluate a selected NGS panel, future directions for this collaboration, and ideas for other genetic counselors to form similar groups to efficiently evaluate new technologies and improve practice.     

Parents’ Perceptions of Autism Spectrum Disorder Etiology and Recurrence Risk and Effects of their Perceptions on Family Planning: Recommendations for Genetic Counselors

Knowledge about the etiology of Autism Spectrum Disorders (ASDs) is increasing, but causes remain elusive for most cases. Genetic counselors are positioned to help families that have children with ASDs despite uncertainty regarding etiology. To determine how genetic counselors might best provide services, an anonymous survey was conducted with 255 parents whose children were diagnosed on the autism spectrum. Questions concerned: 1) their perceptions of ASD cause(s) and 2) recurrence risk, 3) whether perceived risk affected family planning decisions, 4) whether parents had received genetic services, and 5) how genetic counselors might assist families. The most prevalent perceived cause was genetic influences (72.6%). Most parents’ recurrence risk perceptions were inaccurately high and significantly affected family planning. Only 10% had seen a genetic professional related to an ASD. Parents provided several suggestions for genetic counselor best practices. Findings indicate the importance of genetic counselor awareness of parent perceptions in order to best help families who have children with ASDs.     

the experience of change and its impact on workers who self‐identify as doing well with change that affects their work

This study sought to understand more about the experience of workers who self‐identified as doing well within the context of volatile and changing work situations. The research results indicate that even those workers who report doing well with change experience a myriad of work‐related, personal life, attitude and approach, and professional life changes. The impacts of these changes can be categorized by theme: psychological, professional/work, emotional, personal/family life, physical, and cultural. Results are framed within the psychological thriving literature. Implications for organizations, counselors, and future research are discussed.     

Presymptomatic testing for huntington diseases: Recommendations for counseling

The discovery of a genetic marker linked to the Huntington disease (HD) gene made it possible to perform presymptomatic genetic testing for this late onset disorder. The first two pilot research programs in the United States, at Massachusetts General Hospital and Johns Hopkins Hospital, began offering testing in the Fall of 1986. Twenty-three centers are now offering this testing as part of their clinical service. As testing for this and other late onset diseases becomes more widespread, it is important to assess what we have learned about offering this test to those at risk. This article presents recommendations based on the author's 5 years of experience offering presymptomatic testing for HD in order to alert counselors to the complexities of offering this type of service.     

Family environment as a predictor of adolescent delinquency

Efforts to decrease delinquency have led many researchers to study the underlying factors that lead youth to engage in delinquent acts. Webber (1997) has suggested that studies of delinquency can be categorized into those positing societal, individual, and/or family etiologies. The current research investigated the latter by assessing the relationship between family environment and delinquency. One hundred twenty-seven 9th-grade students completed the Family Adaptability and Cohesion Evaluation Scales (FACES III; Olson, Portner, & Lavee, 1985) and a modified version of Elliot and Ageton's (1980) Self-Report Delinquency Scale. Results indicated that the relationship between the two scales was moderated by family status (traditional versus nontraditional). The cohesiveness of the family successfully predicted the frequency of delinquent acts for nontraditional families, but failed to predict delinquency for traditional families. Implications for counselors, educators, and parents are discussed.     

How beginning counselors learn: The interaction of personal and professional experiences in counselors with an experiential orientation

Research suggests that the way counselors work is influenced not only by training and practice but also by their personal experiences and qualities. In this study, we aimed to explore how beginning counselors with an experiential orientation integrate the experiences from different sources (e.g. training, supervision, individual therapy, practice, and their personal life) and how they utilize them in practice. Seven in-depth interviews with beginning Gestalt-oriented counselors were conducted and grounded theory method was used for analysis. The results show that personal experiences and qualities play an important role in shaping the way beginning Gestalt counselors work. We conceptualized two main components of counselors’ working style – Personal Core and Professional Extension, and 10 specific types of interaction between these components which were subsumed into two broad categories: (1) cultivation of personal qualities and (2) adoption of new competencies. These findings challenge earlier assumptions that beginning counselors simply imitate their trainers, supervisors, and senior colleagues. Implications for further research and use in practice are discussed.     

The Predictive Value of a Student's Choice of Vocation

Using large samples of college students, this study compares the forecasting value of a student's initial report of his vocational choice with the Vocational Preference Inventory. Student vocational choices were categorized according to a 6-category classification scheme for men and an 8-category scheme for women. The relationships between initial and final vocational choices, and between VPI high-point codes and final vocational choices over 8- and 12-month intervals, were examined. The results indicate that the predictive efficiency of a student's expressed choice is about twice that of the Vocational Preference Inventory. The results suggest that researchers and counselors should make greater use of a person's expressed choices and that interest inventories should be used with more discrimination. Implications for future research and practice are discussed.     

Counseling Military Populations: A Content Analysis of Counseling Journals From 1998 to 2018

Mental health scholarship of military populations is largely guided by researchers in psychiatry and psychology. Recent advocacy efforts have created increased opportunities for professional counselors to serve military clients, but the research within the profession has yet to be explored. A content analysis of 23 professional counseling journals from June 1998 to June 2018 was conducted to determine military population research trends. Findings indicated that counselors are researching topics similar to those of other mental health fields, such as posttraumatic stress, but are contributing to those topics conceptually rather than empirically. Topical areas in which counselors do produce more empirical studies include career counseling, and these studies relied on college student veteran populations. Suggestions for incorporating the philosophical principles of counseling into future research are provided to inform the trajectory of military scholarship in the profession.     

The Treatment Planning of Experienced Counselors: A Qualitative Examination

Using consensual qualitative research, the authors examined the treatment planning process of experienced counselors (N = 9). The data analysis resulted in 4 domains: assessment steps, clinical impressions, treatment factors, and treatment strategies. These domains describe the process used by experienced counselors in making clinical decisions and offer insight into the nature of clinical expertise and the need for further research on treatment planning.     

Counselors' Perceptions of Ethical Behaviors

A random sample of American Counseling Association members was asked to respond to a 77‐item survey of counselor behaviors and identify whether each behavior was ethical or unethical. Results are categorized by behaviors in which 90% of counselors agreed, 75% to 90% agreed, and 25% to 50% disagreed. Also, changes in ethics education were reviewed and chi‐square statistics were examined for differences based on demographics: gender, age, specialty area and position held, ethnicity, and degree.     

A Relational Approach to Genetic Counseling for Hereditary Breast and Ovarian Cancer

Ethical issues arise for genetic counselors when a client fails to disclose a genetic diagnosis of hereditary disease to family: they must consider the rights of the individual client to privacy and confidentiality as well as the rights of the family to know their genetic risk. Although considerable work has addressed issues of non-disclosure from the client’s perspective, there is a lack of qualitative research into how genetic counselors address this issue in practice. In this study, a qualitative approach was taken to investigate whether genetic counselors in Australia use a relational approach to encourage the disclosure of genetic information from hereditary breast and ovarian cancer (HBOC) clients among family members; and if so, how they use it. Semi-structured qualitative interviews were conducted with 16 genetic counselors from selected states across Australia. Data collection and analysis were guided by a basic iterative approach incorporating a hybrid methodology to thematic analysis. The findings provide indicative evidence of genetic counselors employing a relational approach in three escalating stages––covert, overt and authoritative––to encourage the disclosure of genetic information. The findings lend credence to the notion that genetic counselors envision a form of relational autonomy for their clients in the context of sharing genetic information, and they depart from individualistic conceptions of care/solely client-centered counseling when addressing the needs of other family members to know their genetic status.