Psychotherapy and Religion: Rapprochement or Antithesis?

Religion and psychotherapy have long maintained separate directions, currently manifested in four viewpoints: orthodox, atheistic, neutralist, and moderate. Although each therapeutic viewpoint is distinct, each contains the seed for rapprochement. The need for a rapprochement that provides professional psychotherapy capable of addressing religious issues is clearly voiced by laypersons, who are clients or potential clients, and by members of the clergy and psychotherapeutic professions. Increasing numbers of ministers now receive professional preparation for pastoral counseling. It is timely for those in the counseling professions to consider seriously specialized education and certification in religious counseling for secular psychotherapists.     

Male Client—Female Therapist

An understanding of the destructive effects of the traditional sex role stereotype on men is important to the female therapist who works with male clients. Males receive strong cultural training that inspires resistance to the vulnerable, emotional, feminine side of their natures and an unwillingness to seek assistance. This article examines difficulties presented by male clients who do seek therapy together with approaches to assisting in the development of a more balanced life that permits both masculinity and femininity in each person.     

Observations with self-embedded sentences using written aids

Self-embedded sentences of any degree beyond one are permitted by the syntactic rules of English, yet previous studies report that Ss typically reject these sentences as being ungrammatical and, in addition, often cannot recover the meaning of these sentences. The present paper investigated the possibility of introducing specially structured self-embedded sentences as “aids” to the discovery of the structure of more complex self-embedded sentences. The group of Ss who received these aids performed significantly better in discovering the subject-verb and subject-object assignments in the complex sentences (many achieved perfect scores) in contrast to Ss who did not initially receive these aids (these latter Ss obtained close to the minimum possible scores).     

Marriage guidance counselling: I. What clients think will help

Thirty-one first-time attenders for marriage guidance counselling were given a non-schedule standardised interview and a client questionnaire. The main aim was to identify the counselling and counsellor characteristics which clients considered would be most helpful in dealing with their problems. Traditional counselling skills such as the ability to be warm, supportive, understanding and a good listener were seen to be important by most clients. However, the vast majority of clients indicated that it would be helpful to receive the counsellor's opinion about their marriage, their personal problems and marriage in general: this is incompatible with a non-directive approach to counselling. Whilst clients may not know best how they should be helped, counsellors who fail to address their preconceptions risk mutual disappointment and premature termination of counselling.     

Religious Diversity From a Jewish Perspective

The exploration of spiritual and religious diversity may receive less attention in counselor education than is warranted, resulting in counselors who are unprepared to deal with spiritual and religious issues in counseling. This trend could have a negative impact on Jewish clients, as well as on other religious clients, who feel that issues related to their identity are ignored. The Council for Accreditation of Counseling and Related Educational Programs (2001) has recognized that religious diversity is an integral component of the multicultural counseling movement, but counselor education and training programs, as a whole, still need to embrace this standard.     

Using Web-Based Technology to Facilitate Client Engagement

To meet the needs of clients, mental health clinics must offer responsive, organized intake procedures. Clients who receive rapid intervention when they request therapy services are more likely to attend and benefit from therapy. The present study examined the effects of implementing a web-based scheduling program on treatment delays and first session attendance. Results indicated that the use of a web-based scheduling system significantly reduced the number of days clients waited for a first appointment and increased the number of kept appointments. Additionally, clients provided with an immediate response to their request for treatment successfully terminated from therapy after fewer sessions.     

Evidence for terror management theory: I. The effects of mortality salience on reactions to those who violate or uphold cultural values

On the basis of terror management theory, it was hypothesized that when mortality is made salient, Ss would respond especially positively toward those who uphold cultural values and especially negatively toward those who violate cultural values. In Experiment 1, judges recommended especially harsh bonds for a prostitute when mortality was made salient. Experiment 2 replicated this finding with student Ss and demonstrated that it occurs only among Ss with relatively negative attitudes toward prostitution. Experiment 3 demonstrated that mortality salience also leads to larger reward recommendations for a hero who upheld cultural values. Experiments 4 and 5 showed that the mortality salience effect does not result from heightened self-awareness or physiological arousal. Experiment 6 replicated the punishment effect with a different mortality salience manipulation. Implications for the role of fear of death in social behavior are discussed.     

'No-show': therapist racial/ethnic disparities in client unilateral termination

In the present study, the authors examined the source of racial/ethnic minority (REM) disparities in unilateral termination (i.e., the client ending therapy without informing the therapist)--a form of dropout that is associated with poor alliance and outcome. First, the authors tested whether some therapists were more likely to have clients who reported unilaterally terminating as compared with other therapists. Next, the authors examined 2 competing hypotheses regarding the therapists role in termination disparities: (a) that racial/ethnic disparities in unilateral termination are similar across therapists and thus due to other components of the treatment process or (b) that racial/ethnic disparities in unilateral termination are specific to therapists, where some therapists are more likely, on average, to have higher rates of unilateral termination with REM clients as compared with White clients. The sample included 155 REM clients and 177 White clients who were treated by 44 therapists at a university counseling center. The results showed that therapists accounted for a significant proportion of the variation in clients' unilateral termination, and REM clients were more likely to report they unilaterally terminated from therapy as compared with White clients. Furthermore, racial/ethnic disparities in clients' report of unilateral termination varied across therapists' caseloads. These results suggest that therapists have a central role in their clients' unilateral termination and have implications for understanding racial/ethnic mental health disparities.     

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.     

Negativity in psychotherapists' evaluations of clients and personal acquaintances

Forty-seven psychotherapists were studied to determine if they construed their clients more negatively than personal acquaintances. The sample included personal construct therapists, psychoanalytic candidates, and therapists from a community mental health center; they varied in terms of sex, age, years of experience, and clinical discipline. Subjects chose six personal acquaintances and six nonpsychotic individual-therapy clients who were then used as elements in a repertory grid. Constructs were elicited by comparing pairs of elements; all elements were rated on the constructs. Elements were also directly rated on several dimensions, including liking and similarity to self. Results indicated that therapists selectively focused on clients' negative characteristics and acquaintances' positive characteristics. Clients were liked less than acquaintances and were judged to be less like the self. The correlations between valuative variables tended to be higher in the construing of clients than in the construing of acquaintances, whereas expected improvement with therapy was not related to affective evaluation. There were no gender differences in these effects. Although there were no differences in degree of negative construal of clients among the therapist subgroups, the psychoanalytic candidates construed acquaintances less positively than did other therapists. The results suggest that deviancy may be a major dimension distinguishing therapists' construal of clients from their construal of acquaintances. This dimension may result from both therapeutic ideology and the fact that clients selectively present negative aspects of themselves in therapy, producing a bias in the information therapists receive. Possible negative implications for the therapeutic relationship are discussed.     

Dichotic word-perception of aphasic and normal subjects.

The present investigation examined the role of the right cerebral hemisphere in linguistic perception following a left cerebral insult which had resulted in aphasia. Auditory dichotic procedures were utilized to investigate the ear-preferences of 30 aphasic Ss, grouped relative to the amount of time since the onset of left cerebral insult, and a group of 10 normal control Ss. An oral-response task and a pointing-response task were given. Statistical analyses showed a significant left-ear preference for aphasic Ss who were more than 6 mo. post-cerebral insult; however, Ss less than 6 mo. post-cerebral insult did not demonstrate a significant ear-preference under auditory dichotic stimulation. In contrast, a significant right-ear preference was noted for the normal controls. Significant differences were not shown for the aphasic or control groups on the oral and pointing tasks.     

Preparing Individuals for job Interviews: Suggestions From More Than 60 Years of Research

After a review of the existing literature on employment interviews, the findings are organized into a four-phase model for implementing training programs that prepare clients to interview more effectively. The four phases include developing realistic expectations, developing successful interviewing skills, using effective training procedures, and preparing clients to cope with rejection shock. The importance of active preparation for job interviews and the counselor's potential role in this process are emphasized.     

Sex Role and Attitudinal Correlates of Desired Family Size

A survey conducted in 1971 with college students as respondents tested the hypothesis that persons approving of a relatively equivalent pattern of sex roles desire to have smaller families than do persons approving of less equivalent sex roles. Though the hypothesis was confirmed for the number of children that Ss desired to procreate, approval of sex role equivalence appeared to be only one component of a more general pattern in which Ss who desired to procreate fewer children were nontraditional in their attitudes. Thus, to the extent that Ss approved of equivalent sex roles, favored Women's Liberation, opposed conservatism, favored liberalism, and considered themselves nonreligious, they tended to have smaller family size goals for biological parenthood. However, the role and attitudinal predictors related less strongly to the total number of children desired (i.e., the sum total of the number of children desired as a biological parent plus the number of adoptions desired).     

Operant GSR conditioning with cool air reinforcement

Two groups of 20 Ss each were run individually in a soundproof chamber heated to 115 F and humidified to 100%. Ss in the experimental group received brief presentation of cool air contingent upon emitted GSRs during 20 min of acquisition. Control Ss were matched one at a time in operant rate and were yoked one at a time to receive the cool air on a response-independent schedule. Both groups increased significantly in rate of unelicited GSRs during acquisition, with the experimental Ss’ curve rising more rapidly and both groups attaining equivalent terminal levels. During extinction, the groups maintained high levels of responding and did not differ. Examination of basal skin conductance data ruled out an activation hypothesis. In the control Ss, terminal response frequency was significantly correlated with percentage of fortuitous response-contingent reinforcement. It was concluded that both groups were conditioned, with the controls receiving intermittent reinforcement sufficiently often to elevate their responding. The cool air was judged to be an effective reinforcer of unelicited GSRs, perhaps more effective than those used in previous studies.     

Positive Emotions Speed Recovery from the Cardiovascular Sequelae of Negative Emotions

Two studies tested the hypothesis that certain positive emotions speed recovery from the cardiovascular sequelae of negative emotions. In Study 1, 60 subjects (Ss) viewed an initial fear-eliciting film, and were randomly assigned to view a secondary film that elicited: (a) contentment; (b) amusement; (c) neutrality; or (d) sadness. Compared to Ss who viewed the neutral and sad secondary films, those who viewed the positive films exhibited more rapid returns to pre-film levels of cardiovascular activation. In Study 2, 72 Ss viewed a film known to elicit sadness. Fifty Ss spontaneously smiled at least once while viewing this film. Compared to Ss who did not smile, those who smiled exhibited more rapid returns to pre-film levels of cardiovascular activation. We discuss these findings in terms of emotion theory and possible health-promoting functions of positive emotions.     

Positive Emotions Speed Recovery from the Cardiovascular Sequelae of Negative Emotions

Two studies tested the hypothesis that certain positive emotions speed recovery from the cardiovascular sequelae of negative emotions. In Study 1, 60 subjects (Ss) viewed an initial fear-eliciting film, and were randomly assigned to view a secondary film that elicited: (a) contentment; (b) amusement; (c) neutrality; or (d) sadness. Compared to Ss who viewed the neutral and sad secondary films, those who viewed the positive films exhibited more rapid returns to pre-film levels of cardiovascular activation. In Study 2, 72 Ss viewed a film known to elicit sadness. Fifty Ss spontaneously smiled at least once while viewing this film. Compared to Ss who did not smile, those who smiled exhibited more rapid returns to pre-film levels of cardiovascular activation. We discuss these findings in terms of emotion theory and possible health-promoting functions of positive emotions.     

Comorbidity and Related Factors Among Ethnically Diverse Substance Using Pregnant Women

Studies have established that comorbidity needs to be considered when assessing and treating substance-using clients. This study explores course of treatment, risk factors, and drug-related issues among 192 ethnically diverse pregnant women who were actively using drugs at admission to a residential treatment program. Findings revealed that course of treatment is more difficult for comorbid clients who perceived more treatment barriers than noncomorbid clients. Comorbid clients were more likely to have a history of attempting suicide but no more likely to have been reported for child abuse or charged with a crime. Comorbid clients reported greater severity of alcohol use but did not differ from noncomorbid clients regarding drug of choice. Comorbid clients were no more likely to leave against treatment advice, and noncomorbid clients were no more likely to complete treatment. Findings suggest that sensitivity to comorbidity issues is crucial to retaining comorbid clients in treatment.     

Word knowledge and production of original verbal responses in deaf children.

Verbal originality scores were obtained from Onomatopoeia and Images, Form 1B, given t0 182 deaf Ss aged 10 to 19 yr. Ss who had been taught the onomatopoetic words scored higher than Ss who had not been taught the words. There was a main effect for age, with older Ss having significantly higher means than younger Ss. No significant interactions occurred.     

A gift from the ghetto

Counselors and their clients must communicate effectively. Because the trained counselor is not always able to relate to the problems of his clients who are both black and poor, this article examines the significant role that paraprofessionals, or indigenous counselors, can play in the ghetto.