BEHAVIORAL INTERVENTION STRATEGIES FOR EMPLOYMENT COUNSELING

There is currently considerable impetus for applying behavioral intervention strategies to a variety of counseling settings. This discussion seeks to extend the application of these procedures to the employment security counseling situation. Unemployment is seen as unadaptive behavior, and its antecedent conditions are examined. Behavioral counseling tactics of goal-setting, contingency management, counter-conditioning procedures, and social systems intervention are considered in relation to the employment counselor's repertoire of potential helping responses. A hypothetical case is discussed to illustrate the application of these procedures. This case includes potential applications in systematic desensitization, assertion training, modeling and behavioral rehearsal, manipulation of reinforcement contingencies, and intervention in the employment system.     

Suicide prevention in the genetic counseling context

Utilizing a case report, this paper explores psychosocial aspects of suicidal intent in a woman seeking prenatal diagnosis. Using knowledge and practice of appropriate assessment, referral, and intervention procedures, the therapy team of genetic counselor and psychotherapist facilitated successful identification and management of this potentially suicidal client. The main counseling goals for the genetic counselor are to assess the situation adequately, decrease the immediate danger, and, with supervision and/or consultation, stabilize the seriously suicidal person until that individual can be triaged to mental health or medical professionals for treatment. The prevalence of suicide issues in genetic counseling contexts is unknown and reports mentioning suicidal ideation unusual in the genetic counseling literature. Is this reported case a rarity among genetic counseling referrals? Systematically collected information on the prevalence and resolution of suicidal issues in genetic counseling contexts would be helpful for those setting curricula for genetic counseling training programs, standards for professional certification exams, and policy and procedures manuals for clinical units.     

Accountability: A Total Commitment

The counseling profession has the knowledge and methodology to provide accountability in delivering its services. What remains is for leaders to use these resources and to develop more effective services. This article describes the program concepts and procedures implemented in one state employment service agency to establish an accountable counseling program. These procedures include the development of a compentency-based training and supervision system. The competency model is described and its goals are specified. Accountability at all levels of the system is defined, including the responsibility of management to guarantee the public quality counseling services.     

Counselor Effectiveness: An Instructional Approach

Some problems associated with evaluating counseling are presented, and an instructional approach is offered as an alternative. Some data collection procedures are outlined.     

Psychological Aspects of Genetic Counseling. IX. Teaching and Counseling

The goals, philosophies, and procedures of the teaching and counseling approaches to genetic counseling are differentiated and compared. The teaching approach, inherited from academic practitioners earlier in this century, appears to remain the dominant form of contemporary practice. With the introduction of more nonphysician professionals, attempts are being made to combine a teaching model with counseling procedures. The goals of the two models are conspicuously different; one attempts to end up with an educated counselee whereas the other hopes to leave the latter psychologically more autonomous and functional. Both models have strengths and limitations. The teaching model is essentially a form of health education, not counseling, and, with some exceptions, tends to fulfill its goals. The strategy of teaching, however, tends to undermine the psychological self-directedness of counselees and thus interferes with the processes they need to draw on to make autonomous decisions. The strength of the counseling model is in helping counselees reach decisions and deal with the personal meaning of information. However, applying this model makes huge demands on the professional. Greater attention needs to be given by training programs to the pedagogical and counseling skills genetic counselors may need in their professional work.     

Maintaining the viability of counseling psychology: The role of research training

Data and trends affecting the future of counseling psychology are discussed. It h concluded that the future existence of the specialty is largely influenced by the research productivity of counseling psychologists. A major factor affecting that productivity is the quality and effectiveness of research training provided to graduate students. The empirical literature on research training is reviewed with respect to procedures for increasing research productivity. Suggestions for modifying graduate research training are discussed.     

Mandated Disciplinary Counseling on Campus: Problems and Possibilities

Because of increased student misconduct in academic institutions, counselors have had to use traditional voluntary counseling models with involuntary disciplinary clients. The authors propose a policy position that would preclude mandated treatment and instead place an emphasis on counseling readiness programming for disciplinary referrals. A stages of behavioral change model is offered as a tool to articulate when counseling can be effective with students entangled in disciplinary procedures.     

Using Qualitative Appraisal Strategies in Career Counseling

This article examines the role of qualitative career assessment strategies in career counseling. Their use, especially in enlivening the career counseling process, is emphasized. Four specific procedures—life career assessment, life line, genogram, and Super's (Super, Savickas, & Super, 1996) Life Career Rainbow—are discussed.     

Sex-role socialization and employment realities: Implications for vocational interest measures

Methods for reporting vocational interests which do and do not reflect sex-role stereotypes are examined. Interest inventory validation procedures based on the prediction of occupational preference and group membership are shown to favor inventories providing scores that reflect past sex-role stereotypes and current employment inequities. Reporting and validation procedures minimizing these shortcomings are suggested. These procedures, which are supported by past practice and recent research, result in similar interest score distributions for men and women. Finally, career counseling problems arising from the confounding of reports of human interests with current employment realities are discussed.     

Counseling Rejected Applicants: Feedback for Career Development

In this article the author points out the need for more adequate counseling with an often neglected segment of the population: rejected applicants to higher education. He delineates the roles, functions, and problems of the counselor in this situation, using as an example current procedures for counseling rejected applicants in the Yale Physician's Associate Program. The article contains recommendations for counselors, so that they might become more familiar with the problems and functions of admissions committees, and for admissions committees, so that they might enlist the aid of those with counseling training in both the admissions process and the counseling of rejected applicants.     

Effectiveness of nursing counseling on coping and depression in women undergoing in vitro fertilization

The purpose of present study was to evaluate the effectiveness of counseling provided by nurses on depression and coping strategies of infertile women undergoing in vitro fertilization (N=67). Of the 84 women who were interviewed, 30 were accepted as a comparison group, and 37 were included in the study group. The study group women were given counseling in addition to routine nursing care services, including group education and individual interviews about treatment and coping strategies. The nurses also provided support by accompanying the women during the invasive procedures. The Beck Depression Inventory and Jalowiec's Coping Strategies Form were used for measurements. All the women were using emotional coping and had moderate depression prior to the study. There was no statistically significant difference between the comparison and study groups before or after the counseling with respect to depression and coping strategies. Parameters to evaluate the efficacy of counseling are discussed.     

A Second Look at the Revolution in Counseling

In 1965 the revolutionary counseling development was tailoring specific behavioral goals with clients and testing innovative procedures to help clients learn how to achieve their goals. Since then an experimental self-correcting approach has produced a variety of techniques known to help clients overcome many problems, and has led substantial numbers of counselor educators to teach behavioral approaches to counselors. Future counseling will emphasize prevention more than remediation, internal more than external control, and a better balance among cognition, emotion, and action. Anyone can join the continuing search for better procedures to help clients learn.     

Building on an Empirical Foundation: Strategies to Enhance Good Practice

Reviews of the research literature on outcomes in counseling agree that counseling works. It is also possible to use research to identify strategies for increasing the probability of successful counseling. Such strategies include careful assessment of the client, matching the client and counselor on demographic and attitudinal variables, and maintaining a productive working alliance through open disclosure to the client of the counselor's background and procedures, inquiry into the client's experience of counseling process, and management of client resistance.     

TRAINING COUNSELING SKILLS: AN EXPERIMENTAL ANALYSIS AND SOCIAL VALIDATION

A community development perspective suggests the value of using local resources to solve local problems. Two low-income staff of a community service center served as nonprofessional counselors after receiving a training program consisting of written instructions, practice, and performance feedback. The effects of the 40-hour training program were positive for both counseling and problem-solving skills. There was also evidence of generalization of counseling performance across clients, problems, and time. In addition, expert judges' ratings of performance were obtained as a measure of social validity. These findings suggest that the training procedures are effective in enhancing the counseling and problem-solving skills of low-income nonprofessionals.     

Client Preferences: An Overview of the Literature

The literature on preferences of clients and potential clients with respect to the characteristics and procedures of counselors and psychotherapists is briefly but comprehensively reviewed. Striking gaps are noted in our knowledge of such preferences as they are related to counseling processes and outcomes. Suggestions are made concerning areas and methods of needed research.     

Reciprocity counseling: A rapid learning-based procedure for marital counseling

Existing marital counseling procedures have not been experimentally evaluated or generally have not been based on an experimentally derived theory. The present study formulated a model of marital discord based on reinforcement theory, developed a marital counseling procedure based on that theory and experimentally evaluated its effectiveness. The model viewed marital discord as the resultant of non-reciprocated reinforcement. The counseling procedures attempted to establish general marital reciprocity of reinforcement by teaching reciprocity in several specific areas of marital unhappiness. The reciprocity procedure was conducted for about 3–4 weeks with 12 couples, after first conducting a catharsis-type counseling as a control procedure. The results showed that the reciprocity procedure increased reported marital happiness, whereas the control procedure did not. Once reciprocity was achieved in a specific problem area, the benefits generalized somewhat to other yet-to-be counseled areas. The increase in marital happiness occurred for each of the specific areas of marital interaction, for 96 per cent of the clients, and was maintained and increased during the available follow-up period. These results indicate that the procedure is an effective, rapid and enduring method of producing marital happiness.     

Twin Gestation Pregnancies: Genetic Counseling and Testing Experience

We report on the prenatal genetic counseling and testing experience in 343 pregnancies with twin or higher multiple gestations. By self-report, 8% (27/343) parents of these pregnancies reported meeting with a genetic counselor, and 23% (79/343) elected prenatal genetic testing. The most common testing procedures elected were maternal serum analyte screening and amniocentesis to identify fetuses with aneuploidy or neural tube defects. Use of prenatal genetic testing was correlated with advanced maternal age. No association was found between use of genetic testing and use of OI/ART or the length of time needed to conceive. Forty percent (11/27) of those who met with a genetic counselor opted to decline prenatal testing/screening. These data suggest that although clients with multiple gestation pregnancies would likely benefit from genetic counseling, many are not availing themselves of this service. Implications of these data for the genetic counseling profession are discussed.     

Effectiveness of the GATB and Counseling Combined: Reducing Vocational Training Dropout Rates

Seventy-three male vocational trainees, aged 16 to 22 years, were assigned to one of two groups. The 36 trainees in Group 1 were assigned to a particular vocational course consistent with their GATB profiles and received 3 or more counseling sessions. The 37 trainees in Group 2 received neither prescreening nor counseling sessions but were assigned to their courses because of personal interest and in order to fill vacancies. A phi coefficient of .69, significant at the .01 level, between the combination preparation procedures (prescreening and counseling) and graduation from vocational course was obtained. Further analysis suggests that the combination of counseling and prescreening may reduce dropout rate to a greater extent than prescreening alone.     

Anecdotes for Practitioners

The purpose of this section is to allow our readers the chance to publish “anecdotes” concerning cases they have dealt with as counseling professionals. Stories about problems that you handled, either successfully or unsuccessfully, news of new programs or procedures, or comments on what is happening in the world of counseling—all are appropriate topics for upcoming issues. If you are or have been involved in something you think is interesting, write it down, and don't worry about the prose—that's our job. Send your material to Katy Bennight, 656 S.W. Fourth Terrace, Florida City, Florida 33034.