Brief Answers to 20 Questions About Group Counseling

The author, President of the Association for Specialists in Group Work, a counselor trainer, and a consultant on group counseling, reports the questions he is most often asked and frames his responses in plain language so they may be immediately understood and useful. Although mindful of beginning group counselors, the author speaks clearly in this article to practicing group counselors, drawing on his own extensive experience.     

Why Are Self-Disclosing Counselors Attractive?

Despite much evidence that counselor self-disclosure tends to be favorably received by clients, it is unclear which component is more influential: the act of revealing personal information or the information itself, especially when it implies client-counselor similarity. Based on the social influence model, we contrasted, in a quasicounseling analogue, (a) counselors who disclosed personal material that was similar to the client's problem, (b) counselors who disclosed problematic but irrelevant information, (c) counselors who disclosed nothing, and (d) counselors whose similarity to the client was revealed by someone else. Results show no differential effects on participants' perceptions of the counselor, but postresearch structured interviews indicated that both the disclosures and the similarity information had a considerable impact on participants' experience as clients during the counseling session.     

Multicultural Counseling and Intrapersonal Value Conflict: A Case Study

The internal conflict between professional and personal values that counselors can experience when working with clients whose culture and values are different from their own is discussed. This is not a conflict between the counselor and the client, but is a conflict experienced within the counselor who is attempting to help resolve problems within the client's frame of reference, or worldview. A case study is presented that illustrates the senior author's experience in coping with a specific value conflict. It is suggested that as counselors become more proficient in multicultural counseling and more able to promote decision making from another's point of view, feelings of internal conflicts will decrease. Means of decreasing the likelihood of value conflicts are offered.     

An Exploration of Genetic Counselors’ Needs and Experiences with Prenatal Chromosomal Microarray Testing

Because of the higher yield over traditional chromosomal analysis, chromosomal microarray analysis (CMA) is being used increasingly in prenatal diagnosis. Unfortunately, the clinical implication of many copy number variants found on prenatal CMA is uncertain, complicating genetic counseling. Recognizing that uncertain results will be encountered frequently as more of the genome is assayed prenatally, we set out to understand the experiences and needs of genetic counselors when counseling patients about uncertain prenatal microarray results, their comfort with various aspects of prenatal genetic counseling, and their interest in additional education and training about prenatal microarray testing. We first interviewed 10 genetic counselors about their experiences of providing pre- and post-test genetic counseling about prenatal CMA. Based on the findings from the counselor interviews, we developed items for a survey to assess the prevalence of genetic counselors’ attitudes towards, experience and comfort with, and educational needs regarding prenatal CMA. Based on surveys completed by 193 prenatal genetic counselors, we found that when there is an uncertain CMA result, only 59 % would be comfortable providing genetic counseling and only 43 % would be comfortable helping a patient make a decision about pregnancy termination. Being less comfortable was associated with seeing fewer patients having prenatal CMA testing. Respondents expressed a high degree of interest in additional education about prenatal CMA and counseling about uncertain results. Further genetic counselor education and training aimed at improving counselors’ personal comfort with uncertain results and communicating about them with patients is needed.     

An evaluation of the effectiveness of a telephone counseling center

Three-thousand questionnaires were distributed to students on campus to identify a sample of actual telephone counseling center users and their ratings of the effectiveness of the help received and of the counselor. Ratings of help received and impact of counseling on life as it is today were considered for sex of caller and counselor across type of problem. A sample of 66 actual callers was identified who had used the service for personal problems at least once. Of male callers, 67% reported that telephone counseling helped at least somewhat, while 80% of female callers reported favorable results of telephone counseling. Female callers who talked with male counselors reported a significantly greater impact on their life than did the callers in any other caller/counselor sex interaction. Only one average rating of counseling effectiveness by problem type fell below the neutral rating. Results are presented as evidence for the effectiveness of paraprofessional counselors.     

Counseling Men in Groups

This article advocates group counseling as an effective intervention strategy for problems that characteristically confront men. It is maintained that aspects of the traditional male socialization process create therapeutic obstacles for counseling men in groups; the purpose of the male's defenses is anxiety reduction, although the male's coping behaviors are usually an excellent example of his inner personal problems. Counseling men in groups also has implications for group counselors, specifically with regard to counselor sexism, countertransference issues, and special applications of group counseling techniques and skills.     

Students' preferences for male or female counselors for social and educational problems

Fifty-eight male and 66 female junior high school students were examined to determine their preferences for sex of counselor under personal/social and educational hypothetical counseling situations. Girls demonstrated a definite same-sex preference for both counseling situations, while boys preferred male counselors for personal/social counseling and had opposite-sex preferences for educational counseling. Implications of the findings are discussed in light of earlier contradictory results from research on college students.     

Needs and Preferred Style of Supervision Among Israeli School Counselors at Different Stages of Professional Development

The study aimed to identify differential needs for supervision and preferred roles and style of supervision among 202 Israeli school counselors with varied experience levels. Results of multivariate analysis of variance procedures indicated that counselors with 7 or fewer years of experience consistently expressed significantly higher needs on all but one of the items studied, compared with more experienced counselors and counselor supervisors. The counselor supervisors were also different from the more experienced counselors. By contrast, in respect of roles and style of supervision, there was more agreement across all 4 levels of experience; all counselors placed important values on the counseling, process, and personalization components, suggesting a basic need for growth-oriented supervision.     

An Investigation of Client and Counselor Variables That Influence Likelihood of Counselor Self-Disclosure

Selected client and counselor variables affecting reported likelihood of self-disclosure by 120 experienced clinicians in relation to four scenarios were examined. Variables included client age and diagnosis and counselor gender, experience, and exposure to disclosing counselors in their own experience of counseling. Disclosure likelihood was greatest for high ego-strength diagnoses and for respondents who reported positive disclosures from counselors in their own counseling experiences. Reasons for and against using self-disclosure also were examined. Reasons for disclosing included promoting universality, giving encouragement, modeling, rapport-building, and offering alternatives. Reasons against disclosing included boundary blurring, concern about counselor welfare, merging, and premature closure. Implications for practice and research are discussed.     

Spiritual Evolution of Bereavement Counselors: An Exploratory Qualitative Study

This article draws from a phenomenological study on the experience of being a bereavement counselor. Ten bereavement counselors shared their experiences in bereavement counseling. Spiritual and emotional aspects of bereavement counseling with grieving and dying persons are discussed as well as the spiritual effects on and growth processes of the bereavement counselors. Participants also describe their self‐care strategies pertaining to their bereavement counseling work.     

Reducing Counselor Anxiety by Using Modeling Strategies

We hypothesized that beginning counselors experience interview-related anxiety that affects counselor performance. Two kinds of videotaped modeling—an expert model approach and a coping model approach—were compared as to the relative effectiveness of each method in reducing beginning counselors' anxiety toward a counseling interview. Those persons who viewed expert models significantly reduced situationally related anxiety following participation in an analogue interview. Persons who viewed coping models had nominal but nonsignificant reductions in anxiety. In neither group was anxiety significantly related to counselor performance. A modicum of anxiety may be a desirable attribute in beginning counselors. The relative merit of each kind of modeling strategy is discussed.     

COUNSELEES' RATINGS OF THE EFFECTIVENESS OF EMPLOYMENT SERVICE COUNSELORS AND PROSPECTIVE HIGH SCHOOL COUNSELORS

The purpose of this study was to determine whether differences exist between Employment Service counselors and prospective high school counselors in the following areas: perceptions of counselor as a person, perceptions of assistance received by the counselees in educational planning, vocational guidance, personal and social matters, and the use of tests in counseling. This study was designed also to find out whether NYC and HS background, sex of the counselees, and number of sessions attended by the counseled affected their ratings of counselor effectiveness.     

Genetic Counseling Supervisors’ Self-Efficacy for Select Clinical Supervision Competencies

Supervision is a primary instructional vehicle for genetic counseling student clinical training. Approximately two-thirds of genetic counselors report teaching and education roles, which include supervisory roles. Recently, Eubanks Higgins and colleagues published the first comprehensive list of empirically-derived genetic counseling supervisor competencies. Studies have yet to evaluate whether supervisors possess these competencies and whether their competencies differ as a function of experience. This study investigated three research questions: (1) What are genetic counselor supervisors’ perceptions of their capabilities (self-efficacy) for a select group of supervisor competencies?, (2) Are there differences in self-efficacy as a function of their supervision experience or their genetic counseling experience, and 3) What training methods do they use and prefer to develop supervision skills? One-hundred thirty-one genetic counselor supervisors completed an anonymous online survey assessing demographics, self-efficacy (self-perceived capability) for 12 goal setting and 16 feedback competencies (Scale: 0–100), competencies that are personally challenging, and supervision training experiences and preferences (open-ended). A MANOVA revealed significant positive effects of supervision experience but not genetic counseling experience on participants’ self-efficacy. Although mean self-efficacy ratings were high (>83.7), participant comments revealed several challenging competencies (e.g., incorporating student’s report of feedback from previous supervisors into goal setting, and providing feedback about student behavior rather than personal traits). Commonly preferred supervision training methods included consultation with colleagues, peer discussion, and workshops/seminars.     

If Counseling is Psychotherapy—What Then?

No counseling, other than the strictly information-giving forms of academic and vocational advisement, can actually be limited to the conscious, rational layers of personality. The deeper levels are reflected in all aspects of behavior, so that concepts of a dichotomy between “counseling” and “psychotherapy” have only the most restricted usefulness. If counseling is necessarily a form of psychotherapy, however specialized, present training methods for counselor candidates are seriously inadequate. Advanced psychological knowledge is needed by counselors, including study of abnormal psychology and diagnostics, as well as of the biological and sociological roots of behavior. Also needed are more rigorous selection methods for counselor candidates, inasmuch as their work unavoidably affects the deeper personality dynamics of their clients, as well as a requirement that those who will counsel others therapeutically should themselves have the experience of being counseled. In view of the increased rigor of this program, if it is undertaken the scale of compensation for counselors should also be considerably increased.     

Minority teachers become minority counselors

A high school district has developed an in-service counselor education program for minority teachers to help meet its need for more counselors who, by virtue of skin color, language, or inner city origins, have advantages in relating to minority students. One major component of the program is an in-service counseling practicum in which the teachers are supervised while they work with inner city students.     

“Meeting Someone at the Edge”: Counselors’ Experiences of Interpersonal Stress

Using consensual qualitative research, the authors explored the factors that contribute to counselors’ experiences of interpersonal stress and how counselors respond to interpersonal stressors within therapeutic settings. Thirteen professional counselors representing a variety of counseling contexts and settings participated in semistructured interviews. Through consensus building, the authors identified 4 domains within the data: client characteristics, relationship dynamics, counselor response, and personal vs. professional self. The findings suggest that client characteristics and relationship dynamics are catalysts to counselor interpersonal stress responses, which shape their conscious awareness of the experience. Implications for clinical practice, clinical supervision, and counselor wellness are discussed.     

Cognitive Complexity Among Practicing Counselors: How Thinking Changes with Experience

The purpose of this study was to investigate whether years of experience in the counseling profession can help predict levels of cognitive complexity among practicing counselors. Results of a regression equation found that counselors with more years in the counseling profession had higher levels of cognitive complexity, with highest degree obtained in the counseling profession also contributing to the prediction equation. Years as a practicing counselor, age, gender, and race did not contribute significantly to the equation.     

The Inner World of the Genetic Counselor

The external experience of genetic counselors reflects and is processed in their personal inner worlds. A small window into that private interior is opened here revealing the strengths and frailties, vulnerabilities and sensitivities professionals bring to bear in their work. The relational, human interplay—between counselor and colleagues, counselor and clients, counselors in their nonprofessional roles relative to others—is the primary focus of the interior experience.     

Are Genetic Counselors and GLBT Patients “on the Same Page”? an Investigation of Attitudes, Practices, and Genetic Counseling Experiences

Gay, lesbian, bisexual, and transgender (GLBT) individuals comprise a growing patient population in genetic counseling, yet literature on working with this population is scarce. This study sought to investigate GLBT patient experiences in genetic counseling and genetic counselor attitudes and practices when counseling GLBT patients. Twenty-nine GLB individuals who had previously participated in genetic counseling, and 213 genetic counselors completed online surveys. No individuals identifying as transgender participated. The patient survey assessed disclosure of orientation, discrimination in genetic counseling, and quality of services received. The counselor survey assessed comfort with and attitudes about counseling GLBT patients, disclosure of counselor orientation, and whether they counsel differently with this population. Every patient denied experiencing discrimination during their session, but 17% reported their genetic counselor assumed they were heterosexual, and 45% indicated intake forms were not GLBT-inclusive. A majority of counselors (91%) reported having counseled GLBT patients and indicated they were comfortable doing so (86%), and 72% indicated no differences in their counseling approaches with GLBT patients. Few counselors (17%) received training in GLBT issues, and most (61%) desired such education. Additional findings and practice and research recommendations are presented.     

Soft determinism + awareness = shared responsibility Comment: More Words About Words: A Reaction to “Soft Determinism…”

This article seeks to present a viable resolution of one of the perennial ideological issues in counseling: the determinism-human freedom dilemma. That this problem is of pivotal significance to counselors is immediately evident in view of its bearing on the related professional issue of client and counselor responsibility. A conceptual model involving limited personal freedom within a framework of biological-environmental determinism is reviewed, followed by a concluding comment on the counselor's shared responsibility for the outcomes of the counseling relationship. The author rejects the notion that the counselor can function as a neutral observer in client decision-making