Counseling Clients with AIDS

The authors discuss issues and suggestions relative to counseling clients with AIDS. Several psychosocial issues are presented, and a psycho-educational model of treatment to meet the needs of AIDS clients is described.     

Application of Personality Theories and Counseling Strategies to Clients With Physical Disabilities

This article describes how certain relevant theoretical concepts, intervention methods, and criteria for determining therapeutic change, which are borrowed from several personality theories and counseling approaches, can be useful in counseling people with physical disabilities. The clinical utility of each discussed personality theory is explored in the context of the efforts directed at (a) gaining insight into the psychosocial impact of physical disability, (b) counseling for personal adjustment to the disability, and (c) becoming familiar with theory-specific guidelines for assessing therapeutic changes. It is argued that counselors who serve clients with disabilities ought to choose those interventions most congruent with their own theoretical orientation, academic training, work setting, and nature of the disability condition.     

Advocating for Atheist Clients in the Counseling Profession

Atheism is a controversial topic, with individuals who identify as atheist reporting high rates of discrimination. Despite increasing literature discussing religious/spiritual views and beliefs, few scholarly discussions of atheism in the counseling field can be found. Counselors need to be made aware of the issues facing atheist clients and educated on the best interventions to use in collaborative work with clients. Counselors should also be prepared to advocate for atheist clients in multiple domains. This article aims to explore the relevant literature around atheism, identify implications for counselors, and provide a path to advocacy for counselors in their work with atheist clients.     

Group Counseling and Group Psychotherapy with Rehabilitation Clients

An instrument designed to measure components of two distinct alcoholism aftercare treatments was developed and evaluated for reliability and validity. Trained judges reliably rated audiotaped samples of coping skills and interactional group therapy sessions. Coping skills groups engaged in significantly more education and skill training, problem solving, and role playing. Interactional groups showed more interpersonal learning, expression/exploration of feelings, and here-and-now focus. Groups that employed more education and skill training, less expression and exploration of feelings, and less her e-and-now focus were associated with fewer members reporting subsequent drinking-related problems. None of the ratings of group activities was related to abstinence.     

Counseling Theories Within a Postmodernist Epistemology: New Roles for Theories in Counseling Practice

Counseling theories have traditionally been considered within a modernist epistemology. Reconsidering theories from a postmodern vantage point opens up new possibilities for theory utilization in the counseling process. The author discusses 3 of these possibilities—theories as narrative structures, theoretical truth redefined as pragmatic utility, and egalitarianism in the counseling relationship—along with their implications for counseling practice.     

Perceptions of Clients and Counseling Professionals Regarding Spirituality in Counseling

Although current research indicates that psychotherapeutic change both affects and is affected by spiritual concerns, relatively little is known about the degree to which spirituality is used as an intervention in counseling and how it is perceived by clients and mental health professionals. The purpose of this study was to examine the perceptions of clients and professionals regarding the use of spirituality in counseling. The results suggest that more professionals may be using spirituality in counseling than has previously been reported.     

Varieties of Reasoning: Assessing Adequacy

Helmut Reich's theory of relational and contextual reasoning is a courageous initiative for the resolution of cognitive conflicts between apparently incompatible or incommensurable views. Built upon Piagetian logico‐mathematical reasoning, cognitive complexity theory, and dialectical and analogical reasoning, it includes the development of a both/and logic inclusive of binary either/or logic. Reich provides philosophic, theoretical, and even initial empirical support for the development of this form of reasoning along with a heuristic for its application. A valuable step beyond the limits of binary, static, and formal reasoning, it takes relationship, context, and perspectival variations seriously in an explicitly reflective and iterative system. We can and do address conflicts not resolvable by conventional appeals to logic or evidence, including those at epistemic boundaries or produced by belief‐commitment differences. Although this form of reasoning has real promise, including stepping beyond complementarity in the religion‐science dialogue, it seems better directed to causally explanatory theories than to other forms of rendering meaning. Finally, its coextension requirement may render it problematic where functionally coherent explananda cannot be identified or are themselves produced or constituted by a belief system.     

Counselors' Values Profile: Implications for Counseling Ethnic Minority Clients

The authors review the empirical literature on counselors' values, describe values salient to the 4 largest ethnic minority groups in the United States, identify similarities and differences between counselors' values and those of the minority groups, and discuss implications for counseling ethnically different clients. Understanding counselors' values can lead to an examination of how these values may affect the counseling process, particularly when clients are from ethnic minority groups that may espouse differing cultural values.     

Competent Counseling for Middle Eastern American Clients: Implications for Trainees

The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees’ group differences on measures of multicultural competence, empathy, and multicultural counseling self‐efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty‐six trainees responded to 3 different clinical vignettes that gave information on clients who had varying degrees of MEA characteristics. MANOVA results revealed a significant main effect for trainee race. Follow‐up analyses demonstrated that trainees of color reported higher multicultural competence and multicultural CSE than White trainees. Los autores usaron an análisis factorial multivariante de la varianza (MANOVA, por sus siglas en inglés) para determinar si las diferencias en grupos de consejeros en formación respecto a competencia multicultural, empatía y autoeficacia en consejería (CSE) multicultural al trabajar con clientes americanos con ascendencia de Oriente Medio (MEA) estaban moderadas por la raza del consejero. Doscientos cincuenta y seis consejeros en formación respondieron a 3 viñetas clínicas que ofrecían información sobre clientes que tenían diversos grados de características de MEA. Los resultados del MANOVA revelaron un efecto principal significativo para la raza del consejero. Análisis de seguimiento demostraron que los consejeros de color en formación comunicaron un mayor nivel de competencia multicultural y CSE multicultural que los consejeros blancos.     

Exploring Adoption with Clients: The Need for Adoption Education Within the Genetic Counseling Profession

Genetic counselors and other health professionals may encounter adoption during any counseling session. They must be skilled in using appropriate language and understand how to approach and discuss this topic with clients. A thorough knowledge of adoption as an option for clients facing a prenatal or postnatal diagnosis is necessary when presenting individuals with non-biased information needed for informed decision-making. However, three preliminary studies have demonstrated an absence of graduate education and lack of a professional knowledge base regarding this option (Mates 2008; Oksala 2007; Perry 2003). We discuss the impact of medical professionals’ preconceptions on client decision-making, increasing early identification of fetal anomalies, deficiency of adoption knowledge and resources, and the resulting need for genetic counselors and other health professionals to develop their skills in discussing adoption with clients.     

Characteristics of Clients Judged to Require Long-Term Counseling

This study examines one subgroup of clients seen at a university counseling center, namely, 72 clients who were expected by their counselor to remain in counseling for 10 or more interviews. Ratings were available on psychological characteristics for this sample and for the Counseling Center's total client population. In addition, the total university population could be compared with both of these groups on demographic characteristics. On the basis of pre- and post-counseling ratings of severity of problem, the sample being investigated was divided into Improved and Unimproved groups. Comparative data are examined with regard to class, college, sex, type of residence, type of problem, severity level at onset and termination, number of counseling interviews, motivation for counseling, defensiveness, and counselor's feelings toward client. Long-term counseling and improvement status are found to be a function of most of these variables.     

Relational Psychoanalysis Potential Usefulness with Black South African Clients

The aim of this article is to suggest that relational psychoanalysis may be a useful approach for working with clients from indigenous African cultures. In particular, the article considers the utility of relational psychoanalysis to understanding and enacting the therapeutic relationship with clients from an indigenous African cultural background. The notion of “we” self from the perspective of African cultures is a case in point for possible compatibility between relational psychoanalysis and black clients who come from background that place a high value on communal or “we” selves. An integrative therapy that combines African worldviews and relational psychoanalysis is possible.     

The Use of Relational‐Cultural Theory in Counseling Clients Who Have Traumatic Stress Disorders

Counseling scholarship has increasingly demonstrated the utility of relational‐cultural theory (RCT) in promoting the relationship‐building and growth‐fostering connections many clients require to manage problems in living. The authors applied RCT to counseling clients with traumatic stress disorders rooted in traumas of an interpersonal nature (e.g., child abuse, interpersonal partner violence, sexual assault). An overview of traumatic stress disorders and RCT, as well as the ways in which RCT can inform trauma conceptualization and treatment approaches with victims, is provided.