Strategies for Counseling Infertile Couples

Approximately one in six couples experience problems with their fertility in terms of conceiving and/or carrying a viable pregnancy to term. The infertile couple's need for counseling and support has been emphasized consistently in the literature. This article presents specific intervention strategies that may serve to reinforce the infertility experience as an opportunity for personal and marital growth.     

Counseling Multiple‐Heritage Couples

Multiple‐heritage couples are one of the fastest growing client populations in the United States. These partnerships are defined by intersecting ethnic, racial, linguistic, and religious differences. They are challenged by societal perceptions, stereotypes, and other pressures associated with being in a multiple‐heritage pairing. This article discusses strengths in the multiple‐heritage union brought about by the understanding of diverse viewpoints. Finally, the article identifies specific strategies, such as couples relationship education, to resolve and confront inherent differences. Las parejas multiculturales son uno de los grupos demográficos de clientes de mayor crecimiento en los Estados Unidos. Este tipo de parejas se define por la intersección de diferencias étnicas, raciales, lingüísticas y religiosas. Sus miembros enfrentan desafíos a causa de las percepciones sociales, los esterotipos y otras presiones asociadas con tener una pareja multicultural. Este artículo discute los puntos fuertes en una unión multicultural, facilitados por la comprensión de puntos de vista diversos. Finalmente, el artículo identifica estrategias específicas, como por ejemplo la educación en relaciones de pareja, para resolver y afrontar las diferencias intrínsecas.     

Marriage Counseling: A Christian Approach to Counseling Couples

An approach to marriage counseling aimed at Christian couples is described. The theoretical bases of the approach are cognitive behavioral therapy and structural and strategic marital therapies. Techniques are drawn from various schools of marriage therapy. Shared Christian values between counselor and clients are used to promote increased marital commitment, marital satisfaction, and personal spiritual growth. Marital satisfaction might be increased through helping the couple increase their intimacy, enhance their communication, improve their conflict management, and forgive each other for past and present hurts.     

Cognitive‐Behavioral Tasks Accomplished in a Person‐Centered Relational Framework

The authors propose a person‐centered relational framework in which C. R. Rogers's (1957) core conditions remain the primary catalyst of therapeutic change and cognitive‐behavioral work is accomplished while adhering to person‐centered principles. Important ideas asserted include the following: Cognitive‐behavioral tasks occur naturally within the person‐centered approach, knowledge of cognitive‐behavioral theory can increase counselor empathy, and cognitive‐behavioral techniques can be carefully applied within a person‐centered relational framework. Finally, the person‐centered relational framework with other theories is addressed.     

Identifying and Treating Race‐Based Trauma in Counseling

This study investigated 106 counseling professionals’ experiences with identifying and treating race‐based trauma and the relationship between training and treatment. Competency was assessed with the Race‐Based Trauma Survey for Counselors. Although most participants reported working with clients who had symptoms associated with race‐based trauma, many had not received training in identifying and treating race‐based trauma among individuals of color. This finding highlights the disparities between health care and the provision of related services. Recommendations for counseling professionals and researchers are included. Este estudio investigó las experiencias de 106 profesionales en consejería con la identificación y el tratamiento de traumas basados en la raza, así como la relación entre la capacitación y el tratamiento. La competencia se evaluó usando la Encuesta para Consejeros sobre Traumas Basados en la Raza. A pesar de que la mayoría de participantes informó que había trabajado con clientes que tenían síntomas asociados con traumas basados en la raza, muchos no habían recibido capacitación para identificar y tratar traumas basados en la raza en personas de color. Este hallazgo resalta las disparidades entre la atención sanitaria y la provisión de servicios relacionados. Se incluyen recomendaciones para profesionales en consejería e investigadores.     

Long‐Term Adjustment of Infertile Couples Following Unsuccessful Medical Intervention

A 33‐month longitudinal study was conducted with 38 infertile couples making the transition to biological childlessness after unsuccessful fertility treatments. Changes in their levels of psychological distress; marital, sexual, and life satisfaction; and self‐esteem were examined. Increased self‐esteem and decreased sexual satisfaction were evident over time. Poorer adjustment was related to having none or few available options, little social support, poor emotional and physical health, and reliance on emotion‐focused coping. Participants who adopted demonstrated better adjustment.     

Navigating Bereavement With Spirituality‐Based Interventions: Implications for Non‐Faith‐Based Counselors

The relationship between spirituality and bereavement has been studied in a multitude of disciplines, yet there is a significant gap in the counseling literature on this topic. The authors explore how spirituality is often avoided in secular counseling settings, discuss adverse effects of unresolved grief on clients' functioning, and propose the concept that spirituality can be used to help clients through the bereavement process. Finally, the authors offer research and clinically based interventions that counselors, particularly those who do not identify as faith‐based, can use to incorporate spirituality into their work with bereaved clients.     

Using Self‐Regulated Learning Strategies to Develop Students’ Multicultural Counseling Competency

This study examines the effect of self‐regulated learning strategies on students’ multicultural competency development. Quantitative and qualitative data were collected from 26 students who took a semester‐long multicultural counseling course. Results show statistically significant improvement in students’ multicultural awareness and knowledge and statistical insignificance in multicultural skill development compared to their level of competence before the training. Implications of using this approach to teach multicultural counseling courses and future research are discussed. Este estudio examina el efecto de las estrategias de aprendizaje autorregulado en el desarrollo de la competencia multicultural de los estudiantes. Se recopilaron datos cuantitativos y cualitativos de 26 estudiantes que atendieron un curso de consejería multicultural de un semestre. Los resultados muestran una mejora estadísticamente significativa en la conciencia y conocimentos multiculturales de los estudiantes y una insignificancia estadística en el desarrollo de las habilidades multiculturales comparadas con su nivel de competencia antes de la capacitación. Se discuten las implicaciones de usar este enfoque didáctico en cursos de consejería multicultural y para investigaciones futuras.     

Empathy‐Promoting Counseling Strategies for Juvenile Sex Offenders: A Developmental Approach

Bridging research into practice, the authors propose a clinical model for use in the development of empathy in juvenile sex offenders. Case illustrations are provided.     

心理咨询效果评价模型初探

简述了心理咨询效果评价的历史与现状,对有关模型进行了述评,并围绕心理咨询效果评价的核心问题提出了4-维模型。其中内容维度由积极心理和消极心理组成,报告人维度由当事人、专业人员和知情者组成,方法维度由实证方法和现象学方法组成,时间维度由即时、中期、跟踪和总结组成。我们期望该模型不仅可用于分析心理咨询效果评价研究,而且能对今后的研究有一定的指导意义。     

Preventative Behavioral Parent Training: A Preliminary Investigation of Strategies for Preventing At-Risk Children From Developing Later Conduct Problems

Children exhibiting conduct problems comprise the largest source of referrals to children's mental health services. The treatment for conduct problems that possesses the greatest amount of empirical support is behavioral parent training. Unfortunately, a cogent approach to the identification of risk factors and prevention of chronic conduct problem display has not been developed. This project was an initial longitudinal assessment examining the merits of preventative behavioral parent training as a primary prevention strategy for at-risk children. Results demonstrated that prevention participants were engaging in normative rates of disruptive behaviors at 6-month follow-up, whereas comparison children showed a behavioral decline over time.     

Mindfulness‐Based Interventions in Counseling

Mindfulness is a relatively new construct in counseling that is rapidly gaining interest as it is applied to people struggling with a myriad of problems. Research has consistently demonstrated that counseling interventions using mindfulness improve well‐being and reduce psychopathology. This article provides a detailed definition of mindfulness, including a discussion of the mechanisms underlying mindfulness practice; explores the implementation of mindfulness as a counseling intervention; and examines literature supporting its effectiveness.     

Addressing Value‐Based Conflicts Within the Counseling Relationship: A Decision‐Making Model

A growing number of legal and ethical cases have involved value conflicts between counselors, or counselors‐in‐training, and their clients. The authors examine considerations that professional counselors are encouraged to take into account when value conflicts arise within the therapeutic relationship. The authors present a strategy known as ethical bracketing and the Counselor Values‐Based Conflict Model as tools to use when facing conflicts that arise between personal and professional values.     

Optimal Strategies in Couple Therapy: Treating Couples Dealing with the Trauma of Infidelity

Infidelity is one of the most difficult problems to address in couple therapy, most likely because it involves a traumatic relationship event that alters the ways in which couples process information about each other and established behavioral patterns. This article presents a three-stage treatment designed to address the cognitive, behavioral, and emotional sequelae of affairs that integrates cognitive-behavioral and insight-oriented strategies with the literatures on traumatic response and forgiveness. Critical and unique features of this treatment are discussed and a case study is presented to illustrate the treatment methods.     

Continuum of Counseling Goals: A Framework for Differentiating Counseling Strategies

Counseling process goals are presented in a developmental continuum similar in concept to Maslow's hierarchy of needs with implications for counseling practice.