The Role of Expectations in Effective Genetic Counseling

The goals for this investigation were to assess individuals' expectations for social support from genetic counselors, and to explore how these expectations influence perceptions of genetic counselor effectiveness. Two studies were conducted to address these goals. Results from the first study show that individuals most frequently expect genetic counselors to provide options and support following the disclosure of distressing test results, while data from the second study demonstrate that expectations play a significant role in individuals' assessment of genetic counselor effectiveness. These findings shed light on what individuals expect from genetic counselors following the disclosure of medically positive test results and inform how these expectations influence the success of genetic counseling sessions.     

Counseling Outcomes: Counselor Characteristics and Client Results

Eighteen counselors in one of the administrative areas of the California Department of Human Resources and 697 of their closed cases were studied in order to discover whether differences in employability outcomes did exist. The study attempted to answer the following questions: (a) How many clients achieve employability during their relationships with employment counselors? (b) What is the final disposition of cases that are closed other than employable? and (c) To what degree do counselors engage in placement activities and what influence do these activities have on employable closures? The study provides evidence that some counselors had significantly more clients achieve employable status than did other counselors.     

School Counselors as Social Capital: The Effects of High School College Counseling on College Application Rates

Using social capital theory as a framework, the authors examined data from the Educational Longitudinal Study of 2002 (Ingels, Pratt, Rogers, Siegel, & Stutts, 2004) to investigate how student contact with high school counselors about college information and other college‐related variables influence students' college application rates. In addition to some college‐related variables, the number of school counselors and student contacts were significant predictors of college application rates. Implications for school counselors and counselor training are included.     

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.     

Privileged Communication in the Counselor‐Client Relationship

Determining the status of privileged communications between counselors and clients is a complex task. The scope of counselor‐client privilege varies considerably across states, and several sections of state codes directly and indirectly influence its status. This article presents an analysis of state laws related to privileged communication in the counselor‐client relationship and discusses prevalent legal exceptions. The authors offer implications for practice to assist counselors in balancing their ethical and legal obligations.     

A Phenomenological Inquiry Into Counselor of Color Broaching Experiences

Broaching, or the acknowledgment of racial and cultural factors, is a strategy for counselors working with diverse client populations. In this phenomenological study, the authors explored the lived experiences of 8 professional counselors of color regarding their broaching behaviors. The authors present 4 resulting themes (intentionality, considering impacts on client experiences, influence of counselor's discomfort on broaching, and broaching skills and practices) and discuss implications for counselor practice and training.     

College Freshmen View Counselor Help in College Selection

Little attention has been paid to the role performance of counselors in the college decision process. This study surveyed 270 college freshmen at a northeastern university in an attempt to explore the activities of their high school counselors in college admissions. The students came from 233 institutions of secondary education. Among the findings were: (1) the high school counselor has increased in importance and in potential influence in the college-choice process; (2) the helping activities of counselors were for the most part active and direct; (3) the expectations of the students for the counselor were for active involvement by the counselor; and (4) in some cases, the counselor played a restricting role in the process of college selection.     

Psychological aspects of genetic counseling. VII. Thoughts on directiveness

Directiveness and nondirectiveness in genetic counseling are poorly understood on the operational level, and information about what counselors allege they do and what actually is done in practice is lacking. Although they are often thought of as diametrically opposite approaches, when viewed as strategies of persuasion, their similarities become more apparent. Directive counselors attempt to influence the counselee's behavior, whereas nondirective ones attempt to influence the latter's thinking processes; there is need for both approaches. Directiveness may also sometimes occur because of inadequate interview skills. The case made for directiveness is discussed and critiqued, available research is reviewed, and suggestions for future studies are advanced.     

工作同盟和领悟对咨询效果的影响

为了解短程咨询中工作同盟和领悟对咨询效果的影响,以12个个案94次会谈为对象,考察工作同盟、领悟分别与会谈效果、治疗效果的关系,并考察二者共同作用于效果的方式。结果表明,咨访双方评定的工作同盟都可以正向预测会谈效果,但不能预测治疗效果;领悟与会谈有效性正相关,领悟正向预测治疗效果;咨询师评定的同盟的三个维度以领悟为中介影响其对会谈效果的评价。     

The Impact of Supervision Training on Genetic Counselor Supervisory Identity Development

Supervision is critical to the training of genetic counselors. Limited research exists on the influence of supervision training and experience on the development of genetic counseling supervisors. The purpose of this study was to investigate the impact of supervision training in addition to supervisory and clinical experience on supervisory identity development, and the perceived confidence and competence supervisors have in their own supervisory skills. In addition, we explored genetic counselors’ (N?=?291) interest in and barriers to training as well as perspectives on requirements for supervisors. Results indicated clinical experience, supervision experience, and formal supervision training are positively associated with genetic counselors’ supervisory identity development as measured by the Psychotherapy Supervisory Development Scale (PSDS) (p?ρ?=?0.42, p?p?相似文献   

Influence of a Cross-Cultural Training Course on Racial Identity Attitudes of White Women and Men: Preliminary Perspectives

The authors examine the influence of cross-cultural training on the racial identity attitudes of 35 White graduate counselors in training (10 men and 25 women) and the impact of gender on training. A pretest-posttest comparison of responses to the White Racial Identity Attitudes Survey (WRIAS) was used. Results indicated that the cross-cultural training course (a) influenced racial identity attitudes of White counselors in training and (b) racial identity attitudes were influenced by gender.     

Promoting Wellness in Refugee Populations

Refugee populations experience risk factors that may influence their wellness. As the number of refugees continues to rise, it is important for professional counselors, counselor educators, and counselors‐in‐training to be aware of techniques for supporting wellness in this population. This article addresses risk factors to refugee wellness within the indivisible self model of wellness (Myers & Sweeney, 2004 ) and highlights current wellness trends and the importance of a prevention‐based treatment paradigm for helpers working with refugee populations.     

Human values and counseling

The author describes some of the philosophical and practical problems concerning personal values and professional ethics that counselors encounter in their work. She discusses ethical problems in counseling research and practice and points out some of the differences among various types of deliberate influence and implicit influence.     

Forging a Collaborative Relationship Between the Black Church and the Counseling Profession

In the field of counseling, there has been a growing awareness of the important role the Black church plays in African American communities. Although counseling professionals have begun recognizing the influence the Black church has in the lives of African Americans, there seems to be little information on how counselors can collaborate with African American congregations to meet the mental health needs of African American clients. The authors examine how counselors can use the psychological and social strengths of the Black church. Strategies and implications for collaborating with this institution are also discussed.     

Changing Metaphors of the Self: Implications for Counseling

This article reviews some of the more prevalent metaphors used to describe the nature and character of the self. These metaphors include the unified and integrated selves as well as the postmodern perspectives of multiple selves. The authors contend that counselors have theories about the self whether implicit or explicit, and that these theories directly influence their practice. They further contend that it is beneficial for counselors and other helping professionals to take the time to clarify their beliefs and assumptions about the self and that metaphors are useful conceptual tools. Various ethical questions associated with different metaphors of the self are posed.     

Value neutrality and nondirectiveness: comments on "Future directions in genetic counseling

Common wisdom in genetic counseling, which is supported by Biesecker, holds that counselors should strive not to influence their clients' decision making. Such a presumption of nondirectiveness is challenged in this commentary.     

Deconstructing Locus of Control: Implications for Practitioners

Locus of control is demonstrated as being an important individual belief for counselors to consider in their work. Western cultural bias that has influenced the research with locus of control, and may influence how counselors conceptualize clients' problems, is the notion that internal control is always more desirable than external control. Several areas of locus of control theory are reviewed, including sociocultural influences in the formation of the theory, cultural differences in locus of control, and differing conceptualizations of the construct. In addition, selected research with locus of control and mental health is briefly reviewed. Finally, important implications for practitioners are suggested.     

Employment and Rehabilitation Counselors Characterize one another Using Stereotypes

Thirty employment counselors appraised personal and job-related attributes of rehabilitation counselors using a 67-item semantic differential stereotype scale. Thirty rehabilitation counselors rated themselves and also how they believed employment counselors would rate rehabilitation counselors on the same scale. The rehabilitation counselors' self-ratings revealed a generally positive self-portrait; however, the self-ratings, when compared to how they believed employment counselors perceived rehabilitation counselors, yielded statistically significant negative relationships on 60 scales. Comparison of perceived versus actual ratings of rehabilitation counselors by employment counselors showed statistically different ratings on 49 scales, all in a positive direction. That employment counselors perceived rehabilitation counselors much more positively than the latter expected helps explain why placement functions and team cooperation are limited among these professionals, and should therefore be increased.     

A Comparison of Successful Smoking Cessation Interventions for Adults and Adolescent

This review of the counseling literature analyzes the motivating and impeding factors for adults and adolescents regarding smoking cessation. Adults and adolescents prefer to stop smoking on their own; however, even brief counseling will increase their chances of success. In addition to giving support, counselors can facilitate smoking cessation by increasing clients' motivation and teaching stress management. Counselors must be aware of how the social environment can influence a client's smoking status. With recent increases in adolescent smoking, particularly among African Americans, counselors should be prepared to help an increasing population of clients who will require smoking cessation assistance.     

Review of the Comprehensive Assessment Program: Achievement Series

A school's achievement tests influence how students are evaluated by teachers, parents, counselors, and, eventually, the students themselves. Counselors, as a consequence, need to work with different constituencies in the school system to ensure that achievement tests are providing useful information and are being used constructively. For this function, counselors work as members and, perhaps, as leaders of a team. The following article summarizes the process and findings of a school district's evaluation of an achievement test to illustrate a team evaluation and the kind of evidence a team uses in recommending adoption or rejection of a test.