School Counseling: An Evolving Specialty

This article provides a review of school counseling as a specialty area of the counseling profession, including attention to historical development, training standards and accreditation, certification, and future trends and issues.     

Adventure Based Counseling: An Innovation in Counseling

Increasingly, Adventure Based Counseling (ABC) is recognized as providing a significant means to help clients. This article describes the outdoor and indoor adventure experience and its relationship to counseling. A conceptual framework of ABC has been developed to provide a better understanding of the process and potential benefits of this approach and to serve as a model for researchers. Counseling theories, educational theories, setting, programming, processing, and transferring client gains to real life are explained as well as the potential psychological, educational, sociological, physical, and spiritual benefits of ABC.     

Genetic Counseling Assistants: an Integral Piece of the Evolving Genetic Counseling Service Delivery Model

This study explores the potential impact of the genetic counseling assistant (GCA) position on the efficiency of the genetic counseling field, evaluates attitudes regarding expansion of the genetic counseling field to include the GCA, and presents data on GCA endeavors and GCA job tasks as reported by GCAs, certified genetic counselors (CGCs), and program directors (PDs). Data on GCA roles and attitudes toward different aspects of the GCA position were collected via surveys of CGCs who have worked with GCAs, PDs who have and have not had experience with GCAs in their programs, and GCAs. We analyzed responses from 63 individuals: 27 PDs, 22 CGCs, and 14 GCAs. GCAs’ impact on efficiency was calculated via internal analysis of genetic patient volume per genetic counselor within the University of Texas Southwestern (UTSW) patient database prior to, and since the addition of, a GCA to the practice. The response rates for PDs, CGCs, and GCAs were 27 %, 79 %, and 61 %, respectively. Every CGC stated the GCA increased their efficiency. CGCs with a GCA reported a 60 % average increase in patient volume. This figure was congruent with internal data from the UTSW cancer genetics program (58.5 % increase). Appropriate responsibilities for GCAs as reported by CGCs and PDs (>90 %) include: data entry, shipping tests, administrative tasks, research, and ordering supplies. Regarding GCAs delivering test results, there was response variation whether this should be a job duty: 42 % of CGCs agreed to GCAs delivering negative results to patients, compared to 22 % of program directors. Twenty-two percent of PDs expressed concern about the job title “Genetic Counseling Assistant.” Ninety percent of CGCs felt that GCA was a career path to becoming a CGC, compared to 42 % of PDs. Eighty-three percent of GCAs who decided to apply to CGC graduate programs were accepted. We conclude the addition of a GCA to a genetic counseling practice contributes to increased efficiency and is one way to expand the reach of the profession.     

A Perspective on Evolving Family Therapy in Turkey

This article attempts to summarize the journey of evolving family therapy in Turkey. It aims to provide an overview of the development and history of family therapy. Formulations attempting to explain the context of challenges family therapy faces, include political as well as historical events of the past few decades. The current challenges of training, regulating and legislations of family therapy are taken into account with a lens ranging from micro to macro perspectives.     

Addictions Counseling Certification: An Emerging Counseling Specialty

This article summarizes the national standards for addictions counseling of 4 different professional groups or boards. The new addictions specialty certification standards that are being developed jointly by the National Board for Certified Counselors and the International Association of Addictions and Offender Counselors (a division of the American Counseling Association) are compared with the standards of 3 other groups.     

Counseling in Malaysia: An Emerging Profession

The emergence of counseling in Malaysia illustrates the importance of a strong professional association and counseling training programs at the university level.     

Licensure in Counseling: An Alternative Direction

Bernstein, B.L, & Lecomte, C. Licensure in Psychology: Alternative Directions. Professional Psychology, 1981, 12, 200–208.     

Professional Counseling in Romania: An Introduction

The formalization and professionalization processes in Romania resemble the early history of counseling in the United States, where development initially took place in the educational and career/vocational sectors. Brief accounts of the relationship between select periods in Romanian history and access to education and career/vocational support services are presented to provide a context for present‐day counseling activities. Information on the development of counseling in Romania, current practices, and future opportunities are presented as well.     

The Counseling Profession's Response to Sex-Biased Counseling: An Update

Moore and Strickler summarize recent literature on sex bias in the counseling profession and challenge counselor educators to place increased emphasis in their training programs on sex equity.     

Cross-Cultural Counseling: An Existential Approach

Counselors continue to express concern about problems inherent in cross-cultural counseling. Despite the large literature on the subject, counseling members of ethnic groups different from that of the counselor remains problematic. Three concepts— Umwelt (the physical environment), Mitwelt (the interpersonal world), and Eigenwelt (one's inner world)—offer significant philosophical assistance to counselors wishing to overcome cultural encapsulation because, although surface cultural differences exist, humans are fundamentally more alike than they are different. The counselor needs to accept this reality to be effective in counseling culturally different clients, whether they are American minorities or foreign visitors.     

Counseling reentry women: An overview

The author presents an overview of issues related to counseling women reentering the workforce. He suggests that counselors are in a strategic position to help women through the transitions and conflicts associated with returning to work and discusses (a) career barriers related to gender role stereotyping, (b) current job trends for women, (c) expectations for women reentering the workforce, (d) suggestions for raising aspirations for reentry women, and (e) developing energy opportunities.     

Multicultural Counseling: An Appalachian Perspective

Appalachians have been referred to as the forgotten people and are often overlooked in multicultural counseling. A case study is presented using the extended case method to enhance counselor awareness and demonstrate how counselors can apply knowledge of the Appalachian culture in the provision of best practices for this population. Los Apalaches se han referido como la gente olvidada y se pasan por alto a menudo en el asesoramiento multicultural. Un estudio de caso es presentado usando el método extendido del caso para realzar conocimiento del consejero y demuestre cómo los consejeros pueden aplicar el conocimiento de la cultura Apalache adentro de la disposición de las mejores prácticas para esta población.     

Christian Counseling: An Emerging Specialty

The emerging professional specialty of Christian counseling is examined in light of its development, theoretical underpinning, training, and roles. Also examined are the various approaches to Christian counseling. Finally, a rationale for classifying Christian counseling as a separate specialty is presented.     

Complicated Grief: An Evolving Theoretical Landscape

The bereavement literature has proliferated in recent decades, generating a shift from conceptualizing grief as a stepwise, uniform process to an idiosyncratic experience that varies among individuals. Among the most notable developments is the empirical exploration of complicated grief—a protracted, debilitating, sometimes life‐threatening response to the death of a loved one—and the testing of novel interventions to treat it. This article provides counselors with recommendations for identifying and treating complicated grief.     

Consideration of Genetic Counseling as a Career: Implications for Diversifying the Genetic Counseling Field

Under-representation of racial/ethnic minority counselors has been an ongoing issue in the genetic counseling field. A better understanding of genetic counseling awareness and career consideration may help to increase the number of applicants to genetic counseling training programs from racial/ethnic minorities. This study sampled high school and college students (n = 233) to examine their awareness and perceptions of genetic counseling. Ethnicity, gender, parental level of education, and interest in biology were significant predictors of a subjects genetic counseling awareness; previous awareness of genetic counseling, interest in psychology, and level of education were significant predictors of whether a subject would consider genetic counseling as a career. The findings suggest that knowledge of genetic counseling is lower among racial/ethnic minorities, but that racial/ethnic minorities are just as likely to consider genetic counseling as a career. Awareness of genetic counseling prior to university education may increase racial/ethnic minority representation among potential applicants to genetic counseling training programs.