Toward an integrative model for cross-cultural counseling and psychotherapy

The purpose of this article is to present an integrative model of cross-cultural counseling and psychotherapy. Illustrated by a series of critical incidents, it is argued that unidimensional models of cross-cultural counseling and psychotherapy are inherently limited. Using Kluckhohn and Murray's tripartite model of personality, an integrative, sequential, and dynamic model of cross-cultural counseling is advanced. Support for the validity of the Kluckhohn and Murray model is first reviewed. This is followed by a delineation of the components of the current integrative model: (a) Outgroup homogeneity effect, (b) Cultural schema theory, (c) Complimentarity theory, (d) Science of complexity, and (e) Mindfulness. The operation of this model is described in a series of figures and the implications for counseling practice and future research is discussed.     

Pastoral counseling with alcoholics and their families

The pastor is often in contact with the alcoholic and his or her family. Providing help to alcoholics and their families is a spiritual, humanistic, and therapeutic challenge. Recent developments have favored a family systems orientation to working with alcoholic families. This orientation acknowledges the family as contributor to maintaining alcoholic behavior and includes the family in treatment. Specific family systems concepts are discussed and how they relate to the dysfunctional unit which houses an alcoholic. Implications for pastors and specific role definitions are explored. Krebs' therapeutic model is expanded to: 1) evaluate, 2) support, 3) refer, and 4) support, as appropriate for the pastor working with alcoholics and their families.     

Cramer's model of willingness to seek counseling: a structural equation model for counseling students

The author tested how well K. M. Cramer's model of willingness to seek counseling fit for master's level counseling students. Counseling students (N = 519) from across the United States completed a survey. Using structural equation modeling, the author found that Cramer's model fit with counseling students. Counseling students were most likely to report being willing to seek counseling if they had a positive attitude toward counseling, low level of self-concealment, high level of distress, and low social support.     

Toward a meaningful spirituality for people of color: lessons for the counseling practitioner

This article attempts to capture a significant aspect of the counseling process for people of color: the spiritual dimension. It is argued that spirit and spirituality are relevant dimensions that should be integrated in counseling because spirituality is a key ingredient in the cultural upbringing and socialization of many people of color. Further, religious and spiritual beliefs are affected by experiences of racism and oppression, which then affects psychological coping. Reflective guidelines are offered to understand the essence of spirituality and cultural diversity, and lessons for the practitioner are recommended.     

Toward a model for spirituality and alcoholism

Spirituality is a significant factor in recovery from alcoholism, whatever definition of this condition one may use. One aspect of alcohol abuse is its apparent relationship to the balance between brain hemispheres. Excessive use of alcohol anesthetizes the object-based, language-oriented functions of the left hemisphere, associated with an action mode of consciousness. This allows greater engagement of the right-hemisphere receptive mode, which is also associated with religious experience. A model of spirituality based on achieving a balance between hemisphere functions and modes of consciousness could provide a non-chemical alternative to excessive use of alcohol.     

The initiation ritual as a model for oncology counseling

This article examines the use of the initiation ritual of primitive people, described in the works of Mircea Eliade, as a model for counseling cancer patients, giving both meaning and structure to the interactions between patient and counselor. Within this model the patient's encounter with death, whether feared or actualized, can be used as impetus toward personal growth, whatever the stage of the person's disease process. Case examples are given to illustrate how the model can be used in practice. Comparison is also made between stages and components of the initiation ritual and other techniques used to alter a person's consciousness.     

Toward a biopsychosocial model for 21st-century genetics

Advances in genomic research are increasingly identifying genetic components in major health and mental health disorders. This article presents a Family System Genetic Illness model to address the psychosocial challenges of genomic conditions for patients and their families, and to help organize this complex biopsychosocial landscape for clinical practice and research. This model clusters genomic disorders based on key characteristics that define types of disorders with similar patterns of psychosocial demands over time. Key disease variables include the likelihood of developing a disorder based on specific genetic mutations, overall clinical severity, timing of clinical onset in the life cycle, and whether effective treatment interventions exist to alter disease onset and/or progression. For disorders in which carrier, predictive, or presymptomatic testing is available, core nonsymptomatic time phases with salient developmental challenges are described pre- and post-testing, including a long-term adaptation phase. The FSGI model builds on Rolland's Family System Illness model, which identifies psychosocial types and phases of chronic disorders after clinical onset. The FSGI model is designed to be flexible and responsive to future discoveries in genomic research. Its utility is discussed for research, preventive screening, family assessment, treatment planning, and service delivery in a wide range of healthcare settings.     

Evaluating educational—vocational counseling: a model for change

This study sought to assess students' reactions toward their vocational and educational counseling at a university counseling center. Students receiving educational-vocational counseling during the 1968-69 academic year served as subjects whose responses to a 29-item questionnaire were used to determine their reactions to counseling. The majority of clients who were counseled by advanced trainees or doctorate level staff viewed their counseling experience positively. A large percentage of the clients of beginning practicum students viewed their counseling negatively. The findings suggested weaknesses in vocational counseling facilities, in counselors' skills, and in training of beginning practicum students. Implications for change are suggested and the need for assessment in counseling agencies is emphasized.     

Toward a model of positive health

This article proposes a model of positive health based on a human-system framework. Such a framework is comprehensive in that (a) it encompasses all of the human system's behavioral subsystems (biochemical, physiological, perceptual, cognitive, and interpersonal), and (b) it permits a higher asymptote of health conceptualization and measurement than that afforded by Western biomedical theory. The article sets forth the conceptual basis of the model and reviews empirical studies that support the model. Finally, the article explores implications of the model for health research, for programs of health enhancement, and for the role of the behavioral sciences in health theory.     

Toward pastoral counseling integration: one Bowen oriented approach

Integration between the resources of faith and of the behavioral sciences in pastoral counseling is a challenging endeavor. The two domains have points of contact and many shared values. Yet, their fundamental presuppositions are quite different. The multiplicity of faith positions and of behavioral science positions complicates the effort enormously. This article presents one application of a comprehensive model of integration in one composite case. Based on an understanding of Bowen Theory, such a model (1) treats the relationship between the client and God in a way similar to the client's other significant relationships, (2) involves religious community and sacred texts as "God's available next of kin," and (3) considers "I positions" (which include the idea of therapist neutrality) as a framework for therapist authentic expression of faith without an authoritarian attempt to dictate the faith of the client. This case illustrates how one intervention based on this model made a positive contribution to the well being of a representative client. Therapists with other faith positions and other behavioral science positions would develop different models of integration, of course. This small slice of one case example is offered to further the discussion as others take positions of their own.     

Toward a psychological cost-benefit model for educational and vocational choice

The usefulness of cost-benefit models for analyzing the individual's educational and occupational choice is discussed, with the choice after high school graduation as an example. As a background, the economic approach linked to the human capital concept is described as well as the use of cost-benefit analysis within this framework. Cost-benefit analysis is then discussed as a possible model within the area of educational and occupational choice. First, the traditional, strictly economic model is analyzed and criticized. A psychological economic alternative is proposed which, in contrast to the economic model, is based on the individual's perceptions and expectations regarding costs and benefits. As a third step, a purely psychological cost-benefit model is suggested, where the cost and benefit concepts are broadened to include all types of personal sacrifices and rewards. This model is regarded as more realistic for the individual's career choice than the economic prototypes.     

Preventing postparchment depression: a model of career counseling for college seniors

College graduates and employers alike have expressed dissatisfaction with the lack of job competencies of new graduates. Both groups suggest that institutions of higher education must do a better job of preparing their students to meet workplace challenges. The author describes the problem and presents a model that is delivered via distance education at one university. One of the major goals of the program presented is to ease the transition of college graduates to the workforce. The practical suggestions are appropriate for practitioners who work with this population, and they can be adapted for individual or group counseling.     

Toward a new conceptualization and operationalization of risk perception within the genetic counseling domain

The purpose of this paper is twofold. First, it provides an historical overview of studies of risk, risk perception, and decision making under risk within the genetic counseling domain. Second, it proposes an alternative conceptualization and operationalization for the study of risk perception. The conceptualization involves probability, adversity, incompleteness, and ambiguity. Prior studies of risk perception focus on the recurrence risk and operationalize risk perception by asking for interpretations of the magnitude of the probability of the outcome. Their focus is on the probability of a particular outcome. We formulate the problem in terms of a gamble and suggest that risk perception be operationalized in terms of the riskiness of the gamble. Our focus is on the riskiness of a decision option which entails two or more outcomes.     

Toward a contemporary quantitative model of punishment

A direct‐suppression, or subtractive, model of punishment has been supported as the qualitatively and quantitatively superior matching law‐based punishment model (Critchfield, Paletz, MacAleese, & Newland, 2003; de Villiers, 1980; Farley, 1980). However, this conclusion was made without testing the model against its predecessors, including the original (Herrnstein, 1961) and generalized (Baum, 1974) matching laws, which have different numbers of parameters. To rectify this issue, we reanalyzed a set of data collected by Critchfield et al. (2003) using information theoretic model selection criteria. We found that the most advanced version of the direct‐suppression model (Critchfield et al., 2003) does not convincingly outperform the generalized matching law, an account that does not include punishment rates in its prediction of behavior allocation. We hypothesize that this failure to outperform the generalized matching law is due to significant theoretical shortcomings in model development. To address these shortcomings, we present a list of requirements that all punishment models should satisfy. The requirements include formal statements of flexibility, efficiency, and adherence to theory. We compare all past punishment models to the items on this list through algebraic arguments and model selection criteria. None of the models presented in the literature thus far meets all of the requirements.