高校心理咨询师多重关系情境与决策类型的研究

为探索高校咨询师面临的多重关系伦理情境、决策过程,对访谈17名高校心理咨询师的资料进行分析。结果：常见情境主要包括接送礼物承载的新关系、来访者和咨询师除咨询关系外的师生关系、咨询师与和来访者有关的第三人有关系、咨询师在咨询室之外的场所偶遇来访者、来访者有咨询师的联系方式、来访者和咨询师有身体接触等。决策表现为两种：经验主导型,决策时未意识到处于伦理情境只凭经验决策;伦理主导型,决策时意识到处在伦理情境。结论：高校心理咨询存在一些特殊多重关系,心理咨询师需增加具有伦理意识的决策。     

“Statistical,” “Practical,” and “Clinical”: How Many Kinds of Significance Do Counselors Need to Consider?

The present article reviews and distinguishes 3 related but different types of significance: “statistical,” “practical,” and “clinical.” A framework for conceptualizing the many “practical” effect size indices is described. Several effect size indices that counseling researchers can use, or that counselors reading the literature may encounter, are summarized. A way of estimating “corrected” intervention effects is proposed. It is suggested that readers should expect authors to report indices of “practical” or “clinical” significance, or both, within their research reports; and it is noted that indeed some journals now require such reports.     

Counselor Predictive Skill and Rated Counselor Effectiveness

Prediction is a fundamental part of counseling. Although counselors differ in their ability to predict accurately, there is no evidence that those who predict most accurately do the best job of counseling. Using 3 different sets of case data, 14 counselors predicted whether students would graduate and whether they would keep the “major” program selected at the time of admission. 3 supervisors agreed on the counselors rated “most” or “least” effective in their work with students. Although the amount of case data available to the counselors was unrelated to predictive accuracy, the counselors rated “most” effective predicted significantly better than those rated “moderately” or “least” effective.     

The Developmental Perspective in Integral Counseling

The process of making meaning is a core determinant of human experience. Understanding this process, developmentally, is a vital part of integral counseling. In this article, the authors introduce the concept of ego development stages as increasingly complex and flexible systems of meaning making. An understanding of ego development stages can help counselors to assist clients in a way that recognizes that people not only come in different “types” but also differ significantly in the level of their meaning‐making capacity.     

Who Is This God of Whom You Speak? Counseling Students' Concept of God

Many clients bring a belief in God or a Higher Power into counseling sessions. What is less clear, however, is how counselors conceptualize “god,” which may affect how spirituality is integrated in the counseling process. To explore this question, the authors conducted a concept map study of god images among counseling students. Results suggest that students harbor broad and diverse conceptualizations of god, which may affect the counseling process.     

the cooling out of two-year college women

The author describes the concept of “cooling out” as developed by Burton Clark and examines its applicability to the experience of women in the two-year college. She looks at four cooling out agents: parents, uncontrollable circumstances, counselors, and the two-year college itself. The discussion is based on interviews with 62 women in three two-year colleges. The author concludes that cooling out as experienced by women is congruent with but not exactly like the process as described by Clark. Nevertheless, the importance of counseling to the cooling out function is reasserted.     

A Comparison of Telephone Genetic Counseling and In-Person Genetic Counseling from the Genetic Counselor’s Perspective

Growing demand for and limited geographic access to genetic counseling services is increasing the need for alternative service delivery models (SDM) like telephone genetic counseling (TGC). Little research has been done on genetic counselors’ perspectives of the practice of TGC. We created an anonymous online survey to assess whether telephone genetic counselors believed the tasks identified in the ABGC (American Board of Genetic Counseling) Practice Analysis were performed similarly or differently in TGC compared to in person genetic counseling (IPGC). If there were differences noted, we sought to determine the nature of the differences and if additional training might be needed to address them. Eighty eight genetic counselors with experience in TGC completed some or all of the survey. Respondents identified differences in 13 (14.8 %) of the 88 tasks studied. The tasks identified as most different in TGC were: “establishing rapport through verbal and nonverbal interactions” (60.2 %; 50/83 respondents identified the task as different), “recognizing factors affecting the counseling interaction” (47.8 %; 32/67), “assessing client/family emotions, support, etc.” (40.1 %; 27/66) and “educating clients about basic genetic concepts” (35.6 %; 26/73). A slight majority (53.8 %; 35/65) felt additional training was needed to communicate information without visual aids and more effectively perform psychosocial assessments. In summary, although a majority of genetic counseling tasks are performed similarly between TGC and IPGC, TGC counselors recognize that specific training in the TGC model may be needed to address the key differences.     

Counseling: the reactionary profession

Traditionally counselors have functioned as agents and apologists for the established system. Current counseling theory and practice place the onus for change on the individual. The existing social order is absolved of responsibility for individual and group problems that exist within the structure of its institutions, and persons and groups who express attitudes or who demonstrate behavior inconsistent with the prevailing norms are labeled “deviant” or “abnormal.” If counselors are to become more responsive to their clients' needs, they must acknowledge the negative effects that society and its institutions can have on individuals and begin to effect changes at the institutional level.     

Counselor Confidence and Accuracy of Prognoses of Success or Failure

This study assessed the accuracy of predictions of freshman and overall college scholastic performance made by groups of high school counselors, college advisors, and counseling psychologists from a university counseling center in relation to the confidence of these judges that their prognoses were accurate. Predictions were made from three sets of case information. The results revealed that: (1) the degree of confidence counselors indicated in their freshman and overall college “pass” predictions was appropriately related to accuracy; (2) counselor confidence in freshman “fail” predictions was not related to accuracy although the “fail” judgments tended to be more accurate than the “pass” prognoses; (3) counselor confidence in their overall “fail” predictions was not significantly related to accuracy and, unlike the results for the freshman judgments, the overall “fail” predictions were not more accurate than the “pass” predictions; (4) the amount of case data available was not related to counselor predictive accuracy.     

Themes in Group Counseling with Adolescents

A group of counselors met in seminar over a period of a year, critiquing tapes of their group counseling sessions. It was found through analysis of these recordings that certain themes could be identified which occurred and reoccurred in the content of group counseling with adolescents. These themes were entitled: “My Vices,” “Outwitting the Adults,” “Problem Parents,” “My Brother, the Brat,” “My Public Image,” “Nobody Loves Me,” and “Let's Change the Rules.” Illustrative material is presented that was transcribed from the recordings, after all identifying data were removed.     

A Process and Outcome Study Examining Career Indecision and Indecisiveness

Despite the abundance of research on undecided and indecisive students, there is a lack of literature on the actual change process of counseling these individuals. No published studies have applied advances in single-subject methodology to career research. This study uses both process and outcome measures to investigate the counseling process with an undecided and indecisive college student to examine (a) what specific events were the most significant in each session, (b) counselor intentions in the “best” versus “worst” sessions, (c) role of the working alliance with career clients, and (d) differential counseling outcomes. Participants were two female counselors, one male undecided student, and one male indecisive student. Results (a) support previous speculation about the differential utility of interventions for undecided and indecisive clients, (b) suggest that the relationship may be important to clients in career counseling, and (c) raise questions about previously assumed intervention strategies for career clients.     

Training professionals for evaluative research

Most counselors will agree that the profession is in trouble. Many will recognize that the reason we are in trouble is that we have not taken program accountability seriously. This is partially because graduate training for research extinguishes the desire to “find out” rather than nurturing our curiosity. Oetting and Hawkes focus on evaluation as opposed to research, showing that the skills and processes are not the same and that therefore the training should not be the same. Evaluation skills are necessary in all cells of the Cube; in fact, unless they are operative, counseling may quickly become nondimensional.     

Some Implications of Recent Research in Social and Developmental Psychology for Counseling Practice

Blocher sees four implications for counseling as a result of the additions to research and theory building of social, developmental, and general psychology. From social influence theory, from cognitive, behavioral, humanistic, and developmental research (and their hyphenated combinations) he offers a prototype “systematic eclectic” task-model directed toward implications (1) counseling is a social influence process, (2) counseling centers on the client's cognitive activity, (3) a major variable in the outcome of counseling is the level of the client's cognitive development, and (4) counselors may need intervention programs to raise cognitive levels.     

Toward a Telic Vision of Human Beings: A Dialogue with Joseph F. Rychlak

Over the past 25 years, Joseph F. Rychlak has developed a unique approach to theory, research, and practice in counseling that he refers to as “rigorous humanism.” His conceptualization of human action is radically different from the mainstream understanding of human beings in scientific theory and research. His position is quite compatible, however, with the views of most practicing counselors. Rychlak's proposals have been instrumental in developing a modified view of science, upon which a research-based understanding of counseling practice can be constructed.     

Client as counselor: self-regulation strategies

Recent research in counseling suggests the efficacy of teaching the clients to be their own counselors through the use of self-regulation procedures. This article explores three primary steps involved in helping clients to control their own behavior change: self-observation, self-monitoring, and self-regulation strategies. Self-regulation provides an affirmative answer to the question: “Is the client a counselor?” by promoting client responsibility and independence in the counseling process.     

Sexual Dual Relationships in Counseling: Confronting the Issues

Sexual intimacy between counselors and clients is a frequently claimed type of violation against licensed professional counselors. This article examines the issue of sexual dual relationships in terms of prevalence, harm inflicted on clients, counselor awareness, predictability, and parameters for concern. Implications for counseling practice, education of prospective clients, legislation, research, and counselor training are also discussed. It is suggested that despite the complexity and controversy surrounding the topic of sexual dual relationships, the challenge to counselors to confront and to explore these issues is critical to the profession and cannot be ignored.     

Issues and Insights: Working With God: Managing Conservative Christian Beliefs That May Interfere With Counseling

Counselors who work with conservative Christians may ask how to respect a client's values when “God” seems to be saying something contrary to what the counselor believes is in the client's best interests. In a managed care era of decreasing choice about one's counselor, referral of such clients to a conservative Christian counselor is not always an option. “Working with God” when counseling conservative Christian clients requires counselors to understand conservative Christian beliefs. This article portrays conservative Christianity as a culture and articulates conservative Christian beliefs that may challenge the counseling process, suggesting options within the framework of these beliefs.     

If Counseling is Psychotherapy—What Then?

No counseling, other than the strictly information-giving forms of academic and vocational advisement, can actually be limited to the conscious, rational layers of personality. The deeper levels are reflected in all aspects of behavior, so that concepts of a dichotomy between “counseling” and “psychotherapy” have only the most restricted usefulness. If counseling is necessarily a form of psychotherapy, however specialized, present training methods for counselor candidates are seriously inadequate. Advanced psychological knowledge is needed by counselors, including study of abnormal psychology and diagnostics, as well as of the biological and sociological roots of behavior. Also needed are more rigorous selection methods for counselor candidates, inasmuch as their work unavoidably affects the deeper personality dynamics of their clients, as well as a requirement that those who will counsel others therapeutically should themselves have the experience of being counseled. In view of the increased rigor of this program, if it is undertaken the scale of compensation for counselors should also be considerably increased.     

Counseling Persons With Disabilities: Are the Feelings,Thoughts, and Behaviors of Helping Professionals Helpful?

Seven counseling “syndromes,” with illustrative vignettes, focus on some of the feelings, thoughts, and consequent verbal and nonverbal behaviors of counselors working with physically disabled clients. Nathanson urges counselors and other helping professionals to become aware of their feelings and thoughts, and to monitor their interactions with disabled clients so that existing beliefs and biases will not interfere with positive client growth.