Misapplication of therapy models to school counseling

For a considerable time professionals engaged in school counseling have borrowed heavily from psychotherapeutic models in an attempt to find a theory and techniques viable in a school context. A number of factors, however, cast doubt on the applicability of any psychotherapeutic design to this setting. Among these factors are the structure of the school, training programs for school counselors, administrative attitudes, the involuntary nature of much school counseling, the limitations of time, educational objectives, the transitoriness of school counseling, and the irregularity of counseling contacts. Many psychotherapeutic models are at odds or even totally incongruent with educational objectives. Alternatives and options for generating theory and monitoring research are examined.     

Mandated Disciplinary Counseling on Campus: Problems and Possibilities

Because of increased student misconduct in academic institutions, counselors have had to use traditional voluntary counseling models with involuntary disciplinary clients. The authors propose a policy position that would preclude mandated treatment and instead place an emphasis on counseling readiness programming for disciplinary referrals. A stages of behavioral change model is offered as a tool to articulate when counseling can be effective with students entangled in disciplinary procedures.     

Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

The impact of different directed forgetting instructions on implicit and explicit memory: New evidence from a modified process dissociation procedure

In contrast to previous research on directed forgetting, the present studies adopted a recent modification of the process dissociation procedure (Jacoby, 1991; Richardson-Klavehn & Gardiner, 1995) to accommodate the cross-contamination of memory test performance by implicit and explicit memorial factors. In Experiment 1, 120 subjects were compared in global directed forgetting, item-by-item directed forgetting, and control conditions on estimates of voluntary conscious memory, involuntary conscious memory, and involuntary unconscious memory performance. In Experiment 2, 80 subjects were compared in specific directed forgetting and control conditions on estimates of voluntary conscious memory, involuntary conscious memory, and involuntary unconscious memory performance. Subjects showed significant decrements in voluntary and involuntary conscious memory performance following instructions for directed forgetting in all conditions. None of the directed forgetting conditions showed a decrement in involuntary unconscious memory performance. Results suggest that, regardless of instruction type, directed forgetting prevents the conscious expression of memorial information (both voluntary and involuntary) while leaving unconscious memory intact.     

Retrieval effort or intention: Which is more important for participants’ classification of involuntary and voluntary memories?

Theories of autobiographical memory distinguish between involuntary and voluntary memories. While involuntary memories are retrieved with no conscious intention and are therefore unexpected, voluntary memories are both intended and expected. Recent research has shown that participants sometimes classify their memories as either involuntary or voluntary based on retrieval effort instead of intention. These findings question whether intention really is the defining difference between these two types of retrieval or whether retrieval effort is also an important determinant. In two experimental studies, we investigated the extent to which participants rely on retrieval effort while classifying their memories as involuntary or voluntary. We created experimental conditions that maximize the probability of one type of retrieval while minimizing the probability of another type. Participants reported autobiographical memories in each condition while the programme registered their retrieval time. They then classified their memories as either voluntary or involuntary and rated all memories on perceived retrieval effort. This gave us four categories of memories: experimentally defined voluntary and involuntary memories with an objective measure of effort (retrieval time) and subjectively classified involuntary and voluntary memories with a subjective measure of effort. This allowed us to investigate the relative contribution of intention and effort to involuntary and voluntary memories. We replicated and extended previous findings by showing that the majority of memories were classified as involuntary independently of whether they were retrieved in the experimentally defined voluntary or involuntary condition. This could indicate that subjective effort is more important than intention for the involuntary–voluntary distinction in contrast with existing theories. We discuss theoretical and methodological implications of this finding.     

Relationship between frequency of involuntary autobiographical memories and cognitive failure

Involuntary autobiographical memories are memories of personal experiences that pop into mind without a conscious attempt at their retrieval. This study investigated individual differences in the number of involuntary autobiographical memories, and explored the relationship between the frequency of occurrence in involuntary autobiographical memory and cognitive failures in everyday memory, as indexed by metamemory questionnaires. A total of 24 undergraduate students reported involuntary autobiographical memories in controlled field interviews, and completed the Everyday Memory Questionnaire and the Cognitive Failures Questionnaire. The results showed that, despite controlled conditions, considerable individual differences were observed in the number of involuntary autobiographical memories reported while walking along a prescribed route on the campus, and that reported memories were predominantly serving self function. In addition, the number of involuntary autobiographical memories was positively related to cognitive failures in everyday memory: participants who acknowledged more problems in everyday memory had a higher frequency of involuntary memories. The implications of these results are discussed in terms of the complementary function of involuntary autobiographical memory in everyday life.     

Attention and ageing: Measuring effects of involuntary and voluntary orienting in isolation and in combination

The cueing paradigm provides an established method for eliciting involuntary and voluntary attention shifts. Involuntary orienting is traditionally measured with non‐predictive peripheral cues and voluntary orienting with predictive central arrows. Recent studies with young adults have established that predictive central arrows trigger a combination of involuntary and voluntary orienting, raising the possibility that previous studies – including those with older adults – misinterpreted their findings with central arrow cues as isolating the effects of voluntary attention. The present experiment applied different cueing conditions that measured involuntary orienting, voluntary orienting, and involuntary and voluntary orienting in combination in older adults. The results show that past studies of voluntary orienting in older adults confound involuntary and voluntary orienting. Cueing effects in a condition that for the first time isolated voluntary orienting (predictive number cues) with older adults were significant, and comparable to effects for younger adults, demonstrating that older adults successfully utilize cues to direct their spatial attention strategically. A similar normal pattern of orienting was observed for involuntary orienting. Our study provides a methodology that can be applied effectively to isolate and investigate the effects of age on voluntary and involuntary attention.     

Involuntary autobiographical memories in and outside the laboratory: How different are they from voluntary autobiographical memories?

In two studies, we compared the characteristics and retrieval times of involuntary and voluntary autobiographical memory under controlled laboratory conditions. A new laboratory task of involuntary autobiographical memories involved detecting vertical lines in a stream of stimuli with horizontal lines (an undemanding vigilance task) and recording any involuntary memories during the session. The majority of these memories were reported as being triggered by irrelevant cue phrases presented on the screen. Voluntary autobiographical memories were sampled via a standard word-cue method in Session 2. The results showed that involuntary memories were more specific and were retrieved significantly faster than voluntary memories. They were also more likely to be triggered by negative cues, whereas cue valence did not have any effect on the number of voluntary memories. Furthermore, laboratory involuntary memories did not differ from naturalistic involuntary memories recorded in a diary by the same participants (Study 2). Taken together, these results have important implications for current theories of autobiographical memory, and they open up interesting avenues for future research.     

EMPIRICAL COMPARISONS OF COUNSELOR ORIENTATIONS

The purpose of this study was to investigate counselor behaviors related to being “counseling oriented” in one's interaction with clients as opposed to being “placement oriented.” The levels of therapeutic conditions (accurate empathy, self congruence, unconditional positive regard, and intensity and intimacy of interpersonal contact) were all positively correlated with being counseling oriented (p<.01). The multiple correlation of the therapeutic conditions with being counseling oriented was .74 with accurate empathy accounting for the major portion of the variance. Further analysis of the frequency of specific counselor responses revealed that counselors who provide high therapeutic conditions, or those who are counseling oriented: (a) manifest a distinctly different pattern of responses; and, (b) are more active in the counseling relationship in terms of total responses.     

Current Findings Regarding the Effectiveness of Counseling: Implications for Practice

Research on the effectiveness of counseling is reviewed, and conclusions are drawn about the consequences for professional practice. The research literature clearly shows that counseling is effective in relation to no-treatment and placebo control conditions. The effects of counseling seem to be relatively lasting. These effects are attained in relatively brief time periods, with the percentage of clients who show substantial improvement increasing as the number of counseling sessions increases. There continues to be little evidence of specific efficacy for particular techniques or counseling theories, and a small portion of clients seem to deteriorate while undergoing, and perhaps because of, counseling interventions.     

Psychosocial Conditions of Women Awaiting Genetic Counseling: A Population-based Study

The decision whether to undergo genetic counseling for hereditary breast and ovarian cancer is complex. Knowledge about the psychosocial conditions of women who are awaiting counseling is sparse. We aimed to compare the psychosocial conditions of women awaiting genetic counseling with those of women in two reference groups. We included 567 women referred to genetic counseling for hereditary risk of breast or ovarian cancer (Genetic Group), 689 women referred to mammography (Mammography Group) and a random sample of 2,000 women from the general population (Population Group). One to 4 weeks before the first counseling session or mammography, data were collected by questionnaires. Both women affected with cancer and unaffected women in the Genetic Group appeared to have a somewhat higher prevalence of cancer-specific-distress than the corresponding reference groups. Further research on the effect of pre- counseling interventions appear warranted in addition with exploring a potential association between waiting time and cancer-specific distress.     

Disclosure of HIV status is a family matter: field notes from China.

This study examines the role that family plays in disclosure of HIV-AIDS in China. In-depth semistructured interviews were conducted with 30 individuals living with HIV-AIDS infected through different routes. The vast majority of participants were between the ages of 20 and 39 years old (93.4%) and about a third (36.7%) were women. Two primary disclosure processes, involuntary and voluntary, are described. In both processes, family members other than the patient are usually the first to know HIV status. Positive impacts of disclosure include strengthening family relations and help with medical care and counseling, whereas negative impacts include fear, isolation, avoidance, and psychological burden. This study illustrates that family is an intricate part of the disclosure process in China and demonstrates the importance of including families in HIV-AIDS interventions.     

The effects of context and subjects' perceived control in breaching posthypnotic amnesia

Subjects selected on the basis of being amnesic and experiencing their amnesia as “voluntary” or “involuntary” were subjected to two conditions designed to breach their amnesia: (1) lie detector, and (2) honesty instructions. A third group receiving relaxation instructions served as a control. Posthypnotic amnesia was breached under lie detection and honesty conditions. However, there appeared to be an interaction between how subjects reported their experience of amnesia (voluntary and involuntary) and the degree to which amnesia was breached. Voluntary subjects accounted for the majority of breaching. Implications for (1) studies on breaching, (2) theories and processes of breaching, Implications for (1) studies on breaching, (2) theories and processes of posthypnotic amnesia, and (3) studies in posthypnotic amnesia are discussed.     

Conjoint dissociations reveal involuntary "perceptual" priming from generating at study.

Incidental perceptual memory tests reveal priming when words are generated orally from a semantic cue at study, and this priming could reflect contamination by voluntary retrieval. We tested this hypothesis using a generate condition and two read conditions that differed in depth of processing (read-phonemic vs read-semantic). An intentional word-stem completion test showed an advantage for the read-semantic over the generate condition and an advantage for the generate over the read-phonemic condition, and completion times were longer than in a control test, prior to which there was no study phase. An incidental word-stem completion test showed equivalent priming for the read-semantic and read-phonemic study conditions, despite considerable power, and completion times were no longer than control, indicating that retrieval was involuntary, and insensitive to prior conceptual processing. The generate condition produced less priming than the read conditions, but significant priming nonetheless. The results show that priming from generating can be involuntary and suggest that lexical processes are responsible. They are also the first results conjointly showing a crossed double dissociation, a single dissociation, and a parallel effect across memory tests with identical physical retrieval cues.     

Existential Authenticity: A Foundational Value for Counseling

Adopting an existential perspective in counseling is often viewed as inapplicable or a luxury for most clients. The author challenges these commonly held misconceptions. The concept of existential authenticity is presented as an organizing ethic that can bring out the positive side of existentialism in counseling. Specific values and conditions that the counselor can adopt to create an existential foundation for counseling practice are presented. The author concludes that actively incorporating these existential values into the counseling process can deepen the impact of the therapeutic work.     

How intention to retrieve a memory and expectation that a memory will come to mind influence the retrieval of autobiographical memories

While involuntary memories are retrieved with no intention and are usually unexpected (when one is not waiting for a memory to arise), voluntary memories are intended and expected (when one is searching and waiting for a memory to arise). The present study aimed to investigate the effects of retrieval intentionality (i.e. wanting to retrieve a memory) and monitoring processes (i.e. waiting for a memory to appear) during autobiographical memory retrieval. In addition, we introduced two novel laboratory conditions that have not been used in previous research on voluntary memories: in the first, participants were asked to report anything they could think of in response to each cue word; in the second, they could skip a word if nothing came to mind. These novel manipulations allowed us to differentiate between voluntary memories retrieved in response to experimenter-generated cues (when participants were forced to provide a memory or a thought for each cue) and self-selected cues (when participants were free to not answer a cue if they found it too difficult). We found that highly accessible memories were mostly experienced when retrieval was involuntary and unexpected, while memories with low accessibility were accessed through intentional retrieval and monitoring processes. Response times for memories recalled in the experimenter-generated cue conditions were longer compared to the self-selected cue conditions. This novel finding shows that experimenter-generated recall favours memories with low accessibility; it further supports the idea that, in a substantial number of trials, voluntary memories are directly rather than effortfully retrieved. The idea that the driving force behind differences between involuntary and voluntary memories is not the intention per se is further discussed.     

Does fear of coercion keep people away from mental health treatment? Evidence from a survey of persons with schizophrenia and mental health professionals

Mental health consumer advocates have long argued that involuntary treatment frightens persons with mental disorder and thus deters them from voluntarily seeking help. We surveyed 85 mental health professionals and 104 individuals with schizophrenia spectrum conditions to assess their experience with and perceptions of involuntary treatment and other treatment mandates. Of the clinicians, 78% reported that overall they thought legal pressures made their patients with schizophrenia more likely to stay in treatment. Regarding involuntary outpatient commitment, 81% of clinicians disagreed with the premise that mandated community treatment deters persons with schizophrenia from seeking voluntary treatment in the future. Of the consumer sample, 63% reported a lifetime history of involuntary hospitalization, while 36% reported fear of coerced treatment as a barrier to seeking help for a mental health problem-termed here "mandated treatment-related barriers to care." In bivariate analyses, reluctance to seek outpatient treatment associated with fear of coerced treatment (mandated treatment-related barriers to care) was significantly more likely in subjects with a lifetime history of involuntary hospitalization, criminal court mandates to seek treatment, and representative payeeship. However, experience with involuntary outpatient commitment was not associated with barriers to seeking treatment. Recent reminders or warnings about potential consequences of treatment nonadherence, recent hospitalization, and high levels of perceived coercion generally were also associated with mandated treatment-related barriers to care. In multivariable analyses, only involuntary hospitalization and recent warnings about treatment nonadherence were found to be significantly associated with these barriers. These results suggest that mandated treatment may serve as a barrier to treatment, but that ongoing informal pressures to adhere to treatment may also be important barriers to treatment.     

The self and involuntary memory: Identifying with the victim increases memory accessibility for stressful events

Autobiographical memory is intimately linked to the self. However, the relation between the self and involuntary recall has been understudied. Theoretically, the more relevant an event is to the self the more accessible the memory should be. In line with this prediction, the present study tested the hypothesis that self-relevance of a stressor modulates involuntary recall. Healthy student participants viewed distressing film clips and were presented with information that defined the main characters as more or less similar to them, or without any information about the characters. In line with predictions, participants in the high self-relevance condition reported more involuntary memories of the film clips after one week compared to participants in the low self-relevance and control conditions. The findings support the theoretical relation between the self and memory accessibility and extend findings from previous research to the domain of involuntary recall.     

Level of processing and age affect involuntary conceptual priming of weak but not strong associates

Memory for weak and strong semantic associates was compared in intentional associate-cued-recall and incidental free-association tests. This design yielded four conditions (weak/intentional, strong/intentional, weak/incidental, and strong/ incidental) on which younger and older adults were compared. Level of processing (LOP) and age effects occurred for the weak/intentional, strong/intentional, and weak/incidental conditions, but not for the strong/incidental condition. Because participants could not distinguish weak from strong associates during the memory tests, these results suggest that free-association priming was involuntary and was not contaminated by voluntary retrieval strategies. Instead, they suggest that encoding deficits related to shallower LOP and older age reduce involuntary free-association priming mainly for associates without cohesive preexperimental representations.     

Wistful Wish: Evaluation Without Values

Two recommendations from a recent statement of standards for counselor education are examined for underlying philosophical assumptions. The first recommendation, that counselors should possess ability for and conduct scientific research, assumes that the counseling process is lawful and orderly, that theoretical concepts can be operationally defined and that empirically testable predictions can be derived from counseling theories. A second recommendation suggests that counselors-in-training be selectively admitted and retained. Underlying this recommendation is the assumption that counseling is a process of influence that can be evaluated. Such evaluation must be based on conditions outside the counseling relationship, in the social context of the life of the client. The serious implications of these assumptions are illustrated and discussed.