The therapeutic alliance and the interface of career counseling and personal counseling

This article proposes a very specific pathway for bringing career counseling back into mainstream counseling psychology: more explicit research and clinical attention to the therapeutic alliance. The author hopes that this abbreviated review on the alliance serves as an impetus for increased attention to the alliance in career counseling theory, research, and practice as well as for including training in alliance formation and strengthening in career counselor education and supervision.     

Models of genetic counseling and their effects on multicultural genetic counseling

This theoretical paper examines challenges to multicultural genetic counseling, counseling between culturally different clients and counselors, in the context of Kessler's typology of models of genetic counseling (Kessler S (1997) J Genet Counsel 6:287–295). It is suggested that challenges such as resistance to multicultural genetic counseling education may be due to conceptions about genetic counseling as a biomedical field that transcends questions of culture as well as lack of multicultural training or prejudice. Directions for future research and recommendations for multicultural genetic counseling education are briefly explored.     

Nondirectiveness and genetic counseling

Nondirectiveness is the generally required and professed standard for genetic counseling. However, studies are lacking in the field of human genetics and in other disciplines which address either the theory or practice of this type of therapeutic procedure in the context of genetic counseling. Moreover, there is no indication the further development this concept has undergone in client-centered therapy has been acknowledged in human genetics. This could be due tot he historical development of genetic counseling, its inherent conflicts and often undefined goals, and the latent need of human geneticists to defend themselves against being accused of eugenic tendencies. Nondirectiveness and directiveness, however, can neither adequately describe what takes place in genetic counseling, nor can they — according to their original meaning — be used to define an ethical standard of genetic counseling. Starting with the writings by Carl Rogers (1942), an experiential approach is described, in which counseling is seen as a process of influence, which is wished by all the persons involved, during which activities are oriented toward the experience of the client, and which allows the counselor to communicate openly and directly with the client. The present study illustrates the use of the experiential approach in genetic counseling and shows that it can uphold the principle of ethics, which nondirectiveness demands and, at the same time, prevent the inevitable and unresolvable contradictions. This means that in their training genetic counselors must learn to recognize and constantly reflect on the influence they can and want to exert. In order to be able to use this influence in a responsible manner, genetic counselors must also learn to have a certain degree of flexibility so that they are able to check at any time how their client responds to this influence.     

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.     

The draft and counseling

This article regards draft counseling as a specialized extension of personal, educational, and vocational counseling. It can be a necessary and valuable outreach program and is needed because most students are unaware of their rights under the Selective Service System. Professional counselors have a crucial role to play in draft counseling by helping to establish a Draft Information Center, by training and supervising students and faculty as draft counselors, and by serving as a referral source for individuals needing further counseling. Suggestions are included for the establishment of a Draft Information Center in high schools and colleges.     

Sexual counseling and therapy

Abstract

This article is an edited version of four interviews conducted with Dr. Ivan Boszormenyi-Nagy in the Spring of 1980. The interviews ranged in content from Dr. Nagy's early training and influences to the theoretical and clinical foundations of contextual family therapy. This article focuses on the major constructs of contextual family therapy. Since this approach is often viewed as highly theoretical and conceptual in nature, it may be helpful to the practitioner to see how Dr. Nagy uses these constructs in a clinical situation. As a practitioner, I have found his theory extremely useful in conceptualizing the family system, and also in developing a treatment strategy. Hopefully, the questions asked of Dr. Nagy in these interviews will be of interest to other family therapists who are concerned with the clinical aspects of family therapy theories.     

Group counseling

This article reviews the major concerns of group counseling and differentiates among group guidance, group counseling, and group therapy. It also evaluates the research status of group counseling. Finally, the author presents implications for the future of this approach.     

Ego psychology and pastoral counseling

Conclusion Implicit in this entire consideration is the recognition that pastoral counselors need a differential methodology, and that the major divisions of such an approach are insight and supportive counseling. Skill in both insight and supportive counseling will markedly enhance the pastor's ability to be a therapeutic agent in the lives of those who seek his help.     

Pastoral counseling and petitionary prayer

Petitionary prayer is a valid and often-used form of prayer among religious people. Not infrequently, pastoral counselors find themselves praying for clients. This article explores the pastoral counselor's use of petitionary prayer, experientially and theologically, and attempts to locate its meaning within the healing enterprise.