Personal Versus Vocational Focus in Career Counseling: A Retrospective Outcome Study

In this archival study the authors sought to determine the relationship, if any, between counseling outcomes and the topical focus in career counseling. Twenty-two counselors saw 46 adult clients at a community-based clinic for an average of eight sessions. Counseling outcome and topical focus (the extent to which the actual content of counseling sessions reflected relatively more vocationally or personally focused topics) were assessed from follow-up questionnaires to former career clients and from trained raters' evaluations of the counselors' written progress notes. Results showed that, from the counselors' perspective, outcomes were better when the focus of the sessions was relatively more vocational than personal and when relatively more interviews were held. Client satisfaction, on the other hand, was predictable only from the counselor's level of experience. Satisfaction with occupational status was not associated with any of the client, counselor, or treatment factors. Discussion focuses on the contribution of the results to career counseling practice and on the feasibility and validity of retrospective, archival research.     

Lesbian Partner Abuse: Implications for Therapists

Silence surrounds the issue of lesbian battering. Lesbian victims of partner abuse are even less likely than are their heterosexual counterparts to seek help in shelters or from counselors because of the overlay of homophobia that exists both in the battered women's movement and among mental health professionals. In addition, many lesbian and many lesbian-supportive therapists hold an idealized and unrealistic picture of the nature of lesbian relationships, leading them to deny the existence of buttering among lesbian couples. The nature, severity, and prevalence of abuse in lesbian relationships is addressed; current counseling and treatment models dealing with battering relationships are analyzed; and a counselor advocacy model for working with lesbian partner abuse, drawing from the experience of activists in the battered women's movement and our clinical experience, is suggested.     

A Comparison of Two Cases of Counseling with the Same Counselor

Process analyses revealed that interpretations and exploration of feelings were helpful across two cases. Other interventions were helpful for one case but not the other.     

Training Counselors for Work with Special Populations: A Second Look

Literature on the counseling needs of special populations typically has focused on the inadequate treatment those populations receive. Counselor education programs have responded by developing courses that target specific populations such as women, minorities, or disabled people. There are serious drawbacks, however, to this proliferation of specialized courses. In this article the authors discuss those drawbacks and argue that counselor education programs should include an integrated course that facilitates student self-awareness in conjunction with practical experience with a variety of clients.     

Comparing the social support behaviors of violent and nonviolent husbands during discussions of wife personal problems

To compare the social support behaviors of violent and nonviolent husbands, we recruited four groups of couples-violent and distressed (VD); violent/nondistressed (VND); nonviolent/distressed (NVD);and nonviolent/nondistressed (NVND). Two systems were used to code couples’discussions of wives’personal problems. Using the Social Support Interaction Coding System (Bradbury & Pasch, 1994), no violent-nonviolent group differences emerged; however, as listeners, NVND husbands were the most positive and tended to be the least negative. Using a coding system designed for this study (i.e., Social Support Behavior/Affect Rating System), we confirmed the hypothesis that violent husbands would offer less social support than would nonviolent husbands. Relative to nonviolent men, violent husbands were less positive, more belligerent/domineering, more contemptuous/disgusted, and more upset by the wife's problem. Relative to NVND husbands, violent husbands displayed more anger and tension, VND husbands were more critical of their wives’problem, and VD men were more critical of the possible solutions wives offered. We discuss differences in the two coding systems relevant to the detection of violent-nonviolent group differences. Across both systems, few group differences in wife behavior emerged, suggesting that husband behavior better differentiates violent from nonviolent couples when wives are discussing personal problems.     

Family Functioning and Mental Illness: A Comparison of Psychiatric and Nonclinical Families

The primary objective of the present investigation was to examine adaptive functioning in the families of patients with a wide range of psychiatric disorders. Seven dimensions of family functioning, as measured by the Family Assessment Device (FAD), were compared across families of patients with a schizophrenia spectrum disorder (n = 61 ), bipolar disorder (n = 60 ), major depression (n = 111 ), anxiety disorder (n = 15 ), eating disorder (n = 26 ), substance abuse disorder (n = 48 ), and adjustment disorder (n = 46 ). Families in each psychiatric group were also compared to a control group of nonclinical families (N = 353 ). Results indicated that regardless of specific diagnosis, having a family member in an acute phase of a psychiatric illness was a risk factor for poor family functioning compared to the functioning of control families. However, with few exceptions, the type of the patient's psychiatric illness did not predict significant differences in family functioning. Thus, having a family member with a psychiatric illness is a general stressor for families, and family interventions should be considered for most patients who require a psychiatric hospitalization for either the onset of, or an acute exacerbation of, any psychiatric disorder.