The Counselor in the Hospice: A New Role

Part of the outreach program of the counselor training program at The College of Staten Island for the past ten years has been to provide counseling for persons with life-threatening and terminal illnesses and for their families. This effort led Cheikin to visit and work in hospices in England and Scotland. His experience has clearly shown that counselor education must include experience with and increased understanding of dying, grieving, and the effect of death on surviving family members; these are now being incorporated into the regular curriculum of the College.     

Conflict and Aggression in Couples Therapy: A Self Psychological Vantge Point

The intent of the present essay is to correct the misconception that self psychology fails to deal with conflict and aggression. Self psychology does, in fact, have a definite view of conflict and aggression that leads to clear implications for treatment. I will focus upon the applicability of these ideas to psychoanalytic work with couples. Clinical material will be presented in order to illustrate the application of these concepts. Conflict and aggression are not seen as an interference or resistance to be handled or removed. Instead, the occurrence of conflict and aggression may be viewed as an opportunity to address underlying issues. The aim of technique thus becomes the deepening of therapeutic process. The key issue is not the management of conflict and rage. It is the strengthening of functions of affect regulation, containment, and self-cohesion. The emphasis is on the underlying narcissistic vulnerability of both members of the couple, especially during times of conflict. The therapist's attunement to underlying vulnerability is an important aspect of a self psychological approach.     

USING RANDOM RATHER THAN FIXED EFFECTS MODELS IN META-ANALYSIS: IMPLICATIONS FOR SITUATIONAL SPECIFICITY AND VALIDITY GENERALIZATION

Combining statistical information across studies (i.e., meta-analysis) is a standard research tool in applied psychology. The most common meta-analytic approach in applied psychology, the fixed effects approach, assumes that individual studies are homogeneous and are sampled from the same population. This model assumes that sampling error alone explains the majority of observed differences in study effect sizes and its use has lead some to challenge the notion of situational specificity in favor of validity generalization. We critique the fixed effects methodology and propose an advancement–the random effects model (RE) which provides estimates of how between-study differences influence the relationships under study. RE models assume that studies are heterogeneous since they are often conducted by different investigators under different settings. Parameter estimates of both models are compared and evidence in favor of the random effects approach is presented. We argue against use of the fixed effects model because it may lead to misleading conclusions about situational specificity.     

Human lmmunodeficiency Virus Infection and the Gay Community: Counseling and Clinical Issues

The gay community has been and continues to be disproportionately affected by the acquired immune deficiency syndrome (AIDS) and the human immunodeficiency virus (HIV) infection. Need for risk-reduction education, mental health service provision, and assistance in grieving the ongoing loss of loved ones continues to exist among members of the gay community. Clinicians who work with gay clients should be aware of the critical issues confronting gay men who are at risk for infection, those who may already be infected with HIV, and their loved ones. This article highlights critical issues in introducing prevention in therapy and counseling, in supporting asymptomatic seropositive gay men and gay men with AIDS-related complex (ARC) and AIDS in their attempts to cope, and in assisting in the grieving process for those who have lost loved ones to AIDS-related illnesses.     

Measuring Clients' Cognitive Competence in Research on Counseling

Counseling is defined as an activity concerned with the development of cognitive competence in clients. As part of the overall movement in research on counseling toward methodological pluralism and triangulation, it is suggested that researchers of counseling effects adopt methods of processing and representing clients' cognitive structures. Such methods can help to capture some of the uniquely rich personal and subjective aspects of the change process in counseling. A variety of methods for accessing and representing cognitive structures are presented, some of which are illustrated in a brief case report. The advantages and limitations of the methods presented are discussed.     

SINGLE-ATTRIBUTE UTILITY ANALYSIS MAY BE FUTILE,BUT THIS CAN’T BE THE END OF THE STORY: CAUSAL CHAIN ANALYSIS AS AN ALTERNATIVE

Research on providing single-attribute utility analysis has shown moderate or even negative effects on the acceptance of selection and training tests by human resource decision makers. In this study, we contrasted the perceived utility of single-attribute utility analysis with causal chain analysis as an alternative way of conducting utility analysis. Causal chain analysis focuses on measuring the linkages between HRM interventions and organizational outcomes mediated by employee attitudes and customer perceptions. We compared 144 managers' reactions to both methods of utility analysis concerning the variables understandability, information quality, perceived usefulness, user information satisfaction, and intention to use. Causal chain analysis yielded higher results than single-attribute analysis for these variables, and a compound measure of these constructs supported this finding. This indicates that causal chain analysis is a valuable alternative method of communicating the utility of HRM interventions.     

Psychological distress and subjective well‐being in partners of somatically ill or physically disabled: The Nord‐Trøndelag Health Study

Borren, I., Tambs, K., Idstad, M., Ask, H. & Sundet, J. M. (2012). Psychological distress and subjective well‐being in partners of somatically ill or physically disabled: The Nord‐Trøndelag Health Study. Scandinavian Journal of Psychology 53, 475–482. This study investigated the cross‐sectional associations between various somatic conditions in one partner and the level of distress and well‐being in the spouse. The study is based on survey data from the Norwegian Nord‐Trøndelag Health Study, HUNT II (1995–1997). A sample of 9,797 married or cohabiting couples with valid data on subjective well‐being (SWB), psychological distress (Hopkins Symptom Check List (SCL)‐10) and somatic illness were identified. Regression analyses stratified by sex were conducted with SCL‐10 and SWB scores as dependent variables and a joint somatic score as predictor, including; stroke, cancer, angina, myocardial infarction and physical disability (PD). The contribution of each somatic condition was also explored. Spouses of persons previously diagnosed with at least one somatic condition scored significantly lower on SWB and significantly higher on SCL‐10 than spouses of healthy persons, though effect sizes were small. The effect seems to be at least partly mediated by the ill partner’s psychological distress. Of the specific conditions, PD had the most significant contribution for both genders, though an association between male angina and spousal distress/SWB was also demonstrated.