Good Practice in Transcultural Counselling: An Asian Perspective

In Britain today, counsellors and therapists often work with people from a diverse range of ethnic groups whose cultures are substantially different from their own. There is increasing concern that people from black and ethnic communities have limited access to appropriate services—despite service planners' and providers' statements that mental health services are being restructured to become more sensitive, relevant and meaningful to these communities. This paper is an attempt to redress the balance with an emphasis on the therapeutic needs of South Asian communities. It aims to challenge assumptions and beliefs held by therapists and counsellors, question therapeutic practice based within a white, middle-class ideology, raise awareness of an 'Asian' perspective in therapy, and provide some guidelines for good practice in transcultural counselling.     

Helping Unrelated Strangers: Physical and Psychological Reactions to the Bone Marrow Donation Process Among Anonymous Donors1

The development of models that predict outcomes of voluntary action is important for practitioners who manage large groups of volunteers. In accordance with this goal, a path model was generated linking predonation characteristics of volunteer marrow donors to postdonation physical and psychological reactions. Questionnaire data were collected from 343 individuals registered to donate marrow to unrelated strangers at 3 time points: shortly predonation, shortly postdonation, and 1-year post- donation. Although donors had generally positive reactions to donation, a substantial minority reported ambivalence about donating, physical difficulty with donation, and negative psychological reactions postdonation. In addition, our data suggest that predonation ambivalence is a central predictor of postdonation reactions, even after other donor characteristics are taken into account. These results have practical implications for the recruitment of volunteers, and suggest important variables to be considered in evaluating potential bone marrow donors.     

Cognitive changes associated with social skills training

Changes in locus of control and self-esteem during social skills training and at 6 month follow-up were investigated. Forty-four adolescent, male offenders were randomly assigned to a social skills training, attention-placebo, or no-treatment control procedure. The results showed that pre- to post-training increases in self-esteem were produced for both the social skills training and attention-placebo control groups, but not for the no-treatment control group. These increases did not continue during the follow-up phase; the social skills training group, which showed the greatest improvement during training, displayed a decrease in self- esteem during follow-up.The locus of control measures showed a statistically significant shift towards internality for the social skills training group during training, which was not found for the attention-placebo and no-treatment controls. During the follow-up phase, all three groups showed a statistically significant shift towards externality, suggesting a tendency for boys to view their behaviour and consequences as being under the control of chance factors or powerful others, during institutionalization. This effect was partly reversed during training for the social skills training group, but the effect was not long lasting. It seems therefore that social skills training is effective in producing an increase in self-esteem and a shift towards internal locus of control. These changes are, however, of short duration and the self-esteem shift may be the result of increased staff contact or other non-specific therapy factors.     

The student counsellor as a team member

Describing the future roles and services of British counsellors in higher and further education must not be done in professional isolation. We need to consider how the future roles of professional counsellors will positively affect the counselling done by academic staff Furthermore, rather than making generalisations about counselling needs, it may be better for working parties or task forces to develop counselling models which are appropriate to particular institutions. Such task forces should address some of the pressing issues confronting academic institutions: for example, (1) the revitalisation of the curriculum; (2) the improvement of the out-of-classroom relationships between academic staff and students; and (3) the development and maintenance of effective systems of academic government. If counsellors are to develop services which will help to resolve some of the problems associated with these issues, they will have to be increasingly clear about their own values.     

Problem‐Focused Content in the Job Search: Two Tests of the Cognitive‐Emotional Theory of Esteem Support Messages

The Cognitive‐Emotional Theory of Esteem Support Messages posits that messages intended to enhance recipients' state self‐esteem focus on cognitions and/or behaviors. In the current studies, problem‐focused message content (i.e., content focused on enacting behavior to alleviate the esteem threat) was of particular interest. College students (Study 1, n= 227) applying for postgraduation jobs and unemployed, underemployed, and/or displaced workers recruited from a government one‐stop career center (Study 2, n = 292) rated esteem support messages varying in degree of focus on behaviors vs. cognitions relevant to the job search process. Messages focused on behavior were rated as less effective than those focusing on cognitions relevant to the esteem threat, although support for this result was stronger in Study 2.     

Application of Yoga as a Spiritual Practice to Enhance Counselor Wellness and Effectiveness

In this article, we explore potential benefits of yoga, an ancient Indian tradition for spiritual growth and development, for counselors. Counselors use themselves as instruments to support clients and are constantly exposed to the traumatic experiences of clients, which may leave them susceptible to secondary traumatic stress or compassion fatigue (Shallcross, 2011). Yoga can help counselors not only in achieving holistic wellness but also in developing a way of being consistent with the characteristics of an effective counselor. Furthermore, yoga, as a spiritual practice, can empower counselors to embark on a spiritual journey driven by their own personal experiences.     

Benevolent Sexism in the Targeted Regulation of Abortion Providers (TRAP): A Case Study of Texas House Bill 2

Benevolent sexism takes a subjectively positive view of women in traditional gender roles, revering them as gentle, nurturing, and in need of protection by men. While studies show that people who express attitudes of benevolent sexism are willing to restrict women’s choices at an individual level, limited research exists on the impact of benevolent sexism in social policy. Using a single-case study method and benevolent sexism as a conceptual framework, I examined the introduction, passage, and legal defense of Texas House Bill 2 (TX HB2), a targeted regulation of abortion providers (TRAP) law. HB2 was passed by the Texas legislature in 2013 and ruled on by the U.S. Supreme Court in the 2016 case of Whole Woman’s Health et al. v. Hellerstedt. Primary source legislative and court documents were analyzed to explore whether and how benevolent sexism ideologies were reflected in the introduction, passage, and legal defense of HB2 as a TRAP law. Four themes emerged: The State has the Right to Protect Women, Women Need Protection from “Bad Players,” Women are Emotional, and Women are Mothers/Vessels. Results confirm that language consistent with benevolent sexism was used in the context of policy making to justify restricting women’s access to pre-viability abortion.

     

Displacement trauma: complex states of personal,collective and intergenerational fragmentation and their intergenerational transmission

Originally presented at the Journal’s one day conference entitled ‘Displacement: Contemporary Traumatic Experience’ held in London in November 2019, this paper expands on the author’s theory of the implicit psychological organizing gestalt, an associated pattern of psychic functions which operate in an integrated way to simultaneously structure and organize our experience of self-cohesion and self-continuity. The gestalt, which implicitly links the formation of psychic skin, body image, cultural skin and both personal and cultural identity with place, functions as an emergent non-conscious permanent presence or background ‘constant’. It develops over time and emerges out of embodied emotional experiencing with the total environment – both human and non-human. The author argues that it is the rupture of this gestalt and the disorganizing consequences of its loss which underlies the experience of displacement trauma. If disruptions in the formation of the gestalt and/or its later rupture remain unrecognized and unrepresented then the absence creates a void which can be intergenerationally transmitted. Case material is presented which describes this and which highlights the ways in which the gestalt can contribute to our understanding of collective displacement anxiety, cultural trauma and cultural complexes.     

Utilizing in-vivo feedback for caregiver training of pediatric feeding protocols

Researchers have used multicomponent behavioral skills training packages including written and verbal instructions, modeling, rehearsal, and feedback when teaching caregivers to implement pediatric feeding treatment protocols (e.g., Anderson & McMillan, 2001; Seiverling et al., 2012). Some investigators have shown that fewer behavioral skills training components may be necessary for effective training (e.g., Mueller et al., 2003; Pangborn et al., 2013). We examined the use of in-vivo feedback following written instructions to train caregivers to implement pediatric feeding treatment protocols using a multiple baseline design across 3 caregiver dyads. Correct implementation of the feeding treatment procedures was low during baseline (written instructions only), increased with only the addition of in-vivo feedback, and remained high during follow-up sessions for all caregivers. Results are discussed in terms of clinical implications and caregiver satisfaction.     

Efficacy and social validity of procedures for improving conversational skills of college students with autism

Better conversational skills correspond to a higher quality of life for adults diagnosed with autism spectrum disorder (ASD). In this study, we taught vocal–verbal responses discriminated by compound arrangements of concealed conversation partner mands to two college students with ASD. Participants learned to engage in self-questioning about their conversation partner's behavior and to reinforce three concealed mands for termination of an aversive conversation scenario. We assessed generalization to conversation probes with trained confederates and to interactions with untrained conversational partners (e.g., peers, professors). Finally, we collected peer ratings of the social validity of changes in conversational behavior as well as participants' ratings of study goals, procedures, and outcomes.