Research in Consultation: Toward Better Analogues and Outcome Measures

Recommendations for improving consultation research include (a) strengthening consultation analogue research by incorporating “boundary” conditions into research designs and (b) extending the outcome measures used.     

Grandparents Affected by Parental Divorce: A Population at Risk?

When parents divorce, grandparents who have bonded with grandchildren may be affected, particularly when denied visitation. In this article the author reviews normative aspects of grand-parenthood and how grandparents are affected by parental divorce. Legal and ethical issues and counseling interventions are discussed.     

Children's need for approval and achievement motivation: An interactional approach

This study examined the effects of children's need for approval (nApp) and a situational variable-frequency of expectancy statements-on children's achievement cognitions and behaviour. We replicated the Dweck and Gilliard (1975) paradigm, but also mea sured children's nApp. Ninety fifth grade boys and girls stated expectancies either prior to each trial, prior to the first and last trials, or prior to the last trial only. We found that although high and low nApp children lowered their expectancies after failure, high nApp children lowered them less than low nApp children. In contrast, persistence was influenced only by the frequency of expectancy statements and not by children's nApp. The results are discussed in the context of the interactional point of view in personality psychology.     

The International Student: Female Circumcision Issues

The authors describe the process and practice of female circumcision, the impact it may have on circumcised female international college students, and some counseling strategies for the college counselor.     

A comparison of Guided Imaginal Coping and imaginal exposure in the treatment of panic disorder

The present study evaluated the efficacy of a new intervention, Guided Imaginal Coping (GIC), compared to imaginal exposure (IEX), and a waiting-list control (WLC) condition among 24 clinic outpatients meeting DSM-III-R criteria for panic disorder (PD) or PD with agoraphobia. GIC was the more consistently effective intervention, with individuals demonstrating significant improvement in frequency and severity of panic attacks (Pas) as well as significant reductions in physiological and subjective arousal to provocative imagery. Individuals in the IEX intervention demonstrated less consistent improvement on the dependent measures, while individuals in the WLC condition essentially remained unchanged. Both GIC and IEX were effective according to a composite measure of clinically significant improvement. However, only GIC was superior to the WLC condition when clinical improvement was defined as zero PAs at follow-up. These findings, while preliminary, suggest that GIC can be added to the armamentarium of effective approaches to treating PD.     

Self-Monitoring negative statements

We examined the effects of a self-monitoring program on reducing the frequency of negative statements of a student with mild mental retardation who was enrolled in a self-contained classroom at a middle school. A changing criterion design was used within a multiple baseline design across two classroom periods. Additionally, the frequency of positive statements was reported. The results showed a decrease in the number of negative statements, and an increase in the number of positive statements. Maintenance data collected up to 8 weeks after the program ended indicated that the student continued to emit positive rather than negative statements. The use of this procedure to decelerate undesirable behavior is discussed.     

A survey of reimbursement for cystic fibrosis carrier testing

To assess the current status of reimbursement for cystic fibrosis (CF) carrier testing, we surveyed individuals tested in the Mid-Atlantic region. Results show that CF testing was covered by insurance in part or in full for greater than 50% of respondents. The test was nearly always covered when performed during pregnancy because of a positive family history, but it was also covered for more than 50% of pregnant respondents with a negative family history. There were no significant differences in coverage by type of insurance. Many respondents needed to supply additional information about the testing to their insurance company before a coverage decision could be made. Before population-based CF screening programs are initiated, more data are needed on insurance reimbursement for testing, especially when performed pre-conceptually.