How do counsellors make client assessments?

This paper reports on a consultation exercise undertaken with 18 experienced counsellors on how they make client assessments. These practitioners expressed a high degree of consensus on the purposes of assessment making (to reach a shared understanding with the client about their willingness and ability to undertake a shared therapeutic journey) but the way in which they approached the task varied according to the theoretical orientation they acquired during training. Although most had developed their counselling skills and techniques considerably since initial training, not all had integrated the assessment implications of later experience into their formulation making. The implications of combining single model assessment with eclectic practice are discussed, particularly in relation to making a decision to continue working with a client or to refer a client to a colleague. The authors call for further debate on how counsellors find meaning in what their clients say, why they ask the questions they do at the assessment stage, and how they achieve coherence in relation to ideas and skills accrued through ongoing training and practice. The implications of such a debate for training and supervision are discussed.     

Can Messages Make a Difference? The Association Between E‐Mail Messages and Health Outcomes in Diabetes Patients

This investigation examined the impact of social support messages on patient health outcomes. Forty‐one American Indian, Alaska Native, and Native Hawaiian patients received a total of 618 e‐mail messages from their healthcare provider (HCP). The e‐mail messages were divided into 3,565 message units and coded for instances of emotional social support. Patient glycosulated hemoglobin scores (HbA1c) showed significantly improved glycemic control and emotional social support messages were associated with significant decreases in HbA1c values. Patient involvement with the system, measured by system login frequency and the frequency of uploaded blood glucose scores to the HCP, did not predict change in HbA1c.     

GENERALITY AND SIDE EFFECTS OF OVERCORRECTION1

The effects and side effects of overcorrection for self-stimulatory behaviors of two children in a specialized day-care program were evaluated. For one child, a “hand” overcorrection procedure involving arm and hand exercises was introduced contingent upon inappropriate hand movements and later contingent upon inappropriate foot movements. After “hand” overcorrection was withdrawn for inappropriate foot movements, a “foot” overcorrection procedure involving foot and leg exercises was introduced contingent upon inappropriate foot movements. For a second child, the “hand” overcorrection procedure was introduced contingent upon inappropriate hand movements during a free-play period, and later contingent upon inappropriate vocalizations at naptime. “Hand” overcorrection was withdrawn and then re-introduced sequentially for both behaviors. Several concurrent behaviors were measured to assess multiple effects of treatment. Results for both children indicated the “hand” overcorrection procedure suppressed inappropriate hand movements and inappropriate behaviors that were topographically dissimilar. In addition, inverse relationships were observed between the second child's inappropriate hand movements and appropriate toy usage during free play and between his inappropriate vocalizations and inappropriate foot movements during naptime. Results suggest that overcorrection procedures that are effective for one behavior can be used to reduce the frequency of topographically different behaviors. This finding is discussed in terms of its practical implications for therapists.     

Adolescent and adult authoritarianism reexamined: Its organisation and stability over time

This paper, which draws on follow-up data collected from English subjects first tested as adolescents and then, 1I years later, as young inen of 24–25, falls into three parts. Part I examines the structuring of responses to authoritarian statements. No general authoritarian factor could be isolated in either adolescence or in adult life. Instead, four separate authoritarian response tendencies, each with its own antecedents, significance and predictive value, were obtained. Only the adolescent measures correlated significantly with ability level. This, together with the greater stability across time of the responses of the more able 13–14 year olds, led us to hypothesize that some of the variance in adolescent scores was cognitively, not motivationally, determined. Part II reports a series of experimental studies (using additional data from the follow-up investigation) testing the cognitive and developmental hypothesis, which received support. Part III proposes a general model for the consideration of attitudes, in which any given attitudinal response is located in a three-dimensional space of cognitive complexity, personality needs and social structure.     

The Woman Veterinarian

This study was undertaken to determine the professional practice patterns of Michigan State University graduates in Veterinary Medicine and the factors that influenced their choice of profession and satisfaction with the field, so that similarities and differences of men and women practitioners could be compared. None of the 21 accredited schools of veterinary medicine has conducted a study of this kind. The career patterns of women were characterized by interruptions, lower salaries, and participation in only a few of the specialties within the profession, the latter interpreted as an attempt to reduce professional role-sex role conflict. In spite of the limitations and conflicts encountered by women, they are deeply committed to the profession and claim a great deal of satisfaction from their work.     

Resilience and Coping Intervention with Children and Adolescents in At-Risk Neighborhoods

This study evaluated the Resilience and Coping Intervention for Children (RCI), a group intervention to increase coping skills and resilience in children and adolescents. RCI was delivered to children and adolescents residing in five at-risk neighborhoods in a southern U.S. city. Children’s and adolescents’ self-report of coping strategies, strengths and difficulties with behaviors and emotions, and hope indicated decreased difficulties with behavior and emotions and increased feelings of hope postintervention. Parent report of difficulties with behavior and emotions revealed a significant decrease in children but not in adolescents. Mean scores for four coping dimensions increased, but the increase was not statistically significant.