Spiritual Wellness for Clients With HIV/AIDS: Review of Counseling Issues

The epidemic of HIV/AIDS has resulted in an increasing population of individuals in need of counseling services: persons living with AIDS, as well as family, friends, and caregivers. The relationship between HIV/AIDS clients' counseling and spiritual issues is demonstrated by a review of salient literature. Three broad themes are used: terminal illness issues such as post-death existence and existential meaning of life, religious disenfranchisement from society or families of origin, and multicultural spiritual and religious issues. Practical recommendations for counselors and research implications are included.     

Lesions of the intermediate medial hyperstriatum ventrale impair sickness-conditioned learning in day-old chicks.

Lesion studies show that the intermediate medial hyperstriatum ventrale (IMHV), a forebrain visual association area in chicks, is involved in learning and memory for one-trial passive avoidance and imprinting. We examined the effects of IMHV lesions in a one-trial, nongustatory, sickness-conditioned learning task. This task is similar to passive avoidance and imprinting because all three tasks require the chick to remember visual cues in order to respond correctly. However, sickness-conditioned learning differs from imprinting and passive avoidance because it uses sickness as the aversive stimulus and there is a longer conditioned stimulus-unconditioned stimulus interval (30-min delay compared to seconds). Bilateral IMHV lesions given 24 h before training impaired the ability of the chicks to avoid a bead associated with sickness produced by lithium chloride injection, as did pretraining unilateral left or right IMHV lesions. Post-training IMHV lesions given 1 h after training did not impair avoidance of the test bead in the sickness-conditioned learning task. However, lesioned chicks showed generalized avoidance of all test beads. The pretraining lesion results are similar to those found in imprinting and passive avoidance learning; however, the effects of unilateral IMHV lesions differed. Post-training lesion effects are similar to those found in passive avoidance learning. We propose that both left and right IMHV are necessary for sickness-conditioned learning and that post-training IMHV lesions impair the ability of the chick to learn or remember the association between the color of the bead and the aversive consequences of LiCl injection.     

The Development of an Analytic Perspective in the Group Leader: Some Basic Thoughts

Previous experience working with individuals on a one-to-one basis along with previous analytic therapy are important prerequisites for analytic group training. Training must emphasize understanding of group-as-a-whole processes, such as basic assumption life, complex transference manifestations, as well as awareness of one's countertransference toward individuals, subgroups and the group-as-a-whole. Specific concepts derived from object-relations theory such as projective identification are crucial to master. Personal analytic group therapy is recommended.     

A Qualitative Investigation of Student and Supervisor Perceptions of Live Supervision in Genetic Counseling

Live supervision of genetic counseling students is critical for ensuring quality client care and student clinical skill development. However, no research has investigated students' and supervisors' experience of this primary supervision method. In this study, separate focus groups of students and supervisors discussed their perceptions of the nature and impact of live supervision. A modified Consensual Qualitative Research method (Hill et al. (1997) Couns Psychol 25:517–572) was used to analyze the data. Results suggest that live supervision is an essential and effective method that promotes student skill development and professional development for both students and supervisors. There is a lack of formal training regarding supervision; most learning is trial and error. Students worry about being evaluated, and supervisors wonder if they are providing supervision effectively. Both samples emphasized that client care should not be compromised. Participant recommendations for improving live supervision are described, and suggestions are made for future research.     

Contributions of qualitative research to the validity of intervention research

The Interdisciplinary Qualitative Research Subcommittee (IQRS) of the Task for on Evidence-based Interventions in School Psychology assumed the responsibility of developing criteria for reviewing qualitative methods used in intervention research. The IQRS, composed primarily of psychologists and anthropologists, was confronted with the long-standing debate between qualitative and quantitative researchers and with the task of explicating the potential contributions of qualitative research to establishing an evidence base for interventions in school psychology. Consequently, the outcomes of the subcommittee's work included not only a set of criteria for evaluating qualitative research but also a clearer understanding of the added value of mixed qualitative-quantitative approaches to intervention research. The purposes of this article are to provide an overview of qualitative research, present the criteria set forth by the IQRS, discuss the role of qualitative research in establishing the foundation for evidence-based practice, and introduce the illustrative research articles of the special issue. The four studies highlighted in this issue represent applications of qualitative research that meet the IQRS criteria and demonstrate the potential of qualitative research, conducted within a mixed-method framework, for enhancing our understanding of school-based interventions.     

Socialization of Discrete Negative Emotions: Gender Differences and Links with Psychological Distress

On the basis of Malatesta-Magai's model (Magai, 1996) of emotion socialization, parental contingent responses to expressed emotion in children were expected to facilitate (e.g., Reward, Magnify) or inhibit (e.g., Override, Neglect, Punish) the expression of various discrete emotions. In this study, retrospective reports of parental emotion socialization in childhood were reported by 322 young adult participants. Perceptions of 3 negative emotions—sadness, anger, and fear—were assessed. Using a retrospective, self-report measure, gender-based emotion socialization patterns were found across all 3 emotions, which suggests that the gender of both the parent and child influences the way in which different emotions are socialized. Young adults reported, in recalling their childhood, that mothers were more typically involved in socializing negative emotions than were fathers. For anger, mothers reportedly were the more active emotion socializing agents; they used Reward, Magnify, and Override more than did fathers. For sadness and fear, parents reportedly modified the way in which they socialized these emotions based on the gender of their child. For example, fathers reportedly rewarded girls and punished boys for expressing sadness and fear. A second aim of this study was to examine links between emotion socialization strategies and psychological distress. Perceptions of the parental emotion socializing responses of Punish and Neglect were positively correlated with psychological distress in young adults. Although certain aspects of the methodology limit conclusions, the findings of this study suggest that emotion socialization differs in girls and boys, and these differences are consistent with models that link specific parental emotion socialization approaches (e.g., punishment of negative emotions) to psychopathology—a question that deserves further exploration.     

Neurodevelopmental impairment: Predictors of its impact on the families of extremely low birth weight infants at 18 months

Effects on a family of a child with chronic illness have been described. The Impact on Family Scale (IOF) was developed to measure these effects. The impact of extremely low birth weight (ELBW) infants with neurodevelopmental impairment on families is unknown. This study determined IOF scores for families of ELBW infants with increasing degree of impairment at 18 months and identified factors that increase vulnerability to impact. A total of 3,849 ELBW infant survivors born at the 16 centers of the National Institute of Child Health and Human Development Neonatal Research Network between January 1993 and February 2001 were assessed at 18 to 22 months. Infants were divided into four groups by degree of impairment. IOF scores were analyzed by impairment group. Multivariate analyses assessed effects of impairment, social/demographic factors, unmet service needs, and resource utilization on the IOF. A total of 1,624 (42.2%) infants had moderate/severe impairment. Increasing severity of impairment was associated with higher IOF scores. Severity of impairment contributed 6% of variance to the IOF scores. Twenty‐one percent of variance was contributed by additional medical needs, low socioeconomic status (SES), and lack of social support. Although increasing severity of impairment impacts families of ELBW infants, significantly more impact is contributed by additional medical needs, low SES, and lack of social support.     

Gender perspective in the context of Spanish academic psychology

The purpose of this study is to analyse the evolution of gender perspective in the context of the Spanish academic Psychology. The last three decades were analysed. In each decade, the study describes the groups and individuals who have contributed to the analysis of gender perspective in Psychology, the sponsoring institutions, and the most frequently used research strategies. Likewise, the study analyses the development of topics and areas in these three decades. The general trend shows that the interpretation of sex/gender has moved away from being considered an individual and internal factor to a more dynamic approach that analyses sex/gender through behavioural practices.     

Embodied narratives in becoming a counselling trainer: an autoethnographic study

This autoethnographic study addresses the newly appointed counselling trainer's question ‘How did I get here?’ The procedure is described, and findings are presented as partial narratives of the Wounded Dancer, poems and prose written from different voices. Themes are revealed of love, healing, risk taking, unconventionality, physicality and overcoming physical limitations. ‘Wounded healer’ stories are inscribed alongside ‘powerful body’/‘subversive body’ stories. The role of the father is considered in facilitating these stories, including the tomboy throwing off ‘definitions of what it means to be a girl’. The study is evaluated in terms of Richardson's (2000) criteria. One contribution to knowledge lies in the methodology's potential application to research-led learning and teaching with counsellor education.