Spirituality in the Treatment of Alcoholism: A Worldview Approach

To consider alcoholism an addiction with a spiritual dimension has historically posed a problem for the logical positivism and egalitarian orientations of most Western-trained therapists and academics. Many of these professionals argue that to define alcoholism as including a spiritual component invites nonscientific if not mystical approaches to treatment. For this reason, it has been difficult to legitimize a definition of alcoholism that considers spiritual components to etiology or treatment. In this article, the author suggests that issues of spirituality are an important focus in the treatment of alcohol dependence. To consider spirituality as representative of how one views the world and his or her role in creation may well relieve some of a professional counselor's apprehension about inserting a “theology” into treatment.     

The MacQuarrie test for mechanical ability

Data originally analyzed by Charles H. Goodman on the MacQuarrie Test for Mechanical Ability are subjected to the principal axes factoring method. The maximum variance was extracted with three factors. Rotation to an oblique simple structure yielded a factor pattern which satisfies the simple structure concept more adequately than the orthogonal factor matrix, thus leading to greater clarity of interpretation of the factors.     

Expansion of Genetic Services Utilizing a General Genetic Counseling Clinic

We established a general genetic counseling clinic (GCC) to help reduce long wait times for new patient appointments and to enhance services for a subset of patients. Genetic counselors, who are licensed in Tennessee, were the primary providers and MD geneticists served as medical advisors. This article describes the clinic referral sources, reasons for referral and patient dispositions following their GCC visit(s). We obtained patients by triaging referrals made to our medical genetics division. Over 24 months, our GCC provided timely visits for 321 patients, allowing the MD geneticists to focus on patients needing a clinical exam and/or complex medical management. Following their GCC visit(s), over 80 % of patients did not need additional appointments with an MD geneticist. The GCC allowed the genetic counselor to spend more time with patients than is possible in our traditional medical genetics clinic. Patient satisfaction surveys (n?=?30) were very positive overall concerning the care provided. Added benefits for the genetic counselors were increased professional responsibility, autonomy and visibility as health care providers. We conclude that genetic counselors are accepted as health care providers by patients and referring providers for a subset of clinical genetics cases. A GCC can expand genetic services, complement more traditional genetic clinic models and utilize the strengths of the genetic counselor health care provider.