Counselor Education and Supervision: The Development of the CACREP Doctoral Standards

The purpose of this article is to illuminate the unique features of the Council for Accreditation of Counseling and Related Educational Programs guidelines and accreditation standards that shaped doctoral preparation in counselor education. Current issues that affect advanced training in counselor education and implications for future doctoral standards revisions are also presented.     

“I Don’t feel like melting butter”: An interpretative phenomenological analysis of the experience of ‘inorgasmia’

Inorgasmia is under-studied in the domain of sexual health psychology. This study explores women's experiences of inorgasmia and the meanings giving to this experience. Interviews with six inorgasmic women were analysed using interpretative phenomenological analysis (IPA). The analysis showed that the absence of orgasm was experienced as problematic and disturbing. A search for reasons for their condition, and its effects on self-image and self-confidence underpinned the experience of inorgasmia as a problem. The spectrum of meanings surrounding female orgasm demonstrates that, far from being perceived as a merely physical experience, the moment of orgasm takes on relational significance and it has implications for the women's identities. The paper identifies areas for future research and theorising.     

Memory for symmetry and perceptual binding in patients with schizophrenia

The present study investigated the use of perceptual binding processes in schizophrenic (SC) patients and matched healthy controls, by examining their performance on the recall of symmetrical (vertical, horizontal and diagonal) and asymmetrical patterns varying in length between 2 and 9 items. The results showed that, although SC patients were less accurate than controls in all conditions, both groups recalled symmetrical patterns better than asymmetrical ones. The impairment of SC patients was magnified with supra-span symmetrical arrays, and they were more likely to reproduce symmetrical patterns as asymmetrical, particularly at medium and high length levels. Hierarchical regression analyses further indicated that the between-group differences in the recall of supra-span vertical and horizontal arrays, which require a greater involvement of visual pattern processes, remained significant after removing the variance associated with performance on asymmetrical patterns, which primarily reflects intrafigural spatial processes. It is proposed that schizophrenia may be associated with a specific deficit in the formation and retrieval of the global visual images of studied patterns and in the use of the on-line information about the type of symmetry being tested to guide retrieval processes.     

The Transracial Adoption Debate: Counseling and Legal Implications

Over the last 30 years, the practice of White American parents adopting African American children has been the focus of much deliberation and commentary. In this article, the authors illuminate relevant literature and research regarding transracial adoption. Counseling and legal implications are also discussed.     

Organizational social context and psychopathology of youth in residential care: The intervening role of youth–caregiver relationship quality

Drawing on an ecological approach with multiple informants, this study investigated the mediating role of youth–caregiver relationship quality in associations between different features of residential care settings' organizational social context and youth's psychopathology. Participants were 378 youth aged between 12 and 25 years old, and 54 caregivers aged between 24 and 57 years old, from 29 generalist residential youth care settings in Portugal. Given the hierarchical structure of data, analyses were performed using multilevel modeling. Results revealed that organizational social contexts characterized by higher levels of engagement, stress, and centralization, as perceived by the caregivers, were associated with lower levels of youth's externalizing problems (e.g., aggressive behavior and delinquency), reported by the caregivers, via better youth–caregiver relationship quality, perceived by the youth in care. These findings highlight the relevance of creating an organizational social context in residential care settings that supports caregivers in establishing high-quality relationships with the youth in care, thereby promoting their mental health. This study contributes to the clarification of conflicting findings in previous studies of this field, by offering further empirical investigation of these issues.     

Pregnancy-specific stress, prenatal health behaviors, and birth outcomes

OBJECTIVE: Stress in pregnancy predicts earlier birth and lower birth weight. The authors investigated whether pregnancy-specific stress contributes uniquely to birth outcomes compared with general stress, and whether prenatal health behaviors explain this association. DESIGN: Three structured prenatal interviews (N = 279) assessing state anxiety, perceived stress, life events, pregnancy-specific stress, and health behaviors. MAIN OUTCOME MEASURES: Gestational age at delivery, birth weight, preterm delivery (<37 weeks), and low birth weight (<2,500 g). RESULTS: A latent pregnancy-specific stress factor predicted birth outcomes better than latent factors representing state anxiety, perceived stress, or life event stress, and than a latent factor constructed from all stress measures. Controlling for obstetric risk, pregnancy-specific stress was associated with smoking, caffeine consumption, and unhealthy eating, and inversely associated with healthy eating, vitamin use, exercise, and gestational age at delivery. Cigarette smoking predicted lower birth weight. Clinically-defined birth outcomes were predicted by cigarette smoking and pregnancy-specific stress. CONCLUSION: Pregnancy-specific stress contributed directly to preterm delivery and indirectly to low birth weight through its association with smoking. Pregnancy-specific stress may be a more powerful contributor to birth outcomes than general stress.     

Retrieval processes that produce interference in modified forced-choice recognition tests

Recognition can suffer if the retrieval cues activate more than one trace (e.g., for Flower A and Flower A′). We found evidence for two retrieval processes by examining interference effects in forcedchoice tests (e.g., Did you see Flower A or Flower A″?). Experiment 1 provided evidence of a problem in discriminating between temporally and contextually similar traces that were formed in the study phase. A competitor (Flower A′) interfered more if it was shown in the study phase rather than in the test phase. Experiments 2 and 3 found evidence for a blocking process in recognizing pairs of words (child—apple). A competitor interfered more if it was recent, shown at test rather than at study. This pattern occurred regardless of whether the competitor was similar to the target (child—orange) or dissimilar to it (child—truck). The importance of a particular retrieval process may depend on an item’s representation as well as on the retrieval cues.     

Brain Oxidative Damage Following Acute Immobilization and Mild Emotional Stress

We studied the role of free radicals on brain oxidative damage in rats after acute immobilization stress (restraint) and mild emotional stress (handling). To investigate brain oxidative damage, CuZn and Mn dependent superoxide dismutase (CuZn SOD, Mn SOD) activities, lipid peroxidation (TBARs), Na ⁺ K ⁺ ATPase activity, protein carbonyl (PrC), and reduced and oxidized glutathione (GSH, GSSG) levels were measured in the cerebral cortex (CTX), hippocampus (HIP), and striatum (ST) of the animals after the two different stress stimuli. Because stress produces abnormalities in the hypothalamic-pituitary-adrenal axis, the intensity of the two stress conditions were measured by plasmatic corticosteroid (COR) levels: particularly, COR levels doubled in handled rats and increased 15-fold in restrained animals. The SOD activities increased in CTX and decreased in HIP of the handled rats, while in ST a significant decrease in handled animals but an increase in restrained animals occurred. TBARs, GSH, and GSSG levels remained unchanged, while an index of glutathione redox decreased significantly in ST of handled animals and in CTX of restrained ones. Na ⁺ K ⁺ ATPase activity increased significantly in the HIP and ST of both groups of stressed rats. The stress induced a remarkable increase in PrC levels in all studied cerebral areas. These findings provide evidence to support the idea that stress produces oxidants but that the oxidative damage in stress differs in cerebral areas and could contribute to the degenerative mechanism of aging.