Multidisciplinary teamwork in primary care: The role of the counsellor

Since other professionals have joined doctor and nurse to form multidisciplinary working groups, primary health care teams have made efforts, more or less successfully, to work together. This paper views the primary health care team as a medium-sized, multidisciplinary, family-like organization with very specific characteristics. Full of promise as a synergistic body, nevertheless the team frequently struggles with difficult and even self-destructive dynamics. The structures, problems and values of teamworking in this specialized context are examined, with particular attention given to ways in which the practice counsellor can support and encourage team working. Suggestions are offered regarding how primary health care teams might move towards a more team-oriented approach.     

The inheritance of cognitive interest styles among twins

Through twin studies, research in behavioral genetics has demonstrated significant genetic components in many personality traits. Less research has been done on inheritance of vocational interest preferences, partially because of the lack of a wholistic conceptual model for understanding the relationships among diverse occupational interests. With the development of scales for the Strong Vocational Interest Blank (SVIB) to measure the six cognitive interest styles propounded by Holland, a parsimonious and comprehensive mapping of the occupational world was available and lent itself to the study of measuring inheritance of vocational preferences among twins. Median intraclass correlations for 409 pairs of monozygotic males, tested with the SVIB, was r = .50; for 570 pairs of monozygotic females, r = .55; for 237 pairs of dizygotic males, r = .27; and for 370 pairs of dizygotic females, r= .27.     

THE USE OF BEHAVIOR MODIFICATION IN THE DEVELOPMENT OF PUBLIC SPEAKING ABILITY

Research has shown that behavior can be successfully modified if behavioral goals are specified and the behavior is broken down into small workable units. The counselor and counselee can work together to state the desired outcome of the counseling process. This report presents a case study in which the method of successive approximations was used with a young male client to develop public speaking ability.     

Understanding Public Reaction to Energy Proposals: An Application of the Fishbein Model1

The Fishbein attitude model was applied to voter decision-making on an energy ballot proposal. Questionnaires were sent to a random sample of potential voters in Oregon's 1976 general election and dealt with the Nuclear Safeguards Initiative, a measure that would place restrictions on future nuclear power plants. Questionnaire items probed the attitude toward the act of voting “Yes” on the measure (A_act), perceived likelihood of various consequences of voting “Yes” (B_i), evaluations of these consequences (e_i), the subjective norm (SN), normative beliefs (NB_i), motivation to comply with several referents (Mc_i), and voting intention (VI). A follow-up interview determined the actual voting behavior (VB) of persons responding to the questionnaire. The following model predictions were tested and strongly supported by the data: (a) VB=VI; and (e) external variables have a nonsignificant relation to VB once VI is partialled out. It was concluded that the Fishbein model should be extremely useful in understanding public reaction to future energy proposals.     

The relative efficacy of thought-stopping and covert assertion

The relative efficacy of Rimm's (1973) thought-stopping and covert assertion, thought-stopping alone, covert assertion alone and a placebo control was tested. All three experimental treatments were predicted to be superior to the control and differences among the experimental treatments were expected. Thirty-six volunteers with a strong fear of harmless snakes were given one of the four treatments. Results demonstrated the efficacy of the combined treatment, as had been shown in previous research, but also demonstrated the efficacy of the individual components alone. Scheffée Planned Comparisons at the post test and four week follow-up indicated that the three experimental groups were superior to the control on the three self-report and behavioral tests of fear of snakes (p < 0.01 for each) but not on a test of fears in general. Scheffée Post Hoc Comparisons showed no significant differences between the experimental groups. The possible overlapping functions of the components are discussed.     

Male Partners' Role in Latinas' Amniocentesis Decisions

There has been relatively little research on men's experiences with fetal diagnosis or their role in their female partners' decisions about whether to be tested. This issue may be of particular salience in the delivery of genetic services to Latino groups, where it is often assumed that lower rates of genetic service utilization are linked to men's refusal to allow their wives to be tested. Here we present data from a multimethod study on the use of amniocentesis by Mexican-origin women in Southern California. We focus on the role male partners played in the women's amniocentesis decisions. Contrary to expectation, we found that women made the majority of the decisions about amniocentesis, although their partners' presence at the genetic consultation where the amniocentesis was offered proved an important predictive factor in amniocentesis uptake.     

Gender and self-concept: A reexamination of stereotypic differences and the role of gender attitudes

Sex Roles - Gender differences in overall self-evaluation and in specific dimensions of self-concept were examined in primarily White Caucasian college and high school students. The role of gender...     

Counsellors' use of reflective space

While reflection on practice is a frequent and essential aspect of counselling, what exactly this process entails is not completely clear. This paper describes a study of counsellors ‘caught in the act’ of reflecting, and uncovers various ways counsellors made use of a reflective space.     

Training Genetic Counsellors to Deliver an Innovative Therapeutic Intervention: their Views and Experience of Facilitating Multi-Family Discussion Groups

Innovations in clinical genetics have increased diagnosis, treatment and prognosis of inherited genetic conditions (IGCs). This has led to an increased number of families seeking genetic testing and / or genetic counselling and increased the clinical load for genetic counsellors (GCs). Keeping pace with biomedical discoveries, interventions are required to support families to understand, communicate and cope with their Inherited Genetic Condition. The Socio-Psychological Research in Genomics (SPRinG) collaborative have developed a new intervention, based on multi-family discussion groups (MFDGs), to support families affected by IGCs and train GCs in its delivery. A potential challenge to implementing the intervention was whether GCs were willing and able to undergo the training to deliver the MFDG. In analysing three multi-perspective interviews with GCs, this paper evaluates the training received. Findings suggests that MFDGs are a potential valuable resource in supporting families to communicate genetic risk information and can enhance family function and emotional well-being. Furthermore, we demonstrate that it is feasible to train GCs in the delivery of the intervention and that it has the potential to be integrated into clinical practice. Its longer term implementation into routine clinical practice however relies on changes in both organisation of clinical genetics services and genetic counsellors’ professional development.