Good Practice in Transcultural Counselling: An Asian Perspective

In Britain today, counsellors and therapists often work with people from a diverse range of ethnic groups whose cultures are substantially different from their own. There is increasing concern that people from black and ethnic communities have limited access to appropriate services—despite service planners' and providers' statements that mental health services are being restructured to become more sensitive, relevant and meaningful to these communities. This paper is an attempt to redress the balance with an emphasis on the therapeutic needs of South Asian communities. It aims to challenge assumptions and beliefs held by therapists and counsellors, question therapeutic practice based within a white, middle-class ideology, raise awareness of an 'Asian' perspective in therapy, and provide some guidelines for good practice in transcultural counselling.     

Assessment: what role the assessor?

The advent of automated assessment contains the seeds of both threat and promise for professional assessors. Placing the problem in the historical and sociological contexts, this article examines computer-based test interpretation (CBTI) and the frequently misunderstood role of actuarial data in relation to it. I argue that sound clinicianship is central not only to the development of adequate CBTI systems, but also to the systems' appropriate and skillful use in practice. When properly utilized by otherwise well-qualified clinicians, CBTI can substantially enhance practice.     

How much processing do nonattended stimuli receive? Apparently very little, but...

The early versus late selection issue in attention models was examined by means of a new methodology. Through cues or precues, attention was directed to one location of a multistimulus visual display and, while attention was so engaged, the identity of a stimulus located at a different position in the display was changed. By varying the time after display onset before the stimulus was changed, we controlled the preview time that the original stimulus was represented on the retina. Then, using a marker cue, we directed the subject's attention to the location of the changed stimulus. The subject's response was a timed discrimination between two possible target letters. The data of main interest was the effect of preview time upon the subject's latency in identifying the new target that appeared in the changed location. We found that the preview time of the original stimulus, before RT was affected to the new target, depended upon whether the original stimulus was a neutral (noise) letter or whether it was the alternative target. When the original stimulus was a noise letter, RTs to the new target were just as fast as those obtained in the control condition in which the target was present throughout the preview interval and did not change its identity. Significant effects upon RT were obtained at preview times of 83 msec when the original stimulus was one of the targets that changed to the alternative target. Preview times also varied as a function of precuing. Preview times were correspondingly shortened when the first cue occurred 50 msec before display onset, thus providing an extra 50 msec for attention to be directed to the first display location. The results were interpreted in terms of two separate information-processing systems in the human: an automatic system and an attentional system. Even though a stimulus may have been automatically processed, when the attention system is directed to that stimulus, processing starts at the beginning again.     

Promotion and employee turnover: Critique,meta-analysis,and implications

Qualitative reviews of the withdrawal literature have reached inconsistent conclusions regarding the strength of the relationship between promotion and turnover. Several issues were addressed in this study which may account for these inconsistencies. First, we differentiate among three distinct operationalizations of promotion: (1) promotion satisfaction; (2) perceptions of promotional opportunity; and (3) actual promotion. We then conduct quantitative reviews using meta-analytic procedures on turnover and the three operationalizations of promotion. We found no significant relationships between promotion satisfaction and turnoveror between perceived promotional opportunities and turnover. However, a significant negative relationship was found between actual promotion and turnover. Theoretical implication of these findings are presented.     

Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study

The objective of this study was to evaluate and compare the efficacy of two short-term individual therapy interventions for sexually abused girls and their nonoffending female caretakers. Thirty-two girls, ages 8 to 13, and their caretakers from primarily low-income, African-American families were randomly assigned to a theoretically based, structured experimental treatment program or to a relatively unstructured comparison intervention. Measures of child outcome were completed before and after the treatment program by each parent and child, and by a clinician blind to treatment condition. Pre- and postmeasures of maternal outcome were completed by the caretaker and a clinician not involved in the treatment. Both treatment programs yielded decreases in children's posttraumatic stress disorder symptoms and traumagenic beliefs reflecting self-blame and powerlessness, and increases in children's overall psychosocial functioning. The experimental intervention was more effective than the comparison program in increasing abuse-related caretaker support of the child and in decreasing caretaker self-blame and expectations of undue negative impact of the abuse on the child. Clinical impfications of these findings include the development of interventions targeting sexually abused children's traumagenic beliefs and nonoffending parents' support of their victimized children.This research was supported by the Emory Medical Care Foundation and the Children's Trust Fund of Georgia. Preliminary findings were presented at the Society for Research in Child Development, New Orleans, March 1993.The authors thank the clinic families, volunteer therapists, and project staff members whose work together made this research possible. Core project staff members other than the authors include Milonne Ambroise, Mary Lynn Dell, Sherry Dey, Beth Dreelin, Jenny Gould, Katherine January, Suzann Lawry, Marie Simmons, and Lisseth Rojas.     

Selective involvement of the auditory-verbal modality in an acquired communication disorder: Benefit from sign language therapy

A 39-year-old female suffered bitemporal infarctions and exhibited an unusual behavioral syndrome of muteness and impaired auditory comprehension, with milder aphasic deficits in reading and writing. The anatomic basis of this modality-selective communication disorder appeared to involve both peripheral perceptual and motor as well as “central” language mechanisms. The patient's ability to communicate was greatly aided by instruction in Amerind and Ameslan Sign Language, in which she learned more than 100 signs. Patients whose acquired language deficits spare modalities of input or output may be ideal candidates for sign language therapy.     

The effect of phonemic processing on the retention of graphemic representations for words and nonwords

The three experiments reported in this study were each conducted in two phases. The first phase of Experiment 1 involved a same-different comparison task requiring “same” responses for both mixed-case (e.g., MAIN main) and pure-case (e.g., near near) pairs. This was followed by Phase 2, a surprise recognition test in which a graphemic effect on word retention was indicated by the superior recognition accuracy obtained for pure-case compared with mixed-case pairs. The first phases of Experiments 2 and 3 involved pronounceability and imageability judgment tasks, respectively. Graphemic retention was assessed by contrasting recognition accuracy for letter strings presented, during Phase 2, in their original Phase 1 case, with letter strings presented, during Phase 2, in. a graphemically dissimilar new case. The experiments provided evidence that there was minimal retention of the graphemic representations from which the phonemic representations of words are generated and, further, that the locus of this effect is probably postlexical. Nonwords were recognized more accurately than words in all three experiments. The latter result was attributed to differences between nonwords and words in both graphemic retention and semantic distinctiveness.     

Persistence in seminary and in ministry

A follow-up study of 672 seminary students from 14 seminaries who took the Theological School Inventory in 1962 and 574 from 10 seminaries who took it in 1973 investigated factors involved in persistence in seminary and in ministry. Among those found were definiteness of decision, interest in parish ministry, a supportive spouse, unambivalent resolution of the authority problem, good role models in father and ministers. Motivations included redemptive outreach, pastoral care, Christian insight and scholarship, the encouragement of other people and a sense of effectiveness in ministry.Dr. Cardwell is Assistant Professor of Psychology and Counseling at Christian Theological Seminary, 1000 W. 42nd St., Indianapolis, Indiana 46208. This study was the basis for her Ph.D. dissertation, Indiana University, June, 1978. TSI data for the 1973 subjects were made available by Richard A. Hunt, Ph.D., Professor of Psychology, Southern Methodist University, and Director of Ministry Inventories, P.O. Box 8265, Dallas, Texas 75205. TSI data for the 1962 subjects were coded and made available by Edgar W. Mills. Ph.D., presently visiting Associate Professor of Sociology, University of Texas, San Antonio, formerly Director, Ministry Studies Board. Special credit is due the 16 seminaries who cooperated by furnishing follow-up data.