The preparation of counsellors in Europe: Possible solutions for an impossible task?

The growth of counselling and psychotherapy presents trainers in Europe with significant opportunities. But these need to take account of human development over the millenia, harnessing ancient psychology to the resolution of contemporary problems. In particular, there is a need for contextual counselling, beating practice in culture. Extrapolating from UK data, a minimum practitioner requirement for Europe could be 50,000-75,000 counsellors. With only minimal training programmes in many European countries, meeting the seven core criteria of training seems impossible. One possible solution is to cluster people with limited training around a high-standard professional counsellor—a system used in the UK for situation-specific counselling. A number of European states are now seeking to develop a counselling capability. Training for this should break new ground by learning from older systems but also being unafraid to adopt novel solutions.     

Counselling adults who were abused as children: Clients' perceptions of efficacy, client-counsellor communication, and dissatisfaction

Despite the amount of clinical material relating to adults who were abused as children, there is a dearth of research which has examined the effectiveness of counselling such clients. In order to examine the perceived efficacy of counselling with this client group, a total of 53 in-depth interviews were undertaken with a sample that included adults abused as children who had received counselling, counsellors working with this client group, and counselors-who-were-abused-as-children. The findings indicate that there are many similarities in what abused clients and the general client population judged to be helpful and unhelpful factors in counselling. However, certain aspects of the counsellor-client relationship appear to have specific impacts and meaning for an abused client group, especially when they have little prior knowledge or experience of counselling. Data are presented relating to clients' evaluations of counselling. These illustrate clinically relevant issues in relation to communication and experiences of dissatisfaction. One conclusion from the study is that in terms of their responses to counselling, it is simplistic for adults who were abused as children to be categorisied as a unitary group. Nevertheless, there are certain aspects of counselling with such clients which do merit particular attention if practitioners are to minimise the possibility of counselling being ineffective, unhelpful or, at worst, re-traumarising.     

Psychological Adjustment and Coping Styles of Urban African American High School Students

In a study of African American (n = 208) urban high school students, grade point average (GPA) and specific strategies for coping with day-to-day stressors were found to be significantly related to psychological adjustment. Students who had higher GPAs tended to use family members as a means of solving problems, minimized problems by the use of humor, and used relaxation activities less often were found to have the most positive psychological adjustment, as measured by the index score of the Affects Balance Scale (ABS). Reported negative affect was not found to be significantly influenced by coping style, whereas positive affect was.     

The Efficacy of Acupuncture in the Treatment of Major Depression in Women

The effectiveness of acupuncture as a treatment for major depression was examined in 38 women, randomly assigned to one of three treatment groups. Specific treatment involved acupuncture treatments for symptoms of depression; nonspecific treatment involved acupuncture for symptoms that were not clearly part of depression; a wait-list condition involved waiting without treatment for 8 weeks. The nonspecific and wait-list conditions were followed by specific treatment. Five women terminated treatment prematurely, 4 prior to the completion of the first 8 weeks. Following treatments specifically designed to address depression, 64% of the women (n = 33) experienced full remission. A comparison of the acute effect of the three 8-week treatment conditions (n = 34) showed that patients receiving specific acupuncture treatments improved significantly more than those receiving the placebo-like nonspecific acupuncture treatments, and marginally more than those in the wait-list condition. Results from this small sample suggest that acupuncture can provide significant symptom relief in depression, at rates comparable to those of psychotherapy or pharmacotherapy. Acupuncture may hold sufficient promise to warrant a larger scale clinical trial.     

Never cross the path of a traveling salesman: The neural network generation of Halstead-Reitan trail making tests

The Halstead-Reitan Trail Making Test (TMT) is one of the most widely used neuropsychological instruments for the assessment of brain damage. Despite its usefulness, however, the TMT has two major disadvantages. It has not been constructed in a principled manner that would facilitate systematic investigation, and there is no established procedure for generating equivalent, but stochastically different, test forms. The reason is that the generation of self-avoiding TMT pathways resembles the finding of near-optimal solutions to the Euclidean Traveling Salesman Problem (TSP) and constitutes a computational problem that is NP-complete. This article describes a practical approach to the problem of generating stochastically different test forms. This approach employs anelastic net neural network to generate TMT forms based on self-avoiding, near-optimal paths, and closed circuits. The usefulness and limitations of this solution are discussed briefly in relation to alternative and complementary problems and procedures.     

Evocation and characterization of percepts of apparent motion on the face

The percepts evoked by sequential stimulation of sites in close spatial proximity (<2.5 cm) on the face were studied. Both method-of-limits and magnitude-estimation procedures were used to identify and characterize alterations in the percepts produced by systematic changes in the temporal and spatial parameters of the sequence. Each site was stimulated by a vertically oriented row of miniature vibrating probes. Apparent motion was consistently perceived when the delay between the onsets of sequentially activated rows (interstimulus onset interval, or ISOI) fell within a relatively narrow range of values, the lower limit of which approximated 5 msec. Both the upper limit and the perceived smoothness and continuity of the motion percepts (goodness of motion) increased with the duration for which each row stimulated the skin over the range evaluated, 15–185 msec. For the successive activation of only two rows, goodness of motion was not influenced by changes in their separation from 0.4 to 2.5 cm. The ISOI values at which magnitude estimates of goodness of motion were highest increased with the duration for which each row stimulated the skin. As such, maximum goodness of motion decreased with increases in the apparent velocity of motion. When the number of sequentially activated rows was increased from two to four or more, the quality of the motion percepts improved. For the successive activation of multiple closely spaced rows, values of ISOI at which numerical estimates of goodness of motion were highest approximated integral fractions of the duration for which each row stimulated the skin. In this situation, the probes rose and fell in a regular, step-locked rhythm to simulate an edge-like or rectangular object moving across the skin. The goodness of motion so attained was relatively independent of the apparent velocity of motion.     

Optimal sequential designs for on-line item estimation

Replenishing item pools for on-line ability testing requires innovative and efficient data collection designs. By generating localD-optimal designs for selecting individual examinees, and consistently estimating item parameters in the presence of error in the design points, sequential procedures are efficient for on-line item calibration. The estimating error in the on-line ability values is accounted for with an item parameter estimate studied by Stefanski and Carroll. LocallyD-optimaln-point designs are derived using the branch-and-bound algorithm of Welch. In simulations, the overall sequential designs appear to be considerably more efficient than random seeding of items.This report was prepared under the Navy Manpower, Personnel, and Training R&D Program of the Office of the Chief of Naval Research under Contract N00014-87-0696. The authors wish to acknowledge the valuable advice and consultation given by Ronald Armstrong, Charles Davis, Bradford Sympson, Zhaobo Wang, Ing-Long Wu and three anonymous reviewers.     

Contemporary family therapy in the United States

Major issues in contemporary family therapy in the United States are described. Issues from outside the field impacting family therapy include health care reform, family 'values', multiple forms of 'family', and the growing aging population. Issues within the field include the challenge of social construction theory, the decline of the expert, the feminist critique, sensitivity to culture, rediscovering individuals within families, focus on strengths and resources, a both–and attitude toward collaboration with other professionals, emphasis upon the person of the therapist, and convergence of 'schools' of family therapy. Therapists in the United States are also opening up the private process of therapy through reflecting teams, including clients in therapist thinking, multi-family groups, and through psychoeducational groups. Finally, attempts to bridge the gap between research and practice are analyzed.     

The effects of gender and leave of absence on attributions for high performance,perceived organizational commitment,and allocation of organizational rewards

The present study examined the effects of gender and type of leave of absence on attributions for high performance, perceptions of organizational commitment, and allocation of organizational rewards. Results of the study, utilizing a predominately white student sample with a mean age of 29 years, indicated that there were no negative effects in terms of perceived organizational commitment or allocation of organizational rewards associated with a leave of absence (medical or parental) of short duration (three months) when taken by a high performing male or female. Causal attributions for performance and perceived level of organizational commitment were, however, related to recommendations of reward allocations. Implications of findings and future research are presented.An earlier version of this paper was presented at the annual meeting of the Southern Management Association, Atlanta, GA, November 1993. We would like to thank Gregory H. Dobbins, Mark L. Poteet and two anonymous reviewers for their insightful comments.