Shameful secrets and shame-prone dispositions: How outcome expectations mediate the relation between shame and disclosure

Shame may be a deterrent to disclosing secrets to a counselor, and shame-proneness may be associated with generalized tendencies to avoid disclosure of distress. If so, the mechanism explaining these relations might be the expected outcomes about disclosure. College students in the United States (N?=?312) thought of a shameful secret of theirs, and they rated the degree of shame they felt about the secret, their willingness to disclose the secret to a potential counselor, and their expected support from a potential counselor (i.e. outcome expectation). Participants also completed dispositional measures of shame-proneness, generalized outcome expectations about disclosure, and disclosure tendencies. Mediation analyses revealed that participants’ experiences of shame regarding their secrets predicted lower anticipated support from the counselor which predicted lower willingness to disclose the secret. This effect largely replicated at the dispositional level, such that anticipated risks of disclosure mediated the relationship between shame-proneness and disclosure tendencies. These findings suggest that counselor efforts to promote healthy client disclosure could target the client’s outcome expectations about disclosure rather than the client’s degree of shame.     

The effectiveness of sources of support in career decision-making: A two-year follow-up

Making career decisions is often difficult and challenging, and one way to advance in the process is to seek help. The present research focused on the various sources of support young adults tend to look for when making their career decision and the factors that affect their actual use of these sources. Study 1 elicited the self-reported help-seeking behavior and the Career Decision-Making Profile (CDMP) from 1071 young adults (ages 18–35) who had already chosen their major(s) at a university. The young adults used sources that were easily accessible, even when they were perceived as being less effective. Additionally, those with less career decision-making adaptability, as derived from the CDMP, tended to seek help more often. Study 2, a two-year follow-up of 296 young adults who participated in Study 1, revealed that getting help reduced the likelihood of changing one’s major.     

Assessing the quality of life of HIV infected persons: Clinical and descriptive information from studies with the hopes

Abstract

We have recently developed and psychometrically evaluated an HIV-specific quality of life instrument. The new instrument is called the HIV Overview of Problems-Evaluation System (HOPES) which was adapted from an established cancer-specific quality of life instrument called the CARES. In this paper we review the psychometric properties of the HOPES, examine the quality of life impact of HIV infection in a cross-sectional evaluation of 318 patients using data from the HOPES and describe other work in progress or planned using the HOPES.     

The Medical School Curate: An Examination of Student Need

The intense and encompassing nature of medical education can be overwhelming at times. The impact that this effect has on a student can be mitigated if adequately trained, spiritually focused advisors are available and present within the campus setting. This article presents real case examples of, and recommendations for, the role of medical school chaplaincies and why those chaplaincies should be a part of the culture of medical education.     

Relationship-focused group therapy (RFGT) to mitigate marital instability and neuropsychophysiological dysregulation

This article describes an innovative model of couples therapy designed to mitigate marital instability. The authors suggest that combining ongoing couples therapy with a separate relationship-focused group for each partner favorably impacts each person's neuropsychophysiological regulation and their ability to participate in a stable intimate marriage. The neurobiology of attachment theory is seen as providing understanding of the affect regulation issues operational in many couple relationships. The safe and secure attachments worked out in the relationship-focused group therapy are seen as improving neuropsychophysiological integration and regulation.     

Gender Versus Gender Role in Attributions of Blame for a Sexual Assault1

To examine whether gender differences in attributions of blame for a sexual assault are a result of gender differences in identification with members of their own gender or identification with gender roles (men identifying with the powerful assailant and women with the less powerful victim), women (n = 177) and men (n = 128) made attributions of blame for an assault in which the assailant's gender and the victim's gender were factorially manipulated. Regardless of the gender of the assailant and victim, women identified more with the victim, while men identified more with the assailant. Consistent with a modified defensive attribution hypothesis, women blamed the assailant more than did men; however, no significant effects were found for victim blame.     

From career decision-making styles to career decision-making profiles: A multidimensional approach

Previous research on individual differences in career decision-making processes has often focused on classifying individuals into a few types of decision-making styles based on the most dominant trait or characteristic of their approach to the decision process (e.g., rational, intuitive, dependent; Harren, 1979). In this research, an alternative approach, which offers a multidimensional profile characterization of individuals’ career decision-making processes based on a simultaneous consideration of 11 dimensions, is presented. Thus, the proposed model refers to career decision-making profiles rather than career decision-making styles. The model, which emerged from a systematic analysis of previous research, was refined on the basis of preliminary empirical tests (five samples, N = 2764) using the Career Decision-Making Profile (CDMP) questionnaire. Study 1 reports the psychometric properties and the results of an exploratory factor analysis of the CDMP questionnaire, in a sample of young adults deliberating their career decisions (N = 285). Study 2 presents the results of a confirmatory factor analysis, based on Israeli (N = 431) and US (N = 208) samples of young adults. The results of both studies supported the hypothesized 11 dimensions. The implications for future research and for counseling are discussed.