Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services, Inc., as the basis for the formal accreditation of college and university counseling programs throughout the United States and Canada. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high-quality services to students.     

Effect of Level of Challenge on Pressor and Heart Rate Responses in Type A and B Subjects1

The present study examined the relationship between the Type A coronaryprone behavior pattern and the magnitude of cardiovascular response induced by varying levels of environmental challenge. In a 2 × 2 experimental design, Type A and B (noncoronary-prone) subjects (n= 80) were randomly assigned to either high or low challenge instructional conditions for both the cold pressor (CP) and a choice reaction time task (RT). Overall, across both tasks, Type A subjects responded with greater systolic blood pressure (SBP) and heart rate (HR) elevation than Type B subjects. While these differences between the Types tended to be larger in the high challenge condition, some differences were also observed under low challenge. Component analyses of the Pattern revealed that high hostile/competitive Type A's responded to both low and high challenge instructions in the CP and RT tasks with physiologic elevations comparable to that displayed by globally defined Type A's receiving high challenge instructions. The present findings tentatively suggest that (a) high hostile/competitive Type A's respond to even mild challenge with enhanced physiologic response; (b) globally defined A's tend to evidence the physiologic elevations when specifically challenged; and (c) Type B's show much smaller physiologic reactions to such challenges. Consistent with previous research, comparison of Type A assessment techniques revealed that the Rosenman diagnostic interview was a better predictor of physiologic response than other questionnaire methods. Two hypotheses are advanced and future research recommended regarding possible relationships between environment, behavior, physiology, and disease.     

Coping With Stress: Getting the Message Across

On a campus of 30,000 students there are many who will not have direct contact with the Personal Counseling Service; yet those students experience and must cope with numerous pressures, which may affect their personal lives and academic progress. To help these students become more aware of stress areas and coping skills we submitted an article to The Addition, the Division of Student Services' semester newspaper. The unusual format for the information was selected to be eye-catching and thus more likely to be read than a regular news-format article.     

Self‐Stigma,Mental Health Literacy,and Health Outcomes in Integrated Care

The authors describe research on the self‐stigma of mental illness and help seeking, mental health literacy, and health outcomes in an integrated care medical center. Results revealed that self‐stigma of mental illness and self‐stigma of seeking help had an inverse relationship with mental health literacy. No statistically significant relationships were found between health outcomes, either type of self‐stigma, and mental health literacy. The authors discuss these and other findings and offer research and counseling implications.     

A Comparison of Single and Multi-Test Working Memory Assessments in Predicting Academic Achievement in Children

Children assessed as having low working memory capacity have also been shown to perform more poorly than their same-aged peers in measures of academic achievement. Early detection of working memory problems is, therefore, an important first step in reducing the impact of a working memory deficit on the development of academic skills. In this study, we compared a single-test assessment, the Working Memory Power Test for Children (WMPT) and a multi-test assessment, the Automated Working Memory Assessment (AWMA), in their ability to predict academic achievement in reading, numeracy, and spelling. A total of 132 Australian school children (mean age 9 years, 9 months) participated in the research. Strong positive correlations between the WMPT and AWMA total scores were found, indicating good convergent validity of the single and multi-test measures. WMPT scores correlated with each of the four AWMA subtests designed to assess verbal and visuospatial short-term and working memory. WMPT and AWMA scores separately predicted performance on Word Reading, Numerical Operations, and Spelling. Compared with either measure alone, the WMPT and the AWMA in combination predicted more of the variance in Word Reading and Numerical Operations, but not in Spelling. Theoretical and practical implications of these findings are discussed.     

Stressors Experienced During Deployment Among Canadian Armed Forces Personnel: Factor Structure of Two Combat Exposure Scales

Combat exposure is linked to increased mental health problems among military personnel. Reliable, precise, and efficient measurement of combat experiences can facilitate understanding of the effects of combat on mental health. This study examined the psychometric properties of 2 scales used to assess deployment experiences in Canadian Armed Forces (CAF) personnel in 2 different settings: during a Third Location Decompression (TLD) program after deployment, and during routine postdeployment screening. Principal components analyses yielded similar results for the 2 measures. The components containing items relevant to Exposure to the Dead and Injured, Dangerous Environment, and Active Combat were common across both surveys. The TLD results revealed a fourth component, Personal Suffering, while the postdeployment screening data revealed a fourth component, Perceived Responsibility. This study found categories of deployment stressors that can be used for further analysis, and underscores the importance of assessing a broad range of exposures in the combat environment.     

Surgeons and the Spirit: A Study on the Relationship of Religiosity to Clinical Practice

This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotters Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon.     

The Art of Aidagara: Ethics,Aesthetics, and the Quest for an Ontology of Social Existence in Watsuji Tetsurō's Rinrigaku

This paper provides an analysis of the key term aidagara (‘betweenness’) in the philosophical ethics of Watsuji Tetsurō (1889–1960), in response to and in light of the recent movement in Japanese Buddhist studies known as ‘Critical Buddhism’. The Critical Buddhist call for a turn away from ‘topical’ or intuitionist thinking and towards (properly Buddhist) ‘critical’ thinking, while problematic in its bipolarity, raises the important issue of the place of ‘reason’ vs ‘intuition’ in Japanese Buddhist ethics. In this paper, a comparison of Watsuji's ‘ontological quest’ with that of Martin Heidegger (1889–1976), Watsuji's primary Western source and foil, is followed by an evaluation of a corresponding search for an ‘ontology of social existence’ undertaken by Tanabe Hajime (1885–1962). Ultimately, the philosophico-religious writings of Watsuji Tetsurō allow for the ‘return’ of aesthesis as a modality of social being that is truly dimensionalized, and thus falls prey neither to the verticality of topicalism nor the limiting objectivity of criticalism.     

Social Support in Cardiac Rehabilitation Exercise Maintenance: Associations with Self‐Efficacy and Health‐Related Quality of Life1

This study examined whether cardiac rehabilitation (CR) maintenance exercise participants who were high and moderate in social support (SS) differed in their types of self‐efficacy and health‐related quality of life, and whether SS was related to self‐efficacy. Measures of SS, self‐efficacy (i.e., walking, scheduling, in‐class efficacy), and health‐related quality of life (HRQL) were administered to 64 CR maintenance exercise participants. A one‐way, between‐groups MANOVA was significant (p < .01), indicating that CR participants higher in SS reported significantly greater self‐efficacy and physical HRQL than did their moderate counterparts. In addition, social support predicted significant variance in task self‐efficacy. The findings suggest that differential perceptions of SS are related to differences in walking, in‐class and scheduling self‐efficacy, and the physical component of HRQL among CR exercise maintainers.