The person-centred approach as an ideological discourse: a discourse analysis of person-centred counsellors' accounts on their way of being

In accord with humanistic psychology, the person-centred approach (PCA) highlights individuality and is characterised by subjectivity and freedom vs. objectivity and determination. This study endeavoured to define how person-centred counsellors position themselves within PCA. In order to employ a critical frame of mind, analysis focused on identifying constructions, contradictions and functions of language that pointed to power relations. This study revealed a power relation between PCA and the counsellors, displaying five discourses: the philosophical discourse, the discourse of freedom, the discourse of religion/spirituality, the discourse of militarism and the discourse of eros (love). PCA is thought to empower the client in relation to its respectful and non-directive, therapeutic framework. Analysis suggests that despite rhetorical endorsement of PCA as enabling, the approach has implications for subjectivity and practice regarding the counsellor him/herself. Adhesive attachments closely resembling religious and erotic ones seem responsible for dogmatic and militaristic phenomena as described by participants. Strong emotions such as pride and guilt are indicative of this adhesive investment. Furthermore, the analysis shows that as the discourse of freedom becomes embedded in the philosophical discourse of PCA, it has connotations of truth. Lastly, the discourse of religion/spirituality seems to organise PCA in terms of meaning coherence.     

Depression and Suicidal Ideation After Predictive Testing for Huntington's Disease: A Two-Year Follow-up Study

The present study reports a two-year follow-up of psychological effects of predictive testing for Huntington's disease. Questionnaires assessing depression, general health, well-being, self injurious behavior, life satisfaction, and lifestyle were completed by 35 carriers and 58 non-carriers before the predictive test, and 2, 6, 12, and 24 months afterwards. Both carriers and non-carriers showed high suicidal ideation before the predictive testing. Depression scores and frequency of suicidal thoughts increased for carriers, compared to non-carriers, over time. There were no differences regarding life satisfaction or life style between carriers and non-carriers. Predictive testing was beneficial in reducing overall ill-health symptoms and increasing well-being for those initially expressing concern about Huntington's disease. The importance of assessing suicidal ideation and of continuing to provide adequate support is emphasized.     

A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

An immunochemical approach to model and long-term suppression of depressive and anxiety behavior

The inhibitor of monoaminooxydase isatin and the ligand of B-receptors cholecystokinin-4 play a significant role in the suppression and induction of depressive and anxiety states. We induced the formation of auto-antibodies to these compounds against their conjugates with antigen-carrier by immunization of white rats. The result was long-term (more than 2 months) stimulation of depressive and anxiety behavior after immunization to isatin and, in contrast, the suppression of such behavior after immunization to cholecystokinin. The perspective of immunochemical approach to long-term correction of behavior is discussed.     

Getting hammered? ‥‥ students coping with alcohol

• This research draws on identity and coping theories to develop an understanding of the ways in which students with differing stances towards alcohol (both drinkers and light/non‐drinkers) deal with alcohol‐dominated social situations. We report findings from two studies, the first based on the stories of 160 students and the second based on in‐depth interviews with eight students. Our research found that many undergraduates view alcohol as playing a central role in ‘student life’, with excessive drinking being the norm. However, there is a significant group who are not comfortable with this view, nor do they ascribe to it. Choosing not to engage with the stereotypical student image presents a very real set of problems, stresses and barriers and the students discussed the various coping strategies they had in place to deal with these problems. We discuss the implications of these findings and the challenges for public policy in this area.

Copyright © 2006 John Wiley & Sons, Ltd.     

"In the storminess": multi-disciplinary approaches to scriptural images representing ethical challenges in the pastor-congregant relationship

In this qualitative study the authors examine the Scriptural images that 10 Lutheran pastors employed in describing the ethical challenges in the pastor-congregant relationship. The analysis of Scriptural images is part of a larger study on pastors' experiences of a mandatory workshop, "Crossing the Boundaries (CTB),"which is required of Evangelical Lutheran Church in Canada (ELCIC) seminarians. The pastors' images were analyzed from the four perspectives of depth psychology, theology, social ethics, and sociology. In commenting on tensions in the pastors' Scriptural images the authors note commonalities among the four theoretical perspectives and discuss implications for practice and future research.