Client Perceptions of the Impact of Genetic Counseling: An Exploratory Study

Twenty-eight former genetic counseling clients seen at a major Midwestern university were recruited to be interviewed about their genetic counseling experiences, including most and least helpful aspects, what they learned, how this information impacted their decision-making, and their perceptions of their genetic counselors' behaviors. Responses were inductively analyzed, and several themes were identified, including: Clients sought genetic counseling to obtain genetic-medical information; a majority accurately recalled this information; genetic counseling influenced decisions for about 50% of the sample; decision-making was affected by several extra-session factors; a majority experienced distress during the session; most perceived genetic counselor responses as nondirective and liked this approach; counselor behaviors regarded as directive involved discussion of pregnancy termination; participants disagreed about the need for and provision of genetic counselor support; most regarded the session as helpful and stated that they would seek genetic counseling again. Suggestions for addressing these issues in practice and research are given.     

School Counselors and Consultants: Legal Duties and Liabilities

This article provides an overview of legal issues and problems salient to school counselors who provide direct services to students or indirect services through consultation. Among legal issues addressed are privacy, confidentiality, and privilege—conceptually distinct topics that in practice often overlap. Also covered are legal duties pertaining to handling student records, conducting research projects, reporting child abuse, and testing and placing students. Among the legal liabilities discussed are those arising from contract, tort, and criminal law and from violations of federal constitutional and statutory rights.     

Abusive families and character formation

Family research studies confirm that abusive parents tend to be undifferentiated partners who compete with each other and with their children for attention and nurturance. More or less healthy parents make demands on children to counteract their own injured narcissism, but they do so largely without devaluation and the sadistic use of projective identification. Under sufficient stress abusive parents attack the child who fails to gratify their needs, thereby giving vent to longstanding frustrations and feelings of being threatened by the child's individuation and competency. The emotional atmosphere in such families facilitates ego deficits like those of the borderline personality as it molds the child's efforts to avoid anxiety. Devaluation, loss, and defenses against mourning partially account for depression and paranoid traits in abused youngsters. Early neglect and abuse exposes them to influential models who act out rage and primitive defenses. Some abused individuals project their rage and later become paranoid or antisocial, whereas others fragment or retain infantile defenses. The destructiveness of severe psychological abuse lies in the constriction of the experiencing self and healthy character development, together with the conditioning to repeat abusive relationships and to avoid intimacy. Achieving individuation under these circumstances entails overcoming the internalized abusive relationships and relinquishing the unconscious wish to be transformed from the abused into the abuser.     

Narcissism and the self in homicidal adolescents

Even where it emerges without any sexual purpose, in the blindest fury of destructiveness, the satisfaction of an instinct is accompanied by an extraordinarily high degree of narcissistic enjoyment? owing to its old wishes for omnipotence.     

Measures of response bias at minimum-detectable luminance levels in the pigeon

Using an operant analogue of the yes-no detection task, six pigeons were trained to detect luminance changes under two different reinforcement-scheduling procedures. In the first, an uncontrolled reinforcement-ratio procedure, the relative frequency of food reinforcers obtained for correct detections was free to vary with the birds' behavior as luminance levels were changed. In the second, a controlled reinforcement-ratio procedure, changes in preference could not alter the relative distribution of food reinforcers between the two response alternatives. Extreme response biases developed as luminance was decreased to threshold in the uncontrolled procedure. No progressive changes in response bias as a function of decreasing luminance were seen in the controlled procedure. Absolute thresholds for light intensity were lower in the controlled than in the uncontrolled procedure.     

A special review ofThe American Soldier,Vol. IV

Volume IV ofThe American Solider presents the first complete account of the scale analysis approach of Guttman and the latent structure approach of Lazarsfeld to the problem of attitude measurement. This review has been prepared for the purpose of providing an expository account of the models proposed by Guttman and Lazarsfeld, together with an indication of the places which call for additional clarification and research. This review was originally prepared at the request of the Sociological Research Association, and was presented at the Association's Annual Meeting in New York City, December, 1949.     

MEASURING FEMINIST ATTITUDES

Henley and colleagues' results, obtained in the process of developing a scale to measure the diversity of feminist attitudes, highlight a dilemma for feminist researchers in psychology. On the one hand, we advocate research based on feminist theory. On the other, we believe that research should begin with the lived experiences of women, from which theory should be generated, rather than forcing women's responses into a predetermined theoretical mold. Several aspects of Henley and colleagues' results contradict feminist theory. I argue that researchers should use empirical data to refine feminist theories.     

An Investigation of Client and Counselor Variables That Influence Likelihood of Counselor Self-Disclosure

Selected client and counselor variables affecting reported likelihood of self-disclosure by 120 experienced clinicians in relation to four scenarios were examined. Variables included client age and diagnosis and counselor gender, experience, and exposure to disclosing counselors in their own experience of counseling. Disclosure likelihood was greatest for high ego-strength diagnoses and for respondents who reported positive disclosures from counselors in their own counseling experiences. Reasons for and against using self-disclosure also were examined. Reasons for disclosing included promoting universality, giving encouragement, modeling, rapport-building, and offering alternatives. Reasons against disclosing included boundary blurring, concern about counselor welfare, merging, and premature closure. Implications for practice and research are discussed.     

Actions,Beliefs, and Consequences

Philosophical Studies -