Dual realities – The search for meaning: Psychodynamic therapy with physically ill people

Abstract

We summarize Kohut's (1971) bi-polar self which enables counsellors to understand and treat narcissistic behaviours and narcissistic personality disorders in a psychoanalytic framework. After Patton and Meara (1992), we describe Kohut's formulations regarding self-development and disorders of self and how such formulations inform critical components of psychoanalytic counselling with particular emphasis on the explicit and implicit strategies and characteristics the counsellor brings to the process. Finally, we suggest that a promising arena for future theorizing and applications of Kohut's ideas is consultation with parents, teachers and other community leaders to help prevent or remedy psychological self-injuries with systemic interventions outside short-term counselling or long-term therapy.

We have suggested that Kohut's self psychology is a good vehicle for understanding what brings a client to counselling: namely, disorders of the self or self-injury. We review strategies and ‘ways of being’ a counsellor must bring to and offer in the counselling encounter if the work is to succeed. We also examine implicit qualities (beyond the achievement of a mature bipolar self) we believe a counsellor or any facilitator must have if counselling or other helping relationships are to be effective. We purpose further conversations and empirical analyses which specifically and conceptually link critical components of psychoanalytic counselling to self psychology and to essential counsellor traits or virtues that seem intrinsic to good counselling practice.     

The Counselor Feedback Training Model: Teaching Counseling Students Feedback Skills

Giving and receiving feedback is an important counseling skill; therefore, it is crucial to focus on this skill within counselor training. This article presents the Counselor Feedback Training Model, a developmental approach designed to assist counselor educators in teaching counseling students how to give and receive feedback.     

Genetic Counseling Supervisor Competencies: Results of a Delphi Study

Clinical supervision is a critical component of genetic counseling student preparation, yet empirically-determined competencies for genetic counseling supervisors are lacking. In this study a modified, two-round Delphi method was used to gain consensus about important genetic counseling supervisor knowledge, characteristics, and skills. Program directors and assistant directors of American Board of Genetic Counseling accredited genetic counseling programs in North America (N?=?33) were invited to participate and to recruit three experienced supervisors. Seventy-four individuals completed Round 1 and, of these, 61 completed Round 2. Approximately two-thirds were clinical supervisors from prenatal, pediatrics, cancer, and adult clinics; one-third were program directors. Participants rated the importance for genetic counseling supervisors of 158 items derived from supervision literature in allied health professions. They rated 142 items (89.9 %) as highly important. Content analysis of these items yielded six supervisor competency domains: Personal traits and characteristics; relationship building and maintenance; student evaluation; student centered supervision; guidance and monitoring of patient care; and ethical and legal aspects of supervision. The results provide a basis for training genetic counseling supervisors and for further research to refine and validate supervisor competencies.     

White Racism and Suboptimal Psychological Functioning Among White Americans: Implications for Counseling and Prejudice Prevention

This study examined the causal relationships between anxiety, racism, and self‐esteem in a sample of White graduate and undergraduate students (N = 169). The results indicated that level of anxiety had a direct effect on anti‐Black attitudes, which, in turn, had a direct effect on self‐esteem. Implications for counseling interventions aimed at preventing prejudice among Whites are discussed. Este estudio examinó las relaciones causales entre la ansiedad, el racismo, y el auto‐estima en un grupo de estudiantes graduados y estudiantes de bachillerato Blancos (N = 169). Los resultados indicaron que el nivel de ansiedad tuvo un efecto directo en las actitudes anti‐Negras, que en torno tuvo un efecto directo en el auto‐estima. Las implicaciones para las intervenciones de consejería dirigidas a prevenir el prejuicio entre los Blancos son discutidas.     

Relationship of Attachment and Social Support to College Students' Adjustment Following a Relationship Breakup

Two constructs integral to adolescent development, continuing parental attachment and social support, were investigated to assess whether the constructs are differentially related to indices of adjustment following a romantic relationship breakup. Participants were 241 undergraduate students (M age = 20.62 years, 61% female, 39% male) with a relationship breakup within the last year. As hypothesized, hierarchical regression analyses showed that current attachment levels were related to the outcome variables. Indices of social support accounted for additional variance only when broadly conceptualized as perceived connection to the social environment, rather than perceived support from family and friends. Implications for counseling are discussed.     

The effects of message framing and ethnic targeting on mammography use among low-income women.

The authors examined the effects that differently framed and targeted health messages have on persuading low-income women to obtain screening mammograms. The authors recruited 752 women over 40 years of age from community health clinics and public housing developments and assigned the women randomly to view videos that were either gain or loss framed and either targeted specifically to their ethnic groups or multicultural. Loss-framed, multicultural messages were most persuasive. The advantage of loss-framed, multicultural messages was especially apparent for Anglo women and Latinas but not for African American women. These effects were stronger after 6 months than after 12 months.