Family Therapy in Trouble: Psychoeducation as Solution and as Problem

The authors cite clinical literature attesting to the importance of recognizing the family, rather than the individual, as the proper locus of conceptualizing, diagnosing, and treating mental illnesses. Specifically with regard to severe psychiatric illnesses, in particular schizophrenia, family dysfunction contributes to the emergence of the illness, significantly affects its course, and strongly influences the achievement and maintenance of treatment gains. Currently, a movement is afoot to limit sharply the amount and kind of treatment offered to schizophrenic patients and their families. Rooted in a “medical model” or “biogenic” view of the etiology of schizophrenia, this school of thought prescribes psychoeducation as the family treatment of choice. The present article looks at some misconceptions regarding treatment that prompted a widespread turning away from psychoanalytically oriented family psychotherapy for schizophrenic patients and their families, examines the reductionism (biological and behavioral) inhering in the exclusive use of psychoeducation, and looks at the clinical dangers of such reductionism. Finally, it proposes that family psycho-therapists should not abandon a concern with the inner lives of severely ill patients and their families in the face of spuriously generalized claims made by reductionist researchers.     

VOLUNTARY AFFIRMATIVE ACTION AND PREFERENTIAL TREATMENT: LEGAL AND RESEARCH IMPLICATIONS

This paper provides a review of recent Supreme Court decisions stemming from the implementation of voluntary AAPs that include preferential treatment as a remedy; the evidence and proof required to establish and defend against reverse discrimination claims is identified. Overall, the courts sanctioned the use of preferential treatment if it occured as part of a well-conceived AAP. However, differences were found in the manner in which the courts adjudicated Title VII and constitutional claims of preferential treatment. The discussion examines research on the potential effects of voluntary AAPs on important organizational and societal outcome variables. We conclude that the impact of AAPs is likely to be far-reaching, exerting an effect possibly well beyond the limits considered in court decisions.     

THE RELATIONSHIP BETWEEN PAY-FOR-PERFORMANCE PERCEPTIONS AND PAY SATISFACTION

A study was conducted with 104 hospital employees to assess the relationship between pay-for-performance perceptions and pay satisfaction. Unlike previous research examining this relationship, a multi-item measure of pay-for-performance perceptions and a multidimensional measure of pay satisfaction were used. As hypothesized, the results indicated a positive relationship between pay-for-performance perceptions and pay-raise satisfaction, pay-level satisfaction, and overall pay satisfaction even after the effects of salary level, salary increases, performance ratings, job tenure, job satisfaction, and promotions were controlled. The importance of gathering perceptual data on characteristics of the pay system believed to have differential relationships with the subdimensions of pay satisfaction are discussed.     

A Comparison of Paper-and-Pencil and Computer Versions of the Self-Directed Search

A study was undertaken to assess the equivalence of the paper-and-pencil and computer versions of the Self-Directed Search (SDS) for 62 college students. The results showed a significant positive correlation in SDS scores for the two SDS forms; however, users strongly preferred the computer format.     

One Counselor's Intervention in the Aftermath of a Middle School Student's Suicide: A Case Study

The authors discuss the application of Gestalt theory as a means of dealing with the surviving classmates of a student who committed suicide.     

Career Aspirations of Pregnant Teens

This study examined the career aspirations of pregnant teens enrolled in a program designed to minimize their chances of dropping out of high school. The teens completed a demographic data form that included questions on their career aspirations. The data were coded by Holland type using the Dictionary of Holland Occupational Codes. Trends were discussed in light of the future labor market and critical need for career counseling for this at-risk population.     

Handgun Ownership and the Religion Factor

This article addresses the relationship between religious affiliation and a very specific form of firearms ownership, that is, handgun ownership. Literature is reviewed relative to explanations of gun ownership. A test of the hypothesized relationship between religious affiliation and handgun ownership demonstrated a statistically significant ( p < 0.03) association. Protestants were found to have a disproportionately high level of handgun ownership compared to other religious groups. Speculation for this finding is reviewed relative to other recent research on this topic.     

Mental Health Values and Response to Alcoholism Treatment

Mental health values consist of the subset of values that refer to what constitutes good mental health. Torrey (1972) suggested that agreement between patient and therapist about such values may influence psychotherapy outcome. The authors found mixed support for this hypothesis using a sample of 100 chemical dependency inpatients. Positive treatment effects were associated with pretreatment agreement between counselor and patient about some mental health values, but with pretreatment disagreement about others. Because outcome measures assess general personality functioning, the authors suggest that attitudes about what constitutes good mental health may predict general psychotherapy effects as well as response to alcoholism treatment.     

Counseling Gay Men with AIDS: Human Dimensions

As the incidence of acquired immunodeficiency syndrome (AIDS) becomes more widespread, individuals with AIDS will present themselves for counseling in both public and private settings, and counselors will need to become familiar with the psychological manifestations of the AIDS virus. This article provides case material that demonstrates the emotional responses of gay men to AIDS. Specifically, denial, anger, rage, guilt, and shame are discussed with an emphasis on the human dimensions of AIDS.     

A Counseling Paradox: Do Preservice Counselors Need Employment Counseling?

Data from this study identified a significant discrepancy between preservice counselors' perceptions of their career opportunities and actual placement data.