Acceptance and commitment therapy: Altering the verbal support for experiential avoidance

Acceptance and Commitment Therapy (ACT) is a behavior-analytically-based psychotherapy approach that attempts to undermine emotional avoidance and increase the capacity for behavior change. An overview of this approach is given, followed by several specific examples of the techniques used within ACT. In each instance the behavioral rationale of these techniques is described. A contemporary view of verbal relations provides the basis for new approaches to adult outpatient psychotherapy.     

Showing Clients What Their Profiles Mean

This article suggests that counselors might profitably investigate new graphic approaches to showing clients what their multivariate profiles mean. An illustration is given in terms of Holland's RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, Conventional; 1985) model of vocational interests.     

Hiding valuables: A questionnaire study of mnemonically risky behavior

A survey investigated incidences where individuals intentionally hid objects but later forgot the item's location. Surveys from 111 younger and 99 older adults yielded the following prototypical scenario: the person hid the valuable 1 year ago to prevent theft, and waited 1 month before an initial 30-minute search, which included looking in dresser drawers plus 1.5 other locations. The person made three additional searches (total searches = 4) for the missing valuable over a 2 week period. Three-quarters of the hidden valuables were eventually found (usually by accident) about 1 month after hiding the object. About half of the time, the person had already searched the hiding area. Older adults typically hid jewellery from thieves, while younger adults hid money from friends and relatives. Older adults searched more often for longer periods of time for the hidden object, and took longer to eventually find the object, compared with younger adults.     

Counselling foreign students: A review of strategies

This article focuses on the unique counselling needs of foreign students as reflected from a review of the literature. As more and more students from developing countries opt to further their education in the West, knowledge about counselling foreign students is of increasing interest. Distinctive aspects of foreign student clients and the typical problems faced by them are described. The issues which need to be addressed and the competencies which need to be developed in order to effectively counsel foreign students are discussed. Finally, specific strategies for counselling foreign students are suggested in the context of general guidelines for cross-cultural counselling.     

Work-Relationship Values and Gender Role Differences in Relation to Career-Marriage Aspirations

This study of female and male undergraduate business majors explored the relationship of their preferred future career-marriage arrangement to their relationship and work values, work motivation, and gender role orientation Results indicate that the dual-career, career-job, and career-home groups showed significant differences on these dimensions. Additionally, sex and gender role differences reflected cultural stereotypes of achievement orientation in men and barriers to career pursuits of women. The results are discussed in terms of interpersonal, intrapersonal, and societal factors underlying career-marriage aspirations. Implications for practitioners and suggestions for future research are given.     

The patient-physician relationship and the allocation of scarce resources: a law and economics approach

Patients with insufficient financial resources place physicians in a conflict of interest between the patients' needs and the financial interests of the physician, other patients, and society. Not only must physicians act ethically, but they must avoid liability for violating their legal duties to their patients. The traditional rules of contract and malpractice law that govern the patient-physician relationship do not provide satisfactory guidelines. Better answers are found in the rules of fiduciary law, but only with regard to direct conflicts between patients and physicians and only at the risk of reducing patient access to care. Certain types of legislative action can resolve these conflicts by altering the traditional legal rules, but care must be taken to preserve patient-physician trust, which the legal rules were designed to enhance.     

Success,social comparison,and self-assessment: Parents' midlife evaluations of sons,daughters, and self

The literatures on sex-role socialization and social comparison theory were used to predict how parents would evaluate the life success of adult sons and daughters and how parents' assessments of themselves would be influenced by comparisons with these children. Although parents (N=215) did not report different levels of life success for 291 adult sons versus 251 adult daughters, parental well-being was more closely tied to assessments of sons' success. In addition, although parents' reported that both sons and daughters had exceeded their own life success, theparent-child comparison with daughters was the better predictor of parents' well-being. Findings are discussed in terms of parents' individual development, family processes at midlife, and cohort differences between parents and their children.     

Bearing bad news: Dealing with the mimics of denial

Denial is a common label for certain reactions to bad news. However, true denial is rare, and most cases actually represent a variety of responses with very different causes and needs. Three of these, disbelief, deferral, and dismissal, are characterized according to origins and needs. Failure to differentiate between these seemingly similar behaviors can result in inappropriate counseling, and interfere with attempts to convey information and provide support during a time of crisis.