Best Practices for Counselors Who Treat Posttraumatic Stress Disorder

Counselors in settings as diverse as schools, corporations, and community agencies are well aware of the numbers of people in the United States who daily come in contact with stressors that are extreme and potentially traumatic. Automobile accidents, disasters, or encounters with interpersonal violence are ubiquitous. Professional counselors, regardless of their professional identification or the settings in which they work, are very likely providing services to many people who are in distress after traumatic exposures. These counselors would benefit from knowing what other mental health professionals consider to be best practices for preventing and treating posttraumatic stress disorders (PTSDs). The purpose of this article is to summarize for counselors those best practices that have been recently developed and published by a multidisciplinary expert group (E. B. Foa, J. R. T. Davidson, & A. Frances, 1999) in their article “Treatment of Posttraumatic Stress Disorder.”     

Absolute vs Relative Performance Rating Formats: Implications for fairness and organizational justice

The choice of performance rating format may influence employees' fairness perceptions. Participants in two studies, one consisting of 208 participants and the other of 393 participants, evaluated the fairness of common relative and absolute rating formats. The participants in the second study also evaluated the fairness of two rating formats, one absolute and one relative, presented in organizational contexts of varying procedural and distributive justice. Results indicate that not only are absolute formats perceived as more fair than relative formats, but differences in fairness perceptions also occur among relative and absolute formats. Furthermore, it appears that rating format influences procedural justice, especially when outcomes are perceived as fair. Implications for organizations' appraisal practices are discussed.     

Decomposing the construct of ambivalence over emotional expression in a Chinese cultural context

The present study examined the construct of ambivalence over emotional expression proposed by King and Emmons ( 1990 ) in the Chinese context, and identified a factor structure different from those proposed in previous Western studies. The results of this study provided discriminant validity for this newly extracted two-factor structure of ambivalence, viz., Emotional Rumination and Emotional Suppression. Emotional Rumination was significantly predicted by the personality scales of introversion and inferiority, and the belief dimension of fate control, whereas Emotional Suppression was predicted by the personality scales of diversity, face, and harmony, and the belief dimension of social complexity. The different effects of Emotional Rumination and Emotional Suppression in predicting life satisfaction showed that emotional experience has its own specific characteristics in Chinese culture, and that responding to its emic characteristics will yield a more culturally responsive understanding of emotional experience and expression. Copyright © 2004 John Wiley & Sons, Ltd.     

Two languages, two personalities? Examining language effects on the expression of personality in a bilingual context

The issue of whether personality changes as a function of language is controversial. The present research tested the cultural accommodation hypothesis by examining the impact of language use on personality as perceived by the self and by others. In Study 1, Hong Kong Chinese-English bilinguals responded to personality inventories in Chinese or English on perceived traits for themselves, typical native speakers of Chinese, and typical native speakers of English. Study 2 adopted a repeated measures design and collected data at three time points from written measures and actual conversations to examine whether bilinguals exhibited different patterns of personality, each associated with one of their two languages and the ethnicity of their interlocutors. Self-reports and behavioral observations confirmed the effects of perceived cultural norms, language priming, and interlocutor ethnicity on various personality dimensions. It is suggested that use of a second language accesses the perceived cultural norms of the group most associated with that language, especially its prototypic trait profiles, thus activating behavioral expressions of personality that are appropriate in the corresponding linguistic-social context.     

Response to instruction, English language learners and disproportionate representation: the role of assessment

Response to Intervention (RtI), a cyclical process that incorporates assessment and instruction, is both an approach to prevent learning difficulties and to establish student eligibility for special education. Assessment results are used to determine students' initial knowledge and skill, their need for successively more intensive levels of instruction, and to gauge their response to the intervention provided. Although this process is preferable to the IQ/achievement discrepancy model for determining the presence of specific learning disabilities, there are still a number of unresolved issues related to the assessment procedures in use. A pressing issue is the identification of measures and procedures that identify students with the greatest precision thus reducing inappropriate identification.     

Sinistrals’ upper hand: Evidence for handedness differences in the representation of body space

A difference in the perception of extrapersonal space has been shown to exist between dextrals and sinistrals. On the classical line bisection task, this difference is evident in a greater left bias for dextrals compared to sinistrals. Different modalities and regions of space can be affected. However, it has not yet been investigated whether a systematic bias also exists for the perception of personal or body space. We investigated this by using three tasks which assess different aspects of personal space in an implicit and explicit way. These tasks were performed by strongly right-handed (dextrals), strongly left-handed (sinistrals) and mixed-handed participants. First, a task of pointing to three areas of one’s own body without the use of visual information showed dextrals to have an asymmetric estimation of their body. In right hemispace, dextrals’ pointing was at a greater distance from the midsagittal plane compared to pointing in left hemispace. No such asymmetry was present for sinistrals, while mixed-handers’ performance was intermediate to that of strong right- and strong left-handers. Second, a task of recovering circular patches from their body surface whilst blindfolded also showed superior performance of sinistrals compared to dextrals. On these two tasks, there was also a moderate relationship between handedness scores and performance measures. Third, a computer-based task of adjusting scaled body-outline-halves showed no handedness differences. Overall, these findings suggest handedness differences in the implicit but not explicit representation of one’s own body space. Possible mechanisms underlying the handedness differences shown for the implicit tasks are a stronger lateralization or a greater activation imbalance for dextrals and/or greater access to right hemispheric functions, such as an “up-to-date body” representation, by sinistrals. In contrast, explicit measures of how body space is represented may not be affected due to their relying on a different processing pathway.     

“Testing Times,Challenging Choices”: An Australian Study of Prenatal Genetic Counseling

In many countries pregnant women deemed to be at increased risk for fetal anomaly following a screening test may attend a genetic counseling session to receive information and support in decision-making about subsequent diagnostic testing. This paper presents findings from an Australian study that explored 21 prenatal genetic counseling sessions conducted by five different genetic counselors. All were attended by pregnant women who had received an increased risk result from a maternal serum screening (MSS) test and who were offered a diagnostic test. Qualitative methods were used to analyze the content and structure of sessions and explore the counseling interactions. Findings from this cohort demonstrate that, within these prenatal genetic counseling sessions, counselor dialogue predominated. Overall the sessions were characterized by: a) an emphasis on information-giving b) a lack of dialogue about relevant sensitive topics such as disability and abortion. Arguably, this resulted in missed opportunities for client deliberation and informed decision-making. These findings have implications for the training and practice of genetic counselors and all healthcare professionals who communicate with women about prenatal testing.