Beliefs about condoms and accessibility of condom intentions in Hispanic and African American youth

The construct accessibility model (CAM) holds that constructs are most likely to influence behavior when they are accessible in memory. While the theory of reasoned action sees intention as an important determinant of behavior, the CAM predicts that the intention to act upon a given health behavior is not likely to be acted upon unless the intention is in an accessible state. Therefore, people who frequently talk about or think about using condoms are likely to have condom related constructs available and use them when needed. This paper reports findings from the pilot phase of a project to identify beliefs which influence condom use in Hispanic and African-American youth living in Detroit. 15 male and 15 female Hispanics and 17 male and 17 female African-Americans aged 15-21 years of mean and median age 18.5, were interviewed face-to-face in 1989 with the goal of identifying condom beliefs which may influence their condom use. 80-82% of male participants, 53% of Hispanic females, and 100% of Black females had experienced sexual intercourse, with age at first intercourse ranging between 13.1 and 16.5 years. 88% of Black women and 7% of Hispanic women were pregnant at the interview. Regarding participants' level of preventive knowledge, all but 1 recently immigrated Hispanic female knew HIV was transmitted by needles and sexual intercourse. 87% of Hispanics and 94% of African-Americans responded that condoms protect against AIDS, but only 13% of Hispanics and 47% of African-Americans knew that nonlatex condoms do not. Some participants expressed concern that condoms reduce sensitivity and/or break during intercourse. Controlling for sexual activity, 25% of Hispanic females, 83% of Hispanic males, 71% of African-American females, and 80% of African-American males had ever used a condom; no Hispanic and 14% of Blacks reported using them consistently in the 12 month period preceding the interview. With 100% of African-American males and 97% of Black females reporting thinking about using condoms compared to 80% of Hispanics, the study findings suggest that condom intentions are more accessible in African-Americans than among Hispanics.     

Confronting Our Own Hypocrisy: Being a Model for Our Students and Clients

Counselor educators, supervisors, and practitioners sometimes act in ways that contradict the most significant beliefs and values that they espouse. Despite communicating to students and trainees the importance of being caring, respectful, warm, flexible, honest, and personally competent, we are sometimes found to be operating quite differently. Issues related to the counselor educator, supervisor, and practitioner's narcissism, self-indulgence, abuses of power, illusions of omnipotence, prejudices, and unresolved issues are discussed. A case is strongly presented that we would all be a lot more effective if we worked to confront our hypocrisies and practice more what we preach.     

Bias in the Counseling Process: How to Recognize and Avoid It

Counselors' vulnerability to inferential bias during the counseling process may result in misdiagnosis and improper interventions. This article provides readers with information regarding inferential bias. The inferential biases discussed include (a) availability and representativeness heuristics; (b) fundamental attribution error; (c) anchoring, prior knowledge, and labeling; (d) confirmatory hypothesis testing; and (e) reconstructive memory. Each bias is described and illustrated through fictitious case vignettes, and suggestions concerning what precautions counselors may do to avoid each type of bias are presented.     

The Use of Mirror Image Therapy in Substance Abuse Groups

Mirror image therapy formalizes and structures the mirror phenomenon in group counseling. In this report the author explores the therapeutic technique of assigning an individual who has already undergone substance abuse treatment to counseling groups where addicts are just beginning the treatment process. Suggestions are offered for the use of mirror image therapy in other groups.     

Gender and Wellness: A Multidimensional Systems Model for Counseling

An expanded view of health is advocated for assessment and treatment of individual clients in helping them achieve and maintain their maximum potential for high-level wellness. In addition, moderating variables, such as culture, age, and gender differences, have an impact on every dimension of health and wellness. In this article a multidimensional systems model for wellness is described, and gender differences along those dimensions are reviewed. Application of the model and implications for counseling are discussed. Finally, two illustrative case examples, one man and one woman, are described.     

The Predicament-Problem Continuum: Dealing With Stressors Outside Our Control

The author developed a practical, effective way of teaching people how to refocus their energy from predicaments to problems and thereby reduce their stress levels. Feedback about using the technique was positive. Benefits and limitations are discussed.     

Psychoeducational Interventions for Stress Management and Well-Being

The importance of educating students about stress and stress management is emphasized, because students will confront stressors throughout their life span. In this article the author summarizes major stress theories and shows how stress theory and stress management strategies can be integrated into existing school curricula.