A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

Raising the bar on the body beautiful: An analysis of the body image concerns of homosexual men

Research suggests that gay men are at particular risk for body image dissatisfaction. This study seeks to extend research on gay men's body image concerns. A survey assessed the nature and correlates of body image dissatisfaction among 64 gay men. The survey included assessments related to involvement in and perceived acceptance within the gay community, social comparison tendencies, body image satisfaction, self-esteem, and depression. The results indicate that most participants were concerned with muscularity rather than weight. Greater social comparison tendencies and higher body mass index (BMI) were associated with greater body dissatisfaction. Although involvement and perceived acceptance in the gay community did not independently predict general body image dissatisfaction, there is evidence to suggest that the association between body image and self-esteem may be moderated by integration into the gay community, defined as involvement and perceived acceptance. Implications for the further study of gay men's body image are discussed.     

最大信息量法在CCSPC评分中应用的效度证据

采用基于最大信息量法的多维项目反应理论模型估计计算机模拟心理咨询病例系统（CCSPC）的合成分数及四个模块分数,并收集效标效度证据、成长变化效度证据和内容效度证据,结果表明：五个指标与心理咨询师考试三级技能成绩的相关均达到显著,且高于其与三级理论成绩的相关;所有指标得分均随着心理学学历升高而升高;多数指标分数随心理学本科年级提高而提高;获得心理咨询师资格认证的被试在CCSPC上有更高的得分.     

Barriers and Supports to Substance Abuse Service Use Among Homeless Adults

Although there is a great need for substance abuse services among the homeless, many homeless individuals do not use those services. This study examined barriers and supports related to service use. Participants recognized a need for treatment and significant barriers to accessing care.     

Between Midlife and Old Age:

This article is based on taped interviews with 56 women, individually and in groups, between the ages of 60 and 70, as well as my own experience as a woman past 65. Discussions with my friends and colleagues in this age group also contributed to my thinking. My sense is that the seventh decade is one of numerous transitions in the lives of women, and that these transitions require extensive, varied, and often painful opportunities for learning. Furthermore, the proximity to life's ending also acts as a strong motivator for engaging in activities that had previously been put off; these include a variety of self-selected and often pleasurable learning experiences. The learning that takes place at this age is rarely acknowledged; it is more likely to be overshadowed by the ageist assumption that old people lost their ability to learn or even to comprehend new information, and by the sexist assumption that women are incapable of making intelligent and practical decisions. These interviews and informal discussion contradict such stereotypical misinformation about old women, showing instead a high level of personal and interpersonal learning, as well as the development of extensive and creative new coping strategies.     

The Diagnostic Approach

No abstract available for this article.     

From Good to Great: Examining Exemplary Counselor Development

Some counselors excel in the profession. Few do so while maintaining a balance in life. This article examines the life of one such individual, Samuel T. Gladding. He models for counselors an aspirational process of making significant contributions to the profession while staying personally grounded. Qualities that propel professionals like Gladding from being good as a young professional into prominence as a mature counselor are examined.     

Does Motivational Interviewing (MI) Work With Nonaddicted Clients? A Controlled Study Measuring the Effects of a Brief Training in MI on Client Outcomes

This study investigated the relationships between motivational interviewing (MI) and client symptoms, attendance, and satisfaction. Seventy‐nine clients attending a university‐based counseling center were purposefully assigned to treatment or control conditions. Statistical analyses revealed client symptoms in both groups improved. However, clients assigned to treatment conditions attended more sessions and missed fewer sessions than clients in the control group. Implications for using MI and suggestions for additional research are explored within the study.     

Research Quality: Critique of Quantitative Articles in the Journal of Counseling & Development

The purpose of this study was to examine the quality of quantitative articles published in the Journal of Counseling & Development. Quality concerns arose in regard to omissions of psychometric information of instruments, effect sizes, and statistical power. Type VI and II errors were found. Strengths included stated research questions and appropriateness of analyses. Implications of these results are provided.     

Using a Values‐Based Taxonomy in Counselor Education

Values such as respect for the client's privacy and respect for diversity are integral to training new counselors. This requires learning in the affective domain, defined as the internalization of values ( Krathwohl, Bloom, & Masia, 1964 ). The affective taxonomy of Krathwohl et al. (1964) is presented as a means of teaching values and measuring the internalization of values. An example from a multicultural counseling course is offered as a template for implications in counselor education.