The Inner World of the Genetic Counselor

The external experience of genetic counselors reflects and is processed in their personal inner worlds. A small window into that private interior is opened here revealing the strengths and frailties, vulnerabilities and sensitivities professionals bring to bear in their work. The relational, human interplay—between counselor and colleagues, counselor and clients, counselors in their nonprofessional roles relative to others—is the primary focus of the interior experience.     

Promoting Student Cognitive Development

This study focused on a theoretically grounded counselor preparation curriculum that was designed to enhance the moral reasoning and cognitive complexity of students as well as teach them the basic skills and theories of counselor education. The curriculum for the counselor training was rooted in a teaching–learning framework that included conditions for facilitating cognitive–developmental growth and skill and theoretical training components. The purpose of the study was to evaluate the developmental effects of the counselor training program as measured in 2 domains of cognitive development: conceptual level and level of moral reasoning. The participants were assessed at 3 different times: prior to entering the counseling program, 1-year into the program, and the month marking the completion of their 2nd year in the program. The Paragraph Completion Method (PCM) and the Defining Issues Test (DIT) were used as estimates of cognitive–developmental level. Analysis of the results revealed a significant gain for the group on the PCM between the 2nd and 3rd assessments and a positive but nonsignificant trend for the DIT.     

An Oral History of the National Society of Genetic Counselors

Master's level genetic counselors formed a professional society in 1979, 8 years after the first master's degree training program graduation. This paper presents an oral history of the early years of the National Society of Genetic Counselors (NSGC), reviews the symbiotic development and definition of a profession and a professional society, and discusses events and achievements attributed to the NSGC since its incorporation. This retrospective historical account is based on personal and collective oral history, NSGC archival material and other sources.     

Not only encoding and retrieval: The enactment effect as a function of task preparation

Three experiments examined the implications of adding a fourth preparation stage to the encoding-retention-retrieval stage analysis of memory. Action memory was selected as the research domain. The results demonstrated that systematic variation of the preparation stage yields new insights about enactment effects in memory. Together with effects of enactment in the preparatory stage, enactment was also shown to give differential effects in encoding and retrieval, with interactions between these three factors. The experimental results were discussed in relation to a strategy processing interpretation of action memory.     

Community-based instruction for independent meal preparation by adults with profound mental retardation

Three adults with profound mental retardation and very limited reading skills were transitioned to community living after spending more than 20 years in a residential facility. Community-based instruction was used to teach them to independently prepare meals. Directed rehearsal and prompting procedures were used to teach them those meal preparation skills that they were unable to perform independently. We present assessment, training and followup data on the preparation of a dessert by the three participants. Following an assessment on the steps needed to prepare the dessert, training was introduced in a multiple baseline across subjects design. Results showed that the participants were able to independently prepare the dessert in up to 21 pre-training and training sessions. Monthly followup for six months showed that they were able to independently prepare the dessert in various community settings of their choice.     

Genetic counseling for the next 25 years: Models for the future

Currently, two trends pose particular challenges for genetic counseling: (1) spin offs from the Human Genome Project leading to new diagnostic genetic tests far in advance of any cures; and (2) an increasing and diversified client population. These trends will lead to changes in both genetic service delivery systems and the development of alternative models of the genetic counseling process itself. Two models that could be adapted for genetic counseling are: the mutual participation model and the life history narrative model. Technological advances present ethical dilemmas and raise many questions. Already, improved detection of genes for predisposing conditions has entered clinical medicine requiring renewed ethical appraisals of genetic testing. Integration of genetic counseling (and required pre-screening education) into primary care settings involves time constraints and the involvement of health care personnel with less training in genetics. Alternative approaches are beginning to be discussed. Innovative genetic counselors with expanded visions of counseling goals and practices will play an increasingly important role in the future of genetic counseling.     

心理咨询师在危机干预中的作用

危机干预工作中需要专业人员的参与,而心理咨询师就是这样的专业队伍。他们不仅应具备该职业的基本素质,如道德素质、反省能力和诚实品质,而且还应具备特殊的专业素质,如生活经验、镇静心态、灵活性、充沛精力、快速反应能力和换位思考能力等。当然,除去日常专业训练所养成的各种素质以外,心理咨询师也要掌握有关心理危机干预技术,如关注、倾听、评估以及某些具体的危机干预措施。最后介绍了国内外危机干预中心理咨询师的主要工作领域和服务形式,并探讨了我国心理咨询师参与危机干预工作的一些设想。