When You Care Enough to Do Your Very Best: Genetic Counselor Experiences of Compassion Fatigue

Compassion fatigue is a phenomenon that occurs when a caregiver feels overwhelmed by repeated empathic engagement with distressed clients (Figley, 2002). Research demonstrates its existence among nurses, physicians, and mental health professionals, but to date no published study has specifically investigated the nature and prevalence of compassion fatigue among genetic counselors. The present study was an initial attempt to identify and describe the phenomena in genetic counseling by conducting focus group interviews with 12 genetic counselors. Data analysis yielded several themes: a) compassion fatigue occurs and may compromise professional and personal functioning; b) prevalent triggers include delivering bad news and difficult patient issues (e.g., terminal illness, anger, psychopathology); c) effective coping strategies include consulting with colleagues, setting boundaries, and humor; and d) risk factors include personality characteristics and traumatic memories. Training, practice, and research recommendations are provided.     

单侧化准备电位的含义和应用

单侧化准备电位（Lateralized readiness potential, LRP）是指在随意运动中,反应效应器方位所对应的对侧大脑皮层出现的准备电位。LRP分析的关键是确定启动时间点。LRP可以揭示刺激-反应不同阶段的认知加工时间特性。可以从反应准备的抽象性或具体性以及大脑控制运动输出的“中枢”机制或“外周”机制这两个思路去验证LRP。LRP在阈下知觉和内隐学习、运动准备和反应执行、西蒙效应等方面的认知心理学研究以及新兴的脑-机界面工程心理学研究得到了广泛的应用,但LRP的应用存在着某些限制因素,如：脑电干扰、测量的低信噪比和其本身对反应效应器的要求等     

Exploring the Relationship Between School Counselors’ Perceived ASCA National Model Implementation,Supervision Satisfaction,and Burnout

The authors investigated the relationship between perceived American School Counselor Association (ASCA) National Model implementation, supervision satisfaction, and burnout in a sample of 208 practicing school counselors, of whom all were members of ASCA. After school district type, grade level, and consultation hours were controlled, results showed that increases in perceived ASCA National Model implementation and supervision satisfaction were related to decreases in burnout. Implications for the school counseling profession are discussed.     

Professional preparation of individuals who provide genetic counseling services

An unprecedented increase has occurred in demand for genetic counseling services during the current decade. This study examined the complex issue of who currently provides genetic counseling services and the professional preparation of these personnel. A self-administered questionnaire was mailed to 325 genetic counseling professionals in the southeastern United States who were members of the Southeast Regional Genetics Group (SERGG), National Society of Genetic Counselors, or American Society of Human Genetics States; 204 completed the questionnaire (63%). Seventy percent of respondents were female and 30% were male. Thirty percent of respondents held MD degrees; nine physicians held PhD degrees. Most physicians were male. Thirty-two percent of respondents held master's degrees in genetic counseling; five counselors held PhD degrees. Twenty-three percent of respondents were nurses; eight nurses held master's degrees. Three percent of respondents were social workers. Individuals with other degrees, such as an associate of science in medical technology and a doctoral degree in education, also provided genetic counseling. Genetic counseling typically involved a team effort, consisting mainly of physicians and genetic counselors. Most respondents reported college coursework in human genetics, supervised training, and seminar/workshop training. Thirty percent reported college coursework in counseling techniques, supervised training, and seminar/workshop training. Policy recommendations are offered concerning professional preparation of genetic counselors.     

Self‐Compassion as a Mediator of Mindfulness and Compassion for Others

Mindfulness and self‐compassion have garnered interest as tools for improving counselor wellness and performance, yet little is known about how they relate to compassion. Compassion—for oneself and others—is considered important to counselor well‐being and effective counseling. In Buddhist and current models, mindfulness is theorized to increase self‐compassion and, subsequently, compassion for others, but the study of these proposed relationships is limited. Using mediation analysis, the author confirmed self‐compassion as a mediator of mindfulness and compassion for others among 152 master's‐level counseling interns. Implications and practical application of mindfulness and self‐compassion for counselor development are discussed.     

Self–Compassion as Self-Care: A Simple and Effective Tool for Counselor Educators and Counseling Students

This article explores teaching self-compassion as a means of self-care for counseling graduate students. Self-care is vital to helping professionals, but few students learn specific self-care skills to integrate into their own self-care practice. Self-compassion is a simple practice used in the immediate moment or as an activity at home. The authors describe Kristen Neff’s model of self-compassion. The authors discuss the benefits of self-compassion as self-care and explain its practice as an effective avenue to increase compassion and relationship building with clients. In addition, they clarify how self-compassion practices strengthen relational connection. The writers describe three examples of self-care practices, and share suggestions for counselor educators to integrate self-care into graduate counselor training.     

精神科住院患者团体心理治疗准备性会谈与治疗后访谈初探

精神科住院患者团体心理治疗较门诊患者团体心理治疗存在临床情境的特殊性,本研究探索将准备性会谈与治疗后访谈纳入治疗计划,治疗前向患者普及住院治疗、心理治疗的知识,澄清团体心理治疗的形式、目标、内容,了解患者对团体心理治疗的疑问、期望,允许患者做出是否参加治疗的决定,并在治疗后的访谈中强化疗效因子。     

Temporal preparation decreases perceptual latency: Evidence from a clock paradigm

A clock paradigm was employed to assess whether temporal preparation decreases the time to detect the onset of a stimulus—that is, perceptual latency. In four experiments participants watched a revolving clock hand while listening to soft or loud target tones under high or low temporal preparation. At the end of each trial, participants reported the clock hand position at the onset of the target tone. The deviation of the reported clock hand position from the actual position indexed perceptual latency. As expected, perceptual latency decreased with target tone intensity. Most importantly, however, greater temporal preparation decreased perceptual latency in all four experiments, especially for soft tones, which supports rather directly the idea that temporal preparation diminishes the duration of perceptual processing.     

You can't always get what you want: The influence of unexpected task constraint on voluntary task switching

The current study assessed the effect that unexpected task constraint, following self-generated task choice, has on task switching performance. Participants performed a modified double-registration voluntary task switching procedure in which participants specified the task they wanted to perform, were presented with a cue that, on the majority of trials, confirmed the choice, and then performed the cued task. On a small portion of trials, participants were cued to perform a task that did not match their choice. Trials on which cues unexpectedly failed to match the chosen task were associated with costs. These costs were particularly large when participants chose to switch tasks but had to unexpectedly repeat the previous task. The results suggest that when participants choose to switch tasks, they prepare for that switch in anticipation of the stimulus, and the preparation is durable such that it cannot be readily undone.     

Strategic flexibility in response preparation: Effects of cue validity on reaction time and pupil dilation

This study examined the ability of participants to strategically adapt their level of response preparation to the predictive value of preparatory cues. Participants performed the finger-precuing task under three levels of cue validity: 100, 75 and 50% valid. Response preparation was indexed by means of reaction time (RT) and pupil dilation, the latter providing a psychophysiological index of invested effort. Results showed a systematic increase in RT benefits (generated by valid cues) and RT costs (generated by invalid cues) with increments in the predictive value of cues. Converging with these behavioural effects, pupil dilation also increased systematically with greater cue validity during the cue-stimulus interval, suggesting more effortful response preparation with increases in cue validity. Together, these findings confirm the hypothesis that response preparation is flexible and that it can be strategically allocated in proportion to the relative frequency of valid/invalid preparatory cues.