Analyzing the Impact of the Medicare Coverage Gap on Counseling Professionals: Results of a National Study

The authors surveyed 6,550 members of the American Counseling Association regarding the current impact of Medicare policy on counseling professionals. More than half of respondents (54.8%) had been directly affected by Medicare reimbursement barriers, including 70.0% of practicing counselors. Statistical analyses indicated significant associations between years in the profession, direct experience with the Medicare coverage gap, and participation in professional advocacy related to Medicare. Implications for counselors, counselor educators, and counseling scholarship are discussed.     

Coming Out, Visibility, and Creating Change: Empowering Lesbian, Gay, and Bisexual People in a Rural University Community

Personal and professional challenges faced in encouraging the development of a gay community in a rural university setting are described. Community psychologists who are lesbian, gay, or bisexual (LGB) must assess their willingness to be open and the roles they can play in developing helping resources. These issues concern how to encourage the empowerment of others while maintaining a collaborative role in a situation of major personal investment. Two specific challenges–developing informal helping resources for local LGB people and fostering institutional and policy changes to make the university a safer place for LGB faculty, staff, and students–are described. Community psychologists must consider personal risk when they become involved in empowerment efforts with this population.A white male community psychologist and a licensed clinical psychologist, I have been on the faculty of the Department of Human Development and Family Studies at Pennsylvania State University since 1972. I served as Faculty Adviser to the Lesbian, Gay, and Bisexual Student Alliance at the University for ten years, and worked extensively with lesbian, gay, and bisexual people in the local town, State College, PA, to develop community resources since the mid 1980’s. I had been granted tenure before the events described in this paper occurred.     

Is There Such a Thing as “Christian” Sex?

It is challenging for Christian pastors and counselors to discuss human sexuality in ways which do not alienate liberals on the left, conservatives on the right, or biologists in the middle. Feminists frequently see males as dominating or insensitive, and conservative Christians sometimes feed into this by emphasizing patriarchal models of marriage as if this were the biblical paradigm for all time. Evolutionary biologists view sexuality primarily as a means of propagating the species. Into this cacophony of strident voices the Christian seeks to inject a calm but clear message: Christian sexuality is primarily a search for intimacy. In a culture obsessed with sexuality as entertainment, the followers of Christ call others to view human sexuality not primarily in terms of eroticism, power, or procreation, but rather in terms of psychological intimacy. From a biblical perspective, becoming one flesh, with one's mate also provides the occasion for becoming a co-creator with the eternal I AM. In addition to the procreational potential and orgasmic excitement provided by sexual intercourse, God intended for these encounters to be loaded with an abundance of psychological intimacy. Intimacy is the raison d'etre of sexual relationships. Intimacy provides sexuality with a quality that can mollify crises in the present life, and imbue sexuality with a splendor worthy of the next life as well.     

New challenges for professional counsellors: The higher education international student population

Using a 50-item, self-report questionnaire, 640 international students enrolled at an urban university campus provided needs assessment data based on the geographical region of their country of origin. Additionally, the students’ perceptions regarding changes they experienced since coming to the United States are also reported. The authors conclude with a discussion of the study's implications for professional counsellors in higher education. Recommendations are proffered for the mental health services and programs needed by this special population of students based on the information obtained from the investigation.     

The analyst's countertransference when supervising: friend or foe?

This paper explores transference and countertransference dynamics in the supervisory relationship and their impact on the task of supervision. The development of analytic theory in relation to supervision is described and the value-and ambiguity-of the concepts of 'mirroring', 'parallel process' and 'reflective process' are discussed. The impact of organizational dynamics on the supervisory relationship is investigated in relation to four main unconscious forces: a) organizational defences, b) power and authority, c) accountability and responsibility, d) ethical concerns. Clinical situations which illustrate these issues are described and explored and used as a basis for examining the role of the supervisor's countertransference in supervision. The different framework of practice in supervision, as opposed to analysis, is described in terms of its focus, the supervisor's ways of responding and the dynamic process, and the concept of refracted countertransference is introduced and explained.     

Early maladaptive schema and social and occupational functioning: The mediating role of psychiatric symptomatology

Early Maladaptive Schemas (EMS) are described as long‐held core beliefs which are dysfunctional to a significant degree. However, the supposition that schemas are dysfunctional by nature, while not isomorphic with psychiatric syndromes, is yet to be subjected to empirical review. The current study seeks to investigate the relationship between the Young Schema Questionnaire and the concept of ‘dysfunction’ in a community sample to determine the indirect effects of psychiatric symptomatology and validate current scoring guidelines with a convergent measure of dysfunction. A total of 464 people completed a survey online comprising of the YSQ‐Short Form, the Depression, Anxiety and Stress Scales‐21, the Social and Occupational Functioning Assessment Scales, and the World Health Organization Quality of Life Scale. Multiple regression analyses revealed a moderate relationship between EMS categories and measures of dysfunction, however only six of eighteen EMS categories were significant predictors in this model. Mediation analyses further suggest that the relationship between EMS and dysfunction is partially mediated by psychiatric symptomatology. The current dichotomous clinical scoring guidelines were found to be invalid when measures of functioning were used as convergent measures for twelve of the EMS categories. These findings suggest the YSQ is best conceptualised as a general measure of schema as opposed to a measure of EMS categories.     

Media representations of environmental issues: From scientific to political discourse

IntroductionThe media is considered to be a social agent that intervenes in the elaboration of social representations of environmental issues.ObjectiveThis research analyses media representations of environmental issues and how they have been constructed and transformed from the Rio Summit in 1992 to 2006. The authors adopted a constructionist approach based on the theory of social representations (Moscovici, 1961/1976) to describe the generation of information by the mass media.MethodA sample of 1039 news articles from two Spanish newspapers (La Vanguardia and El País) was analysed. The period of study ranged from the Rio Earth Summit to several years after the Johannesburg Summit (1992–2006), and the study analyses both the content and form of the environmental news.ResultsThis longitudinal study shows not only an increase in environmental news during the period of analysis but also an increased variety of themes addressed and represented. The results evidence significant urban problems in recent years. The environment has shifted from being associated with nature to being predominately associated with the urban environment.ConclusionThe results suggest that there has been a movement from scientific to political discourse and a change towards greater reflection and social recognition of the relevance of environmental issues.     

The Epistemic Criterion: A Response to Michael Hand

This article is a response to Michael Hand’s critique in this issue of my response to his use of the epistemic criterion as the sole means for identifying whether or not an issue should be identified as controversial. I argue that he has misunderstood my intention in suggesting that I was seeking to replace the epistemic criterion. Rather my purpose was to challenge his over-confidence in the decisiveness of reason and to temper his use of the epistemic criterion by suggesting it needed to embrace ethical concerns.     

Ethical Issues in Doctoral Supervision: The Perspectives of PhD Students in the Natural and Behavioral Sciences

Our aim was to identify the ethical issues faced by students in the behavioral and natural sciences during their doctoral programmes. The participants were 28 PhD students who were interviewed about their doctoral study and supervision experiences. We identified a total of 102 ethical issues compromising the principles of nonmaleficence, beneficence, autonomy, justice, or fidelity. There were some differences in emphases, with the students in the behavioral sciences displaying a broader range of ethical compromises than the students in the natural sciences. Ethical problems emerged in the individual supervisor–student relationships, but often problems involving the scholarly community appeared in the background.