AIDS counselling in the context of the terrence higgins trust

The Terrence Higgins Trust provides counselling and support services for people who are affected by HIV. Counselling involves enabling people to unlock feelings and find ways in which to deal with them. Counsellors need to be able to listen non-judgetnentally. To listen and really hear what the client is saying, and also to what is not being said.

‘Being there’ involves dealing with one's own feelings about disability, death, dying, sex, sexuality, anger and so on. Counsellors also have a responsibility to look after their own needs. This means getting regular supervision to discuss the work they are doing and their feelings about this.

Counselling people living with, or affected by HIV brings up feelings of helplessness, anger, fear, grief and despair, but with this comes joy, amazement and wonder at the power and magic in all human beings.     

Toward Effective Evaluation Of the Culturally Deprived

Attention is focused on some of the factors which may result in the invalidation or distortion of both objective and subjective evaluations of students from the lower socioeconomic strata of the population. These factors include: (a) counselor attitude in evaluation; (b) counselee attitude in evaluation; (c) counselor-counselee value systems; (d) test weaknesses such as low reliability and/or validity and inadequate norms; and (e) a lack of understanding by the counselor and/or counselee of the purpose for testing. Evaluation is an integral part of the counseling process; however, the effectiveness of the evaluative process is dependent upon the counselor's knowledge and sense of responsibility as well as the validity and reliability of the tests.     

Transitional Adolescents,Anxiety, and Group Counseling

One hundred-eighty college-bound high school seniors were studied to determine whether small group counseling would affect their anxiety level. 60 students comprised the experimental group and 60 students each the 2 control groups. 6 small group counseling sessions were conducted during the spring just prior to high school graduation and 6 more in the fall, following college enrollment. Comparison of anxiety levels was made at the conclusion of each series of counseling sessions. The students of the experimental group showed significantly lower anxiety scores than did those of the control groups, both in the spring and in the fall. The conclusion was drawn that experience in small group counseling was followed by significantly lower levels of anxiety in transitional adolescents.     

A follow up study of a behavioral program for young people with learning disabilities and challenging behavior

This paper describes a pilot follow-up study of a behavioral program for 20 young people with learning disabilities and challenging behavior. Eighteen participants made good overall improvement during the treatment period, and this was partially maintained at follow-up. Eight had continued to improve, eight had deteriorated slightly and four had deteriorated markedly. Adaptive skills were generally maintained. The reemergence of challenging behaviors explained the difference between the Good and Poor Outcome groups. Those participants in the Good Outcome group were younger on admission, scored lower on adaptive skills and higher on challenging behaviors. In addition they had remained on the treatment programme for 12–18 months and had been discharged from the Unit for longer. The overall level of independent living had increased from preadmission and the majority of participants were living in less restrictive placements. These results confirm and extend the findings of previous research. The paper concludes by highlighting the need for more detailed longitudinal follow-up studies in this area.     

Is there a ‘psychosomatogenic’ family?*

Review of the literature revealed two family theories of psychosomatic illness: the ‘enmeshed’ family of Minuchin and the family with affect disturbances. We interviewed twelve families, each containing a child with eczema. Most, but not all, of the families do fit in with one or other or both of the proposed interactional patterns, but the theory of a single family type, the ‘psychosomatogenic family’, is not supported. This complements the studies of individuals where specificity hypotheses have proved oversimplified.     

Reminiscence as the cure of souls in early old age

Reminiscing is an important step in the direction of spiritual maturity and wholeness for the person in early old age. Reminiscence that is shared between persons easily fits into the early Christian concept of cure. It is an act of loving care that heals and helps shape the totality of existence. Therapeutic reminiscence not only enhances the cure of souls in early old age; it also helps to close the gap between the depressing expectations of younger generations and the reality of continued growth in the last half of life. A bibliography is appended.     

EFFECTS OF DIRECT,INTERMITTENT, AND VICARIOUS REINFORCEMENT PROCEDURES ON THE DEVELOPMENT AND MAINTENANCE OF INSTRUCTION-FOLLOWING BEHAVIORS IN A GROUP OF YOUNG CHILDREN1

A group of young children (mean age: 2.5 yr) were instructed to follow different requests by a teacher in a day-care setting. Experiment I verified that mean group instruction following was low (10%) despite the opportunity for “observational learning”, i.e., the group of 12 children could watch a nonreinforced adult comply with the teacher's request. In Experiment II, when positive consequences were provided contingent on the adult model's behavior, mean group instruction following was relatively unaffected (14%). When direct reinforcement was given to four peer models, each for several sessions, the individual performances of three of the four peer models was elevated (from 50% to 80%); however, the mean performance of the remaining nonreinforced children (N = 7) was only moderately affected (21%). When reinforcement contingencies were again changed, so that each group member was provided direct, but intermittent reinforcement, mean group performance increased substantially to levels of over 70%. Once instruction following was high, presentation of reinforcement only to one peer model sufficed to maintain performance whereas earlier, this same vicarious reinforcement procedure had failed to establish group compliance. The maintenance of instruction-following behavior when reinforcement was applied solely to one child was interpreted mainly in terms of a high resistance to extinction following a history of intermittent reinforcement rather than a “vicarious”- or “self”-reinforcement mechanism. Finally, removal and re-introduction of group intermittent reinforcement, respectively, lowered performance (to levels of 40%) and elevated (to levels of 65%) the group's performance.     

Family connectedness and women's sexual risk behaviors: implications for the prevention/intervention of STD/HIV infection

The present study explores the relationship between connectedness with the intergenerational family and women's sexual risk-taking as a guide to the development of family-focused prevention and intervention. Cross-sectional interview data from a pilot study were analyzed for correlations between a number of self-reported, risky sexual practices, the range of extended family members with whom the respondent was in contact, and awareness of stories pertaining to intergenerational family history. Structured interviews were administered by female interviewers to 56 women from two contexts: a STD (sexually transmitted disease) Clinic (N = 26), and an inner-city, Hispanic Community Organization (N = 30). Knowledge of stories about grandparents or great-grandparents was a robust predictor of lower sexual risk-taking in the STD Clinic sample. This relationship persisted, but only at the trend level in the Community Organization sample. In both the total sample and the STD subsample, the number of categories of extended family members with whom a respondent was in at least monthly contact was correlated with less sexual risk-taking. Given the fundamental importance of the family system as the primary social unit, these findings argue for further family theory-based research and for its potential application in the development of health prevention and intervention. Implications for practice and future research are discussed.