Traumatic dissociation of aspects of the feminine: an Asian cultural perspective

The paper explores the impact of the dissociated feminine principle resulting from the trauma of cultural displacement in a young Chinese woman keen to embrace a modern Western identity. A case study illustrates the outcome of the client both consciously and unconsciously rejecting the traditional stereotypical Chinese feminine identity and instead embracing the distorted, yet seductive, image of the Western (Caucasian) woman as independent, intellectual and confident. Her defensive denial of the traditional feminine was dealt with by intellectualising both personal and professional relationships. Then, unconsciously, the dissociated traditional feminine was projected into a separate aspect of her identity that held the traumatised feelings. The intellectualisation was eventually understood as being a necessary defence to cope with the cultural as well as geographical dislocation trauma. And with this realisation a space was created to accept and integrate the denied feminine–in a literal as well as a symbolic manner.     

A Tailored Approach to Family-Centered Genetic Counseling for Cystic Fibrosis Newborn Screening: The Wisconsin Model

This article describes the development of a tailored family-centered approach to genetic counseling following abnormal newborn screening (NBS) for cystic fibrosis (CF). A genetic counseling consortium reviewed research literature, selected theoretical frameworks, and incorporated counseling psychology micro skills. This innovative intervention integrated theories and empirically validated techniques. Pilot testing and parent feedback confirmed satisfaction with and feasibility of the approach designed to (a) minimize parents’ distress, (b) facilitate parents’ understanding, (c) increase parents’ capacities to use genetic information, and (d) enhance parents’ experiences with genetic counseling. Counselors engage in a highly interactive process of evaluating parents’ needs and tailoring assessments and interventions that include a therapeutic environment, the family’s emotional needs, parents’ informational needs, and a follow-up plan. This promising new model is the first to establish a theory-driven, evidence-based standard for genetic counseling in the context of NBS for CF. Additional research will evaluate the model’s efficacy in clinical practice.