Exploring the Design of Financial Counseling for Mortgage Borrowers in Default

This paper analyzes the effects of counseling provided to borrowers in mortgage default (n = 299). Borrowers receiving more hours of counseling perceive counseling more favorably than those receiving fewer hours of counseling. Using measures of marketing efforts to instrument counseling time confirms the positive effect of counseling duration on borrower ratings of counseling. Borrowers are more likely to attend additional counseling sessions after receiving face-to-face counseling as opposed to telephone counseling, although preference among modes can largely be explained by time in counseling. Each additional hour of counseling reduces the marginal probability of a borrower moving to a more severe stage of foreclosure. Counseling could be more successful if provided for longer durations regardless of the delivery mode.

Professional School Counselors' Career Development Practices and Continuing Education Needs

This study explored the practices of professional school counselors in their delivery of career counseling. School counselors were found to spend significantly less time on career development than on personal–social and academic development. In addition, new professionals placed more priority on career counseling compared with their more experienced counterparts. Continuing education opportunities, future research directions, and implications for school counselors are presented.     

Multicultural perspectives on counseling survivors of rape

The dominant Euro-American culture is a rape-prone culture, as defined by Sanday. Within that culture, rape is both a tool and a consequence of interlocking systems of oppression based on race, ethnicity, class, and sexual orientation. The impact of rape on an individual survivor can only be fully understood in the context of the survivor's own culture, religious beliefs, and experience as an immigrant or refugee. Issues of race, culture, class, and sexual orientation influence every step in the counseling of a rape survivor. Knowledge about the client's culture is essential if accurate assessment and culturally appropriate service are to be provided. Specific examples of the impact of these issues are presented. Ways in which the cultural values implicit in the crisis counseling model may conflict with the client's values and needs are examined.     

Using Narrative Career Counseling With the Underprepared College Student

An increasing number of students enter college underprepared. These students do not have the academic skills to take college‐level courses and are placed in remedial classes. Career counseling can help underprepared college students make educated career decisions based on their current situations. This article explores the characteristics of underprepared college students, examines career‐related issues these students face, and reviews the literature on narrative career counseling. The life design method is applied to a case example of an underprepared college student to demonstrate how to best serve the needs of these students.     

Innovative Moments in Career Construction Counseling: Proposal for an Integrative Model

This article advances understanding of career construction counseling (CCC) by viewing it through the lens of the innovative moments model (IMM) of how clients construct change. The IMM conceives clients’ narrative transformations as resulting from counselors prompting and clients reflecting on exceptions to a problematic self‐narrative (i.e., innovative moments; IMs) that emerges in counseling dialogues. On the basis of intensive IMM analysis of CCC case studies, the authors propose an integration of the 2 models that describes the sequence of client change in IMs across the 3 phases of CCC. This proposal provides both conceptual and assessment tools that make it possible to describe and analyze the process of client change through life‐designing dialogues. The authors illustrate the integrated framework with vignettes from case studies and conclude by suggesting research to examine the validity and usefulness of the client change sequence and interventions for using this pattern of change to foster client transformation.     

Counselors’ and Counseling Students’ Attitudes toward Transgender Persons

Issues related to persons who are transgender have gained large interest in recent years, but discrimination and differential health outcomes for persons who are transgender continue. This article reviewed the 14 existing studies on attitudes toward persons who are transgender, none dealing exclusively with counselors and/or counselors in training. This study involved investigation of those attitudes with a sample of 95 counselors and counselors in training. Findings indicated that counselors tend to have positive attitudes. Greater personal familiarity and multicultural competence as well as being female were associated with more positive attitudes, whereas quantity of diversity training was not related and professional experience was related to more negative attitudes.     

Coming Full Circle: Reoccurring Career Development Trends in Schools

Current state and national mandates focusing on academic achievement have drawn critical counseling resources away from career development. As the world of work radically changes and economic situations remain uncertain, the call for a return to school counseling roots based in career guidance has never been louder. The authors explore reoccurring career guidance trends throughout the history of school counseling to expand awareness of the basis of today's career and technical education discussions and increase understanding of the interconnectedness of career guidance and counseling and educational reform.     

Creative Use of the Career Construction Interview

Designed as part of an individual career construction and life design counseling intervention, the Career Construction Interview (CCI) and My Career Story (MCS) workbook aid career counselors and other career service providers in helping clients construct, deconstruct, and reauthor their career stories. Recently, some career counselors have developed ways of using the CCI and the MCS in group settings. In this article, the author offers 3 additional ways to use the CCI and, thereby, add creativity to the career counseling process. These 3 ways include use of written exercises, career collages, and career portfolios. The article concludes with a call for career practitioners to continue to think creatively in using the CCI with clients.     

Relationship of Interpersonal Behaviors and Health-Related Control Appraisals to Patient Satisfaction and Compliance in a University Health Center

Objective: The authors' aim was to evaluate patient-provider relationships in a college health center. Participants: Eighty student patients and their health-care providers. Methods: Patients completed a measure of perceived health competence before a consultation and measures of provider participatory behavior and interpersonal behavior before and after the consultation. They evaluated their satisfaction with care and compliance after the consultation and again 2 weeks later. Providers completed measures of their participatory behavior and patients' interpersonal behavior after the consultation. Results: Patients preferred to be well informed and to have their preferences taken into account, and generally felt competent at managing their own health affairs. They indicated they obtained the high level of participation they desired. Patients desired and actually experienced friendly and submissive providers. Degree of match between patients' desired and actual level of involvement in their care was associated with greater satisfaction. A greater match between the extent to which they desired the provider to be affiliative and the provider's actual affiliative behavior was associated with more satisfaction. No variables were predictive of patient compliance. Conclusion: The authors discuss results in terms of the influence of situational factors characteristic of a college health center.     

Electronic Technology for Social Work Education and Practice: The Application of Telephone Technology to Counseling

SUMMARY

The author in this article argues for the legitimization of the telephone in one-on-one and group professional practice in social work. She contrasts telephone hotline work and face-to-face counseling with her view of telephone counseling.     

The Healing Power of Laughter: The Applicability of Humor as a Psychotherapy Technique With Depressed and Anxious Older Adults

The nation’s older adult population is steadily increasing in numbers as the Baby Boomer generation ages over time. Mental health providers are encountering older adults who are presenting to therapy with problems related to depression and anxiety. The authors demonstrate how empirically-supported treatments such as Cognitive-Behavioral Therapy, Problem Solving Therapy, and Interpersonal Therapy are effective in treating older adults within the individual and group counseling setting. Humor as a therapeutic tool is introduced as an easily integrated instrument of positive change through several case studies as depicted by the authors.     

Identification and Integration of Career Theory: Students’ Perspectives on the Process

In many counseling programs, while students are learning about career theory, they may be tasked in a separate course with identifying a theoretical approach to counseling. This may result in a dichotomous situation in which students lack an understanding of the relationship between career theory and counseling theory. Career counselors have long recognized the artificial distinction between career counseling and general counseling. However, counselor education programs generally lag, and there is a dearth of literature regarding the process of identifying and integrating career theory and counseling theory. This phenomenological study examined 6 students’ perceptions of the process of career theory identification and integration. Analysis of in‐depth interviews yielded 5 major themes: theory identification and integration, perceptions of career counseling, resources, personal dimensions, and application across the life span. Findings of this study have the potential to inform counselor education pedagogy regarding career theory identification and its application to the counseling context.     

Motivational Enhancement Counseling Strategies in Delivering a Telephone-Based Brief HIV Prevention Intervention

Motivational enhancement therapy (MET) interventions are being increasingly added to the menu of behavioral interventions for HIV prevention. They present few logistical and psychological barriers for at-risk persons who are ambivalent about transmission risk reduction and appear to offer promise of being transferable to community based organizations and public health programs. We describe the principles of motivational interviewing, a counseling style often used in conjunction with MET, and demonstrate and discuss its application with case examples drawn from a recent pilot trial of a telephone-delivered brief motivational enhancement for HIV risk reduction with men who have sex with men (MSM).     

Professional Responses to Government-Endorsed Premarital Counseling

Abstract

This paper presents preliminary findings about the manner in which public policies that promote premarital counseling impact professionals who conduct premarital counseling. The purpose of this paper is to describe findings from a survey of premarital counseling providers in a state in which the government endorses premarital counseling. A total of 194 premarital counseling providers described their responses to their state government's endorsement of premarital counseling. Results indicated that a majority of providers held a favorable opinion of this policy, although a number of providers held either unfavorable opinions of the policy or were uncertain about the policy's effectiveness. Implications for practice and future research are discussed.     

Personality and Gender as Predictors of Online Counseling Use

ABSTRACT

Extraversion, neuroticism, and gender as predictors of online counseling help-seeking behavior were investigated. A total of 176 college student participants, 30 men and 146 women, were given the NEO-PIR and ATSPPH-S that assessed, respectively, their personalities and attitudes toward seeking professional psychological help through different modes: traditional face-to-face counseling, video-conferencing, e-mail, instant text message, and microphone. Results were analyzed using MANOVA and MANCOVA. Subjects were grouped by scores on personality variables: low, medium, and high. Findings suggest that attitudes toward different modes of seeking counseling were associated primarily with gender and extraversion but not with neuroticism.     

Negative Career Outlook and the Working Alliance in Career Counseling

The authors investigated 3 dimensions of the working alliance—goal, task, and bond—and the reduction of negative career‐related thoughts. A pretest–posttest design revealed a significant reduction in negative career thoughts after an initial career counseling interview was provided to college students (N = 87). Regression analyses revealed that task predicted negative career thoughts. The findings offer evidence of the effectiveness of career counseling and of the contribution of working alliance to counseling as a process and outcome variable.     

A Comparative Study of a Phenol-Based Mouthwash as a Gargle or a Spray with a Saline Gargle

Abstract

The authors suggest that psychotherapy and career counseling with college students can be identified as potentially concurrent and interactive processes. They seek to increase awareness of this connection and underscore the value of its application when it is appropriate to do so.

Selecting a career is a crucial developmental task for young adults and is, to varying degrees, an integral part of their psychosocial adjustment. The literature is reviewed from five perspectives: the psychodynamic model of career counseling; case examples; integration of career counseling and psychotherapy; a review of the developmental theories of Erikson, Farnsworth, Chickering, and Medalie; and empirical justification.

The authors discuss the rationale for merging student psychotherapy and career counseling and offer case examples.     

Is more better? The relationship between outcomes achieved by problem gamblers and the number of counselling sessions attended

Abstract

This paper addresses the question of how much intervention is necessary for the effective treatment of problem gambling by exploring the relationship between the number of counselling sessions attended and the degree of problem resolution achieved for 613 individuals who attended problem gambling counselling services in Victoria. While those who achieved partial or full resolution of presenting problems attended more sessions than those who finished counselling with their problems still unresolved, problems were typically reported as being resolved in fewer than five sessions. It is concluded that for some problem gamblers a relatively brief intervention may be sufficient.     

The Infirmary as a Short-Term Psychiatric Facility

Abstract

The purpose of this study was to describe the role of the Oregon State University Infirmary (inpatient unit) in the provision of crisis intervention services for students with emotional problems. The focus was on the working assumptions of the infirmary program, the patient population which utilized the infirmary, the dimensions of treatment, and treatment outcomes.

Data were collected for a three year span on all patients who had contact with the infirmary for problems of an emotional nature. Records were reviewed for demographic variables, presenting symptomatology, diagnosis, treatment, disposition, and outcomes. Comparisons were made between these patients and those who received outpatient services through the Oregon State University Mental Health Clinic.

Demographic data indicated that patients who were treated in the infirmary differed only slightly from either the general student population of the university or from students receiving outpatient services. Presenting symptoms reflected a wide range of emotional problems. The severity of psychopathology was demonstrated by the finding that one-quarter of the patients manifested symptoms of acute psychosis, suicidal preoccupation, acute drug reaction, or toxic alcohol reaction. Consistent with the working assumptions of the program, the focus of treatment was short-term, intensive, and symptom directed. Treatment outcomes as determined by followup data were generally positive.

It was concluded that the infirmary provided an important treatment option which extended rather than duplicated outpatient services. The need for such an option was clearly demonstrated. The study was supportive of the concept that a university infirmary has the potential for utilization as a multipurpose facility.