Assumptions Regarding Vocational Counseling

Vocational counseling interviews involve the client and counselor in viewing each other, as the term inter-view indicates. As counseling begins, counselor and client view each other's assumptions about the nature of counseling processes and outcomes. Clients have assumptions about the kind of help they need to make occupational choices, what they can expect of counselors, what they can expect from any tests used, what they may be asked to do, and what will occur in the total process. Counselors need to understand the kinds of results clients expect from vocational counseling. Many assumptions, when held by either clients or counselors, lead to client (and possibly counselor) dissatisfaction with counseling because the assumptions build false anticipations for the client. Essentially, both clients and counselors often expect more definite outcomes and less effort from each party than is reasonable. This paper is written to promote counselors' reflections on their own and their clients' vocational counseling assumptions.     

Counselor Actions to Facilitate Client Change During Life-Design Counseling

The authors examined whether and how counselor interventions foster client change during life-design counseling (Savickas, 2015). Two counseling sessions were conducted. Interviews with the 2 clients and the counselor after each counseling session were done in accordance with interpersonal process recall (Larsen, Flesaker, & Stege, 2008). The results indicated a scheme of counselor interventions that corresponded to client change. Specifically, the counselor fostered client reflection and reflexivity by (a) exploring original constructions, (b) identifying problematic themes in the constructions, (c) interpreting those themes, (d) identifying and recording client change and reflection, (e) connecting the themes to current issues, (f) facilitating a process of critical review, and (g) facilitating the reconstruction process. The results add a counselor's perspective to the research on client change and suggest a study of cases facilitated by counselors with diverse styles and skills that could further identify links between client change and counselor intervention.     

Advocacy Evaluation for Counselors Serving LGBTQ Populations

ABSTRACT

Advocacy and social justice initiatives for lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) clients in counseling emphasize counselor and client collaboration in challenging discrimination and oppression and promoting LGBTQ inclusive sociopolitical changes. Although researchers have highlighted the counseling and advocacy needs of LGBTQ populations, few have yet examined processes for assessing the outcomes of advocacy efforts. Advocacy evaluation may provide counselors and counseling organizations with a framework for monitoring and assessing the outcomes of LGBTQ advocacy initiatives. The authors discuss the goals and elements of advocacy evaluation and review the LGBTQ Counseling Advocacy Evaluation Self Assessment.     

Telling a Good Story: Using Narratives in Vocational Rehabilitation With Veterans

Because of the high chronicity of work-related problems in a Veterans Administration Medical Center population, many of the traditional methods of career assessment, counseling, and placement have proven ineffectual. In this article the authors detail the development of an intervention based on narrative or storytelling principles. They describe efforts to introduce this model to patients as well as to relate patients' stories to vocational outcomes. The usefulness of stories as an organizing principle for counselors and clients is discussed, and suggestions are offered for further uses of storytelling interventions.     

The Relationship Between Counselor Verbal Response Modes and the Working Alliance in Career Counseling

The authors examined the use of counselor response modes in career counseling, including the overall proportion of each response mode and the relationship of each response mode to the working alliance. Participants were 19 counselors‐in‐training and 26 clients in 78 sessions, making this the largest reported study of career counselor response modes. Seventy‐nine percent of the counselor responses were information, paraphrase, or close‐ended questions. None of the categorized counselor responses was significantly and positively related to the working alliance, although counselor self‐disclosure had a significant negative correlation with the alliance. The type of self‐disclosure used was largely irrelevant or self‐deprecating.     

Mental Health Mobile Apps’ Instruction: Technology Adoption Theories Applied in a Mixed Methods Study of Counseling Faculty

This objective of this research was to determine factors influencing counselor educators’ behavioral intentions to teach counseling students about mental health mobile applications (MHMAs), factors influencing values of MHMAs as therapeutic tools, and to what extent counselor education programs are contributing to future counselors’ technological competence with regard to evaluating and integrating MHMAs. The conceptual basis was a theory triangulation approach using theories of technology use and acceptance and diffusion of innovations. Nine quantitative, two qualitative, and two mixed methods research questions served to guide the study. Participants were 132 faculty members from 99 university counseling programs. Participants completed an initial survey, an evaluation of an evidence-based mental health mobile application (app), and a postmeasure. Hierarchical multiple regression, analysis of covariance (ANCOVA), independent samples t-tests, and paired samples t-tests were used to analyze quantitative data. Results indicated that unified theory of acceptance and use of technology (UTAUT) variables along with anxiety/apprehension and ethical concerns are related to behavioral intentions to teach students about MHMAs. Semistructured video interviews were conducted and analyzed in the qualitative phase to add depth and explain quantitative findings. This study has implications for graduate counselor education programs and related accrediting agencies.     

Sex Role Stereotyping and Marriage Counseling*

Evidence that sex role stereotyping (SRS) reflects a strong negative valuation of women and is a factor in clinical evaluation raises the question of its affects upon evaluation and treatment in marriage counseling. The counseling literature was reviewed and although data on SRS was found, it seldom was related specifically to marriage counseling. The purpose of this paper is to consider the implications of SRS for marriage counselors in the light of current research findings on this issue. Suggestions for assisting counselors to deal with SRS in themselves and as professionals in the field of marriage counseling are presented.     

Student and Counselor Perceptions of Career Counselor Work Activities in a Community College

This study examined whether differences exist between student and counselor perceptions of work activities performed by the latter group in a large Southern California community college. Participants responded to a 40-item questionnaire indicating whether tasks were actually performed, and whether they ought be performed by counselors when providing career guidance. Chi-square with Yates's correction for continuity and Fisher's Exact Test were used to analyze the data. Statistically significant results indicated that students did not believe that counselors were actually performing the majority of tasks commonly and ideally associated with career counseling services. Although students and counselors agreed on ideal career counselor work activities, counselor responses revealed no difference between their actual and ideal duties.     

Important Events in Career Counseling: Client and Counselor Descriptions

The authors used a content analysis system to classify career‐counseling participants' responses to questions about the helpfulness of their recently completed counseling experiences. Both clients and counselors most frequently identified client gains associated with self‐exploration and with emotional support as most helpful. Members of both groups frequently identified ineffective counselor‐selected activities as least helpful. Clients rated their experiences as significantly more effective than did their counselors. The authors discuss implications of these results for the validity of the content analysis system and the nature and practice of career counseling.     

Facilitating the Career Development of Minorities: Doing it Differently This Time

Although the early vocational educators were committed to social change, they inadvertently reinforced differences between social groups. Counselors today have a unique opportunity to effect social change. Demographic shifts suggest that minorities who are educationally and occupationally prepared will face fewer racial barriers in the future labor market. To prepare minority students to take advantage of anticipated demographic shifts, counselors will need to avoid the same inadvertent mistakes made by their predecessors. To accomplish this, counselors can recommit to career education and counseling, ensure equal access to their services, and alter the context of their interventions.     

Counseling Competencies for Sexual Minority Clients

Abstract

Being able to work effectively with clients from diverse backrounds has become a necessity in good counseling practice. Professional associations have acknowledged this in recent years by identifying and articulating multicultural competencies that inform both the practice of counseling, but also the training of counselors. Specific attention to competencies in working with LGBT clients has been identified as a sub-set of these overall cultural competencies. In this paper, leaders within the Association for Gay, Lesbian, and Bisexual Issues in Counseling present specific ways in which counselors can provide culturally sensitive counseling to sexual minority clients and their families that are in line with the counselor training guidelines established by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).     

Association for Lesbian,Gay, Bisexual,and Transgender Issues in Counseling’s Best Practices in Addressing Conscience Clause Legislation in Counselor Education and Supervision

The amount of various, state-level legislation allowing the denial of counseling services to individuals with values that conflict with those of the professional counselor continues to increase. Such laws are in direct conflict with the values, principles, and ethical standards of the counseling profession. These “conscience clause” legislations are of concern due to the ability of the counseling profession to safeguard and protect the welfare of clients seeking counseling services. Potently, however, much of the focus of conscience clause legislation centers around the legal sanctioning of bias and refusal to provide services to affectional and gender minority clients, and the intersection of sexual/affectional orientation to spiritual and religious values. Provided is a review of these laws and the way they clash with the counseling profession. To assist profession counselors in navigating appropriate ethical behavior, specific counseling-appropriate and lesbian, gay, bisexual, trans, and queer affirming recommendations are provided. Each layer of professional counseling, direct work with clients, supervision, and counselor education, is addressed.     

College Counselors’ Perceptions and Practices Regarding Anticipatory Guidance on Firearms

Abstract

Objectives: This study assessed college counselors’ anticipatory guidance on firearms for student clients. Participants: The membership of the Association for University and College Counseling Center Directors was used to identify a national random sample of counseling centers (n = 361). One counselor from each center was selected to survey. Methods: In the winter of 2008, a 3-wave mailing procedure was used to maximize the response rate. Completed surveys served as consent (as approved by the University Human Subjects Committee). Results: A total of 213 counselors (59%) responded. They were unlikely to provide anticipatory guidance (6%), chart/keep records on client ownership/access to firearms (17%), or to counsel the majority of clients from various diagnostic categories on firearms. Conclusions: University personnel are likely to refer students with suspected mental health problems to university counseling centers. The findings indicate that few counseling centers will address firearm issues with students.     

Evaluation considerations for community-based gender-informed health interventions

Evaluations of gender-based interventions have been consistently criticized for their lack of methodological rigor. This is largely due to the complex design of many of the interventions, coupled with difficulties in measuring the outcome and impact of these interventions. This article proposes a number of ways to improve these evaluations both at the community and individual level. We recommend use of organizational theory and narrative inquiry methods, such as the appreciative inquiry technique, to examine how communities design gender-based interventions. In addition, we suggest a variety of methods to measure the effects of these interventions on gender norms in the community for example, policy analysis, multilevel modeling, and social conversations. With respect to measuring outcomes at the individual level, we argue for more rigorous evaluation designs in order to improve internal and external validity claims. Additionally, we suggest that evaluations should incorporate different methodologies, for example autobiographical narratives, which allows one to give saliency to the subjective voices of participants. Finally, we emphasize that evaluation designs need to document the long term effects of intervention programs and define the expected outcomes with greater specificity.     

Exploring Nonbinary Gender Identities: A Qualitative Content Analysis

This study presents a qualitative exploration of nonbinary gender identities from a counseling framework. We studied 14 participants in an open-ended, online format, all of whom self-identified with nonbinary gender identities. Our analysis explored five primary themes: (a) identity development, (b) heterogenous identities, (c) the identity-expression divide, (d) invisibility and stressors, and (e) resilience and support. Participants’ experiences in counseling and practical implications for counselors working with nonbinary clients are also discussed, including cautions against assumption making, increased need for training and education about nonbinary clients, and nonbinary clients’ perceptions of counselor openness.     

Intervention options: Participation in work activities for people with schizophrenia

Vocational rehabilitation is a method by which people with disabilities are able to learn skills and receive supports that are necessary to take part in work activities. Vocational rehabilitation interventions can be used in a wide variety of settings with many different populations of people with disabilities, including those with schizophrenia. However, there is little available research to help guide clinicians to identify which vocational rehabilitation intervention methods may be the most effective for their clients. OBJECTIVES: The purpose of this paper is to identify what is the best practice for obtaining and maintaining participation in work activities for people with schizophrenia. STUDY DESIGN: This paper reviewed sixteen previously conducted studies (seven specific solely to schizophrenia) to identify which vocational rehabilitation method is the best practice to aid those with schizophrenia to obtain and maintain participation in work activities. RESULTS: The reviewed literature suggests that there are a variety of vocational rehabilitation intervention methods that may be effective treatment interventions. The effective interventions were those programs that had a client-centered approach and enabled the client to play an active role in his/her vocational rehabilitation. CONCLUSION: With this study review, clinicians will be able to examine a variety of successful client-centered vocational rehabilitation methods that may aid in helping their clients with schizophrenia to obtain and maintain participation in work activities.     

Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses

The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group x Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.     

Practice and Research in Career Counseling and Development—2000

The authors summarize the career counseling and development literature that appeared during 2000 in refereed journals, book chapters, and full‐length books. The review of literature is divided into 5 major categories: (a) theoretical and conceptual advances, (b) career counseling and development of identified populations, (c) assessment in career counseling and development, (d) career counseling programs and interventions, and (e) resources for the professional development of career counselors and vocational psychologists.     

An Individual Mixed‐Evaluation Method for Career Intervention

Economic issues linked to career counseling are a cause for concern to policy makers in developed countries because they expect career practitioners to provide evidence of the efficiency of career counseling interventions. The aim of this study was to test an individual evaluation method mixing time series (outcomes) and life narrative (processes). The method used 5 items related to 1 client's career decision self‐efficacy and studied the evolution of those items throughout the intervention of 1 career counselor (43 days). Changepoint analysis helped in identifying the changes that have to be taken into account for time series and which are contextualized in the client's verbatim analysis. This mixed method highlighted that the career counselor's intervention increased the client's career decision self‐efficacy. Practitioners could use the methodology proposed in this article to evaluate their interventions. They could also report their practice to clients, employers, and decision makers.     

Career Counseling From the Counselee Perspective: Analysis of Feedback Questionnaires

The effectiveness of career counseling as perceived by counselees was measured using evaluation questionnaires. The results showed that 75% of the respondents rated the career counseling they received as satisfactory. A systematic difference was found between satisfaction with counseling as a result of the enhancement of the counselees' personal understanding and satisfaction as a result of the assistance they perceived in decision making. Respondents were more positive concerning their gains in self-understanding than about the help they felt they were given in arriving at a career decision. On the average, counselees rated discussions with the counselor as more important in counseling than were objective tests, interest inventories or vocational information. Respondents who reported that counseling helped them in both their personal and career problems were more satisfied than those who reported being helped solely in either their personal problems or their career decisions. The theoretical and practical implications of these results for career counseling are discussed.