A method of teaching counselling

The major part of one section of a teaching-methods course for general practitioner teachers (Harris et al., 1976) was concerned with teaching counselling skills. This paper describes the methods used to do so, in the setting of a residential course lasting for only a few days. The functions and objectives of counselling are defined, and the counselling process is divided into six stages which are reflected in the organization of the teaching. Five specific skills required are isolated, to clarify the teaching and to permit assessment of the members' learning. Three roles in a counselling interview are described, and members work in trios where they experience each of these roles. The problems at which the members work have to be real and unresolved problems in their own lives. Some conclusions are offered, drawn from the writers' experience and from the evaluation and assessment techniques employed.     

A case for stress counselling

The authors demonstrate an experimental use of the newly developed high power aluminium-gallium-arsenide (AlGaAr) diode laser (DIOMED 25, Olympus Optical Company, Tokyo, Japan). The unit consists of a compact body and fiberoptic probes with small accessories. There are two types (contact and non-contact) of probes. Tissue effects on rat liver, femoral artery, and brain tissue were examined. Adding that, we measured the thermal changes on the liver surface produced by the laser beam with a thermography system. For coagulation with the contact probe, 5 or 7 W was adequate but 10 W was too excess because of tissue adhesion. For cutting, low absorption of the laser in less vascularized tissue like brain white matter provided a deeper tissue damage compared with more vascularized tissue. The temperature at the center reached over 100 degrees C during 10 seconds after laser treatment with the cutting probe. These findings suggest that this system proved to be a good candidate for endoscopic hemostasis and cutting with meticulous maneuver.     

Alcohol consumption and sexual activity as reported with a diary technique.

Although alcohol is commonly viewed as a sexual disinhibitor, recent research has suggested that alcohol consumption does not consistently lead to increased sexual activity. Nonexperimental work in this area has commonly used correlational procedures that do not control for individual difference variables that may contribute to a drinking–sex relationship. This study examined the relationship of alcohol consumption to sexual behavior by way of within-Ss analyses of data from 99 men and women who kept daily diaries of drinking and sexual events over a 10-wk period. Alcohol consumption was associated with a general attenuation of sexual activity, with no effects on the occurrence of sexual behaviors that are risky in terms of AIDS transmission. These data suggest that sexual disinhibition and lapses in sexual judgment are not necessarily common consequences of alcohol consumption. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A relationship between childhood sexual abuse and professional sexual misconduct.

This article identifies specific factors that place therapists at risk for engaging in sexual activity with clients and provides guidelines to minimize the likelihood of such behavior. In a national, randomly drawn sample of 323 mental health practitioners, 3 of 5 men who reported severe childhood sexual abuse and whose psychological symptoms met the criteria for a high degree of psychological distress reported sexual boundary violations with clients. High-risk clinicians should avoid the isolation of private practice, closely monitor their boundaries with clients, obtain ongoing professional supervision, and seek personal psychotherapy to address any remaining abuse-related issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patients' sexual behavior and sexual harassment: A survey of clinical supervisors.

How do clinical supervisors respond to supervisees' reports of sexualized or sexually harassing behaviors by patients? A survey of experienced supervisors was conducted to answer this question and to determine the incidence of such reports. A substantial number of participants reported receiving at least 1 report of patient sexual harassment of a supervisee. Reports ranged from persistent inappropriate sexual comments to physical sexual assaults. Supervisors' responses ranged from supervisory discussions to active interventions. Clinical supervisors must acknowledge the potential for supervisees to be sexually harassed by patients and incorporate strategies to deal with harassment in their training programs. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Retinal dystrophies and genetic counselling

Increased patient demand is leading to a corresponding increase in the need for informed genetic counselling in ophthalmic practice which requires refined diagnosis, and a detailed knowledge of molecular genetics. Accurate assessment of risk and visual potential in prospective children is becoming available for a range of retinal dystrophies allowing for more educated decisions to be made by parents.     

A critical analysis of directive counselling as a component of tinnitus retraining therapy

Tinnitus retraining therapy (TRT) has been presented as a new approach to tinnitus management. In this paper a number of theoretical and practical problems with TRT are identified. These problems relate to the distinction between directive counselling and cognitive therapy, the adequacy of the cognitive therapy components, the nature of the outcome data which have been presented to date, the theoretical basis for the treatment, and the conceptual clarity of terms such as perception, attention and coping. The stated goal of removal of the perception of tinnitus may lead to confusion about the likely outcome of TRT for most patients. Methodological limitations in the research which has been published to date preclude any claims about the efficacy of TRT at the present time. It is suggested that randomized, controlled studies which include no-treatment and placebo conditions need to be undertaken. Studies are required in which the efficacy of the counselling and white noise components can be clearly isolated. Suggestions are made about the role of psychologists and non-psychologists in the provision of counselling and cognitive therapy services to tinnitus patients.     

Patient sexual behavior and sexual harassment: A national survey of female psychologists.

A nationwide survey of 750 female psychologists practicing psychotherapy was conducted to determine the incidence of sexual harassment and potentially sexualized patient behaviors in clinical practice. A usable return rate of 48.7% was obtained (N?=?354). A total of 53.7% of the respondents reported at least 1 incident of sexual harassment. Events ranged from inappropriate verbal remarks to sexual assaults. Respondents reported an even higher incidence of sexually suggestive patient behaviors in clinical practice, although most of these were not experienced as sexual harassment. Implications for training and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapy and counselling with women: A handbook on educational materials.

Describes a new Handbook developed by Jean Pettifor, Carolyn Larsen and Lorna Cammaert of Calgary. The purpose of this Handbook on Educational Materials is to assist therapists, counsellors, teachers and consumers to promote sex-fair therapy and counselling with women. The Guidelines for Therapy and Counselling with Women, adopted by the Canadian Psychological Association in 1980, are consistent with the Canadian Psychological Association Ethical Standards of Psychologists (1978) and the Canadian Psychological Association Standards for Providers of Psychological Services (1977). The Handbook, as a sequel to the Guidelines, provides information on educational models and content and on workshops and "self-help" exercises which can be used to increase awareness of sex bias and stereotyping and to promote competent and fair practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of sexual victimization on sexual satisfaction: A study of the negative-association hypothesis.

Investigated the negative-association explanation of behaviorally specific decreases in postrape sexual satisfaction via retrospective ratings in 4 groups of women representing different degrees of sexual assault. Ss were 116 college women preselected on the basis of their scores on a women's sexual experiences survey. All groups of sexually victimized Ss except those who experienced pressure and/or coercion to engage in sexual intercourse were currently less sexually satisfied on all sexual behaviors than nonvictimized Ss. No behaviorally specific postassault decreases in sexual satisfaction emerged for any group of victimized Ss. Thus, support was not found for the negative-association hypothesis. (2 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A preliminary classification of human functional sexual disorders

A preliminary classification is presented for functional human sexual disorders. This system is based on objective behavior and reports of distress. Five categories of sexual disorders are proposed, including the behavioral, psychological and informational components of sexual functioning in the individual and the couple.     

Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization

OBJECTIVE: The aims of this study were to examine the extent to which exposure to childhood sexual abuse (CSA) was associated with increased rates of sexual risk taking behaviors and sexual revictimization during adolescence. METHOD: A birth cohort of 520 New Zealand born young women was studied at regular intervals from birth to the age of 18. At age 18 retrospective reports of CSA were obtained from sample members. Over the course of the 18 year study information was gathered on: (a) childhood, family, and related circumstances; and (b) the young women's history of sexual experiences from 14 to 18 years. RESULTS: Young women reporting CSA, and particularly severe CSA involving intercourse, had significantly higher rates of early onset consensual sexual activity, teenage pregnancy, multiple sexual partners, unprotected intercourse, sexually transmitted disease, and sexual assault after the age of 16. Logistic regression analyses suggested that the associations between CSA and sexual outcomes in adolescence arose by two routes. First, exposure to CSA was associated with a series of childhood and family factors including social disadvantage, family instability, impaired parent child relationships, and parental adjustment difficulties that were also associated with increased sexual vulnerability in adolescence. Second, there appeared to be a causal chain relationship between CSA and sexual experiences in which CSA was associated with early onset sexual activity which, in turn, led to heightened risks of other adverse outcomes in adolescence. CONCLUSIONS: The findings of this study suggest that those exposed to CSA have greater sexual vulnerability during adolescence. This appears to arise because: (a) the childhood and family factors that are associated with CSA are also associated with increased sexual risks during adolescence; and (b) exposure to CSA may encourage early onset sexual activity which places those exposed to CSA at greater sexual risk over the period of adolescence.     

Guidelines for Canadian university counselling services.

Guidelines for Canadian university counseling services are provided. Topics discussed include: (1) the role of counseling in universities, (2) the place of counseling in the university organization, (3) counseling services provided to students, (4) counseling service personnel, (6) referral procedures, (7) physical facilities, (8) training relationships, and (9) public relations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)