Physical Dimensions of Counseling: Perspective for the Helping Professions

Fifteen graduate students in the helping professions registered in a course that teaches helpers to use physical fitness as a counseling medium. The enrolled graduate students were matched with controls in four relevant areas, and both groups were pretested on 7 physiological and 11 psychological variables. The experimental students were given a 10-week treatment of physical fitness training, counseling in health habits, a life-style of well-being, and instruction in how to deliver these kinds of treatments to clients. For eight weeks the students used the skills in working with real clients. The experimental and control groups were posttested on the same variables; and multivariate and univariate analyses revealed significantly positive changes made by the experimental group. This article reports implications for graduate programs in the helping professions.     

ETHNICITY,AGING, AND HEALTH: AN INTERDISCIPLINARY EXPERIENCE

Recent trends in geriatric care have focused on the importance of teamwork through interdisciplinary interaction as a means of improving and maintaining the quality of life for clients and their families, while at the same time fostering professional growth of the health care providers. However, the literature is sparse on how university students are prepared through interdisciplinary team approaches to work effectively with geriatric clients in a diverse cultural environment. This article discusses how one undergraduate course was developed and implemented using an interdisciplinary focus to help students learn about ethnicity, health, and older adults. To begin the interdisciplinary focus, an interdisciplinary advisory team was assembled. This team was instrumental in guiding the process of planning, implementing, and evaluating this course. Recommendations from both the students and the advisory team demonstrate that a combination of team learning and multicultural education is essential to empower students to acquire skills for cross‐cultural work.     

Modular programming of curricula

A large scale modularisation of curricula in higher education based on relatively large modules is discussed. These modules are flexible courses and not the well known small instructional modules within a course. The idea of these so-called programme modules, together with some applications and implications are discussed in the context of the Dutch higher educational system which is quite similar to that in other Western European countries. One implication is a less static concept of what a curriculum is. This may affect students, teachers, curriculum planners and legislators in their thinking about what kind of education a university can offer (in the near future) to its potential clients.     

Training Counselors to Work With Complex Clients: Enhancing Emotional Responsiveness Through Experiential Methods

Training counselors to work effectively with complex client presentations requires a variety of methods. These methods not only need to be aimed at developing conceptual understanding but also must assist counselors in managing their own emotional reactivity when working with such clients. The author describes the curriculum and experiential training processes of a course in a transtheoretical program, which draws on psychodynamic concepts to help counselor trainees develop competencies with more disturbed clients. These competencies include alliance building and repair, understanding and working with transference and countertransference, and using an understanding of personality structure in case conceptualization.     

Integrating problem- and project-based learning opportunities: assessing outcomes of a field course in environment and sustainability

Improving student competencies to address sustainability challenges has been a subject of significant debate in higher education. Problem- and project-based learning have been widely celebrated as course models that support the development of sustainability competencies. This paper describes a course developed for a professional Master’s program in environment and sustainability that employs such a model. Additionally, the course was designed to offer value-added opportunities by introducing attributes of interdisciplinary training, service learning, academic research, and professional practice. Results from the course assessments by students, faculty, community clients and organizational partners show this model provided a range of learning, professional and practical outcomes for course partners. The value-added benefits include strengthening sustainability competencies and professional skills for students; longitudinal research opportunities for teaching faculty; real-time assessments of farming practices for community clients; and a heightened regional profile for the non-profit biosphere reserve organization supporting course delivery.     

Situating Learning of Human Performance Technology

The Organizational Communication, Learning, and Design Department at Ithaca College is experimenting with educational methods that situate learning in authentic contexts, for example, in real cases with actual clients. We hope that these methods will better prepare our students for skilled practice in the complex situations and environments where they will work. One of our efforts has focused on an upper-level undergraduate course titled Performance Technology, for which we have developed a variety of what we believe are innovative strategies and activities. Results have been encouraging and have suggested more direct and powerful links between preparation and practice.     

The Utility of an Efficient Outcomes Assessment System at University Counseling Centers

Due to increased demands placed on university counseling centers (UCCs) in recent years, there is a need for these centers to enhance the efficiency and effectiveness of their psychological services. Regularly monitoring client progress is one approach to increase the likelihood of positive clinical outcomes. This article describes the use of the Behavioral Health Measure–20 (BHM-20; Kopta & Lowry, 2002) in monitoring the progress of 13,803 clients at 23 UCCs across the United States from 2006–2011. Results show that the BHM-20, via the CelestHealth System–MH (CHS-MH), is an effective instrument for the electronic administration, scoring, and tracking of client progress. Overall, clients improved over the course of treatment and the benefit from treatment peaked between 7 to 10 sessions. Three case vignettes using the CHS-MH in patient care are presented. Implications for continuing the use of monitoring individual client change at UCCs are discussed.     

Effects of Recording on Counselors and Clients

Early research on the effects of audio recording on counselors and clients found no adverse effects, particularly on clients. This research fostered a set of beliefs about recording which is now being extrapolated to the area of video observation. Recent research, however, does suggest that audio and, in particular, video recording has an inhibitory effect on clients and counselors. The nature of these effects on clients has been found to depend on several client characteristics. Although recording is not as inhibitory as clients expect it to be, counselors tend not to be sensitive to the inhibiting effects that do occur in their clients. Implications of recent research for counselors and counselor educators are examined.     

PERSONAL GROWTH ASPECTS OF PEER COUNSELOR TRAINING FOR OLDER ADULTS

Although there has been an increase in the use of older adults as peer counselors, little is known about the effects of such training on the peer counselor students. In order to be an effective counselor, the older adults must not only examine their own lives, but they must also disclose their life experiences as well as their personal feelings to their clients. It was thought that these processes of self‐examination and self‐disclosure would result in a reappraisal of the older adults’ attitudes and feelings about themselves. The present study sought to examine the degree of personal growth experienced by older adult participants of a peer counselor training course. It was found that the training course attracted individuals who were self‐assured in their ability to deal with the problems of their lives and who wanted to assist others gain the same degree of self‐confidence. Furthermore, it was found that the training course served to increase the participants’ levels of self‐confidence and self‐reliance while at the same time training the students to use these qualities to help others.     

Clients’ Expected Number of Counseling Sessions,Treatment Effectiveness,and Termination Status: Using Empirical Evidence to Inform Session Limit Policies

Many counseling centers have session limits to accommodate the increasing number of clients who seek treatment. The current study explored clients' expectations for the number of sessions over the course of one year at a large university counseling center. In contrast to previous research that has suggested clients want ten or fewer sessions, our results suggest that over 60% of clients wanted 20 or more sessions. Moreover, clients who expected 20 or more sessions reported therapy was less effective than clients who expected less than 20 sessions. While actual number of sessions was related to expected number of sessions, termination status appeared to be related to clinical factors and not clients' expected number of sessions. Implications for clinical practice and agency session limit policies are discussed.     

CONCEPTUALIZATION AND DEVELOPMENT OF A COURSE ON AGING TO INFANCY: A LIFE COURSE RETROSPECTIVE

This paper describes the conceptualization and implementation of an innovative undergraduate interdisciplinary course that uses life course theory to capture the depth and breadth of the human experience. The collaboration among four faculty representing gerontological social work, occupational therapy, nursing, and dietetics and human nutrition is described, as are the unique teaching strategies utilized. In addition, an unusual retrospective approach to human development is highlighted. Through their participation in this course, future health care practitioners will be able to work effectively with clients throughout the life span in an interdisciplinary environment.     

Collecting Multidimensional Client Data Using Repeated Measures: Experiences of Clients and Counselors Using the CCAPS‐34

Many college counseling centers do not collect client data at each session because of perceived burdens. This study explored 55 clients’ and 16 doctoral counselor trainees’ experiences collecting and using data on client distress at each session over the course of counseling at a large public university's counseling center. Results indicated that the majority of both clients and counselors found the process convenient and clinically useful. Findings, clinical implications, and future directions are discussed.     

旅游规划评审中的"潜规则"质疑

旅游规划评审时甲方、乙方与评委会三方“博弈”,派生出一系列“不足为外人道”的潜规则。围绕甲方追求质量抑或形式、评委追求真理抑或情面、乙方追求声誉抑或利益的“位移”,潜规则贯穿于评审前的评委遴选、评审本设计与装潢及交付时间控制,评审中的表决、拟写评语、归纳修改意见,评审后的修改本鉴定等诸多环节。《旅游规划通则》实有修订完善之必要。     

The Student as Consumer

In this article, a recent social work graduate reports on her experience as a student in a social work practice course informed by constructivist and social constructionist theory. Based on a weekly journal, the student takes the reader on a journey through a class in which students were invited to share responsibility for the learning process. An isomorphic process in which students experienced the classroom as clients might experience the social worker in practice is described.     

The Drama of Prejudice

Empathic communication is regarded as one of the most important abilities for social workers and health professionals in their work with clients. in this study one group of social worker students who participated in a 3 month course of intensive communication skills training was compared to a group of students following the ordinary social work course of study. The groups were compared in relation to communicated empathy as measured on the Carkhuff Scale of Empathic Communication before and after the training period. The analysis showed that students who participated in the skill training program increased their level of empathic communication significantly. The control group did not increase their level. The results are discussed and compared with the results of other published studies on the effect of communication training on the level of communicated empathy.     

Providing Career Counseling for Collegiate Student-Athletes: A Learning Theory Approach

Collegiate student-athletes present unique issues regarding career development. Career counselors who infuse the Learning Theory of Career Counseling (Krumboltz, 1996) into their work with collegiate student-athletes can help these clients learn new ways to explore career possibilities. By co-creating learning opportunities with student-athletes, counselors can help promote expansion of clients' interests, skills, beliefs, values, and personal qualities. Such growth can help members of this population deal with issues like identity foreclosure and social isolation en route to establishing a set of problem-solving and decision-making skills that will serve them well over the course of their lives.     

The limits of tolerance in assessing the competence of counselling trainees

At a time when there is intense demand for counselling training in Britain, at considerable cost in terms of time and money for students, the pressure for successful outcome weighs heavily on course tutors. At the same time the pressure to ensure that professional standards of competence in counselling are upheld make the process of continual and final assessment critical.As part of a study investigating the assessment of competence of counsellors in training, trainers were asked a series of questions about the ethical difficulties they have encountered in assessing students. Four case scenarios were presented highlighting various dilemmas that can face trainers when aspects of a student's personal development or self awareness potentially pose a threat to the counselling relationship they have with clients. Trainers were also asked whether they had ever passed students studying on their courses against their better judgement or with reservations about their capacity to fully engage with their clients in a competent and professional manner. If so they were also asked how this came about. The response to these questions was varied and interesting. The majority of respondents reported that students had graduated from their courses about whom they had reservations. The response to the varied scenarios produced valuable qualitative data that reflects both differing frames of reference and value systems of trainers and training courses.The information gathered in this enquiry is discussed with reference to recent sparse literature on counselling training, professionalism and ethics. This paper addresses the concerns that counselling trainers agonise over in private, now open for debate in a public arena, namely how tolerant can they afford to be when assessing the competence of their trainees.     

Teaching Clinical Social Work in Spanish: Cultural Competency in Mental Health

We have developed a new graduate elective in the MSW degree program called Evaluación e Intervención en Español (Assessment and Intervention in Spanish). This class, taught entirely in Spanish, is designed to train Spanish-speaking MSW students in culturally and linguistically competent clinical practice with Hispanic clients. In this case study, we summarize the course.     

Application of cognitive apprenticeship model to a graduate course in performance systems analysis: A case study

This article reports a case study describing how the principles of a cognitive apprenticeship (CA) model developed by Collins, Brown, and Holum (1991) were applied to a graduate course on performance systems analysis (PSA), and the differences this application made in student performance and evaluation of the course compared to the previous semester. I analyzed the requirements for the CA learning environment and identified the contributions of instructor, students, and the course based on those requirments. I then applied the findings to create an authentic learning environment based on CA principles. In this case the students became performance consultants, immersed in practical application of the PSA content and methodology to authentic organizational performance issues provided by real clients. Finally, I compare student evaluation of the course to student evaluations in the previous semester, and report their responses to a set of open-ended questions concerning the application of CA principles.