Counseling In China Research Articles

Effectiveness of Frequent Viral Load Testing Plus Additional Interventions to Prevent HIV Transmission in Heterosexual, Serodiscordant Couples - Yunnan Province, China, 2019-2021.

HIV transmission among serodiscordant couples remains a persistent issue in China. However, the practice of combining counseling with antiretroviral therapies (ART) to enhance ART adherence is not widely implemented or recommended in Chinese health guidelines. This randomized controlled trial suggests that increased follow-up, counseling, and awareness of HIV risk can enhance ART compliance, thereby maximizing treatment efficacy. Early testing and counseling of serodiscordant couples, following the identification of a human immunodeficiency virus (HIV) positive spouse, is crucial for initiating ART and reducing the risk of seroconversion in the uninfected partner. Implementing a combination of ART and adjunct counseling in China is advisable.

Attitudes of medical professionals toward fragile X carrier screening and genetic counseling in China.

Fragile X syndrome is the most common inherited cause of intellectual disability. Considering China's low prevalence, distinct healthcare system, middle-income economic status, and unique culture, China cannot simply replicate the screening systems in European and American countries. In this study, we investigated the attitudes of 450 Chinese medical professionals who received fragile X training on fragile X carrier screening and genetic counseling. Before the training, 57.6% of the respondents were unfamiliar with FXS. After the training, 7.3% of participants are unable to fully master the knowledge. Furthermore, 71.8% believe that the absence of phenotypes during the reproductive age and the availability of simple and feasible testing methods are prerequisites for screening. The presence of the phenotype would still require screening. Regarding the target population, over 90% of the participants support fragile X carrier screening in high-risk pregnant women. As for influencing factors, they consider cost as the most influential factor in pregnant women's decision to undergo screening. The acceptable price range for screening is determined to be ￥200-1000 ($30-150). In terms of the issues and challenges of screening, most medical professionals support the need for genetic counseling for intermediate alleles and 55-60 repeat premutation results. Additionally, some respondents believe that informing patients' family members of positive screening results is necessary. It is also recognized that positive results may lead to anxiety for patients. The findings of this study will provide valuable information for the establishment of fragile X carrier screening system, particularly for low-prevalence or middle-income countries.

The effects of a multimedia intervention on help-seeking process with a Chinese college student sample.

Little is known about encouraging help-seeking in non-English speaking settings and relatively little research has been directed to facilitate help-seeking among Chinese-speaking people. This study examined the effects of a multimedia intervention on barriers, attitudes, and intentions for seeking counseling in China. The multimedia intervention was informed by prior empirical research on models of help-seeking for counseling. A total of 200 participants were randomly assigned to one of the two conditions: (1) a help-seeking media-exposed intervention group and (2) a control group, who watched a hospital advertisement that was unrelated to mental health help-seeking. Results indicated that the intervention was effective at increasing both positive attitudes toward therapy and intentions to seek therapy. The intervention also improved participants' perceptions about treatment accessibility. This intervention is available and can be a resource for Chinese language populations (both within China and other countries), especially for immigrants, rural, and persons who might benefit from mental health treatments such as psychotherapy.

Communication model in Chinese online medical consultations: Insights and implications

ObjectiveTo comprehensively analyze and further enhance the established E4 communication model for online medical counseling in Chinese settings, by proposing the novel E5 model. Additionally, it aims to evaluate the performance of Chinese doctors in fulfilling the E5 model. MethodsThrough thematic analysis and grounded theory of 500 online medical consultations in China, we developed the extended E5 model from the E4 model. We identified four dimensions of patient attitudes and behaviors using Stanford Topic Modeling Toolbox, then employed Chi-square analysis to investigate their influence on doctors' performance of E5 model. ResultsOur study illustrates that the extended E5 model, with its operable strategies, accurately mirrors the nuanced dynamics of online medical counseling in China, significantly varying in doctors' execution in response to the four identified dimensions of patient attitudes and behaviors. ConclusionThe extended E5 model, coupled with insights into patient attitudes and behaviors, provides a comprehensive framework for understanding and enhancing communication in China's online healthcare context. Practice implicationsThe findings highlight the necessity for doctor training in the E5 model for effective online communication. Furthermore, fostering conducive relationship between patients and doctors could potentially boost doctors' E5 performance.

Applying and assessing the PEERS model on genetic counseling training in China: A mixed-method approach.

Due to the changing medical demands in the healthcare system, there is a need for a standardized and professionalized curriculum for genetic counselors. This mixed-method study will observe and evaluate the first Peer Experiential and Reciprocal Supervision (PEERS) training program on genetic counseling among medical practitioners in China; to provide feedback and recommendation for future training and practices. A genetic counselor training program was held from December 10-11, 2016 in a fetal medicine unit and prenatal diagnosis center in Shanghai with 59 participants from clinical centers, hospitals, and organizations in China. An ethnographic reflexive assessment with a structured questionnaire were used to provide insights and feedback on the training experience. Results indicate an inadequate mastery of genetic and fetal knowledge; lack of empathetic understanding and cultural sensitivity; difficulties in adopting a non-directive counseling approach; distance between reality and fictionality in the training; overall training's helpfulness. The professionalization of genetic counseling in China is in the making with the soaring demands for genetic counseling services; this first experiment of PEERS training turned out to be needed, worth to be adapted toward medical centers across China, to better understand and face the challenges rising from genetic counseling practice.

Case Study: Self- Help Manuals Based on Cognitive Therapy for Adult with Depression in China

The case study follows a 27 years old lady who suffers from depression, which provides an insight into the society and future studies that self-help can also enhance one’s mental health. The patient was in a mild depression and performed violent behaviors and alcohol obsession. Due to the lack of mental health counseling in china’s unique cultural environment, the research provides a self-analysis and self-healing method. Researchers play the role of instructors and observers who would not disturb the participant. The final depression score after six months returns to a normal range. The result also shows in life clues such as less antisocial behaviors and increased self-control. Thus, the case study provides a new idea for mental health education in developing countries or regions. Social workers can provide self-help for people with depression when counseling is not yet widely available in some areas or when people are very resistant to counseling services.

Horizontal Thinking vs Vertical Thinking: A Comparison between Chinese and Western Philosophical Counseling based on Socrates and Confucius

Similar to the First and Second problematics distinction of thinking figured out by Hall and Ames (1995), we further propose two modes of thinking, i.e., horizontal thinking and vertical thinking, which can also be defined as analogical/correlative thinking and causal thinking. When being extended to the field of philosophical research, they can be used to manifest the differences between Chinese and Western philosophical thinking. Philosophical counseling is an emerging activity which attempts to make the academic and theoretical philosophy more practical and helpful in people’s daily life. Focusing on Chinese thinking (horizontal thinking) and Western thinking (vertical thinking), we analyze the differences between philosophical counseling in the East and West under different modes of thinking from the general to the specific in logical sequences. We especially select Socratic dialogue and Confucius’ heuristic teaching as epitomes of Western and Chinese thinking, in order to explore the possibility of combining the two together and search for an appropriate localization approach to philosophical counseling in China.

Novel compound heterozygous DNAAF2 mutations cause primary ciliary dyskinesia in a Han Chinese family.

Primary ciliary dyskinesia (PCD), which commonly causes male infertility, is an inherited autosomal recessive disorder. This study aimed to investigate the clinical manifestations and screen mutations associated with the dynein axonemal assembly factor 2 (DNAAF2) gene in a Han Chinese family with PCD. A three-generation family with PCD was recruited in this study. Eight family members underwent comprehensive medical examinations. Genomic DNA was extracted from the participants' peripheral blood, and targeted next-generation sequencing technology was used to perform the mutation screening. The DNAAF2 expression was analyzed by immunostaining and Western blot. The proband exhibited the typical clinical features of PCD. Spermatozoa from the proband showed complete immotility but relatively high viability. Two novel compound heterozygous mutations in the DNAAF2 gene, c.C156A [p.Y52X] and c.C26A [p.S9X], were identified. Both nonsense mutations were detected in the proband, whereas the other unaffected family members carried either none or only one of the two mutations. The two nonsense heterozygous mutations were not detected in the 600 ethnically matched normal controls or in the Genome Aggregation Database. The defect of the DNAAF2 and the outer dynein arms and inner dynein arms were notably observed in the spermatozoa from the proband by immunostaining. This study identified two novel compound heterozygous mutations of DNAAF2 leading to male infertility as a result of PCD in a Han Chinese family. The findings may enhance the understanding of the pathogenesis of PCD and improve reproductive genetic counseling in China.

Chinese College Students’ Perceptions of Counseling in China

Due to drastic societal changes in the last few decades, there has been an increasing need for counseling services in China.. Specifically, Chinese college students are confronted with many developmental challenges due to changes in expectations following college. The purpose of this phenomenological study was to explore Chinese college students’ perceptions of counseling services in China. The authors identified six essential themes which made up the essence of this study. They were roles of counselors, issues that brought students to counseling, students’ expectations in counseling, training and requirements for counselors, credentials and characteristics of counselor supervisors, and future development of counseling in China. The authors discussed the themes, implications, and offered recommendations for further research.

College Students’ Attitudes Toward Counseling for Mental Health Issues in Two Developing Asian Countries

This study examines 300 college students in Iran and China. It clarifies that students from China have more positive attitudes toward counseling than those from Iran using a quantitative survey with well-established existing scales in the literature. The regression tests show different indictors for college students’ attitudes toward mental health counseling in these two developing countries. Anticipated risk has been found as the most negative and powerful predictor of attitudes toward counseling in Iran. Stigma has been found as the most negative and powerful predictor of attitudes toward counseling in China. Implications have been discussed for educational departments and governments to advocate positive evaluations on mental health counseling services.

中、韩、美三国咨询心理学工作伦理守则比较

心理咨询专业伦理是为了保护来访者利益和规范心理咨询工作的重要内容。本研究目的在于通过不同国家之间的心理咨询师伦理守则的对比，使得我国可以在心理咨询伦理守则上借鉴与学习他国的经验和方法，制定和更新出一套符合我国国情和文化的心理咨询伦理守则。本文通过网络资料考察、各学会的心理咨询伦理守则调查以及文献资料查找等方法对中、韩、美三国的心理咨询伦理守则内容翻译后进行分析和整理，并且对三国心理咨询伦理守则进行了比较。 The professional ethics of psychological counseling is essential for protecting the interests of clients and giving standards to the work of psychological consultation. The paper is designed to borrow experiences from other countries through comparison between the codes of ethics in different countries, in order to update our codes of counseling ethics and make it more suitable to China’s situation and culture. This paper has translated and laid out the codes of ethics for psychological counseling in China, Korea and the United States by means of network survey, studies on ethical codes of Societies, and bibliographic search, so as to carry out a comparison between those ethical codes in the three countries.

Challenges and Difficulties About College Counseling in China: Response to Portnoy (2013)

ABSTRACTPortnoy (2013) shared a series of personal observations about central issues in Chinese college mental health based on his Fulbright year in China. While we really appreciated his personal observations and his discussion, which shed light on cultural differences and structural forces in China, we present here a different perspective on his observations. To summarize, we describe the current situation regarding training, supervision development, and some deficiencies in Chinese college counseling, illustrate the operations of Chinese college counseling centers, and identify challenges of applying Western theory to the Eastern mental health care environment.

The counselor perspective on the use of directives in counseling in China: Are directives different in China as in the United States?

Eight Chinese counselors were interviewed about their use of directives in counseling. They typically believed that directives can be beneficial in counseling Chinese clients. They used directives to extend the influence of counseling beyond sessions, meet client needs and expectations, and fit their own personality and orientation. In terms of conditions that need to be met for directives to be helpful, they identified client factors such as readiness, communication styles, past experience, and insight; the counselor factor of ability to communicate directives; and the therapeutic relationship. They emphasized the importance of clients acquiring a new perspective as a result of directives. Cultural factors in using directives are discussed.

Career Guidance and Counseling for University Students in China

In recent years, various forms of career guidance and career counseling have become more prominent and better serviced in most universities throughout the world. Such services are obviously to the benefit of the students themselves and for society. After an initially slow start, researchers and practitioners in China have now begun to focus on the localization of guidance and counselling theory and strategies in order to match more exactly actual employment situations in different regions of the country. This should result in a service that meets students' needs more effectively. Using mainly core literature examining the context of career guidance and counseling in China from 2001 to the present, this paper elaborates on the current situation and summarizes the progress that has been made. The authors detail the content, implementation, problems that exist, and ways of improving projects of this kind in Chinese universities. Conclusions and suggestions for further research on career guidance and counseling are provided.

Examination of Chinese homeroom teachers’ performance of professional school counselors’ activities

Chinese homeroom teachers’ performance of professional school counselor activities was explored. A total of 109 homeroom teachers in Beijing and Harbin, China reported their performance of 68 different school counseling activities as part of their regular actions as a homeroom teacher. Results found that on average homeroom teachers performed a wide variety of counseling tasks and together almost all tasks were performed by homeroom teachers. Further, participants reported frequently providing individual counseling to students on a range of concerns. Findings in this study support calls for the continued development of school counseling in China, hiring more school counselors, and additional training for homeroom teachers. Limitations, recommendations, and avenues for future research are described.

The Trajectory of Counseling in China: Past, Present, and Future Trends

This article surveys the past, present, and future trends of counseling in China. Historically, mental health problems were addressed within the family. Currently, psychotherapy from trained practitioners is available on a limited basis, at least in urban settings. The challenge of mental health in China is tremendous, and the efforts to meet that challenge are encouraging. The authors recommend that in the future, prevention and intervention services be offered that are ecosystemic, strengths‐based, and culturally appropriate.

Letting a Hundred Flowers Bloom: Counseling and Psychotherapy in the People's Republic of China

Although the Chinese have been exposed to Western psychotherapies since the 1950s, the practice of counseling is a relatively new phenomenon. In this article, we trace the development of counseling in China, examine its cultural and practical relevance, and review recent advances in training and practice. Although heavily influenced by Western models, contemporary Chinese approaches to counseling reflect the philosophical traditions, cultural history, and indigenous help-seeking practices of a rapidly modernizing society. The increasing popularization of psychotherapy in China is analyzed in the context of the changing social and economic climate and the crises and opportunities that accompany Chinese life in the 21st century.

The Evolution of Career Guidance and Counseling in the People's Republic of China

Although China has a long history of vocational guidance, it is functionally at a beginning stage in career development and counseling because of the historical vagaries of its political leadership. Vocational guidance and career counseling services, as a professional field, are now rapidly being developed to meet the growing need of Chinese society. M. Pope's (1995, 2000) social transitions stage model is applied to the development of career counseling in China. In particular, this article addresses historic and current trends in the economy and labor market in China and their profound impact on the development of career counseling.

The Development of Counseling Psychology in Higher Educational Institutions in China

To examine the recent development of counseling at universities in China, a survey questionnaire was administered to a group of counselors who participated in a national training workshop in counseling. Respondents were asked to provide information about a number of areas, including their training and counseling activities and their perceptions of several areas related to the development of counseling in China. The results suggested that most counselors had received little formal training in counseling, and counseling was often done in the context of political and thought education. Respondents perceived themselves as needing more training in practical counseling skills than in Western counseling theories. They perceived limited resources and a lack of professionally trained counselors as major barriers. The results are discussed in relation to the future development of counseling at universities in China.