Counseling Procedures Research Articles

The Examination of the Counseling Supervision Effect on Personal and Professional Development of First-Time Supervisees

The study investigated how clinical supervision affects the personal and professional development of first-time supervisees. The explanatory sequential mixed methods research design was employed in the study. Quantitative data was collected using a single group pretest-posttest experimental design to evaluate the impact of supervision on the personal and professional development of counselors in training. Individual interviews were conducted with 51 volunteer participants who were counselors in training at a state university in western Türkiye. Paired-sample t-tests were used to analyze the quantitative data, while content analysis was employed for the qualitative data. The findings showed that supervision significantly enhanced the counselors in training's effective counselor characteristics and self-awareness management strategies. However, there were no significant differences in hindering self-awareness and professional disposition. The qualitative analysis revealed that counselors in training who participated in supervision gained a deeper understanding of counseling procedures and techniques, increased trust in the profession, and improved self-efficacy. Counselors in training also highlighted the positive impact of their supervisor and group supervision format on their development. The results of the study suggest the significance of supervision in counselor education. It is recommended that the variables included in the current research and the effect of supervision should be examined in more studies.

Should the scope of NIPT be limited by a 'threshold of seriousness'?

Non-invasive prenatal testing (NIPT) has the potential to screen for a wider range of genetic conditions than is currently possible at an early stage of pregnancy and with minimal risks. As such, there have been calls to apply a 'threshold of seriousness' to limit the scope of conditions being tested. This approach is based on concerns about society at large and the potential impact on specific groups within it. In this paper, we argue that limiting the scope of NIPT using the criterion of 'seriousness' is arbitrary, potentially stigmatises certain disabilities over others and fails to respect reproductive autonomy. We contend that concerns about expanded NIPT are more appropriately addressed by the provision of adequate information, counselling and consent procedures. We recommend a decision-making process that helps healthcare providers support prospective parents to make informed decisions about the nature and scope of NIPT screening based on their own values and social context. In addition to addressing concerns about expanded NIPT screening, this process would help clinicians to obtain legally valid consent and discharge their duty of care (including the duty to inform) in the prenatal context.

Development of a Hybrid Training Package of Narrative Counseling Based on Parebhasan Culture to Improve Counselor Skills in Madura

Multicultural counseling is an essential approach for counseling services in Indonesia, with thousands of cultures and local wisdom. Multicultural Counselling is one of the keys to understanding the student's views, characteristics, and values based on their cultural background. One of the multicultural counseling developments is integrating Madhura's Parebhasan into the narrative counseling model. This research aims to develop a hybrid training design to improve counselor skills using narrative counseling based on Madhura's Parebhasan. This research used ADDIE's model to develop the training program. Data collection from 20 counselors in Madura used the reflection and training test and performance observation form. Data analysis uses descriptive, graphical, correlation, and regression analysis. The research results show that mastery of the material and practices in training affect the counselor's performance. Five Madhura's Parebhasans are integrated and suitable for escalating the effect of the narrative counseling procedure. The hybrid training package of Narrative Counseling based on Parebhasan has been developed and validated in practice. This research suggests testing the effectiveness and evaluating the implementation for the specific needs and problems of the students.

Treacher Collins Syndrome (mandibulofacial dysostosis) – A case report

Background. Treacher-Collins Syndrome (TCS) (or mandibulofacial dysostosis) is a rare autosomal dominant genetic disorder involving 1st and 2nd branchial arches present with craniofacial deformities with variable expressivity. TCS commonly manifests as facial dysmorphism with varied presentations. In this case report, we demonstrate the typical CT (Computed Tomography) findings of the characteristic features. Case report. Here, we report an 8-year-old boy who presented for evaluation of uneven facial features. Upon a multidisciplinary evaluation, he was diagnosed with TCS, and the characteristic radiological features are described in this report. Conclusions. TCS has a variable degree of phenotypic expression with no related developmental delay or neurologic disorder. Proper counselling, planning, and surgical procedures are necessary for more promising results.

Analysis and Design of a Web-Based Counseling Guidance Management Information System at ABC High School

Counseling is a professional support process aimed at helping individuals or groups overcome various personal, emotional, social, or psychological problems. This process involves trained counselors who utilize specialized techniques to provide guidance, support, and advice, facilitating better coping mechanisms and overall well-being. Given the critical role of counseling in fostering mental health and personal development, it is essential to continually improve and enhance counseling services for students. By doing so, counselors can ensure they are providing the most effective and comprehensive support possible. At present, SMA ABC relies on traditional methods such as Microsoft Word and Microsoft Excel to record and store data related to counseling and guidance. While functional, these tools are not optimized for the dynamic and multifaceted nature of counseling work. This traditional approach can be time-consuming and prone to errors, hindering the efficiency and effectiveness of the counseling services provided to students. To address these challenges, a web-based management information system is needed. Such a system would streamline the process of recording, storing, and retrieving information, enabling counselors to complete their tasks more quickly, accurately, and on time. A well-designed web-based system would also facilitate better data analysis and reporting. The development of this system will use the waterfall method, a systematic and sequential approach to software development. This method ensures that all data and information related to the counseling procedures and the system's technical implementation are thoroughly processed and accurately integrated, resulting in a reliable and efficient management tool.

The Construction of the Narrative Self: Applying the Internal Multi-Actor Performance Method for Children (IMAP-C) to Help Children Cope with Emotional Distress

Currently, young people are confronted with a rapidly changing world filled with uncertainty, which often triggers negative emotions such as fear or sadness, ultimately leading to emotional distress. This article demonstrates a method that structures practitioners’ work and helps young people to cope with emotional distress. Known as the dialogical Method of Internal Multi-Actor Performance (IMAP) (Gkantona, 2023), this method was founded on the Dialogical Self Theory (DST) and has been developed for therapeutic and counseling procedures. The IMAP is a narrative method which aims to analyze the client’s multi-voicedness and its methodology follows four evolving dialogical stages (Thesis, Antithesis, Synthesis, and Meta-thesis), which facilitate the reorganization of clients’ internal narratives. Thus, the Internal Multi-Actor Performance Method for Children (IMAP-C) is presented, as modified to meet the needs of counseling and therapeutic procedures for children and adolescents experiencing emotional distress. Its adjustment to children’s needs focuses on developmental issues and the dialogical features of working with children as well as the use of art therapy techniques (i.e., role plays, drawings and therapeutic puppetry). A clinical case example illustrates the dialogical processes underlining the application of the IMAP-C in the treatment of a nine-year old boy who suffers from fears and post-traumatic stress. The child’s first attempts to form an integrated narrative identity are also highlighted.

PENGEMBANGAN KUALITAS PRIBADI KONSELOR SECARA PROFESIONAL DALAM PELAYANAN BIMBINGAN KONSELING: LITERATURE REVIEW

The goal in providing counseling services is to provide conditions which can help clients develop psychological strength to evaluate his behavior now, and can get that behavior now and can get behavior more effective. The process of learning to behave effectively is facilitated by creating warm counseling environment and application of various counseling procedures. To achieve this requires quality interpersonal relationships both between counselor and counselee. Counseling as a profession depicted by the counselor's appearance. A professional counselor is a figure who can present himself as a role model. Among competencies counselor, the most important thing is the personal quality of the counselor, because the counselor used as a person who must be able to display his true identity complete, precise and meaningful, and build good interpersonal relationships so that it becomes the driving force for the success of the service. Personal counselor is wrong one of them is an "instrument" that can determine positive results in counseling process, because the core of the therapeutic process in counseling is the relationship built between the counselor and the counselee. So personal qualities counselor is essential for counselors to achieve their goals optimal in the counseling process.

Language Assessment in Bilingual Turkish-Speaking Preschoolers With Developmental Language Disorders: A Tutorial

Purpose: Developmental language disorder (DLD) is a common childhood disorder that hinders children from functioning in other developmental areas, such as social–emotional and cognitive domains. Consequently, a comprehensive speech and language assessment of children is of great importance. Of concern, however, is the challenge for speech and language pathologists to assess the speech and language skills of bilingual children. This article aims to inform clinicians, researchers, and other experts working with bilingual Turkish-speaking children with DLD about bilingual language assessment. Method: The current literature on Turkish–English bilingual language acquisition and bilingual language assessment is reviewed, and the general characteristics of bilingual development are reported. In order to understand how the first language affects the second language, a contrastive analysis of the Turkish and English languages is summarized. A case study is described to highlight essential factors to take into account when creating a comprehensive language assessment battery for Turkish, covering all areas impacted by DLD. Results: The results of the proposed language assessment protocol are analyzed, and its practical use is discussed. Additionally, the case study child's strengths and the skills requiring support are interpreted with regard to their implications for daily life activities and prospective academic requirements. Conclusions: This tutorial highlights the importance of comprehensive language assessment for the differential diagnosis of DLD in bilinguals as the most essential step to develop an appropriate intervention program and counseling procedures. Such assessment considers individual as well as cultural differences of children and their family members.

Urethral reconstruction using amniotic membrane allograft in hereditary androgen insensitivity syndrome: a case series

Abstract Partial androgen insensitivity syndrome is a rare X-linked disorder. While most cases are sporadic, familial cases are less frequent. The management of this syndrome follows a multidisciplinary approach involving hormone substitution, psychological counseling, and surgical procedures. We present a case series of three young siblings with familial partial androgen insensitivity syndrome who presented with a female phenotype. All of them were managed with hormonal treatment for 6 months followed by surgical reconstruction. The operative procedure involved phalloplasty and urethroplasty using amniotic membrane transplant, which is considered a novel technique in this group of patients. No intraoperative or postoperative complications were observed and good results were achieved within 2 years of follow-up.

Unveiling the impact and efficacy of cross-cultural divorce counselling procedures

Cross-cultural divorce counselling is a type of therapeutic approach that aims to help people and families cope with the complexities of divorce in different cultural contexts. This includes a variety of culturally adaptive and context-specific solutions that target not only the legal and emotional issues of divorce, but also the cultural complexities that can influence the experience and resolution of divorce. This includes access to qualified interpreters, cultural sensitivity training, and customized legal support. This study essentially states that to effectively deal with the complexity created by the diversity of legal systems around the world, a harmonized strategy (as illustrated in the suggested solution) is needed. This reinforces the view that it is clear that this interface requires a multifaceted and adaptable approach to legal methodology. Establishing an effective legal approach in cross-cultural divorce counselling requires more than simply addressing legal complexities. It is about creating an environment where people from different cultural backgrounds have access to justice, understanding and solutions that are tailored to their specific cultural background. This paper outlines the need for cross-disciplinary collaboration and pre-emptive measures to improve cross-border divorce counselling, leading to optimal results for all parties involved.

A genotype-phenotype correlation in split-hand/foot malformation type 1: further refinement of the phenotypic subregions within the 7q21.3 locus.

Background: Split-hand/foot malformation type 1 (SHFM1) refers to the group of rare congenital limb disorders defined by the absence or hypoplasia of the central rays of the autopods with or without accompanying anomalies, such as hearing loss, craniofacial malformation, and ectodermal dysplasia. Consequently, the condition is characterized by clinical variability that hinders diagnostic and counseling procedures. SHFM1 is caused by pathogenic variants affecting the DLX5/6 genes and/or their tissue-specific enhancers at the 7q21.3 locus. Herein, we report on seven patients from five unrelated Polish families affected by variable symptoms of the SHFM1 spectrum, all harboring 7q21.3 or 7q21.2-q21.3 rearrangements, and provide a genotype-phenotype correlation in the studied cohort. Methods: We applied GTG banding, array-based comparative genomic hybridization (aCGH), and whole-genome sequencing (WGS) in order to identify the causative aberrations in all affected patients. Results: The identified pathogenic structural variants included deletions and/or translocations involving the 7q21.3 locus, i.e., t(7;10)(q21.3;q22.2) and t(7;12)(q21.3;q21.2) in all affected individuals. Interestingly, a sporadic carrier of the latter aberration presented the SHFM1 phenotype with additional features overlapping with Baker-Gordon syndrome (BAGOS), which resulted from the translocation breakpoint at chromosome 12 within the SYT1 gene. Conclusion: Clinical variability of the studied cohort reflects the composition of the DLX5/6 regulatory elements that were dislocated from their target genes by chromosomal rearrangements. The correlation of our data with the previously published observations enabled us to update the phenotypic subregions and regulatory units within the SHFM1 locus. In addition, we present the first case of SHFM1 and BAGOS-like phenotype that resulted from translocation breakpoints at chromosomes 7 and 12, both of which were pathogenic, and consequently, we show the first evidence that BAGOS can also result from the regulatory loss-of-function SYT1 mutations. In this paper, we emphasize the utility of sequence-based approaches in molecular diagnostics of disorders caused by regulatory structural variants.

Drivers of uptake of HIV testing services, a snapshot of barriers and facilitators among adolescent boys and young men in Lusaka: a qualitative study

BackgroundStriking gender and rural–urban disparities highlight the need to redesign HIV services to improve HIV testing and linkage by adolescent boys and young men (ABYM) in sub-Saharan African cities.PurposeWe sought...

Application of next generation sequencing in cardiology: current and future precision medicine implications.

Inherited cardiovascular diseases are highly heterogeneous conditions with multiple genetic loci involved. The application of advanced molecular tools, such as Next Generation Sequencing, has facilitated the genetic analysis of these disorders. Accurate analysis and variant identification are required to maximize the quality of the sequencing data. Therefore, the application of NGS for clinical purposes should be limited to laboratories with a high level of technological expertise and resources. In addition, appropriate gene selection and variant interpretation can result in the highest possible diagnostic yield. Implementation of genetics in cardiology is imperative for the accurate diagnosis, prognosis and management of several inherited disorders and could eventually lead to the realization of precision medicine in this field. However, genetic testing should also be accompanied by an appropriate genetic counseling procedure that clarifies the significance of the genetic analysis results for the proband and his family. In this regard, a multidisciplinary collaboration among physicians, geneticists, and bioinformaticians is imperative. In the present review, we address the current state of knowledge regarding genetic analysis strategies employed in the field of cardiogenetics. Variant interpretation and reporting guidelines are explored. Additionally, gene selection procedures are accessed, with a particular emphasis on information concerning gene-disease associations collected from international alliances such as the Gene Curation Coalition (GenCC). In this context, a novel approach to gene categorization is proposed. Moreover, a sub-analysis is conducted on the 1,502,769 variation records with submitted interpretations in the Clinical Variation (ClinVar) database, focusing on cardiology-related genes. Finally, the most recent information on genetic analysis's clinical utility is reviewed.

Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge

BackgroundPharmacists can use teach-back to improve patients’ understanding of medication; however, the evidence of its impact on patient outcomes is inconsistent. From the literature, there is no standardised way to provide pharmacist-delivered medication counselling at hospital discharge, with limited reporting on training.AimTo develop a standardised medication counselling procedure using teach-back at hospital discharge, and to evaluate feedback from patients and pharmacists on this initiative.MethodA standardised intervention procedure was developed. Participating pharmacists (n = 9) were trained on teach-back via an online education module and watching a demonstration video created by the researchers. Pharmacists provided patients with discharge medication counselling utilising teach-back and a patient-friendly list of medication changes to take home. To obtain feedback, patients were surveyed within seven days of discharge via telephone and pharmacists answered an anonymous survey online.ResultsThirty-two patients (mean age: 57 years; range: 19–91) were counselled on a mean 2.94 medications/patient with the mean counselling time as 23.6 min/patient. All patients responded to the survey, whereby 93.7% had increased confidence regarding medication knowledge and were satisfied with the counselling and the information provided. All pharmacist survey respondents (n = 8) agreed they were given adequate training and that teach-back was feasible to apply in practice.ConclusionThis is the first study to evaluate patients’ views on pharmacist-provided teach-back medication counselling. With positive patient outcomes, a standardised procedure, and a comprehensive description of the training, this study can inform the development of discharge medication counselling utilising teach-back going forward.

The Management of Voluntary Abortion in Family Counselling Services. A Qualitative Study on the Role of Social Workers in Italy

Introduction. Elective abortion has always been considered taboo. The event can sometimes be experienced as traumatic, as the woman finds herself struggling against a range of emotions: fear, shame, ambivalence, and a sense of guilt. Multidisciplinary support is therefore fundamental to guide women during this complex phase, and social workers usually play a key role in the process. The present study aimed therefore to explore the experiences and perspectives of social workers who worked with women who decided to have abortions, focusing on the strongest and weakest aspects of their support process. Methodology. The study involved 10 social workers working in family counselling services in Italy. All of them were female, with a mean age of 47 years, and a mean of 16.7 years of experience in the field. The study followed a qualitative approach, based on semi-structured interviews that were studied following the principles of thematic analysis. Results. Three fundamental themes emerged from the data analysis: “Limits of the family counselling procedures and organization”; “The emotional dimension of elective abortion”; and “The issue of conscientious objectors”. Discussion. The study highlighted how family counselling services are facing a crisis due to the lack of resources, personnel, and projects allowing for women’s proper sexual education and support. It also showed how the social worker’s role, which is fundamental, has instead been reduced, especially regarding elective abortions. Moreover, there was a lack of social and sanitary contexts integration and professional training that would provide the operators with specific skills and make them feel prepared to address such delicate situations. Conclusions. The need has emerged for a new, multidisciplinary perspective on the issue of voluntary interruption of pregnancy and social workers play a major role. However, the support system still presents many shortcomings for the women in need of assistance. The present study offers innovative and practical suggestions to properly fill these gaps.

Psychological counseling procedures and techniques

Psychological counseling procedures and techniques

Studi Kepustakaan Penerapan Konseling Naratif dalam Bimbingan dan Konseling

The aim of this study are (1) describes the targets for the application of narrative counseling, (2) describes the scope of application narrative counseling, (3) describes the procedures for application narrative counseling, and (4) describes the successful application of narrative counseling. The approach used is qualitative with a type of literature review. The data sources used are 25 research data that correspond to the problems to the problem studied. The data collection technique used is documentation (document analysis). The result of this study are (1) the target of application of narrative counseling are children, adolescents, adults, and the elderly, (2) the scope of application or narrative counselling are personal, social, academic, and career areas, (3) the procedures for application of narrative counseling are good relationship building, problem identification, implementation of narrative counseling techniques, and follow up with termination, and (4) the successful application of narrative counseling is able to resolve problems such as depression, lonely, negative self concept, low happiness, death anxiety, identity crisis, ADHD, low self acceptance, communication anxiety, social phobia, low marital satisfaction, low motivation to learn, and desperate to find a job.

Community Service: Safe, Effective, and Beneficial Skincare Counseling for Kalam Kudus II Jakarta High School Students

Teenagers with inadequate knowledge about cosmetics are more likely to use harmful or unlawful goods. Students at SMA Kalam Kudus II Jakarta have never received instruction on the selection and application of beauty products. This counseling session is anticipated to raise the SMA Kalam Kudus II Jakarta students' awareness of the importance of utilizing adolescent-appropriate and safe skin care products and how to select them. This counseling procedure is conducted offline for counseling participants at Kalam Kudus II Jakarta High School. The given counseling material addresses a variety of adolescent skin conditions, as well as the many types of skincare ingredients and how to choose the appropriate one based on the adolescent's skin. Compared to the Pre-test, which was administered prior to the presenter's explanation of the topic, there was an increase in knowledge on the Post-test. Therefore, it can be inferred that participants gained knowledge from this activity's material and conversations, particularly in regards to the skincare material offered.

Модифицированный раздел доабортного консультирования

The problem of pregnancy termination is multifaceted. According to the current legislation, women who come to a healthcare facility for an induced termination of pregnancy undergo pre-abortion counseling. During the consultation, the specialist has several tasks: to compare the arguments for pregnancy termination or preservation; to help competently assess the current life situation; to consider ways to solve problems; to provide information about federal and regional support measures for pregnant women and families with children; to inform about possible negative consequences of an artificial termination of pregnancy. The authors believe that in addition to psychological assistance to women in the situation of choice, it is of great importance to provide detailed information about the negative reproductive consequences of abortion, including the problem of premature ovarian insufficiency. Due to the high prevalence of premature ovarian insufficiency among female population, it seems necessary to supplement the existing pre-abortion counseling procedure with a section devoted to the problem of physiological and pathological loss of ovarian reserve and the impact of pregnancy termination on this process. To inform a woman about her risk of premature ovarian insufficiency and about her presence of this condition in general would allow a woman to consciously avoid additional negative influences (smoking, alcohol, stress), make an informed decision about her reproductive plans and their timing, and possibly resort to oocyte cryopreservation methods in cases where the risks of premature ovarian insufficiency are extremely high. When premature ovarian insufficiency is already diagnosed, the only way to have a baby is to use assisted reproductive technology, but with the use of donor eggs.

Timing Is Everything! Fertility Preservation Process From Patient Cancer Diagnosis Through Ovarian Tissue Cryopreservation to the Start of Treatment

AbstractChildren diagnosed with cancer today can expect a greater than 80% chance of 5-year survival. Childhood cancer survivors are significantly more likely to be infertile or have difficulty getting pregnant than their siblings. Studies have shown that infertility is one of the primary concerns of cancer survivors. Fertility preservation (FP) completed before treatment starts gives the patient the best fertility potential for a biological child in the future. Infertility is a significant risk factor for those treated with gonadotoxic therapy for cancer in childhood or adolescence. Infertility risk counseling and FP procedures may have the greatest success of fertility and hormone restoration if performed before the initiation of gonadotoxic therapy.A single-institution retrospective chart review was completed of patients enrolled in an institutional-review-board-approved ovarian tissue cryopreservation protocol from 2011 to 2019. Data collected include demographics and the timing of various stages of the FP process. One hundred five patients were included in this chart review (58 prepubertal and 47 postpubertal).Most consult requests were from the solid tumor diagnosis group. The time from diagnosis to consultation was 18 days, the time from consult to ovarian tissue cryopreservation surgery was 7 days, and the time from surgery to treatment was 5 days. Further investigation of time to consult revealed timing was justified in most patient situations.Workflow, education, and outreach were established. Future analyses will include defining the incidents and efficiencies in providing fertility and hormone consultations in female and male patients who do not undergo FP procedures.