Therapeutic Counseling Research Articles

Myasthenia gravis in infancy

Symptoms of myasthenia gravis in infancy may occur from passive transfer of maternal disease, acquired autoimmune disease, or nonautoimmune hereditary disease. Of nine patients with infantile-onset myasthenia who were not born to mothers with the disease, two had detectable antibody to acetylcholine receptor. Patients with or without antibodies were clinically indistinguishable, except for the occurrence of similar disease in siblings of patients without antibody. Differentiation of autoimmune and hereditary myasthenia in infancy is necessary for appropriate therapeutic measures and genetic counseling. Antibody determinations provide a useful aid in this differentiation.

Myasthenia gravis in infancy.

Symptoms of myasthenia gravis in infancy may occur from passive transfer of maternal disease, acquired autoimmune disease, or nonautoimmune hereditary disease. Of nine patients with infantile-onset myasthenia who were not born to mothers with the disease, two had detectable antibody to acetylcholine receptor. Patients with or without antibodies were clinically indistinguishable, except for the occurrence of similar disease in siblings of patients without antibody. Differentiation of autoimmune and hereditary, myasthenia in infancy is necessary for appropriate therapeutic measures and genetic counseling. Antibody determinations provide a useful aid in this differentiation.

Effectiveness of psychotherapeutic counseling in methadone maintenance.

Therapeutic counseling has been widely adovacted with methadone maintenance, but its effectiveness has not been demonstrated. A review of the literature revealed a dearth of scientific investigations comparing treatment outcomes with and without counseling services. The few studies which have been reported seem to suggest that counseling does not significantly change treatment outcomes as measured by the usual indicators of illicit drug use, arrests, employment, and retention in the program. These studies suffered from a number of methodological flaws, however, including failure to adhere to research design, small sample size, poorly matched control groups, inadequate outcome criteria, and absence of post-treatment follow-up. Previous investigators have been nearly unanimous in calling for further studies of this issue. Since the cost of counseling services represents a major portion of treatment program budgets, there is an urgent need to document the effectiveness of these services with definitive studies.

Personal mythology as a paradigm for a holistic public psychology.

Viewing personal myths as cognitive structures, this paper examines the existing literature on cultural mythology, considers its relationship to personal mythology, and proposes an understanding of personal myths as a means of enhancing individuals' control over their lives. Its applicability to therapeutic counseling and its role in a holistic public psychology are discussed.

Nutritional implications of renal disease. II. The dietitian's key role in studies of dialysis therapy

As research develops better dialysis techniques, the dietitian's input in the management of patients with renal disease is vital, for their protein status must be "fine tuned" with individualized treatment and counseling. Her pivotal role is being demonstrated in the National Cooperative Dialysis Study of the National Institutes of Health, one phase of which is being conducted by three hospitals in San Francisco. In that study, close monitoring of the protein catabolic rate (PCR) and blood urea nitrogen (BUN) in predialysis patients, coupled with adjustments in therapeutic dietary regimens and counseling as indicated, shows promise of bringing such patients into good control, targeted at 80+/-10 per cent bun with a PCR of 1.1+/-0.3 gm. per kilogram per 24 hr. Various dietary techniques, either singly or in combination, are being employed in an attempt to control dietary intake.

Dietary Treatment of Type IV Hyperlipoproteinemia

This communication describes an investigation of the effectiveness of dietary counseling in the treatment of patients classified phenotypically as having type IV hyperlipoproteinemia or endogenous hypertriglyceridemia. Over a period of two years, 103 patients who received instructions for a therapeutic diet and regular dietary counseling by a physician and dietitian had a large decline in the concentration of serum triglycerides, as compared to 175 patients with the same diagnosis who received similar diets but little dietary counseling. Over the period of the study, the median plasma triglyceride concentration decreased from 302 to 210 mg/100 ml, the mean triglyceride value from 381 to 263 mg/100 ml, and the mean weight from 84 to 80 kg in the group receiving dietary counseling.

Sterilization and therapeutic abortion counselling for the mentally retarded.

Resume Une des tâches les plus difficiles pour le professionnel consiste a conseiller le domaine extremement delicat de la sterilisation et de l'avortement therapeutique. Elle est encore plus difficile quand la patiente est une arrieree mentale. L'article reproduit ici cherche a etablir certains principes de base a l'attention du professionnel qui doi affronter un tel cas. Voici ces principes: 1. (1a) L'examen determinant si une patiente entre en ligne de compte pour un avortement ou pour la sterilisation parce qu'elle est arrieree mentale doit comporter des tests psychologiques, une determination de la situation sociale de la patiente et un entretien avec un psychiatre. 2. (1b) Le consentement de la patiente est sans utilite et il faut y trouver une solution de rechange lorsque l'examen social revele que la patiente est incapable de se comporter en citoyenne independante ou si les tests psychologiques revelent un quotient d'intelligence egal ou inferieur a 55. 3. (1c) La sterilization et l'avortement devraient etre recommandes et aisement realisables chez les arrierees dont le quotient d'intelligence est inferieur a 55. Il devrait en etre de meme pour les retardees dont le Q.I. se situe entre 55 et 70, s'il existe des facteurs d' “instabilite emotionnelle” significatifs. 4. (2) L'effet, nefaste a la sante de la mere normale, de la necessite de s'occuper d'un enfant gravement arriere est un motif a sterilisation ou a avortement quand il est demontre qu'il existe un danger accru de mise au monde d'un tel enfant.

Training for institutional change

If counselors are going to perform functions different from dyadic therapeutic counseling, institutions preparing counselors must change the context and processes of their programs. Assisting an individual to change is difficult; intervention for institutional change is infinitely complex. Yet many of the concepts and skills are the same for both. Dustin describes the procedures he has used to equip counselors to utilize the basic principles of change with an organization as a target. Other trainers may use other methods in this relatively new extension of counselor functioning; what is clear, however, is the need for new training models if our goals of creating humane environments is to be reached.

Sterilization and therapeutic abortion counselling for the mentally retarded

Resume Une des tâches les plus difficiles pour le professionnel consiste a conseiller le domaine extremement delicat de la sterilisation et de l'avortement therapeutique. Elle est encore plus difficile quand la patiente est une arrieree mentale. L'article reproduit ici cherche a etablir certains principes de base a l'attention du professionnel qui doi affronter un tel cas. Voici ces principes: 1. (1a) L'examen determinant si une patiente entre en ligne de compte pour un avortement ou pour la sterilisation parce qu'elle est arrieree mentale doit comporter des tests psychologiques, une determination de la situation sociale de la patiente et un entretien avec un psychiatre. 2. (1b) Le consentement de la patiente est sans utilite et il faut y trouver une solution de rechange lorsque l'examen social revele que la patiente est incapable de se comporter en citoyenne independante ou si les tests psychologiques revelent un quotient d'intelligence egal ou inferieur a 55. 3. (1c) La sterilization et l'avortement devraient etre recommandes et aisement realisables chez les arrierees dont le quotient d'intelligence est inferieur a 55. Il devrait en etre de meme pour les retardees dont le Q.I. se situe entre 55 et 70, s'il existe des facteurs d' “instabilite emotionnelle” significatifs. 4. (2) L'effet, nefaste a la sante de la mere normale, de la necessite de s'occuper d'un enfant gravement arriere est un motif a sterilisation ou a avortement quand il est demontre qu'il existe un danger accru de mise au monde d'un tel enfant.

Psychotherapy in the school

Counseling and psychotherapy are two terms for the same function; there is no essential difference in the nature of the relationship, the process, the methods and techniques, the purposes or goals, or the results. Vocational counseling is not a different kind or level of counseling, requiring less background or preparation. If anything, preparation for vocational counseling requires more time than does preparation for therapeutic or personal counseling—the former includes the latter. Therefore, if counseling has a place in our schools, it cannot be limited to vocational counseling. It appears that there is a need or place for counseling and counselors in our schools, and that recognition and acceptance of this need is growing. The school has the opportunity, and the responsibility, for providing counseling, broadly conceived, to its students. The staff member who has been designated as a school counselor appears to be the logical person to provide counseling services. While it is true that in the past the school counselor has not in fact been a counselor, nor adequately prepared to function as a counselor, counseling is presently accepted as the major function of the school counselor, and his preparation is becoming essentially preparation for performing the counseling function. While there are some who resist this trend, it appears to be well established.

A Negative View Toward Therapeutic Counseling In The Public Schools*

A Negative View Toward Therapeutic Counseling In The Public Schools*

An integrated approach to research on therapeutic counseling with samples of results.

An integrated approach to research on therapeutic counseling with samples of results.

Review of An Introduction to Therapeutic Counseling.

Review of An Introduction to Therapeutic Counseling.

An introduction to therapeutic counseling.

An introduction to therapeutic counseling.

The Nondirective Method as a Technique for Social Research

The client-centered technique of therapeutic counseling, which makes the client responsible for directing the interview and for the attitudes expressed, is significant for research. It is iseful because it gets at deep attitudes of the person interviewed without the injecting of bias on the part of the interviewer. It is especially valuable in attitude surveys and research in personality.