CCPJ - Volume 1, Issue 2

Counseling and ^TM

Clinical Psychology

Journal

ISSN:1545-4452

Home - Aims and Scope - Editorial Board - Submitting - Subscribing - Contents

Volume 1, Issue 2

May 2004

· Gender Differences in Dreams: A Matching Study

Michael Schredl, Christina Schwenger, & Annkathrin Dehe

(pp. 61-67)

Duty to Warn in the Context of HIV/AIDS-Related Psychotherapy: Decision Making Among Psychologists

Michael DiMarco & Susan S. Zoline

(pp. 68-85)

ABSTRACT - The purpose of this research study was to investigate psychologists’ (N = 84) perceptions of their duty to warn uninformed sex partners of an HIV-positive psychotherapy client reporting unsafe sexual practices. This study surveyed factors that psychologists take into consideration when determining to breach or preserve client confidentiality. Eighty-four psychologists from the Illinois Psychological Association responded to the survey questionnaire. The participants rated one of three vignettes where a male client, portrayed as heterosexual, bisexual, or homosexual, engaged in unsafe sexual activities with a partner. The majority of participants (68%) indicated that they would breach client confidentiality regardless of client sexual orientation. Ethical decision-making was based on a combination of clinical, moral and perceived legal factors and distinguished between breaching and non-breaching participants. The authors discuss recommendations that clinicians should consider if they encounter this type of ethical situation in clinical practice.

Testing Holland’s Congruence-Satisfaction Hypothesis Among Non-Professional Workers

Mark J. Miller, Connie Barlow Bass, John Wallace, & Ernest L. Cowger, Jr.

(pp. 86-90)

ABSTRACT - This study investigates a specific prediction of Holland’s (1985) theory: that workers tend to be more satisfied in occupations congruent with their personalities. Twenty nonprofessional workers were administered a measure of job satisfaction and were requested to rank order Holland types by degree of similarity. No significant correlation between the measures was found. The results raised question about the validity of the congruency-satisfaction hypothesis among non-professional workers.

Timeframe of Acceptance of Dying in End-Stage AIDS Patients During Their Final Week

Toshio Makie, Muneaki Harada, Yoshiaki Nose, Chiharu Kubo, Tsuyoshi Nakamura, Jun Hayashi, &

Seizaburo Kashiwagi

(pp. 91-99)

ABSTRACT - This study investigates the demographics that are predictive of acceptance of dying and the timeframe of acceptance of dying in a group of end-stage AIDS patients. Subjects were thirty-five end-stage AIDS patients (20 hemophiliacs, 15 non-hemophiliacs). Two physicians evaluated each patient’s acceptance of dying by reviewing nursing records of their final week of life. A piecewise linear logistic regression analysis was applied to the demographic and timeframe factors. Based on the patients’ behavior recorded by nurses, age at death and number of days before death were significantly related to the acceptance of dying. Over time, the patients’ acceptance of dying increased to 40% between the sixth and fourth days before death, but then drastically decreased to 15%, regardless of age, in the last four days. Knowledge of this timeframe may be useful for psychological strategies during a patient’s final week.

Beginning Practicum Students’ Worries: A Qualitative Investigation

Karin Jordan & William E. Kelly

(pp. 100-105)

ABSTRACT - This study qualitatively assessed the worries reflective of Stoltenberg’s Level Developmental model for counselors-in-training. Beginning counselors (N = 19) enrolled in beginning practicum courses identified their worries as counselors. Analysis of the results produced 15 relatively distinct worry themes of beginning counselors. The sample was largely worried about their competence and effectiveness as counselors. Relatively few worries about harming clients or ethical breeches were reported.