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William Attree (1780–1846) came from a prominent family in Brighton, England. He studied medicine at St Thomas' Hospital, London, and there was unwell for nearly 6 months with severe 'spasms' of the hand/arm/chest (1801–1802). Attree qualified Member of the Royal College of Surgeons in 1803 and served as dresser to Sir Astley Paston Cooper (1768–1841). In 1806 Attree is recorded as 'Surgeon and Apothecary' of Prince's street, Westminster. In 1806 Attree's wife died in childbirth and the following year he underwent emergency amputation of the foot in Brighton following a road traffic accident. Attree served as surgeon in the Royal Horse Artillery at Hastings, presumably in a regimental or garrison hospital. He went onto become surgeon to the Sussex County Hospital, Brighton, and Surgeon Extraordinary to two Kings: George IV and William IV. In 1843 Attree was appointed as one of the original 300 Fellows of the Royal College of Surgeons. He died in Sudbury, near Harrow. His son William Hooper Attree (1817–1875) was surgeon to Don Miguel de Braganza, the former King of Portugal. The medical literature appears to lack a history of nineteenth century doctors (especially military surgeons) with physical disability. Attree's biography goes a small way towards developing this field of enquiry. [ABSTRACT FROM AUTHOR]

Here we present newspaper accounts from the Sussex Advertiser to consider hitherto largely unknown Brighton doctors active between 1800 and 1809. This body of physicians, surgeons and apothecaries comprised Brighton's 'Gentlemen of the [medical] Faculty', whom the newspaper also dubbed the 'Disciples of Aesclepius'. Members are considered under three broad categories. First, are Brighton-based clinicians (Mr Barratt, Mr Bond, Charles Bankhead, Thomas Guy, John Hall, John Newton, Benjamin Scutt and Sir Matthew Tierney). Second are London clinicians, probably in attendance to the Prince of Wales (John Hunter and Thomas Keate), More widely, two dentists (Dr Durlacher and Mr Bew) and two Royal Navy surgeons (Robert Chambers and Thomas Thong) also recorded at Brighton are considered. Other aspects of medical life are described: recruiting an apprentice, anatomy training at Joshua Brooke's London museum, midwifery, a description of a surgeon's bag and the last reference to the Royal Sussex Jennerian Society (which disappears from the newspaper record in 1807). Clinical cases described include: resuscitation from near-drowning, post-mortem examinations, death from the 'gravel and stone' and accounts of suicide. The primary sources presented in this paper offer rare glimpses into medical life in Brighton at the very start of the nineteenth century. [ABSTRACT FROM AUTHOR]

Robert Henderson was a Scottish physician who qualified Doctor of Medicine at Aberdeen in 1786. By 1792, Henderson was working in Brighton on the south coast of England. He was admitted Licentiate of the College of Physicians of London in 1793. At Brighton he probably worked as a parish doctor. In 1795 Henderson was appointed Physician to the Forces and probably served as a garrison doctor. In Brighton, he is noted as an advocate of chalybeate water therapy (i.e. mineral spring water containing iron salts). Henderson undertook basic experiments into the chemistry of mineral water and a few, very brief, clinical observations may be his. In Henderson's time, the chalybeate in question was part of the 'Wick estate' to the North West of Brighton. Today the site of the spring is located within St Ann's Well Gardens, Hove and this article briefly considers its history. Circumstances link Henderson to Sir Lucas Pepys MD (1742–1830), physician-general to the army and closely associated with both the College of Physicians and the town of Brighton. Henderson died in Brighton on the 3rd April 1808. Henderson's daughter Sophia Janet married Captain William John Thompson Hood who served at Trafalgar aged eleven. [ABSTRACT FROM AUTHOR]

Gladys Mary Wauchope was a pioneering woman physician and general practitioner in London and Brighton. Descended from an ancient Scottish family, she was the second female medical student at the London Hospital Medical College after Elizabeth Garrett Anderson, enrolling during the brief period from 1918 to 1928 in which women were permitted to study medicine in mainstream London medical schools due to shortages of doctors caused by the First World War. Unperturbed by opposition to her gender from male colleagues, she was initially house physician on the firm of Sir Robert Hutchison at 'the London', and went on to hold an array of posts in large London hospitals at a time when finding such work was challenging for women doctors. She settled in Hove as a general practitioner in 1924, later becoming a consultant physician at several major Brighton hospitals. Made only the eighth female fellow of the Royal College of Physicians, she also set up the first diabetic clinic in Sussex and Kent. Gladys authored several books, including her autobiography 'The Story of a Woman Physician', which documents life through two world wars and the introduction of the National Health Service, whilst keenly observing the changing landscape of medicine and its place in society. [ABSTRACT FROM AUTHOR]

Coronavirus disease 2019 (COVID-19) and the national lockdowns of 2020/2021 illustrate how modern public health systems are founded on empirical evidence and contemporary understanding of disease transmission. Duncan Forbes was one of the earliest sanitarians in Britain to propose and implement a new understanding of infectious disease control. Starting his early career in Manchester and Cambridge, his eventual tenure as Brighton's longest-serving medical officer of health (MOH) left an indelible mark by challenging the entrenched tradition of terminal disinfection and by devising his "Brighton methods" for the care of tubercular patients. Forbes led Brighton's public health responses during World War I and the 1918/1919 "Spanish" influenza pandemic. Forbes also strove to improve health and housing in Brighton. His views on limiting access to contraception on the grounds of eugenics are also significant. Analysis of Forbes' work then allowed a discussion of both his legacy and of the applicability of his experiences to our own in tackling COVID-19. Forbes undeniably had a great influence in shaping modern public health practice in Britain and his challenges as MOH bear many similarities, as well as stark differences, to today's experience of COVID-19. [ABSTRACT FROM AUTHOR]

The 19th century was a period of rapid change in English medical education. Little is known about the important contribution of smaller, hospital-based, provincial medical schools which sprang up to provide important practical training opportunities for students, typically as a foundation for further training and examination in London. One such example is the 1834 Brighton 'School of Practical Medicine and Surgery', which was based at the Sussex County Hospital and recognised by the Royal College of Surgeons and Worshipful Society of Apothecaries. Unlike many other 19th century medical schools, the history of the Brighton school is largely undocumented. Although it remained dependent upon London through the 'College and Hall' examination system, this article shows that the school's pragmatic and adaptive educational approach allowed it to play an important role in educating future doctors in Brighton from 1834 into at least the early 20th century. [ABSTRACT FROM AUTHOR]

Remote microphones (RMs) enable clearer reception of speech than would be normally achievable when relying on the acoustic sound field at the listener's ear (Hawkins, J Sp Hear Disord 49, 409–418, 1984). They are used in a wide range of environments, with one example being for children in educational settings. The international standards defining the assessment methods of the technical performance of RMs rely on free-field (anechoic) delivery, a rarely met acoustic scenario. Although some work has been offered on more real-world testing (Husstedt et al., Int J Audiol 61, 34–45. 2022), the area remains under-investigated. The electroacoustic performance of five RMs in a low-reverberation room was compared in order to assess just the RM link, rather than measurements at the end of the signal chain, for example, speech intelligibility in human observers. It pilots physical- and electro-acoustic measures to characterize the performance of RMs. The measures are based on those found in the IEC 60118 standards relating to hearing aids, but modified for diffuse-field delivery, as well as adaptive signal processing. Speech intelligibility and quality are assessed by computer models. Noise bands were often processed into irrelevance by adaptive systems that could not be deactivated. Speech-related signals were more successful. The five RMs achieved similar levels of good predicted intelligibility, for each of two background noise levels. The main difference observed was in the transmission delay between microphone and ear. This ranged between 40 and 50 ms in two of the systems, on the upper edge of acceptability necessary for audio-visual synchrony. [ABSTRACT FROM AUTHOR]

William Taylor was a British army surgeon remembered for his role as deputy inspector of hospitals (DIH) at Waterloo serving under Sir James Grant MD (1778–1852). No biography of Taylor exists beyond his entry in Drew's records of commissioned officers in the medical services of the British Army. Taylor appears to have been a Scotsman and is first noted as a hospital mate in 1795. He joined the 10th Royal Dragoons (Hussars from 1806) as an assistant surgeon in 1797. He is recorded at Guildford (1800) and Brighton (1803). He was made surgeon in August 1803. A further reference to Taylor, deduced from the title of "regimental surgeon," is documented at Lewes, Sussex, in 1808. Taylor served with the 10th Hussars in the Peninsular and Challis' roll call records his service at the Battles of Sahagún (21 December 1808) and Benavente (29 December 1808). Taylor was transferred to the staff on 20 June 1811 and made DIH on 25 July 1811. He was put on half-pay before being reinstated for Waterloo. Taylor retired on half-pay in February 1816 and died at Turnham Green on 9 January 1820. His Waterloo medal was sold in 2006. [ABSTRACT FROM AUTHOR]

Following Edward Jenner's research into cowpox, a wave of vaccination services emerged across England. Despite some resistance, these began to promote population prevention where variolation had failed. Sussex's first vaccine institution has long been considered to be that of Sir Matthew Tierney (1776–1845). Founded in 1804, Tierney's "Royal Sussex Jennerian Society for the Extermination of the Small-pox" comprised sixteen stations, including one in Kent. This article presents an earlier example: the 1803 "Brighton Royal Jennerian Institution", founded by a "Mr Chambers" to serve "the indigent poor". Given that both held royal and military appointments in Brighton, Tierney must have been aware of Chambers' efforts in vaccination. It is unclear why Tierney's 1804 plan for the Sussex Vaccine Institution makes no mention of Chambers. In 1803 Chambers also directed the establishment of Brighton's first military hospital and is noted as "surgeon extraordinary" to the Prince Regent. Chambers is identified as William Chambers of the 10th Royal Dragoons, who served at Toulon (1793) as a surgeon's mate. He is also documented at Corsica in 1794 where he examined Nelson's injured eye following the siege of Calvi. Mr Chambers' origin and more details of his biography remain unknown. [ABSTRACT FROM AUTHOR]

This article considers the history of Fort Pitt (1780-1922), its military hospital (founded 1814) and, in particular, its Army Medical School (1860–63). The museum and library were the work of the hospital's first directors: Dr David MacLoughlin and Sir James McGrigor, the latter the renowned reformer of military medical education. Central to the foundation of the medical school was Florence Nightingale who visited the site in 1856. The school opened in 1860 with five sets of students attending before it was transferred in 1863 to the Royal Victoria hospital, Netley, Hampshire. Fort Pitt was a "practical" medical school with students attending for 4-9 months of clinical experience. This included "instruction in tropical medicine" delivered by members of the Indian Medical Service. The foundation of a military medical school fulfilled an ambition dating back to at least 1796. Nightingale's role (exerted through Sidney Herbert) was omitted from contemporary newspaper reports. Fort Pitt continued as a military hospital until 1922 when it was converted to a school. The medical school constitutes a landmark in British military medicine, a response to the failure of British medical care in the Crimean war (1853–1856) and a forgotten legacy of Florence Nightingale. [ABSTRACT FROM AUTHOR]

Leslie Wallace Lauste (1908–2001) was an English surgeon of French ancestry who practised in Brighton. This article used his memoirs and interviews to describe his life during the Second World War. In 1940, after declining evacuation by the Royal Navy, he was captured at Boulogne- Sur-Mer. Lauste went on to work in the following hospitals, of which most were attached to prisoner of war (POW) camps: Dannes-Camiers (France), Lille (France), Enghien (Belgium), Malines (Belgium), Dieberg (Germany), Klein-Zimmern (Germany), Stadtroda (Germany), Treysa (Germany), Kloster Haina (Germany), Lamsdorf (Poland), and Moosburg (Germany). Lauste's memoirs indicate that most surgical work was routine rather than trauma-related. He gained considerable freedoms in camp and attended external hospitals to give a surgical opinion. Lauste witnessed the consequences of allied bombing raids on German cities and considered these a "genocide." Lauste's life offers insight into the Nazi mistreatment of Russian prisoners, management of a typhus outbreak, camp liberation, and extraordinary journeys within occupied Europe. His memoirs provide new insight into the life of a British POW surgeon and reveals personal courage, kindness to others, and passion for medicine. Lauste never married. He died in Brighton in 2001. [ABSTRACT FROM AUTHOR]

Chinese international students are the largest international student body (33.19%) in the United States. However, career services on college campuses are underutilized by this population despite their pressing needs for career guidance. Chinese international students' expectations about career counseling may explain the disconnection between needs and service utilization. Although clients' expectations about counseling have been studied extensively, no study has focused on Chinese international students' expectations about career counseling. The current qualitative study surveyed 58 Chinese international students by using 10 open-ended questions that inquired about their expectations, including preferences and anticipations, about career counseling. Findings highlighted a number of needs and expectations for career counseling, such as outcome-driven activities, specificity of services, rapport with counselor, taking assessments, and culturally sensitive services. Clinical implications for career services on campus and future directions for research were discussed. [ABSTRACT FROM AUTHOR]

According to Black et al., one in five women will be raped during their lifetimes. In one national survey, it was found that of 14,989 female college students from nine institutions, 34% reported experiencing a completed or attempted sexual assault in their lifetimes and 21% of them reported that they had experienced a completed or attempted sexual assault as a college student. Therefore, effective sexual assault prevention efforts targeted at men are needed, and several initiatives have been developed. The current study provides a meta-analytic investigation of male-targeted sexual assault prevention interventions. Eligible studies were located from the following databases: Psychological Information Database, Education Resources Information Center, Medical Literature Analysis and Retrieval System Online, Google Scholar, Dissertation Abstracts Online, Criminal Justice Abstracts, and reference sections of relevant articles. The weighted mean effect size for between-subjects studies of sexual assault attitudes showed improvement (d = −0.24, k = 25), and the effect was statistically significant (p <.001). The weighted mean effect size for between-subjects studies of future inclinations toward engaging in sexually aggressive behavior (d = −0.20, k = 13, p =.02) and toward engaging in sexual assault prevention behavior (d = 0.27, k = 10, p =.007) showed statistically significant improvements as well. However, the weighted mean effect sizes for between-subjects studies of rape empathy, sexual assault knowledge, sexual assault–related attitudes, and sexual assault perpetration were nonsignificant. Results show there is significant room for growth, both in terms of practical applications and further research. [ABSTRACT FROM AUTHOR]

Irish physician Sir Matthew John Tierney (1776–1845) was a vaccine pioneer who learnt the procedure directly from Edward Jenner in Gloucestershire. In 1802 Tierney completed an MD at Glasgow on vaccination and moved to Brighton, where he was appointed physician to the Prince of Wales (the future King George IV). This paper considers Tierney's role in the foundation of the 1804 Sussex Vaccine Institution. Tierney was the first president of the Institution's Medical Council. His leadership lay in his knowledge of vaccination (including transporting cowpox material) and his close relationship with the Prince of Wales. The Institution's official name was the Royal Sussex Jennerian Society for the Extermination of the Small-pox and offered vaccination at 16 stations across the county and one in Kent. Vaccination was undertaken by local surgeons at their houses at set hours. In its first year, the Institution vaccinated 946 individuals, of whom 509 for free. Despite this, concerns were raised over uptake by poorer members of society. The Institution's Brighton station was probably absorbed into the new 1809 dispensary. Tierney's promotion of vaccination and instructions for new practitioners represent the embryonic beginnings of evidence-based medicine and modern medical education in Brighton. [ABSTRACT FROM AUTHOR]

The research related to the working alliance in career counseling is reviewed in this article. This review indicates that the working alliance does typically increase over the course of career counseling. Furthermore in career counseling, most of the correlations between the working alliance and various outcome measures were significant and hovered around .30, which is consistent with findings related to the correlation between the working alliance and the outcome in psychotherapy. In terms of factors that predict the working alliance’s contribution to career counseling outcome, there is a lack of studies and more research is needed in this area. This article also provides suggestions for practice in career counseling and recommendations for future research. [ABSTRACT FROM AUTHOR]

Many school counselors endorse using social justice advocacy to close achievement gaps. In this study, school counselors from a single state scored in the moderate to high range on the Social Issues Advocacy Scale. Results showed alignment between school counselors' self-endorsement of social justice advocacy and scores on the Advocacy Competencies Self-Assessment. School counselors working in recognized comprehensive programs, including Recognized ASCA Model Programs and Indiana Gold Star, scored higher on social justice advocacy measures than those in non-recognized programs. [ABSTRACT FROM AUTHOR]

Intake summaries and progress notes written by counseling trainees were examined to determine the extent to which work or academically related problems are discussed in counseling sessions when clients present with distress attributed to work or academic problems and personal concerns. Content analysis revealed that work or academically related problems were rarely discussed. The notes were also examined to explore factors or processes that distract counselors from addressing work or academically related problems in counseling sessions when clients indicated problems in work or academic area. Relational problems were found to be the most common topic that was likely to have distracted counselors from addressing work or academic problems. Finally, the data also revealed failure to integrate work and academic areas with discussions of personal concerns. [ABSTRACT FROM AUTHOR]

A review of the content of the Journal of Career Assessment was conducted from the journal’s inception (i.e., 1993) through 2011. A total of 545 articles were analyzed for this content analysis. The content analysis was based on content, characteristics of empirical studies, and authorship. In terms of content, the major areas were career assessment, theoretically based articles, and issues related to special populations. Strengths of empirical studies included large sample sizes and ethnically diverse samples, whereas limitations concerned an over reliance on college student participants and not reporting information regarding race or ethnicity of the sample. The content analysis concludes with a list of the 15 most productive scholars who have published in the journal. [ABSTRACT FROM PUBLISHER]

This article in a series on the next ‘‘big’’ questions in vocational psychology focuses on vocational interventions. The author proposes three primary questions with the first question asking vocational psychologists to consider the role they are going to play in the delivery of effective vocational or work-related interventions. The second question also addresses effective interventions and concerns what interventions are most helpful to which clients and under what conditions. The final question proposed by the author concerns what are the cost/benefits ratios of career counseling or vocational interventions. [ABSTRACT FROM PUBLISHER]

Three counseling psychology colleagues (Lichtenberg, 2011; Mallinckrodt, 2011; Murdock, 2011 [all this issue]) provide differing perspectives about the findings from our target article (Scheel et al., 2011) of the decline of published counseling-related research in our major journals. In this rejoinder we respond to each author’s viewpoints concerning the decline.We reiterate our explanations for the decline, which include (a) stringent and narrowly defined criteria for publication, (b) elimination of analogue research from publication, (c) fewer mentors of process and outcome research, (d) declining interest in counseling-related research, and (e) difficulties in gaining access to counseling-related data.We offer a metaphor for the current state of research in counseling psychology of creating a confusing pile of bricks, not building edifices, and suggest it is time to create specialized journal outlets in counseling psychology to focus and connect counseling-related research with other important contexts of our field. [ABSTRACT FROM PUBLISHER]

A suspected decline in published counseling-related research in The Counseling Psychologist ( TCP) and the Journal of Counseling Psychology (JCP) was investigated through content analyses of the two journals from 1979 to 2008. A marked decline in counseling-related research may signify a shift in emphasis away from counseling as the most fundamental area of counseling psychology. Findings revealed a drop in counseling-related articles from 77.7% to 37.2% of all articles. Both journals independently showed a decline, but it was more pronounced for JCP. Analogue studies decreased most sharply, whereas field studies, supervision, career, and prevention research also declined markedly. Potential explanations are offered, including fewer counseling-related articles submitted, a trend toward more stringent methodological criteria, fewer senior role models, changing editorial preferences, expanded publication outlets, and a shift in emphasis or identity within counseling psychology. Recommendations are proposed for the promotion of more counseling-related research. [ABSTRACT FROM PUBLISHER]

Background: Planned or unplanned reconstruction of the common femoral artery (femoro-femoral crossover and/or patch closure) may be required following endovascular abdominal aortic aneurysm repair (EVAR) stent graft deployment for arterial closure or maintenance of limb perfusion. The aim of this study was to examine the incidence of common femoral artery reconstruction (FAR) following EVAR and examine the effect on patient survival. Methods: A total of 178 patients undergoing EVAR were studied retrospectively. Results: In all, 31 patients (17.4%) underwent FAR; 16 (51.6%) femoro-femoral crossover, and 15 (48.4%) endarterectomy and patch closure. All cause survival in patients undergoing FAR was significantly poorer than those undergoing direct closure (P = .010).A total of 3 factors: the need for FAR (hazard ratio [HR] = 0.435, P = .006), chronic obstructive pulmonary disease ([COPD] HR = 0.424, P = .002), and abdominal aortic aneurysm (AAA) size (HR = 1.414, P = .005) were significantly and independently associated with survival on forward conditional analysis. Conclusions: Femoral artery reconstruction was performed in almost 1 in 5 patients undergoing EVAR and associated with decreased survival. Multidisciplinary teams should be aware of these findings when planning EVAR, especially in borderline candidates. [ABSTRACT FROM PUBLISHER]

Vocational overshadowing has been defined as an underemphasis on career concerns when personal problems coexist. This study explored whether vocational overshadowing occurred based on observers' perception of the setting (i.e., either career counseling center or mental health counseling center). Clinicians in-training viewed an analogue counseling session in which the only difference between the two vignettes was whether the session was conducted in a career counseling center versus a mental health counseling agency. The participants then completed measures of the working alliance, evaluation of session process, and level of client's neuroticism. Clinicians in-training perceived the working alliance, session factors (i.e., depth, smoothness, and arousal), and client's level of neuroticism similarly, regardless of the setting of the session. The only slight difference was in the participants' perceptions of the session conducted in a career center. Implications of these findings for research, practice, and education were discussed. [ABSTRACT FROM AUTHOR]

Aims: The aim of this study is to evaluate an intervention using social marketing principles to increase breastfeeding and reduce smoking during pregnancy in a population to improve life chances for children born in a town in north east England. Method: Breastfeeding and smoking cessation attendance rates were measured against targets set in a government-local health authority agreement. Results: Targets were bettered in both breastfeeding and smoking cessation. Conclusion: This social marketing-based approach is successful. [ABSTRACT FROM AUTHOR]

This article evaluates the initial psychometric qualities of the School Counseling Program Evaluation Survey (SCOPES). SCOPES is a 64-item instrument designed to correspond to The National Standards for School Counseling Programs (Campbell & Dahir, 1997). Coefficient alphas on the overall score and the three subscales (i.e., Academic, Career, and Personal/Social Development) were all above. 90. All items had significant factor loadings with the specified subscales. The loadings for Academic Development were .38 to .79; for Career Development, .42 to .78; and for Personal/Social Development, .36 to .70. The indexes of goodness-of-fit supported a three-factor instrument. Additionally, students with more contacts with their school counselor reported more career competencies than did students who had never met with a counselor. [ABSTRACT FROM AUTHOR]

The National Panel for School Counseling Evidence-Based Practice was established by the Center for School Counseling Outcome Research to improve the practice of school counseling by helping to develop the research base that is necessary for responsible and effective practice. This article presents the panel's Outcome Research Coding Protocol and its evaluation of the scientific research evidence supporting the effectiveness of the Student Success Skills and Second Step interventions. [ABSTRACT FROM AUTHOR]

This article provides a brief overview of the outcome research on psychotherapy with children and adolescents. Outcome research indicates that psychotherapy can be effective with both children and adolescents, with meta-analyses indicating that youth who participated in this type of intervention tended to score on the outcome measures half of a standard deviation or more above those who did not receive any intervention. Little is known about the process of psychotherapy with children, but there are some indications that the therapeutic relationship is important. Moreover, there is some research that supports the assumption that certain types of treatment are most helpful with specific clinical issues. [ABSTRACT FROM AUTHOR]

Meta-analyses of the effectiveness of college sexual assault education programs on seven outcome measure categories were conducted using 69 studies that involved 102 treatment interventions and 18,172 participants. Five of the outcome categories had significant average effect sizes (i.e., rape attitudes, rape-related attitudes, rape knowledge, behavioral intent, and incidence of sexual assault), while the outcome areas of rape empathy and rape awareness behaviors did not have average effect sizes that differed from zero. A significant finding of this study is that longer interventions are more effective than brief interventions in altering both rape attitudes and rape-related attitudes. Moderator analyses also suggest that the content of programming, type of presenter, gender of the audience, and type of audience may also be associated with greater program effectiveness. Implications for research and practice are discussed. [ABSTRACT FROM AUTHOR]

Qualitative career assessments are theoretically based interventions that are grounded in constructivism. Constructivism is a departure from the traditional logical positive worldview that has influenced the development of many traditional career assessments. A central concept to constructivism is the importance of meaning, which can only be understood in relation to context. Qualitative career assessment is idiographic in nature, and the individual serves as the reference point in both identifying pertinent themes and interpreting the meaning of those events. Furthermore, there is often a focus on social processes and the understanding that one’s view of the world is not static and is concurrently influenced by historical and cultural contexts that are continually changing and developing. Qualitative assessment often is seen as a potentially useful method for attending to issues related to diversity in career assessment. Because the purpose of qualitative assessment often is to co-construct a working narrative, the clinician must be skillful enough to not misinterpret clients’ discourse or unduly influence clients’ understanding of the meaning of their experiences. In addition, the advantages of integrating qualitative and quantitative career assessments are explored. [ABSTRACT FROM AUTHOR]

A consensual qualitative research methodology was used to analyze the career counseling cases of 12 noted vocational psychologists to identify common themes and factors. The findings indicated that the career counseling described by these experts often involved the same counseling or helping skills found in personal counseling or psychotherapy. Furthermore, these experts indicated that their career counseling had a theoretical foundation, and many of them discussed using both formal and informal assessments as a part of the process. In the majority of cases, the clinicians were sensitive to social-contextual factors and incorporated interventions related to issues of race and ethnicity, gender, and sexual orientation. In responding to career counseling cases, the experts also indicated they would explore relational influences on career decision making with a focus on influences of the client’s family of origin. Implications for practice and research are discussed. [ABSTRACT FROM AUTHOR]

Based on a developmental contextual perspective advocated by Vondracek, Lerner, and Schulenberg, this article provides a comprehensive review of the research published since 1980related to family of origin influences on career developmentandoccupational choice. Because individuals are most likely to seek assistance with career decisions from family members, it is important that counseling psychologists understand how families can have a positive influence and facilitate career development. Influential family contextual factors are identified within four developmentallevels (i.e., children, adolescents, college students/young adults, and adults). Across the lifespan, both family structure variables (e.g., parents’ occupations) and family process variables (e.g., warmth, support, attachment, autonomy) were found to influence a host of career constructs; however, the process by which families influence career development is complex and is affected by many contextual factors such as race, gender, and age. Based on this comprehensivereview, implicationsfor counselingresearch andpracticeare discussed. [ABSTRACT FROM PUBLISHER]

Romano and Kachgal proposed a model for collaboration between counseling psychology and school counseling, which they argued would advance each specialty and benefit children and adolescents. In this response, the author examines current trends in both specialties that may impede a closer partnership while also considering the advantages of the proposed model. In conclusion, the author argues that there is a common denominator, counseling, that could serve as a uniting factor. [ABSTRACT FROM PUBLISHER]

Ethical assessment practices require practitioners to examine assessments in terms of their appropriateness for male and female clients. This article explores gender differences on career assessments in the areas of individual differences and career choice process with a focus on ethical implications for gender-sensitive career assessments. Although the focus of this discussion is on career assessment with women, the suggestions also apply to male clients. Recommendations for gendersensitive career assessment and interpretation are provided. [ABSTRACT FROM AUTHOR]

This article is designed to apply the Principles of Empirically Supported Interventions to the research related to career counseling and interventions. Although there is empirical support for career interventions in general, there is significant variation in effectiveness among different treatment approaches. The most effective interventions are individual career counseling and career classes, whereas workshops/structured groups and career classes are the most efficient method of providing services to the largest number of clients. Although the findings are somewhat tentative, there is preliminary support for the inclusion of five critical ingredients in all types of career interventions. Additional research, however, is needed to identify which clients benefit from which interventions and under what circumstances.

Examines the effectiveness of school counseling activities and programs. Influence of school counselors on student development; Reference to the dearth of research in school counseling; Impact of financial constraints on counseling programs.

Increased demands for accountability information have resulted in many career counseling practitioners and researchers seeking sound methods for measuring the effectiveness of career counseling and interventions. This article proposes a conceptual framework designed to assist individuals in systematically selecting multiple career outcome measures. This classification scheme is based on psychotherapy outcome schemes and career counseling research. In addition to presenting the organizational scheme for selecting career outcome assessments, the author provides an example of using the scheme to select instruments to evaluate a career counseling group offered in a university counseling center. [ABSTRACT FROM PUBLISHER]

Indications are that individuals will increasingly use the Internet to access career assessments in the new millennium. The purpose of this article is to analyze the current state of Internet career assessments, which includes a discussion of potential benefits and problems. In addition, methods for practitioners to evaluate career assessment websites are discussed. The authors also make suggestions for the further development of sound Internet career assessments and for additional research in this area. [ABSTRACT FROM PUBLISHER]

Investigates the validity of the Tel-Aviv Activities Inventory as a measure of leisure activities specifically designed for children and adolescents. Leisure activities as a predictor of adult accomplishment; Application of intellectual abilities, task commitment, persistence and other cognitive and personal-social attributes to leisure activities. INSET: Putting the research to use..

Ninety-seven patients underwent Hartmann's procedure between 1981 and 1986 at the University Hospital, Nottingham. Sixty-one (63%) required this operation as an emergency procedure. There was an overall mortality of 22% and the morbidity rate was 56%. Infective and cardiovascular problems accounted for 77% of all complications encountered reflecting the age and underlying condition of the patients requiring this procedure. Thirty patients had successful restoration of intestinal continuity, the majority of these having their original procedure performed as an emergency for benign disease. There were no immediate postoperative deaths from reanastomosis and few short- or long-term anastomotic problems, however there was again considerable postoperative morbidity. [ABSTRACT FROM AUTHOR]

Discusses empirical research on counseling relationship as well as the status of understanding of this element in the therapeutic process. Conceptual implications; Elements of the relationship based on the multidimensional model proposed by Gelso & Carter in 1985; Implications of a potential paradigm shift; Theoretical models and systemic research.

The city is part of nature, a fact that has profound implications for how cities are designed, built, and managed For centuries, city designers have exploited nature to promote human purposes The roots of this tradition are as diverse as the many ways in which nature contributes to human health, safety, and welfare An overview of that tradition is outlined here, along with an assessment of existing knowledge and prospects for city design [ABSTRACT FROM PUBLISHER]

Pure-tone threshold audiometry is currently the standard test of hearing. However, in everyday life, we are more concerned with listening to speech of moderate loudness and, specifically, listening to a particular talker against a background of other talkers. FreeHear delivers strings of three spoken digits (0–9, not 7) against a background babble via three loudspeakers placed in front and to either side of a listener. FreeHear is designed as a rapid, quantitative initial assessment of hearing using an adaptive algorithm. It is designed especially for children and for testing listeners who are using hearing devices. In this first report on FreeHear, we present developmental considerations and protocols and results of testing 100 children (4–13 years old) and 23 adults (18–30 years old). Two of the six 4 year olds and 91% of all older children completed full testing. Speech reception threshold (SRT) for digits and noise colocated at 0° or separated by 90° both improved linearly across 4 to 12 years old by 6 to 7 dB, with a further 2 dB improvement for the adults. These data suggested full maturation at approximately 15 years old SRTs at 90° digits/noise separation were better by approximately 6 dB than SRTs colocated at 0°. This spatial release from masking did not change significantly across age. Test–retest reliability was similar for children and adults (standard deviation of 2.05–2.91 dB SRT), with a mean practice improvement of 0.04–0.98 dB. FreeHear shows promise as a clinical test for both children and adults. Further trials in people with hearing impairment are ongoing. [ABSTRACT FROM AUTHOR]