APRIL 2005 135 BUMC PROCEEDINGS 2005;18:134–137 Genetic counseling deals with the “human problems associated with the occurrence, or the risk of occurrence, of a genetic disorder in the family” (1). Genetic counseling is essentially a communication process—about medical facts, the contribution of heredity to certain conditions, the interpretation of test results, and the options available. It a...

BACKGROUND Infertility all around the world and in every culture is recognized as a stressful and critical experience that threatens individual, familial, marital, and social stability. Thus, in accordance with the importance of a woman's mental health and the possible impact of mental health on treatment outcome, finding a way to deal with perceived stress in women can help improve pregnancy o...

OBJECTIVE Test whether physicians' counseling patients for smoking cessation with an autonomy supportive rather than controlling style would increase patients' active involvement in the counseling session and increase maintained abstinence. DESIGN Randomized trial of 27 community-based physicians using two interview styles, with observer ratings of patient active involvement and assessments o...

This study assessed the effects of training on the performance of 65 therapists in delivering manual-guided therapies to 202 cocaine-dependent patients. Changes in ratings of therapists' adherence and competence was assessed in 3 treatment modalities: supportive-expressive dynamic therapy (SE), cognitive therapy (CT), and individual drug counseling. Effects of manual-guided training on the ther...

BACKGROUND The objective of the present study was to evaluate the short- and long-term intervention and mediation effects of a 3-month individualized need-supportive physical activity (PA) counseling intervention on employees' PA and sedentary behavior. METHODS Insufficiently active employees (n = 300; mean age 42 ± 9 years; 78% female) were recruited from a large pharmaceutical company in Fl...

background: acquired immunodeficiency may impose considerable consequences on patients’ family behaviors toward them. the objective of the present study was to investigate whether a counseling program atbehavioralcounselingcenter in the city ofshiraz,iran could change the attitude, knowledge and behavior of patients' family members.   methods: 125 hiv/aids patients’ family members were intervie...

BACKGROUND As many as 70% of smokers with acute myocardial infarction (AMI) continue to smoke after hospital discharge despite high rates of inpatient smoking cessation counseling. Supportive contact after discharge improves quit rates but is rarely used. METHODS Using data from a meta-analysis of randomized trials of smoking cessation interventions and other published sources, we developed a...

Three commentators (Carter, 2011; Kim, 2011; Scheel, 2011) concurred with a central proposition of the target article (Ryan, Lynch, Vansteenkiste, & Deci, 2011): that client motivation for counseling is of critical importance to counselors and therapists. In this Reply, we acknowledge and address a number of issues raised by the commentators, including the role of motivation and autonomy in mul...