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PRACTICUM AND INTERNSHIP
Completely revised and updated, the fifth edition of Practicum and Internship is an eminently prac-
tical resource that provides students and supervisors with thorough coverage of the theoretical and
practical aspects of the practicum and internship process.
New to this edition is:
Judith Scott, PhD, is professor emeritus of the Department of Psychology in Education at the Uni-
versity of Pittsburgh and maintains a private practice in outpatient psychotherapy in Pittsburgh,
Pennsylvania.
John C. Boylan, PhD, was professor of counseling and psychology at Marywood University in
Scranton, Pennsylvania.
Christin M. Jungers, PhD, LPCC, is an associate professor in the clinical mental health counseling
program at Franciscan University of Steubenville in Steubenville, Ohio.
This page intentionally left blank
PRACTICUM AND INTERNSHIP
Fifth Edition
and by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
The right of Judith Scott, John C. Boylan, and Christin M. Jungers to be identified as
authors of this work has been asserted by them in accordance with sections 77 and 78 of the
Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any
form or by any electronic, mechanical, or other means, now known or hereafter invented,
including photocopying and recording, or in any information storage or retrieval system,
without permission in writing from the publishers.
To my grandchildren: Brenna, Katrina, and Nate Scott; Josie and Mica Swift;
Riley, Aiden (AJ), and Ellie Scott; and Roman and Levi Pardini, who bring me constant
joy and hope for the future.
Judith Scott
To his children and their spouses: John and Lisa Boylan; and Meghan and Ken Senisi,
who meant the world to him.
And to his grandchildren: Luke and Emily Boylan; and Molly and Caroline Senisi,
who were truly his blessings.
John C. Boylan
Christin M. Jungers
This page intentionally left blank
CONTENTS
SECTION I PREPRACTICUM
Implications60
Case Conceptualization 60
Case Conceptualization Models 61
The “Linchpin” Model 61
The Inverted Pyramid Model 62
The Integrative Model 63
Summary63
References64
Theory-Based Techniques 94
Procedural Skills 94
Professional and Issue-Specific Skills 94
Skill Area Two: Cognitive Counseling Skills 94
Skill Area Three: Self-Awareness/Multicultural Awareness Skills 94
Self-Awareness Skills 94
Multicultural Awareness Skills 95
Skill Area Four: Developmental Level 95
Self-Assessment in the Skill Areas 96
Sample Supervisee Goal Statement 96
Concepts in Group Supervision 97
Group Supervision in Practicum 99
Sample of Course Objectives and Assignments in Group Practicum 101
Activities in Group Supervision 102
Peer Consultation 102
Evaluation of Practicum in Group Supervision 104
Formative Evaluation 104
Summative Evaluation 104
Transitioning Into Internship 105
Recommended Skill Levels for Transitioning Into Internship 105
Group Supervision in Internship 105
Group Supervision Models in Internship 107
The SPGS Model 107
The Structured Group Supervision (SGS) Model 108
Evaluation in Group Supervision of Internship 108
Summary109
References109
CHAPTER 10 W
orking With Clients in Crisis and Other
Special Populations 165
Understanding Crisis and Trauma 165
The Kanel Model of Crisis Intervention 166
The James and Gilliland Model of Crisis Intervention 167
Crisis Intervention in Schools 169
School Counselors as Prevention Consultants for Crises 170
Suggestions for a School-Based Training on Crisis Response 170
Post-Crisis: Understanding Children’s Responses 172
The High-Risk Client: Understanding and Assessing Harm to Self 173
Defining Suicide and Debunking Common Myths 173
Warning Signs for Suicide 175
Risk Assessment for Suicide 176
Assessment Point 1: Desire to Die 176
Assessment Point 2: Capacity to Commit Suicide 176
Assessment Point 3: Suicidal Intent 177
Assessment Point 4: Buffers Against Suicide 177
Evaluating Suicide Risk: Putting It All Together 178
Suicide Risk Assessment Instruments 178
Intervention and Planning 179
Ethical and Legal Mandates Relating to Danger to Self 180
Professional School Counselors 180
xiv Contents
CHAPTER 11 C
onsultation in the Schools and
Mental Health Agencies: Models and Methods 207
Definition of Consultation 207
Types of Mental Health Consultation 208
Contents xv
FORMS
Form 2.1 Practicum Contract 247
Form 2.2 Internship Contract 249
Form 2.3 Student Profile Sheet 251
Form 2.4 Student Practicum/Internship Agreement 252
Form 3.1a Parental Release Form: Secondary School Counseling 253
Form 3.1b Elementary School Counseling Permission Form 254
Form 3.2 Client Permission to Record Counseling Session for Supervision Purposes 255
Form 3.3 Initial Intake Form 256
xvi Contents
Index313
ABOUT THE AUTHORS
Judith Scott, PhD, is a licensed psychologist, certified school counselor, National Certified Coun-
selor, and professor emeritus of the Department of Psychology in Education at the University of
Pittsburgh. During her tenure at the University of Pittsburgh she served as director of doctoral
studies and as field site coordinator in the CACREP-accredited counseling programs. She is a past
president of Pennsylvania ACES and was awarded Counselor Educator of the Year by the Penn-
sylvania School Counselors Association. Dr. Scott maintains a private practice that specializes in
outpatient individual psychotherapy in women’s issues and infertility counseling. Her research
focuses on counseling supervision and women’s adult development.
John C. Boylan, PhD, was a licensed psychologist, certified school counselor, and certified sex
therapist. Dr. Boylan was professor of counseling and psychology at Marywood University, Scran-
ton, Pennsylvania. During his long tenure at Marywood, he served as chairperson of the Graduate
Psychology and Counseling Program and director of Career Planning and Placement. In addition
to his academic duties, Dr. Boylan maintained a private practice in individual, marital, and sex
therapy in Clarks Summit and Scranton, Pennsylvania. After moving to South Carolina, he taught
part time in the Department of Psychology and Sociology at Coastal Carolina University and in the
Graduate Counseling Program at Webster University, Myrtle Beach, South Carolina.
Since the publication of the first edition of this text in 1988, each new edition has evolved to pro-
vide materials which support the many changes and developments in the counseling profession
and the preparation of professional counselors. In particular, the experiences and competencies
required of counselors-in-training while involved in their practicum and internship placement
have been and continue to be the focus of this book. As a counselor educator, it has been excit-
ing and my privilege to have been a part of participating in a process that enhances the quality of
those who become certified as professional counselors. For the first four editions, John C. Boylan
shepherded the work through the updates, revisions, and additions. It is now my turn to carry
the work forward and to bring in a counselor educator from a new generation, Christin Jungers,
to continue with this gratifying and important work. This fifth edition has benefited greatly from
new views and new voices. I am excited about the reorganization of this text, respectful of the
maturation of our profession, and hopeful about the many contributions of the new professional
counselors.
Judith Scott
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is: Why this shift occurs? Surely it is more rational to adopt a theory
which does not require such a supposition? If the sensitive matter
acted upon by the yellow-blue rays be always of the same chemical
composition, the shift cannot occur. It might, perhaps, be allowed
that one shift was practicable, but, unfortunately, the shifts must
become numerous when the cases of partial colour blindness are to
be accounted for, and this would necessitate a constantly varying
chemical composition of this matter, and of that acted upon by the
red-green rays.
Again, in the extinction of the spectrum, the red and the green
sensations in quantities to neutralize one another should be
extinguished nearly together, even allowing for what physiologists tell
us is the case, that the breaking down, or dissimulation, of cell tissue
continues longer than its building up, but we find a large difference
between the two. As already indicated, the luminosity curve of the
feeble spectrum favours the theory of Hering being that here we only
have the white-black sensation, and naturally the persistency curves
must be scored in its favour. But the cases of B. C. and M., it seems
to me, cannot be explained by the theory without any undue straining
or assumptions. If we try and fit the cases of colour blindness due to
tobacco scotoma to the theory, we find that in many cases yellow is
not recognised, though blue is invariably. If the blue be active, the
yellow should also be so.
And here I may remark that it has been assumed that the two
classes of colour blindness are due to different causes. A question to
ask ourselves is whether all colour blindness may not have been
caused originally by disease. In the congenital form, it is true, no
disease of the retina is traceable in the eye, and it is usually
hereditary, but it does not follow that the want of response of the
perceiving apparatus to certain sensations may not have been due
to what, for want of a better expression, I may call an hereditary
partial paralysis of the perceiving apparatus. If this be so, we have a
connecting link between the two classes, and then a perfect theory
should explain both classes on the same grounds. The suspicion
that the monochromatic vision of P. and Q. might possibly be due to
disease before birth, owing to the behaviour of their eyes under
certain conditions, would then be explicable. I have no desire to
press this view, though it seems to me to be one which is not out of
all reason, taking analogies from other defects which are hereditary.
It has been usually accepted that the fields for blue and yellow in
the eye are approximately the same, as are those of the green and
red, and this has been taken as showing the interdependence
between the two pairs according to the Hering theory. It has already
been pointed out that the question of extent of fields requires still
further investigation beyond that which it has received, and
measures made by the method given on page 208 seem to cast a
doubt as to whether this interdependence can be upheld. It will be
noticed that the fields do not extend proportionately on the nasal and
temporal sides (see also Fig. 3). It should also be remarked that the
order of extent of field for the different colours does not follow the
same order as their disappearance. A point that is sometimes raised
in favour of Hering’s theory is the negative image formed after the
eye is fatigued by looking at bright red or bright green. The negative
images (see page 30) are said to be the complementary of these
colours. The Young theory tells us that the red or the green
sensation suffers fatigue by one or other colour, and that when the
eye subsequently rests on a grey surface the other two sensations
are chiefly stimulated and cause the complementary colour. It is said
that it is easier to produce a negative green image than a negative
red image, and the adherents of Hering tell us that this is due to the
fact that destructive action is more readily carried out than
constructive. In the Young theory, it is held that the green sensation
is always mixed with white, whilst the red is fairly pure, and thus, for
equal luminosities, the surplus green sensation is much less
stimulated than the red, which offers a consistent explanation of this
fact. There are several other minor difficulties in the way of accepting
Hering’s theory as it stands from a physical point of view, but we
need not discuss them now.
The final sensation curves for the spectrum colours on the Young
theory are still under consideration, and are not definitely fixed,
though the observations made have been very numerous. Recently
Helmholtz, in the last edition of his “Physiological Optics,” has
calculated, from Kœnig’s observations, that no one of the three
sensations is singly stimulated by any colour, even at the extreme
ends of the spectrum, and he makes the three fundamental
sensations vary considerably from those given in these pages. Every
colour he states is considerably mixed with white light. The
calculations by which he arrived at this conclusion are of a
complicated nature, and I think if he had had besides the colour
equations of Kœnig, the luminosities and the extinction measures
before him, there might have been a modification of his views, for
these last give evidence to the contrary.
There is a possible modification of the Young theory which would
account for a good many of the phenomena that are unaccounted for
by it in its present form, though it may raise new difficulties in the
minds of some. Let us suppose that each of the three sensations
were compounded of fundamental light and of colour in fixed and
definite proportions, and not in the same proportion in each; and
further that the apparatus in the eye which was responsible for each
sensation had two functions, one of which was to respond to the
fundamental light sensation and the other to the colour. One
essential difference between this modification of the Young theory
and that of Hering is that, whilst in the latter the white sensation is a
sensation distinct from the colour sensations, in the former it is a
definite part of them. The fact that the sensation of colour is lost
before the sensation of light is one of the greatest significance, and
any theory to be accepted must offer a reasonable explanation of it.
If the modification suggested be made, it accounts for the existence
of this residuum of light equally as well as Hering’s theory, and
without its drawback. It is not hard to imagine the apparatus which
gives rise to two sensations, on the assumption of different kinds of
atomic motion, induced by the ether motion, or at least three kinds
are possible. When extinction of colour is made, the ether vibrations
would have sufficient energy to induce but one kind of motion; and
when all light was extinguished from the same ray, they would not be
capable of inducing any sensible motion whatever. In the case of
Miss W., who saw all colours as white, it might be that disease had
entirely prevented the first kind of motion in all three sensations, and
that in P. and Q. the red and green sensations were absent or
paralysed in their entirety, whilst the blue sensation was left in full
operation. In B. C. the blue and red sensations would be similarly
absent, leaving the green sensation unchanged. The coincidence of
their persistency and luminosity curves would then indicate that the
proportions of fundamental light and colour remained the same
throughout. Other examples and considerations seem to indicate
that the proportion of colour to fundamental light is greatest in the
red sensation, next in the green, and least in the blue. This would
explain why with increasing intensities blue appears white sooner
than green, and much sooner than red. The proposed modification
would also offer the necessary explanation as to the disappearance
of colour from the field.
Looking at colour vision from what I may call an evolutionary
point of view, the “light-colour” theory commends itself as probable.
There are many reasons for thinking that the visual sensation first
evolved was that of light, subsequently followed by that of colour.
The first evolved colour sensation would appear to have been the
blue, and the last the red. The discussion of this hypothesis would
carry me beyond my limits, and I must leave it thus baldly expressed
for your consideration.
For my own part, whatever theory of colour sensations may
prove to be the right one, I lean strongly to the idea that the cause of
vision will be found in chemical action, induced by the impact of the
different wave-lengths of light falling on sensitive matter. A white
substance may absorb all the wave-lengths found in the spectrum,
and if it have three sets of molecules, one of which has an atom or
atoms vibrating with the same period as the waves of light which
show a maximum for one sensation and another for another, and so
on, the requirements for the colour sensations are met. It may be
that the sensitive part of the retina is like a photographic plate, but
with this essential difference—that the sensitive material is
constantly changing. A photographic plate receives an impression
which is not recognisable by the eye, though it can be shown that a
change in the material does take place during the impact of light, by
electrical and other means. When the eye receives an impression of
light, Dewar has shown that in this case also a current of electricity is
generated. Recent published experiments of my own have
demonstrated that with a low intensity of light, the chemical change
that occurs in a photographic salt is by no means proportionate to
that which takes place with a greater intensity. In the eye, too, there
is a limit of sensibility to very feeble light. Again, the curves of the
stimulation of the colour sensations to the spectrum are closely of
the same form as the curves of sensitiveness of the various sensitive
salts used by photographers. These are analogies and, of course,
must not be pressed too far. There must be such a complexity in the
sensitive material in the eye, both chemical and physiological, that it
may be that the changes induced by light on the sensitive surface of
the retina have to be considered from both aspects. The purely
chemical change is naturally that to which a physicist is most prone
to incline, and his bias must be discounted, as must also that of the
physiologist.
APPENDIX.
The following is extracted from Maxwell’s paper.
The following table contains the means of four sets of
observations by the same observer (K.):—
Table VI.
A
Philosophical Transactions, 1859, Part I., p. 329.
Table A.
In the table on the left side (99·2 +) means the whole of the
spectrum beyond (99·2) on the scale, and (57 -) means the whole
beyond (57) on the scale. The position of the fixed lines with
reference to the scale was as follows:—
A, 116; a, 112; B, 110; C, 106; D, 98·3; E, 88; F, 79; G, 61; H, 44.
The values of the standard colours in different parts of the
spectrum are given on the right side of the above table, and are
represented by the curves of Fig. 9, Plate II., where the left-hand
curve represents the intensity of the “yellow” element, and the right-
hand curve that of the “blue” element of colour as it appears to the
colour blind.
The appearance of the spectrum to the colour blind is as
follows:—
From A to E the colour is pure “yellow,” very faint up to D, and
reaching a maximum between D and E. From E to one-third beyond
F towards G the colour is mixed, varying from “yellow” to “blue,” and
becoming neutral or “white” at a point near F. In this part of the
spectrum the total intensity, as given by the dotted line, is decidedly
less than on either side of it, and near the line F, the retina close to
the “yellow spot” is less sensible to light than the parts further from
the axis of the eye. This peculiarity of the light near F is even more
marked in the colour blind than in the ordinary eye. Beyond F the
“blue” element comes to a maximum between F and G, and then
diminishes towards H, the spectrum from this maximum to the end
being pure “blue.”
The results given above were all obtained with the light of white
paper, placed in clear sunshine. I have obtained similar results when
the sun was hidden, by using the light of uniformly illuminated
clouds, but I do not consider these observations sufficiently free from
disturbing circumstances to be employed in calculation. It is easy,
however, by means of such observations, to verify the most
remarkable phenomena of colour blindness, as, for instance, that the
colours from red to green appear to differ only in brightness, and that
the brightness may be made identical by changing the width of the
slit; that the colour near F is a neutral tint, and that the eye in viewing
it sees a dark spot in the direction of the axis of vision; that the
colours beyond are all blue of different intensities, and that any
“blue” may be combined with any “yellow” in such proportions as to
form “white.” These results I have verified by the observations of
another colour-blind gentleman, who did not obtain sunlight for his
observations; and as I have now the means of carrying the requisite
apparatus easily, I hope to meet with other colour-blind observers,
and to obtain their observations under more favourable
circumstances.
Light
Yellow. Blue.
Nasal side. Temporal side. Nasal side. Temporal side.
Full 33° 45° 35° 45°
½ 24° 36° 26° 38°
¼ 18° 24° 22° 32°
⅛ 11° 15° 19° 30°
Spectrum scale.
Nasal side. Temporal side.
(See Fig. 41, Page 210.
58·6 18° 35°
54·6 27° 46°
50·6 33° 47°
46·6 25° 30°
42·6 21° 21°
38·6 17° 17°
34·6 22° 30°
30·6 25° 33°
26·6 33° 40°
22·6 37° 44°
18·6 28° 40°
14·6 22° 34°
8·6 20° 30°
Spectrum Scale.
Table I.—Luminosity Curves for the Normal Eye (see Fig. 20).
Persistency
Mean reading, P. and Q.’s
Scale Mean curve for the
reduced to 100 readings, 100
number. reading. centre of the
max. max.
eye.
55·6 ·5 ·6 2 2
53·6 5·5 7·0 3·6 3·6
51·6 13 16·7 8 8
49·6 23 29·7 22 22
47·6 40 50·0 44 44
45·6 57 71·2 69 69
43·6 70 87·5 93 93
41·6 79 98·7 100 99·5
39·6 78 97·5 99·5 98·5
37·6 74 92·5 96 93
35·6 66 82·5 89 84
33·6 55 68·7 77·5 71
31·6 44·5 55·2 61 53·5
29·6 35 43·7 45·5 36·5
27·6 24 30·0 33·5 24
25·6 17 21·7 25 16
23·6 13 16·7 18 10
21·6 10 12·5 13 8
19·6 8 10·0 9·5 6
13·6 3 3·7 4·2 3
9·6 2 2·5 2·5 2
Luminosity of the
rays when each
Mean reading of
colour
the colour limit of
Luminosity of the disappears, each
Scale Wave- the spectrum D,
ordinary ray having the
Number. Length. being 1 amyl
spectrum. original
lamp in
luminosity of 1
1/10000ths.
amyl lamp in
1/100000ths.
61 6839 120 4 48·0
60 6728 67 7 46·9
58 6520 26 21 54·6
56 6330 13 50 65·0
54 6152 9·5 80 76·0
52 5996 9·0 96 86·4
50 5850 9·0 100 90·0
48 5720 9·0 97 87·3
44 5481 9·5 75 71·3
40 5270 10·5 50 52·5
36 5085 12·5 24 30·0
32 4924 18 8·5 15·3
28 4776 32 4·0 12·8
24 4639 55 1·8 12·0
20 4517 90 1·08 9·7
16 4404 160 ·70 11·2
12 4296 250 ·45 11·0
8 4197 400 ·26 10·4
4 4106 700 ·14 9·8