Crisis supervision: A qualitative study of the needs and experiences of licensed professional counselors

This qualitative study explored the supervision needs and experiences of licensed professional counselors working with clients in crisis. The primary purpose of the inquiry was to understand crisis supervision from the perspective of counselors in the field. The rationale for the study rested on three fundamental assumptions. First, counselors routinely encounter crises in their work with clients. Second, crisis response exposes counselors to hazardous situations and increases the risk for developing burnout, compassion fatigue, and vicarious traumatization. Finally, good supervision protects counselors from the risks associated with crisis work and enhances counselor self-efficacy. However, crisis supervision is frequently not provided and has not been adequately addressed in the literature, CACREP standards, or professional practice guidelines. Data were collected during two rounds of semi-structured interviews with 13 licensed professional counselors. Inclusion criteria included: hold an active license to practice as a Licensed Professional Counselor (LPC) in Virginia, be employed full-time in a counseling position, and spend a minimum of 50% work time providing counseling services to clients. Numerous procedures enhanced trustworthiness, including peer reviewers, member checking, and memo-writing. Data were analyzed using constant comparison procedures. Five themes within four major categories were reflected in the data. Themes reflect participants’ understanding of crisis, crisis counseling, crisis supervision, and clinical supervision. The results provided a cogent framework for crisis supervision and a compelling argument for post-licensure clinical supervision. Implications for counselors, supervisors, and counselor educators are presented. Contributions to the literature and future research recommendations are also explored

A threefold perspective on the role of a pockmark in benthic faunal communities and biodiversity patterns

Pockmarks are circular-shaped depressions that increase seabed heterogeneity and are characterized by discontinuous fluid emissions. To understand how environmental conditions of pockmarks affect the structure of macroand meiofauna, we investigated two sites in a pockmark field in the northwestern Madagascar margin. In a comparative approach, we explored the community structure of the dominant taxa (Polychaeta, Nematoda and hyaline foraminifera) in each component (macro-, metazoan meiofauna and foraminifera, respectively). The investigated active pockmark showed approximately two times higher meiofauna abundance compared to in a site away from another pockmark field, but macrofauna showed the opposite trend, with almost half density at the pockmark site. However, at both sites, macroand meiofauna showed higher richness and abundance values in the top well-oxygenated layers of the sediment than in the underlaying ones. Polychaeta and Nematoda showed lower richness in the pockmark, opposed to hyaline foraminiferans, but lower evenness in the pockmark was found for the three groups. The detection of gas flares in the water column attests of the recent activity within the pockmark. High amount of sulfur-bearing minerals (mainly pyrite) evidences a production of dissolved free sulfides (not detected at the time of sampling) by sulfate reduction process driven by organic matter degradation and anaerobic oxidation of methane. Furthermore, recent increase in sedimentation rates in the past 70 years and organic matter inputs could have led to higher organic matter degradation rates resulting in reduced conditions and a high oxygen consumption. All this together seem to act as key factors in the determination of variation in richness, abundance and community composition of macrofauna and meiofauna. Additionally, some taxa seem to be more tolerant to these extreme conditions, such as species belonging to the Nematoda genus Desmodora and the phylum Kinorhyncha, which are highly abundant in the pockmark, and hence, may be considered as potential bioindicators of pockmark activity in this area. Further studies are required for a better assessment

The FANCM:p.Arg658* truncating variant is associated with risk of triple-negative breast cancer

Breast cancer is a common disease partially caused by genetic risk factors. Germline pathogenic variants in DNA repair genes BRCA1, BRCA2, PAM, ATM, and CHEK2 are associated with breast cancer risk. FANCM, which encodes for a DNA translocase, has been proposed as a breast cancer predisposition gene, with greater effects for the ER-negative and triple-negative breast cancer (TNBC) subtypes. We tested the three recurrent protein-truncating variants FANCM:p.Arg658*, p.Gln1701*, and pArg1931* for association with breast cancer risk in 67,112 cases, 53,766 controls, and 26,662 carriers of pathogenic variants of BRCA1 or BRCA2. These three variants were also studied functionally by measuring survival and chromosome fragility in FANCM(-/-) patient-derived immortalized fibroblasts treated with diepoxybutane or olaparib. We observed that FANCM:p.Arg658* was associated with increased risk of ER-negative disease and TNBC (OR = 2.44, P = 0.034 and OR = 3.79; P = 0.009, respectively). In a country-restricted analysis, we confirmed the associations detected for FANCM:p.Arg658* and found that also FANCM:p.Arg1931* was associated with ER-negative breast cancer risk (OR = 1.96; P = 0.006). The functional results indicated that all three variants were deleterious affecting cell survival and chromosome stability with FANCM:p.Arg658* causing more severe phenotypes. In conclusion, we confirmed that the two rare FANCM deleterious variants p.Arg658* and p.Arg1931* are risk factors for ER-negative and TNBC subtypes. Overall our data suggest that the effect of truncating variants on breast cancer risk may depend on their position in the gene. Cell sensitivity to olaparib exposure, identifies a possible therapeutic option to treat FANCM-associated tumors