Infusing Counseling Theories with the Integrated Developmental Model: Strengthening Supervision Practices

Supervision is vital to all human services professions to help new professionals assimilate to their roles. There are many theory based supervisory methods to guide supervisors, and counseling professionals have suggested that the adoption of a developmental model of supervision prepares the supervisor to partner with supervisees to facilitate feedback related to developmental milestones. This paper explores the dynamics of combining the Integrated Developmental Model (IDM) of supervision with counseling theories that influence supervision styles and offers examples of how IDM is flexible in combining with theoretical approaches by providing examples and information related to its integration with solution-focused supervision and person-centered supervision. Included is a vignette to help bridge the concept from theory to practice, information on roles for the supervisor and supervisee, and cultural considerations to aid supervisors in practical implementation of the supervision strategies

A Phenomenological Exploration of Parent Experiences that Influence Positive Adoption Outcomes

Children who age out of foster care face adjustments and mental health issues at higher rates than their peers, but those who are adopted have the opportunity to heal from previous trauma and experience better outcomes. To create healthy family systems for adopted children, adoptive parents need support and guidance as they personally adjust and help their children adjust to a new family system. Previous research has focused on child identifiers rather than on the broader family system in efforts to understand adoption success and failure. In this transcendental phenomenological study, adoptive parents provided their lived experiences of support during the adoption process. The results were analyzed using Giorgi, Giorgi, and Morley\u27s descriptive phenomenological psychological method and the results were framed using an adapted version of Bronfenbrenner\u27s ecological model. The results offered experiences of support at all 4 levels of the ecological model and provided a framework to use for future research to understand the influences of the sources of support and a guideline for agencies and counselors to use when serving adoptive families. The results can aid in the proactive development of training and support services for adoptive families and provide information for professionals by offering insight into the nontraditional structure of adoptive families. This information may also be used to inform counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs that offer the marriage, couples, and families specialization

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Analyzing adoptive parent interviews using the descriptive phenomenological psychological method

This dataset provides an example of interview analysis using the descriptive phenomenological psychological method while incorporating a theoretical framework for final data organization. The data were provided by Dr. Deena Shelton and Dr. Corinne Wehby Bridges as a result of Dr. Shelton’s dissertation study chaired by Dr. Bridges. Dr. Shelton explored adoptive parent experiences of support during the process in an effort to offer valuable information to counselors and social workers who serve adoptive families in the United States. The dataset provides step-by-step examples using Giorgi, Giorgi, and Morley’s (2017) descriptive phenomenological psychological method with visual examples from the original collected data. The dataset files are accompanied by a teaching guide and a student guide

Analyzing Case Studies on Male Infidelity Using Interpretive Phenomenological Analysis: A Collaborative Group Approach

In this dataset, we report on our study where we applied Interpretive Phenomenological Analysis (IPA) to explore male infidelity in a monogamous and a non-monogamous relationship by using a phenomenological dual case study from the US. Multiple semi-structured interviews with each participant yielded in-depth, rich phenomenological case studies for analysis. As a team, the researchers employed the qualitative, hermeneutic four-step process of IPA to interpret the participant’s experience of the phenomenon. To increase the study’s rigour and trustworthiness, the researchers structured the data analysis process to triangulate the results. This dataset includes visual representations of the four-step IPA process and sample tables with the resulting themes. The data example and reflective questions serve as guide for teams of researchers seeking a collaborative data analysis process using IPA. The dataset files are accompanied by a Teaching Guide and a Student Guide

The Unfaithful Male in Monogamous and Non-Monogamous Marriage: A Phenomenological Case Study

A comparative case-study method grounded in phenomenology with the use of interpretive phenomenological analysis (IPA) demonstrated similarities and differences between two men’s experiences with engaging in extramarital affairs who were married to women in either a monogamous or a non-monogamous union. Despite the difference in their marital arrangements, both men were unfaithful to their wives and demonstrated similar themes in their lives, which included religious obligations, communication conflicts, loss of connection in marriage, deception, sexual restriction, absent fathers, compartmentalization of sexual behavior, guilt, and addiction. Differences included how men created boundaries, emotional connections with affair partners, power differentials, and sexual experiences

Effect of Antiplatelet Therapy on Survival and Organ Support–Free Days in Critically Ill Patients With COVID-19

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