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Lowering the barriers.

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Persons with Disabilities↗

Vocational diagnosis through assessment of functional limitations.

Diagnosis in rehabilitation counseling requires a relatively precise delineation of client assets and liabilities. This is essential in establishing direction for counseling efforts; it can also aid in evaluating counseling effectiveness by providing a means of grouping cases according to difficulty or types of problems. This paper identifies the disadvantages of present systems of medical and psychiatric diagnoses for these vocational counseling purposes. It discusses some of the methodological issues involved in establishing a new system for recording client problems. The paper also introduces a brief, yet comprehensive inventory of functional limitations which has been developed in the Counseling Psychology Service of the Department of Physical Medicine and Rehabilitation at the University of Minnesota.

Disability Evaluation↗

A center-based approach to a transplant employment program.

The return to work after transplantation has been actively discussed in the transplant community for years. However, despite the desire for transplant practitioners to have recipients return to being healthy, contributing members of society as well as return to work, practitioners often passively support the sick role. We discovered that patients who are returning to work after transplantation may have been out of the work force for several years, and require assistance that we as health care providers were unable or untrained to provide. An employment specialist was added to the transplant staff and became a vital part of our attempts to create a proactive employment atmosphere and enhance our patients' quality of life. Adding an advocate for employment in our center has also facilitated the shift in our thinking and approach to care from the sick role to one of rehabilitation and from reactive to proactive. This change in attitude has assisted in empowering our recipients to feel as if they can truly resume a normal life.

Adult↗

[The blind as a factor in the labour divisioned world (author's transl)].

The problems faced by blind adolescents when leaving special schools to enter employment differ considerably from those encountered by people who lost their sight during adulthood. The realisation of the fact that their blindness leaves little occupational choice often results in job apathy. It is, however, especially work capacity and occupational activity which serve again and again, in discussions on the full integration of the blind, as proof of the visually impaired's equal position within society. In particular W. Thimm has proved that blindness has a decisive impact on the social position of the individual blind person as well as the whole disability group of the blind, because this is essentially determinated by the employment status. The individual job performance of some blind is generalised too rapidly. The fear that jobs carried out by the blind are jeopardised by the increasing automation is certainly not unfounded, especially in large enterprises. At present, however, it is not possible to make a prognosis on whether in the future job opportunities for the blind will be available or not in certain branches of industry or in specific branches of production (this varies from one firm to another and is dependent upon many other factors). Consequently, it seems to be necessary for institutions involved in the vocational training of the blind to adjust in due course to the new situation in the theoretical and practical implementation of rehabilitation.

Blindness↗

[Psychotherapy accompanying vocational counselling sessions (author's transl)].

The article reports on psychotherapy accompanying counselling sessions for patients undergoing in-patient psychotherapeutic treatment. With respect to the practical implementation of vocational counselling sessions, the experiences gained within this framework are summarised in three principles: (1) Psychotherapy accompanying vocational counselling sessions are contraindicated if they relate to a partial aspects of problems which so far have not been therapeutically treated. (2) The sessions should take place at the final stage of treatment. (3) The recommendation for a job change should only be given if two conditions are (simultaneously) met: a) the patient can no longer cope with his job and is dissatisfied with it. b) There must be (at least) one alternative job for which the prospects are more favourable. The communicative situation (counsellor, therapist, social worker, employment office, and financially responsible agencies) is discussed as well as the specific behavioural patterns of the patient (acting out, indolence, tremendous demands, wish to have an adjunct therapy, need to safeguard himself.

Germany, West↗

Counselling the adolescent girl in a time of changing values.

The position of the adolescent girl has always been somewhat ambiguous in western culture. No more a little girl and not yet a woman, she remained in limbo waiting for the time when she would marry and no longer be the responsibility of her family. Counsellors who work with adolescent girls have been expected to reinforce a value system which prized 'innocence' in young women, emphasized the romantic view of love and looked upon marriage as an eternal bond. Developing trends in the Women's Liberation Movement, the ability of contraceptive information and easy abortion, experiments by young people with varied forms of interpersonal relationships anf family structures, all indicate that the traditional value system is changing. There is a new reality; women are now free to follow more than one way of life. For the counsellor this presents the same dilemma which faces the adolescent girl: how to leave the security of the known and prepare for the potential choices which are inherent in the unknown.

Adolescent↗

How to stay stuck in the wrong career.

Everyone knows a story about a talented business person who has lost his passion for work, or a person who ditched a 20-year career to pursue something completely different and is the happier for it. "Am I doing what is right for me, or should I change direction?" is one of the most pressing questions for today's midcareer professional. A true change of direction is hard to swing. Many academics and career counselors contend that the problem lies in basic human behavior: We fear change and don't want to make sacrifices. But author Herminia Ibarra suggests another explanation. People most often fail, she says, because they take the wrong approach to finding new careers. Indeed, the conventional wisdom on how to change careers is a prescription for how to stay put. Most of us have heard that the key to a successful career change is figuring out what we want to do next, then acting on that knowledge. But change actually happens the other way around. Doing comes first, knowing second, because changing careers means redefining our working identity--our sense of self in our professional roles, what we convey about ourselves to others and, ultimately, how we live our working lives. Who we are and what we do are tightly connected, the result of years of action. And to change that connection, we must first resort to action--exactly what the conventional wisdom cautions us against. Many successful career changers use a test-and-learn model of change, putting their possible identities into practice and then working and crafting them until the identities are sufficiently grounded in experience to guide more decisive steps. To make a break with the past, we must venture into the unknown.

Career Choice↗