The relationship between the counselor and client's perception of the working alliance across sessions was investigated in short-term psychoanalytic counseling. Prior research suggests that counselors play a large role in clients' perception of the working alliance. A time-series analysis allowed specific processes based upon prior research and theory to be tested. The results illustrate a timebound process of counselor and client perceptions of the working alliance. The findings provide further evidence that counselors play a major role in clients' perception of the working alliance and that this impact carries over into the subsequent sessions in short-term psychoanalytic counseling. Implications are discussed and avenues for future research are suggested.
AIDS and HIV-seropositivity have shown increasing prevalence in the Mountain State. Charleston Area Medical Center (CAMC), being the state's largest tertiary health center, has attracted a number of seropositive patients. This sample, though small by comparison to the experience of other tertiary centers, constitutes the largest single cluster of patients so studied in a single West Virginia hospital to date. This study documents both sociological and economic issues associated with the AIDS population. A clear profile of the typical AIDS patient in West Virginia emerges: 1) gay male; 2) native son; 3) unemployed; 4) Medicaid-dependent; 5) clinically well advanced; 6) infected out of state; 7) under age 30; 8) tertiary care dependent; and 9) homeless. The paper closes with a discussion of the possible growth of the AIDS population in West Virginia in the years ahead. Strategies are set forth to serve as guidelines for managing effectively the AIDS population's needs in both the clinical settings and in society at large.
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