The most effective solution to rampage violence, such as school or workplace shootings, is early, easy and frequent access to care for potential perpetrators, says Brian Van Brunt, author of Harm to Others: The Assessment and Treatment of Dangerousness. Counselors play an integral part in this care, through identifying individuals

How do you determine your level of effectiveness in your work with clients? In everyday practice, counselors typically rely on clinical judgment and their own assumptions about the therapeutic alliance and client progress. Few would argue against the importance of good clinical judgment, but there is persistent evidence that counselors’