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Journal of Mental Health Counseling
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Volume 25, Number 4, October 2003

1. Biological Sex, Adherence to Traditional Gender Roles, and Attitudes Toward Persons with Mental Illness: An exploratory Investigation (Pages 259-270)

Lisa Hinkelman; Darcy Haag Granello

Undergraduate students (n = 86) responded to the Community Attitudes Toward the Mentally Ill (CAMI) questionnaire and The Hypergender Ideology Scale, which measures the degree to which they adhered to traditional gender roles. Results indicated that males were significantly more likely than females to endorse intolerant attitudes toward persons with mental illnesses. However, when adherence to hypergender ideology was controlled for, no significant differences emerged between the genders. It was determined that strict gender-role adherence, rather than biological sex, accounted for the variance in CAMI scores. Implications for mental health counselors and for selecting predictor variables for future research are discussed. Full Article

2. Examining Counseling Needs of Headache Patients: An Exploratory Study of Wellness and Perceived Stress (Pages 271-290)

Suzanne Degges-White; Jane E. Myers; James U. Adelman; Denise D. Pastoor

Headaches are a complex medical problem that results in significant health expenditures, lost employee attendance and productivity, and relationship disturbance. Further, psychological counseling is one of the basic components of treatment of sufferers of chronic headaches. A study of 60 adults seeking medical care at a headache specialty clinic was conducted to provide preliminary information on levels of wellness and perceived stress in this population. Not surprisingly, overall levels of wellness were low and perceived stress was high compared to a norm group of adults. Specific components of wellness varied with spirituality being higher among the headache population and nutrition, exercise, and locus of control being lower. A case study is presented from practice in a medical clinic, and implications for mental health counselors as providers in medical settings are discussed. Full Article

3. The Development of an Assessment Protocol for Reactive Attachment Disorder (Pages 291-310)

Carl J. Sheperis; R. Anthony Doggett; Nicholas E. Hoda; Tracy Blanchard; Edina L. Renfro-Michel; 
Sacky H. Holdiness; Robyn Schlagheck

Attachment is a critical issue among children in foster and adoptive settings. It is essential for mental
health counselors who work with these children to develop appropriate appraisal skills for diagnosing
Reactive Attachment Disorder (RAD), a syndrome associated with extreme attachment problems.
However, there is no comprehensive procedure to assess a child for RAD.Thus, we propose a battery
of semi-structured interviews, global assessment scales, attachment-specific scales, and behavioral
observations to help mental health counselors identify the disorder. We provide a case example to
illustrate the utility of each assessment process. Full Article

4. The Impact of Menopause: Implications for Mental Health Counselors (Pages 311-322)

Tracy D. Baldo; Mercedes K. Schneider; Marty Slyter

The purpose of this article is to present a brief, informative view of the impact of menopause along with implications for mental health counselors. Menopause and associated stages are defined;symptoms associated with these stages are discussed; the benefits, risks and consequences of hormone
replacement therapy (HRT) are considered; and recommendations for mental health counselors
are provided. Full Article

5. Issues and Standards in Counseling Lesbians and Gay Men with Substance Abuse Concerns (Pages 323-336)

Zhankun Cheng

In this article, the author analyzes the issues and standards facing mental health counselors (MHCs) when working with lesbians and gay men who have substance abuse problems. In order to provide professional and affirmative services to clients from this population, it is critical for MHCs to understand the social and historical context of the lives of lesbians and gay men. Therefore, some of the major factors that contribute to substance abuse problems in the gay community are explored. Finally, guidelines regarding legal protections for this population are provided. Full Article

6. Treating Sibling Incest Using a Family Systems Approach (Pages 337-350)

Cora Haskins

Mental health counselors are becoming more aware of sibling abuse in all of its forms. The literature
addressing the nature of sibling abuse is increasing; however, there is little written about methods of treatment. Family systems theory as a framework for understanding the common family dynamics observed in families where there is sibling abuse is discussed. Lastly this paper presents a case example using family systems theory as a framework for conceptualizing and developing treatment. Full Article

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