Volume 28, Number 2, April 2006
1. Trauma Reenactment: Rethinking Borderline Personality Disorder When Diagnosing Sexual Abuse Survivors
Robyn L. Trippany; Heather M. Helm; Laura Simpson
Adult survivors of sexual trauma often experience symptoms related to their childhood experiences
that are analogous to many of the diagnostic criteria of Borderline Personality Disorder (BPD).
This article examines these symptoms in the context of a trauma framework and postulates that
mental health counselors need to consider if the symptomatic behaviors are more indicative of a
post-traumatic response, specifically trauma reenactment. Recognizing self-harming behaviors in
adult survivors as reenactments of childhood sexual trauma rather than characterological manifestations
of personality deficits serves to improve the quality of care of such clients in that mental
health counselors may then focus on the unresolved issues rather than personality restructuring.
Thus, understanding clients from a trauma framework can minimize the stigma that is often associated
with the diagnosis of BPD and provide a more objective treatment climate.
2. Treatment Experiences of Gays and Lesbians In Recovery from Addiction: A Qualitative Inquiry (Pages 110-132)
Connie R. Matthews; Peggy Lorah; Jaime Fenton
The literature has suggested that addiction treatment programs are not addressing the unique
recovery needs of gays and lesbians. This qualitative study examined gay men’s and lesbian
women’s experiences with addiction treatment and recovery. Ten themes emerged to define their
experiences. These themes are described, along with implications for mental health counselors
working with this population.
3. Transitions, Wellness, and Life Satisfaction: Implications for Counseling Midlife Women (Pages 133-150)
Suzanne Degges-White; Jane E. Myers
A diverse sample of 224 women, aged 35 to 65, participated in a study to examine the relations
among transitions, life satisfaction, and wellness. The Women’s Midlife Transitions Survey, developed
for this study, provided information on the timeliness, expectedness, and impact of common
midlife transitions. Implications for mental health counselors include the need to help midlife
women understand and cope with a variety of common life changes that individually and collectively
help to define their midlife experience.
4. Mental Health Counselor Qualities for a Diverse Clientele: Linking Empathy, Universal-Diverse Orientation, and Emotional Intelligence (Pages 151-165)
Marie L. Miville; Alfred F. Carlozzi; George V. Gushue; Sara L. Schara; Masafumi Ueda
We examined how culturally relevant variables, including universal-diverse orientation (UDO), an
attitude characterized by awareness and acceptance of similarities and differences between self and
others, and emotional intelligence, the ability to accurately monitor emotions, might be related to
empathy.Two-hundred-and-eleven counseling graduate students completed measures of these variables,
as well as a demographic sheet. Hierarchical regression analyses indicated that UDO and
emotional intelligence, along with gender, significantly explained variance in empathy. Implications
for effective mental health counseling across diverse settings are discussed.
5. Empirically Supported Treatments and General Therapy Guidelines for Non-Suicidal Self-Injury (Pages 166-185)
Jennifer J. Muehlenkamp
Mental health counselors are facing increased demand to treat both adolescents and adults who
present with repetitive non-suicidal self-injurious behaviors, yet there are few empirically supported
treatments or general treatment guidelines available. I will review the research on problem-solving
and dialectical behavior therapy, two cognitive-behavioral treatments that have the most empirical
support for reducing self-injurious behavior. I conclude by providing specific treatment recommendations
drawn from the literature that can be of use to mental health counselors working with
individuals who self-injure.