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Journal of Mental Health Counseling
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Volume 28, Number 2, April 2006


1. Trauma Reenactment: Rethinking Borderline Personality Disorder When Diagnosing Sexual Abuse Survivors (Pages 95-110)

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.
Full Article

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.
Full Article

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.
Full Article

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.
Full Article

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.
Full Article

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