Volume 28, Number 3, July 2006
1. The Healthy Tree: A Metaphorical Perspective of Counselor Well-being (Pages 189-201)
Danielle Meyer; Richard Ponton
Counseling is a risky and rewarding business. While counseling invites mental health counselors to
participate with their clients in the awesome process of human growth and healing, it also may
threaten their well being through exposure to their clients’ trauma and its painful consequences.The
authors present a metaphor of a healthy tree to organize an overview of recent research regarding
the risk and protective factors of vicarious traumatization of counselors. Implications for the practice,
supervision, and management of counseling are presented.
2. The DSM and the Professional Counseling Identity: Bridging the Gap (Pages 202-217)
Karen Eriksen; Victoria E. Kress
Many of the values, assumptions, and philosophies inherent in the DSM diagnostic system conflict
with those of the mental health counseling profession.This article describes these conflicts; provides
clinical practice suggestions for addressing these issues when using the DSM system; and offers
strategies for bridging the divide between mental health counseling’s professional identity, and the
DSM system of conceptualization.
3. Unanticipated Psychotropic Medication Reactions
H. Gray Otis; Jason H. King
Research from a variety of sources demonstrates that psychotropic medications have induced a
number of unanticipated physiological and psychological client reactions. Although a great deal of
literature is published concerning potential expected side effects from psychotropic medications, little
is understood regarding other unexpected reactions that may cause significant client discomfort.
These unanticipated psychotropic reactions may be considered as effects that may be rare and
therefore not accounted for in randomized clinical drug trials. Like any medication, psychotropic
medications do not produce the same effect in everyone. Some people may respond better to one
medication than another. Mental health counselors are advised to be aware that some unexpected
reactions can be important in determining client outcomes. In this article, we discuss the client’s
right to be informed about unanticipated side-effects of their medication regimen and the ethical
question as to how much information to give clients.
4. Psychotherapy-Driven Supervision: Integrating Counseling Theories into Role-Based Supervision (Pages 241-252)
Quinn M. Pearson
Mental health counselors often play an integral part in the training and supervision of students and
new practitioners. Whether they are teaching clinical skills in academic settings, providing on-site
supervision for practicum and internship students, or serving as clinical supervisors for unlicensed
or less experienced counselors, supervision is a relevant component of mental health practice.
Designed as a practical approach that builds on the clinical strengths of mental health counselors,
psychotherapy-driven supervision advocates blending psychotherapy-based approaches to supervision
with role-based models of supervision. Strengths and weaknesses of psychotherapy-based
approaches are discussed. Detailed descriptions of the teacher, counselor, and consultant roles of
supervisors are presented. Psychotherapy-driven supervision is illustrated for three theoretical
approaches: humanistic-relationship oriented, cognitive-behavioral, and solution-focused.
5. Relationship of Spirituality to Work and Family Roles and Life Satisfaction Among Gifted Adults (Pages 253-268)
Kristin M. Perrone; L. Kay Webb; Stephen L. Wright; Z. Vance Jackson; Tracy M. Ksiazak
The purpose of this study was to explore the relationship of spirituality to work and family roles
and life satisfaction among gifted adults. Satisfaction with work and family roles was examined in
combination with spiritual well-being in order to study the contribution each makes to variance in
life satisfaction. Both quantitative and qualitative methods were employed in order to gain a greater
depth of understanding of these complex issues. Results from multiple regression analyses indicated
that existential well-being and marital satisfaction contributed significantly to life satisfaction. In
response to open-ended questions, participants articulated many ways in which their spirituality
impacted their work, marriage, parenting, and life satisfaction. Results are discussed in relation to
the literature. Implications for mental health counseling and future research are provided.
6. Voluntarily Childfree Women: Experiences and Counseling Considerations (Pages 269-284)
Traditional mothering continues to receive social sanctioning while women who choose not to have
children are oftentimes ignored or criticized. Voluntarily child-free women participated in a qualitative
investigation in which semi-structured interviews, journals, and a focus group were utilized
to capture their experience of stigmatization. Data source triangulation, member checks, and consultation
with a peer debriefer contributed to the authenticity of the results. Two broad themes capturing
reasons for the choice not to have children and five categories of stigmatization were delineated
from the participants’ narratives. Considerations for mental health counselors who work with
women who do not want children are offered.