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Journal of Mental Health Counseling
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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.
Full Article

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.
Full Article

3. Unanticipated Psychotropic Medication Reactions (Pages 218-240)

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.
Full Article

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.
Full Article

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.
Full Article

6. Voluntarily Childfree Women: Experiences and Counseling Considerations (Pages 269-284)

Debra Mollen

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.
Full Article

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