Volume 30, Number 4, October 2008
1. Depression and the Elder Person: The Enigma of Misconceptions, Stigma, and Treatment (Pages 283-296)
Mary Benek-Higgins; Connie J. McReynolds; Ebony Hogan; Suzanne Savickas
It is estimated that half of the 35 million people in the United States who are over the age of 65 are in
need of mental health services, though fewer than 20% are actually being treated (Comer, 2004).
Coexisting mental and physical problems make recognition of depression in elder persons more difficult
because presenting symptoms of depression are often masked by physical problems. In addition, most
elder people who have depression never seek or obtain treatment because of the commonly held myth
that depression is a normal part of the aging process and that elder people cannot benefit from
psychotherapy. The purpose of this article is to survey these issues as they relate to mental health
2. Sexual Behavior Intervention Program: An Innovative Level of Care in Male Sex Offender Treatment (Pages 297-310)
Christopher P. Roseman; Clancy Yeager; James S. Korcuska; Aaron Cromly
The literature does not provide practical, targeted alternatives to prosecution and incarceration for sexual
offenders deemed at low risk for recidivism. The Sexual Behavior Intervention Program (SBIP) is an
innovative level of care in male sex offender treatment that offers communities an option for treating sexual
misconduct. SBIP is a focused, psychoeducational program rooted in the restorative justice model,
one that attempts to meet the needs of both individuals and the community.
3. Non-Suicidal Self-Injury and Motivational Interviewing:
Enhancing Readiness for Change; Victoria E. Kress; Rachel M. Hoffman
The authors advance motivational interviewing and the transtheoretical model of change as a conceptual
framework for counseling clients who engage in nonsuicidal self-injurious behaviors. The major
principles of motivational interviewing are applied in a case study of a client who self-injures.
Recommendations are made for mental health counseling practice.
4. Cognitive Style and Theoretical Orientation: Factors Affecting Intervention Style Interest and Use (Pages 330-344)
Casey A. Barrio Minton; Jane E. Myers
Developmental Counseling and Therapy (DCT), an integrative model for assessing client cognitiveemotional
style and selecting interventions, has been presented as a meta-theory for increasing intentionality
in mental health treatment planning. To examine the usefulness of DCT for training and practice,
student and professional counselors (N = 203) completed the Preferred Helping Styles Inventory,
the Theoretical Orientation Profile Scale-Revised, and the Intervention Strategies Questionnaire.
Intervention styles were related to both cognitive styles and theoretical orientations; intervention style
use was predicted by cognitive style and intervention style interests. Implications for mental health counselor
training and practice are discussed.
5. On-scene Mental Health Counseling Provided Through Police Departments (Pages 345-361)
Andrew T. Young; Jill Fuller; Briana Riley
The expectation that police officers can address every need in every situation is daunting and unrealistic.
Recognizing this, some police departments have instituted special training or used other resources
to better serve the needs of citizens. One example is an on-scene crisis counseling unit comprised of volunteer
mental health professionals who respond to calls with police officers. These counselors provide
mental health services that police officers cannot. This article explains the usefulness of this type of program,
and crisis counseling in general, for both officers and victims as they deal with crises like domestic
violence, homicide, suicide, and sexual assault. The study examines survey results from victims and
police officers about the impact of this intervention. The data support the helpfulness of the program.
Implications and recommendations for further research are included.
6. The Nature of Confirmatory Strategies in the Initial Assessment Process (Pages 362-374)
Because mental health counselors typically rely on confirmatory or supportive questions to gain initial
impressions about their clients’presenting concerns, they tend to search for differential diagnostic information
less frequently (e.g., Haverkamp, 1993; Parmley, 2007). There has been little empirical attention
given to the potential mechanisms for confirmatory questions. Accordingly, this study used multilevel
modeling to analyze 772 confirmatory and disconfirmatory questions generated by 97 mental health
counselors in training. Mental health counselors in this study, as in previous research, generated more
confirmatory questions that supported their initial diagnostic impression than disconfirmatory questions;
confirmatory questions were rated as having more diagnostic clarity and as being more specific.
Further, confirmatory questions were more likely to be elicited from the initial case data presented to the
counselor. These findings suggest that the ability of mental health counselors to generate questions that
support their initial impressions may surpass their ability to formulate questions that adequately test differential
diagnoses. Implications for training and practice are offered.
7. ACKNOWLEDGEMENTS (Page 375)
The editorial office of the Journal of Mental Health Counseling is housed in
the Department of Counseling at the University of Akron. I would like to note
the invaluable role played by Liesl Glover as the journal’s editorial assistant in
coordinating communications with authors and editorial board members
throughout the review process. I would also like to thank my associate editors,
Victoria E. Kress and Loreto R. Prieto for their service to the journal.
Specifically, I thank Dr. Kress for her past and continuing service to the journal
in her position as Associate Editor for Theory and Practice, and Dr. Prieto
as he ends his three-year term as Associate Editor for Research. And, special
thanks go to the members of the Editorial Board for their dedicated service to
the journal and continued efforts to maintain the high quality of our publication.