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Journal of Mental Health Counseling
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Volume 31, Number 1, January 2009


1. An Ounce of Prevention: An Associate Editor’s View (Pages 1-8)

Mercedes K. Schneider

It is my pleasure and honor to serve as the new associate editor of research for the Journal of Mental Health Counseling (JMHC) and to continue working with such distinguished colleagues as Drs. James Rogers, Loreto Prieto, and Victoria Kress. I have had the privilege of serving these past two years as a reviewer for JMHC, paying particular attention to the soundness of the statistical and methodological sections of manuscripts submitted. On average I have reviewed one manuscript every eight weeks. As I read these manuscripts, I was pleased to note the quality of preparation and the soundness of the studies conducted. Because no field can advance beyond the quality of its research, this encourages me as both researcher and counselor.
Full Article

2. Comprehensive Program Development in Mental Health Counseling: Design, Implementation, and Evaluation (Pages 9-21)

Nancy G. Calley

With increasing emphasis on the use of evidence-based practices and efficient clinical operations, mental health counselors must be competent in comprehensive clinical program development that covers program design, implementation, and sustainability. To address this need, a practice model here presented integrates scientific knowledge and business principles by emphasizing research-based program design and due diligence in program development. The model consists of 12 sequential, interrelated phases to guide the professional in creating comprehensive mental health counseling programs. 
Full Article

3. Transgenerational Trauma and Child Sexual Abuse: Reconceptualizing Cases Involving Young Survivors of CSA (Pages 22-33)

Kimberly N. Frazier; Cirecie A. West-Olatunji; Shirley St. Juste; Rachael D. Goodman

While current research on child sexual abuse (CSA) has delineated the immediate and long-term effects of sexual trauma, little has been written about intergenerational influences on the presence and etiology of CSA among young children. Dass-Brailsford (2007) defined transgenerational trauma as trauma that has been passed down from one generation to another, either directly or indirectly. In this paper the authors review the literature on CSA, the influence of primary caregivers, and transgenerational trauma, followed by a case illustration. Specific interventions are pointed out to offer mental health counselors innovative tools for ameliorating the effects of transgenerational trauma with this client population. The authors also highlight effective clinical programs on CSA among young children that acknowledge the influence of intergenerational trauma. 
Full Article

4. The Role of Help and Hope in Prevention and Early Intervention with Suicidal Adolescents: Implications for Mental Health Counselors*
(Pages 34-46)

Todd Eric Roswarski; J. Patrick Dunn

The role of help and hope as protective factors in prevention and early intervention with suicidal adolescents is examined. Hope is a forward-looking attitude serving as a buffer against suicide. Help reflects the belief and reality that there is a place to turn for support or assistance; it serves as a dynamic force against suicide. Help and hope can be powerful and mutually reinforcing components of any attempt to reach adolescents contemplating suicide. Implications for mental health counselors are presented, with an emphasis on the interrelatedness of help and hope.
Full Article

5. Differences in Mental Health Counselors’ Diagnoses Based on Client Race: An Investigation of adjustment, Childhood, and Substance-Related Disorders (Pages 47-59)

Kevin P. Feisthamel; Robert C. Schwartz

This study of mental health counselors’ diagnoses of African-American and Euro-American clients (N=899) found that African-Americans were diagnosed disproportionately more often with disruptive behavior disorders whereas Euro-Americans were diagnosed more often with less severe adjustment disorders. These findings mirror those of researchers from other mental health professions considering different mental disorders. Implications for mental health counseling practice and future research are discussed, and pathways to account for the phenomenon are proposed. 
Full Article

6. Understanding Suicidal Behavior in the Military: An Evaluation of Joiner’s Interpersonal-Psychological Theory of Suicidal Behavior in Two Case Studies of Active Duty Post-Deployers (Pages 60-75)

Michael D. Anestis; Craig J. Bryan; Michelle M. Cornette; Thomas E. Joiner

The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of Defense, the Department of the Air Force, or the U.S. Government.
Suicide in the military is a growing concern. We reviewed empirical studies and used two case studies to illustrate the potential explanatory role of Joiner’s (2005) interpersonal-psychological theory of suicidal behavior. The theory posits that three variables—perceived burdensomeness, thwarted belongingness, and acquired capability for suicide—determine the risk of an individual engaging in a lethal suicide attempt. In our case studies, we illustrate how these variables might be affected in an active duty population post-deployment. Although methodological limitations preclude conclusive determinations, the case studies provide a framework within which to understand the phenomenon of suicide in the military. Future work that examines these findings empirically will be invaluable to both researchers and mental health counselors. 
Full Article

7. "It Was like a Partnership of the Two of Us Against the Cutting": Investigating the Counseling Experiences of Young Adult Women Who Self-Injure
(Pages 76-94)

Laurie M. Craigen; Victoria Foster

Self-injury is an increasing phenomenon among young adult women. This qualitative study explored the counseling experiences of 10 young adult women with a history of self-injurious behavior. It examined the nature of the client-counselor relationship and how self-injury was treated. It also accessed the participants’ thoughts and feelings about their experiences in counseling. Implications for training and treatment are set out, as are recommendations for research.
Full Article

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