Volume 31, Number 4, October 2009
1. The Loss of Client Agency into the Psychopharmaceutical-Industrial Complex (Pages 283-308)
Thomas L. Murray, Jr.
The psychopharmaceutical industrial complex (PPIC) and its adherence to the disease model pervades
mainstream culture and greatly impacts psychotherapy. Consequently, the effects of the PPIC may have
resulted in some psychiatric consumers adopting disease-model messages in ways similar to cult indoctrination.
Consumer adoption of the disease model can create obstacles to treatment when hope is fundamental.
In this article, I draw parallels between cult indoctrination and PPIC techniques and note
similarities between cult members and consumers who are vulnerable to losing their identities to the
PPIC. Suggestions for the profession of mental health counseling and those working with these consumers
conclude the article.
2. Strength-Based Mental Health Counseling for Children with ADHD: An Integrative Model of Adventure-Based Counseling and Adlerian Play Therapy (Pages 323-338)
Torey L. Portrie-Bethke; Nicole R. Hill; Jerid G. Bethke
The hyperactivity and impulsivity experienced by children who are diagnosed with attention
deficit/hyperactivity disorder (ADHD) can pose challenges for families, teachers, and mental health
counselors (Barkley, 2000). The authors present an integrative model of Adlerian play therapy and
adventure-based counseling (ABC) that extends beyond traditional talk therapy, fosters a strength-based
perspective, and is action-oriented and dynamic. Specific ABC treatment activities for working with children
and families affected by ADHD are presented in the context of the four phases of treatment in
Adlerian play therapy.
3. A Review of Evidence-Based Therapeutic Interventions for Bipolar Disorder (Pages 338-350)
Andrea Steinkuller; Jane E. Rheineck
Bipolar disorder is a complex disability that presents substantial challenges for diagnosis and treatment.
Recent research shows that there is a significant need for adjunctive psychotherapy to supplement and
optimize the benefits of medication. Researchers and clinicians recognize that quality of life outcomes
are at least as important as clinical outcomes to successful treatment of bipolar disorder. A growing body
of literature indicates that psychotherapeutic interventions benefit bipolar clients and have the potential
to significantly improve their psychosocial functioning and decrease the substantial social costs of the
illness. In this article we examine psychoeducational interventions along with three evidence-based
interventions that address the complexity of bipolar disorder.
4. Commonalities Between Ericksonian Psychotherapy and Native American Healing (Pages 351-362)
Timothy C. Thomason
There are many commonalities between the techniques used in Ericksonian psychotherapy and the healing
rituals used by traditional Native American tribes. Milton H. Erickson had some Indian heritage and
may have derived some of his therapeutic techniques from his study of tribal healing practices. A review
of the literature shows that both approaches emphasize symbolic healing through the use of story-telling,
metaphors, ambiguous tasks, ordeals, and rituals. Both also use direct and indirect hypnosis to relieve
psychological distress. Implications for the practice of mental health counseling are described.
5. The Relation Between Mindfulness and Posttraumatic Growth: A Study of First Responders to Trauma-Inducing Incidents (Pages 363-376)
Brian A. Chopko; Robert C. Schwartz
Research on the reactions of first responders (e.g., police officers, fire fighters) to traumatic incidents
has largely focused on negative symptoms (e.g., posttraumatic stress disorder) rather than aspects promoting
mental health. Consistent with the counseling profession’s focus on growth and development, this
study investigated the relation between mindfulness (using the Kentucky Inventory of Mindfulness Skills)
and posttraumatic growth (using the Posttraumatic Growth Inventory) among 183 police officers.
Results of multiple regression analyses showed that effort toward spiritual growth was positively correlated,
and accepting events without judgment was negatively correlated, with posttraumatic growth.
Implications for mental health counseling are discussed.