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Journal of Mental Health Counseling
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Volume 33, Number 2, April 2011

 

1. Sexuality of Women with Young Children: A Feminist Model of Mental Health Counseling Shannon Trice-Black (Pages 95-111)

Victoria A. Foster

Although postpartum recovery and women’s sexual behavior have received significant attention, little is known about the experiences of mothers with young children. Socially constructed images of mothers often depict them both as rebounding with sexual enthusiasm and sensuality and as devoted primary caregivers, while also holding a job. This fantasy breadwinner/homemaker model denies the challenges many mothers of young children face in struggling to reclaim their sexual selves. Such constructions are incongruent with the realities of motherhood and the psychological challenges women face to reassemble sexual identity, self-image, and sexual scripts. This article presents a feminist model of mental health counseling that offers women affirmation, encouragement, and support as they explore their identities as sexual women and as mothers.
Full Article

2. Substance Use, Misuse, and Abuse Among Older Adults: Implications for Clinical Mental Health Counselors (Pages 112-127)

Wanda P. Briggs; Virginia A. Magnus; Pam Lassiter; Amanda Patterson; Lydia Smith

Researchers project a threefold increase in substance abuse, inclusive of alcohol, prescription, and illicit drugs, for adults aged 50 or older by 2020, when an estimated 5 million older adults will need treatment for substance abuse problems (Gfroerer, Penne, Pemberton, & Folsom, 2003). This suggests a need for heightened awareness among clinical mental health counselors as they treat this population. This article (a) discusses the prevalence, vulnerabilities, and consequences of misuse and abuse of alcohol, prescription drugs, and illicit substances; (b) reviews age-specific counseling considerations and approaches to assessment, diagnosis, and intervention; and (c) calls for more attention to the subject in training and research.
Full Article

3. Bulimia and Dissociation: A Developmental Perspective (Pages 128-143)

Eric Cowan; Rebecca Heselmeyer

Counselors and researchers are increasingly recognizing that persons diagnosed with bulimia nervosa typically manifest high levels of the defense of dissociation. Treatments for bulimia nervosa may be unsuccessful due to insufficient acknowledgment of the role that dissociation can play in mediating the disorder. Failing to acknowledge client dissociation constricts the potential for an efficacious therapeutic relationship because certain aspects of the client’s self-experience are prevented from emerging in counseling. The authors explore core concepts in the development of self-formation that illuminate the origins and function of dissociation in bulimia. The exploration suggests developmental. 
Full Article

4. Enhancing Treatment Compliance Among Male Batterers: Motivators to Get Them in the Door and Keep Them in the Room (Pages 144-160)

John Patrick Muldoon; Juneau Mahan Gary

A clinical focus on what motivates batterers to enter counseling might improve the prognosis for their treatment compliance. We discuss motivators to get them in the door (treatment engagement) and keep them in the room (treatment compliance). Once they are invested in the therapeutic process, they might successfully break their pattern of abuse, learn new coping skills, and adopt healthy behaviors to sustain successful, nonviolent intimate relationships.
Full Article

5. The Relationships of Public and Self-Stigma to Seeking Mental Health Services (Pages 161-176)

Geoff J. Bathje; John B. Pryor

The label of mental illness has long been recognized as one of the most powerful of all stigmas. Public stigma, the common societal reactions to people who seek help for psychological distress, can be distinguished from self-stigma, the internalized impact of public stigma. This study examined how awareness and endorsement of public stigma may influence self-stigma. It also examined how both types of stigma are connected to attitudes and intentions to seeking counseling. Awareness and endorsement of public stigma were found to predict self-stigma. Endorsement of sympathy for a person with mental illness was especially predictive of self-stigma, while endorsement of public stigma and self-stigma were independently related to attitudes to seeking counseling. Finally, attitudes were most proximally related to intentions to seek counseling. These results suggest that different aspects of stigma play different roles in influencing attitudes to seeking mental health counseling.
Full Article

6. Examining Distress of Parents of Children With and Without Special Needs (Pages 177-188)

Andrew P. Daire; Matthew D. Munyon; Ryan G. Carlson; Muthoni Kimemia; Michelle Mitcham

This study was designed to examine differences between parents of children with special needs and parents of children without special needs in levels of distress and community resource engagement. There were 29 participants. No significant differences were found between the two groups with respect to individual and marital distress, but parents of children with special needs had significantly more engagement with community resources. When analyzing parent total visits (PTV) and child total visits (CTV), the CTV for parents of children with special needs averaged just over 50 visits for a six-month period compared to 0.29 for the comparison group. Implications for practice, such as use of transdisciplinary teams, and for future research are discussed.
Full Article

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