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Journal of Mental Health Counseling
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Volume 36, Number 3, July 2014


1. Using Control-Mastery and Jungian Theories to Treat Nightmare Disorder: A Case from Thailand (Pages 189-207)

Tinakon Wongpakaran, Kelly J. Elsegood, Nahathai Wongpakaran, Kamonporn Wannarit and Pimporn Promkumtan

This case example describes the use of Control-Mastery Theory and Jungian dream theory
to interpret a Thai woman’s dreams and treat her nightmare disorder. We posit that therapy
enabled the client to identify and challenge unconscious beliefs that had been preventing
her from pursuing romantic relationships and ultimately life goals. The case illustrates dream
interpretation as a psychotherapeutic tool and highlights the importance of considering cultural context to help make sense of a client’s dreams and waking-life beliefs, feelings, and behaviors. The quality and rigor of the case example were enhanced by the use of the Messer (2007) Pragmatic Case method. Full Article


2. Assessment of Malingered Psychosis in Mental Health Counseling (Pages 208-227)

James G. Richter

Malingering is the gross exaggeration or fabrication of physical and psychological symptoms for secondary gain. Though a client’s potential secondary gain may be apparent to the counselor, determining the client’s situational stressors and motivation for that gain complicates definitive detection of malingering. Adopting the adaptational model of malingering in assessment can reframe the deception and misrepresentation as possibly an adaptive way to meet basic needs. Because malingering is a diagnosis of exclusion, it must first entail differential diagnosis with somatoform and factitious disorders. Assessment requires a solid clinical background in understanding malingering response style, target symptoms, psychotic symptom manifestation, and the subsequent differentiation between genuine and malingered psychosis. This article provides practical strategies for detecting feigned psychotic symptoms and briefly surveys psychometric tools counselors can use to detect malingering. Full Article


3. Paruresis: What Counselors Need to Know about Assessment and Treatment of Shy Bladder Syndrome (Pages 228-242)

Michael S. McGraw, Gina L. Rothbaum and William R. Sterner

Paruresis, considered a category of social phobia, is the fear of being unable to initiate or sustain urination in the presence of others or in situations where others may become present. Many clients who struggle with paruresis present with symptoms commonly associated with other types of social phobia, which makes assessment, diagnosis, and treatment difficult. Although paruresis is relatively common, many counselors know little about it. This article focuses on the prevalence, etiology, course, assessment, diagnosis, and treatment of paruresis. Case scenarios are presented to guide counselors in assessing and diagnosing paruresis. Implications for counselors are discussed. Full Article


4. A Qualitative Exploration of Fear and Safety with Child Victims of Sexual Abuse (Pages 243-262)

Jennifer M. Foster and W. Bryce Hagedorn

Although child sexual abuse (CSA) is a pervasive societal problem that is estimated to affect 1 in 4 girls and 1 in 6 boys before the age of 18 (Centers for Disease Control and Prevention, 2005), little is known about CSA from the perspective of the victims themselves. To address this gap in the research, this study used a narrative approach to explore children’s perceptions of their abuse experiences. Analysis of 21 narratives written during Trauma-Focused Cognitive Behavioral Therapy revealed a meta-theme, which was entitled Fear and Safety. Children’s descriptions of past and current fears and concerns about their safety and the safety of others were evident in all 21 narratives. The article delineates counseling interventions that mental health counselors can use to target fear and enhance safety. Full Article


5. Professional Counselors' Conceptualizations of the Relationship between Suicide and Self-Injury (Pages 263-282)

Julia L. Whisenhunt, Catherine Y. Chang, Gregory L. Brack, Jonathan Orr, Lisa G. Adams, Melinda R. Paige, C. Peeper L. McDonald and Caroline O’Hara

This study sought to increase understanding of the relationship between suicide and self-injury (SI). Advanced professional counselors were asked to discuss their conceptualizations of the relationship and how SI impacts clinical assessment and intervention. Data were collected via online survey. Analysis was conducted by a research team using qualitative content analysis. Categories identified were (a) the relationship between suicide and SI, (b) the functions of SI, (c) debate about the potential for elevated risk, (d) whether or not suicide risk should be assessed differently with clients who self-injure, (e) how SI may impact treatment planning and goals, (f) how professional counselors intervene with clients who self-injure, and (g) how SI is identified. Full Article

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