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Journal of Mental Health Counseling
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Volume 37, Number 1, January 2015


1. Counseling Military Veterans: Advocating for Culturally Competent and Holistic Interventions (Pages 1-14)

Paul Carrola and Marilyn F. Corbin-Burdick

The large number of military personnel returning from combat operations in Iraq and
Afghanistan with symptoms of mental illness has led to increased focus on specialized veteran mental health treatment and posttraumatic stress disorder. While this focus is both beneficial and warranted, it may lead to a myopic view of the experiences and needs of veterans. This article examines the responsibility of mental health professionals to balance the unique nature of veterans’ experiences with their individual diversity rather than viewing them or their experiences through a strictly pathological lens. Failing to take a holistic approach to counseling each veteran may inadvertently stigmatize veterans as a group. The value of wellness counseling and the risks of over-pathologizing symptoms underscore the need to take a more diverse approach to counseling veterans and assist them with reintegration into their communities. Full Article


2. Treatment Guidelines for Clients with Antisocial Personality Disorder (Pages 15-27)

Gregory T. Hatchett

The purpose of this article is to present treatment guidelines for mental health counselors who work with clients diagnosed with Antisocial Personality Disorder (ASPD) or characterized as psychopathic. The guidelines use the criteria of both treatment efficacy and clinical utility as recommended by an APA taskforce on treatment guidelines (American Psychological Association, 2002). A review of the literature revealed that psychosocial interventions lack both treatment efficacy and clinical utility in remediating the core characteristics of antisociality or reducing criminal recidivism. However, a strong case can be made for a guideline in which substance abuse treatment is recommended for ASPD clients with comorbid substance use disorders. Not only have such interventions been shown to possess adequate treatment efficacy, but there is additional evidence that such interventions are cost-effective and feasible for real-world, clinical settings (= clinical utility). Full Article


3. The Use of Mind-Body Practices in Counseling: A Grounded Theory Study (Pages 28-46)

Lindsey M. Nichols

In U.S. culture, there is increasing interest in using complementary therapies (CT), which the National Institutes of Health also refer to as complementary and alternative medicine (CAM). In clinical mental health counseling, there has been little research on CT use, though there is potential for CT practices to illuminate perspectives on professional identity, ethical practices, and responsiveness to client needs. This grounded theory study examined the use of CT by 16 professional counselors across the United States to increase understanding of how and why practitioners use CT. The findings revealed four key categories that delineate the use of mindbody practices in counseling: (a) experiences with CT; (b) beliefs creating openness to CT; (c) development of CT competence; and (d) reinforcement of CT use in professional practice. Implications for exploring CT in clinical counseling are discussed (see also Nichols, 2012). Full Article


4. Attitudes of Mental Health Professionals toward Mental Illness: A Deeper Understanding (Pages 47-62)

Allison Crowe and Paige Averett

Because mental health professionals are not immune to negative attitudes toward adults with mental illness, researchers have questioned where these attitudes might originate, as well as what affects them. Although there have been quantitative studies that broadly explore attitudes toward mental illness, in-depth understanding of factors that affect the attitudes of mental health professionals will offer insight to practitioners and researchers alike. This qualitative study explored the impact of educational programs and professional experience on the attitudes of mental health professionals toward their clients. Based on the results, this article describes a continuum of attitudes toward mental illness for counselors, educators, supervisors, and related professionals as a tool to understand their attitudes toward mental illness. Full Article


5. Meta-analysis: Counseling Outcomes for Youth with Anxiety Disorders (Pages 63-94)

Bradley T. Erford, Victoria E. Kress, Monica Giguere, Domenic Cieri and Breann M. Erford

This meta-analysis concluded that counseling and psychotherapy generally have a small to
medium effect in treating anxiety in school-aged youth for termination (waitlist [k = 55; n = 2,959] d = .60[.52– .68]; placebo [k = 14; n = 867] d = .57[.42– .72]; treatment-as-usual [k = 10; n = 371] d = .32[.14– .50]; single group [k = 39; n = 889] d = .42[.37– .48]; and followup (waitlist [k = 22; n = 1,059] d = .51[.39–.63]; placebo [k = 2; n = 154] d = .73[.42-1.03]; treatment-asusual [k = 9; n = 327] d=.21 [.02–.44]; single group [k = 36; n = 788] d = .58[.51– .65]). The findings of 80 clinical trials were synthesized using a random effects model for mean difference and mean gain effect size estimates. No effects of moderating variables were evident. Implications for counseling practice and future anxiety outcome research are addressed. Full Article

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