A Constructive Approach to Help Counselors Work With Clients Who Express Discriminatory Views

Although much has been written to help counselors understand the potential impact of their own biases toward clients from traditionally marginalized groups, much less attention has been given to assist counselors working with clients who express discriminatory views that counselors may find offensive. In this article, the authors briefly outline how constructive clinical supervision can be integrated with aspects of relational–cultural theory and moral foundations theory to help counselors work with clients who espouse discriminatory views.     

Working With Clients Who Self‐Injure: A Grounded Theory Approach

This article presents the findings of a qualitative study examining the experiences of counselors in their work with clients who self‐injure. Using grounded theory methodology, the authors established 6 categories to explain the counselors’ conceptualization of self‐injury and their process of working with these clients: (a) external factors to self‐injury, (b) defining self‐injury, (c) potential for harm, (d) conditions for treatment, (e) counselors’ reactions to working with clients who self‐injure, and (f) clients’ response to treatment.     

Counseling Persons With Disabilities: Are the Feelings,Thoughts, and Behaviors of Helping Professionals Helpful?

Seven counseling “syndromes,” with illustrative vignettes, focus on some of the feelings, thoughts, and consequent verbal and nonverbal behaviors of counselors working with physically disabled clients. Nathanson urges counselors and other helping professionals to become aware of their feelings and thoughts, and to monitor their interactions with disabled clients so that existing beliefs and biases will not interfere with positive client growth.     

Counseling Outcomes: Counselor Characteristics and Client Results

Eighteen counselors in one of the administrative areas of the California Department of Human Resources and 697 of their closed cases were studied in order to discover whether differences in employability outcomes did exist. The study attempted to answer the following questions: (a) How many clients achieve employability during their relationships with employment counselors? (b) What is the final disposition of cases that are closed other than employable? and (c) To what degree do counselors engage in placement activities and what influence do these activities have on employable closures? The study provides evidence that some counselors had significantly more clients achieve employable status than did other counselors.     

How Chaos and Complexity Theory Can Help Counselors to Be More Effective

Chaos and complexity theory can help counselors to assist clients in new and unique ways. Chaos and complexity theory do not need to replace other counseling theories but can provide an alternative view. Using chaos theory in counseling requires, however, a revaluation of counselors' assumptions about the world, particularly about linearity, prediction, and control. This article uses a case study to illustrate how counselors can use chaos and complexity theory in their work with clients. This theory can offer an alternative framework to assist counselors in conceptualizing their clients and their practice.     

The Ethics of Bias in Counselor Terminology

Mental health counselors (MHCs) are generally perceived as empathic, caring professionals. However, the terms that mental health counselors use to describe their clients sometimes contribute little to the valid assessment and treatment of psychological problems and are disrespectful to clients. This article reviews the literature on counselor terminology with foci on the types of terms used, the effects such terminology has on clients, the corresponding ethical responsibilities of MHCs, and the implications for practice.     

Vocational Counselor Success Rate as a Criterion for Client Assignment

Although researchers have suspected that rehabilitation counselors may often experience different success rates with different kinds of clients, little effort has been made to determine the best methods of assigning clients to counselors. Our study represents an attempt to provide insight into the desirability of assigning clients to counselors with a high proportion of successful closures with members of the clients' disability group. The criterion of desirability was the Cooper-Rubin suitability-of-placement index. Results indicated no positive relationship between counselors' proportion of successful closures and their average Cooper-Rubin index scores.     

Roles of the Drug Abuse Counselor in a Correctional Facility

This article focuses on the variety of roles that counselors working with drug offenders are expected to undertake. The authority, counseling, and intercessor roles are discussed, as well as the unwritten roles that are assumed by drug abuse counselors. Potential role conflicts and their effects, both on drug abuse counselors and on their clients, are addressed.     

Advocating for Atheist Clients in the Counseling Profession

Atheism is a controversial topic, with individuals who identify as atheist reporting high rates of discrimination. Despite increasing literature discussing religious/spiritual views and beliefs, few scholarly discussions of atheism in the counseling field can be found. Counselors need to be made aware of the issues facing atheist clients and educated on the best interventions to use in collaborative work with clients. Counselors should also be prepared to advocate for atheist clients in multiple domains. This article aims to explore the relevant literature around atheism, identify implications for counselors, and provide a path to advocacy for counselors in their work with atheist clients.     

Incorporating Lesbian and Gay Issues Into Counselor Training: A Resource Guide

In order for counselors to facilitate the growth of their lesbian and gay clients, they must be familiar with and become sensitive to the special needs of this population. However, most counselors and counselor trainees have had little exposure to these needs. One way of increasing their awareness and sensitivity is to incorporate lesbian and gay issues into counselor training programs. The focus of this article is to present a limited list of strategies and resources that can be used to supplement materials in traditional courses in counselor training so as to better prepare counselors for dealing with lesbian and gay clients.     

How Christian Spiritual and Religious Beliefs Help and Hinder Counselors' Empathy Toward Clients

The critical incident technique was used to examine how counselors' religion and spirituality help and hinder counselor empathy toward clients. Twelve counselors holding Christian beliefs identified 242 helping and 25 hindering incidents that formed 14 helping and 3 hindering categories. Categories reflected counselors relying on a natural connection to their spirituality, drawing from empathic roots in their religion or spiritual experience, and using commonalities shared with clients as a means of empathizing. Implications for research, counselor education, and counseling practice are discussed.     

Does Receiving Genetic Counseling Impact Genetic Counselor Practice?

This study was an investigation of whether genetic counselors have received genetic counseling and if so, how they believe it affects their practice. One thousand genetic counselors were mailed surveys about the nature of genetic counseling services received, impact on their clinical practice, frequency and reasons for disclosing about their receipt of counseling to their clients, and demographics. Ninety-three of the 510 respondents reported receiving genetic counseling. Of these, almost three-fourths were practicing genetic counselors while receiving services. Reasons for services include prenatal concerns, family history of cancer, and history/risk of other genetic conditions. Frequently endorsed effects on practice include increased empathy and understanding of client decisions, feeling more connected with clients, greater emphasis on psychosocial support, and sympathy. Forty-six respondents disclosed to clients about their receipt of genetic counseling. Prevalent reasons include client asked, help clients feel they are not alone, demonstrate counselor understanding, decrease client anxiety, build rapport, and normalize client feelings. Practice and research recommendations are given.     

Examining Differential Effects of Internal and External Resources on Counselor Burnout Symptoms in South Korea

This study aims to bring to light the relationship between internal/external resources and counselors’ burnout depending on the type of clients (traumatized/bereaved vs. personal growth issues). Moderated mediation analysis was conducted with 165 counselors in South Korea. The results indicated that counselors of traumatized or bereaved clients were more likely to be affected by internal resources (countertransference management ability), whereas counselors of clients with personal growth issues were more likely to be affected by external resources (environmental resources). Implications and limitations of this study are discussed.     

Application of Yoga as a Spiritual Practice to Enhance Counselor Wellness and Effectiveness

In this article, we explore potential benefits of yoga, an ancient Indian tradition for spiritual growth and development, for counselors. Counselors use themselves as instruments to support clients and are constantly exposed to the traumatic experiences of clients, which may leave them susceptible to secondary traumatic stress or compassion fatigue (Shallcross, 2011). Yoga can help counselors not only in achieving holistic wellness but also in developing a way of being consistent with the characteristics of an effective counselor. Furthermore, yoga, as a spiritual practice, can empower counselors to embark on a spiritual journey driven by their own personal experiences.     

Sexual Contact During and After Professional Relationships: Practices and Attitudes of Female Counselors

A national sample of female counselors (N = 377) was surveyed regarding sexual contact in professional relationships. Few respondents reported engaging in sexual contact either during or following professional relationships with clients, supervisees, or students. Individuals with doctoral degrees were more likely to have engaged in sexual contact with their own counselors, supervisors, or teachers. Counselors viewed sexual contact in current professional relationships as less ethical than contact in subsequent relationships, although relationships with former clients were seen as less ethical than relationships with former supervisees or students. Compared with male counselors from a previous study, female counselors were less likely to report sexual contact in their professional roles. Implications for research and training are discussed.     

Guidelines for Clients of Private Practitioners: Committing the Structure to Print

Whether done explicitly or not, counselors structure the therapeutic relationship. Clients benefit because they are not left guessing about the ground rules. Counselors benefit from not having to redecide every time a new situation arises. Providing clients with the ground rules in writing helps counselors and their clients operate from a common frame of reference and reduces the likelihood that nontherapeutic issues will become a source of conflict. The author describes one practitioner's experiences in preparing and using guidelines with clients seen in a small private practice.     

Spiritual Empowerment: A Metaphor for Counseling

The metaphor of counseling as spiritual empowerment is presented, followed by an explanation of spiritual empowerment as a metaphor and spiritual empowerment as a theoretical framework for counselors. In the use of this metaphor, counselors initiate a spiritual experience with clients, and clients often experience a spiritual awakening in which they discover or rediscover their own spiritual power. Five conclusions are identified.     

Counselors and the Legalization of Physician-Assisted Suicide

With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding counseling these clients, a reevaluation of the ACA ethical standards may be needed.     

Experiences of Altruism in the Therapeutic Relationship: Perspectives of Counselors‐in‐Training and Their Clients

The purpose of this phenomenological investigation was to explore experiences of altruism in the therapeutic relationship to better understand how counselors‐in‐training (CITs) and their clients mutually perceived the construct in sessions. Findings from interviews with clients (n = 14) included emotional–relational characteristics and cognitive–behavioral aspects of altruism by their counselors. Findings from interviews with CITs (n = 10) included explorations of the role of altruism in counseling, overall experiences of altruism in counseling sessions, and experiences of altruism with specific clients. Implications for practice and research are discussed.