Belief in afterlife as a moderator of fear of death?

Investigating the notion that belief in afrerlife (BA) serves the function of helping the individual to deal with fear of death, a study was designed to explore the effect of public commitment to religion, repression-sensitization, and anticipatory concern with death and dying on BA, and examine the relationship between BA and state anxiety. Fifty students of theology and fifty students of various other subjects responded to a German version of Byrne's R-S scale, and then were randomly assigned to two conditions: they either worked through Thanatos-Questionnaire, and thereby were confronted with death and dying for about 15 to 20 minutes, or filled out a questionnaire unrelated to the topic. Thereupon, a BA scale was administered, and at last, subjects responded to a scale measuring state anxiety. The findings of Osarchuk and Tatz (1973) that religiously committed persons are strengthening BA after being confronted with death and dying could not be replicated. However, among subjects with no public commitment, those concerned with death and dying scored significantly lower on BA than those not concerned. This effect was especially observed among students classified as sensitizers. Because changes of BA did not correspond with changes of within cell correlations between BA and state anxiety, an alternative explanation of the findings in terms of dissonance theory is put forward.     

Oh death,where is thy sting? Reflections on dealing with dying patients

This paper examines the reactions of physicians and other health-professionals when they become involved in decisions about the death of their patients. The way people understand the condition of death has a profound influence on attitudes towards death and dying issues. Four traditional views of death are explored. The problem that physicians have in helping patients die (be it by hastening death through pain control, assisting patients in suicide or by more active means) is analyzed. Physicians, in dealing with such patients, must be mindful of their own, and their patients beliefs as well as mindful of the community in which such dying takes place. They must try to reconcile these often divergent views but can neither paternalistically deny patients their rational will, hide themselves behind an appeal to the law or go against their own deeply held moral views. When such views cannot be reconciled, compassionate transfer to a more compatible physician may be necessary.     

Parental Mourning and Children's Behavior

This article alerts professionals to sibling death as a possible reason for behaviors exhibited by young clients. Aside from their own grief, children are affected by parental mourning over a child's death and accompanying changes in the family environment. Children show their distress in a variety of behaviors, some of which appear to be unrelated to the loss. Four areas of concern are presented with case illustrations: cognitive distortions, reactions to parents' distress and preoccupation with the loss, being a replacement child, and effects of parents' failure to work through their grief. Suggestions for helping children and parents include using a genogram for identifying loss, helping the family talk about the death, and providing a support group for children.     

CBT for Grief: Clearing Cognitive Obstacles to Healing from Loss

There is tremendous variability in people’s ability to cope with, and adjust to, the death of someone close to them. One of the factors identified as significant in this regard is the constellation of beliefs that includes a mourner’s thoughts about the circumstances of the death, their feelings about the person who died, their reflections on the relationship with that person, and their assessment of their own ability to survive the loss. This paper considers the role of cognition in adaptation to loss, and demonstrates how maladaptive cognitions concerning the loss, the manner of death or the relationship with the deceased can interfere with adaptation and lead to complications in grief. Case examples illustrate the use of CBT with bereaved clients and the benefits of this approach as part of an overall strategy for helping grieving clients. The effectiveness of CBT with bereaved individuals is enhanced when clients understand the rationale of the treatment and are committed to carrying out the tasks specified in their treatment plan. The article presents a simple model for promoting client involvement and compliance.     

Systematic Counseling: The T-F-A Model for Counselor Intervention

Counselors in educational settings are usually not free to select the kinds of clients and problems with which they may work most effectively. Therefore, counselors must select counseling strategies that maximize the probability of helping all clients achieve personal goals. These strategies may focus primarily on changing how clients think, feel, or act (T-F-A). Combinations of thinking, feeling, and acting strategies are illustrated along with relationships to different counseling theories. Effective counselors need to systematically use varying combinations of T-F-A strategies that will be of maximum value in helping individual clients to change their behavior.     

Narcissism in the modern world

Narcissism has been around since the time of Ovid more than 2000?years ago and the concept has long been a source of study, intrigue, fascination and literature both within and beyond the psychoanalytic community. While Narcissistic Personality Disorder remains a severe and fairly rare clinically diagnosed condition, sub-clinical narcissism or narcissistic traits have reached epidemic proportions with serious consequences. Ever increasing levels of greed, self-obsession, superficial relationships, arrogance and vanity are everywhere apparent and not making us any happier, with common mental health problems on the increase, especially among the young. Seemingly irreversible alterations to family life, technological development – including social media, attitudes to death and dying and celebrity worship, all feature in the rise of our narcissistic society and are interconnected trends. Group greed and grandiosity, as in the world of banking, have led to wide-scale corruption and cover-ups leaving us vulnerable and unable to place our trust in many organisations. Perhaps most sinister of all is our attitude to the planet that supports us, as we play a part in the destruction of much of the environment and many of the species that share the earth with us. Looking at the literature of narcissism, the aim of this paper is to consider ways in which cultural changes have brought about this huge rise in both individual and group egotism. We are seeing many more clients high on the narcissistic spectrum but consideration will be given to the narcissism of the therapist and the impact of the therapist’s narcissism on the client. We live in difficult times and cannot step outside our culture but there are ways of countering our narcissism and helping our clients to do the same. Having compassion for one’s self and recognising how ordinary we really are make for a good start.     

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.     

Amazing Grace: The Healing Effects of Near-Death Experiences on Those Dying And Grieving

Kenneth Ring (1991) argued that near-death experiences (NDEs) act as compensatory gifts helping individuals cope with and understand life's difficulties. He saw NDEs as conferring amazing grace on individuals whose lives were spinning out of control toward self-destruction. Expanding on Ring's contention that NDEs can be seen as healing gifts, this study presents evidence of seven categorical situations where participating in or knowledge of NDEs and nearing-death awareness experiences serve as healing agents in facing one's own death or the death of a significant other. NDEs and nearing death awareness seem to free persons from paralyzing death anxiety and, consequently, allow them to focus on additional ways to help each other face dying and grieving.     

When Clients Die

Abstract

The contexts of loss are as numerous as they are varied. This article reflects upon loss within the context of the helping relationship and illustrates how storytelling, journaling, and correspondence can be used to process the experience of a counselor's loss. The richness of personal accounts, interwoven and connected, provides voice and place to the experience of the deceased and their loved ones. Through such a process, the counselor is assisted toward an integrative healing intervention that can be used to work through their shattered dreams following the death of their clients.     

The helping alliance and premature termination

The study was conducted to determine the relationship between strength of the helping alliance and type of client termination (premature or with mutual knowledge of client and counselor). Participants were 102 client-counselors dyads at a university counseling center. After an average of 8 sessions, clients and couneselors completed Alexander & Luborsky's (1986) Helping Alliance Questionnaires. Clients terminated after an average of 19 sessions. Clients who later terminated with mutual knowledge of their counselors gave significantly higher strength of helping alliance ratings than did clients who later terminated unilaterally and prematurely. Counselors' ratings of strength of helping alliance were only modestly related to clients' ratings and unrelated to type of client termination.     

The titration of death: a new sin

..."Titration of death" is the phrase I have used, in private musings and discussions, to express the undertaking of causing or permitting death to occur within carefully delimited parameters. It is, I think, a new form of sin. I distinguish it from a similar enterprise, in principle benign, that we might call "titration of dying," which attempts to manage the dying process. The focus of attention of titration of dying is the experience of the patient prior to death, with little or no concern given to the condition of the cadaver following death. Titration of death, on the other hand, is primarily concerned with producing, at the close of the process, a cadaver that is usable in some manner; and titration of death, per se, has only incidental concern with the dying process.     

Immediacy in Counseling: Recognizing Clients' Unspoken Messages

This article describes how to surface immediacy issues outlined in Carkhuff's developmental helping model and engage clients in exploring the counselor-client relationship.     

‘What’s so special about HIV and AIDS?5: Stresses and strains for clients and counsellors

The issues of supervision relating to counselling people who have been diagnosed as having HIV and AIDS are discussed. Against the background of the stigmatisation of this group of clients by society, the impact of these issues upon the client and the counsellor is addressed. Using a case-history as illustration, the conflicts and losses arising at different stages are explored. These have important implications for the need for supervision to facilitate the changes necessary in coping with clients' and counsellors' feelings regarding a terminal illness, death and dying, and the containment of anxiety. The process within supervision of enabling the counsellor to deal with their countertrans-ference, hopelessness and sense of loss is examined. Through this, the counsellor is enabled to allow a balanced view to be reached within the therapeutic relationship.     

Relationships between religiosity and attitudes towards death and dying in a middle-aged sample

Bivariate relationships between each of five components of (Christian) religiosity and each of six variables covering an individual's attitude towards death and dying were examined in a German sample of 93 men and 93 women aged 45–55 years. Most of the variables were assessed both by questionnaire and by means of interview and subsequent content analytical coding. In men, the fear of other persons' death and dying proved to be consistently negatively associated with various aspects of religiosity whereas in women, the fear of one's own dying was consistently inversely related to religiosity. Agreement with the moral standards of the Roman Catholic Church concerning sexuality and birth control was found to be positively correlated with two aspects of the fear of death and dying in women only. Belief in God showed a positive correlation with an attitude of acceptance towards death and dying in men only. Results are discussed within the context of Eysenck's theory of personality.     

Mentoring and Networking for Helping Professionals

Awareness of mentoring and networking assists helping professionals personally and as they work with and guide their students and clients toward their life and career goals.     

High Technology: Its Impact on Career Changes

In this article, the author describes the impact of high technology on career changes. Suggestions are provided to counselors for helping clients make successful career changes.     

End‐of‐Life Care: An Overview for Professional Counselors

Although “End‐of‐Life Care for Terminally Ill Clients” is a section of the ACA Code of Ethics (American Counseling Association, 2005), neither the Code nor the counseling literature provides much direction for counselors who work with clients who are dying and with the clients' loved ones. The authors provide counselors with an overview of the issues that may be relevant when working with such clients.     

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.     

Altruism and forgiveness as therapeutic agents in psychotherapy

This article suggests that a more altruistic or other-directed perspective is as therapeutic for clients as a self-centered orientation which is more often promoted by psychotherapists. It also proposes that forgiveness may be an important therapeutic factor in helping clients deal with anger and resentment. Religious and spiritual teachings (especially those of Christianity), which have been greatly ignored by mental health professionals, are viewed as potentially valuable resources.