Religious and Spiritual Beliefs: An Avenue to Explore End‐of‐Life Issues

This literature review highlights the relationship between spirituality and/or religion and how people respond in the face of impending death. Attitudes toward physician‐assisted suicide and hospice are explored. The author also offers recommendations to counselors for addressing religious and spiritual concerns.     

Is the Legalization of Physician‐Assisted Suicide Compatible with Good End‐of‐Life Care?

abstract   Many have held that there is some kind of incompatibility between a commitment to good end-of-life care and the legalization of physician-assisted suicide. This opposition to physician-assisted suicide encompasses a cluster of different claims. In this essay I try to clarify some of the most important of these claims and show that they do not stand up well to conceptual and empirical scrutiny.     

Herbaceuticals: An Overview for Counselors

As more and more people are using unregulated herbaceuticals worldwide, counselors need to be alert to the types of herbs clients may be taking; the effects, side effects, and drug interactions associated with different herbaceuticals; and the ethical implications of treating a client who is taking herbaceuticals. This article provides an overview of the psychological, physiological, cultural, and legal issues associated with herbaceuticals and introduces some of the emerging ethical issues.     

Breathwork as a Therapeutic Modality: An Overview for Counselors

Using the breath as a vehicle for accessing psychological material is a topic rarely discussed in the counseling literature, despite the use of conscious engagement with the breath by many spiritual traditions for the purpose of personal transformation. This article describes 3 types of conscious breathing (circular breathing, conscious connected breathing, and fast and full breathing) and the use of therapeutic breathwork within the counseling process. The authors describe the many facets of the breathwork experience, provide a case study, and address clinical considerations when engaging in breathwork with clients.     

Counselors and the Older Worker: An Overview

Between 1980 and 2000, the number of people now 55 and older who survive to become 75 and older will increase by over 52%. Also, older people are living longer and are retaining high levels of mental and physical capacity longer. Consequently, prevailing notions about retirement and retirement age are rapidly shifting. Already mandatory retirement age has been delayed from 65 to 70 in most areas of employment. This change and continued high rates of inflation have begun increasing the interest of more older people in seeking to remain qualified to stay in their present or related jobs, or, if retired, to seek to prepare for further careers. Employment counselors, and personnel and guidance professionals generally, who have tended to focus their attention on young people preparing for their first careers face a major challenge in the years ahead in preparing themselves to meet the major and novel demands placed on them by people 55 and older who increasingly will come to them for help.     

Marketing of Professional Counselors: A Q‐Sort Study of Best Practices

This quantitative Q‐sort research was designed to evaluate representations of counselor qualifications and to determine which configurations account for the variance in consumer preference and selection. The sample consisted of 161 graduate and undergraduate students in a regional university in Texas. An iterative inverse factor analysis produced 3 distinct factors that accounted for 65.85% of the variance in the data, explaining a majority of the differences in how consumers perceive counselor credentials.     

Managed Care: Ethical Considerations for Counselors

Key factors and trends in health care will have an impact on the ethical practice of counselors. Ethical challenges to clinical practice presented by trends in managed care are discussed in relation to the American Counseling Association (1995) Code of Ethics and Standards of Practice. Recommendations for practice are also included.     

Value Perceptions of Integrative Health Care: A Study of Primary Care Physicians and Professional Clinical Counselors

A study was conducted to identify value perceptions of primary care physicians and Professional Clinical Counselors on integrative health care. Surveys were collected from 54 primary care physicians and 33 Professional Clinical Counselors in Central Ohio. Quantitative and qualitative results indicate favorable perceptions and opportunities for professional collaboration.     

Supporting Out‐of‐School Time Staff in Low Resource Communities: A Professional Development Approach

Federally funded out‐of‐school time (OST) programs provide academic support, enrichment, and safety for students and families in low‐resource communities. However, programs struggle to meet these aims, in part because of the lack of program structure and limited training and support for staff. This observational case study documents the training and technical assistance (TA) delivered to OST frontline staff and program leadership to implement Positive Behavior in Out‐of‐School Time (Positive BOOST), an adaptation of positive behavior interventions and supports conducted in multiple settings. Findings across three programs indicate that varied levels of TA (i.e., business as usual, performance feedback, coaching) are associated with different levels of staff‐ and program‐level implementation. Taken together with previous research, these findings suggest that targeted investment in developing the skills of OST staff and improving program‐wide outcomes is critical for supporting youth in low‐resource communities.     

An Experiential Workshop for Meaning Making in Adulthood: The Response of Professional Counselors

A basic goal for individuals as they struggle to face normative developmental tasks across their life span is to determine how to make meaning of their experiences, real and vicarious. The authors describe a workshop that gave counselors and human service practitioners meaning‐making strategies that they could use in their personal and professional lives.     

Model Legislation for Licensed Professional Counselors

State legislated licensure for professional counselors is a critical aspect of the evolution of the counseling profession. Model licensure legislation will help promote a unified view of the profession. Model legislation for licensed professional counselors, along with a rationale for the content of said legislation, is presented.     

Advocacy for Counseling and Counselors: A Professional Imperative

Although advocacy both for clients and for the profession is essential for the future of counseling and counselors, advocacy for the profession has received little systematic attention. A national plan for advocacy is needed, the effectiveness of which depends on achieving consensus concerning professional identity, promoting a positive public image, establishing effective intraprofessional and interprofessional collaboration, and obtaining the participation of each counselor in advocacy activities. Specific professional advocacy skills and techniques are described.     

School‐Based Health Centers: Implications for Counselors

School‐based health centers (SBHCs) have been established to provide comprehensive physical and mental health care and preventive services for students. Growing evidence of outcome effectiveness has spurred the rapid development of these centers. SBHCs have received little coverage in the counseling literature. This article provides a review of the issues and opportunities that SBHCs offer for the counseling profession.     

Implications for Wellness‐Based Supervision and Professional Quality of Life

This study evaluated the efficacy of the wellness model of supervision (WELMS; Lenz & Smith, 2010 ) for promoting changes across the perceptions of counselors‐in‐training (CITs) regarding professional quality of life. Three female participants (1 Caucasian, 2 Hispanic) were enrolled in a program accredited by the Council for Accreditation of Counseling and Related Educational Programs. Results of a single‐case research design with multiple baselines indicated that the WELMS was efficacious across client–CIT interactions on professional quality of life.     

The DSM‐IV‐TR and Culture: Considerations for Counselors

Although counselors receive training in both diagnosis and cultural foundations of human behavior, little literature or research integrates these 2 areas in order to facilitate culturally sensitive diagnostic practices. The authors attempt to rectify that lack by providing a review of the literature on the controversies associated with traditional diagnosis of cultural groups that differ from the dominant culture. Practical guidelines for culturally sensitive diagnosis are provided.