Special Topics in the Journal of Counseling & Development,Volumes 66–80

The authors review previous examinations of the American Counseling Association's (ACA) Journal of Counseling & Development (JCD), consider various editors' policies that shaped the Journal, and update L. W. Harmon and H. E. Harker's (1989) analysis of special interest topics featured in JCD. Studying the flagship professional journal of ACA provides insight into the evolution and development of the profession of counseling.     

Health Care Reform: Preparing the Psychology Workforce

This article is based on the opening presentation by the author to the Association of Psychologists in Academic Health Centers’ 5th National Conference, “Preparing Psychologists for a Rapidly Changing Healthcare Environment” held in March, 2011. Reviewing the patient protection and affordable care act (ACA), that presentation was designed to set the stage for several days of symposia and discussions anticipating upcoming changes to the healthcare system. This article reviews the ACA; general trends that have impacted healthcare reform; the implications of the Act for psychology’s workforce including the growing focus on interprofessional education, training, and practice, challenges to address in order to prepare for psychology’s future; and recommendations for advocating for psychology’s future as a healthcare profession.     

Report of the ACA Ethics Committee: 1998–1999

This report summarizes the activities of the American Counseling Association's (ACA) Ethics Committee for 1998–1999. Summary data of the complaints filed and the inquiries received are presented along with a discussion of the other activities of the ACA Ethics Committee.     

Noncompetition Agreements and the Counseling Profession: An Unrecognized Reality for Private Practitioners

Restrictive covenants are proven means of limiting competition and need to be understood by counselors. The authors consider the American Counseling Association's (ACA) position on noncompetition agreements between employers and employees in light of case law from other service professions and conclude that ACA members are uninformed and available sources of information (i.e., ACA Code of Ethics and Standards of Practice, ACA, 1995) do not provide needed information. The absence of information about this important topic puts members at risk in an increasingly competitive private practice market. The authors propose guidelines for responding to this issue.     

Counseling Counselors: A Survey of Values

This study surveyed counselors' rates of involvement in counseling, explored whether counselors value seeing therapists of a similar theoretical orientation to their own, and examined which characteristics were important in choosing one's therapist. Of 2,000 randomly selected ACA members, with a 38% return rate, 80% were found to have attended counseling, with women seeking counseling at significantly higher rates than men. Having been in counseling varied as a function of division affiliation as well as counselor's theoretical orientation. Finally, this study also explored the characteristics deemed important in choosing one's counselor and the values counselors hold regarding involvement in their own therapy.     

Wellness,Prevention, Development: The Cornerstone of the Profession

The American Counseling Association's (ACA), formerly the American Association for Counseling and Development (AACD), unique contribution to a wellness philosophy lies in the profession's concern for development over the life span. In this article, ACA's commitment to and proactive stance toward wellness are described, the relationship between wellness, developmental approaches, and prevention is addressed, and the debate surrounding prevention as a non-third-party-reimbursable mental health service is discussed.     

Coping orientation and psychological distress in healthcare professionals: The utility of appraising coping acceptability

The purpose of this study was to examine interaction effects of healthcare professionals' coping orientation (i.e., engagement versus disengagement) and appraisal of coping acceptability (ACA) on psychological distress, taking into account the individuals' job specificity and the psychological climate in their work environment. A cross‐sectional survey was conducted, and Japanese healthcare professionals (N = 189; 117 female; mean age: 40.1 ± 11.2 years) reported the coping strategies that they employed for task‐related or interpersonal stressors, their cognitive appraisal of the stressors, their ACA, and the psychological distress evoked by the stressors. The results showed that adding consideration of the ACA to the variable of coping orientation significantly improved predictions of psychological distress for both task and interpersonal stressors. There was no significant interaction between the coping orientation and the use of coping strategies that incorporated the ACA. These results suggest that considering the ACA, in addition to the coping orientation, would be useful for understanding individual differences in the mediators of healthcare professionals' coping in stressful situations.     

Enactment as Therapeutic Hand Grenade: How Bursts of Emotional Honesty Can Get a Stuck Treatment Moving Again: Discussion of Holly Levenkron's Paper

In my discussion of Levenkron's article, I consider ways of understanding the patient's therapeutic progress that were not highlighted by the author. Adding my own criteria to Levenkron's definition of enactment, I suggest that what the author labels as enactment might be seen as a last-ditch but successful effort to get patient and analyst out of a stuck and painful place. I explore the interplay of confrontational and nonconfrontational interventions in contributing to cure, and I suggest placing a greater emphasis than did the author, on the intersubjective contexts out of which the patient's troublesome behaviors emerged.     

Report of the ACA Ethics Committee: 1997–1998

This report summarizes the activities of the American Counseling Association's (ACA) Ethics Committee for 1997–1998. Summary data of the complaints fled and the inquiries received are presented along with a discussion of the other activities of the committee.     

On Hare's attempt to bridge the Kantian-consequentialist gap: A response to Forschler's rejoinder

In a paper in this journal (Wall 2016), the author of the present paper critiqued Scott Forschler's attempt (2013) to establish that Jens Timmermann's argument (2005) against R. M. Hare's attempt (1981) to bridge the Kantian-consequentialist gap is unsuccessful. Forschler's thesis is that Hare's utilitarianism is strictly normative, not metaethical. In Hare's ethical rationalism, which is metaethical but contains no intrinsic ends (Forschler 2013), reason determines the proper ends, and preference satisfaction has no value prior to reason's determinations (Forschler 2013). The present author responded that Hare's moral approach presupposes that preference satisfaction is the ultimate end (Wall 2016) and that an analysis of preference satisfaction in Hare's moral approach cannot be confined to normative ethics. Forschler's rejoinder (2017) suggests that Hare's moral theory was misinterpreted by the author, who now shows that such a judgment results from significant oversights concerning the foundation of Hare's moral theory and utilitarian foundations.     

The Development of the Spiritual Focus in Counseling and Counselor Education

This article summarizes the Association for Spiritual, Ethical, and Religious Values in Counseling's (ASERVIC's) history with the American Counseling Association (ACA) and the Summit on Spirituality. It includes comments on the importance of spirituality in counseling and the rewarding aspects of infusing spirituality into counseling from the perspectives of Mary Thomas Burke, Eugene Kelly, and Judy Miranti. The article concludes by exploring issues related to fusing spirituality with counseling and presents recommendations.     

Spirituality and Counselor Competence: A National Survey of American Counseling Association Members

A random sample of 505 American Counseling Association (ACA) members completed a questionnaire that evaluated respondents' ratings of the importance of 9 competencies developed at the Summit on Spirituality (G. Miller, 1999; “Summit Results,” 1995) meetings to effectively address spiritual and religious issues in counseling practice. Results suggest that, in general, ACA members strongly support the importance of the competencies for effective counseling practice.     

Clinical Behaviors for Addressing Religious/Spiritual Issues: Do We Practice What We Preach?

To determine if counselors integrate clinical behaviors for addressing religious/spiritual issues in counseling consistent with their ratings of the importance of such behaviors, the authors conducted a national survey of American Counseling Association (ACA) members. Seventy‐eight ACA members rated the importance of and frequency with which they engaged in a set of 30 clinical behaviors that were identified in the existing literature as addressing religious/spiritual issues within counseling. Results indicated possible disparities between importance and frequency ratings. Potential barriers to counselors' utilization of religious and spiritually directed clinical behaviors were identified.     

A PSYCHOANALYTIC READING OF PETER HØEG'S NOVEL MISS SMILLA'S FEELING FOR SNOW3

The author presents a psychoanalytic reading of the Danish author Peter Høeg's masterpiece ‘Miss Smilla's Feeling for Snow’, focusing on the special linguistic style of the novel. Further, the author puts forward an interpretation of the heroine, seeing her as a literary example of female bisexuality. Investigating the heroine's fate, the author discusses Miss Smilla's phallic defence and identity. The narrative technique in Høeg's novel is analysed through Lacan's concepts of the Real, the Imaginary and the Symbolic. The main figure is interpreted as an imaginary example of female bisexuality. Miss Smilla has neither an unambiguous gender identity nor ethnicity. The heroine is pictured in a conflict between two cultures: the Greenlandish and the western European, and her bisexuality both reflects this and is part of it. The author proposes to interpret a significant memory from Smilla's early childhood as an example of a castration phantasy, which retroactively gives new significance to the little girl's pre‐oedipal frustration.     

WITHSTANDING TRAUMA: THE SIGNIFICANCE OF EMMA ECKSTEIN'S CIRCUMCISION TO FREUD'S IRMA DREAM

The author considers the medical rationale for Wilhelm Fliess's operation on Emma Eckstein's nose in February 1895 and interprets the possible role that this played in Freud's dream of Irma's injection five months later. The author's main argument is that Emma likely endured female castration as a child and that she therefore experienced the surgery to her nose in 1895 as a retraumatization of her childhood trauma. The author further argues that Freud's unconscious identification with Emma, which broke through in his dream of Irma's injection with resistances and apotropaic defenses, served to accentuate his own “masculine protest”. The understanding brought to light by the present interpretation of Freud's Irma dream, when coupled with our previous knowledge of Freud, allows us to better grasp the unconscious logic and origins of psychoanalysis itself. 1     

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.     

Hidden in Plain Sight: Freud's Jewish Identity Revisited

Using a contextualizing, integrative approach, the author looks at aspects of Freud's life and the multiple levels of influence in terms of his theories. While keeping a broad overview of the historical and cultural life for Jews in 19th-century Europe, including the effects of anti-Semitism, emancipation, and the enlightenment movement, the author intertwines Freud's parents' lives and personalities as they played out in Freud's own development and in his theories. The author believes that Freud formed a particular repression linking Jewishness, passivity, femininity, and religion while elevating in his theories masculinity, activity, science, and atheism. The author specifically focuses on Freud's theories of the Unconscious and the oedipal complex as particularly representative of a split between his own Jewish home and the German high culture he was educated within. Drawing on literature within psychoanalysis and the disciplines of Jewish studies and broad cultural history, the author concludes that Freud's rejection of certain parts of his own life are embedded within his theory when considered from a multiply-layered point of view.     

Shades of Mark Twain: Commentary on Paper by Steven H. Cooper

The author considers Cooper's notion of the pluralistic third from several angles as Cooper's use of the term covers a range of applications from that of an internal supervisor to the use of ideas from psychoanalytic traditions other than one's own in evaluating one's clinical work. The impression created of the American situation is contrasted with the institutionalized pluralism of the British Psychoanalytical Society since the Second World War. The author believes that the theoretical question of the analyst's accountability to a professional authority is overdetermined in the paper because the clinical material is dominated by the patient's problems in facing up to parental authority. A crucial enactment is seen as starting at the analyst's first contact with the patient, which seems to subvert the analyst's capacity to be an authority figure. The analyst finds a working relationship with his own psychoanalytic authority in the second session of the analysis but seems to lose it through an overextension of the ideas of “play,” self-questioning, and the seeking of agreement between patient and analyst. The author considers the clinical material from the point of view that his peer supervision group would take.     

ROY SCHAFER'S CONTRIBUTIONS TO PSYCHOLOGICAL TESTING: FROM CLINICAL SENSIBILITY TO THE ANALYTIC ATTITUDE

The author reviews Schafer's contributions to psychological testing, emphasizing his development of the test battery, his significant contributions to psychoanalytically oriented Rorschach interpretation, and his understanding of the complex interpersonal dynamics involved in psychological test interpretation. The author also discusses his use of Schafer's writing in his own teaching and academic work, noting that Schafer's contributions have not only provided innovative methods for examining test data, but have also promoted a respectful, humanistic, and individualized approach to the patient in testing and treatment. The author asserts that Schafer's later seminal contributions to psychoanalysis had their origins in his early career as a psychologist applying psychoanalytic ideas to testing.