Racial/Ethnic Identity,Gender‐Role Attitudes,and Multicultural Counseling Competence: The Role of Multicultural Counseling Training

Researchers and practitioners have been pursuing how to enhance counselors' multicultural counseling competencies (MCC). With a sample of 460 counselors, the author examined whether multicultural training changed the relationship between (a) racial/ethnic identity and MCC and (b) gender‐role attitudes and MCC. The author found significant interaction effects of (a) racial/ethnic identity and multicultural training and (b) gender‐role attitudes and multicultural training on multicultural knowledge but not on multicultural awareness.     

Counseling and Mental Health Care for Transgender Adults and Loved Ones

SUMMARY

Increasingly, transgender individuals and loved ones (partners, family, and friends) are seeking assistance from mental health professionals working in the community rather than in university or hospital-based gender identity clinics. Drawing on published literature specific to transgender mental health, interviews with expert clinicians, the authors' clinical experience, and three key guiding principles (a transgender-affirmative approach, client-centered care, and a commitment to harm reduction), we suggest protocols for the clinician providing mental health services in the community setting. Practice areas discussed include assessment and treatment of gender concerns, trans-specific mental health issues, and trans-specific elements in general counseling of transgender individuals and their loved ones.     

Gender and opinions about mental illness as predictors of attitudes toward seeking professional psychological help

Help-seeking attitudes have been an important part of research into the kinds of college students who do and do not seek psychotherapy. The current study investigated the relationship between students' opinions about mental illness and their attitudes toward seeking professional help. By also using gender as a predictor of help-seeking attitudes, the researchers examined the effects of opinions about mental illness on help-seeking attitudes above and beyond well-known gender effects. This is important because opinions about mental illness are the kind of attitudinal variables that should be more modifiable than gender identity. The results indicate that females had more positive attitudes toward seeking help than males, and that people's opinions about mental illness, especially more benevolent, less authoritarian, less socially restrictive and higher mental hygiene ideology perspectives, accounted for a significant percentage of positive help-seeking attitudes beyond the percentage accounted for by gender.     

White Racial Identity Attitudes and the Ego Defense Mechanisms Used by White Counselor Trainees in Racially Provocative Counseling Situations

This exploratory study examined the relationship between racial identity attitudes and the use of ego defense mechanisms by White counselor trainees during cross‐racial counseling and supervision dyads. The sample consisted of 145 White counselor trainees enrolled in both master's and doctoral programs at 2 small private universities located in the northeastern United States. Results indicated that White counselor trainees at less mature statuses of racial identity attitudes relied on more primitive ego defenses to manage the anxiety experienced during racially provocative counseling and supervision dyads. Implications for counseling and counselor training are discussed in the context of the study's findings.     

Effects of a Workshop on Mental Health Practitioners' Attitudes Toward Homosexuality and Counseling Effectiveness

The effects of a training workshop on mental health practitioners' attitudes toward homosexuality and counseling behavior were compared with the effects of no intervention. Treated subjects (n = 21) were enrolled in a 3-day multimodal workshop about gay/lesbian counseling, and no-treatment comparison subjects (n = 31) were enrolled in other counselor education coursework. Before and after the workshop, subjects completed homosexuality attitude questionnaires and a quasibehavioral gay/lesbian counseling effectiveness measure. Treated subjects improved significantly more than comparison subjects on all measures, and the gains remained in evidence at an 8-week follow-up. The multimodal training workshop thus appears encouraging as a possible means of instilling needed attitudes and skills in counselors of gay and lesbian clients.     

Womanist Identity and Mental Health

The authors explored the relationship between Helms's “womanist identity” attitudes and the mental health of Black and White women. Results showed that Black and White women have different patterns of responses to both womanist and mental health scales. For White women in the sample, Immersion-Emersion and, to a lesser extent, Encounter attitudes were related to 7 types of psychological symptomatology. For Black women, no such relationship between womanist attitudes and mental health was found.     

Australian Trans Men: Development,Sexuality, and Mental Health

The aim of the study reported in this article was to gain an understanding of the experiences, developmental trajectories, and mental health status of Australian trans men. Participants were 279 trans men. The majority preferred to identify as “male”; from an early age, they had experienced their gender identity as different from that normatively expected of their natally assigned sex and had undertaken practices so as to facilitate their presentation as male in accordance with their gender identity. A majority reported a diagnosis of depression or anxiety within the last 12 months and attributed suicidal ideation and self‐harm and attempted suicide to personal issues with gender identity. Going through a masculinisation process and coming out reportedly led to improved mental health. The findings highlight the need to educate mental health and health care professionals on trans issues.     

Attitudes Toward Seeking Professional Help for an Eating Disorder: The Role of Stigma and Anticipated Outcomes

This study examined the relationship between self‐stigma, anticipated risks and benefits associated with seeking counseling, and attitudes toward seeking counseling among college students with disordered eating attitudes and behaviors. The results of hierarchical regression analyses demonstrated that self‐stigma and the anticipated risks and benefits significantly predicted attitudes toward counseling for people with disordered eating. In addition, self‐stigma had a stronger relationship with men's attitudes toward counseling than with women's, and anticipated benefits had a stronger relationship with women's attitudes toward counseling than with men's.     

Psychological Time in Later Life: Implications for Counseling

Psychological time consists of cognitive constructs, images, and symbolic representations. It has different dimensions such as the experience of time, time perspective, attitudes and beliefs toward time, and the individual's behavior relating to time. Psychological time undergoes changes throughout the life span and is an integral part of the psychological developmental processes. In later life, it may be particularly dissonant with environmental rhythms and require re‐integration of the individual's past, present, and future. This article suggests several guidelines for counseling practice that address the many facets of psychological time in later life and their implications for the mental health and well‐being of older people.     

Postnatal mental health and parenting: The importance of parental anger

Parents' postnatal mental health and subjective perceptions of their baby are likely to influence the quality of their relationship with their baby. To date, this has largely been examined in mothers; therefore, this study aimed to also explore this in both parents. Semistructured clinical interviews [The Birmingham Interview for Maternal Mental Health (BIMMH); Brockingon, Chandra et al., 2006] were carried out with 85 first‐time parents. The BMMHI identifies disorders of anxiety, depression, PTSD, and parental anger. Sections of the BMMHI also elicit qualitative accounts of parenthood. These were transcribed and analyzed using thematic analysis. Differences in the frequency of themes were examined for parents with or without mental health disorders or parental anger. Themes are reported for (a) baby characteristics, needs, and development; (b) parents' emotions, responses, coping strategies, and general parenthood; and (c) parent and baby relationship. Results indicated that both the presence of parental mental health problems and, more notably, parental anger were associated with more negative accounts of the self, the baby, and parenthood. This study provides insight into first‐time parents' perceptions of early parenthood. Results especially highlight the need to consider parental experiences of anger in more detail for assessment and interventions in the early postpartum period.     

Breaking the Silence in the Counselor Education Classroom: A Training Seminar on Counseling Sexual Minority Clients

Lesbian, gay, and bisexual (LGB) individuals encounter internal and external barriers that affect their mental health, and they continue to be underserved by the counseling profession. A counselor training seminar on sexual orientation is presented in this article. The seminar incorporated popular songs, readings, and class discussion to increase awareness of sexual identity development, stereotypes, and counseling interventions for LGB clients. Results of evaluations from the graduate counseling students suggest that the seminar had a positive impact on knowledge, interest, and attitudes.     

An empirical examination of stigma toward mental health problems and psychotherapy use in Veterans and active duty service members

Although many Veterans and active duty service members experience mental health problems, most do not seek out any sort of mental health help. Stigma (a significant predictor of treatment-seeking) has been documented among Veterans and active duty service members; however, previous research on stigma in these groups has primarily utilized correlational and qualitative designs. The purpose of this study was to gain a better understanding of stigma toward mental health problems in Veterans and active duty service members using an experimental design. One hundred sixty-five Veterans and active duty service members were randomized to read a vignette that described a Veteran who either did or did not experience a mental health problem and did or did not seek psychotherapy. Results indicated that the participants held more stigmatizing attitudes toward the Veteran who was described as having a mental health problem, but not toward the Veteran who was described as seeking psychotherapy. Additionally, participants held more positive attitudes toward the Veteran, compared to the attitudes that they believed other military members would hold. Last, with this sample of Veterans and active duty service members, self-stigma toward seeking psychotherapy was found to partially mediate the relationship between perceived public stigma and attitudes. Implications for addressing stigma in military service members and Veterans are discussed.     

Negative consequences of community group participation for women's mental health and well‐being: Implications for gender aware social capital building

Participation in community groups is argued to be an important way to create health‐promoting social capital. However, relatively little attention has been paid to the ways in which gender affects the health promotion potential of participation. This paper reports on a qualitative study of women's experiences of participation in a diverse range of community groups, and considers how such involvement can potentially have a negative impact upon mental well‐being. In‐depth interviews were conducted with 30 women in Adelaide, South Australia. Women's accounts of their group involvement reflected that their identities as mothers were particularly important in shaping their participation. Some women reported difficulties in combining group involvement with their family responsibilities. Stress attached to negotiating social interaction within groups was also raised as an issue. It was found that participation can reinforce gender inequality and potentially have severe negative consequences for mental health, issues that need to be considered alongside the potential health benefits. The findings are considered in light of Bourdieu's critical conceptualization of social capital. Copyright © 2008 John Wiley & Sons, Ltd.     

Psychological distress and help-seeking among Taiwanese college students: role of gender and student status

This study investigated the relationship between psychological distress and attitudes toward seeking professional help and whether the relationship was moderated by gender and student status (traditional vs. non-traditional) among Chinese college students in Taiwan. 961 first-year university students completed standardised measures of depression, anxiety, attitudes toward seeking professional psychological help, and a demographic questionnaire. Results from the multiple regression analysis found that while higher levels of depression were adversely correlated with help-seeking attitudes, gender was positively correlated with help-seeking attitudes. Chinese female students held more favourable attitudes toward seeking psychological help than their male counterparts. Additionally, gender interacted with depression and anxiety in affecting attitudes toward help-seeking. These results were discussed within the Chinese cultural context and recommendations were given for student outreach programme aimed at increasing utilisation of mental health services on campus.     

Cultural barriers in the counseling relationship

Cultural barriers in the counseling relationship are the counselor's and client's reciprocal racial attitudes, counselor's ignorance of client's background, language barrier of poor people in general, client's lack of familiarity with counseling, the Negro's reservation about self-disclosure, and the sex and race taboo. The article suggests in-service and preservice training designed to help counselors examine their attitudes toward the culturally different and expose them directly to the culture of their clients.     

Assessing Mental Health Providers' Perceptions of Consumer-Providers

To gain insight into the challenges of the occupational role of consumer-provider, the authors describe a program evaluation that assessed mental health providers' perceptions of consumer-providers. A qualitative research design was used to assess non-consumer providers' attitudes toward and perceptions of consumer-providers, perceptions of the quality of services consumer-providers deliver, and knowledge and awareness of consumer-providers' education and training background. Four themes emerged, including: (1) service delivery, (2) comparisons between consumer-provided and non-consumer staff provided services, (3) perception and opinion of consumer-providers' education and training background, and (4) power dynamics. Implications of the findings are discussed.     

Representations of Mental Health Among Middle‐Aged Urban Chinese Men

Little is understood by the ideas that urban Chinese population holds about mental health. Insufficient research and recognition of mental illnesses, and a dearth of social resources for mental health support and promotion limit understandings of how daily life stresses restrict the quality of life of China's urban population. Drawing on in‐depth interviews with 15 middle‐age urban men, we map out men's accounts of how they battle to cope with the demands of everyday social, political, and familial pressures. The study reveals that the representations of mental health are shaped by notions of control over emotions, adherence to Confucian philosophy, familial obligations, and the need to demonstrate social obedience and conformity. Data also suggest that the participants represent stable family support along with healthy social interactions as important enabling factors of positive mental health, whereas pressures of modernity are regarded as significant disruptive factors in mental health. The theory of social representations guides the process as well as analytic interpretations of this research. Copyright © 2015 John Wiley & Sons, Ltd.