What members of Alcoholics Anonymous really believe

Many mental health professionals work with people who are members of Alcoholics Anonymous (AA) or may benefit from AA attendance. This article provides practical information about AA that professionals can use to understand and work with people in AA. It is a summary of a survey of 187 members of AA as well as synthesising the literature on AA. Specifically, it describes what AA is, the twelve steps and principles that underlie them, common AA expressions and how they can be used in therapy, common concerns about AA, and how to get more information about AA. Implications of how AA's steps and language can be incorporated into therapy, how therapy can facilitate working the steps of AA, and how to address consumers’ (or professionals’) concerns about AA are addressed.     

The rhetoric of transformation in the healing of alcoholism: The twelve steps of alcoholics anonymous

Close attention to spirituality and change are necessary for a fuller understanding of how Alcoholics Anonymous (AA) works. This paper draws upon the conceptual tools of the anthropology of religious healing to interpret AA's program for recovery, the Twelve Steps. The Twelve Steps are described as a fundamental component of AA discourse, and as a rhetoric of transformation. The Twelve Steps outline a rhetorical process which moves the alcoholic from drinking to sobriety by means of a rhetoric of predisposition, of empowerment, and of transformation. AA discourse is spiritual, in that members are persuaded to interpret the world, their lives, and their affliction in sacred terms. Healing is not cure, but a new way of attending to the world and engaging with others, including God, or a ‘Power greater than ourselves’.

There is a God, and it's not me.     

Counseling Past and Present: Is There a Future?

Major criticisms directed at counseling are identified and prominent suggestions for their elimination are described through an analysis of the counseling literature of the past 10 years. A brief outline of the history of counseling offers a historical perspective to the discussion. One suggestion to improve counseling, that counselors become change agents in their institutions, is examined and described with steps for its implementation. The implementation of the change-agent role for counselors would address much of the substantive criticism directed at counseling, and would remold the profession to more effectively meet today's needs.     

Integrating the Spiritual Dimension Into Traditional Counselor Education Programs

The author explores the issues involved in integrating the spiritual dimension into traditional counselor education by creating a joint community and addictions counseling master's program based on a hybrid of the wounded healer and wellness models. Such a hybrid encompasses both the skills and knowledge approaches to counselor education advocated by the Council for Accreditation of Counseling and Related Educational Programs and the spirituality of Alcoholics Anonymous's 12 steps. After a theoretical discussion of this hybrid model, an experimental master's program based on the model is described.     

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.     

The Value of Social Constructionism for the Counseling Profession: A Reply to Hansen

The authors reply to J. T. Hansen's (2005) call for the profession to revalue the inner subjective experiences (ISE) of clients. Hansen argued that social constructionism has influenced the decline of the counseling profession by obscuring its unique focus on ISE. The authors maintain that social constructionism is a useful framework for counseling, and they articulate a social constructionist position for counseling. Hansen's reasons for arguing that ISE must be revalued are discussed along with future directions for social constructionism and counseling.     

The Identification and Modification of Defense Mechanisms in Counseling

This article suggests considerations and strategies for identifying and modifying a client's defense mechanisms in counseling. A systematic approach to a client's mechanisms of defense contributes to therapeutic gain. Inappropriate counselor responses intensify an individual's defenses and undermine the counseling relationship. Definitions of individual defenses and indicators for identifying the mechanisms are provided. A literature review focuses on the counseling implications of the defenses. The process of defense mechanism modification is illustrated through a case example.     

Christian Counseling: A Synthesis of Psychological and Christian Concepts

Strong describes an approach to counseling that synthesizes psychological processes of change with theological concepts of the Christian faith. Clients are assumed to be self-directing and responsible for their behavior, including the changes that counseling is intended to facilitate. The counselor's junction is to equip clients to enable them to change. The key objectives in Christian counseling are described and the counseling process is reviewed in the light of these objectives. The author discusses the place of justification, responsibility, forgiveness, grace, sin, responsible loving, and prayer in the counseling process. Francis Mc Guire makes a response to Strong's article from a perspective that views Zen Buddhism as an integrated psychospiritual system capable of offering a critique and a complementary viewpoint. Herman Slotkin 's think piece is an attempt to define and clarify some of the language and goals of moral education and propose a civic, nonsectarian perspective regarding value and moral awareness.     

A qualitative study of citizens' experience of participating in health counseling

Individual health counseling is a form of intervention designed to minimize the effects of chronic health disease and to offer a path towards good health practices. The aim of the present study was to explore the experiences of those persons who participated in health counseling in order to assess the psychosocial significance of the counseling upon their health behavior. In addition the study was concerned with the factors which underlay peoples' decision to sign up for health counseling. The research involved 11 semi‐structured interviews with individuals who had participated in a municipality based health counseling program. Data was analyzed using Malterud's systemic text condensation and a theoretical framework around Bandura's social cognitive theory. Analysis revealed that an approach tailored to each individual with minor short‐term goals accompanied by feeling supported by the counselor produced the greatest impact on behavior. Receiving feedback from the counselor and feeling positive about the relationship were seen as essential. These aspects were also crucial in the decision to undertake health counseling. The study indicates that whether individual's sign up on their own initiative or conversely are invited to join the program has no influence upon their motivation to change their behavior. Overall the respondents demonstrated improvement in their behavior and attitudes towards their health. However, the study also indicates that this form of intervention is less or even ineffective without the support of the individual's immediate family.     

Rogers Redux: Relevance and Outcomes of Motivational Interviewing Across Behavioral Problems

Very little work regarding C. Rogers's (1961) client‐centered counseling has been published in the counseling discipline's journals over the last 20 years. However, during this time there has been an impressive output of empirical research using motivational interviewing (MI) in which C. Rogers's theory and approach are foundational. A review of MI's basic theoretical premises and applications for a multitude of behavioral problems are presented. Justification for integrating MI into counseling practice, training, and research is offered.     

Counseling Men in Groups

This article advocates group counseling as an effective intervention strategy for problems that characteristically confront men. It is maintained that aspects of the traditional male socialization process create therapeutic obstacles for counseling men in groups; the purpose of the male's defenses is anxiety reduction, although the male's coping behaviors are usually an excellent example of his inner personal problems. Counseling men in groups also has implications for group counselors, specifically with regard to counselor sexism, countertransference issues, and special applications of group counseling techniques and skills.     

I Am My Brother's (and Sister's) Keeper: Jewish Values and the Counseling Process

The author writes a rejoinder to M. S. Kiselica's (2003) article “Anti‐Semitism and Insensitivity Toward Jews by the Counseling Profession: A Gentile's View on the Problem and His Hope for Reconciliation—A Response to Weinrach (2002),” which is part of a dialogue in the fall 2003 Journal of Counseling & Development on anti‐Semitism in the counseling profession. M. S. Kiselica supports the notion that Jewish concerns are inextricable from multicultural counseling. The author has asserted that there has been a critical mass of anti‐Semitic behavior within the counseling profession, including the American Counseling Association, for more than 3 decades. The author's perspective may be viewed as an application of the Torah's dictum “I am my brother's [and sister's] keeper.” The author also argues that while culture may influence behavior, it does not determine it exclusively.     

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.     

Clients As Change Agents: What Color Could My Parachute Be?

Morrill and Forrest (1970) advocate an approach to career counseling (Type 4) that helps clients (a) understand career choice as a developmental process, (b) learn decision-making skills, and (c) become active change agents in their own lives. Referring to the Morrill and Forrest article as a benchmark statement about career counseling, Remer and O'Neill present a decision-making model that encompasses the tenets of Type 4 counseling. The model has 13 sequential steps; the authors indicate the role of the counselor and the objectives for the client at each. The article discusses the potential impact of this self-directed, decision-making model on career counseling. Specific counseling outcomes are discussed along with anecdotal evidence that supports the power of the model to create these outcomes.     

Building on an Empirical Foundation: Strategies to Enhance Good Practice

Reviews of the research literature on outcomes in counseling agree that counseling works. It is also possible to use research to identify strategies for increasing the probability of successful counseling. Such strategies include careful assessment of the client, matching the client and counselor on demographic and attitudinal variables, and maintaining a productive working alliance through open disclosure to the client of the counselor's background and procedures, inquiry into the client's experience of counseling process, and management of client resistance.     

Gender and Infertility: A Relational Approach to Counseling Women

Much of the research on infertility reinforces differing effects for women and men, with women reporting more serious repercussions medically, psychologically, and socially. However, the unique counseling needs of infertile women have not been addressed through traditional counseling theory. The Relational Model (J. V. Jordan, 1995) of women's development is a theory that explains women's development in a context of relationships, specifically relationships that promote growth for self and others. This model is applied to counseling women who are experiencing infertility, and a case presentation is provided to illustrate the approach.     

College Students' Perceptions of a Psychotherapist's Treatment of a Religious Issue: Partial Replication and Extension

A study of the influence of a counselor's treatment of a client's religious values, observers' religiosity, and their interaction on observers' perceptions of counseling (Morrow, Worthington, & McCullough, 1992) was partially replicated and extended. Religious beliefs were differentiated from religious values as determinants of observers' perceptions of counseling. Student observers (N = 148) viewed one of two videotaped counseling interactions in which a counselor either supported or challenged a client's religious values. Dividing observers into high and low levels of Christian belief did not result in their perceiving religiously supportive or challenging counseling differently. Dividing observers into high and low levels of religious values produced consistent differences in how they perceived religiously supportive and challenging counseling. Findings supported the theory that people with strong religious values perceive counseling differently than people with weaker religious values.     

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.