Navigating Bereavement With Spirituality‐Based Interventions: Implications for Non‐Faith‐Based Counselors

The relationship between spirituality and bereavement has been studied in a multitude of disciplines, yet there is a significant gap in the counseling literature on this topic. The authors explore how spirituality is often avoided in secular counseling settings, discuss adverse effects of unresolved grief on clients' functioning, and propose the concept that spirituality can be used to help clients through the bereavement process. Finally, the authors offer research and clinically based interventions that counselors, particularly those who do not identify as faith‐based, can use to incorporate spirituality into their work with bereaved clients.     

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.     

Trends and Implications of Proposed Changes to the DSM‐5 for Vulnerable Populations

The revision process for the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) has increased consciousness for the role of diagnosis in counseling. In this article, the authors discuss 3 trends of the proposed changes: the influence of the medical model, the attention to nosology, and lowered thresholds and their potential impact on nondominant populations. Potential implications for reflection and advocacy among counseling professionals are discussed.     

Counseling Transgendered,Transsexual, and Gender‐Variant Clients

The emergent consciousness and political activism within the transgender community has important implications for the field of counseling. In the current paradigm, the focus has shifted from using surgical and hormonal interventions and thereby enabling transgendered persons to “pass” within the traditional gender binary of society to affirming the unique identities of transgendered persons. To prepare counselors, counselor educators, and counseling supervisors for this important challenge, the authors describe the evolving nature of the transgender community, discuss mental health issues and counseling interventions for use with transgendered clients, and present a case study detailing the progression of counseling with 1 transgendered client.     

Utilizing a Music Listening Technique in Inpatient Psychiatric Group Counseling

ABSTRACT

The purpose of this article is to describe and illustrate through a hypothetical case example how counselors can utilize an expressive arts technique called music listening in inpatient psychiatric group counseling. The authors give a rationale to implement here-and-now interventions, specifically music listening, in response to the critique of current inpatient therapy in psychiatric hospitals following a shift from long-term inpatient psychiatric care to brief stabilization admissions.     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

Psychological Distress with Direct-to-Consumer Genetic Testing: A Case Report of an Unexpected <Emphasis Type="Italic">BRCA</Emphasis> Positive Test Result

We report a case of a client who discovered she had a BRCA mutation following direct-to-consumer (DTC) genetic testing in the absence of genetic counseling. After testing she presented for genetic counseling with anxiety, distress, and a deficit of knowledge about what the DTC genetic testing revealed. Genetic counseling helped alleviate distress while empowering the client to apply the results of testing to improve medical management. Despite recent studies demonstrating no negative psychological impact of DTC genetic testing on the consumer, this case illustrates that significant psychological distress and confusion can occur as a result of DTC genetic testing for highly penetrant single gene disorders. Pre- and post-test genetic counseling in conjunction with DTC genetic testing may alleviate consumers’ distress and empower clients to proactively utilize their result information.     

Meta‐Analysis: A Systematic Method for Synthesizing Counseling Research

The authors provide a template for counseling researchers who are interested in quantitatively aggregating research findings. Meta‐analytic studies can provide relevant information to the counseling field by systematically synthesizing studies performed by researchers from diverse fields. Methodologically sound meta‐analyses require careful planning, diligent literature searches, detailed coding of study information, and knowledge of meta‐analytic approaches to statistical analyses. The authors provide steps to guide counseling researchers in conducting meta‐analytic reviews.     

Spiritual and Religious Competencies: A National Survey of CACREP‐Accredited Programs

In this study of 94 Counsel for Accreditation of Counseling and Related Educational Programs (CACREP)‐accredited counselor education programs, 69% of respondents reported their programs addressed spiritual and religious issues; however, only 46% of CACREP liaisons perceived themselves as prepared or very prepared to integrate material related to spirituality and religion in counseling into their teaching and supervision activities. In addition, only 28% of respondents viewed their colleagues as similarly capable of addressing these issues as a component of counselor preparation. The authors discuss implications for training and practice.     

A Phenomenological Inquiry of Clients’ Meaningful Experiences in Counseling With Counselors‐in‐Training

This study is a follow‐up to Sackett, Lawson, and Burge's ( 2012 ) study that explored the meaningful experiences of clients and counselors‐in‐training (CITs). Using the previous study's themes of clients’ experiences in counseling with CITs as a launching pad, the authors examined in greater depth the meaningful experiences of clients who are in counseling with CITs through qualitative phenomenological interviews. Findings, as well as implications for counselor education, supervision, and counseling, are discussed.     

Professionalism,Ethics, and Value‐Based Conflicts in Counseling: An Introduction to the Special Section

This introduction to this special section of the Journal of Counseling & Development explores the importance of a code of ethics to the establishment and maintenance of a profession. Recognizing a code of ethics as a communication of a profession's collective values and expectations, the editors of this special section acknowledge the dilemmas that arise when a counselor's personal values do not align with the profession's collective values. The authors of each article address value‐based conflicts in counseling.     

Using Relational‐Cultural Theory in LGBTQQ Counseling: Addressing Heterosexism and Enhancing Relational Competencies

The authors describe the use of a relational‐cultural theory (RCT) lens (Miller, 1976 ) in counseling practice with lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQQ) clients. A review of LGBTQQ counseling and RCT literature is discussed. A case vignette of a counselor applying RCT tenets to work with a LGBTQQ client is described. Implications for using RCT as a counseling theoretical framework with LGBTQQ clients are reviewed.     

Toward a Bahá'í Concept of Mental Health: Implications for Clinical Practice

The author highlights the emerging interest in understanding religious beliefs as a resource for more fully conceptualizing clients' psychological functioning. Although various authors have explored religious theories of mental health in an effort to increase understanding of clients' problems, there is a dearth of information on the Bahá'í client and how this particular religion conceives of mental health. The purpose of this article is to create an initial formulation for a Bahá'í concept of mental health and to discuss its clinical implications to aid in counseling Bahá'í clients.     

A Decision‐Making Model for Addressing Problematic Behaviors in Counseling Students

Gatekeeping is the subject of continued discourse in the counseling profession. With revisions to the ACA Code of Ethics (American Counseling Association, 2014 ), recent litigation (Keeton v. Anderson‐Wiley, 2010 ; Ward v. Wilbanks, 2009 ), and focused attention on value conflicts in counseling (Francis & Dugger, 2014 ), counselor educators' role as gatekeepers is expanding. In addition to this expanding role, counselor educators are responsible for being culturally and developmentally sensitive in interpreting, applying, and enforcing the codes and standards with counseling students. This article proposes a decision‐making model that integrates feminist, multicultural, systems theory, and social‐constructivist ethical decision‐making principles to address problematic behaviors in counseling students.     

Reexamination of the Five‐Factor Model and College Students' Treatment‐Seeking Attitudes

This study was an attempt to replicate and extend the previous research by Puma ( 1996 ) and Kakhnovets ( 2011 ) on the relationships between the 5‐factor model of personality (FFM) and college students' attitudes toward seeking counseling. With a sample of 458 undergraduate students, the authors found that participant sex, prior treatment experiences, and 3 of the FFM factors (openness, agreeableness, and conscientiousness) predicted college students' attitudes toward counseling, but there was no evidence of moderator effects.     

Multicultural Counseling: A 10‐Year Content Analysis of the Journal of Counseling & Development

The emphasis on multicultural counseling during the past 20 years has influenced the increase in scholarly publications on this topic. The authors report the findings of a content analysis of 102 multicultural‐centered articles. Journal of Counseling & Development issues spanning 1990–2001 were evaluated. Findings are reported for methodology, populations discussed, applied settings, and authors' roles and institutional affiliations. Findings indicate that there has been an increase of multicultural‐focused publications since 1990 and that publications are more exploratory and developmental rather than pathology‐oriented.     

Colonial Mentality and Mental Health Help‐Seeking of Filipino Americans

Filipino Americans present with very low rates of mental health help‐seeking. Because of the colonial history between the Philippines and the United States, the authors examined how colonial mentality and internalized oppression, along with ethnic identity, acculturation, and social support, were related to mental health help‐seeking attitudes of Filipino Americans (N = 410). Furthermore, the authors investigated how colonial mentality affects the ethnic identity of Filipino Americans. Major findings included that colonial mentality was negatively related to ethnic identity development and social support, and higher levels of colonial mentality significantly predicted negative mental health help‐seeking attitudes above and beyond ethnic identity, acculturation, social support, and demographic variables. Implications for the counseling profession are considered.     

Person‐Centered Counseling: The Culture Within

The variables most related to success in counseling outcome research are the client‐counselor relationship and the personal and situational resources of the client (extratherapeutic variables). When these variables are compromised, a “specificity myth” is endorsed purporting that there are specific treatments for particular groups of people. This myth is a direct result of a shift in focus from the client to the counselor as the expert who focuses on “doing” counseling rather than “being” a counselor. Person‐centered counseling cuts to the core of therapeutic success: the relationship of the counselor‐client and the utilization of the client's resources.     

Constructing New Realities: Integrating Womanist Traditions in Pastoral Counseling with African-American Women

Womanist cultural and spiritual themes are rich resources for pastoral counseling with African-American women. The authors describe womanist cultural themes, present a case example of an African-American woman struggling with identity issues, and provide specific strategies for incorporating womanist cultural and spiritual patterns in counseling African-American women. Counseling Psychology and Counselor Education atCounseling Psychology and Counselor Education at