Addiction Competencies in the 2009 CACREP Clinical Mental Health Counseling Program Standards

The Council for Accreditation of Counseling and Related Educational Programs developed addiction competencies for clinical mental health counseling students. This article highlights these competencies, provides an overview of current addiction training, and describes methods to integrate addiction education into curricula.     

The Need for National Credentialing Standards for Addiction Counselors

The authors review the current state of credentialing for addiction counselors in the United States and provide recommendations to the addiction counseling field regarding national standards for credentialing.     

Self-Efficacy Counseling and the Maintenance of Sobriety

Self-efficacy in relation to one's addiction is shown to be a factor in sustained sobriety, and implications for counseling are explored.     

Addiction,the addict,and career: Considerations for the employment counselor

Employment counselors have been resistant to working with persons in recovery from addiction except under the strictest of criteria. This article examines the relationship between this resistance and the concepts of addiction and addict. Following this is an examination of substance abuse recovery and practical suggestions on incorporating recovery knowledge into career counseling. The goals of the article are twofold: (a) to present a framework that highlights the necessity of employment counseling for the recovery process from substance misuse and (b) to affirm that many employment counselors have the skills needed to assist clients who have been labeled as addicts.     

Addiction‐Specific CACREP Standards in Clinical Mental Health Counseling Programs: How Are They Met?

In 2009, the Council for Accreditation of Counseling and Related Educational Programs (CACREP) included training standards specific to addiction for clinical mental health counseling programs. This study surveyed CACREP‐accredited program coordinators to determine how addiction‐specific standards were addressed.     

青少年网络成瘾的预防与干预研究

网络成瘾障碍(Internet Addiction Disorder,IAD)已成为影响青少年身心健康和正常学业表现的重要因素。针对青少年网络成瘾的心理预防与干预研究已开展逾十年,分析与总结显示,已有研究采用个体、团体等不同干预模式,采用认知行为、动机激发等不同咨询与治疗理论,对青少年网络成瘾行为的干预进行了大量探索;其中以团体干预模式及认知行为疗法为主导,并呈现多模式多理论相融合的趋势。借鉴已有研究的成果与不足,我们采用家庭治疗、认知行为、动机激发等多种咨询与治疗理论,结合心理需求网络满足优势等网络成瘾理论,形成了个体-家庭-学校的多水平预防与干预方案,并得到了实证研究的检验。今后的研究应进一步考虑青少年网络成瘾的生理因素,将生物-心理-社会三方面相结合形成系统性的网络成瘾预防与干预模式。     

Pedagogical Practices for Teaching Addiction Counseling Courses in CACREP‐Accredited Programs

We used a grounded theory approach to investigate educational strategies for teaching master's‐level addiction counseling courses. An emergent model of pedagogical practices, factors that influence development and implementation, and suggestions for counselor education programs are presented.     

Overcoming Obstacles to Empathy: The Use of Experiential Learning in Addictions Counseling Courses

Empathy is associated with positive outcomes in addictions counseling. The moral model of addiction and unresolved countertransference issues may hinder counseling students’ development of empathic understanding for clients with substance use disorders. Counselor educators must structure courses in such a way as to help students overcome obstacles to empathy. We provide examples of several experiential activities framed within the context of Kolb’s experiential-learning cycle that are designed to deconstruct obstacles to student empathy development.     

The God‐Shaped Hole: Addictive Disorders and the Search for Perfection

Clients with addictive disorders who have an internalized need for perfection benefit from an integration of spirituality into counseling treatment. This article provides a review of the literature, offers a spiritual approach for working with clients who struggle with addiction and perfectionism, and provides a case study to demonstrate the effectiveness of the integration of spirituality and counseling.     

Mental Health Counseling in the Islamic Republic of Iran: A Marriage of Religion,Science, and Practice

This article explores the state of mental health counseling in the Islamic Republic of Iran. Topics that are addressed include training of clinicians, theoretical developments in Islamic‐based theories of psychology, and issues related to the practice of counseling. Counseling issues in the Islamic Republic of Iran are influenced by its unique culture and history. A discussion of issues related to the prevalence and treatment of addiction is included.     

An exploration of factors contributing to multicultural counseling self-efficacy in addiction counselors

A non-experimental, correlational survey design was used to explore relationships between counselor recovery status, training, and counselor demographic variables on multicultural counseling self-efficacy in addiction counselors (N = 283) using the Multicultural Counseling Self-Efficacy – Racial Diversity Form. A multiple-indicators and multiple-causes model analysis indicated significant differences based on race, multicultural education, and CACREP program attendance on multicultural counseling self-efficacy. Implications from this study and recommendations for future research are discussed.     

Sexual Addiction and the Internet: Implications for Gay Men

The authors present an overview of sexual addiction and explore the relationship between Internet use and sexual compulsivity. The role of Internet use in gay men's sexual behavior is described. Implications for the counseling profession are discussed, and a clinical case study is presented.     

Motivational interviewing in health promotion: it sounds like something is changing.

Motivational interviewing (MI), initially developed for addiction counseling, has increasingly been applied in public health, medical, and health promotion settings. This article provides an overview of MI, outlining its philosophic orientation and essential strategies. Major outcome studies are reviewed, nuances associated with the use of MI in health promotion and chronic disease prevention are described, and future directions are offered.     

正念认知疗法对手机依赖大学生的干预效果*

使用SAS和MPAI量表从820名被试中筛选出60名被试随机分配到实验组和对照组进行实验研究。预期通过正念认知疗法对手机依赖进行干预以降低大学生手机依赖程度。结果发现:实验组被试在接受正念认知疗法为期4周8次的团体辅导训练后,手机依赖总分、失控性、戒断性和逃避性因子得分与对照组相比显著降低,正念水平显著提高。结果表明正念认知疗法对个体的手机依赖的干预效果明显。     

Continuing Education in Motivational Interviewing for Addiction Counselors: Reducing the Research‐to‐Practice Gap

The authors evaluated the effectiveness of continuing education training in motivational interviewing (MI) for addiction counselors. Participants reported a significant increase in counseling self‐efficacy, and 87.5% reported increasing MI use in their practice. Only 3.8%, however, participated in posttraining consultation.     

Assessing Counseling Students' Attitudes Regarding Substance Abuse and Treatment

Undergraduate counselors‐in‐training completed the Substance Abuse Attitude Survey, which measures treatment intervention, treatment optimism, and nonstereotypical attitudes. Treatment optimism was positively correlated with nonstereotypical attitudes and treatment intervention. Results indicated that treatment intervention and nonstereotypical attitudes must be addressed in addiction counseling courses.     

Investigating Psychometric Properties of Social Media Addiction Measures Among Adolescents

Assessment has a long history in counseling, with scholars noting multiple benefits to using assessment instruments in determining client strengths and needs as well as establishing relevant treatment goals. However, when counselors use unreliable or invalid instruments, they gather results that are ill equipped to inform clinical decision-making. Consequently, we evaluated and compared the psychometric properties of three scales of social media addiction—the Social Media Disorder Scale (van den Eijnden et al., 2016), the Bergen Social Media Addiction Scale (Andreassen et al., 2012, 2016), and the Social Media Addiction Scale (Al-Menayes, 2015)—to inform clinical use. Adolescents (N = 440) between the ages of 13 and 19 completed the scales. Results indicated that each scale provides a reliable and valid measurement of problematic social media use or addiction among adolescents. We provide recommendations for choosing a social media assessment and for future research.     

Demographic, habitual, and socioeconomic determinants of Internet addiction disorder: an empirical study of Korean teenagers.

The objective of this study was to analyze the demographic, socioeconomic, and habitual causes of juvenile Internet addiction. All do not agree that Internet addiction disorder (IAD) is a new type of addiction, but they agree that the IAD phenomenon has widely spread over recent years. This is also true in Korea. For this study, six schools in Korea were selected to collect data: two from Seoul, two from suburban areas, and two from rural areas. Two hundred and forty copies were collected out of some 700 copies distributed. Multiple regression models were employed to explore significant predictors of IAD. This study showed that at least two out of 100 teenagers in Korea are seriously suffering from IAD and that approximately one out of two is exposed to a kind of IAD. The causes of IAD are not only associated with habitual backgrounds for use of the Internet, but also demographic and socioeconomic backgrounds. Therefore, it can be said that the development of IAD is an interactive process between juveniles' habits of using Internet, and their demographic and socioeconomic backgrounds. As IAD progresses, a single type of intervention such as parent interventions or school interventions does not work effectively. Multimodal interventions are required to provide counseling services for individuals suffering from IAD.     

Substance Abuse Counselors in Recovery: Implications for the Ethical Issue of Dual Relationships

The issue of dual relationships is a significant ethical challenge for all counselors. For the counselor recovering from an addiction to substances, this issue can be even more problematic. Existing codes of ethics offer insufficient guidance to the recovering counselor. Following an overview of dual relationships, the author reviews the ethical codes of the American Counseling Association and the National Association of Alcoholism and Drug Abuse Counselors, with particular attention paid to their applicability to the recovering counselor. Potentially difficult situations are considered, and recommendations are offered both for the recovering counselor and for the counseling field in general to minimize the incidence of unethical behavior due to dual relationship issues.