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.     

Verbal hallucinations in normals,I: People who hear ‘voices’

Two studies are reported that describe the phenomena of verbal hallucinations in the general population and test two explanations of those reports. Subjects were 198 male and 387 female college students who completed a verbal hallucination questionnaire plus one or more additional questionnaires. We found that a large minority reported hallucinations and that nearly half reported having them at least once a month. The present data indicated that these reports were not related to four measures of social conformity. Neither were they related to measures of overt, or incipient, symptoms of psychopathology. We have concluded that the majority of these reports are generally veridical accounts of conscious experience in normal individuals.     

Relationship between psychological stress and lymphocytic 5′-ectonucleotidase

The relationship between psychological stress and lymphocytic 5-ectonucleotidase, an enzyme marker for lymphocyte differentiation, was studied. Lymphocytic 5-ectonucleotidase was decreased significantly by about twofold in persons experiencing psychological stress, with a corresponding change in Total Mood Disturbance scores of the Profile of Mood States. Enzyme values were reversible in that they returned to normal once the stress had been reduced. Administration of high doses of ascorbate to severely depressed patients also normalized 5-ectonucleotidase activities, and implied that low enzyme values in stressed persons may be mediated by oxygen radical damage. This finding was consistent with previous reports of heightened inflammatory responses occurring in depressed patients. The primary cause of lowered 5-ectonucleotidase during stress may be the breakdown in the homeostatic mechanisms of the hypothalamic-pituitary-adrenal axis and immune system resulting in lymphoid tissue resistance to corticosteroids. It is suggested that this lowering of lymphocyte 5-ectonucleotidase may contribute to stress-mediated immune suppression by inhibiting lymphocyte maturation.     

Parental Alcoholism and Coping: A Comparison of Female Children of Alcoholics With Female Children of Nonalcoholics

The authors assessed potential differences between children of alcoholics and children of nonalcoholics in depression and choice of coping strategies. Although significant group differences were detected for level of depression, mean depression scores for both groups fell within the no depression range on the Beck Depression Inventory. No significant differences in coping strategies were detected.     

The Rule of Opposites: A Paradigm for Counseling Native Americans

The Rule of Opposites offers a cultural lesson in perspective that is useful for counselors working with Native American clients. The Rule of Opposites, based on the concept of the Circle of Life, is presented as a worldview that allows individuals to move beyond their current frame of reference toward an understanding of universal truths and underlying meanings. Use of the Rule's 7 lessons helps both the counselor and the client to recognize and resolve conflict, to ask more effective questions, to seek harmony and balance in life for greater purpose and direction, and to explore personal decision making and choices.     

Household family structure and children's aggressive behavior: A longitudinal study of urban elementary school children

The relationship between contemporary household family structures at fourth-grade and sixth-grade parent- and teacher-rated aggression was examined in an epidemiologically defined population of urban school children. The relationship between family structure and aggression varied by child gender and by parent and teacher ratings in the home and school, respectively. After taking into account family income, urban area, and fourth-grade aggressive behavior, boys in both mother—father and mother—male partner families were significantly less likely than boys in mother-alone families to be rated as aggressive by teachers. No significant relations between family structure and teacher- or parent-rated aggression were found for girls.This work was supported by the following National Institute of Mental Health (NIMH) grants: Epidemiologic Prevention Center for Early Risk Behavior P50 MH38725; Periodic Outcome of Two Preventive Trials RO1 MH42968; and a Postdoctoral Training Program 2T32MH18834-06A1. The authors would like to thank the Baltimore Public City School System and the children and parents who participated. The views expressed here are those of the authors; no official endorsement by NIMH is intended or should be inferred.Address all correspondence and reprint requests to Dr. Ialongo, Department of Mental Hygiene, School of Hygiene and Public Health, Johns Hopkins University, 624 North Broadway, Baltimore, Maryland 21205.     

Protection and loss: working with learning-disabled adults and their families

This paper describes a method of working with learning-disabled adults and their families when they encounter entrenched difficulties. Two significant themes are identified: the patterning of life-cycle transitions and the recurrence of grief. Therapy consists of joining the family members to evolve and develop hypotheses about what is preventing them moving to the next family life-cycle stage.     

Compensation for pain,suffering, and other psychological injuries: The of Daubert on employment discrimination claims

The Daubert standard for admitting expert testimony places increased emphasis on the scientific basis for professional opinions. This article identifies factors mental health professionals should consider to meet that standard and Federal Rule of Evidence 702 when evaluating claims of psychological injuries as authorized by the Civil Rights Act of 1991, in cases of sexual harassment, retaliation, and other forms of employment discrimination. First, the contribution experts can make by presenting a framework to assess and understand the nature, duration, intensity and severity of emotional injuries is outlined. Specialized knowledge helpful in assessing these claims is reviewed in light of the scientific literature on stressors, anxiety disorders, somatoform disorders, depression, posttraumatic stress disorder, and ways in which related symptoms manifest regarding events in the workplace or following loss of employment. Second, the role of qualified experts to facilitate determinations of causation is discussed, highlighting factors that bear on preexisting harm, intervening injurious events, the exclusion of alternate sources of mental distress, emotional harm and humiliation, and mitigation of damages.