Balm in Gilead: Spiritual Dimensions in Counseling African American Women

The authors describe African American cultural and spiritual traditions that are the bedrock for therapeutic work with this population. Through the use of a clinical case, they link African American women's emotional issues with healing interventions borrowed from their rich heritage of religious and spiritual rituals and practices.     

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     

SELF-VERIFICATION AND DRUG ABUSERS:

Abstract— The work of Swann and his colleagues suggests that a desire for self- verification is a ubiquitous human motive, as important as the desire for positive evaluations When the self-view is negative, the reinforcement value of self-verification can lead individuals to maintain lifestyles and seek out other individuals Who will maintain the negative self-view. Trying to change negative self-views by simple verbal invalidation is not often successful. The reinforcing qualities of self-verification for most individuals and the apparently aversive qualities of invalidating an individual s self-views have potentially important implications for treatment of drug abusers. This commentary briefly reviews self-verification research and discusses implications of findings for psychotherapy, particularly as they relate to strengthening clinical progress and attachment to therapy and to giving feedback to clients.     

Alcoholism treatment and marriage and family therapists: An empirical study

This article reports on results of a mail questionnaire study conducted among 257 members of the American Association for Marriage and Family Therapy (132 respondents, response rate of 51%) on their attitudes toward alcoholism issues (acceptance of alcoholism as a disease, treatment philosophies used with clients and/or families, and acceptance and use of Alcoholics Anonymous as a resource). Results indicated that 69% of respondents (as compared with 42% formerly) considered alcoholism a disease after MFT education. A combination of individual, family therapy, and AA (81.1%); family therapy (66.7%); and AA only (60.6%) were most often used. Controlled use of alcohol by clients in treatment was believed to be unethical by 43.2%, legal by 39.4% and ineffective by 54.5%.     

A qualitative understanding of reflective-teams II: Therapists' perspectives

A research team developed and asked questions to a reflective-team about their clinical practice. The purpose of the questions was to better understand reflective-team members' experiences, beliefs, and aspirations. A participant/observation methodology was used in formulating the questions to the therapists. Therapists stated that reflective-teams were valuable in resolving impasses, developing multiple perspectives on clients' problems, and encouraging interaction among team members, but were problematic if clients were unaccustomed to team practice or if there were physically too many people in the interviewing room. Therapists believed that reflective-teams as a team practice was not practical in typical practice settings.     

Medicaid: A potential source of revenue for special education

Currently, over 4.3 million children are receiving special services within the nation's schools because of physical, developmental, and educational disabilities. It is estimated that twice this number would benefit from special education services. Public Law 94–142, the Education for the Handicapped Act, offered the first real opportunity for many children with disabilities to receive special health and educational services. Public schools have become a primary setting for provision of services to these children, however, many states have encountered difficulty in procuring funding. One federally mandated source of revenue is the Medicaid program. In the fall of 1991, all state Medicaid and special education programs were asked to provide information concerning current or planned use of Medicaid funds for special education services. Responses were received from 36 states. Only 19 states reported using Medicaid funding in any capacity, and of these, only four required schools to bill Medicaid for services rendered. The majority of these programs are in the pilot stages of development. Special education services covered by Medicaid vary widely, as do reimbursement mechanisms. All 19 states allow Medicaid coverage for speech, physical, and occupational therapy. Only about half of those states provide allowances for diagnostic evaluation and assessment, while coverage for psychological services is provided by three-fourths of those states, and EPSDT screens by half of the states. Only two programs had been evaluated formally at the state and/or federal level. Medicaid remains a largely untapped source of revenue that could be used to help fund services for disabled children.     

Integrating instructional procedures into traditional congregate care situations for people with severe disabilities

Many institutional and community residential agencies experience difficulties in providing habilitative services when direct care staff are working with groups of people with severe disabilities. We evaluated a means of assisting direct care personnel in integrating instructional strategies into traditional congregate care situations. In Experiment 1, integrated teaching strategies were operationalized for two direct care staff persons. The strategies were based on individualized client habilitative goals and the use of brief response prompting and contingent reinforcement paradigms. The staff members integrated the teaching procedures into their group routines with clients upon implementation of an integrated-teaching staff training and management program. The program involved two staff training sessions and ongoing performance feedback. In Experiment 2, four staff members in another living unit integrated the strategies into their group routines upon implementation of a simplified version of the program. Additionally, while the program was in effect, adaptive behaviors increased in frequency for 19 of 20 clients with profound multiple disabilities. Results of the experiments demonstrate a means through which residential agencies may enhance provision of continuous active treatment in accordance with clinical and governmental guidelines. Suggestions for future rescarch are provided, focusing on overcoming obstacles residential personnel face in providing treatment services in congregate situations.     

Manufacturing multiple meanings of addiction: Time-limited realities

This article explores how clinicians, patients, and addiction as a youthful science manufacture meaning. Explanations of addictive behavior and addictive disease are viewed as constructs, ideologies, or ways of making meaning. This analysis considers the controversy—over whether addiction qualifies as a disease—to be primarily a matter of epistemology and social perception. Since there is no widespread agreement about what isease means in general, it is not possible to determine whether or not addiction is a disease in particular. The discussion also envisions how treatment for addicted clients might be reformulated as a transactional process utilizing the range of relevant theoretical models as time-limited reframes of addictive reality instead of dichotomizing addiction as either a disease or not.The authors extend thanks to Michelle Bowdler, Nancy Costikyan, Blase Gambino, Teri Loughead, Janet Mann, Peter Monius, Arthur Robbins, and Mitchell Young for their helpful assistance, suggestions, and comments on earlier drafts of this article.