A Threatened Identity: The Mental Health Status of Syrian Refugees in Egypt and Its Etiology

This study utilized the development-based trauma framework on identity traumas to study the cumulative effects of trauma on the identities of Syrian refugees. Participants included 196 Syrian refugees residing in Cairo, Egypt (Mean age = 35.99, SD = 11.05). The rate of post-traumatic stress disorder was 33.5%, and the rate of depression was around 30%; the level of comorbidity was high with a high rate of suicidal plans or attempts (13.7%). Analyses indicated that existential annihilation anxieties, moderated by identity salience, mediated the effects of cumulative trauma on mental health. The results confirmed the utility and validity of the identity trauma model and provided evidence of the dire mental health needs of Syrian refugees.     

Working Through Countertransference: Navigating Between Safety and Paranoia for a Client With Complex Trauma History and Borderline Personality Organization

The aftermath of complex trauma deeply impacts one's self-organization and interpersonal relationships, often resulting in clients who present to therapy with borderline characteristics and are typically labeled as difficult to treat. Further clinical complications with paranoid features may quickly place the therapist at a loss with respect to managing perceived and/or actual threats to client safety. Using psychodynamic theories, especially Kleinian understandings of psychosis and Winnicottian approaches to early disturbance and its impact on the emergence of self, this article provides a detailed case illustration that explores how a critical reflection of countertransference as “enactment,” “communication,” and “imagination” can help the therapist to understand the client's unconscious symbolic psychic struggles and to guide treatment selections in the therapy process.     

The Impact of PREP Training on Marital Conflicts Reduction: A Randomized Controlled Trial With Iranian Distressed Couples

The purpose of this study was to examine the efficacy of the Prevention and Relationship Education Program (PREP) training on marital conflict and marital satisfaction among a sample of distressed couples in Iran. The research procedure was experimental with a pretest, posttest, and follow-up design, including a control group. The sample included 76 volunteer couples among a sample of distressed couples who were randomly selected and assigned to the experimental or control group. They completed demographic questions, the Marital Conflicts questionnaire, and a revised Marital Satisfaction Inventory in pretest, posttest and at the 1-year follow-up. Results showed that PREP training effectively led to decreased marital conflict and improvement of marital satisfaction of couples at posttest and at the 1-year follow-up. The result of covariance analysis showed significant differences between the experimental and the control groups' marital conflict and marital satisfaction at posttest and at the 1-year follow-up.     

Actors in the Classroom: The Dramatic Pedagogy Model of Counselor Education

Role playing is a fundamental component in the training of counselors to use counseling skills. However, role play activities commonly involve counseling students as clients or actors and hence have notable limitations. One training method widely practiced in the medical profession is the use of professional actors as patients. Although there are some examples in the literature of studies that have used actors for counselor training, most address only a specific topic or skill set. In this article, the authors propose the dramatic pedagogy model (DPM) as a comprehensive model for implementing client actors into the education of counselors. The DPM includes a set of pedagogical techniques and a structure for preparing actors and curriculum.     

Experiences of Healing Touch and Counseling on a Bereaved Population: A Grounded Theory

Grounded theory was selected as a way to develop a theory about the potential adjunctive use of energy healing in the form of healing touch (HT) along with counseling on a bereaved population. Semi-structured interviews were conducted twice with clients and once with the counselors and HT practitioners. Results indicated that the participants agreed that both counseling and HT operated well together to provide bereavement support. The themes of trust, openness, intention, and spirituality within the holistic context seemed to make this model possible. Potential ethical concerns are discussed, as well as areas for future research and clinical applications.     

Portraits of Well-Being: Photography as a Mental Health Support for Women With HIV

Many women living with HIV/AIDS (WL-HIV/AIDS) experience significant mental distress. Although creative arts strategies are well positioned to help support women by inspiring creativity and meaning-making, few arts programs have been implemented and evaluated with this population. The authors conducted a photography project with 30 WL-HIV/AIDS from three United States cities. Participants took pictures to capture their lives with HIV/AIDS and described their photos and stories in group and individual sessions. Using thematic analysis, the authors identified that the project supported women’s mental health in four ways by facilitating empowerment and helping women to express themselves, address their mental health with new tools like photography, and process past traumas. Photography projects may help WL-HIV/AIDS understand and manage their mental health.     

A Creative Model: The Three-Selves

This article presents a Three-Selves Model illuminating ways the self can be expressed: closed, absorbent, and flexible. This model integrates three counseling approaches which are described, and a creative poster is offered to illustrate the model. Then, the model is applied to a hypothetical case to reveal how the model can promote awareness, congruence, and choice.     

A Phenomenological Investigation: Microaggressions and Counselors-in-Training

Counselor educators are charged with the responsibility of assisting counselors–in–training to gain knowledge about injustice and inequity in society. Individuals experience oppression and privilege in different ways depending on their identities of marginalized or majority status. This study examined microaggressions using written and photographic journals from 24 counselors–in–training through the lens of phenomenology. Participants identified four overarching themes in describing their experiences with microaggressions: denial, dismay, awareness, and action. Implications for training and future research are discussed.     

Stress Management for College Students: An Experiential Multi-Modal Approach

This quasi-experimental study evaluated the effectiveness of a multi-modal experiential stress management course for college students. Experiential approaches included yoga, mindfulness hiking, and equine-assisted stress management activities. Univariate analysis of covariance revealed significantly lower perceived stress for the experimental group at the conclusion of the stress management course. Repeated measures univariate analysis of variance revealed that the stress management course significantly reduced present moment stress over time and that equine-assisted activities were as effective as yoga and mindfulness hiking in reducing student stress.     

Learner-Centered Counseling Theory: An Innovative Perspective

One of the most useful tools counselors possess is a consistent, effective theoretical orientation. Yet, counselors often experience theory as an academic-only enterprise, rather than a skill-set informed by reason and empiricism. This article presents an alternative approach to learning and harnessing the power of theory to impact clients’ lives.