The Narcissistic Injury and Psychopathology of Migration: The Case of a Nicaraguan Man

Cultural and ethnic issues commonly surface as important therapeutic themes among many minority patients. Identity formation, self-concept, perception, and the effects of migration on the aetiology of psychiatric symptomatology are reviewed. Trauma resulting from migration, stress, and prolonged affect-laden situations in the precipitation and onset of physical disease and illness is discussed. A clinical presentation of a 68-year-old Nicaraguan man is presented to highlight the aforementioned issues, i.e., traumatization, the development of psychopathology, and the onset of physical illness as a result of forced migration.     

Recognizing Spirituality as an Important Factor in Counselor Supervision

Despite the recent, growing emphasis on spirituality in the counseling and psychotherapy literature, information regarding spirituality and the supervision process is limited. The purpose of this article is to help supervisors and supervisees enhance awareness of spiritual values in supervision. Factors such as counselor competency, conceptualization of spirituality, cross‐cultural awareness, and the similarity of clients' and counselors' values form a foundation for developing effective intervention and supervision strategies. A series of research questions is proposed to spur a program of empirical exploration.