{"title":"Managing threats: A grounded theory of counseling engagement in clients with experiential avoidance","authors":"Michael M. Tursi, Craig R. Sellers, Andre Marquis","doi":"10.1002/jcad.12401","DOIUrl":"https://doi.org/10.1002/jcad.12401","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"18 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80479992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"School counseling college‐going culture: Counselors’ influence on students’ college‐going decisions","authors":"Julia A Bryan, Jungnam Kim, Chang Liu","doi":"10.1002/jcad.12408","DOIUrl":"https://doi.org/10.1002/jcad.12408","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"148 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77943926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interpersonal stress, interpersonal competence, and gender matter for adolescents’ depressive symptoms: Considerations for counselors","authors":"S. Smith‐Adcock, J. Kerpelman","doi":"10.1002/jcad.12402","DOIUrl":"https://doi.org/10.1002/jcad.12402","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"7 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89767792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Toward a culturally humble practice: Critical consciousness as an antecedent","authors":"Aiesha T. Lee, N. Haskins","doi":"10.1002/jcad.12403","DOIUrl":"https://doi.org/10.1002/jcad.12403","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"303 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79684618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew C. Fullen, Megan L. Dolbin-MacNab, Jonathan D. Wiley, Nancy Brossoie, Gerard Lawson
Mental health conditions are relatively common among Medicare beneficiaries. Yet, Medicare provider eligibility was last updated in 1989, raising concerns about beneficiaries’ access to mental health care in the United States. Beneficiaries are currently restricted from accessing mental health services provided by licensed professional counselors and licensed marriage and family therapists. Little is known about the impact of this Medicare mental health coverage gap (MMHCG) on Medicare beneficiaries. Hermeneutic phenomenology was used to analyze semistructured interviews with 18 beneficiaries who had attempted to access mental health care but were limited due to the MMHCG. Three themes emerged: (a) exasperating experiences with the MMHCG, (b) the MMHCG compounds barriers to mental health care, and (c) Medicare as a flawed system. These findings suggest current Medicare mental health policy interferes with beneficiaries’ access to needed mental health services. Implications for the counseling profession are described.
{"title":"The impact of excluded providers on Medicare beneficiaries’ mental health care","authors":"Matthew C. Fullen, Megan L. Dolbin-MacNab, Jonathan D. Wiley, Nancy Brossoie, Gerard Lawson","doi":"10.1002/jcad.12409","DOIUrl":"https://doi.org/10.1002/jcad.12409","url":null,"abstract":"<p>Mental health conditions are relatively common among Medicare beneficiaries. Yet, Medicare provider eligibility was last updated in 1989, raising concerns about beneficiaries’ access to mental health care in the United States. Beneficiaries are currently restricted from accessing mental health services provided by licensed professional counselors and licensed marriage and family therapists. Little is known about the impact of this Medicare mental health coverage gap (MMHCG) on Medicare beneficiaries. Hermeneutic phenomenology was used to analyze semistructured interviews with 18 beneficiaries who had attempted to access mental health care but were limited due to the MMHCG. Three themes emerged: (a) <i>exasperating experiences with the MMHCG</i>, (b) the <i>MMHCG compounds barriers to mental health care</i>, and (c) <i>Medicare as a flawed system</i>. These findings suggest current Medicare mental health policy interferes with beneficiaries’ access to needed mental health services. Implications for the counseling profession are described.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"100 2","pages":"123-133"},"PeriodicalIF":2.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91791974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew C. Fullen, M. Dolbin‐MacNab, J. Wiley, N. Brossoie, G. Lawson
{"title":"The impact of excluded providers on Medicare beneficiaries’ mental health care","authors":"Matthew C. Fullen, M. Dolbin‐MacNab, J. Wiley, N. Brossoie, G. Lawson","doi":"10.1002/jcad.12409","DOIUrl":"https://doi.org/10.1002/jcad.12409","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"94 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91002698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana G. Reyes, Natalya A. Lindo, Nicole Allen, Mónica Rodríguez Delgado
This participatory action research study explored queer womxn of color's (QWoC) experiences of microaggressions in counseling. Due to the multifaceted and complex experiences of QWoC, this study was informed by intersectionality theory and utilized photovoice methodology to explore QWoC's experiences of microaggressions in counseling. The seven QWoC who participated in this study provided portrayals of their experience of microaggressions in counseling. Five major themes were prominent in their photographs and narratives: (a) counseling as a tool of oppression, (b) impact of oppression in counseling, (c) strategies for survival, (d) healing for QWoC, and (e) the power of sharing mi historia. Overall, co-researchers provided insight into their experiences of oppression in counseling, while highlighting clinical and research practices that may be healing and liberatory for QWoC. Additionally, implications and conclusions drawn from the experiences of co-researchers provide recommendations for counselors working with QWoC.
{"title":"Centralizing the voices of queer womxn of color in counseling","authors":"Ana G. Reyes, Natalya A. Lindo, Nicole Allen, Mónica Rodríguez Delgado","doi":"10.1002/jcad.12417","DOIUrl":"https://doi.org/10.1002/jcad.12417","url":null,"abstract":"<p>This participatory action research study explored queer womxn of color's (QWoC) experiences of microaggressions in counseling. Due to the multifaceted and complex experiences of QWoC, this study was informed by intersectionality theory and utilized photovoice methodology to explore QWoC's experiences of microaggressions in counseling. The seven QWoC who participated in this study provided portrayals of their experience of microaggressions in counseling. Five major themes were prominent in their photographs and narratives: (a) counseling as a tool of oppression, (b) impact of oppression in counseling, (c) strategies for survival, (d) healing for QWoC, and (e) the power of sharing mi historia. Overall, co-researchers provided insight into their experiences of oppression in counseling, while highlighting clinical and research practices that may be healing and liberatory for QWoC. Additionally, implications and conclusions drawn from the experiences of co-researchers provide recommendations for counselors working with QWoC.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"100 2","pages":"171-182"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91784292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Stephen Lenz, Garry Del Conte, Cameron Douglas, Ayanna Crenshaw, Christin Dobbs, Emily Stogner, Victoria Williford
This pre-experimental evaluation of a dialectical behavior therapy for adolescents (DBT-A) partial hospital program (PHP) explored intervention effects, proportions of clinical significance, and the degree that participant characteristics and DBT-A treatment components predicted variance in outcomes. Participants were 74 adolescents who were receiving treatment for internalizing disorders (n = 62) and externalizing disorders (n = 12). All participants completed a 6-week DBT-A application. Data analyses indicated a statistically significant improvement in global symptoms indicative of treatment effects within the large to medium range. About half (n = 38, 51%) of the participants reported clinically significant treatment gains with another 23% signaling symptom reductions that represented improvement but were not clinically significant. Predictive analyses indicated equivalence of PHP response across age, gender, and ethnicity with the greatest proportions of variance among treatment gains accounted for by improvements in DBT-A doing skills (emotion regulation, interpersonal effectiveness). Implications for DBT-A practice are provided.
{"title":"A pre-experimental evaluation of treatment gains associated with a DBT-A partial hospitalization program","authors":"A. Stephen Lenz, Garry Del Conte, Cameron Douglas, Ayanna Crenshaw, Christin Dobbs, Emily Stogner, Victoria Williford","doi":"10.1002/jcad.12416","DOIUrl":"https://doi.org/10.1002/jcad.12416","url":null,"abstract":"<p>This pre-experimental evaluation of a dialectical behavior therapy for adolescents (DBT-A) partial hospital program (PHP) explored intervention effects, proportions of clinical significance, and the degree that participant characteristics and DBT-A treatment components predicted variance in outcomes. Participants were 74 adolescents who were receiving treatment for internalizing disorders (<i>n =</i> 62) and externalizing disorders (<i>n =</i> 12). All participants completed a 6-week DBT-A application. Data analyses indicated a statistically significant improvement in global symptoms indicative of treatment effects within the large to medium range. About half (<i>n</i> = 38, 51%) of the participants reported clinically significant treatment gains with another 23% signaling symptom reductions that represented improvement but were not clinically significant. Predictive analyses indicated equivalence of PHP response across age, gender, and ethnicity with the greatest proportions of variance among treatment gains accounted for by improvements in DBT-A <i>doing skills</i> (emotion regulation, interpersonal effectiveness). Implications for DBT-A practice are provided.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"100 2","pages":"146-156"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91784291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Lenz, G. D. Conte, Cameron Douglas, Ayanna Crenshaw, Christin Dobbs, Emily Stogner, Victoria Williford
{"title":"A pre‐experimental evaluation of treatment gains associated with a DBT‐A partial hospitalization program","authors":"A. Lenz, G. D. Conte, Cameron Douglas, Ayanna Crenshaw, Christin Dobbs, Emily Stogner, Victoria Williford","doi":"10.1002/jcad.12416","DOIUrl":"https://doi.org/10.1002/jcad.12416","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"42 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89662160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana G. Reyes, N. Lindo, N. Allen, Mónica Rodríguez Delgado
{"title":"Centralizing the voices of queer womxn of color in counseling","authors":"Ana G. Reyes, N. Lindo, N. Allen, Mónica Rodríguez Delgado","doi":"10.1002/jcad.12417","DOIUrl":"https://doi.org/10.1002/jcad.12417","url":null,"abstract":"","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"31 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78955351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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