"... In the development of training and practice, as a student and as a professional school counselor, counselors are searching for tangible, grounded real life examples of how to transfer and apply theory into practice for commonly encountered counseling situations. The purpose of this text is to introduce students in training and new professional school counselors to various situations each is likely to come across during training and the first 5 years of practice. It is our hope that exposure to these experiences and attention to the diverse theoretical approaches that can be applied to resolve these student situations will enhance your training and better prepare you to deal with a variety of situations. ..." --Preface. / https://dc.etsu.edu/etsu_books/1107/thumbnail.jpg

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Counselors and counselor educators must serve clients regardless of culture, race, disability, sexual orientation, and age. Counselor educators have attempted to stay abreast of new methods to enhance counselor competencies to adequately counsel lesbian, gay, bisexual, and transgender (LGBT) clients. The purpose of this quantitative study was to determine the extent of the relationship between self-perceived clinical preparedness of working with LGBT clients and self-perceived attitudinal awareness towards LGBT clients as moderated by levels of religious commitment of licensed professional counselor (LPC) using a feminist and multicultural theory framework. Statistical Package for the Social Sciences (SPSS) quantitative analysis software program was used to generate descriptive statistics such as frequencies, means, modes, correlations, and regression models for each research variable. According to study results, there was a statistically significant relationship between the criterion variable self-perceived clinical preparedness of working with LGBT clients, the predictor variable self-perceived attitudinal awareness towards LGBT clients, and the moderator religious commitment (F (2, 123) = 4.76, p < .05). The study findings promote insight for counselors to understand how their religious commitment moderates the relationship between clinical preparedness and attitudinal awareness when working with LGBT clients.

Adolescent self-harm is a growing epidemic in the United States with thousands of adolescent children being treated in hospitals every year. Despite awareness that self-harm impacts the family unit, little attention has been given to the full impact that self-harm has on parents. Due to this lack of knowledge, counselor educators and supervisors are not equipped to train counselors to work with parents of self-harming adolescent children leaving counselors feeling unprepared to work with parents. The purpose of this phenomenological study was to explore the lived experiences of parents who have self-harming adolescent children. Family systems theory was used to explore the concept that self-harm impacts the entire family system. The key research question for this study was: What are the lived experiences of parents of self-harming adolescent children? Six participants were interviewed using a semi structured design. The interviews were transcribed, coded, and analyzed using Pietkiweicz and Smith's 3 stage analysis process. Six main themes emerged from the data: (a) reaction to behavior, (b) change in self, (c) change in parenting style, (d) impact on relationships, (e) change in perception of mental health issues, and (f) support systems. The results of the study confirmed that parents have strong emotional responses to the self-harm and consequently adjusted their parenting styles. The outcomes of this study have the potential to impact positive social change by informing changes in counseling curriculum, training programs, and the level of support and services counselors provide when working with parents of a self-harming adolescent child.

Professional identity development occurs during graduate training through mentoring, modeling, and academic training by counselor educators. If counselor educators are to transmit this professional identity, they must possess a robust professional identity themselves. Professional identity development theory suggests that the strength of this professional identity may be threatened by a lack of belonging in academia for nontenured or contingent faculty. A correlational research design using a purposeful convenience sample was used to examine the relationship between academic role, employment status, years of experience, and professional identity among counselor educators. The participants (n=50) were counselor educators who subscribe to the CESNET-Listserv. A multiple linear regression analysis was conducted to relate demographic variables to scores on the Professional Identity Scale in Counseling (PISC). There were statistically significant relationships between employment status and overall PISC score (p = .044) and Engagement Behavior subscale (p = .013), while academic role was related to Professional Roles and Expertise (p = .041) and Philosophy of the Profession (p = .024) subscales at statistically significant levels. Years of experience was related to the Philosophy of the Profession (p = .046) subscale at a statistically significant level. The potential social change from this study is that a better understanding of factors related to counselor identity in educators may positively influence graduate school mentoring, modeling, and training and thereby strengthen professional identity in counseling students, which in turn may improve the quality of future services to clients.

The mental health literacy (MHL) rates of Christian clergy in the United States remains underinvestigated in the current literature. This gap of knowledge is problematic for the large numbers of individuals with mental illness who seek assistance from clergy and may receive inadequate care for their concerns. As theoretically designated by the behavioral models of health care and MHL research, denomination-type, educational variables, and demographic characteristics were investigated as potential predictors of MHL. A sample of 238 Christian clergy from throughout the United States completed the web-based Mental Health Literacy Scale and demographic questionnaire. Results of analysis of variance (ANOVA) revealed no significant differences among MHL scores of Evangelical Protestant, Mainline Protestant, Catholic, and Historically Black Protestant groups. Results of the multiple linear regressions showed that number of years of postsecondary school, degree-type, age, and geographical location were not significant predictors of MHL scores. Higher numbers of clinical MH training courses and female gender did significantly predict higher levels of MHL scores. The findings provided the first parametric measure of a diverse, national sample of Christian clergy and indicated a need for increasing MHL trainings. Results also provided counselors and counselor educators with information useful for initiating and modeling interprofessional trainings, collaborations, and referral partnerships with clergy who currently serve as front-line mental health workers to millions of U.S. residents. The results may also inform social justice initiatives to reduce mental health care disparities in underserved populations.

Although professional counselors have distinguished themselves among helping professionals through a focus and foundational framework in normal human growth and development over the life-span, a majority of programs neglect to incorporate training opportunities enabling students to translate developmental theory to clinical practice. In this mixed-method study, the researcher explored the effects of a human developmental counseling application curriculum and examined cognitive complexity levels among counselor trainees. Qualitative results support gains in both the integration and application of developmental content while quantitative results offer partial support for cognitive complexity gains among trainees. This study identifies a curricular training experience in which counselor trainees' integration and application human developmental theory as well as cognitive complexity, are notably enhanced.

The purpose of this study is to explore the question of whether or not graduate schools in social work have adequately prepared social workers to deal with the changing needs of individuals with disabilities.

Novice counselors may struggle to understand and follow ethical guidelines for boundary behaviors with clients. When counselors violate therapeutic boundaries, harmful consequences can result for clients and counselors. The purpose of this quantitative study was to examine the possible relationship between novice counselors' (NCs') attachment to supervisors and NCs' ethical perceptions and boundary practices. This study addressed the possible predictor variables of age, gender, relationship status, and practice setting. Bowlby's attachment theory provided the framework for the study. Survey data from 114 NCs were analyzed using descriptive statistics and hierarchical linear regression. Each regression analyzed predictors of age, gender, relationship status, and practice setting in model 1 and added level of attachment anxiety and level of attachment avoidance to supervisor in model 2. Findings indicated that NCs' level of anxious attachment predicted serious boundary violations (BVs). Those with higher levels of attachment anxiety reported more BVs and perceived more items as BVs. Level of attachment avoidance also distorted ethical perceptions; those high in attachment avoidance considered more items to be boundary crossings and BVs. The variables of age, male gender, and an urban practice setting significantly predicted higher reported boundary crossings. Males more often did not consider behaviors to be BVs, and more females agreed with expert perceptions of items which were neither a boundary crossing nor a BV. Age was significant but contrary to previous findings because in this sample, as age increased, reported BVs decreased. Findings may lead to changes in how counselor educators and supervisors train NCs to manage boundaries in therapeutic relationships.

Though counselor education has always acknowledged the importance of work in the lives of individuals, there is a dearth of information concerning the worklives of counselor education faculty. The purpose of this study was to explore work and life variables that impact the work experiences of faculty members in counselor education. This study examined demographic or life variables including gender, age, ethnicity, sexual orientation, relationship status, and parenting status; and work-related variables including rank, sexual harassment, gender discrimination, salary equity, mentoring, teaching activities, service activities, publication for collaboration, and decision-making representation. Three hundred and twenty-eight counselor education faculty members across the United States participated in the study. Participants completed a mailed questionnaire including demographic information, quantitative survey questions, and related qualitative items designed to investigate work and life factors impacting the subjective work experiences of counselor educators. Chi-square analyses and analysis of qualitative responses related to four research hypotheses indicated that experience of the work environment for counselor educators is impacted by gender, tenure rank, age, and relationship status. Post-hoc analysis indicated that work experiences are also impacted by ethnicity, sexual orientation, and parenting status. Results also indicated a need for continuing attention to the effects of rank, salary equity, sexual harassment, gender discrimination, and decision-making representation in counselor education programs. Results of this study suggested implications for future research in counselor education and counseling.