This study investigated the attitudes of mental health counselors toward persons with Acquired Immunodeficiency Syndrome (AIDS). Three hundred and fifty-eight members of the American Mental Health Counselors Association were mailed a survey packet including an Attitude Towards AIDS Victims scale and an additional two questions assessing comfort with clients with AIDS. Demographic information was also collected. There were 255 useable surveys, for a response rate of 72%. The results of the survey indicated that gender was not a significant independent variable in the attitudes of the mental health counselors. Professional and/or personal contacts with a person with AIDS were highly predictive of positive attitudes. Sexual orientation of the respondent was also highly significant as was personal acquaintance with a gay male or lesbian. Formal AIDS training of one hour or more showed a significant relationship with attitudes of mental health counselors toward persons with AIDS, with the relationship becoming more significant at 11 or more hours. The study indicated that mental health counselors are largely uninvolved in providing mental health treatment to persons with AIDS, with 5% of the subjects providing 70% of the services. Recommendations follow regarding preservice and inservice AIDS training and the need for mental health counselors to be more proactive in the AIDS epidemic. / Graduation date: 1996

This study was conducted to determine why counselors use the Diagnostic and Statistical Manual of Mental Disorders (Third Edition, Revised) (DSM-III-R), to describe their opinions regarding the advantages and disadvantages of its use, to determine whether they believe deliberate misdiagnosis of clients occurs, to determine whether they believe they are adequately trained in the use of the DSM-III-R, and to identify counselor characteristics that are significantly related to their evaluations of the DSM-III-R. A mailed questionnaire was used to collect data from a random sample of 550 Certified Clinical Mental Health Counselors. The response rate was 70.7%. Results of the study indicate that the respondents use the DSM-III-R for billing insurance, case conceptualization, treatment planning and communication with other professionals, meeting requirements of employers and external entities such as the courts, and for educational and evaluative functions. These reasons for its use are also considered to be the advantages of using the DSM-III-R. Disadvantages of the using the DSM-III-R identified include possible negative results of its use, bias and labeling, and difficulty in usage as well as difficulty applying it in marriage and family counseling. Respondents believe clients are deliberately misdiagnosed using the DSM-III-R, and a majority of respondents (62.87%) who indicated whether reported they had training in the use of the DSM-III-R and whether they believe they are adequately trained in its use said their training is adequate. Results of canonical correlation analyses indicate that respondents' amounts of training in the use of the DSM-III-R, their work settings, and their clients' being charged for counseling services are significantly related to various aspects of their evaluations of the advantages and disadvantages of the DSM-III-R. / Ph. D.

AIDS-related stigma and mental health professionals.