Thesis (Psy D.)--Wheaton College Graduate School, Wheaton, IL, 2003. / Abstract. Includes bibliographical references (leaves 38-43).

Thesis (Psy D.)--Wheaton College Graduate School, Wheaton, IL, 2003. / Abstract. Includes bibliographical references (leaves 38-43).

<p> The purpose of this dissertation is to offer a greater understanding of the potential of genograms through my clinical work from a Bowen Family Systems lens. I account for how I processed and effectively blended metaphorical components, by examining six cases from my two-year journal entries, of bringing genograms to life in sessions. I also explain how I created a useful tool, the Metaphoric Generative Genogram, that can benefit other clinicians working with children and families in the foster care community.</p>

The purpose of this study was to assess mental health counseling services provided by Florida public community colleges and universities. The researcher of this study designed the Counseling Center Questionnaire instrument. This instrument consisted of two different questionnaires, one for community colleges and the other for universities. The questionnaires were developed to ascertain information regarding mental health services provided by higher education institutions. The questionnaires yielded information pertaining to (a) which Florida community colleges and public universities were offering mental health counseling services to students, (b) the types of mental health counseling services provided, (c) the types of problems/issues students were reporting to counseling centers, and (d) the scope of mental health counseling services provided by Florida community colleges and universities. The findings indicated that only 5 of 20 Florida community colleges provided mental health services to students and all 7 universities who responded to the questionnaire provided such services to students. Community colleges provided fewer mental health services than did 4-year institutions. According to higher education counseling officials, students in all institutions experienced many of the same types of issues or problems including Anxiety, Depression, Bi-polar Disorders, Substance Abuse, Eating Disorders and Schizophrenia. Depression was the most frequently reported mental health issue among all students.

While previous research has explored the relationship between combat exposure and mental health disorders, the effects of mental health disorders on attrition rates of Service members, the discrepancy between mental health counseling services available and utilized by Service members, and barriers to seeking mental health counseling services, the majority of studies thus far have only been conducted with Service members and have been quantitative in nature. While researchers have begun to explore the experience of deployment on Service member spouses, little research has focused specifically on their service seeking behavior regarding accessing mental health services. This is unfortunate given that multiple studies have indicated the importance of including Service member's spouses in future research. This qualitative study included both Service members and spouses of Service member's in an attempt to capture their mental health counseling service seeking behaviors. Thematic analysis was employed to develop a model of mental health seeking behavior among Service members and their spouses. The resulting model is unique in that it attempts to account for the influence of multiple contextual and ecological factors. Limitations of the study, future research and clinical implications are also discussed. / Master of Science

No description available.

Patterns of articles published in the Journal of Mental Health Counseling (JMHC) from 1994 through 2009 were reviewed. Characteristics of authors (e.g., sex, employment setting, nation of domicile) and articles (e.g., topic, type, design, sample, sample size, participant type, statistical procedures and sophistication) are described and analyzed for trends over time.

The research examined mental health practitioners' attitudes towards, satisfaction with and use of suicide prevention contracting (SPC) techniques. Survey respondents comprised consultant psychiatrists, clinical psychologists, occupational therapists, mental health nurses, psychologists, registered medical officers and social workers. A self-report questionnaire was mailed to 1347 potential respondents, together with three follow-up letters sent out at two-week intervals. There was a 31% response rate, producing 420 valid questionnaires. The results of the research re-confirm the historical trajectory of SPC, from its early beginnings as a relationship-based suicide-risk assessment technique to one that is used in contemporary practice by practitioners to meet a range of objectives. The research focused on three SPC techniques in operation in clinical practice: verbal no-suicide assurances, no-suicide agreements, and written no-suicide contracts. Analysis of the data suggests a number of important findings. The first of these is that practitioners perceive different utility among these three techniques. Secondly, the least experienced practitioners were significantly less likely to use no-suicide contracts, despite seeing more suicidality and having more formal training in the use of the technique. Thirdly, a practitioner's gender, and formal training were significant in the perception and application of SPC techniques. Finally, suicidal behaviours and completed suicide was a clinical outcome in some situations irrespective of the use and non-use of SPC. The findings of this research are used to provide an emerging conceptual framework and associated nomenclature that inform clinical decision-making in relation to SPC. In addition, a conceptual model is presented which demonstrates that the potential for injudicious use of SPC techniques is as much precipitated by individual factors as it is by broader environmental factors. Key words: no-suicide contracts, suicide prevention contracts, no-suicide agreements, no-suicide decisions, contingency contracting.

Financial professionals are advocating a personal counselling framework to deal with financial issues. Many popular magazines are discussing this new persective on financial planning and services offered to clients. This new spin on financial advising finds financial personnel going beyond money and including personal counselling content. Articles from both academic and popular journals support the basis for this new awareness. They point to the fact that financial health and psychological health are connected and interrelated. The problem with traditional financial counselling is that financial personnel are trained to deal with numbers and money, and are not trained to counsel personal issues. Therefore, considering the potential ramifications, it is imperative that financial and psychological professionals work effectively together. The goal of addressing the issue, found within this study, is to increase service delivery to clients, both from financial as well as psychological perspectives. Ultimately, this research aims to determine how to improve, and thus increase the level of referral and collaboration between these two fields. Thirty interviews were conducted with financial personnel currently working in Western Canada. The interview population consisted of Chartered Accountants, and Certified Financial Planners and Advisors. The Financial Personnel Interview was used to collect data and explore the perceptions of the existing processes of referral and collaboration between themselves and psychologists. The interview covered an array of topics including eight parts: Demographic Information, Recognizing and Defining Personal and Psychological Issues, Addressing Personal and Psychological Issues, Roles of Financial Personnel, Referral, Collaboration, Concluding Thoughts and the Client Problem Table. Extreme viewpoints emerged from the data. One is that these worlds are too different, personal counselling is not their responsiblity and there is no need for referral and collaboration. However, the majority of financial personnel believe there is a lack of understanding between the professions, the two worlds overlap and there is a need for referral and collaboration. In order to make referral and collaboration happen, it will have to start with baby steps; it will also take willingness, time and education to move from an unknown territory to a place where clients benefit from both professions. / xiii, 162 leaves ; 28 cm.

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R) published by the American Psychiatric Association (APA) in 1987 is currently the primary tool used by counselors in clinical settings for diagnosing clients' psychological and behavioral problems. Beginning with the third edition of the manual (DSM-III; APA, 1968) a multiaxial process for diagnosis was introduced to encourage a biopsychosocial perspective of client's problems.This study was designed to investigate if alterations in diagnosis on Axis IV and V could further encourage a biopsychosocial perspective. It was designed to imitate the rapid diagnostic process that takes place in many clinical settings. In the present study, the criterion for a biopsychosocial perspective was the maintenance of neutral perceptions and unbiased hypothesis-testing strategies following diagnosis of a client.Twenty-four counseling psychology trainees participated in the study. The counselor trainees diagnosed a client after listening to approximately 20 minutes of an audio-tape of an initial assessment interview. The 12 counselor trainees in the control group diagnosed the client using the standard multiaxial format for diagnosis. The 12 counselor trainees in the experimental group diagnosed the client using an alternative format which encouraged a focus on positive aspects of the client and the client's environment.The counselor trainees completed the Impression Formation Questionnaire to assess their perceptions of the client. They then wrote 12 questions they would ask the client in the next counseling session. These questions constituted their hypothesis-testing strategies for their diagnoses on Axis I and Axis II.The counselor trainees in both groups maintained primarily neutral perceptions of the client as measured by the IFQ. The counselor trainees in both groups favored confirmatory hypothesis-testing strategies when assigned to groups based on their hypothesis-testing strategy score (p < .05).The results of this study indicated that the standard and alternative multiaxial formats for diagnosis may encourage neutral perceptions of a client when counselors must diagnose the client based on very little information. Neither format for diagnosis was successful, however, in discouraging a biased, confirmatory search for information. / Department of Counseling Psychology and Guidance Services