This paper discusses the issue of counsellor burnout and secondary traumatic stress (STS) and its potential impact on ethical behaviour. Burnout and STS are common outcomes of providing counselling and psychotherapy and may lead to counsellor impairment. A diminished ability to function professionally may constitute a serious violation of the…

The prevention of future violence through engaging violent adolescents in multisystemic therapy and the treatment of trauma with exposure therapy are two of the most important scientific advances in the field of interpersonal violence in the past 20 years. A particularly significant methodological innovation is the development of reliable and…

Though wilderness therapy programs are growing in number and popularity, the theoretical basis for distinguishing wilderness therapy from traditional therapeutic modalities is lacking. Existing models describing the wilderness therapy process have been stage-based, meaning the process has been conceptualized as sequential and discrete. Lost in…

Starting from Frances Tustin's description of failure of the containing function in autistic children due to a splitting between the masculine and feminine aspects of the containing object, the author suggests that the first stage in the psychoanalytic treatment of an autistic child consists in restoring that function by working through what he…

The medical director of a child guidance center is starting a new treatment program. The director has paid for three social work therapists to attend a cognitive-behavioral therapy (CBT) workshop to the population of poor, Spanish-speaking teens. However, the medical director struggles with how to bring the principles of evidence-based practice…

Feminist therapy has revolutionized clinical practice and offered a model of empowerment for all therapy approaches. However, the long-assumed claim that feminist therapists are more likely to engage in power-sharing behaviors with their clients has not been supported by published quantitative research. In the current study, 42 female therapists…

This study examined the stability of treatment gains after receiving either cognitive bibliotherapy or individual cognitive psychotherapy for depression in older adults. A 2-year follow-up of 23 participants from Floyd, Scogin, McKendree-Smith, Floyd, and Rokke (2004) was conducted by comparing pre- and posttreatment scores with follow-up scores…

This article emphasizes the importance of incorporating nurturing elements into teaching. As such, it focuses on the evolution of the teaching role, reviewing the characteristics found in effective teachers and identifying the similarities between teaching and psychotherapy. As we acknowledge the fact that college teachers do more than teach, the…

The practice of mindfulness is increasingly being integrated into contemporary clinical psychology. Based in Buddhist philosophy and subsequently integrated into Western health care in the contexts of psychotherapy and stress management, mindfulness meditation is evolving as a systematic clinical intervention. This article describes…

This article is a response to the criticisms raised by Webb and Widseth (2005) to my article (Hatchett, 2004) "Reducing Premature Termination in University Counseling Centers." Although Webb and Widseth quibble over some of the specific findings in the literature review, their chief complaint seems to be that the assertions and recommendations…

The focus of this brief report about one small college's experience in providing personal counseling and psychotherapy to its students is on how the students used the services over their, generally, four years of matriculation. The 404 student users of counseling services from six classes of graduating students had an average number of sessions…

The content of this paper reflects the title but it expands upon the technical issues encountered right from the beginning of the assessment. These technical difficulties include the management of physical pain during sessions and the request by the patient for physical interventions as well as contact. The problem of discrimination in the setting…

Bipolar disorder is characterized by a chronic and fluctuating course of illness. Although nonadherence to pharmacotherapy is a frequent problem in the disorder, few studies have systematically explored psychosocial factors related to treatment discontinuation. Previous research with depressed patients receiving psychotherapy has suggested that…

education and psychotherapy that is based on attachment theory. The purpose of this study was to track changes in children's attachment classifications pre- and immediately postintervention. Participants were 65 toddler- or preschooler- caregiver dyads recruited from Head Start and Early Head Start programs. As predicted, there were significant…

This article proposes a framework that can be used by college counselors to assist in the development and implementation of a campus wide intervention that is congruent with sound clinical and administrative practices. A view of self-injurious behavior (SIB) informed by trauma theory espouses clinical treatment and a community response that has a…