Religiously integrated psychotherapy with Muslim clients: From research to practice.

In this paper, we attempt to translate empirical findings from a program of research that developed a Psychological Measure of Islamic Religiousness (PMIR) into practical clinical applications. The findings from this program of research are complemented and illuminated by findings from other empirical research and clinical work with Muslims. Our recommendations can be summarized as follows. First, clinicians should inquire directly about the place of religion in the lives of their Muslim clients. Second, mental health professionals should ask about what Islam means to their clients and educate themselves about basic Islamic beliefs and practices. Third, clinicians should help their Muslim clients draw on Islamic positive religious coping methods to deal with stressors. Fourth, we recommend that clinicians assess for religious struggles, normalize them, help clients find satisfying solutions to these struggles and, if appropriate, refer clients who struggle to a Muslim pastoral counselor or religious leader. Finally, in order to overcome stigma associated with mental health issues, mental health professionals should educate the Islamic public about psychology, psychopathology, and psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The public's knowledge about psychologists and other mental health professionals.

A random sample of New London County, Connecticut, residents received a questionnaire about 9 mental health professions or professionals (MHPs): clergyperson, marriage and family counselor, nonpsychiatric physician, psychiatrist, psychiatric nurse, psychologist, psychotherapist, social worker, and telephone crisis counselor. Respondents defined each MHP and reported their satisfaction with treatment, which MHP they would recommend, their referral source(s), licensure requirements, and fees. A mixed-design ANOVA was computed, with comfortableness as the dependent variable; age, sex, saw an MHP, and education, the between-Ss variables; and the 9 MHPs, the within-Ss variable. A significant MHP effect showed that physicians were perceived as slightly more comfortable than were psychologists (nonsignificant), who, nevertheless, were perceived as exceeding all other trained MHPs in the comfortableness experienced by their clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relation of masculinity to self-esteem and self-acceptance in male professionals, college students, and clients.

Previous studies that have suggested that masculinity is a strong predictor of mental health have been generally limited to college student populations or have focused specifically on women. This study investigated the relation of masculinity to self-esteem and self-acceptance in male professionals (n?=?96), clients (n?=?55), and college students (n?=?73). The Personal Orientation Inventory, Bem Sex Role Inventory, and Rotter Internal–External Locus of Control Scale were administered to the subjects, along with a demographic data sheet. Correlations were used to investigate the relation and relative predictive significance of masculinity, femininity, education, occupation, and locus of control to self-esteem and self-acceptance. Masculinity was found to be the best predictor of self-esteem for male professionals and clients, and the best predictor of self-acceptance for clients. Femininity did not correlate with self-esteem or self-acceptance in any group. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"When clients seek treatment for same-sex attraction: Ethical issues in the 'right to choose' debate": Comment .

Comments on an article by M. A. Yarhouse (see record 1998-11146-011), which addressed the ethics of providing treatment of a reparative nature to persons who struggle with same-gender attraction. Dahl commends the editor for providing a forum for these ideas to be presented, and guesses there will be considerable objection raised by those who disagree and who favor "gay-affirmative" therapy only. As a licensed clinical social worker, Dahl works with people who want to change. His professional experience has demonstrated that change is possible for same-gender clients and that these clients are appreciative of the help received, contrary to "popular opinion." He was also heartened to read an article that supports the client's right to choose treatment and also to read that religious and spiritual convictions ought to be considered as a part of treatment considerations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Image Breakers.

The author discusses the need for professionals in rehabilitation to use their communications skills to good purpose in relationships with patients and clients, and with other professionals, and not to focus too narrowly on each profession's image. It is important to remember that professionals undergo long and careful training in order to serve our patients and clients, in order to define our role both to ourselves and to others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To use or not to use: Clinicians' perceptions of telemental health.

Equal access to mental health services is necessary for healthy individuals and communities. However, due to geographical distances and other barriers, some clients cannot easily access mental health professionals. Technologies such as videoconferencing for clinical purposes (i.e., telemental health) may help to bridge these gaps to connect clients and clinicians at geographically diverse locations. However, despite its potential utility, telemental health has not been widely adopted in Canada. This study is an exploratory investigation into mental health professionals' attitudes toward telemental health, factors that affect the frequency with which they use this technology, and their perceptions of individual characteristics that make clients more or less suitable candidates for telemental health. This study has a particular focus on remote and rural and Operational Stress Injury (OSI) contexts. One hundred sixty mental health workers across Canada participated in an online survey, and 25 mental health workers from Operational Stress Injury clinics across Canada participated in in-person interviews. The data were examined using qualitative and quantitative analysis methods. Findings suggest that mental health workers have overall positive attitudes toward the use of telemental health—particularly for clients in remote and rural locations. Additionally, receiving training in telemental health, being in the mental health field for longer, and perceiving the technology as easy to use are associated with more frequent use of telemental health. Finally, clinicians reported specific client characteristics that they perceive to make some clients unsuitable candidates for telemental health. Implications of these findings and directions for future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The private practice of misleading deflection.

Responds to L. S. Brown's (see record 84-26142) references to and citations of the author's works regarding repressed memories. The author argues that there was nothing in the citations Brown mentions that would indicate that Loftus believed that therapists should be prohibited from believing clients' memory of abuse in any way. Loftus contends that Brown's misleading and inaccurate statements regarding her views deflect readers from the fact that individuals have suffered great losses due to adult offspring undergoing extremely suggestive therapies. Loftus also argues that Brown's use of incomplete quotations and invented or distorted personal communications fall short of scholarly standards and that misrepresentation of critic's views regarding suggestive therapies does not help clients, victims, and reputations of mental health professionals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparative effectiveness of professional and paraprofessional helpers.

Used meta-analysis to resolve some of the contentious issues raised in the debate between J. A. Durlak (see PA, Vols 62:11736 and 66:2004) and N. T. Nietzel and S. G. Fisher (see record 1981-22035-001) about the relative effectiveness of professional and paraprofessional counselors. Effect sizes based on 154 comparisons from 39 studies show that clients who sought help from paraprofessionals were more likely to achieve resolution of their problem than those who consulted professionals; moderators of this conclusion were related to experience, duration of treatment, and the manner in which effectiveness was measured. It is concluded that there is substantial evidence that paraprofessionals should be considered as effective additions to the helping services, at least when compared to professionals. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disability and the law: Attitudes of police, lawyers, and mental health professionals.

A literature review on the attitudes of police officers, lawyers, and mental health professionals toward the disabled indicates that police officers' attitudes are related to the extent of their formal education and the amount of information they have about relating to persons with various types of disabilities. Lawyers who have disabled clients tend to be more knowledgeable and to have more positive attitudes than lawyers without such clients, but it is not easy to turn lawyers into advocates for disabled clients. Mental health professionals, who may be called on to provide advice to police officers or lawyers or to testify in court cases, have some negative aspects that may impair their helpfulness, but their attitudes are more positive than those of less educated persons. Data also indicate that the attitudes of psychologists are less negative than those of psychiatrists. It is concluded that rehabilitation psychologists need to undertake studies of the attitudes of these groups and to set up programs designed to change the attitudes of members of these professions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Practicing safer listserv use: Ethical use of an invaluable resource.

Listservs are often used by professional psychologists to share resources and references, seek consultation or support, find referrals, discuss important issues, keep informed about upcoming events, and access other useful information. Topics of discussion include clients, students, research, insurance companies, and even other professionals. Listservs can help keep otherwise isolated professional psychologists connected with the psychological community. Listservs make such discussions and information more accessible to psychologists who are geographically isolated or cannot easily attend meetings and other events because of other demands on their time. There are risks involved in listserv use, however. Nothing shared over the Internet is ever completely secure. Confidentiality cannot be guaranteed. Listservs potentially distribute messages about clients and other topics far more widely than a single e-mail communication does, thereby multiplying the risks involved. In this article, the author explains how listservs work, addresses the potential ethical problems connected with their use, and suggests some more secure methods for sensitive professional Internet exchanges. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Burnout and coping in human service practitioners.

Do many Spanish human service practitioners suffer from burnout? What coping strategies are used to combat work stress, and are they associated with lower burnout? Which strategies may the psychologist promote to improve organizations? With an eye toward helping organizations improve their workers' quality of work life and service delivery, 211 professionals, either child protection workers or in-home caregivers, completed an inventory on coping and another on burnout. Coping strategies alone do not preclude burnout but may help prevent worker turnover. High job and salary satisfaction, together with active coping strategies play an important role in promoting personal accomplishment. Low job and salary satisfaction and the use of passive or emotional strategies predict elevated emotional exhaustion. The results suggest some possible points of intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In the public interest: Intellectual disability, the Supreme Court, and the death penalty.

This article deals with a case that recently came before the U.S. Supreme Court. The issues involved whether attorneys provided effective assistance to a person convicted of murder when no mitigating evidence was presented (either strategically or by neglect) to the jury concerning the intellectual disabilities of their client during the death penalty phase of the trial. The Supreme Court had previously ruled that the death penalty for intellectually disabled individuals (mentally retarded) constituted cruel and unusual punishment. In this case the attorneys made a strategic decision not to present possibly mitigating evidence for the death penalty phase. The Supreme Court considered whether the appeals court abdicated its judicial review responsibilities. The results of psychological evaluations are presented, and the decisions of the Supreme Court are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experiences of Spanish/English bilingual supervisees.

Supervising mental health services conducted in a language that the supervisor does not speak can present a conundrum for both supervisors and supervisees, especially when the supervisee is the only person in the clinic who speaks the language of the client. This qualitative study explored Spanish-language services supervision experiences of bilingual graduate students and professionals during their graduate training. The participants reported feeling burdened and stressed by additional responsibilities. They had little training or supervision to help them develop the language skills necessary to provide competent services in Spanish, so they relied on peer support and networking to cope with the many challenges they faced. The participants appreciated having supervisors who were culturally competent and open to the clients’ cultural values. Training programs and supervisors need to be aware of the factors contributing to this stress and examine procedures and practices that may exacerbate or minimize the burdens. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Not can but ought: The treatment of homosexuality.

Responds to E. T. Sturgis and H. E. Adams's (see record 1978-32090-001) critique of the present author's (see record 1976-29782-001) proposals to terminate change-of-orientation programs for homosexuals. The author notes that his earlier proposals rest on moral not empirical grounds, and suggests that arguments based on whether therapists can or cannot alter sexual preferences are irrelevent. Therapists, moreover, have no abstract responsibility to accede to requests from clients for certain types of treatment; they work within a host of personal, conceptual, and even legal constraints. It is suggested that (a) therapists are characterized better as secular priests than as professionals applying ethically neutral techniques, (b) therapists should attend to large-scale social and political factors in their clients' lives as conscientiously as they attend to intrapsychic and interpersonal variables, and (c) their students should study philosophy and politics as well as learning theory and research design. To urge that therapists desist from sex reorientation programs is not tantamount to exhorting them not to see homosexuals in therapy; indeed, renouncing these widely used programs can help professionals focus on the problems homosexuals (and others) have, rather than on the so-called problem of homosexuality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological services to Spanish-speaking populations: A model curriculum for training competent professionals.

The competent delivery of mental health services to Spanish-speaking clients requires knowledge of Latino cultures, racial and ethnic identity development, variables that impact service delivery, and the Spanish language. We present the Psychological Services for Spanish Speaking Populations (PSSSP) program as a model for training mental health professionals to deliver services to Spanish-speaking clients. The goals for the program were to improve participants' oral and written Spanish language proficiency in work-related contexts and to improve multicultural competence in service delivery to Latino clients. Recommendations for those who wish to offer similar programs include (a) grouping trainees according to Spanish language proficiency, (b) using Spanish language instructors with expertise in teaching heritage language learners, and (c) developing criterion references or measures to assess program outcomes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Overcoming obstacles in providing mental health treatment to older adults: Getting in the door.

Older adults significantly underutilize mental health services relative to their numbers in the population. Barriers that impede their access include physical, financial, cognitive, emotional, and attitudinal issues. This article discuss strategies for overcoming these barriers including physical adaptations such as in-home psychotherapy and telephone sessions, use of support groups, strong community outreach, and liaisons with other professionals. Adaptations that help to increase older adults' use of mental health services are discussed, including education about treatment, nontraditional "pursuit" of clients, and use of alternative terminology. Informed consent is discussed as a special issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Brief treatment for young substance abusers: A pilot study in an addiction treatment setting.

The present study evaluated a motivationally based, 4-session outpatient intervention for young substance abusers presenting for addiction treatment. Follow-up interviews were conducted 6 months after assessment on (a) clients who sought additional help (n = 22) and (b) clients who did not seek additional help (n = 28). Results indicated that (a) participating in an assessment and brief intervention was associated with reduced use and consequences and increased confidence in high-risk situations up to 6 months after entry into the program, and (b) clients who participated in additional treatment showed less of a decrease in substance-related consequences. These findings suggest that brief interventions can serve as either a stand-alone intervention for individuals who need short-term assistance or a first-step intervention for those with more specialized or long-term needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)