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Clinical Supervision: Skill Building and Empowering Supervisees
"It took years of me struggling with myself and the system before things started to get better," he remembers. Growing up gay in the 1930s was another part of the struggle. He has vivid, painful recollections. "Back then, there wasn't really even a word for what we were," he mused, "and we sure as hell didn't talk about it with our families."
prefers not to chronicle his struggles in detail. "Let's just say that it
wasn't all that much fun." He does admit that early on, he spent a good deal
of time in psychiatric facilities, trying the "treatment du jour"-everything
from cold water baths to insulin injections and major tranquilizers. It wasn't
until 1975 that he was even finally diagnosed with bipolar disorder. Before that,
he says, he had collected diagnoses that ranged from schizophrenia to psychotic
depression. These labels were "semi-educated guesses" that, he believes,
prevented him from getting effective treatment. Though his episodes of mania only
occurred once or twice a year, they were severe enough to disrupt his life. He
would be hospitalized for weeks, even months. Finally the mania would subside
and he would start picking up the pieces of his life.
Over the course of their forty-three years together, they had almost as many "ups and downs" as Harry had mood swings. But the up times were enough to carry them through the bad ones. Harry credits Alan's unwavering support with getting him through the hospitalizations and the bouts of despair, guilt, and suicidal thinking. They were both relieved when a combination of new medications, individual psychotherapy, and a support group for people living with bipolar disorder kept Harry out of the hospital for longer periods. He eventually managed his condition so successfully that he has now gone over fifteen years without a single inpatient psychiatric stay.
Worse than the most horrible treatment back
in the "old days," Harry says, was the day that he lost Alan to emphysema
in 1996. The heartache is completely different from the depression he has experienced
for so long. Losing Alan was like losing his lover, his father, and his soul mate
all at once, he says somberly. Tears well up in his eyes. He clears his throat
and turns his head. "The last few years have been especially hard."
At the continued urging of his friends, Harry sold the home that he and Alan had shared and moved into an assisted living facility. While he finds the center clean and the staff nice, he bemoans the fact that "they don't know squat about gay people." He misses his friends and thinks about Alan every day. When he feels particularly isolated and alone, he questions whether "life is worth it."
Word of the episode spread like wild fire among her classmates. Soon they began to taunt her. "You think you're a boy. Eewww, gross. You are so ugly. You are just like a boy. You must be a boy." When the taunts became unbearable, Kris would grab or punch whichever tormentor was close at hand. Back to the office she would go, for a time-out and another lecture and a warning. The worst incident occurred right before summer break. Egged on by his pals, a sixth-grader grabbed her breast and crowed, "Hey, she's a girl! She's got titties." Then in a singsong voice: "I felt your titties. I fit your titties." Before he could dodge her, she got him in a hammerlock. She half-choked, half-dragged him to a giant puddle on the girls' side of the playground, and heaved him in. By then a crowd of other kids had gathered. When she saw the supervising nun striding in her direction, Kris fled into the principal's office. There, defiant and ashamed simultaneously, she blurted out her "crime."
The nuns called her parents in and told them it would be better if she stayed home for the few weeks remaining in the school year. They also told them that she would not be welcomed back the following year. During the summer, Kris didn't go outside very often. Her brain felt fuzzy. She had trouble sitting in one place for very long. Whenever she ate, she felt sick. Often, after meals, she would lock herself in the bathroom, and stick her finger down her throat until she threw up. When she was sure she would be alone in the house, she used her Swiss Army knife to scratch her chest and her thighs. Watching the blood ooze out of the cuts gave her some momentary clarity and relief from the other, awful feelings. She made sure her clothes always covered the scabs.
Queer children's gender nonconformity
makes them easy targets. Lonely, often desperate for attention, their depressions
can easily be misconstrued as acting out. The problematic behavior further marks
them as "different." Ever more alienated, they become more seriously
depressed. Most ominous is that the depression, because it remains invisible,
is never treated...Gay/lesbian/bisexual students with depression often go undiagnosed, because they are already seen as "different", their depressions can easily be misconstrued as acting out.
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Table of Contents
The authors reviewed 114 articles regarding counselor education and supervision published in professional counseling journals during 2018. The articles represented a range of methodologies, providing insight into current supervision, teaching and training, stakeholder experiences, and professional issues. Implications include a need for research regarding online teaching and learning as well as exploring supervision’s influence on counseling skill and effectiveness.
The authors analyzed data from 5,528 American Counseling Association members to examine advocacy beliefs and behavior regarding Medicare reimbursement and advocacy for counselors. Nearly half (49.3%) of the respondents had participated in one or more forms of Medicare reimbursement advocacy. Advocacy participation differed significantly by professional status.
The authors examined the publication patterns of 821 counselor educators across 174 comprehensive universities for the years 2008 through 2017. Nearly half of the sample did not have any journal article publications, and the median number of publications was 1. Several institutional variables were useful for predicting article publication counts.
The authors examined trends in school counselor consultation preparation using data collected from 238 program websites, 73 program survey responses, and 57 syllabi. The results indicated an emphasis on consultation content related to theories, stakeholders, and topics, rather than experiential practice. The findings suggest a need to incorporate and assess more application‐specific consultation activities and assignments.
Coursework in teaching, fieldwork, and supervised teaching experiences were examined as predictors of counselor education doctoral students’ (N = 149) self‐efficacy toward teaching. Results revealed that all 3 variables related significantly to self‐efficacy toward teaching. Results suggested that students’ satisfaction with supervision of teaching was particularly important in strengthening self‐efficacy.
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