Discusses the barriers created when communication breaks down between physicians and poor patients, a failure generally resulting from inadequately shared information and a power asymmetry in the relationship. Suggests strategies for improving communication with poor patients, including improving listening and responding skills, avoiding jargon,…

Discusses supervision and counseling of people with AIDS. Addresses the impact upon the client and the counselor against the background of stigmatization. Conflicts and losses arising at different stages are explored. Discusses implications for the need for supervision to facilitate changes necessary to cope with clients' and counselors' feelings…

The persistence of stigma related to schizophrenia is addressed as a continuing challenge for social work students working in mental health. Student education is best grounded in direct clinical work with clients in conjunction with field supervision and classroom education. Through direct practice in individual and group sessions, students learn…

This digest briefly summarizes the parallel development of outdoor education and outdoor therapeutic programs for troubled and adjudicated youth, describes the rationale supporting outdoor approaches, and reports related research and evaluation findings. First attempts to use the outdoors as a healing environment were "tent therapy"…

This anthology contains 18 chapters that deal with wilderness therapy for women and the symbolic value of wilderness accomplishments to women's mental health. Sections of the book present theoretical perspectives on wilderness therapy; describe programs providing empowerment, challenge, and therapy for general populations of women and special…

Although art therapy has traditionally focused on the use of art expression in psychotherapy, the practice of medical art therapy has begun to grow rapidly. This paper provides a brief overview of the emerging specialty of medical art therapy and its importance as a counseling tool with people suffering from serious health problems. The paper…

The notion of relational control in therapy has evolved as a concept over the past 30 years. This paper reviews the evolution of the construct of relational control as it relates to counseling and therapy. It analyzes the various ways that relational control has been used in process research and explores the manner in which counselors and clients…

Maladaptive eating behaviors are a growing phenomenon which has captured the interest of not only health and psychology professionals, but also the general public. This paper examines the various types of treatment and counseling approaches for treating anorexia nervosa and bulimia nervosa. Definitions for both disorders are provided, followed by…

This paper defines "adventure-based intervention,""young people," and "trouble and risk" in light of the therapeutic work done at Bryn Melyn Community (Bala, Wales), a therapeutic treatment center. Bryn Melyn provides intensive individualized therapy to young people, aged 15-18, who are in the care of social services…

This paper provides background information about the Project Hahn adventure-based program and its ongoing involvement with the Port Arthur Recovery Group to assist 42 adolescents directly affected by the murders of 36 people by a lone gunman in Tasmania in 1996. Case studies relate personal, social, and community issues faced by these adolescents,…

The best means for fighting alcohol abuse in a Native American community is one that has been developed by the community itself. The Blue Bay Healing Center of the Confederated Salish and Kootenai Tribes (Flathead Indian Reservation, Montana) is an example of two tribes taking responsibility for alcoholism and its control. In designing and…

This volume contains five papers presented at a conference on developmental and environmental factors related to the onset of stuttering, evaluation and treatment procedures, and the measurement of therapy outcomes. In "The Development of Fluency in Normal Children," C. W. Starkweather considers evaluation of the fluency of young…

The large number of college students suffering from depression and the undesirable aspects of current treatment practices suggest a need for new methods of treatment and prevention. Physical exercise has been suggested as an easily administered therapy which does not require close professional supervision. College students (N=18) who had sought…