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• Association for Child and Adolescent Counseling
• Sensory processing disorders among adults
• The dynamics behind hoarding behaviors
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C ounselin gT od ay
April 2011
s
Cover Story
t
28
Do the right thing
By Lynne Shallcross
On the surface, ethical behavior would appear to be a straightforward matter,
n
but as counselors quickly discover, many variables are involved in making the 28
“right” decision. Five members of ACA with expertise in counseling ethics discuss
situations that commonly trip up counselors and offer insights on thinking through
ethical dilemmas more clearly.
Features e

36
ACAC becomes newest organizational affiliate of ACA
36
By Lynne Shallcross
The Association for Child and Adolescent Counseling aims to provide a professional
home for counselors working with young clients in multiple settings, while also
t
striving to highlight the unique developmental and cultural needs of this population.
40
‘Don’t touch me’
By Stacy Notaras Murphy
Sensory processing disorders are usually thought of in connection with children with n
special needs, but by learning how these disorders also present in adults, counselors
can be a key cog in helping these clients find more comfortable ways of living. 40
46
Reader Viewpoint
To have and to hold
By Mark A. Chidley
o
A licensed mental health counselor and certified addiction professional examines
the possibility that unresolved loss, and traumatic loss in particular, is intimately
connected to the development of hoarding behaviors.
Extras

C
50
FY 2011 election results

April 2011 | Counseling Today | 3
C ounselin gT od ay
April 2011
Columns N u m b e r s
10 eNumbers
Washington Update
h
t
11
y
Two-Minute Advocate b
12
Counselor Career Stories
14
New Perspectives
16
Private Practice in Counseling
18
Resource Reviews
22
The Digital Psyway
24
Learning Curve
26
Inside the DSM-5
Need to Know
5

From the President
7

Executive Director’s Message
Alcohol use among
8

Letters
12- to 14-year-olds
51

Division, Region & Branch News
A study released by the Substance Abuse and Mental
53 Health Services Administration in February found that 5.9
Bulletin Board
percent of U.S. adolescents ages 12 to 14 drank alcohol in
54 the past month. Of those who drank, 44.8 percent — or
CT Learning Exam roughly 317,000 members of that age group — said they
either had taken alcohol from their home or had received
55

Classifieds alcohol from a family member, including 15.7 percent (an
estimated 111,000) who said they were provided alcohol by a
parent or guardian.
According to SAMHSA Administrator Pamela S. Hyde,
individuals who begin drinking alcohol before the age of 15
are six times more likely to develop alcohol problems than
those who wait until age 21 or older to drink.
4 | Counseling Today | April 2011
From The President CounselingToday
s
n
a
Counseling Today Staff
v
E
Publisher
a Richard Yep
t
e
h Associate Publisher
c Carol Neiman
r
a
M Editor-in-Chief
Jonathan Rollins
800.347.6647 ext. 339
[email protected]
What would you do?
Senior Writer
The cover story for this issue different meanings, including a system Lynne Shallcross
800.347.6647 ext. 320
focuses on ethics issues in of moral principles; the rules of conduct [email protected]
counseling. Contemplating recognized in respect to a particular class
this topic and my development as a of human actions or a particular group, Advertising Representative
Kathy Maguire
professional counselor, I must admit that culture, etc.; a branch of philosophy
607.662.4451
my thoughts on ethical behavior have that deals with values relating to human [email protected]
evolved over time. That is not to say conduct with respect to the rightness and
that I was unethical before, but rather wrongness of certain actions and to the Graphic Designer
Carlos J. Soto II
that I once viewed others in a certain goodness and badness of the motives and 800.347.6647 ext. 377
way depending on how they handled ends of such actions. [email protected]
situations in which I thought the “right”
Growing up back in the day
response was a black-and-white decision. CT Column Editors
in Alabama, I was a child of the
Yes, when I was younger, the answers Washington Update
neighborhood, so to speak. What I mean
seemed so obvious to me. But as I grew as Scott Barstow
by that is that any adult had permission
800.347.6647 ext. 234
a professional and truly started listening
to correct my behavior if she or he saw [email protected]
to the stories and experiences of my
me doing something I had no business
clients and students, I began to realize Counselor Career Stories
doing. Not only would I get in trouble
that life is not always black and white. Rebecca Daniel-Burke
with that particular adult, but I knew 800.347.6647 ext. 230
There is so much color and context to life
there would be more to come when I [email protected]
that we miss if we neglect to take the time
got home. I would walk home from
to listen to what is going on with those Resource Reviews
we serve as professional counselors. school in shame and in fear of how my Kelly Duncan
grandmother would react to finding out [email protected]
What Would You Do? is a TV program
I had misbehaved and that someone in
from ABC News. Its premise centers on Private Practice in Counseling
the neighborhood had found it necessary
placing people in various staged scenarios Robert J. Walsh and Norman C. Dasenbrook
to correct me. This was the culture of [email protected]
without their knowledge and monitoring
that time, and the adults’ response was
their responses. As I initially watched
Spotlight on Journals
considered proper.
some of the various scenes unfold, I Sheri Bauman
said with such conviction, “Oh, I know Nowadays, how many of you would [email protected]
what I would do. I would confront that feel comfortable correcting someone
New Perspectives
injustice” or “I would say something else’s child or going up to someone and
Donjanea L. Fletcher
to that person who was mistreating the saying, “Baby, you should not be doing [email protected]
other individual in the scene.” I truly that”? I must admit, it’s not as easy to
wanted to believe I would react that way do now as it was back in the day. Today, The Digital Psyway
Marty Jencius
if I witnessed such a scene in real life. we are afraid that we will be chastised
[email protected]
As I sat there, however, I began thinking in some form or fashion for butting in
about who I was and how my culture has and not minding our own business. As a Inside the DSM-5
K. Dayle Jones
changed since I was a child. result, most people these days just sit on
[email protected]
You may be wondering what this has to the sidelines, shake their heads and say,
do with ethics. Give me just a second and “What an awful situation that is” or “The
let’s see if I can make it come together, child has no home training.”
because some of you may possess similar
experiences. You see, ethics has several Continued on page 8
April 2011 | Counseling Today | 5
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6 | Counseling Today | April 2011
Executive Director's message CounselingToday
p Forks on the left, American Counseling
e
Y Association

d
knives on the right
r President
a Marcheta Evans
h 800.347.6647 ext. 232
c who have sent suggestions to ACA via the [email protected]
i
R Web Idea Bank found on our website at
counseling.org/webideabank/. Regardless of President-Elect
Don W. Locke
what form of communication you have
800.347.6647
used to share your thoughts, I appreciate
[email protected]
W hen I was young and my your time in letting us know. We really
do take your suggestions seriously, and Executive Director
mother was making dinner,
Richard Yep
we work as a leadership/staff team to
at some point I would hear 800.347.6647 ext. 231
determine what we can accomplish to meet
her say, “Dinner is almost ready. Would [email protected]
your professional needs.
you please set the table?” Many of you
Your suggestions and our ability to tend Counseling Today (ISSN 1078-8719) is the
reading this probably heard something
monthly magazine of the American Counseling
to your needs can be measured by yet
similar in your homes when you were Association, 5999 Stevenson Ave., Alexandria,
another milestone for the association. In
growing up. VA 22304-3300; Telephone: [phone];
January, ACA surpassed 45,000 members Internet: counseling.org. Opinions expressed
Years later, when my son was playing
— something we have not seen in many, in this magazine do not necessarily represent
baseball and he came up to bat, I would
opinions of the editors or policies of the
many years. In addition, voting in the
occasionally say, “OK, Dylan, table is set.” American Counseling Association.
recent ACA election resulted in our largest
This of course referred to having runners
turnout in more than five years. And the Subscriptions are available for $150 for 12 issues
on base and his being in a position to move
ACA Annual Conference & Exposition in by calling PP&F at 800.633.4931. Single copies
those players forward. are available for $12.50 each by calling ACA in-
New Orleans, taking place March 23-27,
Today, I want to share my thoughts house fulfillment at 800.422.2648 ext. 222.
will see us exceed $1 million in conference
about another table that has been set.
registrations and welcome more than 4,000 Periodicals postage paid at Alexandria, Va., and
In this case, the table is set for you, the
attendees, setting another modern-day additional mailing offices. Postmaster: Send
members of the American Counseling address changes to ACA Member Services,
record for our organization.
Association. During the past few years, 5999 Stevenson Ave., Alexandria, VA 22304.
We continue to put more services and All rights reserved, 2011 by the American
and under the guidance of the ACA
products online so you can take care of Counseling Association.
Governing Council, your professional
things from wherever you might live
association has slowly but surely been Editorial Policies
or work. Proof of professional liability
reviewing, rebuilding and restructuring its Counseling Today reviews unsolicited articles
insurance, continuing education certificates and guest editorials for possible publication.
products and services to make them more
and many other resources are now available Not all articles will be accepted for publication.
valuable and relevant to today’s counseling through counseling.org. To make sure we Send articles or request a copy of the writing
professionals and graduate students. We guidelines by e-mailing [email protected].
can handle all of this digital traffic, the
have done this in light of changing societal
ACA Governing Council approved a plan Anti-Discrimination Policy
issues that you face as professionals. We
we put forward this past year to upgrade There shall be no discrimination against any
also embarked on this multiyear change our technology infrastructure. We want individual on the basis of ethnic group, race,
fully aware that if we didn’t make constant religion, gender, sexual orientation, age and/or
to continue to deliver information to our
disability.
improvements designed with you in mind,
most valuable asset — our members. Most
ACA would no longer be able to help move of this transition will be completed by June Mission Statement
the profession forward. of this year. The mission of the American Counseling
As the association begins celebrating its What’s next? Well, as I noted above, we Association is to enhance the quality of life
in society by promoting the development
60th anniversary, “resting on our laurels” have “set the table” with you in mind. But of professional counselors, advancing the
doesn’t do anything to provide you with we now need you to come in, explore and counseling profession and using the profession
the products, networking and career then let us know what else we can do to and practice of counseling to promote respect
for human dignity and diversity.
services that today’s — and tomorrow’s help you meet the professional challenges
— professionals will need. Some of you that you face. We are your professional
have communicated directly with me partner, and we are here to serve. So please
about what you want from ACA. Others contact me with any comments, questions
of you have participated in our surveying or suggestions that you might have via
and focus groups, imparting wisdom and e-mail at [email protected] or by phone
offering suggestions concerning your ACA at 800.347.6647 ext. 231.
membership. Then there are those of you Thanks and be well.u
April 2011 | Counseling Today | 7
Letters
Advocacy efforts of the military, so I certainly understand
still have a way to go the need for it. It brings credibility and
Like Ms. Dominiquie Boyce (Letters,
accountability to our profession. Until
January 2011), I would like to thank the
CACREP accreditation is established in
American Counseling Association and
a significant number of schools, however,
my local chapters for their successful
many counselors who have graduated from
effort to break the code and convince the
Department of Veterans Affairs (VA) to rigorous programs will continue to be shut
Editorial policy
hire professional mental health counselors. out of serving our nation’s veterans. I hope
However, I was terribly disappointed ACA will also advocate for the best care Counseling Today welcomes
to read that only counselors who have for veterans and not just care from those letters to the editor from ACA
graduated from a CACREP-accredited members; submissions from
fortunate enough to have a CACREP-
school need apply. nonmembers will be published
accredited school available to them.
I, too, knew from the time I started my only on rare occasions.
Anne Golembeski, SMSgt, USAF Retired
master’s program that I wanted to work Only one letter per person per
with vets. I am a 24-year veteran who Master’s Student topic in each 365-day period
understands the stresses and issues that University of Phoenix will be printed. Letters will be
vets face. I have seen in person how vets Albuquerque, N.M. published as space permits and are
struggle with addiction and trauma. subject to editing for both length
Three years ago when I started my and clarity. Submissions can be
w
program, there were not many CACREP- sent via e-mail or regular mail and
accredited schools to choose from in must include the individual’s full
my state that were accessible to me. As a Correction: In the February 2011 name, mailing address or e-mail
student who also had to work full time, article “Your witness,” Richard Stride was address and telephone number.
I needed a school that allowed me the ACA has the sole right to
mistakenly referred to as a psychologist. In
flexibility to work during the day. I am in determine if a letter will be
addition to being a licensed professional
my final internship but find that I am still accepted for publication.
counselor in Colorado and a licensed
unwelcome by the VA despite my years Counseling Today will not
mental health counselor in Washington,
of experience and the many intangibles I publish any letter that contains
bring to the workplace. Stride holds the National Certified unprofessional, defamatory,
I think CACREP Standards are Psychologist credential but is not a licensed incendiary, libelous or illegal
admirable. Standardization is the hallmark psychologist. u statements or content deemed
as intended to offend a person
or group of people based on
From The President their race, gender, age, ethnicity,
religion, sexual orientation,
gender identity, disability,
Continued from page 5 language, ideology, social class,
Now I know some of you are saying I hope I would do if the situation ever occupation, appearance, mental
that you definitely know what you would presented itself.” I firmly believe we capacity or any other distinction
do in situations such as these, and I cannot know exactly how we would that might be considered by some
applaud your conviction. But many of respond until we find ourselves in a given as a liability. ACA will not print
you are unsure of how you would react. situation. letters that include advertising
Perhaps you even remember a situation in This, for me, is still a great positive. I or represent a copy of a letter
which you wish you had said something review my past behaviors and responses to a third party. The editor
but instead walked away. and contemplate the definition of ethical of Counseling Today will have
responsibility for determining
As counselors, it is ingrained in us to or right behavior. I try daily to move
if any factors are present that
advocate for those who cannot advocate beyond the mandatory ethics of my job
warrant not publishing a letter.
for themselves. It is our responsibility and life and toward the aspirational ethics
E-mail letters to ct@counseling.
to be actively engaged in our society. of being a social justice advocate.
org or write to Counseling Today,
Granted, as I have matured, my formerly What would you do? That is a question
Letters to the Editor,
black-and-white mind-set has been you must answer for yourself. My answer
5999 Stevenson Ave.,
altered, especially when it comes to is, “I hope I would do the right thing for
Alexandria, VA 22304.
claiming what I would definitely do. I all involved.” That way, I can walk away
have come away saying, “This is what with peace. u
8 | Counseling Today | April 2011
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April 2011 | Counseling Today | 9
Washington Update -
By Scott Barstow and Dominic Holt
Spending compromise,
government shutdown or both?
As Counseling Today went to program, Community Health Centers Sanchez champions
press, it appeared a federal program and Workforce Investment Act school counseling bill
government shutdown Title 1 programs. On Feb. 11, Rep. Linda Sanchez
might take place for the first time in President Obama has promised to
(D-Calif.) introduced the Put School
15 years unless Congress resolved sharp veto H.R. 1 should it reach his desk,
Counselors Where They’re Needed Act
disagreements over spending levels for while Senate Majority Leader Harry
(H.R. 667) to create a $5 million pilot
the remainder of Fiscal Year 2011, which Reid (D-Nev.) has stated that massive
project to support the hiring of school
ends Sept. 30. cuts focusing exclusively on domestic
counselors and help reduce dropout
On Feb. 19, Republicans in the House nondefense spending are a nonstarter in
rates in at least 10 troubled, low-income
of Representatives passed a spending bill the Senate.
(H.R. 1) for the remainder of FY 2011 With funding scheduled to run out on high schools. Sanchez has championed
that would cut domestic nondefense March 4, a bill to provide two additional this legislation in previous sessions of
discretionary programs by $61.5 billion weeks of government funding, until Congress as well.
compared with current levels, including March 18, was being enacted. Passed Each grant award would be for a term
more than $5 billion in cuts from by the House March 1 on a 335-91 of four years. The bill encourages grantees
education programs. These cuts would vote, the legislation included $4 billion
to hire one additional school counselor
undermine students’ access to school in spending cuts by scrapping funding
for every 250 students identified as being
counselors and other necessary services for earmarks and eliminating programs
at risk of not graduating high school
and supports that help thousands of that the Obama administration wanted
in four years. Grantees can also use the
students to succeed in school and life. to end. Among the cuts were the $250
funds for school counselors’ professional
The bill would eliminate all funding for million Striving Readers program, the
development, for travel expenses for
the rest of FY 2011 for the Elementary $66 million Even Start program, the $88
and Secondary School Counseling million Small Learning Communities home visits to students and for other
Program, Safe and Drug-Free Schools Program and the $64 million LEAP services and materials to support this
grants, the Leveraging Educational program. counseling. ACA applauds Sanchez for
Assistance Partnership (LEAP) program, The two-week extension may not her continued work in support of school
the federal Supplemental Educational be sufficient for hammering out an counselors for at-risk youth.
Opportunity Grants and the High agreement on funding levels for the
We encourage counselors to ask their
School Graduation Initiative (formerly rest of the fiscal year, and the situation
representatives to cosponsor H.R. 667
known as the School Dropout Prevention remained volatile. The likelihood of at
to improve access to school counseling
Program), among others. The House least a temporary government shutdown
services and to improve students’ success.
spending bill would also cut $100 million remained, and the Obama administration
Studies show that providing access to
from the 21st Century Community was developing contingency plans for
school counseling services can have a
Learning Centers program, nearly $25 supporting some federal employees,
million from Federal TRIO Programs, including military, law enforcement, positive impact on student achievement
nearly $20 million from GEAR UP direct-delivery health care workers and that is roughly comparable to the impact
and more than $100 million from the federal employees paid with money of reducing class sizes.
National Health Services Corps. In separate from annual appropriations. To identify your lawmakers and to
addition, H.R. 1 would decrease the The American Counseling Association read draft text for sending them a letter
maximum Pell Grant award by more than continues to believe in the importance
or an e-mail, visit capwiz.com/counseling.
$800; prohibit the use of federal funds of federal investments in education
You can also contact your members
to implement the Patient Protection and health care services and is working
of Congress through the U.S. Capitol
and Affordable Care Act; bar Planned with its partners in Congress and
Switchboard at 202.225.3121.
Parenthood health centers from all federal in allied organizations to maintain
For more information, or to share your
funding supporting provision of birth important programs that are currently
school counseling success stories and
control, cancer screenings and HIV under the knife. For more information,
testing services; and cut more than 40 contact Dominic Holt with ACA at challenges, contact Dominic Holt with
percent of funding from programs from 800.347.6647 ext. 242 or dholt@ ACA at 800.347.6647 ext. 242 or dholt@
the Community Service Block Grant counseling.org. counseling.org. u
10 | Counseling Today | April 2011