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Full-Text Articles in Medicine and Health Sciences

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng Jan 2022

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.


The Influence Of Cyber-Sexual Assault On The Mental Health Outcomes Of Survivors, Kelley R. Holladay, W. Bryce Hagedorn, David Boote Jan 2021

The Influence Of Cyber-Sexual Assault On The Mental Health Outcomes Of Survivors, Kelley R. Holladay, W. Bryce Hagedorn, David Boote

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Researchers examined data collected from the only national sample of cyber-sexual assault (CBSA) survivors (N = 97; 3.75\% response rate to the online survey) using three valid instruments that measure symptomology of sexual assault. We found that participants scored high across each of the inventories, indicating CBSA survivors respond in ways that are similar to sexual assault survivors concerning emotional dysregulation, depression, and post-traumatic stress symptomology, particularly if they had a history of sexual assault. Implications for counselors are reviewed, and clinical recommendations are offered.


Counselors-In-Training Reactions To Clients Living With And Without Hiv, Melissa Zeligman, J. Richelle Joe Jan 2021

Counselors-In-Training Reactions To Clients Living With And Without Hiv, Melissa Zeligman, J. Richelle Joe

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

An estimated one million people are currently living with HIV in the United States. Therefore, an important question remains pertaining to professional helpers’ preparedness in working with people living with HIV/AIDS (PLWHA). This study (N = 165) utilized an analogue design, with participants receiving one of four possible clinical case vignettes, to determine the relationship of client HIV status and race with counselor-in-training self-efficacy, multicultural competency, and empathy. Results revealed that client HIV status was predictive of counselor self-efficacy, and that self-efficacy held relationships with multicultural counseling competency and empathy. Findings suggest multicultural skills training may be particularly important to …


Sexuality Beyond Young Adulthood: Affordances And Barriers To Sexual Expression In The Nursing Home, Angela Schubert, Mark Pope Jun 2020

Sexuality Beyond Young Adulthood: Affordances And Barriers To Sexual Expression In The Nursing Home, Angela Schubert, Mark Pope

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Human sexuality is part of life, regardless of age or where someone resides. Previous research on older adult sexual expression in nursing homes has primarily focused on staff perceptions – almost all of which was conducted using quantitative methods. This phenomenological study aimed to explore sexual expression as it was perceived, experienced, and practiced by ten older adults, ages 65 and older, residing in a nursing facility. This paper will explore themes associated with the self-perception of affordances and barriers to engage in sexual expression, and how we as mental health counselors may best serve the needs of older adults …


The Impact Of Relationship Wellness Checkups With Gay Male Couples, Mary Minten, Cass Dykeman Jun 2020

The Impact Of Relationship Wellness Checkups With Gay Male Couples, Mary Minten, Cass Dykeman

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Relationship health impacts many other health outcomes, including physical and mental wellbeing and the health of children in the family system (Goeke-Morey, Cummings, & Papp, 2007; Jaremka, Glaser, Malarkey, & Kiecolt-Glaser, 2013; Jaremka, Lindgren, & Kiecolt-Glaser, 2013; Pihet, Bodenmann, Cina, Widmer, & Shantinath, 2007; Rappaport, 2013; Robles, Slatcher, Trombello, & McGinn, 2014). Despite the importance of relationship health, couples do not regularly seek support for maintaining their connection (Eubanks-Fleming & Cordova, 2012). Early intervention programs that provide support are a growing public health initiative (Cowan & Cowan, 2014). One brief early intervention program, the Marriage Checkup (MC), positively impacts …