Psychotherapy for Self-Stigma among Rural Clients
ABSTRACT The stigma of mental disorders and psychological treatment afflicts rural clients more than most. This article provides practitioners with guidance in selecting and utilizing effective treatments for self-stigma in rural settings. We review both public stigma and self-stigma. Public stigma explains society's negative impact on individuals, while self-stigma describes an individual's internalization of public stigma. We review treatment principles and empirical research on psychotherapy for self-stigma rural settings. We finish with a case illustration of cognitive therapy with a rural client suffering from self-stigma.
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- "The rural practitioner knows that if she does not add the person to her current caseload (e.g., because she is going to be using time that would usually be assigned to clients to spend on advocacy efforts), the client will not receive services for what may be a substantial period of time, if the client is even willing to return at a later date. Given the well-documented stigma associated with receiving mental health care in rural areas (Larson & Corrigan, 2010; Pullman et al., 2010; Schank & Skovholt, 2006; Stamm et al., 2003), not accepting a client immediately may mean that the psychologist has lost the window of opportunity with this person. Thus, because rural practitioners are expected to be ready and able to see any client presenting with any issue at any point in time, the therapist may find it difficult to justify to clients or herself that time is better spent in advocacy efforts than in sessions with clients. "
ABSTRACT: The professional literature related to social justice has increased, but there has been little discussion of the practical issues and implications associated with social advocacy. However, adding new roles will result in new considerations for counseling psychologists. The need to be attuned to how the practical aspects of advocacy intersect with the context of psychological work may be especially present in rural areas where practitioners may be more involved in the community and thus their actions highly visible. Because the data indicate that rural communities may have few resources, a limited number of mental health professionals, and higher rates of mental illness, psychologists practicing in these areas may feel compelled to engage in advocacy. Yet there is little practical guidance for these psychologists. Therefore, the authors present considerations for social justice advocacy in rural areas, using the American Counseling Association advocacy competencies as an organizing framework.The Counseling Psychologist 04/2012; 40(3):363-384. DOI:10.1177/0011000011415697 · 1.82 Impact Factor
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ABSTRACT: We find a general class of pp-wave solutions of type IIB string theory such that the light cone gauge worldsheet lagrangian is that of an interacting massive field theory. When the light cone Lagrangian has (2,2) supersymmetry we can find backgrounds that lead to arbitrary superpotentials on the worldsheet. We consider situations with both flat and curved transverse spaces. We describe in some detail the background giving rise to the N=2 sine Gordon theory on the worldsheet. Massive mirror symmetry relates it to the deformed $CP^1$ model (or sausage model) which seems to elude a purely supergravity target space interpretation. Comment: harvmac, 26 pages, v2,3: references added, typos correctedJournal of High Energy Physics 07/2002; 2002(12). DOI:10.1088/1126-6708/2002/12/046 · 6.22 Impact Factor
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ABSTRACT: Rural populations should be considered a vulnerable group within social work's social justice framework. However, the degree to which social work research and scholarship engage with questions of significance to underserved rural populations remains unknown. This study sought to determine how many articles in highly ranked social work journals give prominent attention to rural populations and issues. A search of the highly ranked social work journals selected from the Journal Citation Reports for the Social Sciences found only 71 articles that explicitly focus on rural populations among a total of 3,004 peer-reviewed articles in 14 top social work journals during the years 2004 through 2008. Possible reasons for the paucity of rural-focused articles within social work journals are posited. We discuss the relative contributions of these journals to development of a comprehensive and useful knowledge base within social work for addressing the needs of rural issues. Future recommendations are made for expanding attention to scholarship in this area.Journal of Social Service Research 07/2011; 37(4):428-438. DOI:10.1080/01488376.2011.578035 · 0.44 Impact Factor