Abstract
Psychological impairment is an area of concern in training graduate students in counseling programs. This article reviews the potentially harmful consequences of impaired graduate students to graduate programs, faculty, other graduate students, and the counseling profession. The paper provides an overview of existing trends, policies, and procedures regarding student screening, remediation, and dismissal from graduate training programs within a Western framework. A process model for monitoring and intervention is presented.
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References
Association for Counselor Education and Supervision (1993). Ethical guidelines for counselor educators and supervisors.Alexandria, VA: Author.
American Counseling Association (1995). Code of ethics and standards of practice. Alexandria, VA: Author.
American Psychiatric Association (1992). The principles of medical ethics with annotations especially applicable to psychiatry. Washington, DC: Author.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders(4th ed., International Version). Washington, DC: Author.
Boxley, R., Drew, C. R. & Rangel, D. M. (1986). Clinical trainee impairment in APA approved internship programs. Clinical Psychologist 39: 49–52.
Bradley, J. & Post, P. (1991). Impaired students: Do we eliminate them from counselor education programs? Counselor Education and Supervision 31(2): 100–108.
Childers, J. H. & Rye, D. R. (1987). Doctoral student selection: A multidimensional selection strategy. Journal of Counseling & Development 65(10): 555–557.
Corey, G., Corey, M. S. & Callanan, P. (1993). Issues and ethics in the helping professions(4th ed.). Pacific Grove, CA.: Brooks/Cole.
Council for Accreditation of Counseling and Related Educational Programs (1994). CACREP accreditation standards and procedures manual. Alexandria, VA.: Author.
Ellis, A. (1972). Psychotherapy without tears. In A. Burton (ed.), Twelve Therapists(pp. 103–126). San Francisco: Jossey-Bass.
Frame, M. W. & Stevens-Smith, P. (1995). Out of harm's way: Enhancing monitoring and dismissal processes in counselor education programs. Counselor Education and Supervision35: 118–129.
Gimmestad, M. J. & Beard, E. G. (1973). Admissions policies for graduate programs in counselor education. Counselor Education and Supervision 12: 173–177.
Grayson, H. (1982). Ethical issues in the training of psychotherapists. In M. Rosenbaum (ed.), Ethics and Values in Psychotherapy (pp. 51–63). New York: Free Press.
Jones, L. K. (1974). Toward more adequate selection criteria: Correlates of empathy, genuineness, and respect. Counselor Education and Supervision 14: 13–21.
Kaslow, N. J. & Friedman, D. (1984). The interface of personal treatment and clinical training for psychotherapist trainees. In F. W. Kaslow (ed.), Psychotherapy with Psychotherapists(pp. 33–57), New York: Harworth Press.
Khan, M. (1974). The privacy of the self. New York: International Universities Press.
Knoff, H. M. & Prout, H. T. (1985). Terminating students from professional psychology programs: Criteria, procedures, and legal issues. Professional Psychology: Research and Practice 16(6): 789–797.
Lamb, D. H., Cochran, D. J. & Jackson, V. R. (1991). Training and organizational issues associated with identifying and responding to intern impairment. Professional Psychology: Research and Practice 22(4): 291–296.
Lamb, D. H., Presser, N. R., Pfost, K. S., Baum, M. C., Jackson, V. R. & Jarvis, P. A. (1987). Confronting professional impairment during the internship: Identification, due process, and remediation. Professional Psychology: Research and Practice 8(6): 597–603.
Laliotis, D. A. & Grayson, J. H. (1985). Psychologist heal thyself: What is available for the impaired psychologist. American Psychologist 40(1): 84–96.
Maeder, T. (1989). Children of psychiatrists and other psychotherapists. New York: Harper & Row.
Markert, L. & Monke, R. H. (1990). Changes in counselor education admissions criteria. Counselor Education and Supervision 30: 48–56.
Mearns, J. & Allen, G. J. (1991). Graduate students' experiences in dealing with impaired peers, compared with faculty predictions: An exploratory study. Ethics and Behavior 1(3): 191–202.
Porter, N. (1994). Empowering supervisees to empower others: A culturally responsive supervision model. Hispanic Journal of Behavioral Sciences 16(1): 43–56.
Redfering, D. L. & Biasco, F. (1976). Selection and elimination of candidates in counselor education programs. Counselor Education and Supervision 15: 298–304.
Rubin, S. S. (1986). Cheating, ethics, and graduate training in professional psychology: Crime and punishment or misjudgment and repair. Professional Psychology: Research and Practice17(1): 10–14.
Scott, C. D. & Hawk, J. (1986). Heal thyself: The health of health care professionals.New York: Bruner-Mazel.
Stadler, H. A., Willing, K. L., Eberhage, M. G. & Ward, W. H. (1988). Impairment: Implications for the counseling profession. Journal of Counseling and Development 66: 258–260.
Sussman, M. B. (1992). A curious calling: Unconscious motivations for practicing psychotherapy. Northvale, NJ: Jason Aronson.
Young, R. B. (1986). An exploratory study of admissions information and success preparation programs for student personnel workers. Journal of College Student Personnel 27: 131–136.
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Bemak, F., Epp, L.R. & Keys, S.G. Impaired graduate students: A process model of graduate program monitoring and intervention. International Journal for the Advancement of Counselling 21, 19–30 (1999). https://doi.org/10.1023/A:1005387309472
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DOI: https://doi.org/10.1023/A:1005387309472