This article examines the impact of childhood sexual abuse on young adult lesbians' sexual identity and their recovery from chemical dependency. The authors recommend that counselors assess for sexual orientation (past and present), sexual abuse, and possible dual diagnosis. Implications for counselors are discussed.

Objective: Theoretically, exposure to experiences of emotional abuse (EA) and emotional neglect (EN) in childhood may threaten the security of attachment relationships and result in maladaptive models of self and self-in-relation to others. The purpose of this study was to explore the extent to which EA and EN treatment by parents contributed…

People with drinking problems are overrepresented in counseling settings. Counselors have been unable to identify accurately the problem drinker, resulting in a decrease in counselor effectiveness. Describes seven variables that help identify problem drinking and two variables that help diagnose alcoholism. Suggestions for conducting the…

Examined personality characteristics of female American Indian alcoholics using the Eysenck Personality Questionniare. Results indicated that in comparison with a sample of normal women, the women in the detoxification group tended to be more tough-minded, emotional, and introverted than did those women in either an extended treatment program or…

Summarizes the literature regarding alcohol and drug abuse among American Indians and Alaska Natives noting four major knowledge gaps in the literature. Discusses abuse prevention efforts among American Indians and notes research questions to be considered regarding primary, secondary, and tertiary prevention efforts. Makes eight recommendations…

Discusses ways that school counselors can empower children of alcoholics (COAs) by teaching them new ways of behaving and coping skills. Proposes that counselors can assist COAs through the use of cognitive behavior therapy in the school setting. Describes characteristics of COAs and family roles of hero, scapegoat, lost child, placater, and…

Most current substance abuse counselor certification education curricula do not include a systematic introduction to alcohol and substance abuse research. I believe that such an introduction would enhance counselor cooperation in research to practice efforts that are currently underway. In this paper I give a brief history of alcoholism and…

Synthesizes available literature that addresses: (1) utilization patterns of alcohol-related services by Mexican Americans; (2) existing therapeutic approaches which take into account cultural factors; and (3) existing approaches to alcohol abuse education and prevention for this population. Discusses research needs and the need for…