In 2005, the American Counseling Association (ACA) introduced a new ethical standard for counselors working with clients with terminal illness who are considering hastened death options. The authors' purpose is to inform counselors of the Death With Dignity Act and explore relevant ethical guidelines in the "ACA Code of Ethics" (ACA, 2005).

Although "End-of-Life Care for Terminally Ill Clients" is a section of the "ACA Code of Ethics" (American Counseling Association, 2005), neither the "Code" nor the counseling literature provides much direction for counselors who work with clients who are dying and with the clients' loved ones. The authors provide counselors with an overview of the…

Individuals coping with the chronic or terminal illness of a family member are presented with a unique challenge that may influence their adjustment and overall well-being. This study investigated variables that relate to college adjustment and subjective well-being, including attachment, social support, coping, and illness-related constructs, in…

The first major revision of the "ACA Code of Ethics" in a decade occurred in late 2005, with the updated edition containing important new mandates and imperatives. This article provides interviews with members of the Ethics Revision Task Force that flesh out seminal changes in the revised "ACA Code of Ethics" in the areas of confidentiality,…

End-of-life care is continuously becoming an issue of paramount importance given an increase in medical advances, the aging of the population, and the movement toward contributing toward a quality of life among terminally ill patients. However, there is a dearth in literature related to this topic specifically in terms of preparing counselors to…

With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding these clients, a reevaluation of…

Counselors working with older adults may encounter situations that are not addressed by the ethical standards of the American Counseling Association. Article identifies and discusses types of situation one may encounter when working with older adults who have cognitive impairment, are victims of abuse, or are terminally ill. Proposes guidelines…

This introduction and outline correspond to a presentation at the American Counseling Association (ACA) 1999 World Conference. The author recounts his psychotherapeutic work with young gay men diagnosed with AIDS and his increasing awareness of their movement toward psychological health and the development of a deeper spirituality. His quest…

Efforts to alleviate the emotional pain of terminally ill children and their parents have led many physicians to turn to child psychiatrists for psychological support and treatment services. This book, written by a child psychotherapist, offers an overview of children's attitudes to death and considers the moral and ethical issues raised by…

As the AIDS epidemic continues, the number of children affected by AIDS continues to increase. Mental health professionals must begin to identify explicitly the special situational factors of AIDS and how they influence the grief process. In addition, the innovative use of mental health services must be considered, such as implementation of…

This study examined the work behaviors of individuals with graduate degrees who provide clinical services to terminally ill individuals, family members, and the bereaved. An instrument was developed to assess the frequency and importance of work behaviors of individuals working with dying individuals and their families. Participants were randomly…

Alternative perspectives are presented on the issue of rational suicide. An operational definition is provided; areas needing clarification are highlighted. The meta-issues are reviewed with regard to specific points raised by Lokhandwala and Westefeld. Concerns with research often cited to question the possibility of rational suicide are…

The relationship between social support and the welfare of the recipient of support has been well documented in the clinical and research literature; however, HIV-positive individuals have seldom been examined in this context. This study attempts to bridge this gap by examining the perceived availability of social support of 77 persons living with…

Counseling for HIV prevention and antibody testing is at the forefront of psychological support services. Recently, there has been a determined effort to develop a range of psychotherapeutic approaches to help people cope with and adjust to living with terminal illness. Introduces a growing interest in the field for counseling those affected by…

This study sought to identify from the literature the type of preparation nurse practitioners receive and the practices they use in the care of terminally ill patients as well as to determine from a study of five practitioners in rural health clinics in Mississippi their perception of their training, their philosophy, and the strategies they use…