Vistas Online 2010

VISTAS Online is an innovative publication produced for ACA by Dr. Garry R. Walz and Dr. Jeanne C. Bleuer of Counseling Outfitters, LLC. Its purpose is to provide a means of capturing the ideas, information and experiences generated by the annual ACA Conference and selected ACA Division Conferences. Papers on a program or practice that has been validated through research or experience may also be submitted. This digital collection of peer-reviewed articles is authored by counselors, for counselors. VISTAS Online contains the full text of over 900 proprietary counseling articles published from 2004 to 2017.


The Relationship Between Coping Style, Depression and Stages of Change in Cardiac Rehabilitation Patients

Sandra L. Perosa, Linda M. Perosa, and Teresa McDaniel


In the past fifteen years research focused on variables related to trauma, resiliency, adaptation, and stages of change to enhance our understanding of how individuals deal with trauma and crises in their lives has bourgeoned. Models have been proposed that describe how growth occurs after confronting traumatic events (Calhoun & Tedeschi, 2006; Tedeschi & Calhoun, 1995; Tedeschi, Park, & Calhoun, 1998). Professionals focus on enhancing adaptation and development in clients as they move forward and give their life meaning. Concurrent with the extant research, recent legislation has opened the way for counselors to expand their work settings to include medical centers, e.g., the Veterans Administration, in which they deal with military personnel confronting an array of traumatic experiences and medical crises. In response to these forces, the new CACREP Standards call for the inclusion of trauma research findings in the curriculum and for the provision of students with clinical experience in these settings (CACREP, 2009). The research project described in this paper is relevant for counselors in that it provides evidence on how individuals cope with a medical crisis and adapt to the challenges they must confront. Thus it informs counselors how they can best help their clients move forward.

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