Navigating the Therapeutic Waters: How Counselors Develop and Utilize their Theoretical Orientation

Historically, African Americans have lower rates of help seeking as negative perceptions of mental illness and treatment have persisted. Previous researchers identified stigma as an important factor in these attitudes and behaviors. In this current study, 210 African American participants responded to open-ended survey questions assessing these topics. We conducted a qualitative content analysis to identify themes. The themes that emerged included: 1) Stigma: Feeling ashamed and being shamed, (2) Violence/danger, (3) Perceptions of ability, (4) Indicator of weakness, (5) Dismissing mental health issues, and (6) Religion and spirituality.