The use of the self in therapy relates closely to the paradigm of the wounded-healer. The paradigm holds that deep within each healer lies an inner wound which may not only play an important role in vocational choice. but constitute a significant if not essential factor con--~~ .~~~~-~~~ uibuting to heal& in the patient. Its mythical origins are described along with a diagrammatic model which attempts to analyze the interactional dynamics in the healerpatient encounter. Grant D. Miller. M.D.. 1s Assisvxnt &an b r Student A f f a~r~ and Associdle Professor. Depanmcnt ul Ps$chtutrv and Brkviural Suirncrs at the Unwersltv uf N e v l d~ School of Medicme. Reno, NV 89557-(X)46. -

This study confirms that both academic and financial stress represent the greatest sources of worry in medical students. It also represents the first research to demonstrate higher levels of worry in male than female medical students, which may be evidence of women's increased representation in the medical school population. These data also support the persistence of traditional gender roles in the marriages of medical students; marriage is related to an increased psychological burden in women in comparison with men.

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Treating suicidal clients with borderline traits can be conducive to burnout. Dialectical behavior therapy (DBT) may assuage this burnout in counselors. As part of a DBT treatment outcome study, 6 counselors in training collected their own salivary cortisol samples and completed self-report measures of burnout and well-being for 1 year. Findings indicate a significant interaction for cortisol levels by treatment condition, such that DBT counselors experienced less physiological stress over time relative to a control group of counselors. There were no group differences in self-reported burnout or well-being. DBT may have a salutary effect on trainees' physiological stress levels over time.

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