Do Common Factors Account for Counseling Outcome?

This study drew from common factors as an explanatory model for how counseling produces client change. Client self‐report measures for 3 common factors—client factors, client–counselor relationship factors, and client expectancy factors—were examined at a counseling training clinic. Regression analyses revealed that 2 factors significantly predicted treatment outcome: client expectancy and the therapeutic alliance. One variable from client factors—abuse history—had a nonsignificant but modest relationship with outcome.     

Therapeutic Document in Group Counseling: An Active Change Agent

In this article, the authors provide a therapeutic document model using language as an active change agent. The practice of the therapeutic letter has demonstrated substantial power in narrative therapy to foster client change. No literature, however, has applied this construct in group counseling. Grounded in social constructionism, re-authoring therapy and the power of written language, this model transforms the usually time-consuming and frequently nontherapeutic client documentation into a functional intervention. As a competency-based intervention, this model provides counselors with principles and procedures to enhance clients' self-agency and expedite the change process in group counseling.     

An Analysis of Significant Events in Counseling

Using an interview/questionnaire procedure, 19 clients reported 200 helpful, significant events that occurred in ongoing counseling. Each event consisted of one issue presented by the client, the counselor's response to that issue, and the immediate impact the client received from the counselor's response. With the use of qualitative analysis, 9 prominent patterns describing sequences of client change emerged from the data. These patterns were grouped into 3 superclusters of events: Dissonant, Question—Answer, and Congruent. These superclusters and the 9 prominent patterns were used to develop a model for counseling change. Implications for counseling theory and practice are discussed.     

Identifying process variables in career counseling: A research agenda

Remarkably little is known about what underlying processes and mechanisms lead to effective change in career counseling. This article examines potential reasons why career counseling process research has been infrequently conducted and provides 10 avenues from psychotherapy process research, and the limited pool of existing career counseling process research, that hold promise for advancing a productive process-research agenda in career counseling. These 10 avenues include: (a) examining the working alliance and five promising counselor techniques; (b) reconceptualizing career counseling as a process of learning, and investigating the processes that lead to effective learning; (c) investigating differences in career counseling process and outcome due to subtype membership, cultural perspectives, and other critical client attributes; (d) investigating differences in career counseling process and outcome based on counselors’ levels of self-efficacy, cultural perspectives, and other critical counselor attributes; (e) examining influential session events; (f) utilizing a common problem resolution metric for examining change across clients; (g) examining client change longitudinally to examine stability of change and functional practicality of assessed outcomes; (h) examining cognitive processes that may be mediating the career counseling process; (i) developing molecular and global taxonomies of counselor behaviors; and (j) utilizing advances in methodological approaches and statistical analyses.     

Postmodern Spirituality: Implications for Promoting Change

This article addresses selected effects of postmodernism on spirituality and contains a discussion of implications for promoting change in counseling. Because aspects of postmodern spirituality can prevent change, spiritual transformation may need to occur in the life of the client. Spiritual transformation is conceptualized as a process of helping the client develop resilient spirituality, which can enable the client to overcome his or her difficulties. Resilient spirituality involves finding meaning in adherence to a set of larger beliefs, the exercise of faith as a way of knowing, and an experience of connection with God and others.     

a bill of client rights and responsibilities

Little has been written about client rights except on the issue of confidentiality. The authors of this article propose a bill of rights for the client in the counseling relationship. With each right there is a corresponding responsibility. The authors suggest that if clients wish to exercise their rights, they must also be prepared to assume a greater degree of responsibility. Such a change in the counseling relationship may bring about greater involvement on the part of both client and counselor.     

Developmental Therapy: Integrating Developmental Processes into the Clinical Practice

The facilitation of development may be considered the primary goal of counseling and therapy. Developmental theory, however, remains relatively divorced from direct clinical work. Developmental therapy is oriented toward identifying how to use basic developmental theory in clinical consultation. Developmental therapy differs from life span developmental psychology in emphasizing specific processes of change, growth, and development rather than outcomes and life stages. Thus, developmental therapy supplements life span theory and provides specific suggestions for clinical-counseling interventions that may be used to assess the developmental level of a client on a specific task, select counseling skills and theory to match client cognitive-developmental level, and obtain feedback on the effectiveness of the intervention that will enable one to change counseling style to meet client needs. Basic to developmental therapy is a modern adaptatio of Platonic and Piagetian constructs that allows the systematic integration of counseling and therapy theory. Implications of the model for training and practice are discussed.     

Comparative analysis of a client's verbal responses in counseling sessions: quantitative case study

This study investigated how the in-session change in a client's verbal behavior might influence the effectiveness of counseling sessions. 10 sessions of counseling with a male undergraduate suffering from depressive mood were conducted by a humanistically oriented counselor. The two most effective and the two least effective sessions were identified according to the client's evaluation of the effectiveness of counseling sessions. Results indicated that over the three segments of the most effective sessions, the client gradually increased responses that indicated exploration of his own emotions, thoughts, and behaviors. By contrast, the client continued talking mainly about past events in a storytelling manner throughout the least effective sessions.     

Metaphor and Change in Counseling

Increased general interest among counselors in the way language, narratives, and stories influence clients' personal and social realities has drawn particular attention to metaphorical language and its facilitative role in counseling. In this article, the authors suggest that metaphors and metaphorical knowing may play a significant role in facilitating at least 5 developmental change processes in counseling: relationship building, accessing and symbolizing client emotions, uncovering and challenging clients' tacit assumptions, working with client resistance, and introducing new frames of reference.     

Client as counselor: self-regulation strategies

Recent research in counseling suggests the efficacy of teaching the clients to be their own counselors through the use of self-regulation procedures. This article explores three primary steps involved in helping clients to control their own behavior change: self-observation, self-monitoring, and self-regulation strategies. Self-regulation provides an affirmative answer to the question: “Is the client a counselor?” by promoting client responsibility and independence in the counseling process.     

Transference,Insight, and the Counselor's Intentions During a Counseling Hour

The interactive effects of transference and client insight on session quality, and the relationship between transference and counselor intentions, were studied within the context of a single counseling session. Thirty-eight experienced counselors audiotaped one counseling session and rated their intentions for each intervention. Counselors also rated transference, insight, and session quality. As hypothesized, when transference was high, client insight was positively related to session quality. Furthermore, negative transference was related to several counselor intentions. Negative transference may signal counselors to focus on the relationship and underlying client issues, and to avoid structuring and directing behavior change.     

Client Quest—A Key to Counseling

The expression quest is proposed to represent any unifying theme of client purposes. Counseling is then defined as an interview in which client quest is superordinate to counselor quest. It is suggested that client quests be classified by their direction. Thus, quests may be for understanding or change, and, at a higher level, for mastering self or environment. The identification, clarification, and management of client quests becomes central to effective counseling. Ideally, as an expert in human learning and development, the counselor is a hypothesis maker who works with his client to facilitate conquest. Dissonance is said to occur when the purposive balance is inappropriate to counselor or client quests. The congruent counselor reduces dissonance by discussing changes in the purposive balance openly with the client and by avoiding professional roles in which client quests are subordinated.     

An empirical examination of client attitudes towards online counseling.

Trends over the past decade have shown that online counseling has grown in terms of popularity among consumers and clinicians alike; however, little, if any empirical evidence exists that examines client attitudes towards online counseling as alternative to traditional face-to-face therapy. Therefore, this study investigated client attitudes towards online counseling. Data was collected from 48 e-clients who received online counseling at the Center for Online Addiction. Variables such as client perceptions and concerns about using online counseling, clients' reasons for seeking online counseling over in-office treatment, and demographic profiles of e-clients were assessed. Results suggested that Caucasian, middle-aged males, with at least a four-year bachelors degree were most likely to use online counseling and anonymity, convenience, and counselor credentials were the most cited reasons they sought online counseling over in-office treatment. The lack of perceived privacy and security during online chat sessions and the fear of being caught while conducting online sessions were the main concerns reported by e-clients. A better understanding of client motives and perceptions towards online counseling helps to guide treatment in using the Internet as a clinical tool, especially as the Internet becomes increasingly more available in previously remote markets and the field of online counseling continues to grow.     

Identifying Pretreatment Change

In this article the author addresses the possibility of pretreatment change as a viable first intervention for solution-oriented counseling approaches. Using the interview questions and format of Weiner-Davis, de Shazer, and Gingerich (1987), 82 clients were surveyed to ascertain if a change in their problem context had occurred between the time an appointment was made for counseling and the time they come to the first session. The results indicate that most of the clients can identify desirable pretreatment change with the assistance of a counselor. Bateson's (1979) “difference that makes a difference” and client expectancy are posited as explanations for the client's perceiving pretreatment change as significant.     

Searching for the Glass Slipper: A Case Study in Midlife Career Counseling

There seems to be a paucity of counseling reports written from the perspective of both counselor and client. This article is presented as a case study of the first author's experience as a career counseling client of the second author. It is intended to illuminate for students and practitioners some typical counseling practices and the theoretical foundations from which they spring, as well as how the client reacted to them.     

The application of solution‐focused work in employment counseling

The author explores the applicability of a solution‐focused therapy (SFT) model as a comprehensive approach to employment counseling. SFT focuses the client on developing a vision of a preferred future and assumes that the client has the talents and resources that can be accessed in the employment counseling process. The solution‐focused counselor enters the therapeutic relationship from a point of “not knowing” and works with the client in job transition to develop possibilities that evolve from the client's strengths and knowledge. Examples are given of how solution‐focused employment counseling could be practiced.     

Career counseling meets motivational interviewing: A sequential analysis of dynamic counselor–client interactions

Motivational Interviewing (MI) is a client-centered communication style with the aim to resolve client ambivalence within a change-related counseling. Its potential benefit for career counseling has been discussed by several scholars but no empirical research has investigated MI in this context so far. The current study used process measures from MI to investigate dynamic interactions within a career counseling intervention. Overall, we analyzed two videotaped sessions of 14 unique counselor–client dyads. Verbal behavior of counselors and clients were coded with two observational coding schemes from MI (one for counselors and one for clients, respectively). Behavior profiles of counselors were compared with benchmarks of good MI. Furthermore, client verbal ambivalence was compared between sessions. Finally, we conducted lag sequential analyses to analyze temporal dynamics between counselor behavior and immediate client verbal responses across N = 6883 behavioral events. Our results showed, first, behavior profiles of career counselors did significantly differ from recommended counseling benchmarks of good MI practice. Second, as assumed on the basis of past studies, client ambivalence decreased across sessions. Third, MI consistent counselor behaviors showed a positive sequential association with client positive career talk, whereas MI inconsistent counselor behaviors showed the reverse pattern. Our results suggest that counseling behaviors recommended from MI are facilitating career interventions. We discuss how trainings in MI could amend career counseling interventions and provide ethical implications when integrating MI into career counseling programs.     

当事人的投入与会谈效果、咨询效果的关系研究

本研究探索了当事人会谈时的投入与即时会谈效果的关系;当事人咨询初期的投入与整体咨询效果的关系。结果发现当事人会谈时的投入与即时会谈效果、在咨询初期的投入与整体咨询效果都呈现显著的正相关。进一步回归分析发现,当事人在咨询初期的投入与整体咨询效果呈现正U型的偏态分布,少数投入水平最低的当事人获得中等水平的咨询效果,中等投入水平的当事人咨询效果最差,投入水平最高的当事人的咨询效果最好。     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

Client Accounts of Hope in Early Counseling Sessions: A Qualitative Study

Hope enables individuals to envision a future in which they wish to participate ( Jevne, 1994 ) and is foundational to counseling practice. However, there has been little research examining client accounts of hope in session. Using basic interpretive inquiry, this case study examines clients' accounts of hope during counseling using video‐assisted recall. Three categories emerged: hope‐fostering counseling relationship, supportive identity development, and perspective change. Implications for counseling are discussed.