Some thoughts on counsellor training

The main object of counsellor training is to help trainees to offer an effective counselling relationship. It is suggested that this requires three main training elements: personal, practical, and academic. Ways in which the personal development of trainees may be fostered include individual support counselling and a weekly encounter group session. While constructive feedback is necessary, a minimum of evaluation is suggested so that the trainee can feel safe and free to explore himself. Pre-placement training focused on empathic understanding is considered essential before the trainee is allowed to embark upon supervised placement, and a programme of practical work training is outlined. Reasons for including academic work are also discussed, and appropriate academic content is suggested. Finally, the problem of obtaining suitably qualified trainers is considered, along with the desirability of trainers continuing to counsel, and the need for adequate administrative support for training programmes.     

EDUCATING PHYSICIANS FOR MORAL EXCELLENCE IN THE TWENTY-FIRST CENTURY

Medical professionals are a community of highly educated individuals with a commitment to a core set of ideals and principles. This community provides both technical and ethical socialization. The ideal physician is confident, empathic, forthright, respectful, and thorough. These ideals allow us to define broadly "the excellence" of being a physician. At the core of these ideals is the ability to be empathic. Empathy exhibits itself in attributes of an individual's moral character and also in actions that actualize and support communal life. Empathy, however, can be diminished or even lost and must be nurtured on an ongoing basis. The development of ethical physicians is strongly linked to experiences in the training period. Moral traits are situation-sensitive psychological and behavioral dispositions. The clinical environment of medical training programs can be so intense as to lead to conditions that may actually deprofessionalize trainees. Creating a clinical environment that is ethically nurturing and sustaining is an indispensable component of practicing medicine.     

Mothers’ Empathic Understanding of their Toddlers: Associations with Maternal Depression and Sensitivity

Mothers’ empathic understanding of their children’s motives, thoughts, and feelings is thought to guide parenting behaviors and shape the mother-child relationship. However, little is known about the relation between empathic understanding and parenting behaviors during developmental shifts that may be emotionally challenging for mothers, such as the transition from infancy to the toddler years, or how it may relate to maternal depressive symptoms. We assessed relations between maternal empathic understanding, depression, and sensitivity. We developed a coding system, the Empathic Understanding Assessment (EUA), to measure this construct in the mothers of 30-month old children. One hundred twenty eight mother-child pairs participated in a series of lab-based tasks designed to be challenging for the children. Mothers then watched these videotaped interactions and responded to questions regarding their children’s experiences. Interview content was coded using the EUA. Results indicated that mothers higher in empathic understanding and more intensely emotional were rated as more sensitive. Maternal depression was negatively related to empathic understanding. The importance of considering the role of maternal empathic understanding in parenting behavior is discussed, as are potential implications for child outcomes.     

Empathic Accuracy,Meta-Perspective,and Satisfaction in the Coach-Athlete Relationship

This study investigated the empathic accuracy of sixty coach-athlete dyads, its antecedents (meta-perceptions of relationship) and consequences (perceptions of satisfaction). An adaptation of Ickes's (2001) unstructured dyadic interaction paradigm was used to assess empathic accuracy whereby coach-athlete dyads were filmed during training. A selection of video clips containing the dyads' interactions during a typical training session were shown to them. The dyad members were asked to report their recollected thoughts and/or feelings while making inferences about what their partners' thought and felt at specific points of interaction. Empathic accuracy was estimated by comparing the dyads' self-reports and inferences. The results of a structural equation model analysis indicated an association between members' meta-perceptions or judgments that their partner is positive about the athletic relationship and increased empathic accuracy. Increased empathic accuracy was in turn associated with higher levels of satisfaction. These results are discussed based on issues they raise for theory and measurement.     

A narrative social constructionist approach to therapeutic empathy

The concept of empathy has been a centrol conceptual element in approaches to counselling and psychotherapy that emphasise exploration of meaning in the context of a facilitative relationship. However, the existing literature on therapeutic empathy lacks theoretical coherence. a narrative social constructionist perspective represents a theoretical approach that enables the integration of diverse strands of clinical observation and research into the creation of empathic understanding in counselling. From a social constructionist position, therapeutic empathy can be understood as a relational process, a step-by-step co-construction by counsellor and client of the life-narrative of the client. In this paper, the Barrett-Lennard (1981) cyclical model of empathy is used as a fremework for examining the counsellor and client actions, strategies and tasks that constitute empathic engagement around the task of emploring and re-authoring life-narratives. Constructionist analysis of the cultural origins of the concept of empathy suggest some limitations of this way of conceptualising what happens in therapy. The implications of these ideas for theory, training and research are discussed.     

Conditional relations by monkeys: Reflexivity, symmetry, and transitivity

Two cynomolgous macaques categorized six colors into two groups of three after conditional discrimination training (zero-delay symbolic match-to-sample). The procedures resulted in the establishment of relations among the elements of each set-relations that were not specifically trained and that can be characterized by the properties of reflexivity, symmetry, and transitivity. Each set of colors was related to a characteristic pattern of responding: One response pattern involved temporal duration (press and hold the response keys); the second response pattern entailed repeated pressing and releasing of the response keys (fixed ratio 8). Six combinations of two colors were trained, three combinations from each set. After discriminative performance stabilized for each monkey, they were tested with 10 additional color combinations, all of which differed from the training combinations. The conditional relations established between test combinations can be characterized as stimulus equivalence. The training procedures were analogous to the procedure of using category names, and have implications for understanding the function of language in the formation of equivalence classes.     

Promoting an Empathic Dialectic for Therapeutic Change: An Integrative Review

This integrative review is focused on a formulation of therapeutic empathy. We describe the “empathic dialectic” as therapists’ capacity to emotionally resonate with patients’ internal states, such as during ruptures, and to coregulate their own and the patients’ states through mentalization. The first aim was to provide a theoretical framework for the empathic dialectic, by summarizing background literature on the empathic process, intersubjectivity, rupture repair, relational psychoanalysis, and attachment. The second aim was to conduct an integrative review of peer-reviewed articles published between the years of 2016 and 2021. After conducting a review of 28 articles, we sought to identify (1) research that supports the existence of an empathic dialectic, (2) evidence that therapists’ attachment influences the empathic dialectic, and (3) implications of the empathic dialectic for training and supervision. Results pointed to the central role of therapists’ attachment security in the empathic dialectic, and the negative repercussions of therapists’ insecurity when mentalization is underdeveloped. Results also highlighted the role of supervision as a means of enhancing trainees’ self-awareness of their attachment, and its impact on the alliance. As the American Psychological Association embraces a clinical competencies model in its accreditation of clinical psychology doctoral programs, the importance of attaining an integrative understanding of therapeutic empathy has become increasingly imperative. To this end, we conclude by promoting the empathic dialectic as a key clinical competency, and providing further recommendations for training and supervision.

     

Eye of the beholder: the individual and dyadic contributions of empathic accuracy and perceived empathic effort to relationship satisfaction

This study examined links between two distinct facets of empathy-empathic accuracy and perceived empathic effort-and one's own and one's partner's relationship satisfaction. Using a video recall procedure, participants (n = 156 couples in committed relationships) reported on their own emotions and their perceptions of partners' emotions and partners' empathic intentions during moments of high affect in laboratory-based discussions of upsetting events. Partners' data were correlated as a measure of how accurately they were able to read what the other was feeling and to what degree they felt the other was trying to be empathic at those moments. The perception of empathic effort by one's partner was more strongly linked with both men's and women's relationship satisfaction than empathic accuracy. Men's relationship satisfaction was related to the ability to read their partners' positive emotions accurately, whereas women's relationship satisfaction was related to their partners' ability to read women's negative emotions accurately. Women's ability to read their husbands' negative emotions was positively linked to both men's and women's relationship satisfaction. Findings suggest that the perception of a partner's empathic effort-as distinct from empathic accuracy-is uniquely informative in understanding how partners may derive relationship satisfaction from empathic processes. When working with couples in treatment, heightening partners' perceptions of each other's empathic effort, and helping partners learn to demonstrate effort, may represent particularly powerful opportunities for improving satisfaction in relationships.     

团体成员共情的影响因素及作用模型——基于扎根理论

本研究旨在探索团体咨询成员共情的概念、影响因素及其作用。运用扎根理论对11名团体咨询成员的访谈资料分析,共形成11个轴心编码。根据编码间的关系得到如下结果：1. 团体成员共情包括共情理解、共情表达和共情感知;2. 团体成员共情理解的影响因素为相似性、观点采择;共情感知的影响因素为相似性和共情表达;3. 团体成员共情通过促进成员关系、认知领悟和情感支持提升团体效果。据此构建了团体成员共情的影响因素及作用模型。     

In‐group bias in children's intention to help can be overpowered by inducing empathy

An experimental vignette study was conducted among children (8–13 years) to examine whether inducing empathic understanding is an effective intervention to overpower peer group boundaries in children's helping. Children were induced or not induced to empathize with the recipient of help, who was or was not part of their (imagined) group of friends. Results showed that children intended to help in‐group peers more compared to outgroup peers when empathic understanding was not induced. However, when empathy was induced, they intended to help friends and non‐friends equally. Inducing empathic understanding was effective independent of the recipient's level of need, and children's advanced social perspective‐taking ability. Encouraging children to imagine how a recipient of help feels might thus be a useful strategy to prevent peer group‐based biases in children's helping behaviour.     

Stories as Gift: Patient Narratives and the Development of Empathy

Critical thought and assessment of medical, emotional, and social problems faced by patients is central to genetic counselor training and development. However, primary emphasis on these critical problem-solving approaches can interfere with the development of empathic listening skills. Using a narrative medicine approach, I describe how learning to reframe one patient’s story of healing as a gift allowed me to become a more open and empathic listener. Ultimately, the empathy and understanding that I learned from this patient’s narrative added to what previous patients had taught me and helped me assist other patients (and myself) in identifying and nurturing healing narratives for people coping with illness and grief. The approach presented here emphasizes the importance of recognizing patients as valuable teachers in the development of higher-level empathy skills.     

A LITERARY TRINITY FOR COGNITIVE SCIENCE AND RELIGION

The cognitive sciences may be understood to contribute to religion‐and‐science as a metadisciplinary discussion in ways that can be organized according to the three persons of narrative, encoding the themes of consciousness, relationality, and healing. First‐person accounts are likely to be important to the understanding of consciousness, the “hard problem” of subjective experience, and contribute to a neurophenomenology of mind, even though we must be aware of their role in human suffering, their epistemic limits, and their indirect causal role in human behavior and subsequent experience. Second‐person discussions are important for understanding the empathic and embodied relationality upon which an externalist account of mind is likely to depend, increasingly uncovered and supported by social neuroscience. Third‐person accounts can be better understood in uncovering the us/them distinctions that they encode and healing the dangerous tribalisms that put an interdependent and communal world increasingly at risk.     

Empathic accuracy in coach–athlete dyads who participate in team and individual sports

ObjectiveThe purpose of the present study was to investigate the empathic accuracy of coach–athlete dyads participating in team and individual sports.MethodAn adaptation of Ickes's [2001. Measuring empathic accuracy. In J. A. Hall & F. J. Bernieri (Eds.), Interpersonal sensitivity (pp. 219–242). Mahwah, NJ: Lawrence Erlbaum Associates] unstructured dyadic interaction paradigm was used to assess the empathic accuracy of 40 coach–athlete dyads. Accordingly, each dyad was filmed during a training session. The dyad members viewed selected video footage that displayed discrete interactions that had naturally occurred during that session. Dyad members reported what they remembered thinking/feeling while making inferences about what their partner's thought/felt at each point. Empathic accuracy was estimated by comparing self-reports and inferences.ResultsThe results indicted that accuracy for coaches in individual sports was higher than coaches in team sports. Shared cognitive focus also differed between team and individual sports, and fully mediated the effect of sport-type on coach empathic accuracy. Moreover, coaches whose training sessions were longer demonstrated increased empathic accuracy. No differences were found for athletes.ConclusionsThe results suggest that the dynamics of the interaction between a coach and an athlete play a key role in how accurately they perceive each other.     

Primary Prevention in University Residence Halls: Paraprofessional-Led Relationship Enhancement Groups for College Roommates

The author examined the effect of Relationship Enhancement training as a preventive intervention with college roommates. Trained paraprofessional counselors (resident assistants) led 20 Relationship Skills Workshops for students in their living units. The workshops (four 2-hour sessions each) were based on the Relationship Enhancement method and involved training students in expressive (subjective self-disclosure) and empathic (demonstrating understanding) skills. Students were randomly assigned to workshops either early (experimental group) or late (delayed treatment control group) in the semester. Assessments of students' expressive and empathic skills when discussing personal concerns and conflicts with their roommates were made on all participants at the beginning, middle, and end of the semester. Results show significantly higher level skills for the trained experimental group in comparison to the as-yet untrained delayed-treatment control group at the middle of the semester, and that significant improvement occurred in both groups following their respective participation in training, suggesting training was effective.     

On the experience of shame in multicultural counselling: implications for white counsellors-in-training

During the process of developing multicultural competencies, counsellors-in-training experience a wide array of emotional reactions. Through extensive instruction, observation, personal communications and training exercises, the authors have noted the commonality of shame among many white trainees participating in multicultural coursework.The experience of shame in white counsellorsin-training tends to increase as their white identity development evolves and as an awareness of racial differences, stereotypes, and prejudices becomes evident.The emotion of shame can then lead to defensive responses that can hinder empathic understanding and thus forestall the development of true multicultural competencies. Therefore, it is vital that white counsellors-in-training increase selfawareness of, monitor, and actively work through shame related to multicultural issues while undergoing the training process. This article differentiates shame from guilt, describes the link between shame and white identity development, and outlines how experiences of shame in white counselling trainees may limit their professional growth if not addressed by trainers. Steps for assessing, actively processing and following up with these experiences during training situations are summarised.     

Gender differences in empathic accuracy: Differential ability or differential motivation?

Following their qualitative review of the findings from 10 relevant studies, Graham and Ickes (1997) speculated that reliable gender‐of‐perceiver differences in empathic accuracy (a) were limited to studies in which the empathic inference form made empathic accuracy salient as the dimension of interest, and (b) therefore reflected the differential motivation, rather than the differential ability, of female versus male perceivers. These speculations were tested more rigorously in the present study, which examined a larger set of 15 empathic accuracy studies and applied the techniques of quantitative meta‐analysis to test Graham and Ickes’(1997) moderating variable hypothesis. The hypothesis was strongly supported, consistent with a motivational interpretation previously proposed by Berman (1980) and by Eisenberg and Lemon (1983), which argues that reliable gender differences in empathy‐related measures are found only in situations in which (a) subjects are aware that they are being evaluated on an empathy‐relevant dimension, and/or (b) empathy‐relevant gender‐role expectations or obligations are made salient.     

Novice Strategies for Understanding Paintings

Visual analysis is taught in art history classes as a skill which aids a student in understanding a work of art in its appropriate conceptual or historical context. To provide a foundation for the design of computer-based lessons to train students in the skill, this study attempted to discover the strategies that novices employ when viewing a set of paintings. Verbal protocols obtained from novices in this study indicated that they described semantic features, or content, of paintings more than the formal elements, e. g. line, colour, shape, when viewing realist paintings. However, when presented with abstract, i. e. less semantically accessible paintings, novices shaply altered their approach and discussed formal elements over content. These findings suggest that an analysis of formal elements is not performed by a novice when a painting depicts a clear subject, but is attempted when the subject-matter becomes obscure. This implies that, at some level, novices realize that the meaning of a painting can be extracted from attention to the formal elements. Interestingly, novice protocols contained the same categories of strategies deemed important by experts. The lack of training in visual analysis was not notably manifest with respect to style. Of all formal dimensions, this one yielded the greatest discrepancy between novices and the expectations of instructors.     

Anger at unfairness: is it moral outrage?

Anger at unfair treatment has been called moral outrage. However, moral outrage—anger at the violation of a moral standard—should be distinguished from personal anger at being harmed and empathic anger at seeing another for whom one cares harmed. Across a preliminary experiment and a main experiment, both designed to manipulate the appraisal conditions for these three forms of anger, we found evidence of personal anger and empathic anger, but little evidence of moral outrage. Participants perceived unfair treatment of another, even another for whom they had not been induced to feel empathy, to be as unfair as participants perceived unfair treatment of themselves. But the appraisal conditions that evoked anger were unfair treatment of self and unfair treatment of a cared-for other, not unfairness per se. In the absence of empathic concern, unfair treatment of another evoked little anger. Possible implications for understanding moral emotion and moral motivation are suggested. Copyright © 2007 John Wiley & Sons, Ltd.     

Adolescents' compliance-resistance: effects of parents' compliance strategy and gender

This investigation determined choice of compliance-resisting behaviors on the basis of compliance-gaining strategy, gender of parent, and gender of adolescent. One hundred and eighteen 9th- through 12th-grade students identified resistance strategies they would use when confronted with five compliance-gaining attempts: manipulation, nonnegotiation, emotional appeal, personal rejection, and empathic understanding. Each compliance-gaining attempt was associated with a specific parent and a specific compliance-gaining strategy. The results demonstrate significant differences in resistance strategy selected on the basis of parent's gender, adolescent's gender, and compliance-gaining strategy. When mothers employed personal rejection or empathic understanding, the adolescent was most likely to use nonnegotiation. When the mother used an emotional appeal, adolescents used identity management. Fathers who employed manipulation by using an emotional appeal were resisted with justification. When fathers used nonnegotiation or personal rejection, adolescents used nonnegotiation. The father's use of empathic understanding was countered with identity management. Adolescents are more likely to use identity management with their mothers and justification with their fathers. Female adolescents are more likely to use identity management than are male adolescents, while males are more likely to use nonnegotiation and negotiation than are females. Nonnegotiation occurs most often from son to mother, followed by son to father, daughter to father, and daughter to mother.