Perceived Multicultural Counseling Competence of Malaysian Counselors: An Exploratory Study

This study investigated the nature and extent of perceived multicultural counseling competence (MCC) of 508 professional counselors in Malaysia using a national survey approach. Differences in counselors' perceived MCC pertaining to gender, ethnicity, highest education, and multicultural training were examined. Results revealed 5 factors as constituents of MCC and significant differences in perceived MCCs due to ethnicity, highest education, and participation in multicultural training. Implications for future research, counselor education, and counseling practice are discussed. Este estudio investigó la naturaleza y la extensión de la competencia en consejería multicultural (MCC, por sus siglas en inglés) percibida de 508 consejeros profesionales en Malasia usando un enfoque de encuesta nacional. Se examinaron las diferencias en la MCC percibida de los consejeros respecto a sexo, etnicidad, nivel máximo de educación y capacitación multicultural. Los resultados revelaron 5 factores constituyentes de MCC y diferencias significativas en las MCC debido a etnicidad, nivel máximo de educación y participación en capacitación multicultural. Se discuten las implicaciones para investigaciones futuras, educación de consejeros y práctica de la consejería.     

Multicultural Competence–Focused Peer Supervision: A Multiple Case Study of Clinical and Counseling Psychology Trainees

In this longitudinal, qualitative case study, 21 clinical and counseling psychology trainees met in leaderless peer supervision groups for 1 training year to discuss multicultural aspects of their clinical work. Peer supervision sessions were audio recorded and transcribed, and the content was analyzed using thematic analysis. Results indicated that, despite the absence of experts to facilitate discussions, participants were able to focus on multicultural issues and generally benefited from this type of peer supervision. En este estudio de caso longitudinal y cualitativo, 21 alumnos de psicología clínica y consejería se reunieron en grupos de supervisión entre pares sin líderes durante un año de su formación para discutir aspectos multiculturales de su trabajo clínico. Se grabó y transcribió el audio de las sesiones de supervisión entre pares, y luego se analizó el contenido usando un análisis temático. Los resultados indicaron que, a pesar de la ausencia de expertos para facilitar las discusiones, los participantes fueron capaces de centrarse en los temas multiculturales y generalmente se beneficiaron de este tipo de supervisión entre pares.     

Validation of a Standardized Multiple‐Choice Multicultural Competence Test: Implications for Training,Assessment, and Practice

The Multicultural Counseling and Psychotherapy Test (MCPT), a measure of multicultural counseling competence (MCC), was validated in 2 phases. In Phase 1, the authors administered 451 test items derived from multicultural guidelines in counseling and psychology to 32 multicultural experts and 30 nonexperts. In Phase 2, the authors administered the top 50 discriminative items to licensed mental health professionals (N = 227) and compared MCPT scores to external indicators of MCC. Evidence was found for the construct validity and internal consistency reliability of the MCPT. El Test de Consejería Multicultural y Psicoterapia (MCPT, por sus siglas en inglés), una medida de la competencia en consejería multicultural (MCC, por sus siglas en inglés) fue validado en dos fases. En la Fase 1, los autores administraron 451 elementos del test derivados de las pautas multiculturales en consejería y psicología a 32 expertos multiculturales y 30 no expertos. En la Fase 2, los autores administraron los 50 elementos más discriminativos a profesionales licenciados de la salud mental (N = 227) y compararon los puntajes del MCPT con indicadores externos de MCC. Se hallaron evidencias de la validez del constructo y la fiabilidad de la consistencia interna del MCPT.     

Privilege and Oppression in Counselor Education: An Intersectionality Framework

Multiculturalism and social justice are considered major forces in the counseling profession, revolutionizing the complexity of social identity, cultural identity, and diversity. Although these major forces have influenced the profession, many challenges exist with their implementation within counselor education curriculum and pedagogy. A major challenge is the complex dynamics of privilege and oppression that both counselor educators and counseling students face. This article discusses the use of intersectionality to approach counselor education pedagogy and practice. El multiculturalismo y la justicia social están considerados como fuerzas importantes con las que la profesión de la consejería está revolucionando la complejidad de la identidad social, la identidad cultural y la diversidad. Aunque estas fuerzas importantes han influido en la profesión, existen desafíos relacionados con su implementación en los planes curriculares y pedagogía de la educación de consejeros. Un desafío significativo es la compleja dinámica entre privilegio y opresión que enfrentan tanto los formadores de consejeros como los estudiantes de consejería. Este artículo discute el uso de la interseccionalidad para enfocar la pedagogía de la educación de consejeros y la práctica.     

Identifying and Treating Race‐Based Trauma in Counseling

This study investigated 106 counseling professionals’ experiences with identifying and treating race‐based trauma and the relationship between training and treatment. Competency was assessed with the Race‐Based Trauma Survey for Counselors. Although most participants reported working with clients who had symptoms associated with race‐based trauma, many had not received training in identifying and treating race‐based trauma among individuals of color. This finding highlights the disparities between health care and the provision of related services. Recommendations for counseling professionals and researchers are included. Este estudio investigó las experiencias de 106 profesionales en consejería con la identificación y el tratamiento de traumas basados en la raza, así como la relación entre la capacitación y el tratamiento. La competencia se evaluó usando la Encuesta para Consejeros sobre Traumas Basados en la Raza. A pesar de que la mayoría de participantes informó que había trabajado con clientes que tenían síntomas asociados con traumas basados en la raza, muchos no habían recibido capacitación para identificar y tratar traumas basados en la raza en personas de color. Este hallazgo resalta las disparidades entre la atención sanitaria y la provisión de servicios relacionados. Se incluyen recomendaciones para profesionales en consejería e investigadores.     

Parentification and Resilience Among Students With Clinical and Nonclinical Aspirations: A Cross‐Sectional Quantitative Study

This study examined the relationship between level of parentification and resilience among students with clinical and nonclinical aspirations in Malaysia. A total of 419 college students were surveyed using the Parentification Questionnaire (Jurkovic & Thirkield, 1998 ) and Connor–Davidson Resilience Scale (Connor & Davidson, 2003 ). Results showed that clinical students were significantly higher in parentification compared with nonclinical students, and parentification positively predicted resilience. Implications for multicultural counseling and research were discussed. Este estudio examinó la relación entre el nivel de parentificación y la resiliencia entre estudiantes con aspiraciones clínicas y no clínicas en Malasia. Se entrevistó a un total de 419 estudiantes universitarios usando el Cuestionario de Parentificación (Jurkovic & Thirkield, 1998 ) y la Escala de Resiliencia Connor‐Davidson (Connor & Davidson, 2003 ). Los resultados mostraron que los estudiantes clínicos tenían niveles significativamente mayores de parentificación comparados con los estudiantes no clínicos, y la parentificación fue un indicador positivo de resiliencia. Se discuten las implicaciones para la consejería e investigación multiculturales.     

Are Multicultural Courses Addressing Disparities? Exploring Multicultural and Affirmative Lesbian,Gay, and Bisexual Competencies of Counseling and Psychology Students

Clinical training and counselor competency are essential for ethical practice when working with multiethnic, lesbian, gay, bisexual (LGB), and transgender clients. In this study, the author examined how multicultural courses related to students' (N = 286) LGB and multicultural competencies. Self‐reported multicultural and LGB competencies varied significantly depending on the number and types of diversity education reported. Multicultural courses significantly predicted students' multicultural, but not LGB counselor competency. Political conservatism was the strongest predictor for both multicultural and sexual orientation competencies. La formación y competencias multiculturales afirmativas hacia individuos gays, lesbianas y bisexuales (LGB, por sus siglas en inglés) de consejeros son esenciales para una práctica clínica ética. En este estudio, el autor examinó cómo los cursos multiculturales se relacionaron con las competencias multiculturales de un grupo de estudiantes (N = 286). Las competencias multiculturales y sobre LGB autorreportadas variaron significativamente dependiendo del número y tipos de educación sobre diversidad reportados. Los cursos multiculturales predijeron de forma significativa la competencia multicultural de los estudiantes, pero no la competencia sobre LGB en consejería. La ideología política conservadora fue el predictor más fuerte de las competencias multiculturales y sobre orientación sexual.     

Examining the Use of Digital Storytelling and Immersion in a Multicultural Counseling Course

This article explored the use of digital storytelling as a method to support multicultural counseling competency. Thematic analysis examined the experiences of 9 students who created a digital story through an immersion activity in a multicultural counseling course. Qualitative data revealed 4 themes: (a) initial discomfort with technology, (b) initial reservations with group work, (c) digital storytelling as a learning tool, and (d) multicultural counseling competency. Recommendations for counselor education and future research are provided. Este artículo exploró el uso de la narrativa digital como método para apoyar la competencia en consejería multicultural. Un análisis temático examinó las experiencias de 9 estudiantes que crearon una historia digital mediante una actividad de inmersión en un curso de consejería multicultural. Los datos cualitativos revelaron 4 temas: (a) una carencia inicial de familiaridad con la tecnología, (b) reservas iniciales en cuanto al trabajo en equipo, (c) la narrativa digital como herramienta de aprendizaje y (d) la competencia en consejería multicultural. Se ofrecen recomendaciones para la educación de consejeros e investigaciones futuras.     

The Experiences of Students of Color at a Predominantly White Institution: Implications for Counselor Training

This qualitative study examined the experiences of 11 students of color who participated in 2 multicultural counseling courses in a master’s‐level counseling program at a predominantly White institution. Findings illustrate students’ learning experiences based on instructors’ racial and ethnic identities, including a pivotal transition from distrust to trust toward the White instructor. Implications for teaching race‐based topics with students of color are presented. Este estudio cualitativo examinó las experiencias de 11 estudiantes de color que participaron en dos cursos de consejería multicultural en un programa de consejería de nivel máster en una institución predominantemente blanca. Los hallazgos ilustran las experiencias de aprendizaje de los alumnos basadas en las identidades raciales y étnicas de los docentes, incluyendo una transición fundamental desde la desconfianza hasta la confianza hacia el docente blanco. Se presentan las implicaciones para la enseñanza de temas basados en la raza con alumnos de color.     

The New Stage of the Turkish Counseling System: Explosive Growth (2000 to the Present)

The Turkish counseling system has been developing since the 1950s. Over the past 15 years, rapid and substantial changes have started to affect counseling and counselor education in Turkey. These changes have both positive and negative ramifications. Overall, the changes appear to represent a new stage of counseling that the authors refer to as explosive growth (2000 to the present). In this article, the authors describe this new stage and discuss positive and negative trends associated with it. El sistema turco de consejería se ha estado desarrollando desde los años 50. En los últimos 15 años, cambios rápidos y sustanciales han comenzado a afectar a la consejería y la formación de consejeros en Turquía. Estos cambios tienen ramificaciones tanto positivas como negativas. En general, los cambios parecen representar una nueva etapa en la consejería a la que nosotros los autores nos referimos como de crecimiento explosivo (desde el año 2000 hasta el presente). En este artículo, los autores describen esta nueva etapa y discuten las tendencias positivas y negativas asociadas con la misma.     

An Initial Investigation of Individual Instructors’ Self‐Perceived Competence and Incorporation of Disability Content Into CACREP‐Accredited Programs: Rethinking Training in Counselor Education

Given the prevalence of children and families who experience disabilities, this study examined how 141 instructors from programs accredited by the Council for Accreditation of Counseling and Related Educational Programs cover disability‐related content in their curriculum. The study also examined the influence self‐perceived disability‐related competencies have on whether and how instructors infuse disability‐related content into counselor pedagogy. Limitations and implications for counselor educators are presented. Dada la prevalencia de niños y familias que experimentan discapacidades, este estudio examinó cómo 141 docentes de programas acreditados por el Consejo de Acreditación en Consejería y Programas Educativos Relacionados (CACREP, por sus siglas en inglés) presentan los contenidos relacionados con la discapacidad en sus currículums. El estudio también examinó la influencia que tienen las competencias autopercibidas relacionadas con la discapacidad sobre si los docentes incluyen contenidos relacionados con la discapacidad en la pedagogía de consejeros y de qué forma lo hacen. Se presentan las limitaciones e implicaciones para educadores de consejeros.     

Countering Deficits: A Grounded Theory of Success From Graduate Students of Color

The existing research on students of color in counselor education focuses on the barriers they experience, providing a deficit perspective. Using grounded theory and a critical race theory framework, we studied the racialized experiences of 19 graduate students of color in counselor education. Grounded in participants' voices, we propose a liberatory theory of academic success. Implications for promoting the success of students of color in counselor education and for future critical race theory research are discussed. Las investigaciones hasta la fecha sobre estudiantes de color en programas educativos de consejería se centran en las barreras que afrontan, lo cual ofrece un déficit de perspectiva. Usando un muestreo teórico y un marco de teoría crítica de la raza, estudiamos las experiencias racializadas de 19 estudiantes de posgrado de color en programas educativos de consejería. Basándonos en las voces de los participantes, proponemos una teoría liberatoria de éxito académico. Se discuten las implicaciones para fomentar el éxito de estudiantes de color en programas educativos de consejería y para investigaciones futuras de teoría crítica de la raza.     

Postpartum Depression Among Women With Disabilities: A Multicultural Counseling Perspective

Postpartum depression is an important mental health problem for women, and women with disabilities are at greater risk than are women without disabilities. This article explores the disability‐specific contextual, environmental, social, and systemic causes of postpartum depression from an ecological perspective. I aim to help counselors develop a nonpathologizing, multicultural counseling–rooted approach and to prepare counselors to work effectively with this unique population. Implications of multicultural counseling tenets and advocacy are also examined for best practices. La depresión posparto es un problema de salud mental importante para las mujeres, y el riesgo es mayor para las mujeres con discapacidades que para las mujeres sin discapacidades. Este artículo explora las causas contextuales, sociales, del entorno y sistémicas de la depresión posparto relacionadas con la discapacidad desde una perspectiva ecológica. Mi objetivo es ayudar a los consejeros a desarrollar un enfoque no patológico basado en la consejería multicultural y preparar a los consejeros para trabajar de forma efectiva con esta población singular. También se examinan las implicaciones de los principios de la consejería multicultural y la defensoría para las prácticas recomendadas.     

Multicultural Competency Training of School Counselor Trainees: Development of the Social Class and Classism Training Questionnaire

The Social Class and Classism Training Questionnaire was developed to assess multicultural competency and training of social class and classism for school counselor trainees (SCTs). The authors analyzed the differences between accreditation status, social class backgrounds, and factors contributing to SCTs’ competence and training. Results showed that socially desirable responding, number of multicultural courses, and training level contributed most to perceived competence and training. This study provides insight into factors influencing SCTs’ competence and training of social class. El Cuestionario de Capacitación en Clase Social y Clasismo fue desarrollado para evaluar la competencia multicultural y capacitación en clase social y clasismo de consejeros escolares en formación (SCT, por sus siglas en inglés). Los autores analizaron las diferencias entre el estado de acreditación, la clase social de origen y otros factores que contribuyen a la competencia y capacitación de los SCT. Los resultados mostraron que las respuestas socialmente deseables, el número de cursos multiculturales y el nivel de capacitación contribuyeron en mayor medida a la percepción de competencia y capacitación. Este estudio ofrece una perspectiva de los factores que influyen en la competencia y capacitación en clase social de los SCT.     

Counseling Canadian Indigenous Peoples: The Therapeutic Alliance and Outcome

The aim of this study was to determine whether client therapeutic alliance ratings and client symptom severity were predictors of counseling outcomes among Canadian Indigenous clients. Participants included 179 Canadian Indigenous clients who completed an outcome measure at the 1st and last sessions and an alliance measure at both the 2nd and 3rd sessions. Results indicated that higher client alliance ratings at Sessions 2 and 3 and baseline client symptom severity were significant predictors of outcome. El objetivo de este estudio fue determinar si las valoraciones del cliente de la alianza terapéutica y la severidad de los síntomas del cliente fueron indicadores de los resultados de la consejería entre clientes indígenas canadienses. Los participantes incluyeron 179 clientes indígenas canadienses que completaron una medida de resultados en la primera y última sesión, además de una medida de la alianza en la segunda y tercera sesión. Los resultados indicaron que unas valoraciones del cliente más altas de la alianza en las sesiones 2 y 3 y la severidad preliminar de los síntomas del cliente fueron indicadores significativos del resultado.     

Mindful Mates: A Pilot Study of the Relational Effects of Mindfulness‐Based Stress Reduction on Participants and Their Partners

Very little is currently known about how increases in dispositional mindfulness through mindfulness training affect the quality of participants’ romantic relationships, and no previous studies have examined how increases in specific facets of mindfulness differentially contribute to relationship health. Additionally, even less is known about how an individual's development of mindfulness skills affects the relationship satisfaction of his or her romantic partner. Thus, the purpose of this pilot study was to examine associations between changes in facets of mindfulness and relationship satisfaction among participants enrolled in a Mindfulness‐Based Stress Reduction (MBSR) course and their nonenrolled romantic partners. Twenty MBSR participants and their nonenrolled partners (n = 40) completed measures of mindfulness and relationship satisfaction pre‐ and post‐enrolled partners’ completion of an MBSR course. Results indicated that enrolled participants significantly improved on all facets of mindfulness and relationship satisfaction, while nonenrolled partners did not significantly increase on any facet of mindfulness or relationship satisfaction. Moreover, enrolled participants’ increases in Acting with Awareness were positively associated with increases in their own and their nonenrolled partners’ relationship satisfaction, whereas increases in enrolled participants’ Nonreactivity were positively associated with increases in their nonenrolled partners’ (but not their own) relationship satisfaction. These results suggest that increasing levels of mindfulness (particularly specific aspects of mindfulness) may have positive effects on couples’ relationship satisfaction and highlight mindfulness training as a promising tool for education and intervention efforts aimed at promoting relational health.     

A Balancing Act: Integrating Evidence‐Based Knowledge and Cultural Relevance in a Program of Prevention Parenting Research with Latino/a Immigrants

Family therapists have a unique opportunity to contribute toward the reduction of widespread mental health disparities impacting diverse populations by developing applied lines of research focused on cultural adaptation. For example, although evidence‐based prevention parent training (PT) interventions have been found to be efficacious with various Euro‐American populations, there is a pressing need to understand which specific components of PT interventions are perceived by ethnic minority parents as having the highest impact on their parenting practices. Equally important is to examine the perceived cultural relevance of adapted PT interventions. This qualitative investigation had the primary objective of comparing and contrasting the perceived relevance of two culturally adapted versions of the efficacious parenting intervention known as Parent Management Training, the Oregon Model (PMTO). According to feasibility indicators provided by 112 Latino/a immigrant parents, as well as findings from a qualitative thematic analysis, the core parenting components across both adapted interventions were identified by the majority of research participants as relevant to their parenting practices. Participants exposed to the culturally enhanced intervention, which included culture‐specific sessions, also reported high satisfaction with components exclusively focused on cultural issues that directly impact their parenting practices (e.g., immigration challenges, biculturalism). This investigation illustrates the relevant contributions that family therapy scholars can offer toward addressing mental health disparities, particularly as it refers to developing community‐based prevention interventions that achieve a balance between evidence‐based knowledge and cultural relevance.     

Looking into the One‐way Mirror: A Pilot Study on the Impact of Reflecting Teams on Family Members

Reflecting Teams (RTs) are an internationally recognized clinical consultation methodology, first developed by Tom Andersen in 1985. Over the last three decades, family therapists around the world have used RTs to enhance treatment. However, this innovation to family therapy practice is not well‐standardized nor evaluated. The pilot study described in this article is an attempt to expand on the previous studies on RTs, and quantitatively examines RTs conducted with family therapy participants at a university medical center psychiatric institute. Preliminary analyses indicate that after participating in a single RT, family members may feel more hopeful, believe they can better support each other in times of stress, have more confidence in working together, and resolve conflicts. Additionally, the analyses suggest that family members may feel better understood and have more ideas about how to have a conversation with their family members, even though, after the RT, they may not view their family differently. These preliminary results suggest that further studies should explore the influence of RTs on family functioning.     

Parents as Partners: A U.K. Trial of a U.S. Couples‐Based Parenting Intervention For At‐Risk Low‐Income Families

Despite the well‐established links between couple relationship quality and healthy family functioning, and burgeoning evidence from the international intervention field, there is little or no evidence of the efficacy of couples‐based interventions from the United Kingdom (U.K.). This study explored whether the Parents as Partners (PasP) program, a group‐based intervention developed in the United States, brought about the same benefits in the U.K. The evaluation is based on 97 couples with children from communities with high levels of need, recruited to PasP because they are at high risk for parent and child psychopathology. Both mothers and fathers completed self‐report questionnaires assessing parents’ psychological distress, parenting stress, couple relationship quality and conflict, fathers’ involvement in child care and, importantly, children's adjustment. Multilevel modeling analysis comparing parents’ responses pre‐ and postintervention not only showed substantial improvements for both parents on multiple measures of couple relationship quality, but also improvements in parent and child psychopathology. Analyses also indicated most substantial benefits for couples displaying poorest functioning at baseline. The findings provide initial evidence for the successful implementation of PasP, an American‐origin program, in the U.K., and add support for the concept of the couple relationship as a resource by which to strengthen families.