Gender Self‐Confidence and Social Influence: Impact on Working Alliance

The authors investigated the relationships between the counselor's gender self‐confidence, the counselor's use of social influence within the counseling session, and the counselor's sex in relation to the counseling relationship. These attributes were studied with regard to how deeply a therapeutic working alliance developed between the counselor and the client. Results support the importance of counselor characteristics on the counselor–client alliance. Implications for teaching, research, and practice are presented.     

Asian and Pacific Island American students' acculturation and etiology beliefs about typical counseling presenting problems

Asian American Pacific Island college students (N = 93) completed measures of acculturation and mental health worldview, in the form of beliefs about the likely causes of 24 typical counseling presenting problems. A criterion sample of 27 staff from 2 university counseling centers reported their beliefs about the most likely cause of the same 24 problems for a typical client. A response similarity index was calculated, with higher scores reflecting greater similarity between student and counselor mental health worldviews. Results suggest that higher acculturation was associated with greater level of match between the students' etiology beliefs and those of counselors. The greatest differences were observed for serious personal problems, whereas there was more belief convergence about causes of academic problems.     

会谈中的当事人阻抗及工作同盟的影响因素:一项过程研究

从心理咨询过程研究视角,以38个会谈为对象,考察咨询师指导和当事人特质逆反对当事人阻抗的影响,并检验三者对工作同盟的影响。结果:指导正向预测阻抗,特质逆反则不能,二者的交互作用也不显著;阻抗负向预测工作同盟,指导则不能,二者的交互作用和中介作用都不显著,但阻抗的中介效应相对更大。结论:咨询师指导增加当事人阻抗;当事人阻抗破坏工作同盟,并在咨询师指导对工作同盟的影响过程中可能起中介作用。     

Counselor Sex Role Orientation,Flexibility, and Working Alliance Formation

The authors examined the hypothesized relationship among counselor androgyny, counselor flexibility, and the establishment of client-rated working alliances. In Study 1, 41 counseling students completed the Bem Sex-Role Inventory (BSRI; Bem, 1981a) and the Counselor Behavior Analysis Inventory (Gabbard, Howard, & Dunfee, 1986). Contrary to the hypothesis, there was no relationship between androgyny and counseling flexibility. In Study 2, 42 counseling students completed the BSRI and videotaped counseling sessions with a recruited client. Analyses revealed a significant relationship between counselor flexibility and client ratings of working alliance, but no relationship between counselor androgyny and counselor flexibility. Research and clinical implications are discussed.     

Person‐Centered Counseling: The Culture Within

The variables most related to success in counseling outcome research are the client‐counselor relationship and the personal and situational resources of the client (extratherapeutic variables). When these variables are compromised, a “specificity myth” is endorsed purporting that there are specific treatments for particular groups of people. This myth is a direct result of a shift in focus from the client to the counselor as the expert who focuses on “doing” counseling rather than “being” a counselor. Person‐centered counseling cuts to the core of therapeutic success: the relationship of the counselor‐client and the utilization of the client's resources.     

The Relationship Between Counseling Trainee Perfectionism and the Working Alliance With Supervisor and Client

The relationships between perfectionism, counseling self‐efficacy, and the supervisory and client working alliance were investigated among 143 counseling trainees and 46 supervisor–trainee dyads. Maladaptive perfectionism was negatively correlated with the supervisory alliance and working alliance. Counseling self‐efficacy moderated the relationship between adaptive perfectionism and the supervisory alliance (perspective of the counseling trainee) and maladaptive perfectionism and the supervisory alliance (perspective of the supervisor). The authors conclude that supervisors should consider perfectionism and counseling self‐efficacy as important factors in supervision.     

A Career Developmental Perspective on the Therapeutic Alliance: Implications for Counseling

This review explores the role played by childhood emotional maltreatment (CEM) in selecting a career in the field of mental health and the potential positive and deleterious effects of these career‐choice motives on the therapeutic alliance. The reviewed findings support the assumption that CEM may serve as a precursor for career choice of professions in the mental health field. Implications are suggested for the counselor/therapist–client relationship, also known as the therapeutic alliance, as well as for career counseling.     

Building on an Empirical Foundation: Strategies to Enhance Good Practice

Reviews of the research literature on outcomes in counseling agree that counseling works. It is also possible to use research to identify strategies for increasing the probability of successful counseling. Such strategies include careful assessment of the client, matching the client and counselor on demographic and attitudinal variables, and maintaining a productive working alliance through open disclosure to the client of the counselor's background and procedures, inquiry into the client's experience of counseling process, and management of client resistance.     

Broaching the Subjects of Race,Ethnicity, and Culture During the Counseling Process

The authors define broaching as the counselor's ability to consider how sociopolitical factors such as race influence the client's counseling concerns. The counselor must learn to recognize the cultural meaning clients attach to phenomena and to subsequently translate that cultural knowledge into meaningful practice that facilitates client empowerment, strengthens the therapeutic alliance, and enhances counseling outcomes. A continuum of broaching behavior is described, and parallels are drawn between the progression of broaching behavior and the counselor's level of racial identity functioning.     

Counselors' Attribution of Responsibility,Etiology, and Counseling Strategy

This study surveyed 167 counselors working at university counseling centers on their etiology and responsibility attributions and models of helping. Participants responded to vignettes describing either a male or female client experiencing symptoms of either an identity or adjustment problem. Counselors endorsed all of P. Brickman et al.'s (1982) models of helping for both problem types. Predictions concerning etiology attributions were partially supported. Counselors selected attributions logically consistent with an internal cause for the identity problem. However, counselors did not make external attributions for the adjustment problem. No significant results were observed for the influence of client sex.     

White Counselor Trainees' Racial Identity and Working Alliance Perceptions

Racial identity has been theorized to significantly affect cross-racial counseling relationships (Helms, 1984, 1995). This study examined the direct impact of White racial identity of 124 counselor trainees on working alliance formation in a same-racial and cross-racial vicarious counseling analogue. Regardless of the race of the client, disintegration and reintegration attitudes negatively affected working alliance ratings, and pseudoindependent and autonomy attitudes positively affected working alliance ratings. Implications for counseling, supervision, training, and research are discussed.     

Providing a Transcultural Genetic Counseling Service in the UK

This paper uses a broad definition of culture to explore the practice of transcultural genetic counseling through three case studies. The first case involves a White genetic counselor seeing an Asian family, the second, an Asian genetic counselor seeing an Asian family and the third, a hearing genetic counselor seeing a culturally Deaf client. Boundaries, transference and countertransference reactions are considered within each transcultural encounter and the author of each case reflects in detail on their role in the client interaction and their impact on the transcultural dynamic. The cases are used to illustrate some cultural beliefs or characteristics that may challenge the genetic counselor’s expectations. The value of identifying and interpreting these differences to facilitate useful clinical work is considered. The paper debates, where possible, whether it is helpful to culturally match genetic counselor and client.     

Information and Counseling: A Dilemma

The revolutionary changes in data processing, and the resulting increases in the quantity and quality of information about counselees and their prospective environments, will make the work of the counselor more difficult in several ways. The one problem that is highlighted is the difficulty of maintaining a true counseling process and relationship while at the same time collecting necessary information about the client and about the environments regarding which he must make decisions. 2 solutions and their relative merits are discussed, one involving separation of the information and counseling functions, and the other requiring an integration of the functions by a single counselor.     

Biological Foundations of Behavior: Implications for Counseling

Professional and social movements of the 1980s demand that counselors have a basic knowledge of biological foundations of behavior, a knowledge that has been neglected in counselor training programs, theories of counseling, and theories of personality. This article discusses biological explanations of human behavior and problems, along with implications and applications for the counselor in terms of the counseling setting, client problem, counselor role, counselor training, and the counseling profession.     

Ethical Implications in Cross-Cultural Counseling and Training

The nonspecificity of the ethical guidelines forces counselors to develop personal philosophies in regard to serving culturally unique clients. The resulting variability in the quality and availability of services threatens the growth and dilutes the integrity of the counseling profession. The worldview of the counselor is discussed as it affects client welfare, self-determination, and cultural autonomy in the counseling alliance. Ethical issues surrounding the development and implementation of cross-cultural training programs are reviewed and discussed.     

Gay and bisexual male clients' perceptions of counseling: the role of perceived sexual orientation similarity and counselor universal-diverse orientation

A recurring question in multicultural counseling is whether client-counselor similarity on sociodemographic characteristics benefits counseling. A related issue is how counselor orientation to diversity relates to counseling process and outcome, both as a main effect and in interaction with counselor-client sociodemographic match. This cross-sectional study investigated these questions in relation to gay and bisexual male clients' counseling experiences by examining clients' perceived similarity to their counselor in sexual orientation, as well as counselors' self-reported orientation to diversity (assessed in terms of level of universal-diverse orientation [UDO]). Data were from 83 male-male client-counselor dyads recruited from lesbian/gay/bisexual-affirming counseling practices, where clients identified as gay or bisexual and counselors identified as gay, bisexual, or heterosexual. Counselor UDO was positively and uniquely associated with client ratings of the working alliance, session depth, and session smoothness. Perceived sexual orientation similarity was not directly related to any of the counseling-related criterion variables. Moreover, when counselors reported low levels of UDO, perceived similarity was negatively associated with the client-rated alliance and perceived improvement. Client religious commitment-a control variable in all analyses--was uniquely and negatively associated with client ratings of perceived improvement in counseling.     

Pitfalls in Counseling Alcoholic Clients

Counseling alcoholic clients is a difficult problem for even the most seasoned counselor. Clients' abilities to use denial and manipulation demand a parallel counselor ability to identify dynamics properly, to deal with defenses, and to provide empathetic support while remaining emotionally noninvested. The unique dynamics of alcoholism demand that the counselor develop unique and innovative strategies within the counseling relation, literally to save the life of the client.     

Adult Attachment,Multidimensional Perfectionism,and the Alliances Among Counselor Supervisees

This study examined the moderating role that 2 dimensions of perfectionism (standards [adaptive] and discrepancy [maladaptive]) had on 2 dimensions of adult attachment (anxious and avoidant) and both client and supervisory alliances among 170 counselor supervisees. Anxious attachment and discrepancy were significant negative predictors of the client working alliance. A significant 3‐way interaction was found between anxious attachment, standards, and discrepancy on the supervisory working alliance. Implications from these findings are discussed.     

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.     

Counseling Expectations Among Mexican American College Students: The Role of Counselor Ethnicity

Sixty‐five Mexican American undergraduates completed a battery of tests, including the Expectations About Counseling‐Brief Form B and the Marlowe‐Crown Social Desirability Scale‐Form XX. Statistical analyses showed significant counselor ethnicity and participant gender main and interaction effects on EAC‐B ratings related to client attitudes and behaviors, counselor attitudes and behaviors, counselor characteristics, and counseling process.