Life Design Counseling: A study on client's operations for meaning construction

This study evaluated the adequacy of the micro-theory of client operations to explain meaning construction during Life Design Counseling. Four adolescents were interviewed about their second counseling session. Their recollections were stimulated through the replay of counseling videotapes. The resulting transcribed interviews were qualitatively analyzed. Results confirmed a sequence of client operations evolving from the symbolic representation of experience and reflexive self-examination towards making new realizations and revisioning self. Moreover, clients reported negative and positive session moments evidencing that clients' attention and activity during the session was not restricted to meaning construction operations. Practical implications for life design counseling are derived from the results and discussed.     

Narrative innovation in life design counseling: The case of Ryan

The main aim of this research is to study the patterns of narrative change in a case of life design counseling (LDC). The innovative moments coding system (IMCS) was used to conduct an intensive analysis of the career counseling sessions. This coding system is grounded in a narrative conception of the self, and suggests that narrative change results from the elaboration and development of narrative exceptions to a client's core problematic self-narrative. The results supports the adequacy of the IMCS to the study of change in career counseling and reveal that the intervention promotes a pattern of change characterized by three types of innovative moments: action, reflection, and protest. The results are discussed taking into account their implications for career counseling theory, research and practice.     

Innovative moments and change in Career Construction Counseling

This article presents an exploratory study of the process of change during Career Construction Counseling (CCC). The Innovative Moments Coding System (IMCS) and the Return to the Problem Coding System (RPCS) were used to an intensive analysis of a career counseling case — the case of Michael. Both systems are grounded in a narrative conception of the self which suggests that narrative change results from the elaboration and development of narrative exceptions to a client's core problematic self-narrative. The IMCS identifies and tracks the occurrence of five different types of narrative change and the RPCS tracks the ambivalence present in the clients discourse throughout the therapeutic process. This is the first attempt to use these methods with a career counseling case. The results suggest that the narrative elaboration progresses from the first to the third session. We discuss these results, emphasizing the process of change in career counseling with clients in which maladaptive repetition underlies career decision-making difficulties.     

Reflection and reflexivity during life-design interventions: Comments on Career Construction Counseling

The 8 articles in the Symposium advanced understanding of “Reflexivity in Life-Design Interventions”. This discussion highlights distinctions between reflection and reflexivity, as well as their relation to first-order and second-order change. Then the contributions of the Symposium authors are organized using four phases of narrative counseling: symbolic representation, reflective self-examination, reflexive new realizations, and revisioning career identity. The discussion concludes by organizing the diverse terms the authors used to name these four phases into a uniform format.     

Mechanisms of change in adolescent life satisfaction: A longitudinal analysis

This study explored the psychosocial mechanisms of change associated with differences in levels and linear change of adolescents' global life satisfaction across a 2-year time period. Based on a theoretical model proposed by Evans (1994), this study tested the relations between selected personality (i.e., extraversion and neuroticism) and environmental (stressful life events) variables and global life satisfaction when mediated by internalizing and externalizing problems. The results suggested support for internalizing problems as a mediator of the relationship of personality and environmental variables with life satisfaction. Pathways mediated by internalizing problems significantly predicted levels and linear change of life satisfaction across a 2-year time span. Furthermore, pathways mediated by externalizing problems significantly predicted the level but not the linear change of life satisfaction. Thus, behavior problems and their antecedents appear to relate significantly to adolescents' perceptions of their quality of life. Implications for adolescent mental health promotion were discussed.     

Adolescents with high mental toughness adapt better to perceived stress: A longitudinal study with Swiss vocational students

A mindset of mental toughness enables an individual to cope successfully with the pressures and demands of life. This 10-month study prospectively examined the association between mental toughness and stress resilience in 865 students (M = 17.86 years, 42.7% girls) from two vocational schools. Within each school, separate cluster analyses identified groups with different profiles of risk (assessed with perceived stress) and adaptation (operationalized with depressive symptoms and life satisfaction). Four clusters emerged characterizing students with well-adjusted (low risk, good adaptation), maladjusted (elevated risk, bad adaptation), deteriorated (low initial risk, worsening adaptation) and resilient profiles (elevated initial risk, improving adaptation). The latter two clusters reported similar levels of mental toughness at baseline, but resilient adolescents scored significantly higher on mental toughness at follow-up. After controlling for possible confounds, baseline toughness levels predicted depressive symptoms and life satisfaction over time. This study shows that mental toughness operates as a stress resilience resource. Mental toughness is, therefore a topic of interest for health specialists working with adolescent populations.     

A longitudinal study of body dissatisfaction and pubertal timing in an ethnically diverse adolescent sample

In a 7-year study, adolescents’ body dissatisfaction (N = 1370) was examined across four high school years as a function of pubertal development (perceived timing relative to peers and self-reported physical changes measured during Grades 6–10) in the context of the high school transition. Boys and girls who, during early high school, perceived themselves to be late relative to peers were at risk for body dissatisfaction across the high school years. Boys who were late in pubertal development reported more body dissatisfaction in early high school than on-time boys, but then decreased over time. African-American girls reported less body dissatisfaction across the high school years relative to other girls. Asian girls reported more dissatisfaction in early high school than African-American, Latina, and Multiethnic girls, and increased over time. Results highlight the importance of considering late development within context as a risk factor in body dissatisfaction research.     

Emotion dysregulation and adolescent psychopathology: a prospective study

Background

Emotion regulation deficits have been consistently linked to psychopathology in cross-sectional studies. However, the direction of the relationship between emotion regulation and psychopathology is unclear. This study examined the longitudinal and reciprocal relationships between emotion regulation deficits and psychopathology in adolescents.

Methods

Emotion dysregulation and symptomatology (depression, anxiety, aggressive behavior, and eating pathology) were assessed in a large, diverse sample of adolescents (N = 1065) at two time points separated by seven months. Structural equation modeling was used to examine the longitudinal and reciprocal relationships between emotion dysregulation and symptoms of psychopathology.

Results

The three distinct emotion processes examined here (emotional understanding, dysregulated expression of sadness and anger, and ruminative responses to distress) formed a unitary latent emotion dysregulation factor. Emotion dysregulation predicted increases in anxiety symptoms, aggressive behavior, and eating pathology after controlling for baseline symptoms but did not predict depressive symptoms. In contrast, none of the four types of psychopathology predicted increases in emotion dysregulation after controlling for baseline emotion dysregulation.

Conclusions

Emotion dysregulation appears to be an important transdiagnostic factor that increases risk for a wide range of psychopathology outcomes in adolescence. These results suggest targets for preventive interventions during this developmental period of risk.     

A Study of Religiosity and Psychological Well-being Among African Americans: Implications for Counseling and Psychotherapeutic Processes

This study examined whether a relationship exists between religious orientation as a therapy intervention and the degree of depression, coping behavior and self-esteem among African American adults. In addition, the relationship and predictive power of selected religious and socio-demographic variables and religious orientation as a therapy intervention were studied. African American adults were randomly selected to participate in this empirical study. Age had a significant independent effect on intrinsic religiosity and extrinsic religiosity and a linear relationship was found between extrinsic religiosity and the seven demographic predictor variables at the .05 level of significance.     

Internal reflections of an external peace process: A case study

Abstract

This case study records and analyzes how external changes, emanating from the ceasefires in Northern Ireland in 1994, resulted in significant changes within the internal world of a Northern Irish Client     

The relation of modelling and the perception of parental care with adolescent smoking: a cross-sectional study

The smoking of tobacco among adolescents is due to several influential factors, both individual and social. The present study aimed at comparing the effects of different variables on adolescent cigarette smoking, specifically, peer and parent modelling, self-regulatory efficacy, and parental degree of care as perceived by the adolescent. Data were collected by means of a self-report questionnaire administered to a sample of 229 secondary school students aged between 15 and 20 years (mean = 16.69, SD = 1.14). To test the influence of different variables, we performed a binary logistic regression analysis. Results indicated that the father is a key figure in that his care and affection can prevent adolescents from becoming a smoker and his modelling is a risk factor. The significant influence of friends was also confirmed and indicated that peer modelling is a strong predictor of adolescent cigarette smoking. Finally, the results revealed that self-regulatory efficacy is a relevant psychological variable capable of preventing smoking initiation during adolescence.     

The tripartite influence model of body image and eating disturbance: A replication with adolescent girls

The tripartite influence model of body image and eating disturbance is a recent theoretical approach that includes a test of direct (peer, parental, and media factors) and mediational links (internalization of societal appearance standards, appearance comparison processes) as factors potentially leading to body dissatisfaction and eating disturbance. The theory was evaluated in the current study in a sample of 391 adolescent females. A structural equation model that evaluated the tripartite model replicated previous findings reported by Keery, van den Berg and Thompson (2004) [Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the tripartite influence model of body image and eating disturbance in adolescent girls. Body Image: An International Journal of Research, 1, 237–251.]. Additionally, a second model extended these findings, suggesting that peer and media influences are more important than parental influences. The results are discussed in light of the need for prevention programs to incorporate formative influences and mediational processes in the construction of intervention strategies.     

The Anxiety Sensitivity Index for Children: factor structure and relation to panic symptoms in an adolescent sample

This study examines the factor structure underlying the Anxiety Sensitivity Index for Children (ASIC. J Anxiety Disord, 12 (1998) 307) in an adolescent sample. Three-hundred-and-eight adolescents, aged 12 to 18, completed the ASIC and measures of anxiety and depression. Factor analysis of the ASIC items resulted in a two-factor structure that is similar to that reported by Laurent et al. These two factors included a physical concerns dimension and a mental concerns dimension similar to those found in studies of adult anxiety sensitivity. Subscales measuring these two factors demonstrated concurrent validity, showing particularly close associations with measures of panic symptoms. In addition, both of these subscales showed incremental validity in predicting panic symptoms after controlling for the other anxiety sensitivity subscale and a measure of depression. These results provide evidence that the anxiety sensitivity construct is applicable during adolescence and support the use of the ASIC.     

Peer influence and adolescent nonsuicidal self-injury: A theoretical review of mechanisms and moderators

Nonsuicidal self-injury (NSSI) is an increasingly prevalent health risk behavior among adolescents and represents a significant public health concern. Although researchers have identified numerous antecedents or risk factors that precede engagement in NSSI behaviors, few studies have examined the role of peer influence processes. Yet, recent research suggests that adolescents may be more likely to engage in NSSI when close friends or other peers engage in similar behaviors. The following paper reviews past research on peer influence effects, including potential mechanisms and moderating variables. Methodological considerations for future research on peer influence and NSSI are discussed.     

Coming to an end: A case study of an ambiguous process of ending psychotherapy

Aim: When the duration of therapy is not preset and the outcome is a matter for negotiation, the decision to end psychotherapy will be an experiential concern for the two participants. This case study draws attention to how ambiguities may be settled in a process where ending is initiated by the therapist and resisted by the client. Method and analysis: The actual case was strategically selected as exceptional owing to a combination of circumstances. The client and the therapist had developed a ‘good enough’ alliance (WAI) and reached a ‘good enough’ outcome (OQ‐45), and still the client felt she was far from finished. A close inspection of interactional data in sessions together with both clients' and therapists' reflections in post‐therapy interviews elicited information about both substantial content and structural aspects of this complicated process of ending. Findings and discussion: The discrepancy between therapist and client was not addressed, but rather postponed and revisited again later. Structural elements like preparations for a break for vacations and reducing the frequency of sessions were used to test experiential qualities, such as how the client managed life without therapy. Carefully preserving a ‘good enough’ emotional bond through the negotiations seemed important to both parties. Significantly, the client's autonomy was interpreted as the final proof of improvement and the client came to a point where she could affirm that she had got better only by accepting that treatment was coming to an end.     

Pluralistic approaches to the study of process and outcome in psychoanalysis. The LAC depression study: a case in point

Approaching process and outcome in psychoanalysis is a topic that touches on ambitious and complex epistemological and methodological issues. As discussed in the first part of the paper, in keeping with challenging epistemic considerations, it would seem appropriate to describe the specificity of psychoanalysis as a specific scientific discipline of the unconscious (spezifische Wissenschaft des Unbewussten, see LIT). Psychoanalysis, over its more than 100-year history, evolved a range of highly advanced research methods for investigating the specific object of its research, namely unconscious conflicts and fantasies. Hence, like many other scientific disciplines, contemporary psychoanalysis comprises a plurality of theories, methods of clinical treatments as well as a plurality of research topics. This position is discussed with reference to a model illustrating different forms of clinical and extra-clinical research in psychoanalysis. A major, ongoing comparative study of outcomes of psychoanalytical and cognitive behavioural, long-term treatments of chronically depressed patients, the so-called LAC-study, serves to illustrate the richness of contemporary research in psychoanalysis.     

Body image concern among Australian adolescent girls: The role of body comparisons with models and peers

This study investigated the potential mediating roles of body comparisons with peers and models in the relationship between the internalization of thinness norms and body image concern. A total of 224 Western Australian girls aged 14–15 completed questionnaires assessing their endorsement of thinness norms, body image concerns, and frequency of body comparisons with peers and with models. Both targets of body comparisons were found to significantly mediate the relationship between the endorsement of thinness norms and body image concern, with body comparison with peers a stronger mediator than comparison with models. These findings show that body comparison with peers, in particular, plays a significant role in the experience of body image concerns among adolescent girls, and should be given a higher profile in programs designed to prevent or reduce body image concern.     

Life Design Career Counselling with an Abandoned Adolescent: A Case Study

This article describes the value of life design counselling with an abandoned adolescent female. The participant was selected purposively from among a group of abandoned adolescent females who had expressed a need for career counselling. The life intervention comprised two 90-minute sessions per week over a period of a month. Life design data included collage, family constellation, life line, career style interview, asset map and life chapters. Following the intervention, the participant demonstrated career adaptability and an eagerness to take an active part in her evolving life story. Life design counselling has potential to meet the career counselling needs of children with neglect and abandonment experience.     

A longitudinal study into the link between adolescent personality and peer-rated likeability and adjustment: Evidence of gender differences

We explored the possibility that male and female adolescents respond differently to the personality traits of their male and female peers. Students (381 boys; 389 girls) completed personality measures in Grades 7 (Mean age 12.28) through 10, and completed peer-ratings of adjustment and likeability in Grades 9 and 10. Analyses indicated that girls’ adjustment ratings were influenced by boys’ level of agreeableness, conscientiousness, and Eysenckian psychoticism, whereas boys’ ratings were relatively uninfluenced by these characteristics in girls. Girls and boys liked extraversion in the opposite-gender more than they liked it in the same gender. We discuss the implications of these findings for understanding peer relationships and gender differences.