The Client's Theory of Change: Consulting the Client in the Integrative Process

This article casts a critical eye upon the integration literature and asserts that, as in psychotherapy in general, the client has been woefully left out of the therapeutic process. An alternative that privileges the client's voice as the source of wisdom and solution is presented. It is proposed that conducting therapy within the context of the client's own theory of change offers ways of integrating multiple therapy perspectives. An argument is made for not only recasting the client as the star of the drama of therapy, but also giving the heroic client directorial control of the action as it unfolds.     

Helping Clients Move Toward Constructive Change: A Three-Phase Integrated Counseling Model

This article presents a 3-phase integrated counseling model that draws from object relations and attachment theory for assessment and uses cognitive behavioral techniques to promote constructive client change. A case vignette is presented to illustrate implementation of the model.     

Fostering Client Creativity in Family Therapy: A Process Research Study

Creativity has been shown to enhance problem solving, and to increase flexibility and adaptability—qualities associated with positive therapeutic outcomes. Literature related to therapist and/or client creativity is primarily anecdotal. Empirical literature addressing how therapists can facilitate the creativity of their clients in family therapy is scarce. In this study, the researchers used process methodology to code the behavior of therapists and clients in 31 videotaped family therapy sessions. Results show a significant positive correlation between interventions that induce positive affect and the creative client behaviors of optimism and playfulness.     

Helping Mom Fail: A Case of a Stalemated Divorcing Process

This article describes a systems approach to the problem of a child who had become symptomatic as a result of her parents' separation. Elements of the divorcing process that can create a symptomatic child are highlighted. Family members cope with separation and divorce by devising strategies for navigating the divorcing process. These strategies can mesh to create dysfunctional sequences in which family members get “stuck.” Case material illustrates the development of a stalemated divorcing process, in which a dysfunctional sequence keeps the child uncontrollable and mother incompetent. Family therapy breaks the stalemate and allows family members to proceed with appropriate developmental tasks.     

Counselors' Models of Helping: Addressing the Needs of the Culturally Different Client in School Settings

This study examined the attributions made by school counselors about responsibility for the causes of and solutions to students' problems. A total of 433 school counselors completed an instrument measuring attributions of responsibility and controllability of student problems. The hypothesis was supported that school counselors' attribution styles differ according to counselor ethnicity. Este estudio examinó las atribuciones hechas por consejeros de escuela acerca de responsabilidad para las causas de y de las soluciones a los problemas de los estudiantes. Un suma de 433 consejeros de la escuela completó un instrumento que mide atribuciones de responsabilidad y la habilidad de controlar los problemas de los estudiantes. La hipótesis se sostuvo que los estilos de atribución de los consejeros de escuela se difieren según el origin étnico del consejero.     

Helping Teams to Help Themselves: Comparing two Team‐Led Debriefing Methods

Team‐based structures have become more widely used in organizations. Therefore, it is important for team members to perform well in their current team and to build skills and enthusiasm for working on future teams. This study examined team debriefing, an intervention in which team members reflect on recent experiences to prepare for subsequent tasks. Prior researchers have shown that facilitated team debriefs work, but they have not examined how to enable teams to conduct their own debriefs or studied how debriefs affect individual level outcomes. Therefore, we compared 2 team‐led debriefing techniques: (a) an unguided debrief and (b) a guided debrief designed to incorporate lessons learned from prior debriefs. We collected data from 174 business students who were members of 35 teams from 9 sections of a Strategic Management course. Class sections were randomly assigned to one of the debriefing conditions, and teams completed 4 business cases over 10 weeks. A multilevel design was employed and a multistage model building approach was used to test the hypotheses using hierarchical linear modeling techniques. Results of this cluster randomized, quasi‐experimental design suggest that the team‐led guided debrief intervention resulted in superior team processes as compared to the unguided debriefing method. Team processes, in turn, related significantly to greater team performance and increased individual readiness for teamwork and enthusiasm for teaming. Implications for future research and practice are discussed.     

UMaps: A Person—Environment Approach to Helping Students Make Critical Choices

UMaps organize campus opportunities into meaningful subenvironments, making options more attractive and accessible to students in order to increase their participation.     

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。     

The Cosmetic Effect: The Impact of Office Environment on the Client

To increase counselor awareness of factors outside of the direct counselor-client dialogue that can affect client growth, the author discusses the impact of seven contextual variables related to office environment and gives suggestions for improving the counseling process.     

Client Uncertainty and the Process of Change in Psychotherapy: The Impact of Individual Differences in Self-concept Clarity and Intolerance of Uncertainty

We describe a number of ways in which two major components of client uncertainty, namely, self-concept clarity and intolerance of uncertainty may either facilitate or impede change in psychotherapy. Clients with low self-concept clarity find it much more difficult to clearly identify and understand their problematic thoughts, emotions, and behaviors; thus slowing down their progress through the various stages identified in Prochaska’s model of psychotherapeutic change. To illustrate, they may engage in much more contemplation prior to action, as they struggle to increase their awareness and insight. Clients with high intolerance of uncertainty experience substantial discomfort when faced with uncertainty, causing them to be highly motivated to avoid or minimize any aspects of psychotherapy that focus on change. This may cause them to avoid confronting their problems during the action stage of therapy. We further suggest that it would be beneficial to assess these two components of client uncertainty very early on in the therapeutic process, in order to facilitate a given client’s progress. Finally, we indicate a need for much more research that explores the role of these two individual difference constructs during therapy. This might include, for example, studies that directly examine how self-concept clarity and intolerance of uncertainty may relate to progress through each stage of change, or the selective use of avoidance strategies. Authorship of this paper is equal. A special thanks to Joan Olinger for her many helpful comments on this paper. This paper won the 2007 Wilfred Quaytman Award for Innovations in Psychotherapy, jointly sponsored by the Long Island Consultation Center and International Scientific Comminucations, Inc. to commemorate the spirit and dedication of Dr. Wil Quaytman, psychologist, psychotherapist, and founding editor of the Journal of Contemporary Psychotherapy.     

With a Little Help From My Friends: Bystander Context and Children's Attitude Toward Peer Helping

This experimental vignette study examined children's perceptions and evaluations of helping a peer, in the context of friendships and in the presence of by-standing peers. A total of 1246 children (8 to 12 years) reported their attitude toward helping when either friends of the helper, friends of the recipient of help, or no bystanders were present. In agreement with the competitive altruism model, children most strongly endorsed helping when friends of the helper were present compared to the other two situations. This indicates that children take reputation concerns into account when evaluating helping situations. However, in contrast to lower prosocial children, the evaluations of higher prosocial children were not influenced by the presence of by-standing peers. These children seemed to base their evaluation on increasing the recipient's welfare and less on reputation concerns of the helper.     

Client Assessment Issues: A Perspective

A review of client assessment issues is presented within the context of pro- and anti-assessment influences. Shortcomings are identified in both formulations, particularly in the failure of their proponents to take full cognizance of the complex intertwining of scientific and philosophic components in assessment. A multivariate research paradigm is posited. Implications of the presented conceptualization for counseling practice are discussed.     

The Others Will Help: The Presence of Multiple Video Game Characters Reduces Helping After the Game Is Over

The bystander effect refers to the phenomenon that individuals are less likely to help if there are potential other helpers present. For instance, past research revealed that participants were less likely to help computer-controlled characters if there were other computer-controlled characters present. Research has also shown that the bystander effect occurs if the presence of others is merely imagined. The present research examined the idea that the presence of multiple characters within a video game reduces the player's helping behavior even after the video game is over. In fact, participants who played a video game with multiple characters present were less likely to devote time to assisting in a future study than participants who had played the same video game with only a single character present.