Effects of a Motivational Interviewing–Based Counseling Program on Classroom Behavior of Children in a Disciplinary Alternative Education Program

A multiple single‐case research design was used to explore changes in teacher‐reported behaviors of 15 children who completed a motivational interviewing–based counseling program in a disciplinary alternative education school. Findings indicated that 7 children made a moderate to large improvement in their classroom behaviors while participating in the program. Students’ self‐motivational statements and self‐reported readiness to change were related to actual teacher‐rated behavioral changes. Implications for future research and counseling practice were discussed.     

Evaluation of counseling outcomes at a university counseling center: the impact of clinically significant change on problem resolution and academic functioning

The main purpose of this study was to investigate how receiving personal counseling at a university counseling center helps students deal with their personal problems and facilitates academic functioning. To that end, this study used both clinical and academic outcome measures that are relevant to the practice of counseling provided at a counseling center and its unique function in an institution of higher education. In addition, this study used the clinical significance methodology (N. S. Jacobson & P. Truax, 1991) that takes into account clients' differences in making clinically reliable and significant change. Pre-intake and post-termination surveys, including the Outcome Questionnaire (M. J. Lambert, K. Lunnen, V. Umphress, N. Hansen, & G. Burlingame, 1994), were completed by 78 clients, and the responses were analyzed using clinical significance methodology. The results revealed that those who made clinically reliable and significant change (i.e., the recovered group) reported the highest level of improvement in academic commitment to their educational goals and problem resolution, compared with those who did not make clinically significant change. The implications of the findings on practice for counseling at university counseling centers and for administrators in higher education institutions are discussed.     

The Physical Environment and Counseling: A Review of Theory and Research

This article provides a review of published, counseling‐relevant literature on the physical environment, with a focus on physical elements that may enhance or detract from the counseling process. Specifically, it describes environmental variables that are relevant to counseling, providing examples of their practical importance, and in several cases describes possible application to counseling settings. Finally, this article identifies research implications and proposes a 3‐part future research agenda.     

N=1: An alternative research strategy for school psychologists

Single subject (N=1) research strategies deserve increased emphasis in the training of school psychologists. Single subject methodology has demonstrated credibility in research and in monitoring effects of professional interventions, but school psychology programs have typically not provided systematic training in this area. This paper suggests that N=1 research paradigms offer a promising supplement and, in some cases, an alternative to traditional large N between group strategies in school-based research; it reviews some examples of N=1 research design and methodology; it discusses some advantages and limitations of N=1 research strategies; and it argues that school psychology training programs must train graduate students in N=1 research and encourage this form of research methodology in practice.     

Systemically-Based Psychotherapeutic Techniques in Genetic Counseling

The uses of systemically-based psychotherapeutic methods in genetic counseling are discussed in the context of the origin of genetic counseling, the definition of genetic counseling, and the adjustments that one must make in order to implement these methods. Selected systemic methods which can be readily incorporated into genetic counseling are presented: use of genograms to explore family attitudes and beliefs about genetic risk, communications skills, and applications of family of origin work in genetic counseling. The need for research regarding the methodology and process of genetic counseling is presented with discussion of the need for theories of practice for genetic counseling.     

addressing career issues online: perceptions of counselor education professionals

The Internet is the latest arena in which counseling services are available for a variety of issues. This study surveyed counselor education professionals about their perceptions regarding the use of online counseling to address various mental health issues including career counseling. It also examined their perceptions about 3 formats of online counseling: e‐mail, text‐based chat, and videoconferencing. Results indicated that counselor education professionals were open to the use of online counseling to address career issues. The implications for the practice of online career counseling and for the training of counselors are discussed.     

Student Spirituality and School Counseling: Issues,Opportunities, and Challenges

In this article, the professional school counseling community is introduced to the value of addressing student spirituality as a way to foster personal and social growth. Prior to discussing the robust theoretical and research foundation for this endeavor, 3 workable definitional strands of spirituality are summarized and applied to educational settings. Strategies for transitioning from the conceptual to school practice are explored, including the key issues related to legal and ethical practice and school counselor education and training. Finally, recommendations for future school counseling research in this area are briefly examined.     

Using behavioral skills training with preservice teachers in the university classroom

Preservice and novice teachers often identify behavior management as an area of weakness that they attribute to a lack of sufficient instruction during their teacher preparation. Behavioral skills training (BST) is an evidence‐based teaching methodology based on the principles of applied behavior analysis used to teach new skills. This study investigated the use of BST in the university setting to teach undergraduate preservice teachers enrolled in a field‐based special education course to implement a token economy during small group instruction with children. A single‐case research design was used to assess the effectiveness of using BST by evaluating accuracy of implementation before and after BST. Results showed BST was an effective teaching procedure and social validity measures collected from the preservice teachers indicated BST was acceptable to all participants. Limitations and needs for future research are discussed.     

Play Therapy in a Natural Setting: A Case Example

Play therapy is commonly used when working with children in counseling. Play therapists work at a developmentally appropriate level to assist children with a variety of mental health and behavioral concerns. Traditionally, play therapy and many counseling methods occur in office settings. We propose that play therapists and other mental health professionals working with children integrate nature and natural settings into their work. The use of nature has been shown to be effective in helping people cope with mental health and physical ailments. In this article, we explore the benefits of the use of nature in mental health and provide a case example of the use of nature and natural settings in counseling.     

Evidence‐Based Effective Practices With Older Adults

Older persons constitute an increasingly large population with significant mental health challenges. The authors review outcome research for both diagnosable conditions and late‐life transitions as a basis for evidence‐based practice with this population. Implications for clinical practice in professional counseling, counselor education and supervision, and research are considered.     

Intervention Studies on Forgiveness: A Meta‐Analysis

In this meta‐analysis, 9 published studies (N = 330) that investigated the efficacy of forgiveness interventions within counseling were examined. After a review of theories of forgiveness, it was discovered that the studies could logically be grouped into 3 categories: decision‐based, process‐based group, and process‐based individual interventions. When compared with control groups, for measures of forgiveness and other emotional health measures, the decision‐based interventions showed no effect, the process‐based group interventions showed significant effects, and the process‐based individual interventions showed large effects. Consequently, effectiveness has been shown for use of forgiveness in clinical and other settings.     

心理咨询中的非言语行为

非言语行为一般指不包含语言内容的人际交流行为。心理咨询作为人际沟通的一门艺术,非常强调非言语行为的重要性。已有研究发现心理咨询中的非言语行为在咨询师和当事人的互动中对咨询有促进作用,同时咨询师不当的非言语行为也会阻碍心理咨询。总结前人研究发现心理咨询中非言语行为的研究现状存在实证研究不足、孤立于咨询进程进行研究等问题,并且研究方法较为单一。如果要突破目前的研究瓶颈,需要借鉴其他领域的研究方法。     

Client Accounts of Hope in Early Counseling Sessions: A Qualitative Study

Hope enables individuals to envision a future in which they wish to participate ( Jevne, 1994 ) and is foundational to counseling practice. However, there has been little research examining client accounts of hope in session. Using basic interpretive inquiry, this case study examines clients' accounts of hope during counseling using video‐assisted recall. Three categories emerged: hope‐fostering counseling relationship, supportive identity development, and perspective change. Implications for counseling are discussed.     

Personalizing Behavioral Interventions Through Single‐Patient (N‐of‐1) Trials

Behavioral interventions are typically studied with the use of a conventional between‐subject randomized controlled trial (RCT) design. In this design, the effect of an intervention on one group of patients is compared with the effect of a control condition on another group of patients, such that a between‐subject change is tested. A between‐subject design has an underlying assumption that there is a homogenous treatment effect for a behavioral intervention, drug, or psychotherapy and that the way the intervention operates in the study will tend to operate in the same way in many other patients. We review some of the philosophical and practical problems with the use of this design when a clinician is attempting to decide on a course of behavioral treatment aimed at within‐subject change in patients who are likely to have heterogeneous or unique responses to behavioral treatment. We also review the biases inherent in our current clinical practice model, which does not use any empirical data collection or design for testing if a treatment is useful, and also in the conventional between‐subject personalized medicine RCT designs. We propose increased use of single‐patient (also known as N‐of‐1) trials that employ within‐subject designs, in cases where treatment response is heterogeneous – as is the case for most psychological and behavioral treatments. Limitations of such designs include that they can only be used when the treatment is potentially reversible, the patient can act as their own control, and the outcome can be measured repeatedly. Increased use of within‐subject trials may address in many more instances the more clinically relevant question of how a specific patient will respond to a specific treatment and could introduce a more harmonious scientific approach into the way we treat our patients. We have incorporated a case presentation that illustrates the complexities of applying evidence drawn from these different designs to selecting and evaluating treatments for the behavioral issues commonly faced by clinicians and patients.     

Using movies in pastoral counseling

This article uses a case study of a bereaved woman to illustrate the potential benefits of using movies as an adjunctive therapy in pastoral counseling. The article also references the literature on bibliotherapy and cinematherapy while summarizing relevant findings from studies for the use of movies in clinical practice. This article offers both suggestions and cautions for practitioners. At this time, research suggests that a considered therapeutic use of movies can be beneficial for personal growth.     

Crafting usable knowledge

Current emphasis on evaluating interventions does not address the problems of dissemination and utilization of these interventions, particularly in complex settings such as schools. Research on interventions is of value, but its generalizability to specific contexts is limited. Further, little is known about actual use of empirically supported interventions in practice settings. These concerns suggest the following: (a) There is a need to examine the dissemination process, including practitioner education and the development of a consumer information mindset by researchers; (b) guidance about selecting interventions would benefit from a systematic problem-solving orientation; and (c) research training and methodology need to be augmented with strategies and techniques suitable for developing an empirical approach to practice. These issues are addressed with specific examples drawn from school-based practice.     

SHORES: A Practical Mnemonic for Suicide Protective Factors

Guidelines for addressing and managing client suicide risk include discussing and conceptualizing protective factors. Counselors should be able to recall and discuss suicide protective factors that are applicable across client populations. SHORES, a suicide protective factors mnemonic that is supported by the literature, has applications for risk assessment and crisis intervention across settings, preventative care, strengths‐based management, and counselor training. A case example and discussion serve to illustrate the wide‐ranging application of SHORES in counseling practice.     

Developing clinical effectiveness in psychotherapy training: Action research

This study is an evaluation of a new approach to clinical training in Transactional Analysis using the methodology of action research. The evaluation focuses on the second year of training and placement‐based clinical practice at the Metanoia Institute, UK. The design of the training year was research‐based and used the concept of an ‘internship’ year. The design aimed to close the gaps between clinical practice, supervision and formal training; facilitate translation of theory into practice; and integrate findings from the ‘common factors’ research into effectiveness of psychotherapy. Training and supervision methods were linked and focused on emerging issues in clinical practice and the development of students’ capacity for critical reflection and a research attitude to practice. The evaluation was a naturalistic study which used quantitative and qualitative methodology within the action research framework to reflect on the impact of the training on the participants, the organisation and the clinical practice. The quantitative outcomes show that the project developed the effectiveness of students’ clinical practice and reflexivity. Qualitative analysis gives insight into the experiences of the participants and the emotional impact of the research process.     

A Cross‐Cultural Exploration of Perceptions of Altruism of Counselors‐in‐Training

This study explored altruistic development as perceived by counselors‐in‐training from diverse cultures. Twenty‐two counselors‐in‐training from 4 countries participated in semistructured interviews about altruism. Using consensual qualitative research methodology, the authors identified 6 domains: biological, cognitive, social learning, religious/spiritual, counseling, and empathy. Findings and implications for counselor education are discussed.