The Influence of Counselor Trainee Anger-Proneness and Anger Discomfort on Reactions to an Angry Client

In this study the authors explored the relationship between counselor trainee anger-proneness and anger discomfort and trainees' reactions to an angry client. A total of 38 of trainees viewed and gave their reactions to a videotape of an angry client-actress. There were two dependent variables in the study: discomfort with and anger toward the client. Trainee anger-proneness and anger discomfort scores were positively and significantly related to discomfort with and anger toward the client. Implications for future research and training are discussed.     

Counselor Trainees' Self-Statement Responses to Sexually and Physically Abused Clients,and Client Role Conflict

Because sexual abuse issues present a threat to counselor trainees, the authors predicted that trainees who expected to counsel a sexually abused client would respond with an increase in anxiety and negative self-statements. A total of 63 female trainees were assessed after viewing a videotape of a client reporting sexual abuse, physical abuse, or role conflict. Results indicated that, counter to predictions, the trainees who expected to counsel the sexually abused client increased their positive self-statements. Schwartz's (1986) States-of-Mind model was applied to the self-statement ratios, and, according to the model, trainees were unrealistically optimistic with respect to their counseling.     

What Client Behaviors Make Counselors Angry? An Exploratory Study

Counselors may feel anger when clients do not behave according to their expectations of what is a good client. Client resistance, client impositions, verbal attacks on the counselor, and overinvolvement by the counselor in client dynamics seem to be relatively common occurrences that annoy counselors. Possible counselor responses to these feelings are discussed.     

“Meeting Someone at the Edge”: Counselors’ Experiences of Interpersonal Stress

Using consensual qualitative research, the authors explored the factors that contribute to counselors’ experiences of interpersonal stress and how counselors respond to interpersonal stressors within therapeutic settings. Thirteen professional counselors representing a variety of counseling contexts and settings participated in semistructured interviews. Through consensus building, the authors identified 4 domains within the data: client characteristics, relationship dynamics, counselor response, and personal vs. professional self. The findings suggest that client characteristics and relationship dynamics are catalysts to counselor interpersonal stress responses, which shape their conscious awareness of the experience. Implications for clinical practice, clinical supervision, and counselor wellness are discussed.     

The Soul of Supervision: Counselor Spirituality

Because spirituality training for counselors and supervisors is vital to counselor development, the authors examined the relationships between purpose in life, the integration of spirituality into supervision, and the supervisory working alliance among a sample of supervisors and trainees. Supervisors reported a greater sense of purpose and spiritual discussion during supervision than trainees. Trainees' personal sense of purpose was positively related to spiritual discussions with a supervisor and to an emphasis on client issues in supervision.     

A study of engagement and premature termination in a university counseling center

Differences between engaged (clients seen for at least two counseling sessions) and nonengaged clients, and between post-engaged premature terminators and clients who terminated with counselor knowledge at a university counseling center were investigated. Five practicum trainees, four professional counselors, and 308 college student clients participated. Professionals had higher rates of engagement and lower rates of premature termination than trainees. Engagement was positively associated with understanding and teaching the client and with longer intake interviews. Premature termination was associated with counselor attractiveness, expertness, and trustworthiness. These characteristics related to premature termination in opposite directions for professional and practicum counselors. Results are discussed in terms of possible different mechanisms operating at the beginning and end of counseling.     

The Role of Epistemic Style in Counseling Preference and Orientation

Recent work has suggested that philosophical commitments play a part in directing preferences for different types of counseling, and in this article the authors extend that work with a series of four studies. Study 1 provides partial support for the relationship between epistemic commitments (rational, empirical, or metaphorical) and preferences for particular types of counseling (behavioral, rational emotive, constructivist). Studies 2 and 3 extend these findings by noting differences in how individuals gather, process, and respond to self-relevant feedback as a result of epistemic style. Finally, Study 4 provides tentative support for the possibility that counselor trainees gravitate toward preferring counseling theories that are consistent with their own epistemic orientations. Implications and limitations of these findings are discussed.     

Client Outcomes Across Counselor Training Level Within a Multitiered Supervision Model

The authors examined client outcome data to evaluate treatment effectiveness across counselor training level. They used a multitiered supervision model consisting of professional staff, interns, and practicum students. Clients (N = 264) demonstrated significant improvement with no significant outcome differences between professional staff and supervised trainees. Limitations and future directions are discussed.     

A Preliminary Longitudinal Study of Multicultural Competence in Counselor Education

The purpose of this study was to investigate longitudinal changes in master’s-level counselor trainees’ (N = 78) self-perceptions of their multicultural counseling competence over the course of their counseling program. Multilevel modeling results indicated an increase in scores across 3 time points. The authors discuss study limitations and how counselors and counselor educators can incorporate the study’s findings into their practice and into the education and supervision of counselor trainees.     

Conceptual level and therapeutic responsiveness among counselor trainees

This study examined the relationship between conceptual level (CL) and therapeutic responsiveness (TR) among counselor trainees. It was hypothesized that trainees with high CL’s would be more able to formulate clinical impressions, be aware of their affective states, and make more effective verbal explorations to challenging and provocative client statements than their low CL counterparts. Additionally, it was hypothesized that empathy (EU) could be predicted from TR. Sixty-nine trainees from two master’s level counseling programs were assessed for CL (using the “This I Believe” Test) and for TR (using the Therapeutic Response Measure), and empathy (using the Emphathic Understanding Scale). Consistent with the literature the high CL participants functioned better as counselors on the TR task, although contrary to prediction, neither the high nor the low CL groups functioned well on this task. Significant differences between high CL and low CL’s were found for: awareness of affect p<.05; ability to respond effectively p<.01, and for overall TR, p<.001. Findings support the hypothesis that there is a relationship between CL and TR, and that TR is a predictor of empathic responding p<.05.     

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.     

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.     

Career counseling meets motivational interviewing: A sequential analysis of dynamic counselor–client interactions

Motivational Interviewing (MI) is a client-centered communication style with the aim to resolve client ambivalence within a change-related counseling. Its potential benefit for career counseling has been discussed by several scholars but no empirical research has investigated MI in this context so far. The current study used process measures from MI to investigate dynamic interactions within a career counseling intervention. Overall, we analyzed two videotaped sessions of 14 unique counselor–client dyads. Verbal behavior of counselors and clients were coded with two observational coding schemes from MI (one for counselors and one for clients, respectively). Behavior profiles of counselors were compared with benchmarks of good MI. Furthermore, client verbal ambivalence was compared between sessions. Finally, we conducted lag sequential analyses to analyze temporal dynamics between counselor behavior and immediate client verbal responses across N = 6883 behavioral events. Our results showed, first, behavior profiles of career counselors did significantly differ from recommended counseling benchmarks of good MI practice. Second, as assumed on the basis of past studies, client ambivalence decreased across sessions. Third, MI consistent counselor behaviors showed a positive sequential association with client positive career talk, whereas MI inconsistent counselor behaviors showed the reverse pattern. Our results suggest that counseling behaviors recommended from MI are facilitating career interventions. We discuss how trainings in MI could amend career counseling interventions and provide ethical implications when integrating MI into career counseling programs.     

Client Adherence to Asian Cultural Values,Common Factors in Counseling,and Session Outcome With Asian American Clients at a University Counseling Center

Based on data from 61 Asian American clients at a university counseling center, the study found that client‐perceived match on client‐counselor belief about problem etiology was related to counselor credibility, empathy, and cross‐cultural competence; the client‐counselor working alliance; session depth; and the likelihood of the client recommending the counselor to another client. An interaction effect showed that both strong match on belief about problem etiology and high client expectation for counseling success were associated with strong client‐counselor working alliance.     

Improvisation as a Meta-Counseling Skill

Counselor education tends to see the development of basic counseling and communication skills as the foundation of clinical training. Improvisation has historically and primarily been connected to theater training and as a performance mechanism. By developing skills in spontaneity and the nature of narrative (or story) one becomes more able to be in-the-moment with a client or clients and thus less anxious and more able to meet the client where they are. As such, improvisation can really be seen as a meta-counseling skill—a skill that can form a firmer foundation for the learning of the basic counseling and communication micro-skills. This article outlines the core concepts of improvisational training for counselors and includes examples of improvisational games that can specifically help in preparing counselor trainees for their future clinical work.     

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。     

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.     

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.     

Suicide: Dynamics and Implications for Counseling

‘The authors discuss the dynamics of suicide, how to work with a potentially suicidal client in the counseling relationship, and legal and ethical implications for the counselor.