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.     

首次咨询中心理咨询师的言语反应类型

本研究旨在探索心理咨询师在首次咨询中言语反应类型。研究选择4位在高校从事心理咨询的咨询师作为研究对象,对首次咨询录像进行文本分析。结果：咨询师在首次咨询中的言语反应类型按反应功能和效果分为设置性反应、倾听性反应、跟进性反应和影响性反应;4种反应类型共由25种子类别组成;不同咨询师在首次咨询中均使用了4种反应类型。结论：持续使用倾听性反应有利于后续咨询的维持;影响性反应的过度使用导致首次咨询后来访者易脱落。     

The Effect of Honduran Counseling Practices on the North American Counseling Profession: The Power of Poverty

A team of researchers consisting of counselor education professors and doctoral‐level counseling students conducted interviews with Honduran mental health professionals, including counselors, psychologists, pastors, community developmental specialists, and psychiatrists. The purpose was to understand the counseling process and profession that exists in a developing economy. The results are focused on the pervasive effects of poverty on the profession, the training of counselors, and the nature of counseling interventions.     

Counseling Persons With Disabilities: Are the Feelings,Thoughts, and Behaviors of Helping Professionals Helpful?

Seven counseling “syndromes,” with illustrative vignettes, focus on some of the feelings, thoughts, and consequent verbal and nonverbal behaviors of counselors working with physically disabled clients. Nathanson urges counselors and other helping professionals to become aware of their feelings and thoughts, and to monitor their interactions with disabled clients so that existing beliefs and biases will not interfere with positive client growth.     

Psychosocial Development and Black Male Masculinity: Implications for Counseling Economically Disadvantaged African American Male Adolescents

Few articles exist on issues related to counseling African American male adolescents. This article examines developmental and sex role factors and their importance for counseling interventions and the counselor-client relationship. Implications are drawn for counselors desiring to improve their abilities to assist this population.     

Counseling Ethnic Children and Youth From an Adlerian Perspective

The authors discuss how Adler's Individual Psychology model offers professional counselors, especially school counselors, valuable insights in the counseling of ethnic children and youths. An overview of Adlerian concepts is presented, and the relevance is discussed. Applicable strategies and interventions are presented with pertinent examples.     

The Convergence of Counseling and Psychiatric Genetics: An Essential Role for Counselors

Research in psychiatric genetics shows that many mental disorders commonly seen by counselors are associated with the presence of specific genes. Although findings in gene research call for some changes in the way counselors approach intervention, in most cases, the importance of the counseling profession's core commitments is underscored. This article introduces the field of psychiatric genetics, clarifies the importance of counseling interventions in gene‐associated mental disorder, and highlights practice questions stimulated by growing knowledge in pychiatric genetics.     

The Effect of Client Demeanor Upon the Verbal Responses of School Counselors

In a study of counselor verbal behavior as a function of client stimulus input, a counseling paradigm was employed using 4 client-actors and 30 counselors. Independent variables were hostile or friendly client behavior, amount of counseling experience, counselor sex and client sex. The dependent variable of counselor verbal behavior was measured by a revision of the Bales Interaction Process Analysis Categories. Analysis of variance led to the finding that all of the independent variables had a statistically significant effect upon the counselors' verbal responses, but the number of response categories affected varied from 1 to 7 depending on the variable involved. Significant interaction effects were also found. From the data, it was concluded that client demeanor and client sex significantly influenced counselors' verbal responses, but counselor experience and counselor sex were relatively unimportant in their effect upon the counselors' behavior.     

A Model of Stress and Counseling Interventions

Current popular interest in stress and its effects on physical and psychological functioning has implications for counselors and clients. Although many counselors have not been trained in the physiological and medical aspects of stress, they do have skills that can be appropriately applied to the alleviation and modification of environmental and internal sources of stress. This article describes a model to aid counselors in understanding stress and in designing and implementing counseling interventions to mediate its effects.     

Counseling Transgendered,Transsexual, and Gender‐Variant Clients

The emergent consciousness and political activism within the transgender community has important implications for the field of counseling. In the current paradigm, the focus has shifted from using surgical and hormonal interventions and thereby enabling transgendered persons to “pass” within the traditional gender binary of society to affirming the unique identities of transgendered persons. To prepare counselors, counselor educators, and counseling supervisors for this important challenge, the authors describe the evolving nature of the transgender community, discuss mental health issues and counseling interventions for use with transgendered clients, and present a case study detailing the progression of counseling with 1 transgendered client.     

Stress Counseling Theory and Practice: A Cautionary Review

In this era of growing emphasis on professional and financial accountability, stress counseling remains vague and imprecise. This article grounds stress counseling in responsible clinical methodology through reexamining and organizing the durable empirical literature to help counselors develop credible and effective interventions. A flowchart schema incorporating primary stress coping modalities of environment, cognitions, emotions, and personal life philosophy is presented to systematize intervention efforts to maximize efficient stress counseling services.     

A Comparison of Verbal Response Modes Used by Master's-Level Career Counselors and Other Helpers

The verbal response modes of 4 master's-level career counselors, each in middle sessions of career counseling with 2 adult clients, were categorized and compared with those of other types of helpers. Career counselors primarily used information, direct guidance, paraphrase, and closed question. In comparison with data presented in Hill, Thames, and Rardin (1979) Toro (1986) and Levy (1989) career counselors were most similar to Albert Ellis, mental health professionals, psychologists on radio talk shows, and family practice lawyers in that all frequently used information and direct guidance. They were most dissimilar to Carl Rogers, who used more paraphrase, interpretation, and confrontation.     

Religiosity,Gender, and Preferences for Religious Interventions in Counseling: A Preliminary Study

The authors sought to determine whether relationships existed between religiosity, gender, and preferences for a counselor's use of religious interventions in counseling. First, it was hypothesized that students with high religiosity would express stronger preferences for a counselor's use of religious interventions than would students with low religiosity. Second, it was hypothesized that women would express stronger preferences for religious interventions in counseling than would men. Results supported both hypotheses, and the findings may have important implications for counselors working with clients who indicate adherence to religious views or faith.     

Mediation: An Intervention Strategy for Counselors

Conflict resolution is a rapidly expanding field, one in which counselors need to be more knowledgeable. An overview of conflict resolution and mediation concepts is presented with a comparison to therapeutic counseling interventions. Applications are provided for various areas such as family mediation, community disputes, and mediation in public education. Implications for counseling and the role of the counselor are discussed.     

The Ethics of Prayer in Counseling

Spirituality has become increasingly important in counseling, with prayer being the spiritual intervention of choice for Christian counselors. The controversial nature of including prayer in counseling requires careful consideration of ethical issues. This article addresses the intersection of spiritual interventions, particularly prayer, with client welfare, multicultural sensitivity, values, and countertransference. The authors consider the ethical mandates, articulate concerns, and make recommendations.     

Gestalt therapy interventions for group counseling

Much interest has been focused on Gestalt therapy in recent years. Many counselors, however, are unfamiliar with this style of therapeutic intervention. The author offers a brief introduction to some of the basic tenets of Gestalt therapy, noting goals that are similar to those in counseling theories. He also suggests several interventions from Gestalt therapy to be considered for group counseling and discusses their applications.     

A Comparison of Telephone Genetic Counseling and In-Person Genetic Counseling from the Genetic Counselor’s Perspective

Growing demand for and limited geographic access to genetic counseling services is increasing the need for alternative service delivery models (SDM) like telephone genetic counseling (TGC). Little research has been done on genetic counselors’ perspectives of the practice of TGC. We created an anonymous online survey to assess whether telephone genetic counselors believed the tasks identified in the ABGC (American Board of Genetic Counseling) Practice Analysis were performed similarly or differently in TGC compared to in person genetic counseling (IPGC). If there were differences noted, we sought to determine the nature of the differences and if additional training might be needed to address them. Eighty eight genetic counselors with experience in TGC completed some or all of the survey. Respondents identified differences in 13 (14.8 %) of the 88 tasks studied. The tasks identified as most different in TGC were: “establishing rapport through verbal and nonverbal interactions” (60.2 %; 50/83 respondents identified the task as different), “recognizing factors affecting the counseling interaction” (47.8 %; 32/67), “assessing client/family emotions, support, etc.” (40.1 %; 27/66) and “educating clients about basic genetic concepts” (35.6 %; 26/73). A slight majority (53.8 %; 35/65) felt additional training was needed to communicate information without visual aids and more effectively perform psychosocial assessments. In summary, although a majority of genetic counseling tasks are performed similarly between TGC and IPGC, TGC counselors recognize that specific training in the TGC model may be needed to address the key differences.     

督导重要事件对新手咨询师专业成长的影响

目的：了解个别督导过程中重要事件的类型、内涵及对新手咨询师专业成长的影响。方法：采用重要事件法,访谈4对受督者和督导师,并用共识性质性研究法分析。结果：有益重要事件包括督导关系、概念化、历程化、个人化4大类;督导促进了新手咨询师干预技巧能力、治疗计划目标等8个专业领域的成长。结论：督导对于新手咨询师专业成长非常重要。各类督导事件对于新手咨询师的促进作用并不均衡。