Marriage and Family Therapy Students’ Change in Multicultural Counseling Competencies after a Diversity Course

Attention to diversity is required in Commission on Accreditation for Marriage and Family Therapy Education-accredited programs, yet not much research exists regarding the effectiveness of graduate training on therapists’ multicultural counseling competencies. In this study, 12 students enrolled in a masters-level diversity class were given pre- and post-tests of their multicultural counseling competencies. Results showed that students significantly increased their multicultural awareness, knowledge, and skills after completing the diversity class. The discussion includes implications for educators who seek to improve students’ multicultural counseling competencies.     

Using Popular Film to Teach Multicultural Counseling: A Constructivist Approach

The use of popular film as an experiential teaching tool in multicultural counselor education has been well documented. However, existing research has been limited. The purpose of this study is to implement a unique pedagogic intervention using popular films and to study how counseling students experience the activity as part of their multicultural counseling training. The researchers utilized the popular films Crash and Precious to stimulate student dialogue and reflection on topics pertaining to race, culture, privilege, and social justice. The findings indicate that popular films, when implemented in conjunction with reflective learning activities, are effective in promoting students’ multicultural and social justice counseling competencies. Participants reported that the pedagogic activity was effective in bringing to life the multicultural course concepts and stimulating difficult but necessary conversations about race, ethnicity, privilege, and power. Finally, implications of this study could further inform the field of multicultural counselor education.     

Future Research Directions in the Study of Counselor Multicultural Competency

This article presents research ideas for further study of the role of multicultural counseling competencies in counseling and psychotherapy. Research recommendations revolve around the ideas of including the client in the assessment of counselors' multicultural counseling competencies and of studying multicultural counseling competencies in relation to process and outcome indexes of counseling. Este artículo presenta ideas para avanzar la investigación y estudio del papel de las competencias multiculturales en la consejería y la psicoterapia. Las recomendaciones de esta investigación se basan en dos ideas. La primera es incluir a los clientes en la evaluación de la competencia multicultural de sus consejeros, la segunda es el estudio de competencias multiculturales en relación al proceso y resultados de la consejería.     

Genetic Counseling Supervisors’ Self-Efficacy for Select Clinical Supervision Competencies

Supervision is a primary instructional vehicle for genetic counseling student clinical training. Approximately two-thirds of genetic counselors report teaching and education roles, which include supervisory roles. Recently, Eubanks Higgins and colleagues published the first comprehensive list of empirically-derived genetic counseling supervisor competencies. Studies have yet to evaluate whether supervisors possess these competencies and whether their competencies differ as a function of experience. This study investigated three research questions: (1) What are genetic counselor supervisors’ perceptions of their capabilities (self-efficacy) for a select group of supervisor competencies?, (2) Are there differences in self-efficacy as a function of their supervision experience or their genetic counseling experience, and 3) What training methods do they use and prefer to develop supervision skills? One-hundred thirty-one genetic counselor supervisors completed an anonymous online survey assessing demographics, self-efficacy (self-perceived capability) for 12 goal setting and 16 feedback competencies (Scale: 0–100), competencies that are personally challenging, and supervision training experiences and preferences (open-ended). A MANOVA revealed significant positive effects of supervision experience but not genetic counseling experience on participants’ self-efficacy. Although mean self-efficacy ratings were high (>83.7), participant comments revealed several challenging competencies (e.g., incorporating student’s report of feedback from previous supervisors into goal setting, and providing feedback about student behavior rather than personal traits). Commonly preferred supervision training methods included consultation with colleagues, peer discussion, and workshops/seminars.     

What's missing from multicultural competency research: review, introspection, and recommendations

Much of the multicultural counseling research has pointed out the need for counselors to become culturally competent to appropriately address the needs of an emerging diverse community. To date, however, this body of research has largely focused on counselor competencies, with little attention being given to the client perspective of multicultural counseling competencies. This article discusses the importance of integrating the client perspective within the historical context of the multicultural literature by examining client preferences and expectations, as well as the adequacy of the current empirical data. The authors also raise the issue of politics inherent in multiculturalism and discuss how this affects the research. A number of recommendations are made as a guide for future research.     

Models of genetic counseling and their effects on multicultural genetic counseling

This theoretical paper examines challenges to multicultural genetic counseling, counseling between culturally different clients and counselors, in the context of Kessler's typology of models of genetic counseling (Kessler S (1997) J Genet Counsel 6:287–295). It is suggested that challenges such as resistance to multicultural genetic counseling education may be due to conceptions about genetic counseling as a biomedical field that transcends questions of culture as well as lack of multicultural training or prejudice. Directions for future research and recommendations for multicultural genetic counseling education are briefly explored.     

The development of a taxonomy of career competencies for professional women

The purpose of this study was to develop a taxonomy of the competencies necessary to women's pursuit of professional-level, especially academic, careers. During the first phase of the study two research activities, a review of literature in the areas of career development, career counseling, and the psychology of women, and a semistructured “critical incidents” interview with each of 50 female faculty members from a large midwestern university, resulted in a list of 620 career-relevant behaviors and skills. This pool of career competencies was then examined by three counseling psychologists, and a classification scheme to describe the data was developed. Finally, rates attempted to assign the original competency items to the proposed categories in order to validate the taxonomy. The final, refined version of the taxonomy is presented, and the utility of these results for counseling and research in the area of women's career development is discussed.     

Rehabilitation Counseling: Evolution and Current Status

This article provides a brief review of the evolution and current status of rehabilitation counseling. Rehabilitation counseling practice is described along with the required competencies of rehabilitation counselors in providing services to individuals with disabilities. The professional status of the discipline is reviewed in terms of programs for educational preparation, professional associations, accreditation, regulation of practice, ethical mandates, and research. Finally, continuing challenges for the discipline are identified.     

Therapist Multicultural Competence, Asian American Participants' Cultural Values, and Counseling Process

Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of counseling process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on counseling process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training.     

Assessing Multicultural Competence in Counselor Trainees: A Review of Instrumentation and Future Directions

As the diversity within the U.S. population continues to increase, multicultural counseling competency (MCC) remains a central focus in counselor education and research. Accordingly, assessment of competencies is necessary to ensure culturally appropriate counseling services to an increasingly diverse clientele. This article discusses available tools for evaluating counselors' awareness, knowledge, and skills for working with culturally diverse clients, as well as new directions and trends in MCC assessment.     

Genetic Counseling Supervisor Competencies: Results of a Delphi Study

Clinical supervision is a critical component of genetic counseling student preparation, yet empirically-determined competencies for genetic counseling supervisors are lacking. In this study a modified, two-round Delphi method was used to gain consensus about important genetic counseling supervisor knowledge, characteristics, and skills. Program directors and assistant directors of American Board of Genetic Counseling accredited genetic counseling programs in North America (N?=?33) were invited to participate and to recruit three experienced supervisors. Seventy-four individuals completed Round 1 and, of these, 61 completed Round 2. Approximately two-thirds were clinical supervisors from prenatal, pediatrics, cancer, and adult clinics; one-third were program directors. Participants rated the importance for genetic counseling supervisors of 158 items derived from supervision literature in allied health professions. They rated 142 items (89.9 %) as highly important. Content analysis of these items yielded six supervisor competency domains: Personal traits and characteristics; relationship building and maintenance; student evaluation; student centered supervision; guidance and monitoring of patient care; and ethical and legal aspects of supervision. The results provide a basis for training genetic counseling supervisors and for further research to refine and validate supervisor competencies.     

Developing Spiritual Competencies in Counseling: A Guide for Supervisors

The recently established competencies for addressing spiritual and religious issues in counseling (Association of Spiritual, Ethical, and Religious Values in Counseling, 2009 ) provide guidelines for counselors to implement in conjunction with evidence‐based counseling practices. These spiritual competencies complement the ethics code established by the American Counseling Association ( 2014 ) in promoting increased cross‐cultural sensitivity and proficiency in counseling. Supervisory tools that promote the ethical and spiritual development of counseling trainees are identified and described.     

Counseling Supervision and Consultation: A Psychobehavioral Approach

The Florida Bureau of Employment Service within the Florida Department of Commerce has developed and implemented a competency-based counselor training model. The model has established competencies for counselors in the areas of relationship skills, career development, individual and group assessment, group guidance and counseling, continuity of services, community relations skills, professional development and workload, and intra-office relationships. In the supervisory portion of the model competencies were explicated in the areas of supervisory skills, assuming that all the counselor competencies are also present in the supervisor's behavior. This article is limited to a discussion of the basic components of the supervisory model and the presentation of an actual case, to illustrate its direct application in the field.     

心理咨询过程-效果研究现状及展望

心理咨询过程-效果研究考察咨询过程变量对咨询效果的影响。以人为中心流派、认知流派、行为流派、精神分析流派等都为该研究领域提供了理论基础。主要研究内容有咨询师的反应方式、会谈中的当事人行为、工作同盟、会谈中的重要内容等过程变量与效果的关系。该领域积累的成果还不多,这可能与过程-效果关系本身的复杂性有关,同时研究方法尚有许多欠缺,如考察复杂关系时使用的研究设计过于简单、测量工具不统一导致结果难以比较,有些测量工具不成熟信效度不高。未来的研究除了努力克服这些问题外,还应多考虑理论构建、内隐变量的调节和中介作用、当事人变量,在研究方法上应更为综合和多样化     

Multicultural Counseling Competencies and Standards: A Call to the Profession

In April 1991, the Association for Multicultural Counseling and Development (AMCD) approved a document outlining the need and rationale for a multicultural perspective in counseling. The work of the Professional Standards committee went much further in proposing 31 multicultural counseling competencies and strongly encouraged the American Association for Counseling and Development (AACD) and the counseling profession to adopt these competencies in accreditation criteria. The hope was to have the competencies eventually become a standard for curriculum reform and training of helping professionals.     

Grounded Theory in Genetic Counseling Research

The practice of genetic counseling is in need of evidence-based theoretical frameworks. Although strategies used in genetic counseling are increasingly evidence-based, the field of genetic counseling does not have a generally accepted theoretical basis for development of therapeutic interventions. We know very little about (1) what actually happens in genetic counseling and (2) the impact it has on clients and their families. A number of researchers have used a variety of approaches in an attempt to introduce some theoretical basis for genetic counseling research and practice. Other workers have used experience in their clinical practice to write theoretically about the kinds of processes that might be going on in and around genetic counseling. However, there are few studies to date, which have attempted to build theory modeling the psychosocial processes that take place in and around the genetic counseling clinic using empirical data. This paper describes a methodology (grounded theory) that is designed specifically to build theory about psychosocial processes from a strong evidence base, and explains how it can contribute to the development of practice in genetic counseling.     

Grief Counseling: An Investigation of Counselors' Training,Experience, and Competencies

Grief is prevalent in counseling, but little is known about the current status of counselors’ preparation and competencies to provide effective care. This exploratory study surveyed counselors (N= 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training and experience were statistically significant predictors of competence. The strong relationship between variables suggests these concepts may be understood as synonymous. Implications for training, practice, and research are discussed.     

Genetic Counseling Milestones: A Framework for Student Competency Evaluation

Graduate medical education has recently increased focus on the development of medical specialty competency milestones to provide a targeted tool for medical resident evaluation. Milestones provide developmental assessment of the attainment of competencies over the course of an educational program. An educational framework is described to explore the development of Genetic Counseling Milestones for the evaluation of the development of genetic counseling competencies by genetic counseling students. The development of Genetic Counseling Milestones may provide a valuable tool to assess genetic counseling students across all program activities. Historical educational context, current practices, and potential benefits and challenges in the development of Genetic Counseling Milestones are discussed.     

Perceived Multicultural Competency of Certified Substance Abuse Counselors

In this study, the authors explored the self‐perceived multicultural counseling competencies of substance abuse counselors. Overall, the results indicate that substance abuse counselors perceived themselves to be competent; however, differences existed on the basis of race and educational level. Implications for practice and future research are discussed.