Stress and Burnout Among Counselor Educators: Differences Between Adaptive Perfectionists,Maladaptive Perfectionists,and Nonperfectionists

This study examined perfectionism in a national sample of 178 counselor educators to explore why certain groups of counselor educators may be at greater risk for experiencing stress and burnout. In line with previous literature, latent profile analysis based on measures of perfectionism supported a 3‐class model (i.e., adaptive perfectionists, nonperfectionists, and maladaptive perfectionists). Maladaptive perfectionists had significantly higher levels of perceived stress, work‐related burnout, personal burnout, and student‐related burnout compared with adaptive perfectionists and nonperfectionists.     

Evidence Searching for Evidence-based Psychology Practice

There is an increased awareness of evidence-based methodology among psychologists, but little exists in the literature about how to access the research. Moreover, the prohibitive cost of this information combined with limited time are barriers to the identification of evidence to answer clinical questions. This article presents an example of a question worked though in an evidence-based way. Methods are highlighted, including distinguishing background and foreground questions, breaking down questions into searchable statements, and adapting statements to suit both the question being asked and the resource being searched. A number of free, evidence-based resources are listed. Knowing how and where to access this information will enable practitioners to more easily use an evidence-based approach to their practice.     

What Variables Are Associated With an Expressed Wish to Kill a Doctor in Community and Injured Patient Samples?

Working in a health care setting has been identified as a primary risk factor for violent assault, which is often perpetrated by patients. Patient dangerousness is a multidimensional phenomenon, which may include violent ideation, homicidal planning, a history of violent acts, or overt threatening behavior. Although the verbal report of thoughts of killing a doctor is only one of many risk factors for patient dangerousness, reports of homicidal ideation are widely regarded as being sufficient to warrant concern, and to indicate a need for further assessment of the patient. In this study, 2264 subjects (1329 healthy community subjects, 158 non-healthy community subjects, and 777 rehabilitation patients) were asked if they had a desire to kill a doctor that they had seen. Subjects responding positively to this item were compared to subjects responding negatively to the item using all available demographic variables and BHI 2 scales using chi-square or t-test. Significant variables (p < .01) were then utilized in a logistic regression to generate a model for this wish. Three variables significantly predicted this wish: the Doctor Dissatisfaction (p < .001) and Borderline (p < .001) scales of the BHI 2, and injury-related litigation status (p = .002). The presence of one of these variables, especially Doctor Dissatisfaction, should prompt a more thorough assessment of potential danger to healthcare workers.     

Ethics and Relationship: From Risk Management to Relational Engagement

In this article, the underlying assumptions of the current ACA Code of Ethics ( 2014a ) are examined as they are embedded in historical and cultural contexts. A relational ethic situated within relational‐cultural theory that provides an alternative framework for understanding ethics in a relational and compassionate way is presented.     

Toward an Integration of Interpersonal Risk Models of Depression and Cognitive‐Behaviour Therapy

Empirical research has increasingly focused on interpersonal variables associated with the development and maintenance of depression. This article outlines some key interpersonal risk factors for depression, including anxious attachment, sociotropy, excessive reassurance seeking, interpersonal stress generation, reduced social support, social skills deficits, and social avoidance. Recommendations are made for how cognitive‐behavioural therapy may be adapted to address such factors. Specifically, suggestions are offered for how cognitive and behavioural interventions, such as cognitive restructuring, behavioural activation, behavioural experiments, and skills training, may be used with depressed clients to promote positive relationships and reduce maladaptive interpersonal behaviours.