The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale

Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS). Method: Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data. Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs. Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment.     

Professional Counseling in Nigeria: Past,Present, and Future

The events that circumscribed the parameters of today's counseling in Nigeria are many and varied regarding their influence in shaping the development of the profession in the country. The authors review these events and the current status of counseling in Nigeria, including the challenges faced in the profession. Future trends and suggestions for strengthening the profession are emphasized.     

Counseling in the Philippines: Past,Present, and Future

The history of colonization and persistent attempts at self‐governance in the Philippines parallel the beginnings of counseling in the country, which were largely influenced by the United States. Because of the Guidance and Counseling Act of 2004 and the Psychology Act of 2009, counseling is on its way to professionalization and regulation. Counseling is growing in depth and credibility, as evidenced by applications in practice that are not only indigenous but powerfully relevant.     

Counseling and Mental Health Care in Palestine

The authors provide a brief overview of counseling and mental health care in Palestine, including their history and a summary of their current status. Finally, a discussion is presented of future trends in the development of the profession with regard to recent changes in the region.     

Disordered Eating in Women of Color: Some Counseling Considerations

There is little attention devoted to studying eating disorder symptoms in racially and ethnically diverse groups despite the fact that the prevalence rates among women of color for eating disorder symptoms are similar to those of European American women. This article reviews research related to eating disorders in women of color, including a discussion of sociocultural factors that could influence the manifestation of eating disorders in women of color. Considerations for counseling practice and research are provided.     

Enhancing Social Justice by Promoting Prosocial Values in Career Development Interventions

In career counseling, social justice is typically integrated by helping oppressed groups navigate their way around obstacles of injustice while also working to dislodge the oppressive conditions from society. The authors affirm both of these courses of action while also advocating a third strategy: inviting clients to serve as agents of change by introducing and incorporating prosocial values into career development interventions. This article makes the case that this strategy may enhance client well‐being while simultaneously promoting harmony among organizations and society. Support for this strategy comes from theory, research, and the ethical approaches for working with values in counseling.     

Maladaptive repetition and career construction

The role of repeated maladaptive relationship patterns established early in life has been widely studied with the goal of understanding the various factors and processes that contribute to and occur during development and psychological adaptation. The effects of maladaptive patterns have also been studied with regard to the goal of guiding interventions. The present article is intended to highlight the contribution of Career Construction Theory (CCT) for the integration of the concept of maladaptive repetition into the theory and practice of career counseling. It begins with a constructivist conceptualization of maladaptive repetition and proceeds to situate this concept within the contexts of both CCT and the constructivist conception of career indecision. The article then presents a case study, discusses difficulties that arise during career decision-making, and analyzes the maladaptive cycle rupture considering the client's perspective about her transformation.     

Clearing Up Client Confusion Regarding the Meaning of Forgiveness: An Aristotelian/Thomistic Analysis With Counseling Implications

Although the construct of forgiveness is popular in research and counseling, there remains considerable confusion surrounding this topic. This article examines the likely errors clients may bring to counseling regarding the meaning of forgiveness. The author uses an Aristotelian/Thomistic perspective to analyze error in understanding forgiveness and concludes that client misunderstanding and the resultant fear of attempting to forgive are oftentimes rooted not in understanding forgiveness itself, but instead in focusing on 1 of 2 vices surrounding that construct. The author recommends bringing this misunderstanding to clients so that they can better decide for themselves whether or not to forgive others.     

Family Belongingness,Gang Friendships,and Psychological Distress in Adolescent Achievement

The authors investigated connections among social, psychological, and academic functioning of ethnically diverse urban youth. Participants included 310 seventh graders (mean age = 12.10 years) from an ethnically diverse middle school in which no ethnic group was a majority. Social engagements with family and gang members were predictive of academic achievement in the expected directions, with psychological distress mediating the effects of these social engagements on academic achievement. Implications for counselors’ work with ethnically diverse urban youth are discussed.