Journal of Counseling and Development最新文献

In this meta-analysis, we synthesized 42 between-group studies (N = 4114) evaluating the effectiveness of culturally adapted cognitive behavioral therapy (CA-CBT) on reducing depression and anxiety severity when compared to waitlist/control groups and active alternative treatments. Separate random-effects meta-analyses revealed moderate-to-large effect sizes in favor of CA-CBT on depression and anxiety when compared to active alternative treatments and waitlist/control groups. Independent random-effects models revealed evidence of publication bias and indicated influential moderating effects on anxiety. Implications for counselor practice are discussed.

Within counseling and other mental health disciplines, Black women are underserved, psychologically misdiagnosed, and one of the least researched minoritized cultural populations. We used a hermeneutic phenomenological study to understand the lived experiences of 16 Black women who experienced mental health stress to understand their mental health needs, barriers to mental health care, and help-seeking and self-care practices. Findings included the following four themes: perspectives on oppression on mental health, socio-cultural messages about self-care and help-seeking, perspectives about self-care, and perspectives about professional counseling. Implications for counselors are discussed.

Burnout of vocational rehabilitation (VR) counselors can not only lead to decreased job satisfaction and turnover but also damage the quality of VR services provided to clients with disabilities. It is an ethical obligation for VR counselors to engage in self-care practices to prevent burnout. The current study surveyed 147 VR counselors from two State VR agencies about their current level of burnout and mindfulness related facets. Based on the latent profile analysis, four unique counselor burnout profiles were identified. These were well-adjusted-counselor, type I preserving-counselor, type II preserving-counselor, and disconnected-counselor. Moreover, the results of multivariate analysis of variance tests disclosed that VR counselors with different counselor burnout profiles varied significantly on the mindfulness measure, especially in the facets of acting with awareness and non-judging. The results have unique research and practice implications for the prevention and treatment of burnout of VR counselors.

Extensive literature focuses on grief and loss and individual levels of resiliency, while less research has been done on cultural resiliency. This phenomenological study examined the lived experiences of using cultural resiliency to cope with traumatic loss in 2020. Compounded grief experiences and effects, emotional impacts, learned resiliency, cultural protective factors, and therapy experiences emerged as themes from these narratives. Implications for the field are provided to expand our thinking about ways to decolonize counseling.

Following a population-based randomized design, we investigated changes of school counselors’ psychological empowerment, multicultural competence, and leadership practice, as well as their perception of school climate from before to during COVID-19. Specifically, school counselors were randomized into two conditions: (a) the pre-COVID-19 condition (n = 506) and (b) the current-COVID-19 condition (n = 542). Participants in the pre-COVID condition responded to survey items following a retrospective manner based on their experiences between September 2019 and March 2020. We found that participants in the current COVID-19 condition scored significantly higher in psychological empowerment and perceived school climate and lower in multicultural competence and leadership practices compared to the participants in the pre-COVID-19 condition. Regardless of directionality of changes, results supported the significant impacts that the pandemic had on school counselors’ roles related to addressing systemic issues. We discussed implications of the results to school counseling practice and school counselor training.

Adverse childhood experiences (ACEs) should be considered as context for assessment and diagnosis of depression, anxiety, and behavioral problems for youth aged 0–18. The researchers conducted a cross-sectional study, using the public data set from the 2017–2018 National Survey of Children's Health, which represented 52,000 households of a nationally representative sample of children ages 0–17. The parent/caregiver participants reported their children aged 0–5 had higher odds than children aged 6–11 and 12–17 of a one-unit increase in ACEs, resulting in anxiety, depression, and behavioral problems. Professional counselors can use the results as a basis to consider ACEs-informed assessment and diagnosis practices when working with youth who present with mental health or behavior problems.

Using a quasi-experimental, cross-sectional design, we examined coping differences among American adolescents who reported a history of nonsuicidal self-injury (NSSI; n = 90, 25.7%) and those without a history of NSSI (n = 260, 74.3%). Findings from a profile analysis indicated that a measurable difference in coping profiles may exist between those with a history of NSSI and those without a history of NSSI. Specifically, adolescents who have a history of NSSI appear to rely upon, at higher rates, maladaptive methods of coping, including acting out and rumination, in comparison to adolescents who have never engaged in NSSI, who appear to rely upon adaptive methods of coping, including distraction and self-care, at higher rates. No meaningful difference was apparent between groups on seeking social support as a method of coping. These findings confirm the importance of assessing and enhancing effective coping strategies among adolescent clients who self-injure and potentially utilizing coping skill enhancement strategies as a form of NSSI prevention.

A growing body of empirical literature has substantiated that cultural humility (CH) contributes meaningfully to a variety of therapeutic processes and outcomes. However, no study has concretely described how CH is linguistically and discursively enacted within therapeutic exchanges. Using interactional sociolinguistic discourse analysis, we explored the sociolinguistic strategies along with three dimensions of CH: (a) cultural teachability, (b) lack of cultural arrogance, and (c) relational orientation. Participants included six pairs of cross-racial counseling dyads. Our analyses of the session and follow-up interview transcripts yielded a range of sociolinguistic strategies (i.e., positioning, use of reinforcement, repetition, and use of pronouns) corresponding to the CH dimensions. We discuss clinical, research, and training implications.

The purpose of this study was to examine the bullying participation profiles in relation to the demographic variables (sex, grade, and ethnicity), and to further investigate the associations between the profiles and student well-being indicators. A final sample for analyses consisted of 725 elementary school children (fourth to sixth grades). Four latent profiles were identified through the latent profile analysis: bullying passive bystanding (8.00%), victimized active defending (8.41%), uninvolved passive bystanding (21.24%), and uninvolved active defending (62.35%). Significant group differences were found in key variables representing student well-being, that is, school connectedness and life satisfaction, across the four latent profiles. Children in the uninvolved active defending were found to have the highest levels of student well-being. Only sex had a significant association with the profiles of demographic variables, with boys more likely to belong to the bullying passive bystanding profile than girls. Implications and future research directions are discussed.

Depression and anxiety are two of the most common mental disorders treated in Integrated Primary and Behavioral Healthcare programs. We investigated the within and between performance differences of mental health counselors on anxiety and depressive symptomatology in an integrated service with a sample of 1573 clients and 10 licensed professional counselors. The results of growth curves within the framework of Multilevel Modeling showed significant within and between performance differences among counselors treating anxiety and depressive symptoms. Some counselors performed better in treating anxiety symptoms while others did better treating depression. Implications for counselor education, client care, and legislation are provided.