Journal of Counseling and Development最新文献

The lived experiences of eight African American women college students were explored from an interpretive phenomenological analytic framework. The researchers identified six main themes about participants and their reported family dynamics: (a) collectivistic yet disconnected, (b) avoidance, (c) functioning in dysfunction, (d) gendered differences, (e) motivation to change the family's homeostasis, and (f) talking about generational trauma as a motivator to repair communication. Implications for culturally responsive counseling and generational trauma-informed counselor training are discussed.

This study outlines the relationships among childhood psychological maltreatment (CPM), an understudied form of maltreatment, sense of self (SOS), a developmental construct negatively impacted by trauma, and post-traumatic stress disorder (PTSD) symptoms in emerging adults. Results from regression analysis on a sample of emerging adults (N = 358) indicated CPM to be the greatest predictor of a weaker SOS, even when considered alongside other types of child maltreatment. Among those exposed to CPM, SOS was a significant predictor of PTSD symptoms, explaining 34.1% of the variance in the outcome. Counseling interventions that focus on SOS during emerging adulthood are recommended as one important consideration for survivors of CPM who experience PTSD symptoms. Specific counseling practice and research implications are included.

This study examined the heart rate synchrony between a single couple in emotionally focused therapy (EFT) as a method of measuring coregulatory effects over the course of treatment. A clinician who is an EFT certified therapist, supervisor, and trainer administered all eight sessions in a private practice setting. Surrogate synchrony analysis assessed heart rate synchrony between partners, indicating that significant heart rate synchrony was more likely over time. Significant heart rate synchrony was more likely during sessions that focused on clients’ sharing attachment injuries, bonds, and longings with their partner compared to sessions more focused on cognitive processing of the relationship. Additionally, there were delays in heart rate synchrony that occurred between the couple, which may be indicative of the emotional processing speed of the empathic response of each partner. Understanding the physiological synchrony patterns between dyads in treatment could clarify the potential of coregulation in the therapeutic process.

The Indivisible Self Model of Wellness undergirded this mixed methods phenomenological exploration of the conceptualizations and experiences of wellness among nine Black gay men who had not tested positive for HIV. Data sources included in-depth semistructured interviews and participant responses on the Five Factor Wellness Inventory. The following themes emerged from the thematic analysis of the interview transcripts: holistic self-love, spiritual journey, kinship, social responsibility, sexual literacy, and approaches to HIV prevention. Additionally, cross-validation of the qualitative and quantitative data revealed the central roles that social connectedness and spirituality played in these men's lives. Findings from this study provide a detailed picture of wellness within this sample and indicate considerations for expanding wellness to account for sexual health and wellness practices.

Although advocacy is a priority for counseling professionals, little is known about counseling advocates’ participation in the legislative advocacy process. Recent legislation to address the opioid crisis allowed counseling advocates to provide public comments to advance counselor inclusion in the Medicare program. A thematic analysis of 548 public comments provided on behalf of the counseling profession yielded four categories: advocacy on behalf of (1) the proposed rule change; (2) broader Medicare inclusion; (3) the proposed rule change with an additional request for broader Medicare reimbursement; and (4) no clear advocacy. Subthemes included increasing access to care, qualifications necessary to provide care, and the urgency of the opioid epidemic, among others. Implications for the counseling profession and counselor advocacy are discussed.

The COVID-19 pandemic has had an unprecedented psychological impact, revealing immense emotional disturbances among the general population. This study examined the extent to which social connectedness, dispositional mindfulness, and coping moderate symptoms of anxiety and depression in 1242 adults under the same government-issued COVID-19 stay-at-home mandate. Participants completed measures of anxiety, depression, dispositional mindfulness, social connectedness, and coping, and regression analyses were used to examine associations and interaction effects. Results indicated that social connectedness and dispositional mindfulness were associated with reduced symptoms. For individuals living with a partner, decreased mindfulness and avoidant coping were associated with anxious symptoms. In households with children, overutilization of approach coping served to increase symptoms of depression. Results indicate the importance of considering social connectedness, mindfulness, and coping in counseling to enhance factors serving to protect clients during a public health crisis. Implications for professional counselors and areas of future research are discussed.

This study explored the experiences of addictions counselors who have undergone client death and the immediate and long-lasting impacts of client death on addictions counselors through the consensual qualitative research (CQR) method. We conducted semistructured interviews with 10 participants exploring their lived, in-depth, experiences in working with clients with addictive disorders with focus given to the death of clients and how they responded to the experience. Results from a data analysis process using the CQR method indicate eight domains: (a) professional ethics, (b) coping skills, (c) client care, (d) preparation for profession, (e) experience of addiction, (f) agency impact, (g) exploring the death experience, (h) recommendations, and 28 categories embedded in each of these domains. Implications for counselor education, training, and practice are discussed.

Due to the COVID-19 pandemic, many counselor training clinics rapidly transitioned in-person (IP) services to videoconferencing psychotherapy (VCP). Because VCP is a relatively new technology, more research is needed to establish whether this delivery format is a safe and acceptable substitute for IP services in counselor training clinics. The purpose of this study is to explore questions related to how clients perceive VCP versus IP in terms of credibility and expectancy. Results from this investigation demonstrate that clients who participate in VCP, without first meeting their counselor in person, may initially question the credibility and effectiveness of VCP. However, results demonstrated improvement, in both groups, across the duration of therapy. These findings provide both initial support for the safety of VCP in counselor training clinics and justification for further research.

In this study, the researchers examined the relationship among an orientation toward multicultural counseling competence, multicultural competent behaviors, and the working alliance from the perspective of 574 client participants across various therapeutic dyads. There was a positive relationship between clients’ perspectives on counselors’ multicultural orientation, counselors’ multicultural competent behavior, and working alliance. Multicultural competent behaviors mediated the relationship between an orientation toward multicultural competence and working alliance. However, the mediated effect was inconsistent across cross and similar racial/ethnic therapeutic dyads. Implications for counselors, limitations of the study, and future directions for research are provided.

Despite the documented efficacy of neurofeedback (NFB) in the treatment of people with anxious symptomatology, many insurance companies identify NFB as experimental, which prohibits individuals from utilizing benefits to obtain this therapeutic treatment. In order to examine this discrepancy, the present meta-analyses were conducted to examine the overall effectiveness of NFB, examine the impact of participant characteristics, and identify the extent of the differences in anxiety-spectrum outcomes. Twenty-six articles were divided based on design (12 single group (SG); 14 between-group (BG)) and analyzed in separate meta-analyses. Overall, results indicated that anxiety-spectrum self-report assessments were reduced by nearly one (SG SDM= −0.94; BG g = −0.87) standard deviation unit with relatively small degrees of bias. This study reports findings from the first exhaustive search of the literature, which included articles coming from a total of 17 databases/repositories. Applications of the findings are limited to Caucasian adults with symptoms of anxiety or PTSD.