Journal of Counseling Psychology最新文献

This study examined how 11 nonbinary Black womxn (NBBW) in the United States experience and distinguish between spirituality and religion using an endarkened Black feminist decolonial paradigm and an Afro-Indigenous eco-womxnist cosmological theoretic framework. Data were from Project NBBW, a community-based participatory action research project led by Black sexual and gender minority womxn community members and researchers. We conducted individual semistructured interviews and examined participant's qualitative responses to the following research inquiry: How do NBBW perceive their relationship to spirituality and religion? Participants were 11 NBBW, aged 21-30, living in the United States. Participants identified as spiritual, not religious (n = 5); spiritual and religious (n = 4); and neither spiritual nor religious (n = 2). Using interpretative phenomenological analysis, we coconstructed six themes across participant responses. Themes about Christian religion specifically were as follows: (a) I was raised in the Christian tradition, (b) the "shoulds" of a "Black woman," and (c) oh, I'm going to do whatever I want because who did whatever they want? Jesus. Regarding spirituality, the themes were as follows: (a) God … you lowkey nonbinary, (b) in constant communication with both the universe and my ancestors, and (c) what would I have believed if we weren't colonized? Implications inform decolonial counseling practice and training, advocacy, and research for NBBW that untethers spirit(uality) from Christian hegemony. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Randomized controlled trials have shown that using client feedback obtained from routine outcome monitoring can lead to better clinical outcomes in psychotherapy. However, existing randomized controlled trial studies did not address the between-person and within-person effects of routine outcome monitoring simultaneously. To fill this critical gap, this study conducted a multilevel analysis to explore the effect of therapist utilization of client symptom outcome data in a naturalistic practice setting. Participants were 26 therapist trainees and their 456 clients who conducted 5,917 sessions in total. Clients completed the Outcome Questionnaire (OQ)-45.2 prior to every session, and we used de-identified data to code whether each OQ report was reviewed by the therapist before or after the session, or not reviewed by the therapist. Multilevel analysis showed that, within the same therapist-client dyad, sessions where the therapist reviewed the client's OQ score beforehand (rather than afterhand) showed significantly larger symptom improvement by the next session than sessions without such a review. Additionally, comparing clients within a therapist's caseload, a higher percentage of sessions where the therapist reviewed OQ scores before (rather than after) was associated with quicker symptom recovery for those clients. Finally, comparing therapists, those who reviewed client OQ scores more frequently before (rather than after) therapy sessions achieved faster client symptom recovery across all clients. Practical implications of the findings were discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The model minority stereotype (MMS) is deeply embedded within the society of the United States, including in the science, technology, engineering, and mathematics (STEM) fields. This has resulted in the neglect of STEM Asian American students' psychological needs by researchers and service providers while simultaneously pressuring the students to pursue unattainable goals. The aim of the present study was to explore the mechanism of how stress from the MMS might be related to depressive symptoms. Based on Hatzenbuehler's (2009) psychological mediation framework, MMS stress was hypothesized to be positively related to depressive symptoms through the mediating role of rumination. Data from 188 Asian American STEM students were analyzed using latent growth modeling. Results showed that the relationships among the MMS stress, rumination, and depressive symptoms were better explained by a linear growth framework than a no-growth model. Rumination mediated the positive association between the MMS stress and depressive symptoms in the cross-sectional context. Longitudinally, initially high levels of MMS stress hindered the decrease in the depressive symptoms overtime, and this relationship was mediated by the initial high level of rumination, indicating a significant role of rumination. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Rural first-generation college students (FGCS) face significant barriers as they transition into the world of work, yet no studies have explored their career development using psychology of working theory (PWT). The present study aimed to examine the predictor and outcome portions of PWT with a sample of FGCS from rural China. We administered online surveys to 549 participants and employed structural equation modeling to analyze the data. The results showed that economic constraints and marginalization were negatively related to future decent work perception through work volition and career adaptability, respectively. However, the direct paths from economic constraints and marginalization to future decent work perception were not significant. Moreover, future decent work perception was positively correlated with positive mental health. Based on these findings, we underscore the importance of building confidence in securing decent work among rural FGCS to improve their positive mental health. Overall, this study is the first to apply PWT to understand the work expectations and positive mental health among college students with multiple marginalized identities. Implications for future research are discussed. Vocational interventions at the individual and systemic levels are also presented. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

This study sought to extend past research on suicide risk factors in White students and explore whether such risk factors were comparably relevant in an underrepresented group of multiethnoracial students. Specifically, interpersonal factors (viz., burdensomeness and thwarted belongingness) and psychological pain (or "psychache") were examined in predicting suicidal behaviors. Results from conducting hierarchical regression analyses indicated that for both groups, independent of demographic factors (age and sex) and history of a past suicide attempt, burdensomeness, and psychological pain were found to be significant predictors of suicidal behaviors. Moreover, a significant Burdensomeness × Psychological Pain effect was found in predicting suicidal behaviors for multiethnoracial students, but not for White students. Some implications of the present findings regarding the potential added risk of suicide associated with being multiethnoracial are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Fifty years ago, the Rosenhan experiment was one of the most impactful psychological studies across decades. One of the main claims of the experiment was that clinicians could be negatively biased in their first clinical impressions, which would negatively impact further clinical decisions. We conducted two experiments (N = 56 and 64) in which psychotherapists were asked to give their first clinical impressions in two consecutive cases after a brief presentation of the case (case description and video excerpt) and a short recall task of the information provided. The attentional focus in the recall task served as an independent variable. Therapists had to adopt either a symptom-focused or a strength-focused attentional focus to recall the cases, that is, therapists rated their first case in either the symptom-focused or the strength-focused condition and the second case in the opposite condition. In both studies, therapists in the symptom-focused conditions rated patients as slightly more distressed, less resilient, and less psychosocially integrated in comparison to the strength-focused conditions. However, even statistically significant, these effects were rather small to clinically negligible. Our preliminary results suggest that the first clinical impressions of contemporary psychotherapists are vulnerable in both experiments to be slightly, but not as dramatically, distorted as the Rosenhan experiment would suggest at the time. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Although studies on the dual-continua model have demonstrated that distress and well-being are two separate but interrelated factors of mental health, only limited research exists regarding these concepts for lesbian, gay, bisexual, transgender, queer, intersex, asexual+ (LGBTQIA+) individuals. The present study aimed to investigate the factor structure of mental health in the LGBTQIA+ community. The second aim was to investigate whether different correlates are relevant for the prediction of well-being and psychological distress in LGBTQIA+ individuals when these mental health outcomes are considered separately. LGBTQIA+ individuals from Germany, Austria, and Switzerland were recruited via collaborating organizations and social media to participate in a cross-sectional survey. Participants (n = 1,686, M_age = 27.74) completed self-report measures of well-being and psychological distress. Included correlates were self-esteem, social support, resilience, and various minority stress factors. Data were analyzed using structural equation modeling and latent regression analyses. A very strong correlation at the latent level (r = -.82) suggested that well-being and psychological distress refer to opposite poles of mental health in the LGBTQIA+ sample. Different minority stress factors were relevant for the prediction of well-being and distress when these factors were disentangled. The present study highlights the close inverse relation between well-being and distress in LGBTQIA+ individuals. Several correlates were found that could inform tailored counseling for LGBTQIA+ community members, irrespective of whether the focus is on positive or negative aspects of mental health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Little is known about how the interrelationships among posttraumatic stress disorder (PTSD) symptoms change throughout the treatment. We examined changes in PTSD symptoms among women who experienced intimate partner violence and received one of two evidence-based interventions. We conducted a secondary analysis of a completed randomized, double-blind clinical trial, which demonstrated efficacy in reducing PTSD symptoms. We used cross-lagged panel network analysis to identify the influential PTSD symptoms among women who had completed either the Helping to Overcome PTSD through Empowerment or an adapted version of person-centered therapy. We examined if a symptom's expected influence, a metric of interconnectedness, would predict overall PTSD symptom reductions at baseline, postshelter, posttreatment, and 6- and 12-months posttreatment. Women who showed more significant decreases in feeling upset and avoidance also demonstrated greater decreases in their overall PTSD symptoms at postshelter, posttreatment, and 6 and 12 months posttreatment. Findings indicate that changes in symptoms with high centrality result in larger PTSD network changes observed at both adjacent and future time points. Identifying and targeting symptoms with influential associations produce therapeutic cascades, resulting in symptom reductions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

This study explored longitudinal trajectories of decent work profiles guided by core propositions from psychology of working theory. Data were collected from 419 working adults in the United States at three time points over a 6-month period. We examined decent work trajectories using latent transition analysis considering two key covariates (work volition and career adaptability) and while accounting for other variables such as ethnicity, education, and income level. The analysis identified five latent decent work profiles: only safety, low health care, indecent work, average, and decent work. Notably, the indecent and decent work profiles were the most stable, while the only safety and low health care profiles were more likely to change with time. The influence of work volition and career adaptability on transition probabilities was found to partially align with the hypotheses of psychology of working theory. Findings indicated that, within psychology of working theory, these psychological mediators may operate through varied mechanisms to influence both the attainment and maintenance of decent work across time. Implications for future research, practical applications, and theoretical developments are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Self-criticism is a transdiagnostic phenomenon associated with different psychopathological manifestations in clinical and nonclinical samples. This fact has led to an increase in research on its measurement and treatment. This study seeks to examine the effects of emotion-focused therapy on self-criticism in a nonclinical population through pretreatment, posttreatment, and follow-up questionnaires. The study was designed as a randomized control trial comparing emotion-focused therapy for self-criticism (n = 24) versus a wait-list control group (n = 28). The efficacy was evaluated using Inadequate Self and Hated Self scales of Forms of Self-Criticizing/Attacking and Self-Reassuring scale, as well as measures of depression, general distress, and interpersonal problems. The results showed significant improvements on the inadequate self, depression, general distress, self-compassion, and self-reassuring measures at the end of the treatment for emotion-focused therapy condition in comparison with the control, with most of the changes also being maintained in the follow-up. The results show the promise of emotion-focused therapy as a way of treating self-criticism. (PsycInfo Database Record (c) 2025 APA, all rights reserved).