Journal of Counseling Psychology最新文献

Reports the retraction of "Client laughter in psychodynamic psychotherapy: Not a laughing matter" by Shudarshana Gupta, Clara E. Hill and Dennis M. Kivlighan Jr. (Journal of Counseling Psychology, 2018[Jul], Vol 65[4], 463-473). The following article is being retracted (https://doi.org/10.1037/cou0000272). This retraction is at the request of coauthors Kivlighan and Hill after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. Gupta was not responsible for obtaining and verifying participant consent but agreed to the retraction of this article. (The following abstract of the original article appeared in record 2018-33326-005.) We studied 814 client laughter events nested within 330 sessions nested within 33 clients nested within 16 therapists at one community clinic in which doctoral student therapists provided psychodynamic psychotherapy to adult community clients. Each laughter event in Sessions 1 to 5 and 16 to 20 was rated for cheerfulness, politeness, reflectiveness, contemptuousness, and nervousness. Across all clients, there was an average of about one laughter even per session. The average laughter event lasted 3.5 seconds, and was characterized primarily by politeness and reflectiveness. Overall amount of client laughter and the characteristics of client laughter did not change across sessions. Most of the variance in the laughter characteristics was at the session level, with less variance attributable to clients and therapists. When client attachment avoidance was high, laughter was less cheerful and more contemptuous. When client attachment anxiety was high, laughter was more nervous. Sessions with more reflective laughter were evaluated more positively by clients, and therapists whose clients had more reflective laughter had more positive client session evaluations. Furthermore, within a therapist's caseload, clients with the most nervous and contemptuous laughter evaluated sessions most positively. Implications are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Among psychotherapy patients, unstable early distress scores are known to predict substantial intersession improvement later in treatment. The evidence has been ambiguous as to whether early distress instability also predicts outcome. We investigated the links among early distress instability, later intersession improvement, and outcome. In a sample of 1,796 students treated with brief psychotherapy at university counseling centers, we sought to predict intersession improvement and treatment outcome from an index of distress instability, as assessed during the first four treatment sessions. Large intersession shifts late in treatment appeared to mediate the link between early distress instability and outcome. These relationships were limited to participants who demonstrated early score shifts larger than measurement error. As hypothesized by dynamic systems theory, some psychotherapy patients experience stepwise improvement that is preceded by early instability in distress scores. However, the effect size linking early instability to outcome is small. Sudden gains may not be the optimal measure to elucidate these relationships. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

This study of 176 university students tested a single-session explanatory feedback intervention (EFI), derived from the perfectionism coping processes model. Participants with higher self-critical perfectionism completed daily measures of stress appraisals, coping, and affect for 7 days. A randomized control design was used to compare an EFI condition with a waitlist control condition over 4 weeks with individualized feedback delivered one-on-one by student trainees in-person or remotely through videoconferencing. The feasibility of the individualized analyses of each participant's daily data was supported by identifying daily trigger patterns, maintenance tendencies, strengths, common triggers, and best targets for reducing negative mood and increasing positive mood across several stressors for each participant. Participant ratings indicated that the comprehensive feedback was coherent and functional. Participants in the EFI condition, compared to those in the control condition, reported increases in empowerment, coping self-efficacy, and problem-focused coping, as well as decreases in depressive and anxious symptoms. Between-group effect sizes were moderate-to-large. There were reliable improvements in empowerment and depressive symptoms for 56% and 36%, respectively, of participants in the EFI condition. These findings demonstrate the broad applicability, conceptual utility, and effectiveness of the EFI for self-critical perfectionistic individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The aims of this study were to investigate the overall, and subgroups of, developmental profiles of the three domains of counseling self-efficacy (CSE) among beginning therapist trainees in China. Further, the associations between the different CSE developmental profiles and the trainees' perceived supervisory working alliance (SWA) and their clients' reported symptom distress were also examined. Participants included 258 beginning therapist trainees in a master's level counseling training program in China, who completed measures of CSE in three waves throughout the practicum and rated SWA after every supervision session. Clients rated their symptom distress before and after treatment. Growth mixture analysis results indicated that overall, trainees showed the highest initial confidence in helping skills use, followed by in session management, and last in handling counseling challenges, and there were significant increases in all three aspects of self-efficacy. Second, four subgroups of developmental profiles emerged, including beginning moderate with no changes, beginning moderate with moderate increases, beginning low with marked increases, and beginning high with partial minor increase. Third, the beginning moderate with no changes subgroup showed lower ratings of SWA and the lowest average client symptom improvement. Recommendations for future research and implications for training are presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The present study explored the relationship between intersectional microaggressions (racism and heterosexism) and psychological distress outcomes among a sample of 370 Black lesbian, gay, and bisexual (LGB) adults. Additionally, social support from family, friends, and significant others was examined as potential moderators. Results showed that intersectional microaggressions were associated with greater depression, anxiety, and stress. Also, a significant moderating effect for family social support was found, suggesting that Black LGB adults with higher family social support reported greater levels of depression and stress as their microaggression experiences increased compared to those with less family social support. These results highlight the deleterious effects of intersectional microaggressions on the health of Black LGB adults and important clinical considerations pertaining to the role of social support. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Culturally relevant stressors and protective factors are vital to understanding and effectively supporting Native American/Alaska Native (NA/AN) college students' mental health and well-being. This study examined the theorized pathways among historical loss, well-being, psychological distress, and the proposed cultural buffer of ethnic identity in the indigenist stress-coping model (ISCM). Cross-sectional data were collected via online survey and analyzed using structural equation modeling. Participants were a national sample of 242 NA/AN college students. Participants were predominantly women (n = 185; 76%) and median age was 21 years. Partial support was found for the ISCM. Participants reported frequent thoughts of historical loss, which were associated with lower well-being and higher levels of psychological distress. Ethnic identity moderated the relationship between historical loss and well-being such that those with stronger ethnic identities reported a weaker relationship between historical loss and lower well-being. Results underscore the importance of culturally specific risk and protective factors in NA/AN college students' resiliency and inform needed interventions and systemic change in higher education. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Reports the retraction of "Crying as communication in psychotherapy: The influence of client and therapist attachment dimensions and client attachment to therapist on amount and type of crying" by Noah Robinson, Clara E. Hill and Dennis M. Kivlighan Jr. (Journal of Counseling Psychology, 2015[Jul], Vol 62[3], 379-392). The following article is being retracted (https://doi.org/10.1037/cou0000090). This retraction is at the request of coauthors Kivlighan and Hill after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. Robinson was not responsible for obtaining and verifying participant consent but agreed to the retraction of this article. (The following abstract of the original article appeared in record 2015-23479-001.) Nelson (2005) associated 3 types of crying (inhibited, protest, despair) with 3 dimensions of attachment (avoidant, anxious, and secure). To test this theory, trained judges rated the intensity of inhibition, protest, and despair in 347 crying episodes for 40 clients and 14 therapists in 1,074 psychotherapy sessions. Crying occurred once out of every 7 sessions, and usually was characterized by protest or inhibition. Pre-therapy attachment dimensions of both therapist and client influenced crying. Therapists with high attachment avoidance had clients who cried frequently but less over time, whereas therapists with high attachment anxiety had clients who cried with more protest over time. Clients with high attachment anxiety initially cried with more protest and inhibition, but decreased over time, whereas clients with low attachment anxiety increased protest over time. Throughout the course of psychotherapy, therapists who were seen by their clients as establishing a secure attachment elicited more overall crying and a higher intensity of protest, whereas therapists who were seen by their clients as establishing insecure attachments had clients who cried less. Clients who established a secure or avoidant relationship with their therapists, relative to other clients of that therapist, cried infrequently and with inhibition, whereas clients who established a preoccupied relationship cried relatively often. Changes are suggested for Nelson's (2005) typology. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The purpose of this study was to explore the experience of healing from family rejection among transgender and nonbinary Latinx individuals. Participants were asked how they navigated family dynamics related to gender identity and specific behaviors or resources that promoted their healing from experiences of family rejection. Data from 12 interviews with Latinx nonbinary and transgender adults were analyzed through a critical-constructivist grounded theory method resulting in a hierarchy composed of three clusters related to the core category (healing from family rejection leads to the recreation of diasporic identity and community as one learns to live authentically in their ethnic/racial gendered expression). These clusters included recreation of the family system, community-based cultural healing, and autonomy in trans identity and psychological well-being. Relevant contributions to research and implications for psychologists are reviewed: (a) Latinx diasporic identity formation is facilitated through the reconstruction of familial relationships and cultural healing, and (b) chosen family and supportive community networks may adopt the responsibility of ethnic-racial socialization after proximity to family of origin is lost. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Research has shown that minority stress is linked to poorer mental health across a variety of stigmatized populations, including lesbian, gay, bisexual, and queer (LGBQ) people. It is therefore essential to understand factors that can counteract minority stress. To date, most research on LGBQ people's resilience relied on retrospective reports of stressful identity-salient experiences. This limits the understanding about resilience factors that enable LGBQ people to thrive in the face of minority stressors as they occur on a day-to-day basis. The present study addressed this gap by using a daily diary design to test whether self-compassion protects LGBQ people's affective well-being from daily stressful sexual orientation-salient experiences (SOSEs). A sample of 235 LGBQ adults completed a baseline survey that assessed self-compassion, as well as brief online surveys twice daily for a maximum of 17 days that assessed SOSEs and affect, providing a total of 3,310 days of data. As anticipated, results of multilevel modeling showed that negative and positive SOSEs were linked to negative and positive evening affect, respectively, at both the daily and person levels. Self-compassion moderated the link between daily negative SOSEs and positive evening affect, such that daily negative SOSEs were linked to lower positive affect only among those with lower self-compassion. Moderation effect was not observed for negative evening affect as an outcome. Exploratory analysis suggested that the buffering effect of self-compassion could be impacted by contextual factors. Our study showed the importance of self-compassion and access to positive SOSEs for LGBQ people's well-being. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Reports the retraction of "Secrets in psychotherapy: For better or worse" by Ellen C. Marks, Clara E. Hill and Dennis M. Kivlighan Jr. (Journal of Counseling Psychology, 2019[Jan], Vol 66[1], 70-82). The following article is being retracted (https://doi.org/10.1037/cou0000311). This retraction is at the request of coauthors Kivlighan and Hill after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. Marks was not responsible for obtaining and verifying participant consent but agreed to the retraction of this article. (The following abstract of the original article appeared in record 2018-49842-001.) We investigated how concealment and disclosure of secrets, two related but distinct processes, unfolded over the course of open-ended therapy for 39 clients and 9 therapists, using hierarchical linear modeling to identify longitudinal patterns and investigate relationships with working alliance and session quality. Results indicated that over the course of therapy, 85% of clients disclosed at least one secret and 41% concealed at least one secret, with 18% of sessions including a disclosure and 4% of sessions including concealment. Over time, clients were less likely to disclose secrets, and the secrets they chose to conceal were rated as less significant. Clients rated the working alliance lower after sessions when they disclosed secrets versus when they did not disclose, although the working alliance was not rated as poorly when the disclosed secrets were viewed as significant. Clients rated session quality higher after sessions when they disclosed secrets versus when they did not disclose, particularly when they disclosed preoccupying secrets. Clients tended to feel neutral or positive about their disclosures. Implications for practice and research are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).