Effects of failure to meet client preference in a counseling interview analogue.

The hypothesis that failure to meet client preference for high- or low-directive counselor style would adversely affect interpersonal process was tested with 48 undergraduates in a counseling intervention analog oriented around students' actual problems. Students with strongly stated preferences for high- or low-directive counselors were randomly assigned to a counselor whose style was congruent or incongruent with their preference. The Therapist Behavior Scale was used to assess counselor directiveness. Dependent variables included 3 speech and 2 satisfaction measures. The data do not support the hypothesis. There was no evidence that failure to meet client preference adversely affected interview process. Clients of high-directive counselors expressed significantly greater satisfaction with the client–counselor relationship, spent only about 50% as much time per utterance, responded significantly more quickly, and exhibited less silence time while they held the floor than did clients of low-directive counselors. Results suggest that recent interest in ascertaining and meeting client preference may not be relevant to the quality of the interpersonal process. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Empirically derived client typologies: A missing link to the evaluation of the rehabilitation counseling process.

Identified 3 client typologies, based on the content analysis of expressed concerns and problems of 82 clients (average age 31 yrs), collected in conjunction with an 11-state rehabilitation agency project that focused on counselor–client interactions and client outcomes. Using an inverse factor analysis, 3 statistically independent client typologies or subgroups were delineated: (a) Vocational–Educational, (b) Physical/Environmental Coping, and (c) Personal–Social. In turn, the typologies were found to differentiate the interpersonal styles of 45 counselors (mean age 39 yrs), in terms of their pattern of percentage of use of counseling interview subrole behaviors and levels of facilitative conditions communicated. Implications are discussed for the inclusion of content analysis of clients' problem discussion topics in counseling process and outcome investigations and the differential effectiveness that varying counseling styles have for clients who present different problem-solving situations in counseling settings. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential effects of self-disclosing versus self-involving counselor statements across counselor–client gender pairings.

60 male and 60 female undergraduates listened to 1 of 8 audiotaped recordings of a counseling interview between either an experienced male or female counselor and a male client, for male Ss, or a female client, for female Ss. One half of the male and female Ss heard a tape containing counselor self-disclosure statements; the other half heard a tape containing counselor self-involving statements. Ss rated counselors' expertness, attractiveness, and trustworthiness, and generated written responses to each self-disclosing or self-involving counselor statement. Across all counselor–client gender pairings, self-involving counselors were rated as significantly more expert, attractive, and trustworthy than were self-disclosing counselors. Further, client responses to self-disclosing counselor statements contained significantly more questions about the counselors, were significantly longer responses, and were significantly more likely to be phrased in the past or future rather than in the present tense. Finally, client responses to the self-involving counselor statements contained significantly more client self-referents. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Countertransference reactions to lesbian clients: The role of homophobia, counselor gender, and countertransference management.

This study examined (1) male and female counselors' countertransference (CTF) reactions to lesbian and heterosexual client actresses and (2) the role of counselor homophobia and CTF management ability in CTF reactions. 67 counselors viewed a videotaped client actress in 1 of 2 conditions: lesbian or heterosexual. The client discussed sexual problems within a stable relationship. Counselors responded to the taped client at 8 points. CTF, the dependent variable, was assessed at behavioral, affective, and cognitive levels. Contrary to prediction, counselors did not exhibit more CTF with a lesbian client. As hypothesized, (1) counselor homophobia correlated with counselor avoidance behavior in the lesbian condition and (2) female counselors had greater recall problems than did male counselors with the lesbian client, whereas male and female counselors had equivalent recall with the heterosexual client. CTF management ability was uncorrelated with CTF reactions in all but a few instances. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premature termination at a university counseling center.

Predicted that 3 sets of variables would discriminate between clients who returned for scheduled appointments following intake and clients who did not: (a) client perception of the intake counselor as expert, attractive, and trustworthy; (b) agreement of client and counselor on the presenting problem; and (c) client satisfaction with the intake interview. To test this prediction, 134 university students (mean age 22.9 yrs) completed the Client Satisfaction Questionnaire, a counselor rating form, and a client problem identification questionnaire after an intake interview. 30 of these Ss dropped out of counseling and 104 continued. It was found that client satisfaction and perceptions of trustworthiness and expertness were related to Ss' returning for scheduled appointments. No differences between continuers and dropouts were found with respect to client perceptions of counselor attractiveness or client–counselor agreement on problem identification. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Male and female counselor and client perceptions of four levels of counselor touch.

60 male and 60 female counselors (aged 20–63 yrs) and 60 male and 60 female clients (aged 19–65 yrs) from the outpatient mental health clinic of a military hospital each evaluated a videotaped vignette of a counselor–client interaction with 1 of 4 counselor touch conditions depicted: no touch, touch of client's hand, touch of client's shoulder, semi-embrace. Dependent measures were a counselor rating form and a personal attribute inventory. Three-way multivariate analyses of variance (treatment?×?S gender?×?S's client vs counselor status) yielded no significant interactions. However, significance was obtained for the main effects of treatment and S's client vs counselor status. Subsequent analyses revealed that the counselor in the semi-embrace condition was perceived as less trustworthy than those in any of the other conditions. Also, clients perceived the videotaped counselor as more expert, attractive, and trustworthy than did counselors. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbal activity, sex, counselor experience, and success in counseling.

Examined the contribution made by client and counselor verbal activity, client and counselor sex, and counselor experience to satisfaction and symptom relief. Ss were 18 male and 5 female counselors employed at a university counseling service (9 of whom were experienced), 34 undergraduates, and 2 graduate students. 20 of the students were female and 16 were male. Counselor-offered facilitative conditions were held constant. Data were analyzed using a multiple regression analysis. Clients seeing experienced counselors reported better outcomes. Neither sex nor activity of the therapeutic participants contributed to therapeutic success. Explanations of findings and implications for counseling practice are discussed. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counselor and client ethnicity and counselor intake judgments.

Used archival research to compare intake judgments made by women counselors about women clients seen for an initial intake interview. Sociopsychological variables, which have been shown to influence counselor judgments, were controlled for in the research design. 41 African-American and 41 White female clients (aged 17–38 yrs), matched on demographic and pretreatment variables, were seen by African-American and White female counselors. Chi-square analysis and analysis of covariance (ANCOVA) showed no significant differences in counselor judgments for the matched client groups. Results support the need to control for sociopsychological variables that may influence counselor judgments when examining potential bias as a function of ethnicity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Racial similarity of client and counselor and client satisfaction with counseling.

Client evaluations of a precollege counseling interview were obtained for 13 black and 13 white students counseled by 3 experienced black counselors and 8 experienced white counselors. Black students tended to react more favorably to black and to white counselors than did white students. In general, racial similarity of client and counselor was not an important factor in these counseling interviews. The hypothesis that counselors are differentially effective in counseling students of a different racial background than their own lacks support. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of supervision in the training of nonprofessional crisis-intervention counselors.

Evaluated 3 major models currently used by crisis intervention centers to train and supervise nonprofessional counselors. Training groups included preservice training only (PSO), preservice training and delayed supervision (PSD), and preservice training and immediate supervision (PSI). The 4 nonprofessional counselors in each group saw actual clients of a walk-in clinic and were compared on (a) pattern and timing of interventions, (b) self-evaluations of their interview performance, and (c) client evaluations of treatment received. Except for explicit empathy, the groups did not differ in frequencies of counselor statements. Across time periods, only PSI counselors' response patterns began to approximate those of experienced crisis counselors. PSI patterns began to approximate those of experienced crisis counselors. PSI counselors rated their interview performances most positively, followed by PSD and then PSO counselors. Clients reported greatest satisfaction with treatment received from PSI counselors. Findings indicate that most of the learning by nonprofessionals occurs during ongoing supervision. The practice of relying on pretraining may promote harmful outcomes for volunteers and may account for the common problem of high staff attrition. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of counselor sex, race, and language style on black students in initial interviews.

Hypothesized that greater counselor-subject compatibility in race, sex, and language would result in greater client satisfaction and depth of exploration. Ss were 37 black students in a special program for the disadvantaged at a leading eastern state university and 3 black male, 2 black female, 6 white male, and 3 white female counselors. Data were analyzed using the multivariate analysis of covariance with counselor sex and race the independent variables and client depth of self-exploration and satisfaction the dependent variables. Covariates were counselor's level of facilitative conditions and comprehension of nonstandard English. Results indicate that Ss preferred black counselors to a significantly greater degree than white counselors and that they explored themselves in greater depth with female counselors (p     

Factors related to client return rate following intake.

Examined the relationship of client sex, intake counselor sex and experience level, and the sex of the counselor to whom the client was referred to the percentages of clients returning for counseling following an intake interview. In addition, the effect on return rate of referral to another counselor vs continuation with the counselor seen at intake was examined. Results from 67 male and 74 female counseling center clients and 25 regular counseling staff indicate that clients of both sexes were significantly less likely to return when initially interviewed by male rather than female intake counselors. Further, clients referred by male intake counselors to other male counselors were significantly less likely to return than were clients seen by and/or referred to female counselors. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interactional structure of interviews conducted by counselors of differing levels of cognitive complexity.

Investigated (a) the probabilistic interactional structure of counseling interviews conducted by 2 groups of counselors of differing levels of cognitive complexity and (b) the consistency of that structure within each group across sequences of 2 interviews. 26 master's level counselor trainees served as Ss. Analysis of the counselor–client interaction patterns between the 2 groups of counselors and across the 2-interview sequences was done using chi-square tests of homogeneity on the sequential verbal response–response transitions of the counseling interviews. The results provide evidence of (a) interactional process differences between counselors of differing levels of cognitive complexity and (b) consistency of interactional response patterns across counseling interviews. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex of client and sex and experience level of counselor.

Examined how sex of client and sex and experience level of the counselor affected behaviors in counseling. 12 male and 12 female counselors, half inexperienced and half experienced, each recorded the 2nd counseling session with 1 male and 1 female client. Satisfaction items, frequency counts of counselor and client verbal behavior, activity levels, and judges' ratings were obtained for each session. Results indicate that same-sex pairings had more discussion of feelings by both counselor and client, and that inexperienced males and experienced female counselors were more active and empathic and elicited more feelings from clients than did their counterparts. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client verbal and nonverbal reinforcement of counselor behavior: Its impact on interviewing behavior and postinterview evaluation.

Examined the effect of client reinforcement on counselor behavior within the interview as well as on selected attitudinal judgments of the counselor about the client. 30 counselor-trainees interviewed a standard client for 1 20-min interview. Following a 10-min baseline period, the client reinforced the counselor's reflection of feeling (RF) statements with either a verbal response, a verbal plus nonverbal response, or a noncontingent verbal plus nonverbal response. Counselors then completed a postinterview questionnaire measuring attraction to and clinical impression of the client. Results show that (a) counselors in verbal and verbal plus nonverbal conditions showed significant increases in RF statements, while noncontingent controls showed no significant gains; and (b) differences in counselor attraction and clinical impression of the client were minimal. Implications are discussed in terms of skill acquisition in counselor training. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral cues to counselor expertness.

Two male and 2 female counselors at each of 3 levels of training and experience conducted an initial interview with a female confederate client who presented the same role to all counselors. Videotapes of these interviews were viewed by 120 undergraduates who rated the counselors' expertness, indicated counselor behaviors that contributed to their judgments, and rated their willingness to refer close friends to the observed counselors for various concerns. Only individual counselor performance contributed significantly to rated expertness. Data do not support those of L. D. Schmidt and S. R. Strong (see record 1970-09304-001), which show an inverse relationship between training/experience and rated expertness. Willingness to refer was differentially related to rated expertness, depending on the client concern. (PsycINFO Database Record (c) 2010 APA, all rights reserved)