Male gender role conflict and willingness to seek counseling: Testing a mediation model on college-aged men.

Men who experience negative consequences of their socialized gender roles--that is, have greater gender role conflict--report less positive attitudes and willingness to seeking counseling. Using structural equation modeling with data from 575 undergraduate men, the authors examined 3 mediators (self-stigma associated with seeking counseling, tendency to disclose distressing information, and attitudes toward seeking counseling) regarding the link between gender role conflict and willingness to seek counseling for psychological and interpersonal concerns. Results indicated that this link was partially mediated by these 3 factors. Men experiencing greater gender role conflict were more likely to self-stigmatize and less likely to self-disclose. High self-stigma and less disclosure then led to less positive attitudes and subsequently to less willingness to seek counseling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The mediating roles of anticipated risks, anticipated benefits, and attitudes on the decision to seek professional help: An attachment perspective.

This study examined the mediating effects of anticipated risks, benefits, and attitudes toward seeking counseling on the link between adult attachment and help-seeking intentions for psychological and interpersonal concerns in a sample of 821 undergraduates. The structural equation modeling results indicated that the link between higher attachment avoidance and less intent to seek help was mediated by lower anticipated benefits, higher anticipated risks, and less positive attitudes toward seeking help. Conversely, the link between higher attachment anxiety and greater intent to seek help was mediated by higher anticipated benefits and risks and more positive attitudes toward seeking help. Thus, attachment contributed to perceptions of the benefits and risks of counseling, which, in turn, influenced help-seeking attitudes and, eventually, help-seeking intentions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Asian international students' intentions to seek counseling: Integrating cognitive and cultural predictors.

This study integrated several cognitive and cultural predictors of Asian international students' intentions to seek counseling. Data from 295 Asian international students were used to determine whether help-seeking intentions could be predicted by a combination of cognitive variables (i.e., counseling attitudes and stigma concerns) and cultural factors (i.e., acculturation, Asian values, and loss-of-face concerns). Data supported a partially mediated model, such that participants who endorsed more traditional Asian values reported less positive counseling attitudes and lower help-seeking intentions. Contrary to expectations, however, loss-of-face and stigma concerns were associated with stronger intentions to seek counseling, which may have been due to participants' fears of sharing psychological problems with significant others and preference for the confidential nature of the counseling relationship. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

An information-processing model of the decision to seek professional help.

Despite the presence of quality mental health care in many communities, people tend to avoid seeking help and wind up languishing in their problems unnecessarily. For the professional to better understand how to reach these individuals, an information-processing model is presented that examines the effects of people's interpretation of their environment and their symptoms on their decision to seek mental health services. Using the model as a guide, suggestions are presented for practitioners who wish to provide services to those who are in need of professional help, yet are hesitant to obtain it. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The application of the Canadian Code of Ethics for Psychologists to teaching: Mandatory self-disclosure and alternatives in psychology courses.

In recent decades, we have made significant progress in the area of the ethical conduct of research. However, it appears that parallel progress with respect to our ethical responsibilities in the teaching arena has not kept pace with that made in the research area. The focus of this article is on the use of self-disclosure as a mandatory component of psychology courses. Issues such as competence, perceived coercion, confidentiality, conflict of interest, and others are addressed. Our Canadian Code of Ethics for Psychologists is examined with a view to arriving at decisions on these issues that will be beneficial to most students and not endanger some other students. Viable alternatives to mandatory self-disclosure are presented. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Predictors of the change in self-stigma following a single session of group counseling.

One of the major obstacles to seeking psychological help is the stigma associated with counseling and therapy. Self-stigma, the fear of losing self-respect or self-esteem as a result of seeking help, is an important factor in the help-seeking process. In the present study, college students meeting a clinical cutoff for psychological symptoms participated in 1 session of group counseling that either contained therapist self-disclosure or did not. In general, participants reported significantly less self-stigma following the session. Working alliance–bond and session depth significantly predicted the change in self-stigma. Furthermore, self-stigma (as well as bond, depth, psychological symptoms, and being female) predicted the intention to seek help following the session. Self-stigma and session depth also predicted interest in continuing with counseling. The therapist self-disclosure condition, however, had no effect on the change in self-stigma, intentions to seek help, or interest in continuing with group counseling. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling.

This study examined the mediating effects of the self-stigma associated with seeking counseling and attitudes toward seeking counseling on the link between perceived public stigma and willingness to seek counseling for psychological and interpersonal concerns. Structural equation modeling of data from 676 undergraduates indicated that the link between perceived public stigma and willingness to seek counseling was fully mediated by self-stigma and attitudes. Perceptions of public stigma contributed to the experience of self-stigma, which, in turn, influenced help-seeking attitudes and eventually help-seeking willingness. Furthermore, 57% of the variance in attitudes toward counseling and 34% of the variance in willingness to seek counseling for psychological and interpersonal concerns were accounted for in the proposed model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Confrontation with aggressive peers at school: Students' reluctance to seek help from the teacher .

Asking for assistance from a teacher is generally viewed by elementary school students as a way of avoiding rather than resolving peer conflict. However, there are situations when it is appropriate and perhaps necessary to seek help. This study investigated such situations. Vignettes that portrayed aggressive peer conflict at school were presented to 128 3rd and 4th graders, who were asked what they would do and why. Students' self-perceptions of peer relations also were measured. At Grade 3, boys and girls were equally likely to go to the teacher for help, whereas at Grade 4, girls were more likely than boys to do so. At Grade 4, girls showed greater interest than boys in resolving conflict and "getting things back to normal." At Grade 3, students interested in revenge tended to go to the teacher. At both grades, boys were more concerned than girls that help seeking might lead to hassles with the teacher or reprisals from classmates. Boys who perceived themselves as popular and girls who perceived themselves as unpopular were relatively likely to seek help. Relations between help seeking and children's grade level, gender, and self-perceptions are discussed in terms of goal and strategy components in a social-information-processing model of conflict resolution. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To tell or not to tell: The psychotherapist's dilemma.

Examines an ethical dilemma for professional psychologists treating potentially dangerous clients. The problems involved in predicting dangerousness are discussed as well as a number of possible interventions geared toward protecting the intended victim and society. Legal and ethical requirements to assess potential dangerousness, coupled with the "double agent" conflict and the tendency of mental health professionals to overpredict dangerousness, can adversely affect the therapist–client relationship and vitiate the treatment process. Legal and ethical issues confounding the course of action most effective for therapists to take to protect society and preserve individual rights are explored, and recommendations are proposed. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Affective influences on self-disclosure: Mood effects on the intimacy and reciprocity of disclosing personal information.

How does mood influence people's willingness to disclose intimate information about themselves? Based on recent affect–cognition theories and research on interpersonal behavior, 3 experiments predicted and found that people in a positive mood disclosed more intimate, more varied, and more abstract information about themselves. In contrast, people in a negative mood were more attentive to the behavior of others and reciprocated self-disclosure from their partners more accurately. This effect was obtained in hypothetical situations (Experiments 1 and 2) and in realistic computer-mediated interactions as well (Experiment 3). Experiments 2 and 3 confirmed that mood effects on self-disclosure were mediated by information processing style. The role of affect in information processing and relationship behaviors in particular is discussed, and the implications of these findings for everyday interaction strategies and for contemporary affect–cognition theorizing are considered. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Does ethnicity explain functioning in group counseling? The case of Arab and Jewish counseling trainees in Israel.

This study compared the functioning in group counseling of two ethnic groups--Arab and Jews in Israel. All participants were counseling trainees in a university program, led by one group leader. Variables included self-disclosure, goals for therapy, client behavior, and therapeutic factors, measured repeatedly (at least twice), either through questionnaires or through analyses of transcribed sessions. Statistical analyses were performed by means of a hierarchical model (mixed), with the individual nested within the small group and the ethnic cohort. In contrast to our expectations, results indicated more similarities than differences between the two cohorts. Moreover, Arab trainees intended to disclose more in group and actually did (based on a questionnaire) compared with their Jewish counterparts. On the Client Behavior Scale (C. E. Hill & K. O'Brien, 1999) there were a few differences revealed: Arab trainees displayed more simple responses, more cognitive exploration, and less resistance, insight, and therapeutic change. Two differences were revealed also on the therapeutic factors. The discussion cautions against unnecessary modifications made in interventions with different cultural groups in counseling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Arab and Israeli counseling trainees: A comparison of ethnically homogeneous and heterogeneous groups.

The study compared Arab and Jewish trainees in ethnically homogeneous and heterogeneous groups, in 1 counselor training program in Israel. The 60 participants were divided into 4 conditions: Jewish trainees in homogeneous and heterogeneous groups (n=15 in each), and Arab trainees in homogeneous and heterogeneous groups (n=15 in each). Functioning in the group was measured through group climate (engagement, conflict, and avoidance), group intimacy, self-disclosure, and regret of disclosure. Results indicated cultural differences only on self-disclosure, with Arabs scoring lower than Jews on several dimensions. Group composition differences were mainly indicated on the climate measure, with higher scores in the heterogeneous group on conflict and avoidance, and lower scores on regret of feeling exposure. Culture-by-group interactions were found for engagement, self-disclosure, and regret after disclosure about self, with Arabs in heterogeneous groups scoring higher on the first 2 and lower on the third. These results recommend placing Arab trainees in heterogeneous groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To do or not to do: Desirability and consistency mediate judgments of regret.

In 4 studies, the authors demonstrated that when errors associated with action were inconsistent with decision makers' orientation, they were undesirable and produced more regret than did errors associated with inaction. Conversely, when errors associated with action were consistent with decision makers' orientation, they were desirable and produced less regret than did errors associated with inaction. Desirability and consistency mediated this relationship, independent of mutability. These results were obtained when judgments and decisions to act or not act were made in close temporal proximity to one another as well as when participants reflected on their past decisions. The authors provide an analysis of when counterfactuals would and would not be expected to mediate judgments of normality and regret. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

To speak or not to speak: The role of the behavioral scientist revisited.

Discusses M. L. King's (1968) article on the role of the behavioral scientist in the civil rights movement and notes the lack of research and involvement by psychologists in both research into significant social issues and the civil rights struggle. A plea is made for professional self-examination and a reevaluation of values and principles. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To serve or not to serve: The role of an APA Council Representative.

Includes analysis of a 38-item questionnaire presented to the 137 Council Representatives in 1968, and presents the Committee's recommendations as to appropriate responsibilities of Council members. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Men, masculinity, and the contexts of help seeking.

Research on men's help seeking yields strategies for enhancing men's use of mental and physical health resources. Analysis of the assumptions underlying existing theory and research also provides a context for evaluating the psychology of men and masculinity as an evolving area of social scientific inquiry. The authors identify several theoretical and methodological obstacles that limit understanding of the variable ways that men do or do not seek help from mental and physical health care professionals. A contextual framework is developed by exploring how the socialization and social construction of masculinities transact with social psychological processes common to a variety of potential help-seeking contexts. This approach begins to integrate the psychology of men and masculinity with theory and methodology from other disciplines and suggests innovative ways to facilitate adaptive help seeking. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Attachment style and relationship satisfaction: Test of a self-disclosure explanation": Erratum.

Reports an error in "Attachment style and relationship satisfaction: Test of a self-disclosure explanation" by J. Patrick R. Keelan, Karen K. Dion and Kenneth L. Dion (Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 1998[Jan], Vol 30[1], 24-35). Some figures were inadvertently omitted in two tables. The correct tables are provided in the erratum. (The following abstract of the original article appeared in record 1998-01141-003.) Explored a self-disclosure explanation for why those with a secure attachment style report greater relationship satisfaction than those with insecure attachment styles. Ss were 99 17–36 yr old students who were in ongoing relationships and who had different attachment styles. Ss were compared in terms of the self-disclosures they directed toward their partner vs a stranger, using questionnaire and behavioural measures. Behavioural self-disclosure was assessed by having Ss give talks on different topics, while anticipating that either their current partner or an opposite-sex stranger would later hear it. Results show that Ss with a secure attachment style disclosed more intimately to their partners than to strangers; whereas those with insecure attachment styles did not. Moreover, secures disclosed more personal facts to their partners than to strangers and were also perceived as more comfortable while self-disclosing to partners than to strangers. Finally, support for the hypothesis that self-disclosure mediates the relation between attachment style and relationship satisfaction was found on one component of self-disclosure, facilitative disclosure, a component which included both reported self-disclosure to one's partner and self-rated ability to elicit disclosure from others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To use or not to use: Clinicians' perceptions of telemental health.

Equal access to mental health services is necessary for healthy individuals and communities. However, due to geographical distances and other barriers, some clients cannot easily access mental health professionals. Technologies such as videoconferencing for clinical purposes (i.e., telemental health) may help to bridge these gaps to connect clients and clinicians at geographically diverse locations. However, despite its potential utility, telemental health has not been widely adopted in Canada. This study is an exploratory investigation into mental health professionals' attitudes toward telemental health, factors that affect the frequency with which they use this technology, and their perceptions of individual characteristics that make clients more or less suitable candidates for telemental health. This study has a particular focus on remote and rural and Operational Stress Injury (OSI) contexts. One hundred sixty mental health workers across Canada participated in an online survey, and 25 mental health workers from Operational Stress Injury clinics across Canada participated in in-person interviews. The data were examined using qualitative and quantitative analysis methods. Findings suggest that mental health workers have overall positive attitudes toward the use of telemental health—particularly for clients in remote and rural locations. Additionally, receiving training in telemental health, being in the mental health field for longer, and perceiving the technology as easy to use are associated with more frequent use of telemental health. Finally, clinicians reported specific client characteristics that they perceive to make some clients unsuitable candidates for telemental health. Implications of these findings and directions for future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

More than a mirror: The ethics of therapist self-disclosure.

Perspectives on the ethical implications of self-disclosure differ widely. Many authors warn that self-disclosure by a therapist can be exploitative. Some authors also highlight beneficent reasons for disclosing in therapy. The ethicality of a particular self-disclosure is likely to depend on the content of the disclosure, the therapist's rationale for the disclosure, the personality traits of the client to whom the disclosure is made, and the specific circumstances surrounding the disclosure. Research suggests that clients experience both positive and negative consequences as a result of their therapists' self-disclosures. Because of the ambiguity and complexity of this ethical issue, therapists must take into account numerous ethical principles when using interventions that involve self-disclosure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)