Relationship between counselor-initiated humor and client's self-perceived attraction in the counseling interview.

Videotaped 30 quasi-analogical initial counseling sessions between 30 31–66 yr old clients and 10 29–57 yr old counselors from 2 alcoholism counseling centers. Immediately following the sessions, clients rated degrees of attraction to counselors and recorded instances of counselor-initiated humor rated as humorous or not humorous. Results support the contention that counselor-initiated shared humor in an initial counseling session enhanced clients' attraction for counselors. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client introversion and counseling session impact.

Tested the hypothesis that insofar as personal counseling is a social encounter, introverted clients may be expected to experience greater distress in sessions than extraverted clients. This expectation was confirmed in a total of 83 clients (aged 17–39 yrs) in a university clinic who completed the Minnesota Multiphasic Personality Inventory (MMPI) during their treatment and completed a session evaluation questionnaire immediately after their sessions. With differences among counselors statistically controlled, relatively introverted (higher MMPI Social Introversion) clients rated their sessions as relatively uncomfortable, unpleasant, tense, rough, and difficult and rated their postsession mood as relatively unfriendly, uncertain, sad, angry, and afraid. Conversely, relatively gregarious, overactive, extraverted (higher MMPI Hypomania scores) clients rated their sessions as relatively comfortable, pleasant, relaxed, smooth, and easy. It is suggested that client introversion should be incorporated explicitly into counseling theories and should be measured as a possible mediating variable in process and outcome research. (40 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Insight and symptom reduction in time-limited psychoanalytic counseling.

The contention that client insight "causes" symptom reduction was examined for 12 clients who completed 20 sessions of psychotherapy. Clients rated target complaints before each counseling session and completed the Important Events Questionnaire (IEQ; A. L. Cummings, J. Martin, E. T. Hallberg, & A. G. Slemon, 1992) after each counseling session. Counselors rated target complaints for their clients after each session. Three judges rated the IEQs using the Insight Rating Scale (IRS; R. W. Morgan, L. Luborsky, P. Crits-Christoph, H. Curtis, & J. Solomon, 1982). Validity of the IRS was established by examining the relationship between IRS ratings, counselor-judged insight, and counts of client insight statements. Regression analyses showed that clients had significant linear increases in insight and significant linear decreases in target complaint distress across the 20 counseling sessions. Time-series analyses showed that increases in insight led reductions in target complaints. These results support the importance of insight for symptom reduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential helpfulness of counselor verbal response modes.

28 counselor–client dyads (analog sample consisting of 15 graduate students and faculty and 28 undergraduates) and 16 client–counselor dyads (counseling sample) rated the helpfulness of particular counselor responses in just-completed counseling sessions, using Interpersonal Process Recall. In the counseling sample, counselors also rated the helpfulness of the same responses. The responses were measured for type of response made by objective raters, clients, and counselors. Interpretations received the highest helpfulness ratings from both client and counselor. Advisements were rated as slightly more helpful than nonadvisements, and questions were rated as slightly less helpful than nonquestions. However, counselor response modes account for only a small proportion of the variance in helpfulness ratings, which points out the need for research on contextual variables and response mode subtypes. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counselor verbal response modes and experienced empathy.

[Correction Notice: An erratum for this article was reported in Vol 34(3) of Journal of Counseling Psychology (see record 2008-10749-001). The second paragraph of the author acknowledgement should have read as follows: We thank Ian Spalding for supervision of the session recordings, Liz Colley for programming and advice on data analysis, Richard Shillcock and Jane Oakhill for response mode coding, and Robert Elliott for comments on a draft.] Client and counselor perceptions of empathy at different stages in the counseling process were examined in relation to the verbal response modes used by counselors in 24 client–counselor dyads. Each of 6 counselors (aged 32–58 yrs) at college counseling centers was studied in counseling with 4 clients, of whom 2 were in initial sessions and 2 were in sessions drawn from ongoing counseling relationships. Clients perceived counselors as showing significantly greater empathy during ongoing than during initial sessions, and counselors perceived themselves as showing significantly greater empathy during initial sessions than did clients rating the same sessions. Clients rated counselors using fewer general advisements as more empathic, whereas counselors who rated themselves more empathic used more explorations and fewer reassurances. At the moment-to-moment level tapped by interpersonal process recall, exploration was the only category strongly associated with both client and counselor experiences of empathic communication in both initial and ongoing sessions. (50 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Counselor verbal response modes and experienced empathy": Correction to Barkham and Shapiro.

Reports an error in "Counselor verbal response modes and experienced empathy" by Michael Barkham and David A. Shapiro (Journal of Counseling Psychology, 1986[Jan], Vol 33[1], 3-10). The second paragraph of the author acknowledgement should have read as follows: We thank Ian Spalding for supervision of the session recordings, Liz Colley for programming and advice on data analysis, Richard Shillcock and Jane Oakhill for response mode coding, and Robert Elliott for comments on a draft. (The following abstract of the original article appeared in record 1986-15306-001.) Client and counselor perceptions of empathy at different stages in the counseling process were examined in relation to the verbal response modes used by counselors in 24 client–counselor dyads. Each of 6 counselors (aged 32–58 yrs) at college counseling centers was studied in counseling with 4 clients, of whom 2 were in initial sessions and 2 were in sessions drawn from ongoing counseling relationships. Clients perceived counselors as showing significantly greater empathy during ongoing than during initial sessions, and counselors perceived themselves as showing significantly greater empathy during initial sessions than did clients rating the same sessions. Clients rated counselors using fewer general advisements as more empathic, whereas counselors who rated themselves more empathic used more explorations and fewer reassurances. At the moment-to-moment level tapped by interpersonal process recall, exploration was the only category strongly associated with both client and counselor experiences of empathic communication in both initial and ongoing sessions. (50 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counselor self-disclosure, East Asian American client adherence to Asian cultural values, and counseling process.

After completing a measure of adherence to Asian cultural values, 62 East Asian American clients talked about personal issues in a counseling session with a European American counselor who either disclosed personal information or refrained from disclosing personal information. Disclosure condition and client adherence to Asian values did not predict session outcome. However, type and intimacy of disclosure were related to immediate process and session outcome. Disclosures of strategies were perceived by the clients to be more helpful than disclosures of approval/reassurance, facts/credentials. and feelings, with disclosures of insight perceived as intermediate in helpfulness. Disclosures of strategies occurred more frequently in highly rated sessions than in sessions rated low. Also, client-and counselor- perceived intimacy of disclosures was significantly correlated with client- and counselor- perceived helpfulness of disclosures, respectively. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Node-link mapping and the evaluation of drug abuse counseling sessions.

Node-link mapping is a visual representation system that can be used in group and individual counseling sessions to illustrate clients' problems, issues, and plans. One hundred sixty-nine methadone treatment clients and their 10 counselors evaluated each of their individual and group sessions during a 2.5-month period by using the Session Evaluation Questionnaire (W. B. Stiles, 1980) and map rating items. A series of multivariate analyses of variance and correlational analyses indicated that the use of mapping (including the quantity and quality of mapping) was positively related to higher ratings of session depth by both clients and counselors. In addition, mapped group sessions were rated higher on several evaluative dimensions than were mapped individual sessions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client and counselor characteristics and engagement in counseling.

Examined relations among various client and counselor characteristics and engagement in counseling for more than 1 session with 5 female and 4 male practicum counselors and 203 of their clients (128 women, 75 men) who had come to a university counseling center for the 1st time. After the initial interview, clients rated counselors' interest, helpfulness, competence, warmth, and genuineness; counselors rated clients' verbalness, intelligence, capacity for insight, likability, and the severity of clients' problems. Clients also indicated the extent to which counselors identified concerns for which the clients did not initially seek counseling. Findings show that 71 clients returned for more than 1 counseling session. Counselors' perceptions of clients as more disturbed and counselors' desire to see the clients were positively associated with clients' returning for counseling after intake. Identification of concerns for clients by counselors at intake was also positively related to engagement in counseling. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relevance of the supervisory alliance to the counseling alliance and to treatment adherence in counselor training.

The quality of the supervisory working alliance should be related to the quality of the counseling working alliance and to trainee adherence to a treatment model. After each of 4 supervision sessions, 75 trainees completed the Supervisory Working Alliance Inventory, and, after each counseling session, their clients completed the Working Alliance Inventory. Judges rated portions of the videotaped counseling sessions with an adherence measure. Hierarchical linear modeling was used to analyze these nested data (repeated measures of trainees nested within supervisors). As hypothesized, the trainee's perception of the supervisory alliance was significantly related to the client's perception of the counseling alliance and to aspects of treatment adherence. The significance of these findings is discussed in relation to the supervision literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpersonal influence process in real-life counseling: Investigating client perceptions, counselor experience level, and counselor power over time.

Examined the interpersonal influence process within an actual counseling context over an average of 8 sessions. Counselors were either beginning or advanced practicum students or doctoral interns (n?=?27); clients were 31 students who sought counseling at a university center. Before and after counseling Ss completed the Counselor Rating Form, the Expectations about Counseling measure, and the Counselor Perceptions Questionnaire. Results indicate that (a) the actual counselor experience level did not affect client perceptions of the counselor; (b) perceived counselor expertness, attractiveness, and trustworthiness changed over time, but not in the same direction across counselors; (c) different levels of client need did not affect clients' perceptions of counselor characteristics; and (d) counselors rated as highly attractive indicated they had more therapeutic power over clients than counselors rated as moderately attractive. (46 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Three methods in measuring the therapeutic process: Clients' and counselors' constructions of the therapeutic process versus actual therapeutic events.

Explored 3 methods in examining the therapeutic process that (1) assessed how clients construct and interpret the change process and counselors' behavior over time, (2) assessed the content and valence of clients' and counselors' most memorable thoughts immediately after the session, and (3) compared the clients' and counselors' memorable thoughts with the actual content of the counseling sessions. A single-S design was used to examine 3 counselor–client dyads across 7 counseling sessions. The results provided preliminary but rather encouraging support of 2 methodologies, Guided Inquiry and thought listing, that assess how clients and counselors construct and interpret aspects of the therapeutic process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Templates of client change in short-term counseling.

A qualitalive analysis was performed of the change process experienced by 10 female clients engaged in short-term counseling (8–21 sessions). At the end of each session, clients completed the Important Events Questionnaire in which they described the most important event in the session, the reason for its importance, their thoughts during the event, their thoughts between sessions, and any change they were experiencing. These written responses were examined by 4 judges who attempted to map change processes over time. Three different patterns of change were identified: consistent change, interrupted change, and minimal change. The implications of these results for the understanding of change processes in short-term counseling are explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client self-terminations after one counseling session: Effects of problem recognition, counselor gender, and counselor experience.

From a pool of 758 clients seen individually by 1 of 34 counselors at a large university counseling center, 533 clients were identified as having self-terminated from counseling after their initial session or as having continued in counseling for at least 3 sessions. The authors investigated potential relationships between continuation in counseling and the variables of counselor experience, counselor gender, and counselor recognition of clients' problem definitions. As predicted, the results of logit analyses indicated that clients were more likely to self-terminate after 1 session when problem recognition was absent. This relationship was more pronounced for experienced counselors than it was for trainees, suggesting a possible explanation for the lack of a direct relationship between counselor experience and continuation in counseling in recent studies. Female counselors had higher rates of early premature terminations than male counselors. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Convergence in client and counselor recall of important session events.

The authors examined convergence of clients' and counselors' recall of important session events by comparing client and counselor Critical Incident Questionnaires (CIQs) from 27 counseling dyads. In addition, clients reported interpersonal problems before and after counseling. Trained judges rated matched pairs of CIQs for similarity of change mechanisms and content. Individual growth modeling was conducted with the Hierarchical Linear Model program. Results showed that (a) convergence of client and counselor recall of important therapeutic events increased linearly over time, and (b) increasing convergence was related to counseling outcomes, as measured by a decrease in interpersonal problems. Implications for counseling practice and future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential effects of two test-interpretation styles in counseling: A field study.

Two styles of test interpretation, delivered and interactive, were compared in ongoing career counseling for 26 university honors students. The styles were used in interpreting the Personality Research Form and the Vocational Preference Inventory in the second session. Clients listed their thoughts in session after each test was interpreted. After the session, clients evaluated session impact and counselor influence. Clients in the two conditions did not differ in the number of thoughts listed or in the favorability of their thoughts. However, clients who received an interactive interpretation also considered their sessions to be deeper and their counselors to be more expert, trustworthy, and attractive than did clients who received a delivered interpretation. Implications for test-interpretation practice and research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Collaborative versus directive interventions in the treatment of eating disorders: Implications for care providers.

Given that individuals with eating disorders, are typically ambivalent about changing their eating patterns, what approach is most helpful in working with this challenging group? This research compared the responses of clients with eating disorders and those of care providers to written clinical vignettes. All participants rated collaborative interventions as more acceptable and more likely to produce positive clinical outcomes than directive interventions. In addition, clients who were least ready for change rated directive interventions as less acceptable and less likely to produce adherence than did clients who were more ready. Despite participants' clear preference for collaborative interventions, directive interventions were rated as equally likely to occur. The implications of participant preferences and reasons that these preferences may not be reflected in actual clinical practice are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)