Empirical investigation of the cognitive mediational paradigm for research on counseling.

Examined relations among counselor and client cognitions, behaviors, and ratings in 29 counseling sessions involving 10 different counselor–client pairs, using stimulated recall and content analysis. Clients were university students; there were 4 counselors with 7–25 yrs' experience and 3 who were counseling interns. The design of the study permitted assessments of the impact of counselor experience (novice vs experienced) and stage of counseling (early, middle, and end) on these variables. Consistency in various parts of the sequential chain of counselor intention (counselor behavior, client perceptions of counselor intention and behavior, client cognitive processing, and client behavior) was lower for interpersonal cognitive than for interpersonal behavioral or intrapersonal cognitive–behavioral links. Consistency across different elements in this chain was observed to account for a significant proportion of the variance in counselor ratings of session effectiveness. Consistent, interpretable patterns observed across counselor intentions, counselor behaviors, and client cognitive processing are discussed. Relatively few effects of stage of counseling or of counselor experience were observed. (32 ref) (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)     

Effects of race and socioeconomic status on the perception of process variables in counseling.

Analyzed the effects of race and socioeconomic status (SES) on the perception of process variables in counseling, including judged counselor empathy, judged counselor–client cognitive similarity, and attraction. The study used a 2?×?12?×?2?×?6 design (race of S, tape order, SES of client, race of counselor and client) with repeated measures on the SES of client variable and the race of counselor and client variable. Following empathy training, 12 Black and 12 White undergraduate middle-class males listened to 12 specially prepared counselor–client taped dialogs and rated the counselor and client on each tape on the process variables being researched. All hypotheses were confirmed. Both Black and White Ss gave highest counselor empathy ratings, client–counselor attraction and cognitive similarity ratings, and client improvement ratings to matchings in which the counselor and client were similar over race and social class, and they gave lowest ratings when the counselor and client were dissimilar over race and social class. Effects of client accent were generally not significant. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of observer ratings of multicultural counseling competence in Black, Latino, and White American trainees.

Using transcribed intake sessions of 52 counselor–client dyads, this study explored the relative contributions of (a) counselor and client race or ethnicity, (b) counselor–client racial or ethnic match, (c) previous academic training in multicultural counseling, and (d) self-reported multicultural counseling competence to observer ratings of trainees' multicultural counseling competence. Results revealed that (a) Black American and Latino American counselor trainees were rated as more multiculturally competent than their White American peers, and (b) prior multicultural training was positively predictive of observer-rated multicultural counseling competence. Implications of the findings for counselor training and practice are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of cognitive style and counselor–client compatibility on client growth.

Tests of 2 cognitive style dimensions (serialism–holism and field dependence–independence; measured by the Gandlemuller Test and the Group Embedded Figures Test, respectively) were administered to 60 counselor trainees in graduate clinical and counseling psychology programs and 60 volunteer clients drawn from a university-level applied psychology course. 32 counselor–client pairs matched or mismatched on the 2 dimensions were formed. Counselor and client pairs engaged in 2 50-min therapy sessions that focused on client self-enhancement. In independent rating sessions, matching effects for field dependence–independence were obtained in clients' subjective ratings of improvement in self-exploration skills and in clients' and counselors' subjective ratings of the ease of relating with each other. Implications and applications for achieving maximum counselor–client compatibility in a person–environment interaction model are discussed. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Duration, satisfaction, and perceived effectiveness of cross-cultural counseling.

The relationship between cultural dissimilarity and the duration, satisfaction, and perceived effectiveness of counseling was studied in the context of 70 actual treatment dyads that varied as to the race of the counselor and the client (White or non-White). White counselors provided fewer sessions than non-White counselors, and non-White clients expressed lower levels of overall satisfaction with counseling, regardless of counselor race. No differences in counseling effectiveness were observed as measured by counselor and client ratings of perceived relief, understanding, and coping. Relative to other treatment dyads, however, White clients seeing White counselors attributed their change more to counseling than to other, outside factors. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selected process variables as a function of client type and cognitive complexity in beginning counselors.

Investigated the effect on 4 selected counseling process variables by utilizing multiple measures of cognitive complexity and varied counseling tasks. Cognitive complexity was assessed with 5 separate measures (interconcept distance measure of cognitive complexity, intolerance of trait consistency, intolerance of ambiguity, category width, and paragraph completion test), and counseling tasks consisted of 2 counseling sessions with simulated clients. Ss were 33 22–44 yr old 1st-yr counselors grouped according to their cognitive style. The process variables were counselor–client congruency, counselor empathy, counselor verbal mode, and subrole. The principal findings of the study are as follows: (a) Counselor cognitive complexity did not significantly discriminate between measures of the 4 process variables. (b) There was a significant difference in performance on 3 process variables (counselor subrole, verbal mode, and accurate empathy) between the 2 counseling tasks. (c) There was a significant interaction effect between counseling tasks and the low-complexity group on accurate empathy. Within certain restrictions, it is concluded that differences in the simulated clients appear to be more influential on certain process variables than the information processing style of the student counselor. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical attractiveness and counseling skills.

80 college students assumed the role of a client with social skill problems during 3 counseling sessions. Videotaped interchanges between a male client and a female counselor during an initial intake session were presented, and audiotapes with background slides of the counselor were presented during 2 subsequent therapy sessions. Physical attractiveness had an impact on perceived effectiveness independent of the counselor's skillfulness. In contrast, analyses of future expectancy data revealed that only in the good skills condition did attractiveness augment impressions about the desirability of the counselor in treating other social and behavioral problems. Correlational analyses suggested that clients in the good skills condition, who were most influenced by attractiveness in Session 1, judged the counselor most favorably following Session 3 in terms of her potential effectiveness in treating new problems. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling session impact as viewed by novice counselors and their clients.

The Session Evaluation Questionnaire (SEQ) was used to measure the perspectives of 17 graduate-student counselors and their 72 17–39 yr old clients on 942 individual counseling sessions along 2 evaluative dimensions—depth and smoothness—and 2 dimensions of postsession mood—positivity and arousal. A components-of-variance analysis showed that, from both perspectives, SEQ ratings varied greatly from session to session; ratings were only modestly predictable from differences among counselors or among counselor–client dyads. However, averages across 6–20 sessions permitted adequately reliable differentiation among dyads, for example, for comparisons with outcome measures. Correlations between corresponding counselor and client dimensions ranged from moderate to negligible, whether calulated across sessions, across clients, or across counselors, Novice counselors' judgments of session depth and value may have had little relation to their clients' evaluations. On the other hand, counselors' comfort in sessions and postsession positive mood were moderately predictive of client reactions. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client and Counselor Trainee Attachment as Predictors of Session Evaluation and Countertransference Behavior in First Counseling Sessions.

This study investigated client and counselor trainee attachment as predictors of session evaluation and countertransference behavior in 93 first counseling sessions. Results indicated that client attachment predicted aspects of session evaluation, whereas counselor attachment and the interaction of client and counselor attachment predicted aspects of countertransference. Specifically, client fearful attachment was negatively associated with client ratings of session smoothness and depth and with counselor ratings of session smoothness. Counselor dismissing attachment was positively associated with supervisor ratings of hostile countertransference. Furthermore, interactions between client and counselor attachment predicted hostile and distancing countertransference reactions, such that countertransference was highest when the client had a preoccupied attachment pattern and the counselor trainee had a fearful or dismissing attachment pattern. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gay and bisexual male clients' perceptions of counseling: The role of perceived sexual orientation similarity and counselor universal-diverse orientation.

A recurring question in multicultural counseling is whether client–counselor similarity on sociodemographic characteristics benefits counseling. A related issue is how counselor orientation to diversity relates to counseling process and outcome, both as a main effect and in interaction with counselor–client sociodemographic match. This cross-sectional study investigated these questions in relation to gay and bisexual male clients' counseling experiences by examining clients' perceived similarity to their counselor in sexual orientation, as well as counselors' self-reported orientation to diversity (assessed in terms of level of universal-diverse orientation [UDO]). Data were from 83 male–male client–counselor dyads recruited from lesbian/gay/bisexual-affirming counseling practices, where clients identified as gay or bisexual and counselors identified as gay, bisexual, or heterosexual. Counselor UDO was positively and uniquely associated with client ratings of the working alliance, session depth, and session smoothness. Perceived sexual orientation similarity was not directly related to any of the counseling-related criterion variables. Moreover, when counselors reported low levels of UDO, perceived similarity was negatively associated with the client-rated alliance and perceived improvement. Client religious commitment—a control variable in all analyses—was uniquely and negatively associated with client ratings of perceived improvement in counseling. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Counselor intentionality: An emerging view of process and performance.

Contends that intentionality, viewed as a trait related to counselor functioning and performance, is an emerging perceptual construct that is important for counseling research. Differing definitions of intentionality focus on bipolarity, unintentional functions, and being trapped in one intentionality. Empirical studies have shown that counselor behavior is perceived as counselor intention and that counselor ratings of counselor response helpfulness were not predictive of client perceptions; client ratings were not predictive of counselor perceptions of response helpfulness either, but trained observers significantly predicted both client and counselor ratings. It is suggested that a more clearly defined and measured construct of intentionality could be used to distinguish levels of professional functioning in counselors. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counselor and helpee perceptions of counselor intentions in relation to outcome in a single counseling session.

Determined whether counseling session could be predicted from different variables (i.e., counselor intentions, helpee's perceptions of counselor's intentions, match between counselor and helpee on intentions), focusing on counselors' and helpees' perceptions. Four 32–43 yr old experienced counselors each saw 4 undergraduate helpees for single 50 min counseling sessions. Counselors and helpees evaluated sessions and then reviewed videotapes during which counselors identified their intentions and helpees rated the helpfulness for each counselor turn. Results indicate that helpees perceived more intentions to support, focus, and clarify and less self-control and resistance than counselors had intended. The highest match between counselors and helpees occurred for getting information, setting limits, and clarifying. Helpees' ratings of helpfulness were highest for counselors' intentions involving needs, resistance, cognitions, and relationships, and lowest for setting limits, getting information, supporting, and focusing. Session outcome was related to different counselor and client perceptions, indicating that participants valued different events within sessions. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical attractiveness: Interactive effects of counselor and client on counseling processes.

192 college students, selected on the basis of their scores on an attractiveness battery, assumed the role of a client having social skill problems during 3 counseling sessions. Exp I was a factorial design in which the major variables were counselor's physical attractiveness, client's physical attractiveness, and sex of client. Exp II studied the interaction between physical attractiveness of the counselor and client's susceptibility to attractiveness as determinants of outcome. In both experiments, Ss roleplayed a client who interacted with a female counselor. The counselor's physical attractiveness had a major impact on her perceived therapeutic effectiveness and the client's expectancies about future success, irrespective of the client's physical attractiveness or sex. Male clients generally attributed a higher level of skill to the female counselor than did female clients. When the counselor was unattractive, clients who were more susceptible to attractiveness perceived her as less skillful than clients who were less susceptible to attractiveness. Physical attractiveness of the counselor accounted for over 50% of the variance in perceived effectiveness and future expectancy measures in both experiments. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in counselor adherence over the course of training.

Following recommendations of S. F. Butler and H. H. Strupp (1993), novice counselors were used to examine the development of adherence and counselor interactional style over the course of manual-based training in time-limited dynamic psychotherapy (TLDP; H. H. Strupp & J. Binder; 1984). Adherence to TLDP was assessed with the Vanderbilt Therapeutic Strategies Scale. Counselor interactional style was assessed with the client version of the Working Alliance Inventory. Growth curve analyses showed a significant linear increase in TLDP adherence and in client-rated working alliance for the novice counselors across 4 supervised training sessions. Time-series analysis (cross-correlations) indicated there was a lead-lag relationship with (a) counseling sessions in which higher ratings of counselor interactional style followed sessions with more counselor adherence to a general psychodynamic interviewing style and (b) sessions with higher ratings on adherence to psychodynamic interviewing style preceded sessions with higher level of adherence to TLDP specific strategies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Session evaluation and recall of important events as a function of counselor experience.

Session evaluation and type of participant-recalled important event were investigated in 25 novice counselor dyads and 9 experienced counselor dyads during 9 sessions of short-term counseling. Counselor experience was the independent variable and session evaluation was the dependent variable. Results based on the Session Evaluation Questionnaire (W. B. Stiles, 1980) showed a significant interaction effect between counselor experience and role of participant (client or counselor) for session depth. Clients also reported an increase in positive affect over the course of counseling. Experienced counselors recalled more important events involving insight, whereas novice counselors recalled more important events involving exploration of feelings or self-critique. The type of important event recalled by clients also changed over the sessions of counseling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effective use of cultural role taking.

Use of traditional counseling methods is examined in regard to multicultural populations. We argue that traditional counseling methods should not be used in non-White/White counseling situations because of the disparity of life experiences of the two participant groups. However, we propose that a transcendence of cultural boundaries between the counselor and the client can be achieved with effective use of cognitive empathy. Cognitive empathy, defined as cultural role taking, enables the counselor to cognitively understand and work within the cultural framework of the client. Cultural role taking is recommended for use with White counselors and clients of color. Future researchers are advised of the qualitative and quantitative empirical work yet to be done in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

HIV counseling research needs suggested by psychotherapy process and outcome studies.

HIV risk reduction counseling is commonly used to prevent the spread of HIV. Such counseling is an interpersonal process that shares many characteristics with psychotherapy. Research on HIV counseling can benefit from methods and findings from psychotherapy research, and scientist-practitioners are well qualified to design or collaborate in studies that incorporate their expertise in psychotherapeutic process and in research. Studies of the relationship between the counselor and client, the structure of the counseling sessions, client experiences, and specific intervention techniques are suggested on the basis of consistent findings and important themes in psychotherapy literature. Research findings from studies adapting techniques and results from psychotherapy studies could significantly improve the effectiveness of current risk reduction counseling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Session impact, working alliance, and treatment outcome in brief counseling.

Examined associations among working alliance, session evaluations over the course of brief counseling, and counseling outcome. At a training clinic, 61 clients and student counselors from 41 dyads completed ratings of session depth, smoothness, positivity, and arousal after their 1st 12 sessions. Alliance ratings were completed after the 4th session and at termination. Clients and counselors also provided 5 measures of counseling outcome. Results indicated that session evaluations were significantly related to later alliance ratings, and positive alliance ratings predicted subsequent session evaluations. Both linear and curvilinear session effects were suggested. Associations for client ratings were generally stronger than for counselor ratings. Both alliance and session evaluations were significant unique predictors of client-related outcome, but only alliance predicted counselor-rated outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)