Interviewer style, client satisfaction, and premature termination following the initial counseling contact.

57 female and 38 male clients at a university counseling center were interviewed by 1 of 4 interviewers (3 male and 1 female) to test 2 alternative explanations for early defection of female counseling clients. One explanation proposes that the dependent, self-disclosing female is frustrated by nondirective, initial interviews which fail to provide the structure she needs to formulate her problems. Dissatisfaction leads her to leave counseling. The 2nd alternative is that nondirective, initial interviews are satisfying because they provide the dependent, self-disclosing female with the opportunity for cathartic relief. She subsequently terminates because she feels better. Likeliness to defect was measured by Adjective Check List scores prior to the interview, and evaluations of interviewer directiveness and interview satisfaction were obtained from clients immediately following the initial interview. Greater satisfaction with nondirective interviewing by females more likely to defect was found, which favored the catharsis alternative. (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)     

Perceived counselor characteristics, client expectations, and client satisfaction with counseling.

Examined (a) the relationship between perceived counselor expertness, attractiveness, and trustworthiness and client satisfaction; (b) the relationships between specific client expectations on perceived counselor characteristics and client satisfaction; and (c) the effects of actual counselor experience level on perceived counselor characteristics and client satisfaction. The 55 counselors who participated in the study were either beginning or advancing practicum students, doctoral-level interns, or PhD counselors; clients were 72 students who sought help at a university counseling center. Clients completed an Expectations About Counseling (EAC) questionnaire before entering counseling, as well as the Counseling Evaluation Inventory (CEI) and Counselor Rating Form (CRF) after several weeks of counseling. CRF and CEI were correlated, but EAC scores were not strongly related to the CEI or CRF scores. Actual counselor experience level did not differentially affect CEI or CRF scores. Findings are discussed in terms of several variables (e.g., legitimate power, source variables, and client satisfaction) that may differentially affect the influence process over time. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of client preference and expectancy upon the initial interview.

Used a 2 * 3 design with 10 Ss per cell to show how initial counseling interview process and outcome are affected by (a) assigning clients to either more preferred or less preferred counselors; (b) giving clients either positive, nonexistent, or negative expectancy inductions regarding their counselor assignments; and (c) congruence and incongruence between clients' expectations and experiences. Process and outcome were assessed using client and counselor self-report measures and audiotape segment ratings. More preferred assignment conditions received more favorable tape ratings than did less preferred assignment conditions. Positive or no-expectancy conditions revealed a more favorable counseling outcome than did negative expectancy conditions. Most Ss showed increased preferences for counselors seen despite congruence or incongruence between their expectations and experiences. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Initial client expectancies in time-limited counseling.

Assessed the effects of (a) whether counseling was time-limited (12 sessions), (b) the interaction of time limits with the chronicity of the client's problem, and (c) the rationale given for time limits (time limits effective/appropriate vs a long waiting list) on the initial expectancies of clients. 80 female college students were asked to place themselves into the role of a client they saw interacting with a counselor on film. Pre- and postfilm written material manipulated the independent variables. Results show that Ss in the chronic (vs acute) problem condition had the most negative expectancies for the counseling relationship and outcome when the counseling was time-limited (vs unlimited). While the rationale for time limits did not affect the primary dependent variables, post hoc analyses of Ss' essay responses indicated that the waiting-list rationale stimulated more negative expectancies than the time-limits-effective/appropriate rationale. Contrary to predictions, time did not affect Ss' expectancies for client activity and responsibility and for counselor activity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improved detection of the early defecting counseling client.

Research into the factors predisposing clients to terminate prematurely from counseling often requires the ability to measure and predict defection or continuation, the readiness variable. This study attempted to improve upon the Counseling Readiness Scales by the empirical development of correction keys using the remaining items from the Adjective Check List. Ss were 186 female and 243 male undergraduate counseling clients. This effort was successful as far as improved discrimination between both male and female true negatives (clients predicted to drop who actually drop) and false negatives (clients predicted to drop who actually stay). However, similar efforts to improve the discrimination between true positives (clients predicted to stay who actually stay) and false positives (clients predicted to stay who actually drop) were unsuccessful. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of time-limited counseling on client change.

24 college-student clients seeking help from a counseling center for emotional or personal-social problems were randomly assigned to 1 of 2 treatment conditions: time-limited or undetermined-time counseling. Pre- and postcounseling measures were obtained relating to client status and problems. These included the Personal Orientation Inventory and Strupp's therapist questionnaire. Findings indicate significant improvement in terms of self-acceptance and increased independence as well as on various other self-report statements for clients in the time-limited group over a period of 8 wks. In addition, assessment by clients and the 15 counselors of improvement in both groups was significantly related. Implications of findings in terms of use of time-limited counseling in a time-limited environment, e.g., college counseling centers, are discussed. (19 ref) (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)     

Influence of client pretesting on counseling outcome.

Tested 27 college students in 2 groups, 1 prior to and both after counseling. The hypothesis that pretesting would "reactively influence counseling" was partially upheld in that "pretesting was significantly associated with measured adjustment of clients after counseling." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

Effects of contrasting degrees of privacy on client self-disclosure in a counseling setting.

Studied the effect of reduced privacy in a counseling setting on client self-disclosure. A laboratory analog simulating an invasion of privacy by a 3rd party in a counseling setting was developed, and 74 undergraduates were randomly assigned to 3 experimental conditions: private--an interviewer and S were alone in an interview setting; invasion--a 3rd party (a confederate) invaded the privacy of the interview; spatial divider--a 3rd party again invaded the interview, but spatial dividers were introduced to enhance privacy. Results demonstrate that reduced privacy decreases client self-disclosure. Spatial dividers influenced the client's perception of privacy but failed to increase self-disclosure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential client attractiveness in a counseling analogue.

Investigated the effects of variations in conceptual complexity level of counselor and client on counselor attraction to the client. 40 counselor trainees (characterized as having either high or low conceptual level—Paragraph Completion Test) in 2 groups rated the attractiveness of clients following each of 2 counseling analog tasks in which the client was depicted as exhibiting high or low conceptual level. Results of a 2?×?2 analysis of variance (Counseling Complexity?×?Analog Complexity) indicated only that the more complex clients were more attractive across both levels of counselor complexity. Results are discussed in terms of 2 models of interpersonal attraction and the implication for socioeconomic status, as it relates to conceptual level, as a factor in counselor–client role constraints. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral analysis of client learning style during counseling.

Examined differences in the verbal behavior of 17 undergraduates classified as deep–elaborative learners and 13 undergraduates classified as shallow–reiterative learners on the basis of their scores on the Inventory of Learning Processes. Ss discussed personal problems in 2 30-min interviews with 1 of 2 female counselors. Verbal behavior of deep–elaborative Ss was rated as clearer, deeper, and more conclusion-oriented and personal than that of shallow–reiterative Ss by 2 male trained raters. Solely on the basis of this verbal behavior, both the raters and the counselors correctly identified the information-processing group to which each S belonged. There were no differences between groups on counseling satisfaction. Discussion of relationship problems was rated most deep–elaborative and discussion of academic problems most shallow–reiterative. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor analysis of the domain of client expectancies about counseling.

446 college students completed a questionnaire measuring 20 expectancies regarding counseling. After item analysis, the instrument was reduced to 135 items comprising 17 expectancy scales. Scale scores were calculated for each S, and data analyzed using principal-components analysis with varimax rotation. Evidence of 4 expectancy factors was obtained: Personal Commitment, Facilitative Conditions, Counselor Expertise, and Nurturance. To clarify interpretation, scores on the 4 factors were correlated with Ss' responses to 13 items measuring how realistic respondents' expectancies were. (48 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in counseling center client problems across 13 years.

Are perceived increases in symptom severity in college counseling center clients real or imagined? Counseling center staff, retrospectively, reported that client problems are more severe now than in the past. Yet studies examining client distress levels at intake have found no significant increases. This study examined counseling center client problems across 13 years from the perspective of the treating therapist at the time of case closure. Increases were found for 14 of 19 client problem areas, whereas other areas retained stable levels, and 2 problem areas had a quadratic trend over time. These changes directly affect counseling service practices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of the home care client satisfaction instrument

The method proposed by Sheiner and Beal plays a cornerstone role in the evaluation of the predictive performance. Recently, the Sheiner and Beal's method has been intensively used in pharmacokinetic studies, however, this method has been used in a somewhat confusing way by several authors. Therefore, if one wants to use this method, one might find different examples to follow in the pharmacokinetic literature. Meanwhile, several detailed points were not given by Sheiner and Beal in their original paper. Clearly, the principles suggested by Sheiner and Beal are simple, but the practical application is something of an art. In this work we addressed these detailed points and indicated the confusion in using the Sheiner and Beal's method.     

A comparison of client and counselor expectancies regarding the duration of counseling.

Asked 594 college students seeking counseling at a university counseling center to indicate duration expectancies in the form of estimates of the number of sessions needed to resolve the problem(s) they were presenting. Following the initial interview, 40 counselors who saw the clients gave their own duration expectancies for 434 of the clients. The results of a comparison of estimates showed that clients consistently gave significantly lower mean estimates than counselors. No significant correlations were obtained between client or counselor duration expectancies and the number of weeks remaining in the school term or year. Clients with career development concerns and counselors of clients with these concerns gave the smallest mean estimates. Large mean and modal discrepancies occurred between client and counselor estimates for personal/social problems. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of client characteristics on initial counselor perceptions.

Analyzed the reactions of 30 professionally employed counselors to a role-played, videotaped intake interview with a potential client by a counselor who was not in view. The Ss assessed the probability that they would elect to counsel the person. They also rated both themselves and the client on A. Barak and M. LaCrosse's (1975) Counselor Rating Form (CRF). Results indicate that the trustworthiness dimension seemed to incorporate those characteristics that most influence initial counselor perceptions. It is suggested that the CRF can be used to obtain counselor as well as client perceptions and that the use of relativistic measures of attributes, that is, the use of scores that reflect the differences between one's own attributes and those of the other, may be a valuable methodological addition to research that uses the CRF. (8 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counselor trainee anxiety during the initial counseling interview.

Investigated the nature and extent of anxiety experienced by beginning practicum students in their initial client interviews. Ss were 20 of 21 students enrolled in a master's level course in supervised counseling experience. Anxiety was assessed by self-report, skin conductance, and heart rate measures obtained in anticipation of and during stimulus situations of reading an article and counseling a client. The design was a 2–2 (Periods?×?Sessions) within-Ss factorial. Results indicate that Ss were more anxious on physiological and self-report measures of anxiety during the counseling interview than during reading. Although most of the self-report data were not related to autonomic arousal during the interview, baseline autonomic data were highly related to autonomic response during the interview. Also, self-report predictions of anxiety were related to self-report anxiety during the interview. It is concluded that (a) the counseling interview is an anxiety-evoking situation, (b) much of the anxiety can be accounted for by Ss' expectations, and (c) anxiety is most meaningfully discussed within the framework of response dimensions. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Side effects of parent counseling on marital satisfaction.

In a study with 27 mothers and their clinic-referred children, mothers were divided into 3 groups based on their pretreatment level of marital satisfaction (Locke Marital Adjustment Test). Child compliance and deviant behavior as measured by independent observers, parent perceptions of child adjustment, and parent marital satisfaction were assessed before treatment, after treatment, and at a 2-mo follow-up. Parent counseling consisted of teaching mothers to reward appropriate behavior and use a time-out procedure for deviant behavior. All groups changed significantly from pre- to posttreatment on the child behavior measures and on parent perceptions of child adjustment. These changes were maintained at follow-up for child compliance and parent perceptions of child adjustment. The group of mothers with low marital satisfaction reported an increase in marital adjustment from pretreatment to posttreatment, but this effect was not maintained at the 2-mo follow-up. Groups with medium or high marital satisfaction reported no change in marital adjustment. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)