Identity salience: An intersectional approach to understanding multicultural processes and outcomes in psychotherapy.
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 477-485; doi:10.1037/cou0000688A growing body of research has demonstrated the importance of therapists’ multicultural orientation (MCO), namely, their cultural humility (CH), cultural comfort, and cultural missed opportunities, on treatment processes and outcomes (Davis et al., 2018). However, to date, few research has attempted to identify client factors that may moderate the relationship between therapists’ MCO and therapeutic processes and outcomes. Informed by Yakushko et al.’s (2009) identity salience model, this study seeks to advance the MCO literature by...
Source: Journal of Counseling Psychology - June 15, 2023 Category: Psychiatry & Psychology Source Type: research

Asian American child–parent cultural value discrepancies, family conflict, life satisfaction, and self-esteem.
We examined Asian American college students’ adherence to traditional values that are salient in Asian cultures, the students’ perceptions of their mother’s and father’s adherence to the same values, and the discrepancies between the students and their mothers and fathers on the levels of adherence to these values. Based on the data from 301 participants who self-identified as Asian Americans, paired-samples t tests revealed that the child–parent cultural value discrepancies were present across all generational statuses of the participants with the children adhering less strongly to most of the value dimensions t...
Source: Journal of Counseling Psychology - June 1, 2023 Category: Psychiatry & Psychology Source Type: research

Too-much-of-a-good-thing? The curvilinear associations among Chinese adolescents’ perceived parental career expectation, internalizing problems, and career development: A three-wave longitudinal study.
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 605-618; doi:10.1037/cou0000687Based on three-annual-wave data from 3,196 Chinese adolescents across the high school years (Mage = 15.55 years old, SD = .44; 52.8% girls at Wave 1, 10th grade), this study examined the curvilinear associations between adolescents’ perceived parental career expectation and their career adaptability and ambivalence and also tested the potential mediating role of adolescents’ internalizing problems in such associations. Results showed that, after controlling for a set of critical covariates and the baseline levels of outcome variables,...
Source: Journal of Counseling Psychology - May 25, 2023 Category: Psychiatry & Psychology Source Type: research

Development and validation of the Barriers to Using Immediacy Scale (BUIS).
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 571-583; doi:10.1037/cou0000685Immediacy is a skill therapists use to process the therapeutic relationship in the here and now. Although immediacy has been shown to enhance the therapeutic process, therapists are often reluctant to use it (Hill et al., 2018). In three studies, we developed and tested a measure to assess reasons that therapists avoid using this skill: the Barriers to Using Immediacy Scale (BUIS). In Study 1, 185 North American therapist trainees completed the 45-item pilot measure. Exploratory factor analysis supported a four-factor structure (Concerns ...
Source: Journal of Counseling Psychology - May 25, 2023 Category: Psychiatry & Psychology Source Type: research

Resisting and countering online racial hate: Antiracism advocacy and coping online with racism as moderators of distress associated with online racism.
We examined engagement in antiracism advocacy and online coping as moderators that can potentially buffer the link between online racism and psychological distress. Using data from 395 racially/ethnically diverse adults (Mage = 34.12, SD = 11.19), we conducted latent moderated structural equation modeling to test individual and institutional antiracism advocacy, and online coping as moderators in the link between online racism and psychological distress. Individual antiracism advocacy was not a significant moderator. Both institutional antiracism advocacy and online coping were significant moderators. For both variables, t...
Source: Journal of Counseling Psychology - May 25, 2023 Category: Psychiatry & Psychology Source Type: research

Early distress score instability predicts outcome in brief psychotherapy.
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 595-604; doi:10.1037/cou0000683Among psychotherapy patients, unstable early distress scores are known to predict substantial intersession improvement later in treatment. The evidence has been ambiguous as to whether early distress instability also predicts outcome. We investigated the links among early distress instability, later intersession improvement, and outcome. In a sample of 1,796 students treated with brief psychotherapy at university counseling centers, we sought to predict intersession improvement and treatment outcome from an index of distress instability, ...
Source: Journal of Counseling Psychology - May 18, 2023 Category: Psychiatry & Psychology Source Type: research

The impact of historical loss on Native American college students’ mental health: The protective role of ethnic identity.
This study examined the theorized pathways among historical loss, well-being, psychological distress, and the proposed cultural buffer of ethnic identity in the indigenist stress-coping model (ISCM). Cross-sectional data were collected via online survey and analyzed using structural equation modeling. Participants were a national sample of 242 NA/AN college students. Participants were predominantly women (n = 185; 76%) and median age was 21 years. Partial support was found for the ISCM. Participants reported frequent thoughts of historical loss, which were associated with lower well-being and higher levels of psychological...
Source: Journal of Counseling Psychology - May 18, 2023 Category: Psychiatry & Psychology Source Type: research

Intersectional microaggressions, mental health outcomes, and the role of social support among Black LGB adults.
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 464-476; doi:10.1037/cou0000684The present study explored the relationship between intersectional microaggressions (racism and heterosexism) and psychological distress outcomes among a sample of 370 Black lesbian, gay, and bisexual (LGB) adults. Additionally, social support from family, friends, and significant others was examined as potential moderators. Results showed that intersectional microaggressions were associated with greater depression, anxiety, and stress. Also, a significant moderating effect for family social support was found, suggesting that Black LGB ad...
Source: Journal of Counseling Psychology - May 18, 2023 Category: Psychiatry & Psychology Source Type: research

Ideals of counseling practice: Therapeutic insights from an Indigenous first nations-controlled treatment program.
Journal of Counseling Psychology, Vol 70(5), Oct 2023, 451-463; doi:10.1037/cou0000673Indigenous Canadians suffer disproportionately from mental health concerns tied to histories of colonization, including exposure to Indian Residential Schools. Previous research has indicated that preferred therapies for Indigenous populations fuse traditional cultural practices with mainstream treatment. The present study comprised 32 interviews conducted with Indigenous administrators, staff, and clients at a reserve-based addiction treatment center to identify community-driven and practical therapeutic solutions for remedying histories...
Source: Journal of Counseling Psychology - May 18, 2023 Category: Psychiatry & Psychology Source Type: research

Helping skills training: Outcomes and trainer effects.
Journal of Counseling Psychology, Vol 70(4), Jul 2023, 396-402; doi:10.1037/cou0000667We studied whether counseling self-efficacy increases after taking a helping skills course as well as whether trainer (instructor) effects are associated with postclass self-efficacy. We surveyed 551 undergraduate students and 27 trainers in helping skills courses across three semesters at one large mid-Atlantic U.S. public university. We found that students reported greater counseling self-efficacy after taking the course. In addition, trainers accounted for small but significant amount of the variance (7%) in changes in counseling self-...
Source: Journal of Counseling Psychology - May 18, 2023 Category: Psychiatry & Psychology Source Type: research

“We can create a better world for ourselves”: Radical hope in communities of color.
This study aimed to help fill this gap in the literature by extending Mosley et al.’s (2020) multidimensional psychological framework of radical hope via a qualitative study. Radical hope includes a collective motivation of hope for BIPOC communities to work toward a more egalitarian future. In this study, focus groups and interviews were conducted with 29 BIPOC adults, with and without mental health training, to explore participants’ perceptions of radical hope. Seven interrelated themes were identified. Two core components and four themes aligned with and extended Mosley et al.’s (2020) framework: Collective Orient...
Source: Journal of Counseling Psychology - May 11, 2023 Category: Psychiatry & Psychology Source Type: research

At the intersection of the model minority myth and antiblackness: From Asian American triangulation to recommendations for solidarity.
Journal of Counseling Psychology, Vol 70(4), Jul 2023, 352-366; doi:10.1037/cou0000662Asian Americans are situated in a triangulated role in a black–white racial hierarchy designed to legitimize white supremacy (Kim, 1999). However, little is known about the lived experiences of Asian American triangulation and even less so in the context of anti-Asian racism. The present study was initially designed to examine anti-Asian racism at the outset of the COVID-19 pandemic. Yet, in a sociopolitical climate described as a “racial reckoning,” our study evolved to capture the process of racial triangulation and the interplay ...
Source: Journal of Counseling Psychology - May 4, 2023 Category: Psychiatry & Psychology Source Type: research

Rural atheists in the United States: A critical grounded theory investigation.
Journal of Counseling Psychology, Vol 70(4), Jul 2023, 377-387; doi:10.1037/cou0000671The occurrence and impact of antiatheist stigma appear to differ based on the geography and religiousness of the communities in which atheists live (Frazer et al., 2020; Frost et al., 2022). However, few studies have examined the potentially unique experiences of atheists living in parts of the United States (U.S.) designated as rural. Using a critical, grounded theory approach, the present study interviewed 18 rural-residing atheists about their experiences including antiatheist discrimination, outness, and their psychological well-being...
Source: Journal of Counseling Psychology - April 27, 2023 Category: Psychiatry & Psychology Source Type: research

LGBQ affirmative practice and psychological well-being in China.
This study provides preliminary empirical evidence for the effectiveness of LGBQ affirmative practice in psychological health among Chinese LGBQ clients. Moreover, LGBQ affirmative practice might be more helpful for LGBQ clients with higher IH and AFP. These findings implicate that Chinese counselors and therapists should engage in LGBQ affirmative practice when they work with LGBQ clients, especially for those who have high levels of IH and AFP. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Counseling Psychology)
Source: Journal of Counseling Psychology - April 27, 2023 Category: Psychiatry & Psychology Source Type: research

Psychotherapists’ experiences providing at-home psychotherapy for home-living older adults with long-term care needs and depression.
This study used qualitative methods to explore psychotherapists’ experiences conducting at-home psychotherapy with older adults (60 + years) with long-term care needs and depression. We conducted semistructured interviews with 16 female psychotherapists (26–70 years old) who delivered at-home cognitive behavioral therapy to home-living older adults with long-term care needs and depression. We additionally conducted 10 patient case studies. Using an adaption of the methodology of grounded theory, we iteratively developed a hierarchical model. Results showed that psychotherapists experienced three dilemmas: (a) pushing f...
Source: Journal of Counseling Psychology - April 10, 2023 Category: Psychiatry & Psychology Source Type: research